Volume 17, Issue 4 (2026)                   Res Med Edu 2026, 17(4): 59-66 | Back to browse issues page


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Dadgaran I, Neshandar Asli H, Moshkbouy E, Hendi A. Design, Implementation, and Evaluation of a One-Week Early Clinical Exposure (ECE) Program for Preclinical Dental Students at Guilan University of Medical Sciences. Res Med Edu 2026; 17 (4) :59-66
URL: http://rme.gums.ac.ir/article-1-1504-en.html
Dental Sciences Research Center, Department of Prosthodontics, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran , amirreza1990@gmail.com
Abstract:   (426 Views)
Introduction: To enhance the quality of education, achieve higher standards in dental training, and improve students' understanding of clinical procedures, it is essential to introduce gradual changes in dental education. One such approach involves utilizing modern information technology and implementing innovative methods, such as Early Clinical Exposure (ECE), enhancing learning experience for people involved in this education(both students and educators).
The primary aim of the ECE program is to integrate basic and clinical sciences while reducing students’ anxiety and stress associated with clinical environments. In addition, ECE serves as a bridge between preclinical and clinical skills for dental students.
Methods: In this study, 40 students (four groups of 10) from the 2016 cohort of Guilan Dental School were selected as participants. The study followed the Scholarship of Teaching and Learning (SOTL) developmental framework. After conducting orientation sessions for students and faculty members and obtaining informed consent, a four-hour introductory tour (one hour per group) was organized. Following that, over four weeks (one week per group), students were introduced to five clinical departments in a structured manner from Saturday to Wednesday each week: (1) periodontology, (2) oral disease diagnosis, (3) radiology, (4) oral and maxillofacial surgery, and (5) prosthodontics. Data collection was conducted through reflective note-taking and interviews, capturing students' and instructors' opinions and experiences, followed by qualitative content analysis.
Results: The results of this process indicated that the development goals have been achieved. Furthermore, evaluations based on the opinions of faculty members and students demonstrated satisfaction with the implementation of this plan highlighting the need for its continuation.
Conclusion: The implementation of the ECE program contributed to the professionalism,improving learning and help dental students to confront uncertainties in clinical practice.Generally, The integration of ECE into the dental curriculum was recognized as beneficial.
 
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Type of Study: Research | Subject: Clinical Education

