Evidence map›Paper›PMID 41199465›Full record

ArticleJournal of dental education2026

Mastery Exams: Giving Students a Second Opportunity to Demonstrate Understanding.

Alexandra Rasdal, Eleanor Streitwieser, Cynthia Rabuck, Faizan Alawi

Abstract read
In one paragraph

Article in Journal of dental education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alexandra RasdalSchool of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Eleanor StreitwieserSchool of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Cynthia RabuckSchool of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Faizan AlawiSchool of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Various stressors can affect student exam performance, and a single weak result may not reflect true understanding. To address this, a "Mastery" exam policy was introduced in the 2021-2022 academic year. If a student scores below 80% on a didactic or pre-clinical laboratory exam worth at least 10% of their final course grade, they can choose to retake the exam. The reassessment is a new exam, and may differ in format from the original. The formally recorded grade is the higher of the two scores, up to a maximum of 80%.

methodData from the 2021-2024 academic years were analyzed, tracking exam and course grades for all students. Original scores were retained for comparison with final grades before and after Mastery.

resultsOverall, 47.1% of the students completed at least one Mastery exam, with 83.6% improving their scores. At our institution, students are placed on academic probation after one course failure, and risk dismissal after a second failure. Improved performances on Mastery exams resulted in 85.2% of students originally at risk of at least academic probation avoiding any formal administrative action. The initiative was well-received-89.8% of surveyed students reported improved morale, well-being, and reduced exam-related stress.

conclusionThis institution-wide initiative yielded several important academic outcomes, including fewer final course failures and fewer students at risk of academic probation or dismissal. This supports the notion that any given exam may be only a reflection of the student's ability to perform to their capabilities at the specific time the exam is administered.

Indexed as

ComprehensionEducational MeasurementEducation, DentalStudents, DentalHumansassessmenteducationwellness

Identifiers

PMID41199465
PMCPMC13371999

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.