Universität zu Köln

Wicht, Michael J., Hoefer, Karolin, Derman, Sonja H. M., Noack, M. J. and Barbe, A. Greta (2020). Retrospective investigation of organization and examination results of the state examination in restorative dentistry, endodontologv and periodontology under simulated conditions in times of Covid-19 compared to standard conditions when treating patients. GMS J. Med. Educ., 37 (7). DUESSELDORF: GERMAN MEDICAL SCIENCE-GMS. ISSN 2366-5017

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Abstract

Objective: Primary outcome of this retrospective study was the comparison of state examination results under simulated treatment conditions in times of Covid-19 versus patient treatment under non-pandemic conditions. Additionally, correlation analysis was performed between students' self- and examiners' assessment of the treatment results. Methods: Within 4 hours, 22 examinees each had to place a multi-surface adhesive anterior and posterior restoration, performed an endodontic treatment on a maxillary premolar and a periodontal debridement of one quadrant. All treatments were performed on a model fixed in a phantom head. Compliance with the prescribed hygiene and social distancing guidelines and self-assessment of the practical performance was part of the practical examination as well. One examiner per examination part evaluated anonymously the final results. The historical control was based on the exam results of a cohort from 2019. Mean values (standard deviation), non-parametric correlations (Spearman's Rho) and group comparisons (Mann-Whitney) were calculated for statistical analysis. Results: Examination results under simulated treatment conditions were significantly worse (p<0.05) than in the cohort that took their state exam in patients, with exception of the endodontic partial exam. The overall scores in restorative dentistry and periodontology of both groups, which include a structured theoretical examination, did not differ. The majority of the candidates rated their performance worse than the examiners, and there was no correlation between self- and third-party assessment. Conclusion: In the comparison of two years, a simulated practical examination without patients in restorative dentistry, endodontics and periodontology resulted in matchable results compared with an examination on patients. Equal conditions for the candidates resulting in better comparability and avoidance of ethical dilemmas of patient treatment under examination conditions could also be arguments towards a state examination under phantom conditions in the future.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wicht, Michael J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoefer, Karolin UNSPECIFIED UNSPECIFIED UNSPECIFIED Derman, Sonja H. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Noack, M. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Barbe, A. Greta UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-349485
DOI:	10.3205/zma001380
Journal or Publication Title:	GMS J. Med. Educ.
Volume:	37
Number:	7
Date:	2020
Publisher:	GERMAN MEDICAL SCIENCE-GMS
Place of Publication:	DUESSELDORF
ISSN:	2366-5017
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Education, Scientific Disciplines Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34948