References
1. Kazemizadeh Z, Bakhshi H. Dental environment stress and students' personality in Refsanjan dentistry school. Iran J Med Educ 2011; 11(5): 467- 77.[Persian] [Link]
2. Akbari M, Nejat A, Dastorani S, Rouhani A. Evaluation of stress level and related factors among students of Mashhad dental school (Iran) in academic year of 2008-2009. J Mash Dent Sch 2011; 35(3): 165-76.[Persian] [DOI:10.22038/jmds.2011.956]
3. Abu-Ghazaleh SB, Rajab LD, Sonbol HN. psychological stress among dental students at the university of Jordan. J Dent Educ 2011;75(8):1107- 1114. [DOI:10.1002/j.0022-0337.2011.75.8.tb05156.x]
4. Alzahem AM, Van der Molen HT, De Boerc BJ. Effectiveness of a dental students stress management program. Health Prof Educ 2015 ;(1): 34-42. [DOI:10.1016/j.hpe.2015.11.003]
5. Rohlin M, Petersson K, Svensäter G. The Malmo model: a problem- based learning curriculum in undergraduate dental education. Eur J Educ 1998;2:103-114. [DOI:10.1111/j.1600-0579.1998.tb00045.x]
6. Aghili H, Yassaei S, Taheri Moghadam S, Mohammadi SH. Evaluation of the effect of early clinical exposure on professional attitude of dental students of Shahid Sadoughi university of medical sciences in 2011- 2012. J Med Educ Dev 2013; 8(1): 30- 44.[Persian] [Link]
7. Govindarajan S, Vasanth G, Kumar PA, Priyadarshini C, Radhakrishnan SS, Kanagaraj V, et al. Impact of a comprehensive early clinical exposure program for preclinical year medical students. Health Prof Educ 2018.06.002:2452-3011. [DOI:10.1016/j.hpe.2017.06.002]
8. Mahesh Verma. Early clinical exposure: new paradigm in Medical and Dental Education. Contemp Clin Dent 2016; 7(3): 287-288. [DOI:10.4103/0976-237X.188536]
9. Farhadi S, Jahanbani J, Kakui Nejad M, Bashiri S. The view point of dentistry students to achievement of educational objectives: comparison of teacher- oriented and problem- based learning methods. JAMED 2017;1(1):15-18. [Link]
10. Omidkhoda M, Chamani A, Gholizadeh M. Evaluation of stressful factors among dental clinical students of Mashhad (Iran) dentistry school:2016- 2017. Future Med Educ J 2016;6(4):15-22. [DOI:10.22038/fmej.2016.8266]
11. Rabiei M, Safarpour M. Assessment of dental environment stress and related factors in dental students. Res Med Educ 2017;9(1):46-57.[Persian] [DOI:10.18869/acadpub.rme.9.1.57]
12. Ali K, Zahra D, McColl E, Salih V, Tredwin C. Impact of early clinical exposure on the learning experience of undergraduate dental students. Eur J Dent Educ 2017;22(1):e75-e80. [DOI:10.1111/eje.12260]
13. Boyd LD. Reflections on clinical practice by first- year dental students: A qualitative study. J Dent Educ 2002; 66(6): 710- 720. [DOI:10.1002/j.0022-0337.2002.66.6.tb03550.x]
14. Shah C. Early clinical exposure_ why and how? J Educ Technol Health Sci 2018;5(1);2-7. [DOI:10.18231/2393-8005.2018.0002]
15. Pakdaman A, Hesari H, Fazel A, Mohtasham Z, Moheby SZ, Yazdani R, et al. Evaluation of the "early clinical experience" program for undergraduate dental students. Educ Strategy Med Sci 2014; 7(5): 279- 285. [Link]
16. Rawekar A, Jagzape A, Srivastava T, Gotarkar S. Skill learning through early clinical exposure: an experience of Indian medical school. J Clin Diagn Res 2016;10(1):JC01_JC04. [DOI:10.7860/JCDR/2016/17101.7022]
17. Başak O, Yaphe J, Spiegel W, Wilm S, Carelli F, Metsemakers JF. Early clinical exposure in medical curricula across Europe: An overview. Eur J Gen Pract 2009;15(1):4-10. [DOI:10.1080/13814780902745930]
18. Henzi D, Davis E, Jasinevicius R, Hendricson W. In the students' own words: what are the strengths and weaknesses of the dental school curriculum? J Dent Educ 2007;71(5):632-645. [DOI:10.1002/j.0022-0337.2007.71.5.tb04320.x]
19. Littlewood S, Ypinazar V, Margolis SA, Scherpbier A, Spencer J, Dornan T. Early practical experience and the social responsiveness of clinical education: systematic review. BMJ 2005;331(7513):387-91. [DOI:10.1136/bmj.331.7513.387]
20. McLean M. Sometimes we do get it right! Early clinical contact is a rewarding experience. Educ Health (Abingdon) 2004;17(1):42-52. [DOI:10.1080/13576280310001656178]
21. Nimkuntod P, Kaewpitoon S, Uengarporn N, Ratanakeereepun K, Tongdee P. Perceptions of medical students and facilitators of an early clinical exposure instructional program. J Med Assoc Thai 2015;98 Suppl 4:S64-70. [Link]
22. Rani MA, Sharma KS, Koirola S. What do students say about the early clinical exposure at B.P. Koirola institute of health sciences, Nepal? Med Teach 2002; 24(6): 652-4. [DOI:10.1080/01421590216084]
23. Tang KP, Chen CY, Wu MS, Chen TT, Wu BW, Tsai PF. Correlation between early clinical exposure environment, attitudes toward basic medicine, and medical students' basic science learning performance. BMC Med Educ 2019; 19:183. [DOI:10.1186/s12909-019-1612-0]
24. Hahn H, Kropp P, Kirschstein T, Rücker G, Müller-Hilke B. Test anxiety in medical school in unrelated to academic performance but correlates with an effort/ toward imbalance. PLoS One 2017;12(2):e0171220. [DOI:10.1371/journal.pone.0171220]
25. Seifrabei M A, Esna Ashari M, Maghsoodi F, Esna Ashari F. The effect of early clinical exposure program on attitude change of undergraduate medical students toward their preparation for attending clinical setting in internal medicine, surgery and pediatrics wards during 2013- 2014. Avicenna J Clin Med 2015; 22(4): 323- 330.[Persian] [Link]
26. Shirzad H, Moezzi M, Khadivi R, Sadeghi B, Madhkhan A. Effect of early clinical exposure on attitude and performance of first year medical students. Shahrekord Univ Med Sci J 2012;13(1):69-78.[Persian] [Link]

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