Page 122 - Demo

Chapter 7120Active learning methods may possess the risk of causing confusion that may hamper the student’s learning process and their self-efficacy when there is insufficient guidance by supervisors (Chevalier et al. 2021). The tutorials in our education were integrated with the simulated clinical training, which may have contributed to the tutorials being appreciated. The integration of tutorials with clinical observation, clinical training or simulated clinical training may be valuable to reduce any negative effects of confusion that may be caused by the different approaches that may be employed in the clinic, and the varying opinions that students and their clinical or preclinical supervisors may have. Simulated clinical training versus clinical trainingTraining through simulation instead of on patients is safer and beneficial for both patients and students (chapters 2, 3 and 4). The Dutch law ‘Wet BIG’ dictates that skills training up to the level of being competent should be done in simulation whenever possible. Only when training in simulation is not possible, students may gradually and under close supervision train the required skills by performing the procedure in patients. Based on our work, it can be concluded that it is possible to train and assess skills in performing root canal treatment effectively in an environment that simulates clinical reality as closely as possible (chapter 2). It is therefore recommended that students perform root canal treatments on patients only after they have trained in such simulated clinical environment and proved that they have acquired the required skills. For building self-efficacy, clinical training is essential (chapters 3, 4 and 5). Performing root canal treatment in patients should therefore follow the simulated clinical training as an integral part of the undergraduate endodontic curriculum. Clinical experienceAccomplishing a treatment of good quality is not only important for the patient but also for the student. Students who performed a root canal treatment of poor quality on a patient were more pessimistic about their capabilities of managing complications that may occur during a root canal treatment than students who performed a root canal treatment of good quality (chapter 3). People with low self-efficacy, and especially in the early phase of building it, attribute a failure to their capabilities that they regard insufficient even though that might be incorrect (Bandura 1977, Gist & Mitchell 1992, Leganger et al. 2000). Annemarie Baaij.indd 120 28-06-2023 12:26