{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T07:08:36Z","timestamp":1788851316919,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to evaluate the reliability of a surgical progressive learning autonomy assessment tool implemented in a postgraduate periodontology residency program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective observational study was conducted during the Spring and Summer 2025 semesters using a structured, real\u2010time surgical assessment tool. Faculty assessed resident performance after each surgical procedure across domains of autonomy, performance, and case complexity on a five\u2010point scale, while residents completed parallel self\u2010assessments for the same procedures. Inter\u2010rater reliability among faculty and agreement between faculty and residents were evaluated using intraclass correlation coefficients (ICCs). Mixed\u2010model ANOVA was used to compare effects of resident year, procedure type, and rater group (faculty or resident) on mean scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 561 surgical assessments were analyzed. Faculty inter\u2010rater reliability ranged from low to moderate, with the highest agreement observed for implant placement procedures (ICC = 0.58) and lower agreement for crown lengthening (ICC = 0.13) and extraction with ridge preservation (ICC = 0.09). Agreement between faculty and residents was stronger than inter\u2010faculty agreement for most procedures (ICC &gt; 0.3 for crown lengthening, guided bone regeneration, implant placement and osseous surgery). Faculty scores were consistently higher than resident self\u2010scores (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05 for several procedure\u2013question combinations by 0.3\u20130.5 points). Residents demonstrated significant progression in scores from Years 1 to 3 for selected procedures, particularly crown lengthening, soft tissue grafting, and extraction\u2010related surgeries. Graduating residents demonstrated competency based on both faculty and self\u2010assessment benchmarks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A progressive learning autonomy assessment provides reliable, meaningful data on resident development, and highlights differences between perceived and observed competence. This model supports real\u2010time feedback, resident growth, and faculty calibration, with implications for broader adoption in dental specialty education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jdd.70344","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T10:09:46Z","timestamp":1786961386000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reliability of a Progressive Learning Autonomy Assessment in a Periodontology Residency Program"],"prefix":"10.1002","author":[{"given":"Ashwin","family":"Shastri","sequence":"first","affiliation":[{"name":"Department of Periodontology Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Eberhardt","sequence":"additional","affiliation":[{"name":"Department of Dental informatics and Digital Health Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwaq","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Dental informatics and Digital Health Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hawra","family":"AlQallaf","sequence":"additional","affiliation":[{"name":"Department of Periodontology Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George J.","family":"Eckert","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Health Data Science Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanchit","family":"John","sequence":"additional","affiliation":[{"name":"Department of Periodontology Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica P.","family":"Gibson","sequence":"additional","affiliation":[{"name":"Department of Periodontology Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2020.05.023"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jdd.12620"},{"key":"e_1_2_8_4_1","unstructured":"American Dental Education Association \u201cEntrustable Professional Activities (EPAs): A Practical Framework for Competency\u2010Based Dental Education \u201d published October 22 2025 https:\/\/elearn.adea.org\/products\/entrustable\u2010professional\u2010activities\u2010epas\u2010a\u2010practical\u2010framework\u2010for\u2010competency\u2010based\u2010dental\u2010education."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102929.2005.02341.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jdd.12373"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888\u2010199009000\u201000045"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000003800"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2022.104099"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004990"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004467"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000003079"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2010.500704"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2016.08.010"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2020.11.054"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra054785"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.5116\/ijme.6876.5de2"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/froh.2023.1233983"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000002080"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/10872981.2023.2175405"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010025\u201007366\u20106"}],"container-title":["Journal 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