{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T01:10:10Z","timestamp":1759367410863,"version":"build-2065373602"},"reference-count":23,"publisher":"Operative Dentistry","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n<jats:sec>\n<jats:title>Objective:<\/jats:title>\n<jats:p>The purpose of this study was to measure clinical competence in preventive and restorative dental procedures among recently graduated dentists entering US military service.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods:<\/jats:title>\n<jats:p>An anonymous, electronic survey was sent to 201 new dentists and 32 clinical supervisors in the US Air Force, Army, and Navy in 2022. Using a modified Dreyfus model of skill acquisition, new dentists, during their first year following graduation, completed self-assessments of their ability to perform 20 preventive and restorative procedures, and supervisors evaluated the proficiency of the new dentists under their supervision.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results:<\/jats:title>\n<jats:p>A total of 59 (29.3%) new dentists and 25 (78.1%) supervisors responded. The proportion of ratings of competent or higher was calculated, along with a 95% confidence interval, and one-sample chi-square tests were used to compare the proportion against 50%. Supervisor ratings of competent or higher were significantly greater than 50% in caries diagnosis and treatment planning, caries risk assessment, Class III anterior resin composites, and posterior resin composites.<\/jats:p>\n<jats:p>Significant discrepancies between new dentist and supervisor ratings occurred with Class I and II amalgam restorations, restoring endodontically treated teeth not requiring a post, and crown preparation and delivery skill levels. When rating new dentists overall, supervisors assessed 71.3% of new dentists at novice or beginner skill level.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions:<\/jats:title>\n<jats:p>Supervisor ratings of new dentists\u2019 skill levels were significantly lower than the new dentists\u2019 self-assessments for the majority of procedures. Fewer than one-third (28.7%) of new dentists were evaluated as overall competent in preventive and restorative procedures during their first year following graduation.<\/jats:p>\n<\/jats:sec>","DOI":"10.2341\/25-053-c","type":"journal-article","created":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:49:30Z","timestamp":1758934170000},"page":"369-379","source":"Crossref","is-referenced-by-count":0,"title":["Are New Dentists Prepared for Clinical Practice? A Survey of Recent Graduates and Their Supervisors"],"prefix":"10.2341","volume":"50","author":[{"given":"K","family":"Chiodo","sequence":"first","affiliation":[{"name":"*Kathleen Chiodo, DDS, MSD, Uniformed Services University Postgraduate Dental College, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O","family":"Capin","sequence":"additional","affiliation":[{"name":"Oriana Capin, DMD, MSD, MSD, assistant director, Graduate Cariology and Operative Dentistry, Indiana University School of Dentistry, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Diefenderfer","sequence":"additional","affiliation":[{"name":"Kim Diefenderfer, DMD, MS, MS, clinical associate professor (retired), Graduate Cariology and Operative Dentistry, Indiana University School of Dentistry, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Eckert","sequence":"additional","affiliation":[{"name":"George Eckert, MAS, biostatistician supervisor, Department of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Adcook","sequence":"additional","affiliation":[{"name":"Richard Adcook, DDS, MSD, associate professor, Postgraduate Dental College, Uniformed Services University, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"NB","family":"Cook","sequence":"additional","affiliation":[{"name":"N Blaine Cook, DDS, MSD, director, Graduate Cariology and Operative Dentistry, Indiana University School of Dentistry, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1188","reference":[{"issue":"3","key":"b1","series-title":"Journal of Contempory Dental Practice","first-page":"249","article-title":"A survey of US Air Force general dentists regarding computer-aided design\/computer-aided manufacturing usage","volume":"21","author":"Walker S","year":"2020","unstructured":"Walker S, Kosaraju A, Lien W, & Vandewalle KS (2020) A survey of US Air Force general dentists regarding computer-aided design\/computer-aided manufacturing usage Journal of Contempory Dental Practice 21(3)249-252."