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Comparison of two case difficulty assessment methods on cohorts of undergraduate dental students – a multi‐centre study

Aim To compare the educational benefits and user friendliness of two anonymized endodontic case difficulty assessment (CDA) methods. Methodology A cohort (n = 206) of fourth‐year undergraduate dental students were recruited from four different Dental Schools and divided randomly into two groups (Gro...

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Published in:International endodontic journal 2020-11, Vol.53 (11), p.1569-1580
Main Authors: Shah, P. K., Duncan, H. F., Abdullah, D., Tomson, P. L., Murray, G., Friend, T. M., Thomas, S., Butcher, S., Chong, B. S.
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container_title International endodontic journal
container_volume 53
creator Shah, P. K.
Duncan, H. F.
Abdullah, D.
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Murray, G.
Friend, T. M.
Thomas, S.
Butcher, S.
Chong, B. S.
description Aim To compare the educational benefits and user friendliness of two anonymized endodontic case difficulty assessment (CDA) methods. Methodology A cohort (n = 206) of fourth‐year undergraduate dental students were recruited from four different Dental Schools and divided randomly into two groups (Group A and B). The participants assessed six test endodontic cases using anonymized versions of the American Association of Endodontists (AAE) case difficulty assessment form (AAE Endodontic Case Difficulty Assessment Form and Guidelines, 2006) and EndoApp, a web‐based CDA tool. Group A (n = 107) used the AAE form for assessment of the first three cases, followed by EndoApp for the latter. Group B (n = 99) used EndoApp for the initial three cases and switched to the AAE form for the remainder. Data were collected online and analysed to assess participants’ knowledge reinforcement and agreement with the recommendation generated. Statistical analysis was performed using the two‐way mixed model anova, Cohen’s Kappa (κ) and independent t‐tests, with the levels of significance set at P 
doi_str_mv 10.1111/iej.13377
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K. ; Duncan, H. F. ; Abdullah, D. ; Tomson, P. L. ; Murray, G. ; Friend, T. M. ; Thomas, S. ; Butcher, S. ; Chong, B. S.</creator><creatorcontrib>Shah, P. K. ; Duncan, H. F. ; Abdullah, D. ; Tomson, P. L. ; Murray, G. ; Friend, T. M. ; Thomas, S. ; Butcher, S. ; Chong, B. S.</creatorcontrib><description>Aim To compare the educational benefits and user friendliness of two anonymized endodontic case difficulty assessment (CDA) methods. Methodology A cohort (n = 206) of fourth‐year undergraduate dental students were recruited from four different Dental Schools and divided randomly into two groups (Group A and B). The participants assessed six test endodontic cases using anonymized versions of the American Association of Endodontists (AAE) case difficulty assessment form (AAE Endodontic Case Difficulty Assessment Form and Guidelines, 2006) and EndoApp, a web‐based CDA tool. Group A (n = 107) used the AAE form for assessment of the first three cases, followed by EndoApp for the latter. Group B (n = 99) used EndoApp for the initial three cases and switched to the AAE form for the remainder. Data were collected online and analysed to assess participants’ knowledge reinforcement and agreement with the recommendation generated. Statistical analysis was performed using the two‐way mixed model anova, Cohen’s Kappa (κ) and independent t‐tests, with the levels of significance set at P &lt; 0.05. Additionally, participants’ feedback and preference for CDA was also gathered. Results There was a significant increase in knowledge reinforcement for the AAE form and EndoApp (P = 0.001) after assessment of the first three test cases. However, this increase was not significant (P = 0.842) between the CDA methods. Overall, the AAE form and EndoApp had slight (κ = 0.176, P &lt; 0.001) and substantial (κ = 0.668, P &lt; 0.001) levels of agreement, respectively, and the difference was statistically significant (P &lt; 0.001). Participants’ feedback on user friendliness favoured EndoApp for all parameters measured. EndoApp was preferred by 65% of the cohort, whereas only 11% chose the AAE form for CDA. Conclusions Both the AAE form and EndoApp were beneficial for dental education. EndoApp was reliable in helping with decisions to treat or refer, and combined with user friendliness, it was the preferred choice for CDA. In this multi‐centre study, 206 fourth year dental undergraduate students, divided into two groups, assessed six Test Cases, containing clinical and radiographic information, using anonymised case difficulty assessment (CDA) tools. For cases 1–3, Group A (n = 107) used the American Association of Endodontists form, whereas Group B (n = 99) used EndoApp. CDA methods switched for the remaining cases. A strong preference for EndoApp was demonstrated. There was good agreement with participants’ treat/refer decisions and CDA recommendations. Thus, EndoApp helped with decision‐making, and was the preferred CDA choice.