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Volume 17, Issue 53 (2024)
JMED 2024, 17(53): 63-71 |
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Elsawaay S, Mhanni A, Qutieshat A. Examining dental students' performance in multiple-choice questions and pre-clinical practical exams in fixed prosthodontics: Gender differences, stress, and confidence. JMED 2024; 17 (53) :63-71
URL: http://edujournal.zums.ac.ir/article-1-1901-en.html
URL: http://edujournal.zums.ac.ir/article-1-1901-en.html
Oman Dental College
Abstract: (1134 Views)
Background & Objective: In dental education, understanding optimal assessment methods and factors like stress and confidence is essential. This research assessed second-year dental students' performance in fixed prosthodontics using multiple-choice questions (MCQs) and pre-clinical practical exams, examining impacts of gender, stress, and confidence.
Materials & Methods: Using a quasi-experimental design, 495 students from a single faculty underwent assessment. Selected via convenience sampling, they were exposed to MCQs and practical exams in fixed prosthodontics. An expert-reviewed questionnaire gauged their stress and confidence. Data was analyzed using descriptive statistics, t-tests, and Pearson's correlation. Additionally, a balanced sub-set of 176 students (88 males and 88 females) was chosen for gender-based analysis.
Results: Findings indicate statistical parity between MCQ and practical exam performances (p>0.001). Females slightly outperformed in MCQs, while males excelled in practicals, without reaching statistical significance (p>0.05). Stress correlated with practical exam outcomes (r=0.34, p=0.001), and confidence with MCQ scores (r=0.41, p<0.0001).
Conclusion: The research underscores near-equivalence of MCQs and practical exams for student assessments in fixed prosthodontics. Recognizing the roles of stress and confidence in assessments offers insights for balanced evaluations. Dental faculties should integrate these findings, and future work should pivot towards tool validations for enriched learning.
Materials & Methods: Using a quasi-experimental design, 495 students from a single faculty underwent assessment. Selected via convenience sampling, they were exposed to MCQs and practical exams in fixed prosthodontics. An expert-reviewed questionnaire gauged their stress and confidence. Data was analyzed using descriptive statistics, t-tests, and Pearson's correlation. Additionally, a balanced sub-set of 176 students (88 males and 88 females) was chosen for gender-based analysis.
Results: Findings indicate statistical parity between MCQ and practical exam performances (p>0.001). Females slightly outperformed in MCQs, while males excelled in practicals, without reaching statistical significance (p>0.05). Stress correlated with practical exam outcomes (r=0.34, p=0.001), and confidence with MCQ scores (r=0.41, p<0.0001).
Conclusion: The research underscores near-equivalence of MCQs and practical exams for student assessments in fixed prosthodontics. Recognizing the roles of stress and confidence in assessments offers insights for balanced evaluations. Dental faculties should integrate these findings, and future work should pivot towards tool validations for enriched learning.
Article Type : Orginal Research |
Subject:
Medical Education
Received: 2023/04/2 | Accepted: 2023/08/17 | Published: 2024/04/16
Received: 2023/04/2 | Accepted: 2023/08/17 | Published: 2024/04/16
References
1. Ehlinger C, Fernandez N, Strub M. Entrustable professional activities in dental education: a scoping review. British Dental Journal. 2023; 234(3): 171-6. [DOI]
2. Ma T, Ten Cate O. Entrustable professional activities: a model for job activity competency framework with microcredentials. The International Journal of Information and Learning Technology. 2023; 0108. [DOI]
3. Sanders AE, Lushington K. Effect of perceived stress on student performance in dental school. Journal of Dental Education. 2002; 66(1): 75-81. [DOI]
4. Kwon JH, Shuler CF, von Bergmann H. Professional identity formation: The key contributors and dental students’ concerns. Journal of Dental Education. 2022; 86(3): 288-97. [DOI]
5. Qutieshat. Assessment of dental clinical simulation skills: Recommendations for implementation. Journal of Dental Research and Review. 2018; 5(4): 116. [DOI]
6. Kaggal Lakshmana Rao G, P Iskandar YH, Mokhtar N. Developing consensus in identifying challenges of undergraduate orthodontic education in Malaysian public universities using e‐Delphi. European Journal of Dental Education. 2020; 24(3): 590-600. [DOI]
