Abstract：
BACKGROUND: The increase in the migration of dentists educated outside the EU/EEA calls for the sharing of information and evaluation of recognition processes within countries in the EU. In 2017, the Swedish National Board of Health and Welfare implemented the Proficiency test, a recognition process for dentists who have completed an education programme outside the EU/EEA. The Proficiency test consists of a theoretical and an integrated clinical skills examination, followed by a 6-month clinical practice. The clinical skills examination is a two-part examination that includes an OSCE and an operative test on a dental manikin. This paper presents data from proficiency tests between 2018 and 2022, and explores factors related to grade fail, that is, demographics, theoretical exam scores and language comprehension.
METHODS: In a cohort study, demographics and factors associated with grade fail were explored using test results from theoretical and clinical skills examinations (n = 181) from 2018 to 2022. Pearson correlation coefficient and linear regression analysis were used for studying correlations and associations between exam results. Univariable linear and logistic regression models were used for background variable associations with clinical skills exam outcomes.
RESULTS: Higher age was a significant risk factor for failing the clinical skills examination and the OSCE. Higher scores in the theoretical exam reduced the odds of failing the OSCE but were not associated with results in the operative test or the overall results of the clinical skills examination. Regarding the OSCE there was a statistically significant difference within all professional qualifications explored between participants who passed and participants who failed the OSCE.
CONCLUSIONS: Four years of data collection reveal that age and previous theoretical exam results influence the odds of failing the clinical examination. The study results also highlight the necessity of multiple assessment formats to assess clinical and communication skills of foreign-trained dentists.
METHODS: In a cohort study, demographics and factors associated with grade fail were explored using test results from theoretical and clinical skills examinations (n = 181) from 2018 to 2022. Pearson correlation coefficient and linear regression analysis were used for studying correlations and associations between exam results. Univariable linear and logistic regression models were used for background variable associations with clinical skills exam outcomes.
RESULTS: Higher age was a significant risk factor for failing the clinical skills examination and the OSCE. Higher scores in the theoretical exam reduced the odds of failing the OSCE but were not associated with results in the operative test or the overall results of the clinical skills examination. Regarding the OSCE there was a statistically significant difference within all professional qualifications explored between participants who passed and participants who failed the OSCE.
CONCLUSIONS: Four years of data collection reveal that age and previous theoretical exam results influence the odds of failing the clinical examination. The study results also highlight the necessity of multiple assessment formats to assess clinical and communication skills of foreign-trained dentists.
摘要：
背景：在欧盟/欧洲经济区以外接受教育的牙医的迁移增加，要求在欧盟国家内部共享信息和评估认可过程。2017年，瑞典国家卫生和福利委员会实施了能力测试，对在欧盟/欧洲经济区以外完成教育计划的牙医的认可过程。能力测试包括理论和综合临床技能考试，随后进行为期6个月的临床实践。临床技能考试是由两部分组成的考试，包括OSCE和牙科人体模型的手术测试。本文介绍了2018年至2022年能力测试的数据，并探讨了与等级失败相关的因素，也就是说,人口统计，理论考试成绩和语言理解。
方法：在一项队列研究中，使用2018年至2022年理论和临床技能考试(n=181)的测试结果,探讨了与等级不及格相关的人口统计学和因素.Pearson相关系数和线性回归分析用于研究考试结果之间的相关性和关联。单变量线性和逻辑回归模型用于背景变量与临床技能考试结果的关联。
结果：较高的年龄是临床技能考试和OSCE失败的重要危险因素。理论考试中的较高分数降低了OSCE失败的几率，但与手术测试的结果或临床技能考试的总体结果无关。关于OSCE，通过OSCE的参与者和未通过OSCE的参与者之间探讨的所有专业资格在统计上都存在显著差异。
结论：四年的数据收集表明，年龄和以前的理论检查结果影响临床检查失败的几率。研究结果还强调了多种评估格式以评估外国训练有素的牙医的临床和沟通技能的必要性。
方法：在一项队列研究中，使用2018年至2022年理论和临床技能考试(n=181)的测试结果,探讨了与等级不及格相关的人口统计学和因素.Pearson相关系数和线性回归分析用于研究考试结果之间的相关性和关联。单变量线性和逻辑回归模型用于背景变量与临床技能考试结果的关联。
结果：较高的年龄是临床技能考试和OSCE失败的重要危险因素。理论考试中的较高分数降低了OSCE失败的几率，但与手术测试的结果或临床技能考试的总体结果无关。关于OSCE，通过OSCE的参与者和未通过OSCE的参与者之间探讨的所有专业资格在统计上都存在显著差异。
结论：四年的数据收集表明，年龄和以前的理论检查结果影响临床检查失败的几率。研究结果还强调了多种评估格式以评估外国训练有素的牙医的临床和沟通技能的必要性。
