Challenges of clinical dental education during pandemic: a mixed method approach

Document Type : Original Article

Authors

1 Department of Prosthodontics, School of Dentistry, Islamic Azad University of Medical Sciences

2 Community Oral Health Department, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 Assistant Professor, Department of Community Oral Health, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Assistant Professor of Biostatistics, Department of Biostatistics, Shahid Beheshti University of Medical Sciences School of Paramedical Sciences, Tehran, Iran

Abstract

Background: The COVID-19 pandemic and its high prevalence greatly affected education, especially majors such as dentistry, which require patient encounters. The objective of the current study was to investigate dental students› and professors› perspectives on the effects of the pandemic on clinical dental education.
Methods: This mixed-methods study had two phases: (1) in the qualitative phase, interviews were conducted with the heads of each clinical department and the students’ representatives. Interviews were recorded, transcribed, and categorized to extract the main issues; (2) A self-administered questionnaire was designed based on the extracted themes. All the 4th–6th year dental students in the 2021–2022 academic year were invited to participate. Data were analyzed using SPSS.
Results: Twelve main issues were extracted from the interviews, including a reduced number of patients, reduced self-esteem concerning clinical care among students, the need for isolated facilities, etc. In the quantitative phase, 76% of the students participated in this study, 86% of whom believed that the quality of clinical education during the pandemic had decreased. The lack of patients and, as a result, the decrease in the number of determined requirements were listed as the most important factors in this reduction. The students mostly preferred to have extra time to compensate for their lack of experience.
Conclusion: The COVID-19 outbreak has negatively affected dental education. Despite the advances in e-learning, dental education cannot easily convert from patient-based education to theoretical or even virtual education. Providing proper clinical education always remains critical.

Keywords

Main Subjects


1. Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute
respiratory syndrome coronavirus 2 (SARS-CoV-2) and
coronavirus disease-2019 (COVID-19): the epidemic and the
challenges. Int J Antimicrob Agents. 2020;55(3):105924. doi:
10.1016/j.ijantimicag.2020.105924.
2. Prieto D, Tricio J, Cáceres F, Param F, Meléndez C, Vásquez
P, et al. Academics’ and students’ experiences in a Chilean
dental school during the COVID-19 pandemic: a qualitative
study. Eur J Dent Educ. 2021;25(4):689-97. doi: 10.1111/
eje.12647.
3. Abdi M, Mirzaei R. Iran without mandatory quarantine and
with social distancing strategy against coronavirus disease
(COVID-19). Health Secur. 2020;18(3):257-9. doi: 10.1089/
hs.2020.0041.
4. Yavarian J, Shafiei-Jandaghi NZ, Sadeghi K, Shatizadeh
Malekshahi S, Salimi V, Nejati A, et al. First cases of SARSCoV-2 in
Iran, 2020: case series report. Iran J Public Health.
2020;49(8):1564-8. doi: 10.18502/ijph.v49i8.3903.
5. Chang TY, Hsu ML, Kwon JS, Kusdhany ML, Hong G. Effect
of online learning for dental education in Asia during the
pandemic of COVID-19. J Dent Sci. 2021;16(4):1095-101.
doi: 10.1016/j.jds.2021.06.006.
6. Hung M, Licari FW, Hon ES, Lauren E, Su S, Birmingham WC,
et al. In an era of uncertainty: impact of COVID-19 on dental
education. J Dent Educ. 2021;85(2):148-56. doi: 10.1002/
jdd.12404.
7. Loch C, Kuan IB, Elsalem L, Schwass D, Brunton PA, Jum’ah A.
COVID-19 and dental clinical practice: students and clinical
staff perceptions of health risks and educational impact. J Dent
Educ. 2021;85(1):44-52. doi: 10.1002/jdd.12402.
8. Quinn B, Field J, Gorter R, Akota I, Manzanares MC, Paganelli
C, et al. COVID-19: the immediate response of European
academic dental institutions and future implications for dental
education. Eur J Dent Educ. 2020;24(4):811-4. doi: 10.1111/
eje.12542.
9. Chang TY, Hong G, Paganelli C, Phantumvanit P, Chang
WJ, Shieh YS, et al. Innovation of dental education during
COVID-19 pandemic. J Dent Sci. 2021;16(1):15-20. doi:
10.1016/j.jds.2020.07.011.
10. Mousavi M, Ghasemianpour M, Sadeghipour M, Nouri N. A
scoping review of knowledge, attitudes, and clinical practices
of dental professionals during the COVID-19 pandemic. J Oral
Health Oral Epidemiol. 2023;12(2):48-58. doi: 10.34172/
johoe.2023.09.
11. Koochak-Dezfouli M, Alizadeh-Navaei R, Ajorlou A,
Zamanzadeh M. Investigating the observance frequency
of the requirements for providing dental services during
COVID-19 epidemic in dental offices in Sari, Iran, in 2020.
J Oral Health Oral Epidemiol. 2021;10:60-9. doi: 10.22122/
johoe.2021.196090.1329.
12. Kerkstra RL, Rustagi KA, Grimshaw AA, Minges KE. Dental
education practices during COVID-19: a scoping review. J
Dent Educ. 2022;86(5):546-73. doi: 10.1002/jdd.12849.
13. Ayre C, Scally AJ. Critical values for Lawshe’s content
validity ratio: revisiting the original methods of
calculation. Meas Eval Couns Dev. 2013;47(1):79-86. doi:
10.1177/0748175613513808.
14. Yusoff MS. ABC of content validation and content validity
index calculation. Educ Med J. 2019;11(2):49-54. doi:
10.21315/eimj2019.11.2.6.
15. Gordis L. Epidemiology E-Book. Elsevier Health Sciences;
2013.
16. Altindal D, Acun Kaya F, Talo Yildirim T, Uysal E, Duger N.
Evaluation of the behavior and health anxiety levels the patients
applying to the periodontology clinic during the COVID-19
pandemic. J Oral Health Oral Epidemiol. 2024;12(4):156-63.
doi: 10.34172/johoe.2023.27.
17. Nash DA. On ethics in the profession of dentistry and
dental education. Eur J Dent Educ. 2007;11(2):64-74. doi:
10.1111/j.1600-0579.2007.00448.x.
18. Jum’ah AA, Elsalem L, Loch C, Schwass D, Brunton PA.
Perception of health and educational risks amongst dental
students and educators in the era of COVID-19. Eur J Dent
Educ. 2021;25(3):506-15. doi: 10.1111/eje.12626.
19. Carter E, Currie CC, Asuni A, Goldsmith R, Toon G, Horridge
C, et al. The first six weeks - setting up a UK urgent dental
care centre during the COVID-19 pandemic. Br Dent J.
2020;228(11):842-8. doi: 10.1038/s41415-020-1708-2.