7. Ryan MS, Holmboe ES, Chandra S. Competency-based medical education: considering its past, present, and a post–COVID-19 era. Academic Medicine. 2022; 97(3): S90. [DOI]
8. Bird JB, Olvet DM, Willey JM, Brenner J. Patients don’t come with multiple choice options: essay-based assessment in UME. Medical Education Online. 2019; 24(1): 1649959. [DOI]
9. Kowash M, Hussein I, Al Halabi M. Evaluating the quality of multiple choice question in paediatric dentistry postgraduate examinations. Sultan Qaboos University Medical Journal. 2019; 19(2): e135. [DOI]
10. Pugh D, De Champlain A, Gierl M, Lai H, Touchie C. Using cognitive models to develop quality multiple-choice questions. Medical Teacher. 2016; 38(8): 838-43. [DOI]
11. Joorabchi B. Objective structured clinical examination in a pediatric residency program. The American Journal of Diseases of Children. 1991; 145(7): 750-4. [DOI]
12. Mondal R, Sarkar S, Nandi M, Hazra A. Comparative analysis between objective structured clinical examination (OSCE) and conventional examination (CE) as a formative evaluation tool in pediatrics in semester examination for final MBBS students. Kathmandu University Medical Journal. 2012;10(1):53-6. [DOI]
13. Martin RD, Naziruddin Z. Systematic review of student anxiety and performance during objective structured clinical examinations. Currents in Pharmacy Teaching and Learning. 2020;12(12):1491-7. [DOI]
14. Tavakol M, Sandars J. Quantitative and qualitative methods in medical education research: AMEE Guide No 90: Part I. Medical Teacher. 2014; 36(9): 746-56. [DOI]
15. Sng TJH, Yong CW, Wong RCW. Cross sectional study on the competence and confidence of dental students and graduates in the management of medically compromised patients and acute medical emergencies. PLoS One. 2023; 18(2): e0281801. [DOI]
16. Qutieshat A. Active involvement in dental education and the way to meaningful knowledge: The viewpoint of a dental educator. Journal of Dental Research and Review. 2022; 9(2): 191. [DOI]
17. Stollar F, Cerutti B, Aujesky S, Nendaz M, Galetto-Lacour A. Evaluation of a best practice approach to assess undergraduate clinical skills in Paediatrics. BMC Medical Education. 2020; 20(1): 1-9. [DOI]
18. Cardoso J, Barbosa C, Fernandes S, Silva C, Pinho A. Reducing subjectivity in the evaluation of pre‐clinical dental preparations for fixed prosthodontics using the Kavo PrepAssistant®. European Journal of Dental Education. 2006; 10(3): 149-56. [DOI]
19. Park SE, Kim A, Kristiansen J, Karimbux NY. The influence of examiner type on dental students’ OSCE scores. Journal of Dental Education. 2015; 79(1): 89-94. [DOI]
20. Delany C, Miller K, El-Ansary D, Remedios L, Hosseini A, McLeod S. Replacing stressful challenges with positive coping strategies: a resilience program for clinical placement learning. Advances in Health Sciences Education. 2015; 20: 1303-24. [DOI]
21. Bedewy D, Gabriel A. Examining perceptions of academic stress and its sources among university students: The perception of academic stress scale. Health Psychology Open. 2015; 2(2): 2055102915596714. [DOI]
22. San Diego JP, Newton TJ, Sagoo AK, Aston T-A, Banerjee A, Quinn BF, et al. Learning clinical skills using haptic vs. phantom head dental chair simulators in removal of artificial caries: cluster-randomized trials with two cohorts’ cavity preparation. Dentistry Journal. 2022; 10(11): 198. [DOI]
23. Price EO. Effect of early outdoor experience on the activity of wild and semi‐domestic deermice. Developmental psychobiology: The Journal of the International Society for Developmental Psychobiology. 1969; 2(2): 60-7. [DOI]
24. Beagrie RA, Scialdone A, Schueler M, Kraemer DC, Chotalia M, Xie SQ, et al. Complex multi-enhancer contacts captured by genome architecture mapping. Nature. 2017; 543(7646): 519-24. [DOI]
25. Yang H, Wu X. Language learning motivation and its role in learner complaint production. Sustainability. 2022; 14(17): 10770. [DOI]
26. Burkhardt M, Foster J, Laws S, Baker L, Craft S, Gandy S, et al. Oestrogen replacement therapy may improve memory functioning in the absence of APOE ε4. Journal of Alzheimer’s Disease. 2004; 6(3): 221-8. [DOI]
27. Weksler S, Rozenstein O, Haish N, Moshelion M, Walach R, Ben-Dor E. A hyperspectral-physiological phenomics system: measuring diurnal transpiration rates and diurnal reflectance. Remote Sensing. 2020; 12(9): 1493. [DOI]