</description><identifier>ISSN: 0143-2885</identifier><identifier>EISSN: 1365-2591</identifier><identifier>DOI: 10.1111/iej.13377</identifier><identifier>PMID: 32748456</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>case difficulty assessment ; Dental schools ; Dentistry ; EndoApp ; Endodontics ; Feedback ; Humans ; Standardized tests ; Statistical analysis ; Students, Dental ; treatment risks ; University students ; web‐based tool</subject><ispartof>International endodontic journal, 2020-11, Vol.53 (11), p.1569-1580</ispartof><rights>2020 International Endodontic Journal. Published by John Wiley &amp; Sons Ltd</rights><rights>2020 International Endodontic Journal. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2020 International Endodontic Journal. Published by John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3887-ff80c144902c9e7ee24a5fd6ab7179c3adb2d15312c7e4be67a7f6a8d000f1ba3</citedby><cites>FETCH-LOGICAL-c3887-ff80c144902c9e7ee24a5fd6ab7179c3adb2d15312c7e4be67a7f6a8d000f1ba3</cites><orcidid>0000-0002-8820-7967 ; 0000-0001-8690-2379 ; 0000-0002-8678-4648 ; 0000-0003-1112-6859 ; 0000-0001-5408-7744</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32748456$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shah, P. K.</creatorcontrib><creatorcontrib>Duncan, H. F.</creatorcontrib><creatorcontrib>Abdullah, D.</creatorcontrib><creatorcontrib>Tomson, P. L.</creatorcontrib><creatorcontrib>Murray, G.</creatorcontrib><creatorcontrib>Friend, T. M.</creatorcontrib><creatorcontrib>Thomas, S.</creatorcontrib><creatorcontrib>Butcher, S.</creatorcontrib><creatorcontrib>Chong, B. S.</creatorcontrib><title>Comparison of two case difficulty assessment methods on cohorts of undergraduate dental students – a multi‐centre study</title><title>International endodontic journal</title><addtitle>Int Endod J</addtitle><description>Aim To compare the educational benefits and user friendliness of two anonymized endodontic case difficulty assessment (CDA) methods. Methodology A cohort (n = 206) of fourth‐year undergraduate dental students were recruited from four different Dental Schools and divided randomly into two groups (Group A and B). The participants assessed six test endodontic cases using anonymized versions of the American Association of Endodontists (AAE) case difficulty assessment form (AAE Endodontic Case Difficulty Assessment Form and Guidelines, 2006) and EndoApp, a web‐based CDA tool. Group A (n = 107) used the AAE form for assessment of the first three cases, followed by EndoApp for the latter. Group B (n = 99) used EndoApp for the initial three cases and switched to the AAE form for the remainder. Data were collected online and analysed to assess participants’ knowledge reinforcement and agreement with the recommendation generated. Statistical analysis was performed using the two‐way mixed model anova, Cohen’s Kappa (κ) and independent t‐tests, with the levels of significance set at P &lt; 0.05. Additionally, participants’ feedback and preference for CDA was also gathered. Results There was a significant increase in knowledge reinforcement for the AAE form and EndoApp (P = 0.001) after assessment of the first three test cases. However, this increase was not significant (P = 0.842) between the CDA methods. Overall, the AAE form and EndoApp had slight (κ = 0.176, P &lt; 0.001) and substantial (κ = 0.668, P &lt; 0.001) levels of agreement, respectively, and the difference was statistically significant (P &lt; 0.001). Participants’ feedback on user friendliness favoured EndoApp for all parameters measured. EndoApp was preferred by 65% of the cohort, whereas only 11% chose the AAE form for CDA. Conclusions Both the AAE form and EndoApp were beneficial for dental education. EndoApp was reliable in helping with decisions to treat or refer, and combined with user friendliness, it was the preferred choice for CDA. In this multi‐centre study, 206 fourth year dental undergraduate students, divided into two groups, assessed six Test Cases, containing clinical and radiographic information, using anonymised case difficulty assessment (CDA) tools. For cases 1–3, Group A (n = 107) used the American Association of Endodontists form, whereas Group B (n = 99) used EndoApp. CDA methods switched for the remaining cases. A strong preference for EndoApp was demonstrated. There was good agreement with participants’ treat/refer decisions and CDA recommendations. 