Clinical Confidence Level of Pandemic Affected Graduates of Private Dental Colleges in Malaysia
DOI:
https://doi.org/10.63912/kjaise.v1i0.0003Keywords:
Clinical confidence, covid-19, dental students, dentistry, pandemicAbstract
The Covid-19 pandemic has brought many challenges towards education especially in dentistry. Dental education is fundamentally a skills-based health science that requires technical and clinical skills to treat patients effectively. This study assessed level of clinical confidence of ‘pandemic affected dental graduates’ of private dental colleges in Malaysia, as a result of disruption in face-to-face learning by the COVID- 19 pandemic lockdown. This cross-sectional questionnaire survey was done among final year dental graduates from private colleges in Malaysia who were affected during the COVID-19 pandemic. The questionnaire addressed clinical skills required prior to graduation. A total of 79 students responded from private dental colleges in Malaysia with a response rate 39.5%. with greater number in female respondents. The majority reported confident for fissure sealant restorations and topical fluoride application (82.3%), and three procedures had the same value (81%) examination and diagnosis, caries diagnosis and oral hygiene instruction (OHI) and dietary counselling. While very few perceived confidences in carrying out soft tissue biopsy (26.6%) and restoring dental implants (27.9%). The general finding was that most graduates perceived themselves to be confident in practicing the most fundamental aspects of general clinical practice. It is inevitable that these new graduates do not have all the skills required for independent practice as it is consistent with international reports that limited clinical exposure in advanced areas (surgical extraction, molar RCT, biopsy and implant) was considered the main contributing factor to student inexperience and lack of confidence.
References
[1] Onyeaka H, Anumudu CK, Al-Sharify ZT, Egele-Godswill E, Mbaegbu P. COVID-19 pandemic: A review of the global lockdown and its far-reaching effects. Sci Prog. 2021 Apr-Jun;104(2): 368504211019854.doi: 10.1177/00368504211019854.
[2] Rahman MM, Thill JC. Associations between COVID-19 Pandemic, Lockdown Measures and Human Mobility: Longitudinal Evidence from 86 Countries. Int J Environ Res Public Health. 2022 Jun 14;19(12):7317. doi: 10.3390/ijerph19127317.
[3] Farsalinos, K.; Poulas, K.; Kouretas, D.; Vantarakis, A.; Leotsinidis, M.; Kouvelas, D.; Docea, A.O.; Kostoff, R.; Gerotziafas, G.T.; Antoniou, M.N.; et al. Improved strategies to counter the COVID-19 pandemic: Lockdowns vs. primary and community healthcare. Toxicol. Rep 2021, 8, 1–9.
[4] Geurts J, Singh-Povel C, Lee ST, Sekartini R, Poh BK, Rojroongwasinkul N, Tran NT, Kekalih A, Wong JE, Vongvimetee N, Tran VK, Khouw I; SEANUTS II Study Group. The impact of the COVID-19 pandemic in Malaysia, Indonesia, Thailand and Vietnam: insights from the SEANUTS II study. Public Health Nutr. 2024 Dec 20;27(1): e261. doi: 10.1017/S1368980024001332.
[5] Abdullah N, Hashim NZI, Abidin ISZ, Shazali SMM. Impact of COVID-19 Pandemic in Malaysia: A Critical Survey. Pertanika J. Soc. Sci. & Hum. 30 (4): 1857 - 1879 (2022).
[6] Kaya, H. (2020). Investigation of the effect of online education on eye health in Covid-19 pandemic. International Journal of Assessment Tools in Education, 7(3), 488-496. https://doi.org/10.21449/ijate.788078
[7] Browning, M. H., Larson, L. R., Sharaievska, I., Rigolon, A., McAnirlin, O., Mullenbach, L., Cloutier, S., Vu, T. M., Thomsen, J., Reigner, N., Metcalf, E. C., D’Antonio, A., Helbich, M., Bratman, G. N., & Alvarez, H. O. (2021). Psychological impacts from Covid-19 among university students: Risk factors across seven states in the United States. PLOS ONE, 16(1), Article e0245327. https://doi.org/10.1371/ journal. pone.0245327
[8] Goriuc A, Sandu D, Tatarciuc M, Luchian I. The Impact of the COVID-19 Pandemic on Dentistry and Dental Education: A Narrative Review. International Journal of Environmental Research and Public Health. 2022; 19(5):2537.
[9] Halim, M. S., Noorani, T. Y., Karobari, M. I., & Kamaruddin, N. (2021). COVID-19 and dental education: A Malaysian perspective. Journal of International Oral Health, 13(3), 201–206.
