Improving student learning in root canal treatment using self-assessment

Aim This paper reports the first attempts to implement a new course in endodontology for undergraduate dental students based upon independent, reflective learning and self- assessment. Methodology The responses were analysed of two successive cohorts of third-year students to laboratory courses in (i) the restoration of teeth with crowns and (ii) endodontology and root canal treatment. The major changes introduced to the endodontology course were a substantial reduction in the number of formal lectures, the introduction of a series of structured tutorials, time for private study and the use of self-assessment in practical classes. Results The evidence indicates that the new approach increased student confidence in practical skills, although the time available for operative practice was actually reduced; there was a perceived increase in problem-solving ability; and that students felt encouraged to pursue greater understanding. Reports from tutors suggested that students’ self-assessments became more accurate as the courses proceeded. Seven experiential learning points were derived from the study. These included the importance of careful planning, well-designed assessment procedures and the creation of a climate of trust and openness. Conclusions The task of developing fully the students’ skills of accurate self-assessment remains a challenge.