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F.</creatorcontrib><creatorcontrib>Abdullah, D.</creatorcontrib><creatorcontrib>Tomson, P. L.</creatorcontrib><creatorcontrib>Murray, G.</creatorcontrib><creatorcontrib>Friend, T. M.</creatorcontrib><creatorcontrib>Thomas, S.</creatorcontrib><creatorcontrib>Butcher, S.</creatorcontrib><creatorcontrib>Chong, B. S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International endodontic journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shah, P. K.</au><au>Duncan, H. F.</au><au>Abdullah, D.</au><au>Tomson, P. L.</au><au>Murray, G.</au><au>Friend, T. M.</au><au>Thomas, S.</au><au>Butcher, S.</au><au>Chong, B. S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of two case difficulty assessment methods on cohorts of undergraduate dental students – a multi‐centre study</atitle><jtitle>International endodontic journal</jtitle><addtitle>Int Endod J</addtitle><date>2020-11</date><risdate>2020</risdate><volume>53</volume><issue>11</issue><spage>1569</spage><epage>1580</epage><pages>1569-1580</pages><issn>0143-2885</issn><eissn>1365-2591</eissn><abstract>Aim To compare the educational benefits and user friendliness of two anonymized endodontic case difficulty assessment (CDA) methods. Methodology A cohort (n = 206) of fourth‐year undergraduate dental students were recruited from four different Dental Schools and divided randomly into two groups (Group A and B). The participants assessed six test endodontic cases using anonymized versions of the American Association of Endodontists (AAE) case difficulty assessment form (AAE Endodontic Case Difficulty Assessment Form and Guidelines, 2006) and EndoApp, a web‐based CDA tool. Group A (n = 107) used the AAE form for assessment of the first three cases, followed by EndoApp for the latter. Group B (n = 99) used EndoApp for the initial three cases and switched to the AAE form for the remainder. Data were collected online and analysed to assess participants’ knowledge reinforcement and agreement with the recommendation generated. Statistical analysis was performed using the two‐way mixed model anova, Cohen’s Kappa (κ) and independent t‐tests, with the levels of significance set at P &lt; 0.05. Additionally, participants’ feedback and preference for CDA was also gathered. Results There was a significant increase in knowledge reinforcement for the AAE form and EndoApp (P = 0.001) after assessment of the first three test cases. However, this increase was not significant (P = 0.842) between the CDA methods. Overall, the AAE form and EndoApp had slight (κ = 0.176, P &lt; 0.001) and substantial (κ = 0.668, P &lt; 0.001) levels of agreement, respectively, and the difference was statistically significant (P &lt; 0.001). Participants’ feedback on user friendliness favoured EndoApp for all parameters measured. EndoApp was preferred by 65% of the cohort, whereas only 11% chose the AAE form for CDA. Conclusions Both the AAE form and EndoApp were beneficial for dental education. EndoApp was reliable in helping with decisions to treat or refer, and combined with user friendliness, it was the preferred choice for CDA. In this multi‐centre study, 206 fourth year dental undergraduate students, divided into two groups, assessed six Test Cases, containing clinical and radiographic information, using anonymised case difficulty assessment (CDA) tools. For cases 1–3, Group A (n = 107) used the American Association of Endodontists form, whereas Group B (n = 99) used EndoApp. CDA methods switched for the remaining cases. A strong preference for EndoApp was demonstrated. There was good agreement with participants’ treat/refer decisions and CDA recommendations. 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source Wiley-Blackwell Read & Publish Collection
subjects case difficulty assessment
Dental schools
Dentistry
EndoApp
Endodontics
Feedback
Humans
Standardized tests
Statistical analysis
Students, Dental
treatment risks
University students
web‐based tool
title Comparison of two case difficulty assessment methods on cohorts of undergraduate dental students – a multi‐centre study
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