Schuster Gregory M, Hunt Ronald J, Haering Harold J
Dr. Schuster is Assistant Professor and Clinical Care Coordinator, Midwestern University College of Dental Medicine-Arizona; Dr. Hunt is Professor and Associate Dean for Academic Affairs, Midwestern University College of Dental Medicine-Arizona; and Dr. Haering is Associate Professor and Associate Dean for Clinical Education, Midwestern University College of Dental Medicine-Arizona.
J Dent Educ. 2017 Jan;81(1):96-100.
The aim of this study was to investigate the effect of a pilot preclinical incentive program on dental students' performance on a clinical competency (mock board) exam at Midwestern University College of Dental Medicine-Arizona. To assess the effect of preclinical grade incentives in a program called SUCCEED, scores from a clinical competency exam administered during the fall quarter of the fourth year were compared between the graduating classes of 2014 and 2015 (pre-SUCCEED curriculum) and the graduating class of 2016 (post-SUCCEED curriculum). The study hypothesized that the class participating in the SUCCEED program, with its incentives for greater preclinical preparation and practice, would score higher than the other classes on the exams. The results showed that the endodontics and periodontics pass rates and test scores from the Class of 2016 were higher than those from the Classes of 2014 and 2015; the prosthodontics pass rates were similar; and the operative dentistry pass rates and test scores were lower than the Classes of 2014 and 2015. While the results of two of the four subsections of the competency exam showed an improvement in clinical performance for the Class of 2016, the operative dentistry test scores for that class were less than expected. Based on the increased number of operative dentistry procedures performed in preclinical simulation and the clinic, the authors conclude that the competency exam should not be the only measure to evaluate success of the SUCCEED program.
本研究的目的是调查一项临床前激励试点计划对中西部大学亚利桑那牙科学院牙科学生在临床能力（模拟委员会）考试中的表现的影响。为了评估名为“成功”（SUCCEED）的计划中临床前成绩激励措施的效果，比较了2014届和2015届（SUCCEED计划前课程）以及2016届（SUCCEED计划后课程）在第四年秋季学期进行的临床能力考试成绩。该研究假设，参与SUCCEED计划的班级，由于有激励措施促使学生进行更多的临床前准备和实践，在考试中的得分会高于其他班级。结果显示，2016届的牙髓病学和牙周病学及格率及考试成绩高于2014届和2015届；修复学及格率相似；牙体牙髓病学及格率及考试成绩低于2014届和2015届。虽然能力考试四个子部分中的两个部分的结果显示2016届的临床成绩有所提高，但该班级的牙体牙髓病学考试成绩低于预期。基于临床前模拟和临床中进行的牙体牙髓病学操作数量增加，作者得出结论，能力考试不应是评估SUCCEED计划成功与否的唯一指标。
