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J Dent Educ. 69(3): 355-362 2005
© 2005 American Dental Education Association
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Critical Issues in Dental Education

What Determines Positive Student Perceptions of Extramural Clinical Rotations? An Analysis Using 2003 ADEA Senior Survey Data

Amardeep Thind, M.D., Ph.D.; Kathryn Atchison, D.D.S., M.P.H.; Ronald Andersen, Ph.D.

Dr. Thind is Associate Professor, Department of Health Services, School of Public Health; Dr. Atchison is Professor, School of Dentistry and School of Public Health; and Dr. Andersen is Professor, Department of Health Services, School of Public Health—all at the University of California, Los Angeles. Direct correspondence and requests for reprints to Dr. Kathryn Atchison, UCLA School of Dentistry, Room 63-025 CHS, 10833 Le Conte Ave., Box 951668, Los Angeles, CA 90095-1668; 310-825-4443 phone; 310-206-5539 fax; kathya{at}dent.ucla.edu.

Key words: extramural rotations, student perceptions, ADEA Senior Survey

Submitted for publication 09/10/04; accepted 12/17/04

Extramural clinical rotations are an integral part of many dental school curricula. Schools in The Robert Wood Johnson Foundation/The California Endowment Pipeline, Profession, and Practice program are increasing student extramural opportunities to expose students to patients of different needs, cultures, and dental delivery modes. Using data from the American Dental Education Association (ADEA) 2003 Senior Survey, the Pipeline, Profession, and Practice National Evaluation Team studied graduating dental students’ perceptions about their extramural rotations. This analysis was designed to determine the factors associated with students’ perception of their extramural clinical rotations: was it a positive experience in their dental education, and did it improve students’ perceptions of their ability to provide care for racially, ethnically, and culturally diverse groups? The respondents were 2,950 graduating seniors who reported at least one week of extramural rotation experience. After controlling for both individual and school level characteristics, this study found that race/ethnicity, a stronger socially conscious attitudes score, number of weeks spent in extramural rotations, and the student’s rating of time spent in extramural rotations were significant determinants of the extramural rotations being reported as positive experiences. With respect to improving students’ ability to provide care to racially, ethnically, and culturally diverse groups, more positive student socially conscious attitudes, a greater number of weeks spent in the rotations, a stronger service orientation for selecting dentistry as a career, and the students’ rating of their time spent in extramural rotations were significant determinants. In conclusion, there is some evidence that time spent in extramural rotations may be perceived as positive dental school experiences and, for some students, may prepare them to work effectively with culturally diverse patients by the time of dental school graduation.




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