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
Psychometric Properties of Persian Version of the 8-item Morisky Medication Adherence Scale in Type 2 Diabetes Patients
ABSTRACT Introduction: The 8-items Morisky Medication Adherence Scale (MMAS-8) is a brief questionnaire that is applied to assess medication-taking behaviours. Aim: To evaluate the validity and reliability of the Persian...
Explanatory Models and Medication Adherence in Patients with Depression in South India
Introduction: Conceptualization of depression may have bearing on treatment seeking. It may affect adherence behaviour of the patients. Aim: To find out the explanatory models and their relationship with socio-demographi...
Effect of Antioxidants (β-mercaptoethanol and Cysteamine) on Assisted Reproductive Technology In vitro
Introduction: Oocyte Culture of Germinal Vesicle (GV) and its growth improves Assisted Reproductive Technology (ART) invitro and infertility. Inappropriate culture medium environment, low quality of oocytes, increase in...
Ureteric Avulsion following Blind Attempts at Retrieval of Intrauterine Contraceptive Device: A Clinical Lesson to Primary Care Givers
ABSTRACT Intra Uterine Contraceptive Device (IUCD) is the most popular method of reversible contraception in India because of their high efficacy for fertility regulation, low-risk, low-cost, and lack of required mainte...
Awareness of Presbyopia among Rural Female Population in North Karnataka
Introduction: Presbyopia is an age related loss of lens accommodation resulting in inability to read and/write or to do near work. Though literacy level may be low in rural female population of South India, but household...