Utilization of Simulated Competency Exams in Dental Hygiene Education.

Abstract

Objective: The COVID-19 pandemic accelerated the transition from live patient to manikin-based licensure exams, a format likely to continue. This study examined the impact of simulated competency and mock board exams on the perceptions and self-confidence of two student cohorts, using a four-semester sequence with Acadental ModuPRO DH and Acadental Coris typodonts.

Methods: Exempt from the University of Minnesota IRB (STUDY00019218), the study involved students from the Classes of 2023 and 2024. The Class of 2023 used the Acadental ModuPRO DH model, while the Class of 2024 used the Acadental Coris model. Pre- and post-surveys, using a 5-point Likert scale and open-response questions, were administered to gather perceptions and self-confidence before and after the clinical licensure exam (CLE).

Results: Of 55 participants, 36 (65%) participated in the survey. Both cohorts found the mock board exam beneficial for licensure exam preparation. The Class of 2023 showed increased confidence across all survey items, with significant gains on items nine (p = 0.003) and 15 (p = 0.009). The Class of 2024 saw slight confidence increases without significant changes. All participants "agreed" or "strongly agreed" that the competency exams were useful in preparing for the licensure exam. All students passed the CLE on their first attempt.

Conclusion: The competency and mock board exam sequence enhanced student confidence and preparation, regardless of the typodont used. Simulated patient competency exams have the potential to be effective tools for preparing students for the CLE.