Utilization of Simulated Competency Exams in Dental Hygiene Education
Rachel M Thelen1, Yvette G Reibel1, Michael D Evans2
1Department of Primary Dental Care, University of Minnesota School of Dentistry, Minneapolis, Minnesota, USA.
Journal of Dental Education
|March 31, 2025
Summary
Simulated competency and mock board exams boosted dental students' confidence and preparation for the clinical licensure exam (CLE). This manikin-based approach proved effective, with all students passing the CLE on their first attempt.
Area of Science:
- Dental Education
- Clinical Skills Assessment
- Simulation-Based Learning
Background:
- The COVID-19 pandemic necessitated a shift towards manikin-based clinical licensure exams (CLE).
- This transition highlights the need to evaluate the effectiveness of simulation in dental education.
- Understanding student perceptions of these simulated exams is crucial for curriculum development.
Purpose of the Study:
- To assess the impact of simulated competency and mock board exams on dental students' self-confidence and perceptions.
- To compare the effectiveness of two different typodont models (Ac adental ModuPRO DH and Acadental Coris) in a simulated exam setting.
Main Methods:
- Two student cohorts (Classes of 2023 and 2024) participated in a four-semester sequence of simulated exams.
- Pre- and post-surveys with Likert scale and open-response questions were used to measure perceptions and self-confidence.
- The Class of 2023 used the Acadental ModuPRO DH, while the Class of 2024 used the Acadental Coris typodont.
Main Results:
- 65% of participants completed the survey.
- Both cohorts found mock board exams beneficial for CLE preparation.
- The Class of 2023 demonstrated significant increases in confidence (p=0.003, p=0.009), while the Class of 2024 showed slight, non-significant increases.
- All participants agreed that competency exams aided CLE preparation.
- 100% of students passed the CLE on their first attempt.
Conclusions:
- A sequence of competency and mock board exams enhances student confidence and preparedness for the CLE.
- The type of typodont used did not significantly alter the positive impact on student confidence.
- Simulated patient competency exams are valuable tools for preparing dental students for licensure.


