Evidence map›Paper›PMID 41606604›Full record

SynthesisBMC medical education2026

Early clinical exposure in undergraduate dental education: a systematic review of effectiveness, experiences, and outcomes.

Amol R Gadbail, Shailesh M Gondivkar, Monal Yuwanati, Archana Sonone, Mithilesh Dhamande, Aarti Panchbhai, Sachin C Sarode

Abstract readSystematic Review
In one paragraph

Synthesis in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

7 authors.

Amol R GadbailDepartment of Dentistry, Government Medical College and Hospital, Nagpur, Maharashtra, 440003, India. gadbail@yahoo.co.in.
Shailesh M GondivkarDepartment of Oral Medicine & Radiology, Government Dental College & Hospital, Nagpur, Maharashtra, India.
Monal YuwanatiDepartment of Oral Pathology and Microbiology, Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College and Hospital, Saveetha University, Chennai, Tamil Nadu, India.
Archana SononeDepartment of Oral Pathology and Microbiology, Datta Meghe Institute of Higher Education & Research (DMIHER), Sharad Pawar Dental College and Hospital, Sawangi (M), Wardha, Maharashtra, India.
Mithilesh DhamandeDepartment of Prosthodontics, Crown and Bridge, Datta Meghe Institute of Higher Education & Research (DMIHER), Sharad Pawar Dental College and Hospital, Sawangi (M), Wardha, Maharashtra, India.
Aarti PanchbhaiDepartment of Oral Medicine and Radiology, Datta Meghe Institute of Higher Education & Research (DMIHER), Sharad Pawar Dental College and Hospital, Sawangi (M), Wardha, Maharashtra, India.
Sachin C SarodeDepartment of Oral Pathology and Microbiology, Dr. D.Y. Patil Vidyapeeth, Dr. D.Y. Patil Dental College and Hospital, Pune, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this systematic review was to synthesize evidence on the early clinical exposure (ECE) and its effectiveness, student experiences, and outcomes in undergraduate dental education.

methodsIn August 2025, the systematic search was carried out in PubMed, Scopus, and Web of Science. The quantitative, qualitative, and/or mixed-methods peer-reviewed studies evaluating ECE to undergraduate dental students were included. Summary synthesis of included studies was carried out. The risk of bias and quality assessment was assessed with Cochrane Risk of Bias 2, ROBINS-I tool, Joanna Briggs Institute, and Critical Appraisal Skills programme.

resultsNine studies (2007- August 2025) from a range of countries were included. ECE interventions were chairside demonstration, peer-assisted shadowing, simulation, clinical/community placements, and hybrid models. There is evidence of effectiveness of ECE in knowledge, psychomotor skills, and affective domains. In addition, student experiences were reported as positive and significant increases in satisfaction, confidence, motivation, clinical reasoning and other learning gains such as professional identity, empathy, and communication. Six out of nine included studies were non-randomized studies. All the non-randomized studies were reported methodological biases, including small single-center samples, self-report measures, short follow-up periods, and rated as some concern and high risk of bias.

conclusionsECE in undergraduate dental education promising contribution to the cognitive, psychomotor, and affective domains and reduces transition stress to clinical training. However, presence of methodological bias in included studies undermines the evidence. Future studies with robust objective performance measures, multicentre designs, and longitudinal follow-up should be carried out to better establish the educational and clinical impact of ECE in dental education.

Indexed as

Clinical CompetenceEducation, DentalStudents, DentalHumansClinical exposureCommunicationDental educationEffectivenessProfessional identityUndergraduate

Identifiers

PMID41606604
PMCPMC12924344

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.