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The Impact of the Objective Structured Clinical Examination (OSCE)

2026年6月17日 更新者: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.

調査の概要

詳細な説明

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.

研究の種類

観察的

入学 (実際)

104

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

    • Yahşihan
      • Kirikkale、Yahşihan、トルコ(Türkiye)、71450
        • Kırıkkale University Faculty of Dentistry

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

  • 子

健康ボランティアの受け入れ

はい

サンプリング方法

確率サンプル

調査対象母集団

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.

説明

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.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

コホートと介入

グループ/コホート
Group 1
Students assessed in the OSCE laboratory
Group 2
Students assessed using the traditional method

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Primary Outcome Measure
時間枠: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
時間枠: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
時間枠: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)

二次結果の測定

結果測定
メジャーの説明
時間枠
Secondary Outcome Measure
時間枠: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

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2026年2月20日

一次修了 (実際)

2026年4月1日

研究の完了 (実際)

2026年5月4日

試験登録日

最初に提出

2026年6月12日

QC基準を満たした最初の提出物

2026年6月17日

最初の投稿 (実際)

2026年6月24日

学習記録の更新

投稿された最後の更新 (実際)

2026年6月24日

QC基準を満たした最後の更新が送信されました

2026年6月17日

最終確認日

2026年6月1日

詳しくは

本研究に関する用語

キーワード

その他の研究ID番号

  • Decision No: 2026.02.04

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

IPD プランの説明

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.

医薬品およびデバイス情報、研究文書

米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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