28. Kim J, Yang JS. How to improve reliability of cut‐off scores in dental competency exam: A comparison of rating methods in standard setting. European Journal of Dental Education. 2020; 24(4): 734-40. [DOI]
29. Elfaki OA, Alamri AA. Evaluation of student assessment practices in a medical college. International Journal of Research in Medical Sciences. 2017; 5(11): 5048-51. [DOI]
30. Svensäter G, Rohlin M. Assessment model blending formative and summative assessments using the SOLO taxonomy. European Journal of Dental Education. 2023; 27(1): 149-57. [DOI]
31. Haladyna TM, Downing SM, Rodriguez MC. A review of multiple-choice item-writing guidelines for classroom assessment. Applied Measurement in Education. 2002; 15(3): 309-33. [DOI]
32. Palmer EJ, Devitt PG. Assessment of higher order cognitive skills in undergraduate education: modified essay or multiple choice questions? Research paper. BMC Medical Education. 2007; 7(1): 1-7. [DOI]
33. Hift RJ. Should essays and other “open-ended”-type questions retain a place in written summative assessment in clinical medicine? BMC Medical Education. 2014; 14(1): 1-18. [DOI]
34. Epstein RM. Assessment in medical education. The New England Journal of Medicine. 2007; 356(4): 387-96. [DOI]
35. Norcini J, Anderson B, Bollela V, Burch V, Costa MJ, Duvivier R, et al. Criteria for good assessment: consensus statement and recommendations from the Ottawa 2010 Conference. Medical Teacher. 2011; 33(3): 206-14. [DOI]
36. Taylor CL, Grey N, Satterthwaite JD. Assessing the clinical skills of dental students: A review of the literature. Journal of Education and Learning. 2013; 2(1): 20-31. [DOI]
37. Manogue M, Kelly M, Bartakova Masaryk S, Brown G, Catalanotto F, Choo‐Soo T, et al. 2.1 Evolving methods of assessment. European Journal of Dental Education. 2002; 6: 53-66. [DOI]
38. Bazrafkan L, Shokrpour N, Torabi K. Comparison of the Assessment of Dental Students’ Laboratory Performance through MCQ and DOPS Methods. Journal of Medical Education. 2009; 13(1&2). [DOI]
39. Dennehy PC, Susarla SM, Karimbux NY. Relationship between dental students’ performance on standardized multiple‐choice examinations and OSCEs. Journal of Dental Education. 2008; 72(5): 585-92. [DOI]
40. Mhanni A, Elsawaay S. Comparison of Performance on MCQ and Preclinical Practical Assessment at the End of Two Different Fixed Prosthodontic Semesters. Khalij-Libya Journal of Dental and Medical Research. 2023: 15-22. [DOI]
41. Darmiani S, Ebrahimipour S. Comparison of Two Methods of Dental Students Assessment (MCQ and PMP) and their correlation with the total grade-point average. Journal of Dentomaxillofacial Radiology, Pathology and Surgery. 2022; 11(1): 14-8.
42. Dascalu CG, Enache AM, Mavru RB, Zegan G. Computer-based MCQ assessment for students in dental medicine–advantages and drawbacks. Procedia-Social and Behavioral Sciences. 2015; 187: 22-7. [DOI]
43. Pai AV. Factors influencing the occurrence and progress of sodium hypochlorite accident: A narrative and update review. Journal of Conservative Dentistry. 2023; 26(1): 3. [DOI]
44. Downing VR, Cooper KM, Cala JM, Gin LE, Brownell SE. Fear of negative evaluation and student anxiety in community college active-learning science courses. CBE—Life Sciences Education. 2020; 19(2): ar20. [DOI]
45. Sarid O, Anson O, Yaari A, Margalith M. Academic stress, immunological reaction, and academic performance among students of nursing and physiotherapy. Research in Nursing & Health. 2004; 27(5): 370-7. [DOI]
46. McConnell MM, Eva KW. The role of emotion in the learning and transfer of clinical skills and knowledge. Academic Medicine. 2012; 87(10): 1316-22. [DOI]
47. Zhang G, Fenderson BA, Schmidt RR, Veloski JJ. Equivalence of students' scores on timed and untimed anatomy practical examinations. Anatomical Sciences Education. 2013; 6(5): 281-5. [DOI]
48. Gottlieb M, Chan TM, Zaver F, Ellaway R. Confidence‐competence alignment and the role of self‐confidence in medical education: A conceptual review. Medical Education. 2022; 56(1): 37-47. [DOI]
49. De Vibe M, Solhaug I, Tyssen R, Friborg O, Rosenvinge JH, Sørlie T, et al. Mindfulness training for stress management: a randomised controlled study of medical and psychology students. BMC Medical Education. 2013; 13(1): 1-11. [DOI]
50. Qutieshat, Aouididi R, Salem A, Kyranides MN, Arfaoui R, Atieh M, et al. Personality, learning styles and handedness: The use of the non‐dominant hand in pre‐clinical operative dentistry training. European Journal of Dental Education. 2021; 25(2): 397-404. [DOI]
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