Flipped clinical training: a structured training method for undergraduates in complete denture prosthesis
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Purpose: To design and implement flipped clinical training for undergraduate dental students in removable complete denture treatment and predict its effectiveness by comparing the assessment results of students trained by flipped and traditional methods. Methods: Flipped training was designed by shifting the learning from clinics to learning center (phase I) and by preserving the practice in clinics (phase II). In phase I, student-faculty interactive session was arranged to recap prior knowledge. This is followed by a display of audio synchronized video demonstration of the procedure in a repeatable way and subsequent display of possible errors that may occur in treatment with guidelines to overcome such errors. In phase II, live demonstration of the procedure was given. Students were asked to treat three patients under instructor’s supervision. The summative assessment was conducted by applying the same checklist criterion and rubric scoring used for the traditional method. Assessment results of three batches of students trained by flipped method (study group) and three traditionally trained previous batches (control group) were taken for comparison by chi-square test. Results: The sum of traditionally trained three batch students who prepared acceptable dentures (score: 2 and 3) and unacceptable dentures (score: 1) was compared with the same of flipped trained three batch students revealed that the number of students who demonstrated competency by preparing acceptable dentures was higher for flipped training (χ 2 =30.996 with p<0.001). Conclusion: The results reveal the supremacy of flipped training in enhancing students competency and hence recommended for training various clinical procedures.
Abstract
Purpose: To design and implement flipped clinical training for undergraduate dental students in removable complete denture treatment and predict its effectiveness by comparing the assessment results of students trained by flipped and traditional methods. Methods: Flipped training was designed by shifting the learning from clinics to learning center (phase I) and by preserving the practice in clinics (phase II). In phase I, student-faculty interactive session was arranged to recap prior knowledge. This is followed by a display of audio synchronized video demonstration of the procedure in a repeatable way and subsequent display of possible errors that may occur in treatment with guidelines to overcome such errors. In phase II, live demonstration of the procedure was given. Students were asked to treat three patients under instructor’s supervision. The summative assessment was conducted by applying the same checklist criterion and rubric scoring used for the traditional method. Assessment results of three batches of students trained by flipped method (study group) and three traditionally trained previous batches (control group) were taken for comparison by chi-square test. Results: The sum of traditionally trained three batch students who prepared acceptable dentures (score: 2 and 3) and unacceptable dentures (score: 1) was compared with the same of flipped trained three batch students revealed that the number of students who demonstrated competency by preparing acceptable dentures was higher for flipped training (χ 2 =30.996 with p<0.001). Conclusion: The results reveal the supremacy of flipped training in enhancing students competency and hence recommended for training various clinical procedures.
참고문헌 (17)
- Searle NS, "Why invest in an educational fellowship program", Acad Med, 81, pp.936~940 (2006)
- Vaughan M, "Flipping the learning: an investigation into the use of the flipped classroom model in an introductory teaching course", Educ Res Perspect, 41, pp.25~41 (2014)
- Yutaka O, "Applications of observational learning in neurorehabilitation", Int J Phys Med Rehabil, 1, pp.146~ (2013)
- Patel M, "Training effect of skills courses on confidence of junior doctors performing clinical procedures", N Z Med J, 121, pp.37~45 (2008)
- Garrood T, "A structured course teaching junior doctors invasive medical procedures results in sustained improvements in self-reported confidence", Clin Med (Lond), 10, pp.464~467 (2010)
- Massad JJ, "Immediate complete denture impressions: case report and modern clinical technique", Dent Today, 27, pp.58~65 (2008)
- Devan MM, "Basic principles in impression making: 1952", J Prosthet Dent, 93, pp.503~508 (2005)
- Wicks R, "Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by using a nonfluid wax addition technique", J Prosthet Dent, 112, pp.1597~1600 (2014)
- Gandage Dhananjay S, "Anatomy of the lingual vestibule and its influence on denture borders", Anat Physiol, 3, pp.122~ (2013)
- Waliszewski M, "Restoring dentate appearance: a literature review for modern complete denture esthetics", J Prosthet Dent, 93, pp.386~394 (2005)
- Türp JC, "Vertical and horizontal jaw relations in reconstructive dentistry: a critical review", Schweiz Monatsschr Zahnmed, 116, pp.403~417 (2006)
- Sadr K, "Frequency of traumatic ulcerations and post-insertion adjustment recall visits in complete denture patients in an iranian faculty of dentistry", J Dent Res Dent Clin Dent Prospects, 5, pp.46~50 (2011)
- O'Donnell JA, "Rubrics 101: a primer for rubric development in dental education", J Dent Educ, 75, pp.1163~1175 (2011)
- McKinley RK, "Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review", Med Educ, 42, pp.338~349 (2008)
- Rad M, "Qualitative assessment of the dental health services provided at a dental school in Kerman, Iran", Braz Oral Res, 23, pp.377~380 (2009)
- Burch VC, "Formative assessment promotes learning in undergraduate clinical clerkships", S Afr Med J, 96, pp.430~433 (2006)
- McNeil HP, "An innovative outcomes-based medical education program built on adult learning principles", Med Teach, 28, pp.527~534 (2006)