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The Impact of the Objective Structured Clinical Examination (OSCE)

17. juni 2026 opdateret af: Elif Çoban, Kırıkkale University

The Impact of OSCE on Clinical Competence, Anxiety, and Educational Satisfaction in Dental Students

This study aims to compare two different educational and assessment approaches used for teaching pre-extraction clinical evaluation skills to undergraduate dental students. Before performing a simple tooth extraction, students are expected to obtain a medical history, identify systemic risk factors, determine extraction indications, communicate effectively with patients, and make appropriate clinical decisions.

Participants will be assigned to either an Objective Structured Clinical Examination (OSCE)-based educational approach or a traditional teaching and assessment approach. Students' clinical performance, communication skills, clinical reasoning abilities, learning satisfaction, self-confidence, and examination-related anxiety will be evaluated and compared between groups.

The findings of this study are expected to provide evidence regarding the effectiveness of OSCE in undergraduate dental education and contribute to the development of more effective training and assessment strategies for clinical competency acquisition.

Studieoversigt

Detaljeret beskrivelse

Simple tooth extraction is one of the most frequently performed procedures in dental practice. Although the technical aspects of extraction are important, successful patient management requires accurate medical history taking, identification of systemic risk factors, appropriate treatment planning, clinical decision-making, and effective communication with patients. Deficiencies in these competencies may adversely affect patient safety and treatment outcomes.

Traditional educational approaches in dental schools primarily focus on theoretical knowledge and may not adequately provide opportunities for students to demonstrate and apply their knowledge in realistic clinical scenarios. Consequently, variations may occur among students regarding diagnostic reasoning, risk assessment, communication skills, and clinical decision-making.

The Objective Structured Clinical Examination (OSCE) is a structured and standardized assessment method widely used in health professions education. OSCE enables students to demonstrate clinical competencies through scenario-based stations that simulate real-life patient encounters. Previous studies have shown that OSCE can improve students' clinical performance, decision-making abilities, and educational satisfaction while providing a more objective assessment of clinical competence. However, concerns regarding examination-related anxiety and the resource-intensive nature of OSCE remain subjects of ongoing investigation.

The present study aims to compare an OSCE-based educational and assessment model with a traditional teaching and assessment approach in the context of pre-extraction clinical evaluation. The educational content focuses on competencies required before performing a simple tooth extraction, including patient history taking, identification of systemic conditions that may affect treatment, determination of extraction indications, patient communication, informed consent procedures, and clinical reasoning.

Students participating in the study will receive training according to their assigned educational method. Following the educational intervention, participants will be evaluated using standardized assessment tools. Primary outcomes will include measures of clinical competency and performance related to pre-extraction patient evaluation. Secondary outcomes will include learning satisfaction, self-confidence in learning, and examination-related anxiety.

By examining both educational effectiveness and learner perceptions, this study seeks to determine whether OSCE-based training offers advantages over traditional educational approaches in developing clinical competencies required for safe and effective dental practice. The findings may contribute to evidence-based improvements in undergraduate dental curricula and provide additional data regarding the implementation of OSCE in dental education programs.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

104

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Yahşihan
      • Kirikkale, Yahşihan, Tyrkiet (Türkiye), 71450
        • Kırıkkale University Faculty of Dentistry

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn

Tager imod sunde frivillige

Ja

Prøveudtagningsmetode

Sandsynlighedsprøve

Studiebefolkning

This study was conducted as a prospective randomized controlled study to evaluate the skills of 4th-year students at Faculty of Dentistry regarding a clinical case with an indication for simple tooth extraction. The study population consisted of 4th-year students at Faculty of Dentistry who had received theoretical and practical training on tooth extraction within the scope of the Oral and Maxillofacial Surgery course.

Beskrivelse

Inclusion Criteria:

  • Fourth-year student enrolled in the Faculty of Dentistry.
  • Completion of theoretical and practical training in tooth extraction.
  • Age 18-25 years.
  • Voluntary agreement to participate and provision of informed consent.

Exclusion Criteria:

  • Enrollment in an academic year other than the fourth year or at another university.
  • Refusal to participate or withdrawal of informed consent.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Group 1
Students assessed in the OSCE laboratory
Group 2
Students assessed using the traditional method

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Primary Outcome Measure
Tidsramme: 1. day

Title: Clinical performance score

Description:

Clinical performance will be evaluated immediately after the assessment using the Global Rating Scale (GRS). The GRS assesses history taking, risk assessment, clinical reasoning, decision-making, patient communication, and overall clinical competence. Scores range from 1 to 5 for each domain, with higher scores indicating better clinical performance.

Time Frame:

Immediately after assessment (Day 1)

1. day
State anxiety level
Tidsramme: Immediately before and immediately after assessment (Day 1)
State anxiety will be measured before and after the assessment using the State-Trait Anxiety Inventory - State Form (STAI-I). Total scores range from 20 to 80, with higher scores indicating greater state anxiety.
Immediately before and immediately after assessment (Day 1)
Student satisfaction and self-confidence in learning
Tidsramme: Immediately after the educational intervention (Day 1)
Student satisfaction and self-confidence in learning will be evaluated immediately after the educational intervention using the Turkish version of the 12-item Student Satisfaction and Self-Confidence in Learning Scale. The scale consists of 12 items rated on a 5-point Likert scale, with total scores ranging from 12 to 60. Higher scores indicate greater student satisfaction and self-confidence in learning.
Immediately after the educational intervention (Day 1)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Secondary Outcome Measure
Tidsramme: 2 weeks after the educational intervention
Knowledge retention will be assessed 2 weeks after the educational intervention using the Global Rating Scale (GRS). Students will evaluate a standardized clinical case similar to that used during training. The GRS rates each domain on a 5-point scale (1 = lowest performance, 5 = highest performance). Higher scores indicate better knowledge retention.
2 weeks after the educational intervention

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

20. februar 2026

Primær færdiggørelse (Faktiske)

1. april 2026

Studieafslutning (Faktiske)

4. maj 2026

Datoer for studieregistrering

Først indsendt

12. juni 2026

Først indsendt, der opfyldte QC-kriterier

17. juni 2026

Først opslået (Faktiske)

24. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

24. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

17. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • Decision No: 2026.02.04

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

De-identified individual participant data, including demographic characteristics, Global Rating Scale (GRS) scores, State-Trait Anxiety Inventory (STAI-I) scores, Student Satisfaction and Self-Confidence in Learning Scale scores, and knowledge retention assessment results, will be available upon reasonable request to the corresponding author following publication of the study results.

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