使用独立比率测量最后一年牙科学生独立拔牙的能力

IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES
Karl-Henry Merbold, MSc T C Postma BChD, T. C. Postma
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引用次数: 0

摘要

背景。大学有义务确保牙科毕业生具备必要的技能,以提供安全有效的治疗。不幸的是,缺乏关于在本科阶段发展安全有效的独立实践的经验证据。基于应用研究生渐进式独立理论,衡量大四学生独立正确执行拔牙技能的能力。方法。14名临床教师系统评估了2014 - 2016年最后一年牙科学生完成的13 263例拔牙。独立性比率(在没有辅助的情况下进行的提取/提取的总数)被用作关键性能指标,以提供随时间独立完成过程的能力的反馈。采用自定义指标控制难度水平。最后一年的学生(n=146)在临床培训结束时达到了90%到94%的独立比率(标准差为3.3%)。随着时间的推移,独立性的逻辑梯度增加,以及学生之间的不同表现。在每年的研究中,队列中的难度指数得分水平保持相似。临床教师之间存在可接受的评估差异,这在很大程度上可以由复杂的操作环境来解释。结论。据我们所知,这是第一个量化大学生外牙发育渐进式独立性的研究。该指标足够敏感,可以显示学生之间的逻辑独立性梯度和方差。最后一年的学生证明,他们可以在毕业时独立地拔掉80 /10颗牙齿。这一指标表明,有希望的人能够胜任经常被练习的技能。建议对影响这些测量的因素进行更详细的检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Measuring final-year dental students’ ability to remove teeth independently using independence ratios
Background. Universities are obliged to ensure that dental graduates possess the necessary skills to render safe and effective treatment. Empirical evidence regarding the development of safe and effective independent practice at undergraduate level is unfortunately lacking.Objectives. To measure final-year students’ abilities to correctly perform exodontia (tooth removal/extraction) skills independently, based on the applied postgraduate progressive independence theory. Methods. Fourteen clinical teachers systematically assessed 13 263 tooth extractions completed by final-year dental students (2014 - 2016). An independence ratio (extractions performed without assistance/total number of extractions) was used as the key performance indicator to provide feedback on the ability to complete procedures independently over time. A customised index was used for controlling the level of difficulty.Results. Final-year students (n=146) achieved independence ratios ranging between 90% and 94% (standard deviation 3.3%) by the end of their clinical training. Logical gradients of increased independence were illustrated with time, as well as variable performance among students. The level of difficulty index scores remained similar within cohorts per year of study. Acceptable assessment differences existed between clinical teachers, which could largely be explained by complex operational circumstances. Conclusions. As far as we are aware, this is the first study that quantified progressive independence in exodontia for undergraduate students. The measure was sensitive enough to show logical independence gradients and variance among students. Final-year students demonstrated that they could remove >8/10 teeth independently by the time of their graduation. The measure shows promise as a proxy of competence for skills that are often practised. It is recommended that factors that influence these measurements be examined in more detail.
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来源期刊
African Journal of Health Professions Education
African Journal of Health Professions Education HEALTH CARE SCIENCES & SERVICES-
自引率
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发文量
18
审稿时长
24 weeks
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