Pb. Robinson, MAINTAINING THE QUALITY OF DENTAL UNDERGRADUATES FOR GENERAL DENTAL PRACTICE - A PERFORMANCE MANAGEMENT STUDY, British Dental Journal, 179(8), 1995, pp. 285-292
An investigation and survey explored the effect of the display of dent
al undergraduates clinical performance by a process termed silent moni
toring. The study measured the effect of silent monitoring on the qual
ity of patients' treatment and the frequency of non-attendance at appo
intments for patients arranged by undergraduates. A cross-sectional st
udy also estimated the impact of silent monitoring on undergraduates'
clinic time use. Both enquiries revealed that silent monitoring motiva
ted students. It significantly increased the number of patients treate
d and reduced the non-attendance of appointments. However, there was a
n increase in the incidence of patients informing undergraduates that
they could not attend appointments. This phenomenon allowed the resche
duling of appointments and better use of clinic time; Silent monitorin
g increased the time undergraduates spent preparing for the patients'
treatment. It also improved the patients punctuality. Evaluation of th
e procedure by questionnaires showed approval of the method, although
some undergraduates felt that aspects of their assessment were unfair,
A survey revealed that other United Kingdom dental schools do not use
silent monitoring, If they adopted such a method, it could have simil
ar positive influences on their undergraduates' management of clinical
practice and improve the quality for dental practice.