Introduction and Comparison of Direct Observation of Procedural Skills (DOPS) with Conventional Method of Skill Assessment in Dental Students
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 2
Abstract
ABSTRACT Introduction: Procedural competence and professional behaviour are integral components of clinical skills in Dentistry. However till date, most of the clinical procedures performed by undergraduate dental students are only assessed at the end of the procedure. Because of this, there could be a lack of assessment of their actual procedural and patient handling skills. Also, because of lack of a standard format, there could be a lot of ambiguity in assessment scores given by different examiners for same performance. Aim: The aim of this study was to introduce and compare Direct Observation of Procedural Skills (DOPS) with conventional method of case presentation for skill assessment of dental undergraduate students. Materials and Methods: DOPS, as a skill assessment tool was analysed on the basis of its feasibility, acceptability, validity and reliability. Checklist for DOPS assessment of Scaling and Root Planing (SRP) procedure was generated and process of internal validation was completed. Forty final year Bachelor of Dental Surgery (BDS) students participated in this study during their clinical posting in the Department of Periodontology. One of the most routinely performed procedure by the students in the clinical posting; i.e., SRP was selected for skill assessment. Each student performed SRP on patients and was assessed by two assessors using conventional method (CA1 and CA2) and two assessors using DOPS method (DA1 and DA2). Three such assessments were carried out for each student i.e. on day 1, day 2 and after feedback i.e., at the end of their clinical posting of 14 days. Descriptive analysis, ANOVA, Tukey’s Post-Hoc and Spearman-Brown formula were used for statistical analysis concerned with reliability as compared to the conventional method. Feedback from students and assessors was used to analyse the feasibility and acceptability of DOPS. Results: Correlation between DOPS examiners (74%, 71%) was significantly higher as compared to correlation between conventional examiners (23%, 55%). According to Spearman-Brown formula, reliability was found to be 80-90% in case of DOPS, and 50-70% in case of conventional method. Based on feedback collected from students and faculty regarding the feasibility and acceptability of DOPS, 97% students and all faculty members chose DOPS over conventional method. Conclusion: According to this study, DOPS seems to be a reliable, valid, acceptable and feasible method of skill assessment in dental students.
Authors and Affiliations
Daisy Happy, Amita Aditya, Parag Hadge, Nihal Devkar, Akshay Vibhute
Keywords
Related Articles
- EP ID EP578901
- DOI 10.7860/JCDR/2019/37913.12594
- Views 140
- Downloads 0
Comprehensive Classification System for Furcation Involvement – Incorporating Additional Variables
ABSTRACT The presence of furcation involvement is one of the clinical indicators of periodontal disease which is considered an extremely demanding situation by clinicians in terms of successful management. With a continu...
Melanoacanthoma of Pinna-Treated with Skin Grafting: A Case Report
ABSTRACT Melanoacanthoma is a very rare cutaneous lesion and it is considered to be a benign neoplasm, which is composed of large dendritic melanocytes and epidermal keratinocytes. Very few case reports of melanoacanthom...
Metabolic Healthy Obesity-A Paradoxical Fallacy?
ABSTRACT In the era of modern medicine, obesity has become the most catastrophic non communicable burden. It is pandemic and is the root of all non communicable disease risks. Again to make things more complicated, it s...
Emphasising the Distinctive Epithelioid Morphology and Clinical Connotation of Hepatic LECT2-Associated Amyloidosis (ALECT2): A Case Report and Review of the Literature
ABSTRACT Amyloidosis is a protein deposition disorder caused by pathologic accumulation of fibrils, leading to organ dysfunction. The newest protein is Leukocyte Cell-derived Chemotaxin 2 Amyloidosis (ALECT2), which sho...
Patent Vitellointestinal Duct with Patent Urachus Presenting as Umbilical Discharge
Patent urachus with patent vitellointestinal duct is a rare combination to present in the same patient. We present a rare case of one year old male child with such a condition presenting with complaint of discharge from...