Proficiency-based progression (PBP) training- the future model for dental operative skills training? A systematic review and meta-analysis of existing literature

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dc.availability.bitstreamopenaccess
dc.contributor.advisorRoberts, Anthony
dc.contributor.advisorAllen, Finbarr
dc.contributor.advisorGallagher, Anthony G.
dc.contributor.authorKehily, Elaine
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2023-05-17T14:33:44Z
dc.date.available2023-05-17T14:33:44Z
dc.date.issued2023-01
dc.date.submitted2023-01
dc.description.abstractObjective: To evaluate the effectiveness of proficiency-based progression (PBP) operative training using validated performance metrics, by comparing this to standard, conventional training methods. Data: This systematic review was conducted in accordance with the PRISMA guidelines for the Transparent Reporting of Systematic Reviews and Meta-Analyses. Study quality was assessed using the MERSQI tool and the Cochrane Risk of Bias tool. Results were pooled using biased corrected standardized mean difference and ratio-of-means (ROM). Summary effects were evaluated using a series of fixed and random effects models. The primary outcome was the number of procedural errors performed comparing PBP and non-PBP-based training pathways. In quantitative synthesis testing for procedural errors, a pooled meta-analysis on 87 trainees was conducted using random-effects models. In a ROM analysis, PBP was estimated to reduce the mean rate of errors by 62%, when compared to standard training (ROM 0.38, 95% CI: 0.25; 0.58; p < 0.001) Sources: The electronic databases of PubMed, Embase, Web of Science, MEDLINE and Cochrane library’s CENTRAL were searched from inception to 8/11/2021. Filters activated were Randomized Controlled trials, clinical trial. Study selection: 13 studies were included for review with 11 included in the quantitative synthesis from 174 potentially relevant publications identified by the search strategy. Main inclusion criteria were studies comparing standard surgical/operative training with proficiency-based simulation training using validated metrics based on expert performance. Conclusions: Our meta-analysis found that PBP training improved trainees' performances, by decreasing procedural errors. There is sufficient evidence to explore PBP training for use in dental skills training.en
dc.description.statusNot peer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationKehily, E. M. 2023. Proficiency-based progression (PBP) training- the future model for dental operative skills training? A systematic review and meta-analysis of existing literature. MDS Thesis, University College Cork.
dc.identifier.endpage111en
dc.identifier.urihttps://hdl.handle.net/10468/14478
dc.language.isoenen
dc.publisherUniversity College Corken
dc.relation.projectHealth Research Board (HPF2016-1675)en
dc.rights© 2023, Elaine Kehily.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0/en
dc.subjectSimulation trainingen
dc.subjectClinical skills trainingen
dc.subjectTraining and assessmenten
dc.subjectProficiency-based trainingen
dc.titleProficiency-based progression (PBP) training- the future model for dental operative skills training? A systematic review and meta-analysis of existing literature
dc.typeMasters thesis (Research)en
dc.type.qualificationlevelMastersen
dc.type.qualificationnameMRes - Master of Researchen
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