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Updated: Jun 15, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Examining clinical assessment practices in U.S. dental hygiene programs.
Marie A Navickis1, Kimberly Krust Bray, Pamela R Overman
1Rock Valley College, 4151 Samuelson Rd., Rockford, IL 61109, USA. m.navickis@rockvalleycollege.edu
Competency-based education in dental hygiene programs primarily uses observation and case studies for assessment. Standardized clinical assessment techniques (SCATs) are underutilized but show potential for improving clinical competence evaluation.
Area of Science:
- Dental Hygiene Education
- Health Professions Assessment
- Competency-Based Education
Background:
- Competency-based education (CBE) aims to ensure dental hygiene students master skills for independent practice.
- Standardized clinical assessment techniques (SCATs) like OSCEs and simulations are crucial for evaluating healthcare professional competence.
- SCATs prepare clinicians for diverse patient complexities in controlled settings.
Purpose of the Study:
- To investigate the range of clinical competence assessment methods in U.S. dental hygiene programs.
- To gauge dental hygiene program directors' perspectives on clinical assessment, particularly the utilization of SCATs.
- To identify potential barriers or facilitators to SCAT adoption in dental hygiene education.
Main Methods:
- An online survey was distributed to 125 directors of U.S. accredited dental hygiene programs.
- A 48 percent response rate was achieved, providing data on current assessment practices.
- Statistical analysis, including chi-square tests, was employed to examine assessment method usage and program characteristics.
Main Results:
- Observation (97%), case studies (90%), self-assessment (85%), and mock boards (75%) are widely used assessment methods.
- Standardized clinical assessment techniques (SCATs) are the least utilized among surveyed programs.
- A significant majority (74%) of program directors expressed interest in learning more about SCATs.
- No significant difference in SCAT usage was found between associate and baccalaureate degree programs or by program location.
Conclusions:
- Dental hygiene programs predominantly rely on traditional assessment methods over SCATs.
- There is a clear demand for further education and resources regarding the implementation of SCATs.
- Integrating SCATs could enhance the evaluation of clinical competence and readiness for practice in dental hygiene professionals.
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