Observation, assisting, apprenticeship: cycles of visual and kinesthetic learning in dental education.
Dentists are self-selected for visual and kinesthetic learning preferences. Watching another practitioner perform treatment can be incredibly didactic, both before and after learning the procedure. This missing part of dental education has the capacity to play a tremendous role in dental education for all levels of practitioner. Dental students in their clinical years begin to realize the meaning of dentistry as a practice, a set of skills that are never perfected. Abundant evidence demonstrates that cycling between observation and practice enhances procedural learning and retention, yet this mechanism is vastly underused in dental education. Collaborative treatment paradigms, wherein the able student assists a more experienced practitioner, can create mentorship. Learning potentially esoteric information or subtle nuances of clinical acumen is facilitated by the contextual framework of the clinical environment and is strengthened by emotional attachments through interpersonal interactions. In this article, we explore the evidence surrounding mentorship and clinical observation both before and after students are given the responsibilities of patient care, which together recapitulate clinical apprenticeship. Finally, we present examples of how apprenticeship can be brought back to dental education, including evaluation of a clinical assisting program that we implemented and explanation of a hypothetical faculty-student practice partnership model.
Horst
Jeremy A
JA
Department of Oral Biology, School of Dentistry, University of Washington, Seattle, WA 98195-7132, USA. jhorst@compbio.washington.edu
Clark
Matthew D
MD
Lee
Andrew H
AH
D001290:Attitude; D002540:Cerebral Cortex / Q000502:physiology; D002983:Clinical Competence; D003479:Curriculum; D003729:Dental Care; D004497:Education, Dental; D004498:Education, Dental, Continuing; D004515:Education, Predental; D005179:Faculty, Dental; D006801:Humans; D007398:Interpersonal Relations; D007858:Learning; D008568:Memory; D008611:Mentors; D019212:Multimedia; D019370:Observation; D011214:Practice, Psychological; D011231:Preceptorship; D011340:Problem Solving; D016730:Program Development; D012575:Schools, Dental / Q000191:economics; D012586:Science / Q000193:education; D012649:Self Concept; D013335:Students, Dental; D013663:Teaching / Q000379:methods*