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BACKGROUND Workplace-based assessment is a key component of dental-student clerkships, allowing students to demonstrate clinical proficiency. PURPOSE This study adapts the Mini-Clinical Evaluation Exercise (Mini-CEX) to a dentistry-program clerkship, analyzing the results and examining the psychometric properties of Mini-CEX. METHODS First, Delphi panel methodology was used to ensure content validity. Mini-CEX was then piloted in the dental-clerkship program, with each student assessed by at least 2 supervisors and a peer student. Subsequently, psychometric properties, acceptability, and observation time were analyzed. RESULTS The study was conducted between July and November 2019. Overall, 140 Mini-CEX evaluation exercises were carried out on 30 students by 84 supervisors and 56 peers. The adapted instrument was found to be unidimensional, obtaining an acceptable internal consistency (α = 0.74). As the assessor type changed, there were differences in observation time; the medians (Q1-Q3) were 10 minutes (5-15) for supervisors and 30 minutes (20-45) for peer students (P

Introducción: los procesos de enseñanza aprendizaje en odontología deben adaptarse permanentemente a los cambios sociales, demográficos, científicos y tecnológicos, con el fin de formar profesionales con un perfil de egreso basado en conocimientos, habilidades y actitudes integrales, conectados con la realidad y necesidades de la sociedad, que impacten positivamente en el sistema de salud. El propósito de esta revisión narrativa fue analizar los principales desafíos de la educación en odontología reportados en la literatura y proponer acciones concretas para abordarlos. Métodos: a través de un método de consenso, un panel de nueve expertos seleccionó las principales áreas donde se presentan estos desafíos, para luego realizar una búsqueda de información científica en inglés y español, consultando las bases de datos MEDLINE vía PubMed, ERIC (EBSCO), Scopus, SciELO y Google Scholar. Resultados: los cuatro desafíos para la educación en odontología analizados fueron: responsabilidad social de la educación, perfil de egreso de en diferentes contextos, metodologías de enseñanza aprendizaje y sistemas de evaluación, procesos de titulación y certificación. Conclusiones: las acciones que sustentan los principales cambios requeridos a nivel nacional e internacional en la educación en odontología necesitan el apoyo transversal de organizaciones gubernamentales, científicas, sociales y de las propias instituciones de educación superior, a través de un trabajo colaborativo. Este camino es vital para lograr la formación de cirujanos dentistas que serán reales agentes de cambio, preparados integralmente para insertarse en un sistema que garantice la calidad, seguridad, efectividad y equidad en salud bucal.

Objective This study aimed to compare the strength of association (i.e., explained variability) of the cumulative grade point average (GPA) with the grades obtained in the clerkship portfolio and the final structured oral exam by dental students. Methods A prospective longitudinal study was designed to analyze quantitative data from three cohorts of dental school students. Univariate and multivariate linear regression models were built to evaluate the association between the students' cumulative GPA with the grades obtained in their clerkship portfolio and the final structured oral exam. Results In total, 171 students in the last year of the undergraduate program were considered (76% women, age average 24.8 +/- 1.6 years). The dental students' grades of both portfolio and structured oral exam were significantly associated with the GPA score but with different strengths of association. The clerkship portfolio was more strongly associated with cumulative GPA than the structured oral exam (R-2 = 19.6% versus R-2 = 7.6%). On the opposite, the association between the structured oral exam and GPA can be interpreted as a lower precision in its practical significance and thus reflecting different concurrent validity. Conclusions Considering the results of this study, it could probably incline the balance toward the portfolio because it may be closer to a programmatic assessment model, with timely feedback, development of metacognition, and the achievement of formative process measurement rather than evidence of a single instance of examination.

Introduccion La enfermedad por coronavirus-19 (COVID-19) es un problema mundial de salud publica debido a su morbimortalidad, especialmente en grupos de riesgo El entorno odontologico tiene un alto riesgo de transmision viral, por ello el objetivo de este estudio fue identificar recomendaciones para la atencion odontologica durante esta pandemia Metodos Se realizo una busqueda de evidencia cientifica publicada desde 2002 hasta el 23 de marzo de 2020 en bases de datos electronicas (MEDLINE/PubMed, EMBASE, Cochrane y Epistemonikos) y en las paginas electronicas de la Asociacion Dental Americana, de Centers for Disease Control and Prevention Oral Health, del Ministerio de Salud de Chile y de sociedades cientificas Resultados Se incluyeron nueve articulos publicados, en los cuales se recomienda el uso irrestricto de elementos de proteccion personal, preferir tecnicas radiograficas extraorales, uso de enjuagues bucales con peroxido de hidrogeno al 1% o povidona yodada al 0,2%, tecnica a cuatro manos con aspiracion constante y uso de suturas reabsorbibles Ademas, existe consenso respecto a que durante los periodos de transmision comunitaria se deben posponer los tratamientos odontologicos no urgentes Conclusiones Debido al alto riesgo de infeccion cruzada que presentan los equipos odontologicos, deben implementarse recomendaciones basadas en la mejor evidencia disponible, con el fin de preservar la salud de los miembros del equipo y de la poblacion a su cuidado Introduction COVID-19 is a world public health problem due to its morbidity and mortality, especially in at-risk groups The dental environment has a high risk of viral transmission;accordingly, this study aimed to identify recommendations based on the best available evidence for dental care during this pandemic Methods We performed a search for scientific evidence published since 2002 to March 23th 2020 in electronic databases (MEDLINE/PubMed, EMBASE, Cochrane, and Epistemonikos) and the web pages of the American Dental Association, Centers for Disease Control and Prevention Oral Health, the Ministry of Health in Chile and scientific societies Results We included nine published studies The recommendations were the following: unrestricted use of personal protection elements, use of extraoral radiographic techniques, use of mouth rinses with 1% hydrogen peroxide or 0 2% iodine povidone, a four-hand technique with ongoing aspiration and the use of absorbable sutures Furthermore, there is a consensus that non-urgent treatments should be postponed during periods of community transmission Conclusions Dental practitioners are exposed to a high risk of cross-infection, meaning they must implement recommendations based on the best available evidence to preserve the health of team members and the population they are caring for