Table 2.
1st encounter |
2nd encounter | 3rd encounter |
4th encounter |
5th encounter | Total | |
---|---|---|---|---|---|---|
Criteria | MD ± SD | MD ± SD | MD ± SD | MD ± SD | MD ± SD | MD ± SD |
Clinical knowledge and judgment | ||||||
1. Clinical examination, diagnosis and treatment planning | 0.96 ± 1.0*** | 0.46 ± 1.1* | 0.75 ± 0.6*** | 0.53 ± 1.0** | 0.48 ± 1.0* | 0.63 ± 0.9*** |
2. Demonstrates understanding of indications, dental materials and used technique | 0.85 ± 1.1*** | 0.07 ± 1.1 | 0.71 ± 0.9*** | 0.46 ± 0.9* | 0.66 ± 1.0** | 0.55 ± 1.0*** |
Professionalism, patient management and ergonomics | ||||||
3. Obtaining patient consent after explaining the procedure and possible complications | 1.60 ± 0.8*** | 0.70 ± 1.3* | 1.00 ± 0.9*** | 0.80 ± 1.0*** | 0.89 ± 1.2** | 1.02 ± 1.1*** |
4. Pre-procedural preparation | 0.59 ± 0.9** | 0.32 ± 1.2 | 0.67 ± 0.8*** | 0.37 ± 1.0* | 0.45 ± 1.2 | 0.48 ± 1.0*** |
5. Infection control | 0.65 ± 0.8*** | 0.31 ± 0.9* | 0.12 ± 0.8 | 0.37 ± 1.1* | 0.40 ± 1.1* | 0.37 ± 0.9*** |
6. Pain, anxiety management | 0.93 ± 1.2*** | 0.42 ± 1.0* | 0.83 ± 0.8*** | 0.46 ± 1.1* | 0.69 ± 1.0** | 0.67 ± 1.0*** |
7. Communication skills with patient and team | 1.15 ± 1.0*** | 0.56 ± 1.2* | 0.41 ± 1.0* | 0.46 ± 1.2* | 0.70 ± 0.9*** | 0.66 ± 1.1*** |
8. Patient education | 0.42 ± 0.9* | 0.41 ± 1.1* | 0.52 ± 1.1* | 0.17 ± 0.8 | 0.36 ± 1.1 | 0.38 ± 1.0*** |
9. Time management | 0.22 ± 0.9 | 0.15 ± 0.9 | 0.51 ± 1.0* | 0.03 ± 1.0 | 0.16 ± 1.2 | 0.21 ± 1.0* |
10. Ergonomics | 0.53 ± 0.7*** | 0.09 ± 1.3 | -0.03 ± 0.9 | 0.10 ± 0.9 | 0.31 ± 0.8* | 0.20 ± 0.9* |
Tooth preparation | ||||||
11. Isolation | 0.33 ± 0.8* | 0.24 ± 0.9 | 0.53 ± 0.9** | -0.03 ± 0.8 | -0.38 ± 1.0* | 0.13 ± 0.9 |
12. Initial and final access (over-/under-extension/adjacent tooth damage) | 0.52 ± 1.0* | 0.26 ± 1.1 | 0.28 ± 1.0 | 0.06 ± 1.1 | 0.06 ± 1.1 | 0.22 ± 1.0* |
13. Caries removal | 1.00 ± 0.9*** | 0.46 ± 0.9* | 0.58 ± 0.8** | 0.20 ± 1.0 | 0.14 ± 1.0 | 0.46 ± 1.0*** |
14. Unsupported enamel removal | 0.25 ± 0.9 | 0.06 ± 1.1 | -0.16 ± 1.3 | -0.33 ± 1.0 | -0.13 ± 0.9 | -0.05 ± 1.1 |
Tooth restoration | ||||||
15. wedging and matrix placement | 0.33 ± 1.0* | -0.17 ± 1.2 | 0.12 ± 0.9 | -0.33 ± 1.1 | -0.15 ± 0.9 | -0.03 ± 1.1 |
16. Etching and bonding (Composite) | 0.53 ± 0.7** | 0.30 ± 1.0 | 0.40 ± 1.0 | 0.00 ± 0.7 (P > 0.99) | -0.11 ± 0.9 | 0.24 ± 0.9** |
17. Cavosurface (excess/submargination) | 0.58 ± 0.8** | 0.12 ± 1.0 | 0.18 ± 0.7 | 0.03 ± 0.7 | 0.12 ± 1.0 | 0.20 ± 0.9** |
18. Color matching and/or surface polishing | -0.19 ± 1.1 | -0.26 ± 1.1 | 0.10 ± 0.8 | -0.34 ± 1.1 | -0.40 ± 1.0* | -0.22 ± 1.0* |
19. Axial anatomy (buccal, lingual, proximal, contact point) | 0.22 ± 1.0 | -0.21 ± 1.1* | -0.27 ± 1.1 | 0.03 ± 1.2 | 0.03 ± 0.8 | -0.03 ± 1.0 |
20. Occlusal/Incisal edge anatomy (not to be evaluated in class III or V) | 0.00 ± 1.3 (P > 0.99) | -0.77 ± 1.5* | -0.40 ± 1.0* | -0.20 ± 0.9 | -0.38 ± 1.0* | -0.34 ± 1.1** |
21. Occlusion | 0.80 ± 1.1** | 0.09 ± 1.5 |
0.00 ± 0.8 (P > 0.99) |
-0.14 ± 0.8 | 0.00 ± 1.2 (P > 0.99) | 0.16 ± 1.1 |
22. Overall performance assessment | 0.77 ± 0.7*** | 0.31 ± 0.9* | 0.25 ± 1.3 | 0.22 ± 0.88 | 0.29 ± 1.0 | 0.36 ± 1.0*** |
MD: Mean difference, SD: Standard deviation which is at a 90% confidence interval. Positive values indicate that trainees’ scores are higher than that of assessors and negative values indicate the opposite. *p < 0.10, **p < 0.01, ***p < 0.001