Preclinical to clinical transition experiences of dental students at an Australian Regional University.

clinical transition dental education organisational socialisation theory univeristy students

Journal

European journal of dental education : official journal of the Association for Dental Education in Europe
ISSN: 1600-0579
Titre abrégé: Eur J Dent Educ
Pays: England
ID NLM: 9712132

Informations de publication

Date de publication:
Feb 2022
Historique:
revised: 28 01 2021
accepted: 02 04 2021
pubmed: 8 4 2021
medline: 14 1 2022
entrez: 7 4 2021
Statut: ppublish

Résumé

Clinical experience is a crucial component of dental education as it prepares students for real-world practice. Our study aimed to investigate the transition from preclinical to clinical training experiences of dental students at a regional Australian dental school. A mixed-methods study was conducted using a survey and focus groups. Participants were dental students who recently transitioned into clinical training. Survey data were analysed quantitatively using descriptive statistics, whilst the qualitative data were thematically analysed using the conceptual framework of organisational socialisation theory (OST). Forty-eight of the 69 students in the cohort completed the survey and 10 participated in the focus groups. The quantitative findings revealed that the transition was perceived to be abrupt and associated with a heavy workload. However, orientation sessions and engaging in chairside teaching made transitioning into clinical studies easier. The qualitative findings revealed that the transition process occurred in three phases. In phase 1, participants navigated the educational and social challenges using developmental characteristics such as resilience and positivity. Lessons learnt in phase 1 were used to make necessary learning adjustments in phase 2 and this subsequently enhanced developmental growth in the final phase, which helped ease the transition. This study confirms that transitioning into clinical training can be complex. However, the educational and socialisation challenges associated with the transition can provide stimulating developmental learning opportunities that advance students' adjustments to the clinical environment with positive, empowering and motivational outcomes that facilitate a smooth transition.

Identifiants

pubmed: 33825285
doi: 10.1111/eje.12687
doi:

