Abstract
Aim To compare students' self-confidence levels and clinical performance scores between traditional and comprehensive clinical training methods in dental schools in India.
Methods A snowball sampling of undergraduate dental students who had completed their final year during 2021-2022 was undertaken. A questionnaire was designed and distributed to investigate students' self-confidence in performing 35 clinical procedures on a 5-point Likert scale. Additionally, the clinical performance score in external practical assessment during final year was assessed to correlate the self-confidence levels with traditional and comprehensive clinical training methods.
Results Students reported a higher level of self-confidence trained under the comprehensive (3.41 ± 0.40) compared with the traditional method (3.07 ± 0.50) (p <0.05). Interestingly, the median clinical performance score was higher for students using the traditional method (2.88) than for those using the comprehensive method (2.44); however, no significant difference was observed (p = 0.460). The correlation between self-confidence and clinical performance scores was strongly positive (r = 0.521).
Conclusion This study concluded that both traditional and comprehensive clinical training methods have strengths and weaknesses. Combining these two methods could improve clinical training in India.
Key points
-
An overview of the different clinical education methods used in dental schools in India.
-
This highlights the importance of general dental practice skills in undergraduate dental students.
-
This study highlights the need for more objective, validated, and universal clinical skill set evaluation methods for dental education.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 24 print issues and online access
$259.00 per year
only $10.79 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Karuveettil V, Janakiram C, Krishnan V, Mathew A, Venkitachalam R, Varma B. Perceptions of a comprehensive dental care teaching clinic among stakeholders in a dental teaching hospital in South India: A baseline assessment. Med J Armed Forces India 2021; DOI: 10.1016/j.mjafi.2020.12.032.
Hattar S, AlHadidi A, Altarawneh S, Abu-Ghazaleh S, Hammad M. Dental Student Perspectives of a Comprehensive-Based Teaching Methodology: A Confidence, Effectiveness, and Challenge Report. Int J Dent 2020; DOI: 10.1155/2020/8842008.
Park S E, Timothé P, Nalliah R, Karimbux N Y, Howell T H. A case completion curriculum for clinical dental education: replacing numerical requirements with patient-based comprehensive care. J Dent Educ 2011; 75: 1411-1416.
Wu J, Feng X, Chen A, Zhang Y, Liu Q, Shao L. Comparing integrated and disciplinary clinical training patterns for dental interns: advantages, disadvantages, and effect on students' self-confidence. J Dent Educ 2016; 80: 318-327.
Swift L, Henderson A, Wu C-J. Self-confidence in clinical skill: A descriptive study of the perspective of first-year nursing students. Nurse Educ Pract 2022; 58: 103270.
Schwartz B, Saad M N, Goldberg D. Evaluating the students' perspectives on a clinic mentoring programme. Eur J Dent Educ 2014; 18: 115-120.
Al-Alawi H, Al-Shayeb M, Al-Jawad A, Al-Ali A, Mahrous A. Evaluation of a comprehensive clinical dentistry course at dental schools in Saudi Arabia. J Dent Res Rev 2015; 2: 5-9.
Dehghan M, Harrison J, Langham S, Scarbecz M, Amini M. Comparing comprehensive care and departmental clinical education models: students' perceptions at the University of Tennessee College of Dentistry. J Dent Educ 2015; 79: 133-139.
Zappalà G, Crnić T, Tominz K, Ramseier C A. Students' opinions on tutor-supported comprehensive care training in clinical dental education. Swiss Dent J 2022; 132: 838-847.
Mascarenhas A K. Patient satisfaction with the comprehensive care model of dental care delivery. J Dent Educ 2001; 65: 1266-1271.
Johnson G. A comprehensive care clinic in Swedish dental undergraduate education: 3-year report. Eur J Dent Educ 1999; 3: 148-152.
Park S E, Howell T H. Implementation of a patient-centered approach to clinical dental education: a five-year reflection. J Dent Educ 2015; 79: 523-529.
Adibi S S, Chaluparambil J, Chambers S K, Estes K, Valenza J A, Walji M F. Assessing the delivery of comprehensive care at a dental school. Tex Dent J 2012; 129: 1267-1275.
Honey J, Lynch C D, Burke F M, Gilmour A S. Ready for practice? A study of confidence levels of final year dental students at Cardiff University and University College Cork. Eur J Dent Educ 2011; 15: 98-103.
Gilmour A S, Welply A, Cowpe J G, Bullock A D, Jones R J. The undergraduate preparation of dentists: Confidence levels of final year dental students at the School of Dentistry in Cardiff. Br Dent J 2016; 221: 349-354.
Dental Council of India. Revised BDS Course Regulations 2007. 2007. Available at https://dciindia.gov.in/Rule_Regulation/Revised_BDS_Course_Regulation_2007.pdf (accessed June 2022).
Cowpe J, Plasschaert A, Harzer W, Vinkka-Puhakka H, Walmsley A D. Profile and competences for the graduating European dentist - update 2009. Eur J Dent Educ 2010; 14: 193-202.
Rajan S, Chen H Y, Chen J J et al. Final year dental students' self-assessed confidence in general dentistry. Eur J Dent Educ 2020; 24: 233-242.
Lee C, Asher S R, Chutinan S, Gallucci G O, Ohyama H. The Relationship Between Dental Students' Assessment Ability and Preclinical and Academic Performance in Operative Dentistry. J Dent Educ 2017; 81: 310-317.
Salim I, Ghani F. Comprehensive Dental Care Teaching Clinics: A Concept for Inculcating General Dental Practice Skills in BDS Students. J Pak Dent Assoc 2010; 19: 75-77.
Acknowledgements
The authors would like to thank all students who participated in this study.
Data supporting the findings of this study are available upon request from the corresponding author. The data were not publicly available because of privacy or ethical restrictions.
Author information
Authors and Affiliations
Contributions
Gadde Praveen, Danda Pujitha, Indukuri Sai Lakshmi Durga, Shivaji Raju Uddaraju, Sai Gayathri Priya Narisetty, Rama Gowthami Sayana, Tejaswi Vanapalli, Sushma Pakalapati and Sai Lakshmi Thusara Mokkarala all made substantial contributions to the conception and design, acquisition, analysis, and interpretation of the data, drafting and critical revision of the manuscript for important intellectual content, and final approval of the version to be published.
Corresponding author
Ethics declarations
The authors declare no conflicts of interest.
Ethical approval for the study was granted by the Institutional Ethics Committee of Vishnu Dental College (reference no: IECVDC/22/UG01/PHD/Q/61).
Participants were required to provide online consent before anonymously recording their responses to survey questions.
Rights and permissions
About this article
Cite this article
Praveen, G., Pujitha, D., Lakshmi Durga, I. et al. Comparing traditional and comprehensive clinical training methods in dental education: a study of students' self-confidence and clinical performance. Br Dent J 234, 682–686 (2023). https://doi.org/10.1038/s41415-023-5791-z
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41415-023-5791-z