Artikel
Reliability and predictive validity of an OSPE in operative dentistry
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Autoren
Veröffentlicht: | 12. März 2015 |
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Gliederung
Text
This retrospective longitudinal study evaluated the reliability and predictive validity of an objective structured practical examination (OSPE), which is used to assess the transition from first (6th) to last (11th) semester during clinical education in operative dentistry.
In order for students to advance to the 6th semester, the preliminary dental examination (PDE) must be completed. At Goethe University Frankfurt the evaluated OSPE is administered at the end of the first clinical semester to assess student preparedness for later patient care activity. In the 11th semester the dental state examination (DSE) includes practical patient-centered competencies of candidates in operative dentistry. The complete clinical study period for the dental curriculum comprises optimally of 6 semesters.
The study population consisted of 471 students. The total reliability of the OSPE was assessed by Cronbach's alpha. Using Pearson correlation and multiple regression, the predictive validity of the examination was also evaluated by correlating student scores on the OSPE with their clinical performance as measured by successful completion of patient-centered procedures during the DSE. Further, the impact of the PDE, the factual complete clinical study period (P), the preparation time with fellow students (T), and the declared level of stress (S) before OSPE was evaluated.
Findings indicate a highly reliable OSPE (α=.86). Good performance in the OSPE was associated with good performance later in the DSE (r=.138, p=.03). Long study periods are accompanied by poor exam performance (r=.215, p=0.001). Correlations ranging from r=.414 (T) to .221 (S) and .214 (PDE) were also stated.
The findings suggest that the evaluated OSPE can serve as a reliable and predictive assessment during the transition from first to last clinical semester in a dental curriculum. Preparation time with fellows before OSPE should be enforced in future.