OSCE-OSPE ve Fantom Laboratuvarı Öğrencilerinin Endodonti Kliniğinde Tanı ve Tedavi Yaklaşımlarının Öz Değerlendirmesi: Bir Anket Çalışması

Abstract

Amaç: Bu çalışmanın amacı, Objektif Yapılandırılmış Klinik Sınav (OSCE)-Objektif Yapılandırılmış Pratik Sınav (OSPE) ve fantom laboratuvarında simüle kafa modellerinde kök kanal tedavisi eğitimi alan öğrencilerin, endodonti kliniğindeki hastalara teşhis ve tedavi yaklaşımlarının değerlendirilmesidir. Gereç ve Yöntem: Çalışmaya, xxxxx Diş Hekimliği Fakültesinde öğrenim gören, OSCE-OSPE ve fantom laboratuvarında eğitim almış olan 100 diş hekimliği öğrencisi dahil edildi. 14 soruluk teşhis ve tedavi konusu kapsamında hazırlanan 2 soru grubu içeren anket çalışmamızda klinik öncesi eğitimin, endodonti kliniğinde hastaya teşhis koyabilme ve tedavi edebilme üzerine olan etkileri değerlendirildi. Veri analizi için Tek Örneklemli Ki-Kare testi kullanıldı (p<0,05). Bulgular: Öğrencilerin tanıya ilişkin yanıtları değerlendirildiğinde, öğrencilerin %96'sı ağız içi muayenenin tanıya yeterli katkı sağladığını belirtti. Öğrencilerin tedaviye ilişkin yanıtları değerlendirildiğinde ise öğrencilerin %64'ü yeterli görüş alanı elde etmekte zorluk çektiğini bildirdi. Sonuç: OSPE-OSCE ve fantom laboratuvarlarının daha verimli hale getirilebilmesi için öğrencilerin dersler hakkındaki görüşleri değerlendirilerek bu doğrultuda gerekli güncellemeler ve yeni çalışmalar yapılmalıdır.

Keywords

• Endodontik Tanı
• Objektif Yapılandırılmış Klinik Muayene (OSCE)
• Objektif Yapılandırılmış Pratik Muayene (OSPE)

Self-Assessment of OSCE-OSPE and Phantom Laboratory Students' Diagnostic and Therapeutic Approaches in Endodontics Clinic: A Survey Study

Abstract

Background: The aim of this study is to evaluate the diagnostic and treatment approaches of students who received endodontic practical training in the Objective Structured Clinical Examination (OSCE)-Objective Structured Practical Examination (OSPE) and phantom laboratory in the endodontics clinic. Materials and Methods: The study included 100 dental students from xxx Faculty of Dentistry who had received training in OSCE-OSPE and the phantom laboratory. In our survey study, which included two groups of questions covering 14 questions on diagnosis and treatment, the effects of preclinical education on the ability to diagnose and treat patients in endodontic clinical practice were evaluated. The One-Sample Chi-Square test was used for data analysis (p<0.05). Results: When evaluating students' responses regarding diagnosis, 96% of the students stated that intraoral examination provided sufficient contribution to diagnosis. When evaluating students' responses regarding treatment, 64% of the students had difficulty in obtaining a sufficient field of view. Conclusions: In order to make OSPE-OSCE and phantom laboratories more efficient, students' opinions about the courses should be evaluated, and updates should be made accordingly.

Keywords

• Endodontic Diagnosis
• Objective Structured Clinical Examination (OSCE)
• Objective Structured Practical Examination (OSPE)

Ethical Statement

This survey study was approved by the xxxxxx University Non-Interventional Clinical Research Ethics Committee (2025/50).

References

1. 1. Turhan Z, Kaplan G, & Tınaz A, Muayene ve Teşhis: Pulpal ve Periapikal Hastalık Belirtileri, Pulpal Testler (Elektrikli Pulpa Testi, Termal ve Diğerleri), Pulpal Hastalıklar, Periapikal Doku Hastalıkları. Türkiye Klinikleri Yayınevi, Ankara, 2022;19-25
2. 2. Shahzad A, Saeed M, & Paiker S. Dental students’ concerns regarding OSPE and OSCE: a qualitative feedback for process improvement. BDJ open. 2017;3(1):1-8.
3. 3. Bertoli E, Lawson KP, Bishop SS. Dental Students' Skills Assessments: Comparisons of Daily Clinical Grades and Clinical and Laboratory Assessments. J Dent Educ. 2018;82(4):417-23
4. 4. Nasir AA, Yusuf AS, Abdur-Rahman LO, Babalola OM, Adeyeye AA, Popoola AA, et al. Medical students’ perception of objective structured clinical examination: a feedback for process improvement. J Surg Educ. 2014; 71: 701–706.
5. 5. Frantz JM, Rowe M, Hess DA, Rhoda AJ, Sauls BL, Wegner I. Student and staff perceptions and experiences of the introduction of objective structured practical examinations: A pilot study. Afr J Health Prof Educ. 2013; 5: 72–74.
6. 6. Al-Mously N, Nabil NM, Salem R. Student feedback on ospe: an experience of a new medical school in saudi arabia. Med Sci Educ. 2012; 22: 10–16.
7. 7. Nayar U, Malik S, Bijlani R. Objective structured practical examination: a new concept in assessment of laboratory exercises in preclinical sciences. Med Educ. 1986; 20: 204–209
8. 8. Ross M, Carroll G, Knight J, Chamberlain M, Fothergill-Bourbonnais F, Linton J. Using the osce to measure clinical skills performance in nursing. J Adv Nurs. 1988; 13: 45–56

9. 9. Mossey PA, Newton JP, Stirrups DR. Scope of the osce in the assessment of clinical skills in dentistry. Br Dent J. 2001; 190: 323–326.
10. 10. YÖK. Mezuniyet Öncesi Diş Hekimliği Ulusal Çekirdek Eğitim Programı 2024 Available from https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/dis-hekimligi.pdf
11. 11. Brundin M, Sjöström M. Student confidence in clinical competence during dental education. BDJ Open. 2024;10(1):92.
12. 12. Annamma LM, Varma SR, Abuttayem H, Prasad P, Azim SA, Odah R, Karobari MI. Current challenges in dental education: a scoping review. BMC Med Educ. 2024;24(1):1523.
13. 13. Wang H, Xuan J, Liu L, Shen X, Xiong Y. Problem-based learning and case-based learning in dental education. Ann Transl Med. 2021;9(14):1137.
14. 14. Polyzois I, Claffey N, Mattheos N. Problem-based learning in academic health education: A systematic literature review. Eur J Dent Educ. 2010;14:55–64.
15. 15. Ciardo A, Möltner A, Rüttermann S, Gerhardt‐Szép S. Students’ self‐assessment of competencies in the phantom course of operative dentistry. Eur J Dent Educ. 2019;23(2):204–211.
16. 16. Wu JH, Lin PC, Lee KT, Liu HL, Lu PY, Lee CY. Situational simulation teaching effectively improves dental students’ non-operational clinical competency and objective structured clinical examination performance. BMC Med Educ. 2024;24(1):533.
17. 17. De Moor R, Hülsmann M, Kirkevang LL, Tanalp J, & Whitworth J. Undergraduate curriculum guidelines for endodontology. Int Endod J. 2013;46(12): 1105-1114.
18. 18. Alobaoid MA, Aldowah O, & Karobari MI. Endodontic clinical diagnostic skills amongst undergraduate dental students: cross-sectional study. In Healthcare MDPI. 2022;10(9): 1655.
19. 19. Akram A, Bashir U, Yasmin S, Sattar K, & Meo SA.. Integrated undergraduate dental curriculum. J Pak Med Assoc. 2019;69(9): 1331-1336.
20. 20. Dixit S, Dahal S, Sagtani A, & Dixit P B. Assessment of confidence level among interns of a dental college in performing various dental procedures. Nepal J. Med. 2020; 3(2), 33-38.
21. 21. Joshi R, Gautam S, & Joshi B. Self confidence levels and perception of interns regarding endodontic treatment in different dental colleges of Nepal. NMCJ. 2024; 26(4), 305-312.
22. 22. Qutieshat A, Al Rusheidi A, Al Ghammari S, Alarabi A, Salem A, & Zelihic M. Comparative analysis of diagnostic accuracy in endodontic assessments: dental students vs. artificial intelligence. Diagnosis. 2024;11(3): 259-265.
23. 23. Brand HS, Baart JA, Maas NE, Bachet I. Effect of a training model in local anesthesia teaching. J Dent Educ. 2010; 74: 876–9.
24. 24. Tavares LG, Lima SM, Lima MG, Arruda M P, Menegazzi TC, & Rezende TM. Undergraduate dentistry students’ perception of difficulties regarding endodontic treatment. Aust Endod J. 2019; 45(1): 98-105.
25. 25. Mirza MB. Difficulties encountered during transition from preclinical to clinical endodontics among Salman bin Abdul Aziz University Dental Students. J Int Oral Health. 2015; 7: 22–7.
26. 26. Seijo MO, Ferreira EF, Ribeiro Sobrinho AP, Paiva SM, Martins RC. Learning experience in endodontics: Brazilian students’ perceptions. J Dent Educ. 2013; 77: 648–55.
27. 27. Peker I, Alkurt MT. Evaluation of radiographic errors made by undergraduate dental students in periapical radiography. N Y State Dent J. 2009; 75: 45–8.
28. 28. Chandrasekaran B, Cugati N, Kumaresan R. Dental students’ perception and anxiety levels during their first local anesthetic injection. Malays J Med Sci. 2014; 21: 45–51.
29. 29. Haug SR, Linde BR, Christensen HQ, Vilhjalmsson VH, & Bårdsen A. An investigation into security, self-confidence and gender differences related to undergraduate education in endodontics. Int Endod J. 2021;54(5):802–811.