Exploration of the implementation of direct observation of procedural skill as an instrument for evaluation of clinical skills in dental professional education

Natalia Putri Handayani, S. Menaldi, Estivana Felaza
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Abstract

Clinical phase of medical education includes understanding theory, mastery of skills and affective learning. The learning pro-cess were evaluated using a workplace-based assessment (WBA) approach. Direct observation of procedural skill (DOPS) was one of the WBA assessment methods. This research used qualitative methods with a phenomenological approach. The study po-pulation were clinical supervision lecturers and students of the clinical phase. The research method began with the pre-research stage; training for lecturers on how to implement DOPS, followed by the research stage; document study, observation, and focus group discussion (FGD). The results of the study found three major themes, namely concepts, ways of implementing, and obs-tacles to implementing DOPS. According to the teaching staff and students at FKG UK Maranatha, DOPS was an assessment of student procedural skills by direct observation of each stage of the procedural work. The teaching staff's perceptions about DOPS affected the way lecturers provide feedback to participants. As conclusion, full observation is needed to generate useful feedback for students. The effectiveness of DOPS is influenced by the availability of patients, the presence of examiners, and the availability of sufficient time to run DOPS. 
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在牙科专业教育中实施程序技能直接观察作为临床技能评估手段的探索
临床阶段的医学教育包括理论理解、技能掌握和情感学习。学习过程采用基于工作场所的评估(WBA)方法进行评估。直接观察程序技能(DOPS)是WBA评估方法之一。本研究采用现象学方法的定性方法。研究对象为临床督导讲师和临床阶段的学生。研究方法从前期研究阶段开始;对讲师进行如何实施DOPS的培训,然后是研究阶段;文献研究、观察和焦点小组讨论(FGD)。研究结果确定了三个主要主题,即概念、执行方式和执行《纲领》的目标。根据FKG UK Maranatha的教师和学生的说法,DOPS是通过直接观察程序工作的每个阶段来评估学生的程序技能。教学人员对DOPS的看法影响了讲师向参与者提供反馈的方式。综上所述,为了给学生提供有用的反馈,需要充分的观察。DOPS的有效性受患者的可用性、审查员的存在以及是否有足够的时间运行DOPS的影响。
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