},{"issue":"1","key":"b2","series-title":"International Journal of Implant Dentistry","first-page":"26","article-title":"A crosssectional survey of attitudes towards education in implant dentistry in the undergraduate dental curriculum","volume":"6","author":"Schweyen R","year":"2020","unstructured":"Schweyen R, Al-Nawas B, Arnold C, & Hey J (2020) A crosssectional survey of attitudes towards education in implant dentistry in the undergraduate dental curriculum International Journal of Implant Dentistry 6(1)26. doi: 10.1186\/s40729-020-00224-8"},{"key":"b3","series-title":"European Journal of Dental Education","first-page":"11","article-title":"Contemporary undergraduate implant dentistry education: A systematic review","volume":"18","author":"Koole S","year":"2014","unstructured":"Koole S & De Bruyn H (2014) Contemporary undergraduate implant dentistry education: A systematic review European Journal of Dental Education 18(Suppl 1)11-23. doi: 10.1111\/eje.12076"},{"issue":"8","key":"b4","series-title":"Medical Education","first-page":"792","article-title":"Effect of practice on standardised learning outcomes in simulation-based medical education","volume":"40","author":"McGaghie WC","year":"2006","unstructured":"McGaghie WC, Issenberg SB, Petrusa ER, & Scalese RJ (2006) Effect of practice on standardised learning outcomes in simulation-based medical education Medical Education 40(8)792797. doi: 10.1111\/j.1365-2929.2006.02528.x"},{"issue":"3","key":"b5","series-title":"Journal of Dental Education","first-page":"291","article-title":"Learning curves: What do dental students learn from repeated practice of clinical procedures?","volume":"76","author":"Chambers D","year":"2012","unstructured":"Chambers D (2012) Learning curves: What do dental students learn from repeated practice of clinical procedures? Journal of Dental Education 76(3)291-302."},{"issue":"10","key":"b6","series-title":"British Dental Journal","first-page":"663","article-title":"Is the number of procedures completed a valid indicator of final year student competency in operative dentistry?","volume":"230","author":"Dawson LJ","year":"2021","unstructured":"Dawson LJ, Fox K, Jellicoe M, Adderton E, Bissell V, & Youngson CC (2021) Is the number of procedures completed a valid indicator of final year student competency in operative dentistry? British Dental Journal 230(10)663-670. doi: 10.1038\/s41415-021-2967-2"},{"key":"b7","series-title":"American Dental Association","article-title":"Accreditation standards for dental education programs","author":"Commision on Dental Accreditation","year":"2022","unstructured":"Commision on Dental Accreditation (2022) Accreditation standards for dental education programs American Dental Association. https:\/\/coda.ada.org\/-\/media\/project\/ada-organization\/ada\/coda\/files\/2022_predoc_standards"},{"issue":"3","key":"b8","series-title":"Bulletin of Science, Technology & Society","first-page":"177","article-title":"The five-stage model of adult skill acquisition","volume":"24","author":"Dreyfus SE","year":"2004","unstructured":"Dreyfus SE (2004) The five-stage model of adult skill acquisition Bulletin of Science, Technology & Society 24(3)177-181. doi: 10.1177\/0270467604264992"},{"key":"b9","series-title":"Operations Research Center University of California Berkeley 1-18","article-title":"A five-stage model of the mental activities involved in directed skill acquisition","author":"Dreyfus SE","year":"1980","unstructured":"Dreyfus SE & Dreyfus HL (1980) A five-stage model of the mental activities involved in directed skill acquisition Operations Research Center University of California Berkeley 1-18. US Air Force Office of Scientific Research Bolling AFB Washington DC Report Number ORC-80-2."},{"key":"b10","series-title":"Projected supply of dentists in the United States, 2020-2040 American Dental Association: Health Policy Institute Research Brief","author":"Munson B","year":"2021","unstructured":"Munson B & Vujicic M (2021) Projected supply of dentists in the United States, 2020-2040 American Dental Association: Health Policy Institute Research Brief. Retrieved online from https:\/\/www.ada.org\/-\/media\/project\/ada-organization\/ada\/ada-org\/files\/resources\/research\/hpi\/hpibrief_0521_1.pdf"},{"issue":"8","key":"b11","series-title":"Human Relations","first-page":"1139","article-title":"Survey response rate levels and trends in organizational research","volume":"61","author":"Baruch Y","year":"2008","unstructured":"Baruch Y & Holtom BC (2008) Survey response rate levels and trends in organizational research Human Relations 61(8)1139-1160. doi: 10.1177\/0018726708094863"},{"issue":"1","key":"b12","series-title":"Community Dental Oral Epidemiology","first-page":"9","article-title":"Response rate and nonresponse bias in a questionnaire survey of dentists","volume":"33","author":"Parashos P","year":"2005","unstructured":"Parashos P, Morgan MV, & Messer HH (2005) Response rate and nonresponse bias in a questionnaire survey of dentists Community Dental Oral Epidemiology 33(1)9-16. doi: 10.1111\/j.1600-0528.2004.00181.x"},{"issue":"3","key":"b13","series-title":"Journal of Dental Education","first-page":"283","article-title":"Conducting surveys in dental education research: Guidelines and reminders","volume":"84","author":"Magnuson B","year":"2020","unstructured":"Magnuson B, Jain S, Roomian T, Pagni S, Tran DT, & Finkelman MD (2020) Conducting surveys in dental education research: Guidelines and reminders Journal of Dental Education 84(3)283-289. doi: 10.21815\/jde.019.180"},{"issue":"1","key":"b14","series-title":"Operative Dentistry","first-page":"21","article-title":"Resin composite versus amalgam restorations placed in United States dental schools","volume":"48","author":"Alreshaid L","year":"2023","unstructured":"Alreshaid L, El-Badrawy W, Kulkarni G, Santos MJ, & Prakki A (2023) Resin composite versus amalgam restorations placed in United States dental schools Operative Dentistry 48(1)21-32. doi: 10.2341\/22-007-c"},{"issue":"5","key":"b15","series-title":"Operative