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      Work shadowing in dental teaching practices: evaluation results of a collaborative study between university and general dental practices

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          Abstract

          Background

          The aim of this study was to investigate the acceptance and assessment of work shadowing carried out by students and dentists in dental practices. Furthermore, the extent to which students perceive an improvement in their specialised, communication and social competencies, was to be examined.

          Methods

          61 dental students in their clinical semesters at a German university participated in work shadowing placements at 27 different general dental practices. Before beginning, they received checklists of various competencies that they self-assessed using school grades (from 1 = ‘very good’, to 6 = ‘failed’), which they also repeated after completion. The dentists supplemented this with their external assessments. In addition, the students were requested to fill out a 54-item questionnaire and compose a freely-structured report after the work shadowing; the dentists filled out a questionnaire containing 16 items. The statistical analysis was carried out by means of the Friedman Test, including a post-hoc test (Bonferroni-Holm correction).

          Results

          The analysis showed a significant overall improvement in the students’ self-assessed competencies by 0.71* ± 0.43 grades. With an average of 0.33* ± 0.36, the dentists’ external assessment proved significantly higher than the self-assessment. The greatest improvements were perceived by the students in the areas of accounting (1.17* ± 0.77), practice organisation (1.05* ± 0.61) and dentist’s discussions (0.94* ±0.80) [* p < 0.05]. The students confirmed experiencing an expansion of knowledge, an improvement in their communication skills and indicated a high degree of satisfaction in regard to the dentists (school grade 1.58 ± 0.93). A maximum amount of satisfaction towards the work shadow students was demonstrated by the dentists, and this form of teaching was assessed with a school grade of 1.69 ± 0.89.

          Conclusion

          Both students and dental practitioners demonstrated a high level of satisfaction in regard to the work shadowing. The students felt their knowledge had increased, viewed the dentists as motivating role models and acknowledged a significant improvement in their specialised, communication and social competencies. Work shadowing in dental teaching practices presents a sensible addition to academic teaching at a university.

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          Most cited references42

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          Workplace learning from a socio-cultural perspective: creating developmental space during the general practice clerkship

          Workplace learning in undergraduate medical education has predominantly been studied from a cognitive perspective, despite its complex contextual characteristics, which influence medical students’ learning experiences in such a way that explanation in terms of knowledge, skills, attitudes and single determinants of instructiveness is unlikely to suffice. There is also a paucity of research which, from a perspective other than the cognitive or descriptive one, investigates student learning in general practice settings, which are often characterised as powerful learning environments. In this study we took a socio-cultural perspective to clarify how students learn during a general practice clerkship and to construct a conceptual framework that captures this type of learning. Our analysis of group interviews with 44 fifth-year undergraduate medical students about their learning experiences in general practice showed that students needed developmental space to be able to learn and develop their professional identity. This space results from the intertwinement of workplace context, personal and professional interactions and emotions such as feeling respected and self-confident. These forces framed students’ participation in patient consultations, conversations with supervisors about consultations and students’ observation of supervisors, thereby determining the opportunities afforded to students to mind their learning. These findings resonate with other conceptual frameworks and learning theories. In order to refine our interpretation, we recommend that further research from a socio-cultural perspective should also explore other aspects of workplace learning in medical education.
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            The impact of rural training experiences on medical students: a critical review.

            To address the growing shortage of rural physicians, several medical schools have developed rural training experiences for their students. However, little is known about the educational impact of these experiences. Thus, the authors conducted a critical review of North American studies examining medical student outcomes associated with rural training experiences. A comprehensive search strategy was used to identify studies about undergraduate medical education in a rural setting, searching PubMed from 1966 to June 2009. The researchers evaluated titles and abstracts to identify publications that appeared to report measures associated with undergraduate medical school rural training experience. Only those studies with a measurable outcome such as career choice, practice location, clinical competency, and student satisfaction were analyzed. The review identified a total of 72 studies. Most were single-cohort studies or cohort studies with control groups, with career choice and practice location the most commonly reported measure. The majority reported that rural experiences influenced students toward primary care specialties and to consider rural practice. Studies using self-report found that students generally valued the experience and had a high degree of satisfaction. This review shows that placement in rural settings is a positive learning experience that students and preceptors value. Although the evidence supports that these rotations influence practice site and career choice, it is not clear whether they reinforce preexisting interest or have the ability to motivate previously uninterested students to consider careers in primary care or rural medicine.
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              Workplace learning

              Tim Dornan (2012)
              This critical review found Dutch research to be strong at the undergraduate and residency levels and more or less absent in continuing medical education. It confirms the importance of coaching medical students, giving constructive feedback, and ensuring practice environments are conducive to learning though it has proved hard to improve them. Residents learn primarily from experiences encountered in the course of clinical work but the fine balance between delivering clinical services and learning can easily be upset by work pressure. More intervention studies are needed. Qualitative research designs need to be more methodologically sophisticated and use a wider range of data sources including direct observation, audio-diaries, and text analysis. Areas for improvement are clear but achieving results will require persistence and patience.
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                Author and article information

                Contributors
                +49-69-6301-6725 , Heitkamp@med.uni-frankfurt.de
                Ruettermann@med.uni-frankfurt.de
                S.Szep@med.uni-frankfurt.de
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                8 May 2018
                8 May 2018
                2018
                : 18
                : 99
                Affiliations
                ISNI 0000 0004 1936 9721, GRID grid.7839.5, Department of Operative Dentistry, Dental School (Carolinum), , Goethe-University Frankfurt, ; Theodor-Stern-Kai 7/29, D-60596 Frankfurt am Main, Germany
                Article
                1220
                10.1186/s12909-018-1220-4
                5941810
                29739407
                714cbcfd-3934-4e89-8054-4468adee7014
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 25 September 2017
                : 30 April 2018
                Funding
                Funded by: Medical faculty of the Goethe-University Frankfurt-on-Main
                Award ID: 7751083
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2018

                Education
                dental training,work shadowing,medical traineeship,general dental practice,evaluation,multi-modal feedback,medical communication,benefit

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