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利用评分表和 3D 打印模型评估学生在牙髓病学临床前培训中的自我评估表现。

Evaluation of students' self-assessment performance in preclinical endodontic training by means of rubrics and a 3D printed model.

机构信息

Department of Dentistry, National Yang Ming Chiao Tung University, Taipei, Taiwan; Division of Endodontics and Periodontology, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan.

Department of Dentistry, National Yang Ming Chiao Tung University, Taipei, Taiwan; Division of Family Dentistry, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Dentistry, Taipei City Hospital, Taipei, Taiwan.

出版信息

J Formos Med Assoc. 2022 Nov;121(11):2203-2210. doi: 10.1016/j.jfma.2022.03.021. Epub 2022 Apr 26.

Abstract

BACKGROUND/PURPOSE: Effective evaluation of students' self-assessment ability is crucial. This study was to develop a standardized 3D printed teaching model accompanied by structured scoring rubrics for preclinical endodontic training, to appraise students' self-assessment ability, and to evaluate their perceptions of the training system.

METHODS

The 3D printing model was designed to house a standardized central incisor. Forty-four undergraduate dental students were enrolled and their endodontic performance was self-assessed and also rated by a teaching assistant and a tutor using 3 structured rubrics including access cavity, mechanical preparation, and obturation assessments. In total, 21 rubric evaluation items of preclinical tasks were assessed, and the assessment results from the student, teaching assistant, and tutor were compared. Furthermore, questionnaires were used to evaluate students' experiences with the new system.

RESULTS

The tutor, teaching assistant, and students all had similar scorings and high intraclass correlation coefficients (ICC) for mechanical preparation and obturation rubrics, while the students had underestimated scores on the access cavity rubric with a rather low ICC of 0.387, which also lead to the underestimated overall scoring (P < 0.05). Among the 21 evaluation criteria, 9 items were rated statistically different (P < 0.05), which denoted the major deficiencies of students' self-assessments. More than 80% of students rated satisfied for most of the questions regarding the new training system, except the tactile sensation, hardness, and radiopacity.

CONCLUSION

The proposed standardized 3D printed model and structured scoring rubrics is feasible for preclinical endodontic training, and standardized evaluation of students' self-assessment ability.

摘要

背景/目的:有效评估学生的自我评估能力至关重要。本研究旨在开发一种标准化的 3D 打印教学模型,并辅以结构化评分标准,用于临床前牙髓培训,以评估学生的自我评估能力,并评估他们对培训系统的看法。

方法

设计 3D 打印模型以容纳标准化的中切牙。共有 44 名本科牙科学生参加,他们使用 3 种结构化评分标准(包括入口腔、机械制备和填充评估)对牙髓表现进行自我评估,并由助教和导师进行评估。总共评估了 21 项临床前任务的评分标准,比较了学生、助教和导师的评估结果。此外,还使用问卷评估学生对新系统的体验。

结果

在机械制备和填充评分标准方面,导师、助教和学生的评分相似,且具有较高的组内相关系数(ICC),而学生对入口腔评分的评分较低,ICC 仅为 0.387,这也导致整体评分低估(P<0.05)。在 21 项评估标准中,有 9 项的评分存在统计学差异(P<0.05),这表示学生自我评估的主要不足之处。超过 80%的学生对新培训系统的大部分问题表示满意,除了触觉、硬度和射线可透性。

结论

提出的标准化 3D 打印模型和结构化评分标准可用于临床前牙髓培训和学生自我评估能力的标准化评估。

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