• Muhammad Qasim Javed Assistant Professor, Department of Conservative Dental Sciences and Endodontics, Qassim University, Saudi Arabia
  • Alia ahmed Riphah International University, Pakistan.
  • Rashid habib College of Dentistry, King Saud University, Riyadh, Saudi Arabia.


Background: Feedback is an essential component of the clinical skills development of dental students. The clinical training is a complex integration of knowledge, psychomotor skills, behaviour and clinical communication skills under stress for both instructor and student. This study aimed to investigate the perceptions of undergraduate dental students and their instructors on the quality of clinical feedback. Methods: The current cross-sectional observational study was conducted at the Department of Operative Dentistry and Endodontics, Riphah International University, Islamabad from August to December 2019. A self-administered questionnaire was used to collect responses from final year undergraduate dental students and faculty. The questionnaire comprised of 13 items, subdivided into six categories, targeting the various aspects of clinical feedback. SPSS 23 was utilized to analyse the data. Descriptive statistics were tabulated and data was analysed using the Mann-Whitney test (p<0.05) for differences between the two cohorts. Results: The mean age of the 64 students who responded was 24±0.8 years. Students’ male to female ratio was 1:1.56, while for the 18 instructors the ratio was 1:1. Good agreement between the students and instructors was shown for items related to personal dignity and empathy. Moderate agreement was found for items covering the domains of time, understanding, comfort level, professionalism, and self-assessment. The disagreement was observed for the items associated with conflicting feedback, conflict satisfaction, and effective communication. Conclusion: Incongruousness existed between the dental students and instructors, about the quality of clinical feedback provided to the dental students. Communication between the instructors and learners must be promoted to increase the level of understanding of the feedback given by the clinical instructors. Keywords: Dental education; Dental students; Feedback; Clinical clerkship

Author Biographies

Alia ahmed, Riphah International University, Pakistan.

Professor, Department of Operative Dentistry, Riphah International University, Pakistan.

Rashid habib, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.

Associate Professor, Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.


Stern DT, Williams BC, Gill A, Gruppen LD, Woolliscroft JO, Grum CM. Is there a relationship between attending physicians' and residents' teaching skills and students' examination scores?. Acad Med. 2000;75(11):1144-6.

Eraut M. Informal learning in the workplace. Studies in continuing education. 2004 ;26(2):247-73.

Kilminster SM, Jolly BC. Effective supervision in clinical practice settings: a literature review. Med educ. 2000;34(10):827-40.

Van De Ridder JM, Stokking KM, McGaghie WC, Ten Cate OT. What is feedback in clinical education?. Med Educ. 2008;42(2):189-97.

Topping K. Peer assessment between students in colleges and universities. Review of educational Research. 1998;68(3):249-76.

Alia Ahmed, Muhammad. Quality of Clinical Feedback: Perceptions of Final Year BDS Students Versus their Supervisors J Islamic Int Med Coll. 2014;9(1):42-5.

Kogan JR, Holmboe ES, Hauer KE. Tools for direct observation and assessment of clinical skills of medical trainees: a systematic review. JAMA. 2009;302(12):1316-26.

Cohen VB. A reexamination of feedback in computer-based instruction: Implications for instructional design. Educational Technology. 1985;25(1):33-7.

Hewson MG, Little ML. Giving feedback in medical education: verification of recommended techniques. J Gen Intern Med. 1998;13(2):111-6.

Youngson C, Fox K, Boyle E, Blundell K, Baker R. Improving the quality of clinical teaching in a restorative clinic using student feedback. Eur J Dent Educ. 2008;12(2):75-9.

Stalmeijer RE, Dolmans DH, Wolfhagen IH, Peters WG, van Coppenolle L, Scherpbier AJ. Combined student ratings and self-assessment provide useful feedback for clinical teachers.Adv Health Sci Educ Theory Pract. 2010;15(3):315-28.

Sargeant J, Mann K, Sinclair D, Van der Vleuten C, Metsemakers J. Challenges in multisource feedback: intended and unintended outcomes. Med Educ. 2007;41(6):583-91.

Beijaard D, Vries YD. Building expertise: A process perspective on the development or change of teachers’ beliefs. European journal of teacher education. 1997;20(3):243-55.

Hashweh MZ. Teacher accommodative change. Teaching and teacher education. 2003;19(4):421-34.

Eva KW, Regehr G. “I'll never play professional football” and other fallacies of self‐assessment. J Contin Educ Health Prof. 2008;28(1):14-9.

Adam LA, Oranje J, Rich AM, Meldrum A. Advancing dental education: feedback processes in the clinical learning environment. Journal of the Royal Society of New Zealand. 2020;50(1):144-57.

Chang AF, Berger SE, Chang B. The relationship of student self-esteem and teacher empathy to classroom learning. Psychology: A Journal of Human Behavior. 1981.

Maleki F, Talaei MH. Investigating the Influence of Teachers’ Characteristics on the Teacher-Student Relations from Students’ Perspective at Ilam University of Medical Sciences. Journal of clinical and diagnostic research: JCDR. 2017;11(6):JC04.

Davis D, O’Brien MA, Freemantle N, Wolf FM, et al. Impact of continuing medical education: do conferences, workshops, rounds and other traditional continuing education activities change physician behavior or health care outcomes? JAMA 1999;282(9):867-74.

Mariño R, Ghanim A, Morgan M, Barrow S. Cultural competency and communication skills of dental students: clinical supervisors' perceptions. Eur J Dent Educ. 2017;21(4):e101-8.

Wiener RC, Waters C, Doris J, McNeil DW. Comparison of Dental Students' Self-Evaluation and Faculty Evaluation of Communication Skills During a Standardized Patient Exercise. J Dent Educ. 2018;82(10):1043-1050. doi: 10.21815/JDE.018.101.

Ayn C, Robinson L, Matthews D, Andrews C. Attitudes of dental students in a Canadian university towards communication skills learning. Eur J Dent Educ. 2020;24(1):126-133. doi: 10.1111/eje.12476.

Al-Mously N, Nabil NM, Al-Babtain SA, Fouad Abbas MA. Undergraduate medical students’ perceptions on the quality of feedback received during clinical rotations. Med Teach. 2014;36 Suppl 1:S17-23. doi: 10.3109/0142159X.2014.886009.

Rogers JL, Lautar CJ, Dunn LR. Allied health students' perceptions of effective clinical instruction. Health Care Manag (Frederick). 2010;29(1):63-7.

Lee C, Asher SR, Chutinan S, Gallucci GO, Ohyama H. The Relationship Between Dental Students’ Assessment Ability and Preclinical and Academic Performance in Operative Dentistry. J Dent Educ. 2017; 81(3):310-17.

Pajares MF. Teachers’ beliefs and educational research: Cleaning up a messy construct. Review of educational research. 1992;62(3):307-32.

Husain M, Khan S. Students' feedback: An effective tool in teachers' evaluation system Int J Appl Basic Med Res. 2016;6(3):178-81. doi: 10.4103/2229-516X.186969.

Debroy A, Ingole A, Mudey A. Teachers' perceptions on student evaluation of teaching as a tool for faculty development and quality assurance in medical education. J Educ Health Promot. 2019;8:218.

Al-Jobair AM, AlSarheed MA. Saudi dental students' opinions on the qualities and attributes of an effective dental teacher. Adv Med Educ Pract. 2016;7:533–39. doi:10.2147/AMEP.S113212

Al-Mohaimeed AA, Khan NK. Perceptions of Saudi medical students on the qualities of effective teachers. A cross-sectional study. Saudi Med J. 2014;35(2):183–88.