Document Type : Original Article

Authors

Department of Orthodontics, Majmaah University, Al Majma’ah, Kingdom of Saudi Arabia

Abstract

Background: Studies indicate that the initial transition period between preclinical and clinical
phases are the most stressful. The students have experienced the difficulty in performing clinical
procedures due to the vast difference in the clinical and preclinical setup. It is better to identify the
particular skill found poorly correlated, enabling educators to address the concerns. We sought
the opinion and suggestion from the beneficiary student on fixed prosthodontics steps difficult to
practice in clinical setup at the initial stage, their suggestion to overcome these shortcomings was
also sought. Aims: To determine the fixed prosthodontics skills difficult to perform in a transition
period due to poor correlation between preclinical and clinical training from our focus group study
on the student’s perception, and their suggestion regarding alternative methods to improve the
preclinical training. Materials and Methods: Focus groups in the study were the students involved
in clinical practice of fixed partial denture procedure. A well-constructed Questionnaire, designed
to evaluate the difficult clinical steps in a transitional period and suggestion to improve the existing
preclinical training was distributed to all focus group students. The response to the questionnaire
was based on the five-point Likert scale. Statistical Analysis Used: Medians, frequencies were
used to assess their perception on preclinical training and suggestion. Results: A total of 97
students participated in the study, 88% response received during the survey. The clinical steps
student felt difficult during a transition period from preclinical to clinical phase were positional
variations of teeth (52.6%-63.9%), fluid control (48.5-67.1%), shade selection procedure (29.9%-
50.5%), subgingival cervical finish line preparation (38.1-51.5%), and gingival retraction procedure.
The students felt that the inclusion of problem-based learning, preclinical patient exposure, and
better simulation will alleviate the stress during the transition period. Conclusions: This study
highlighted the tooth preparation steps found difficult to practice in a transition period between
preclinical and clinical phases. This study also
obtained suggestions from the students for
innovative upgradation of the course curricula.

Keywords

  1. Jones ML, Hobson RS, Plasschaert AJ, Gundersen S, Dummer P,
    Roger‑Leroi V, et al. Quality assurance and benchmarking:
    An approach for European dental schools. Eur J Dent Educ
    2007;11:137‑43.
    2. Hauser AM, Bowen DM. Bowen, Primer on preclinical instruction
    and evaluation. J Dent Educ 2009;73:390‑8.
    3. Markley MR. Restorations of silver amalgam. J Am Dent Assoc
    1951:43:133‑46.
    4. Prince KJ, Boshuizen HP, van der Vleuten CP, Scherpbier AJ.
    Students’ opinions about their preparation for clinical practice. Med
    Educ 2005;39:704‑12.
    5. Alexander DA, Haldane JD. Medical education: A student
    perspective. Med Educ 1979;13:336‑41.6. Radcliffe C, Lester H. Perceived stress during undergraduate medical
    training: A qualitative study. Med Educ 2003;37:32‑8.
    7. Hauser AM, Bowen DM. Primer on preclinical instruction and
    evaluation. J Dent Educ 2009;73:390‑8.
    8. Chambers DW. Issues in transferring preclinical skill learning to the
    clinical context. J Dent Educ 1987;51:238‑43.
    9. Newcomb GM. The relationship between the location of subgingival
    crown margins and gingival inflammation. J Periodontol
    1974;45:151‑4.
    10. Norman GR, Schmidt HG. The psychological basis of problem‑based
    learning: A review of the evidence. Acad Med 1992;67:557‑65.
    11. Prince KJ, Van De Wiel M, Scherpbier AJ, Can Der Vleuten CP,
    Boshuizen HP. A Qualitative Analysis of the Transition from Theory
    to Practice in Undergraduate Training in a PBL‑Medical School. Adv
    Health Sci Educ Theory Pract 2000;5:105‑16.
    12. Dornan T, Littlewood S, Margolis SA, Scherpbier A, Spencer J,
    Ypinazar V. How can experience in clinical and community settings
    contribute to early medical education? A BEME systematic review.
    Med Teach 2006;28:3‑18.
    13. Goldie J, Dowie A, Cotton P, Morrison J. Teaching professionalism
    in the early years of a medical curriculum: A qualitative study. Med
    Educ 2007;41:610‑7.
    14. Helmich E, Bolhuis S, Laan R, Koopmans R. Early clinical
    experience: Do students learn what we expect? Med Educ
    2011;45:731‑40.
    15. Rees C, Shepherd M. Students’ and assessors’ attitudes towards
    students’ self‑assessment of their personal and professional
    behaviours. Med Educ 2005;39:30‑9.
    16. Musolino GM. Fostering reflective practice: Self‑assessment
    abilities of physical therapy students and entry‑level graduates.
    J Allied Health 2006;35:30‑42.