Types de publication

Journal Article

Langues

eng

Pagination

182-196

Subventions

Organisme : James Cook University, College of Medicine and Dentistry

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Références

Nguyen TM, Jones D, Ngo KL, Hayes MJ. Developing professionalism in dentistry. A systematic review. MedEdPublish. 2017;6.1-22.
Dahan H, Bedos C. A typology of dental students according to their experience of stress: a qualitative study. J Dent Educ. 2010;74(2):95-103.
Pau AK, Croucher R. Emotional intelligence and perceived stress in dental undergraduates. J Dent Educ. 2003;67(9):1023-1028.
Naidu RS, Adams JS, Simeon D, Persad S. Sources of stress and psychological disturbance among dental students in the West Indies. J Dent Educ. 2002;66(9):1021-1030.
Radcliffe C, Lester H. Perceived stress during undergraduate medical training: a qualitative study. Med Educ. 2003;37(1):32-38.
Prince KJ, Boshuizen HP, Van Der Vleuten CP, Scherpbier AJ. Students’ opinions about their preparation for clinical practice. Med Educ. 2005;39(7):704-712.
Pitkala KH, Mantyranta T. Professional socialization revised: medical students’ own conceptions related to adoption of the future physician's role-a qualitative study. Med Teach. 2009;25(2):155-160.
Blue CM. Cultivating professional responsibility in a dental hygiene curriculum. J Dent Educ. 2013;77(8):1042-1051.
Atchison KA, Cheffetz SE. Critical issues for dentistry: PGD program directors respond. J Dent Educ. 2002;66(6):730-738.
Khan SA, Chew KY. Effect of working characteristics and taught ergonomics on the prevalence of musculoskeletal disorders amongst dental students. BMC Musculoskelet Disord. 2013;14(1):118.
Stormon N, Ford PJ, Eley DS. DREEM-ing of dentistry: Students’ perception of the academic learning environment in Australia. Eur J Dent Educ. 2019;23(1):35-41.
Elani HW, Allison PJ, Kumar RA, Mancini L, Lambrou A, Bedos C. A systematic review of stress in dental students. J Dent Educ. 2014;78(2):226-242.
Orsini C, Binnie VI, Fuentes F, Ledezma P, Jerez O. Implications of motivation differences in preclinical-clinical transition of dental students: A one-year follow-up study. Educación Médica. 2016;17(4):193-196.
Barrero C, Duqum I, Petrola F. Dental students’ perceived preparedness to treat patients in clinic after a fixed prosthodontics course: survey results of a case study. J Dent Educ. 2015;79(4):409-416.
Kassebaum DK, Hendricson WD, Taft T, Haden NK. The dental curriculum at North American dental institutions in 2002-03: a survey of current structure, recent innovations, and planned changes. J Dent Educ. 2004;68(9):914-931.
Kilminster S, Jolly B, van der Vleuten CPM. A framework for effective training for supervisors. Med Teach. 2002;24(4):385-389.
Misra SM, Adibi S, Melchor M, Zhu L. Medical and dental students’ perceptions and attitudes towards interprofessional clinical education. MedEdPublish. 2018;7.1-10.
Atherley A, Dolmans D, Hu W, Hegazi I, Alexander S, Teunissen PW. Beyond the struggles: a scoping review on the transition to undergraduate clinical training. Med Educ. 2019;53(6):559-570.
Teunissen PW, Westerman M. Opportunity or threat: the ambiguity of the consequences of transitions in medical education. Med Educ. 2011;45(1):51-59.
Nicholson N. A theory of work role transitions. Adm Sci Q. 1984;29(2):172-191.
Bauer TN, Erdogan B. Organizational socialization: The effective onboarding of new employees. In: Zedeck S, ed. APA handbooks in psychology. APA handbook of industrial and organizational psychology, Vol. 3. Maintaining, expanding, and contracting the organization. Washington, D.C.: American Psychological Association; 2011:51-64. https://doi.org/10.1037/12171-002
Atherley AE, Hambleton IR, Unwin N, George C, Lashley PM, Taylor CG. Exploring the transition of undergraduate medical students into a clinical clerkship using organizational socialization theory. Perspect Med Educ. 2016;5(2):78-87.
Phillips C, Esterman A, Kenny A. The theory of organisational socialisation and its potential for improving transition experiences for new graduate nurses. Nurse Educ Today. 2015;35(1):118-124.
Cho KK, Marjadi B, Langendyk V, Hu W. Medical student changes in self-regulated learning during the transition to the clinical environment. BMC Med Educ. 2017;17(1):59.
McKee A, Markless S. Using action learning sets to support students managing transition into the clinical learning environment in a UK medical school. Action Learn. 2017;14(3):275-285.
Wutich A, Lant T, White DD, Larson KL, Gartin M. Comparing focus group and individual responses on sensitive topics: a study of water decision makers in a desert city. Field Methods. 2009;22(1):88-110.
Angen MJ. Evaluating interpretive inquiry: reviewing the validity debate and opening the dialogue. Qual Health Res. 2000;10(3):378-395.
Bowman M. The transition to self-regulated learning for first-year dental students: threshold concepts. Eur J Dent Educ. 2017;21(3):142-150.
Zimmerman BJ. Development and adaptation of expertise: the role of self-regulatory processes and beliefs. In: Ericsson KA, Charness N, Feltovich PJ, Hoffman RR, eds. The Cambridge Handbook of Expertise and Expert Performance. Vol. 186. Cambridge, UK: Cambridge University Press; 2006:705-722. https://doi.org/10.1017/CBO9780511816796.039
Sandars J, Cleary TJ. Self-regulation theory: applications to medical education: AMEE Guide No. 58. Medical Teacher. 2011;33(11):875-886.
Cantwell RH, Moore PJ. The development of measures of individual differences in self-regulatory control and their relationship to academic performance1. Contemp Educ Psychol. 1996;21(4):500-517.
Howe A, Smajdor A, Stöckl A. Towards an understanding of resilience and its relevance to medical training. Med Educ. 2012;46(4):349-356.
Sandars J, Patel R, Steele H, McAreavey M. Developmental student support in undergraduate medical education: AMEE Guide No. 92. Medical Teacher. 2014;36(12):1015-1026.
Masters DE, O’Brien BC, Chou CL. The third-year medical student “grapevine”: managing transitions between third-year clerkships using peer-to-peer handoffs. Acad Med. 2013;88(10):1534-1538.
Kashbour WA, Kendall J, Grey N. Students’ perspectives of early and gradual transitioning between simulation and clinical training in dentistry and their suggestions for future course improvements. Eur J Dent Educ. 2019;23(4):471-481.
Keenan C. Mapping student-led peer learning in the UK. Higher Education Academy. 2014:1-50.
Henning JM, Weidner TG, Marty MC. Peer assisted learning in clinical education: Literature review. Athl Train Educ J. 2008;3(3):84-90.
Heidenreich C, Lye P, Simpson D, Lourich M. The search for effective and efficient ambulatory teaching methods through the literature. Pediatrics. 2000;105(Supplement 2):231-237.
Bower DJ. Support-challenge-vision: a model for faculty mentoring. Med Teach. 1998;20(6):595-597.
Lingam S, Gupta R. Mentoring for overseas doctors: Doctors working in Britain for the first time have particular needs for support. Sabaratnam Lingam and Romesh Gupta of the Overseas Doctors’ Association outline their scheme. BMJ. 1998;317(7151):S2-7151.
Milne D, Reiser RP. A rationale for evidence-based clinical supervision. J Contemp Psychother. 2012;42(3):139-149.
Kyndt E, Dochy F, Struyven K, Cascallar E. The perception of workload and task complexity and its influence on students’ approaches to learning: A study in higher education. Eur J Psychol Educ. 2011;26(3):393-415.
Van Merrienboer JJ, Sweller J. Cognitive load theory and complex learning: Recent developments and future directions. Educ Psychol Rev. 2005;17(2):147-177.
Hoffman RR. The Psychology of Expertise: Cognitive Research and Empirical AI. New York: Psychology Press; 2014:1-395.
Ericsson KA, Smith J. Toward a General Theory of Expertise: Prospects and Limits. Cambridge: Cambridge University Press; 1991.
Soo J, Brett-MacLean P, Cave M-T, Oswald A. At the precipice: a prospective exploration of medical students’ expectations of the pre-clerkship to clerkship transition. Adv Health Sci Educ Theory Pract. 2015;21(1):141-162.

Auteurs

Bunmi S Malau-Aduli (BS)

College of Medicine and Dentistry, James Cook University, Queensland, Australia.

Andrew Lee (A)

College of Medicine and Dentistry, James Cook University, Queensland, Australia.

Faith Alele (F)

College of Medicine and Dentistry, James Cook University, Queensland, Australia.

Mary Adu (M)

College of Medicine and Dentistry, James Cook University, Queensland, Australia.

Aaron Drovandi (A)

College of Medicine and Dentistry, James Cook University, Queensland, Australia.

Karina Jones (K)

College of Medicine and Dentistry, James Cook University, Queensland, Australia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH