Harden et al (1984) present the concept of the SPICES (Student centred, Problem based, Integrated, Community based, Electives and Systematic) model for the medical curriculum and initiated a move from teacher-centred education to student-centred education. 4 Harden and colleagues propose that medical schools move towards implementing electives as replacement for standard programmes in all medical curricula. 4 Students are reported to gain knowledge, formulate new experiences and develop their critical thinking abilities by participating Abstract Introduction: Electives have been shown to contribute to both the professional and personal development of students in specific areas of interest outside the standard curriculum. The School of Oral Health Sciences at the University of the Witwatersrand introduced electives as a pedagogy in the Bachelor of Dental Sciences (BDS) and Bachelor of Oral Health Sciences (BOHSc) curricula in 2010 and 2014, respectively.However, since its introduction, the relevance of these electives in the BDS and BOHSc curricula has not been investigated.Methods: This research was designed as an evaluation study that used a questionnaire survey administered to 76 dental and oral hygiene graduates (BDS and BOHSc).
Results:Of the initial 76 questionnaires that were distributed, 55 (BDS = 38, BOHSc = 17) were returned, giving a response rate of 72.4%. Almost all the participants (92.7%) agreed that the electives enabled them to develop better interpersonal skills; 80.0% and 82.7% agreed that their clinical skills, and knowledge of key concepts in dental practice, respectively, had improved upon completion of the elective. In appraising the elective programme, 87.0% of the graduates agreed that the content and outcome of the elective programme should be reviewed and changed.
Conclusion:Obtaining empirical data on the impact of electives on clinical knowledge, skill and behaviour of dental graduates will enhance the relevance of electives in dental education. Findings by this study reveal that the actual impact of the electives on dental graduates was desirable and corresponded with the intended impact.The problematic areas that were identified will inform future planning.
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