[10] Hassan MG, Amer H. Dental Education in the Time of COVID-19 Pandemic: Challenges and Recommendations. Front Med (Lausanne). 2021 May 31; 8:648899. doi: 10.3389/fmed.2021.648899.
[11] Mohd-Dom TN, Lim KX, Rani H and Yew HZ (2022) Malaysian dental deans’ consensus on impact of COVID-19 and recommendations for sustaining quality dental education. Front. Educ. 7:926376. doi: 10.3389/feduc.2022.926376
[12] Murray, C., & Chandler, N. (2016). Final year dental students in New Zealand: Self-reported confidence levels prior to BDS graduation. New Zealand Dental Journal, 112(4), 116–121.
[13] Pandarathodiyil, A. K., Mani, S. A., Ghani, W. M. N., Ramanathan, A., Talib, R., & Zamzuri, A. T. (2023). Preparedness of recent dental graduates and final-year undergraduate dental students for practice amidst the COVID-19 pandemic. European Journal of Dental Education, 27(1), 78–86. https://doi.org/10.1111/eje.12779
[14] Ali, K., Cockerill, J., Zahra, D., Qazi, H. S., Raja, U., & Ataullah, K. (2018). Self‐perceived preparedness of final year dental students in a developing country—A multi‐institution study. European Journal of Dental Education, 22(4), e745–e750.
[15] Thilakumara, I. P., Prathibhani, K. U., Rasnayaka, S. G. K., Abeysundara, S. P., & Jayasinghe, R. M. (2020). Does the Level of Confidence Exhibited by Dental Students Predict the Outcome of Complete Denture Therapy? International Journal of Dentistry, 2020. https://doi.org/10.1155/2020/9752925
[16] Honey, J., Lynch, C. D., Burke, F. M., & Gilmour, A. S. M. (2011). Ready for practice? A study of confidence levels of final year dental students at Cardiff University and University College Cork. European Journal of Dental Education, 15(2), 98–103.
[17] Awan, K. H., Khang, T. W., Yee, T. K., & Zain, R. B. (2014). Assessing oral cancer knowledge and awareness among Malaysian dental and medical students. Journal of Cancer Research and Therapeutics, 10(4), 903–907.
[18] Brzak, B. L., Canjuga, I., Baričević, M., & Mravak-Stipetić, M. (2012). Dental Students’ Awareness of Oral Cancer. Acta Stomatologica Croatica, 46(1).
[19] Farag, A. M., Alharbi, M., Alamoudi, M., & Alturki, G. (2021). Perception and Attitude of Dental Students and Interns Regarding the Diagnosis and Management of Oral Mucosal Lesions and Salivary Glands Hypofunction. The Open Dentistry Journal, 15(1).
[20] Walley, S., Bailey, J. R., Albadri, S., Mackie, I. C., Gilchrist, F., & Rodd, H. D. (2014). Undergraduates’ self-reported clinical experience, confidence and perspectives of hospital and outreach paediatric dentistry: a three-year multi-centre evaluation. British Dental Journal, 216(5), 251–256.
[21] Elmanaseer, W. R. (2021). Dental Students’ Perception and Confidence Level in Key Dental Procedures for General Practice and the Impact of Competency Implementation on Their Confidence Level, Part I (Prosthodontics and Conservative Dentistry).
[22] Ilić, J., Radović, K., Savić-Stanković, T., Popovac, A., Miletić, V., & Lemić, A. M. (2021). The effect of COVID-19 pandemic on final year dental students’ self-confidence level in performing clinical procedures. PLoS ONE, 16(10 October), 1–15. https://doi.org/10.1371/journal.pone.0257359
[23] Friedlander, L. T., Wallace, W. D. A., Broadbent, J. M., Cannon, R. D., Cooper, P. R., Hanlin, S. M., & Lyons, K. M. (2023). Preparedness and competency of New Zealand graduates for general dental practice – perceptions from the workforce. 1–11. https://doi.org/10.1111/adj.12981
[24] Aldegheishem A, Azam A, Alfahed B, Aldegheishem G, Aldryhim H, Alshami A, Anwaigi L. Practice with confidence: Analyzing confidence level of final year dental students from four Saudi dental colleges in Riyadh. Saudi J Biol Sci. 2021 Apr;28(4):2175-2179. doi: 10.1016/j.sjbs.2021.01.044.
[25] Yudin, M., Ali, K., & Ahmad, A. (2020). Selfperceived preparedness of undergraduate dental students in dental public universities in Malaysia: A national study.
[26] Park, J. S., Daniel, B. K., Wong, P. Y., Abbott, P. V., & Ngo, H. C. (2023). Dental students’ knowledge of and attitudes towards prescribing medication in Western Australia. European Journal of Dental Education, 27(2), 287–295. https://doi.org/10.1111/eje.12802