Dentistry","first-page":"524","article-title":"Amalgam and composite posterior restorations: Curriculum versus practice in operative dentistry at a US dental school","volume":"32","author":"Ottenga ME","year":"2007","unstructured":"Ottenga ME & Mj\u00f6r I (2007) Amalgam and composite posterior restorations: Curriculum versus practice in operative dentistry at a US dental school Operative Dentistry 32(5)524-528. doi: 10.2341\/06-134"},{"issue":"11","key":"b16","series-title":"Journal of Dental Education","first-page":"1194","article-title":"Conceptual framework explaining \u201cpreparedness for practice\u201d of dental graduates: A systematic review","volume":"82","author":"Mohan M","year":"2018","unstructured":"Mohan M & Ravindran TKS (2018) Conceptual framework explaining \u201cpreparedness for practice\u201d of dental graduates: A systematic review Journal of Dental Education 82(11)1194-1202. doi: 10.21815\/jde.018.124"},{"issue":"5","key":"b17","series-title":"Journal of the American Dental Association","first-page":"335","article-title":"Will the DDS class of 2021 be practice ready?","volume":"152","author":"Murdoch-Kinch CA","year":"2021","unstructured":"Murdoch-Kinch CA, Johnsen DC, & Wolff MS (2021) Will the DDS class of 2021 be practice ready? Journal of the American Dental Association 152(5)335-337. doi: 10.1016\/j.adaj.2021.03.005"},{"issue":"8","key":"b18","series-title":"Journal of the American Dental Association","first-page":"687","article-title":"Bridging the gap between dental education and clinical practice: The entrustable professional activities model","volume":"154","author":"Quinonez RB","year":"2023","unstructured":"Quinonez RB, Danciu T, Ramaswamy V, & Murdoch-Kinch CA (2023) Bridging the gap between dental education and clinical practice: The entrustable professional activities model Journal of the American Dental Association 154(8)687-689. doi: 10.1016\/j.adaj.2023.05.009"},{"issue":"6","key":"b19","series-title":"Journal of Dental Education","first-page":"825","article-title":"The impact of coronavirus disease 2019 pandemic on dental school assessments: Current status and future perspectives","volume":"87","author":"Parikh N","year":"2023","unstructured":"Parikh N, Gardner A, Myers AL, Halpin R, Holland JN, & van der Hoeven D (2023) The impact of coronavirus disease 2019 pandemic on dental school assessments: Current status and future perspectives Journal of Dental Education 87(6)825-842. doi: 10.1002\/jdd.13190"},{"issue":"3","key":"b20","series-title":"British Dental Journal","first-page":"171","article-title":"Entrustable professional activities in dental education: A scoping review","volume":"234","author":"Ehlinger C","year":"2023","unstructured":"Ehlinger C, Fernandez N, & Strub M (2023) Entrustable professional activities in dental education: A scoping review British Dental Journal 234(3)171-176. doi: 10.1038\/s41415-023-5503-8"},{"issue":"8","key":"b21","series-title":"Journal of Dental Education","first-page":"1349","article-title":"Entrustable professional activities framework for assessment in predoctoral dental education, developed using a modified Delphi process","volume":"85","author":"Ramaswamy V","year":"2021","unstructured":"Ramaswamy V, Fitzgerald M, Danciu T, Nalliah R, de Peralta T, Munz SM, & Murdoch-Kinch CA (2021) Entrustable professional activities framework for assessment in predoctoral dental education, developed using a modified Delphi process Journal of Dental Education 85(8)1349-1361. doi: 10.1002\/jdd.12620"},{"issue":"5","key":"b22","series-title":"Journal of Dental Education","first-page":"639","article-title":"American Dental Education Association Compendium Entrustable Professional Activities Workgroup report","volume":"88","author":"Ramaswamy V","year":"2024","unstructured":"Ramaswamy V, Danciu T, Kennedy EN, Romito L, Stewart D, Gul G, Marucha P, & Quinonez RB (2024) American Dental Education Association Compendium Entrustable Professional Activities Workgroup report Journal of Dental Education 88(5)639-653. doi: 10.1002\/jdd.13542"},{"key":"b23","series-title":"Dental licensure maps","author":"American Dental Association","year":"2023","unstructured":"American Dental Association (2023) Dental licensure maps [cited 2023 11\/29\/2023]. Retrieved online from: https:\/\/www.ada.org\/resources\/licensure\/dental-licensure-by-state-map."}],"container-title":["Operative Dentistry"],"original-title":[],"link":[{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/view\/journals\/odnt\/50\/4\/article-p369.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/downloadpdf\/journals\/odnt\/50\/4\/article-p369.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/downloadpdf\/journals\/odnt\/50\/4\/article-p369.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:32:37Z","timestamp":1759365157000},"score":1,"resource":{"primary":{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/view\/journals\/odnt\/50\/4\/article-p369.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":23,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.2341\/25-053-c","relation":{},"ISSN":["1559-2863","0361-7734"],"issn-type":[{"type":"electronic","value":"1559-2863"},{"type":"print","value":"0361-7734"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}