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Abstract

Dental college is a rigorous professional path that includes preclinical skill development, clinical competency, and theoretical instruction. Students encounter a variety of academic, clinical, and psychological obstacles during their formative first year and the demanding internship phase. Objective - The daily challenges faced by dentistry students at all five academic levels—first, second, third, final, and internship are examined in this cross-sectional questionnaire-based study. Material and methods - 450 participants from Jkkndch were given a validated survey. Result - According to the findings, the most often mentioned problems were exam pressure,clinical stress, and academic overload. While interns dealt with workload and anxiety related to patient management, first-year students primarily suffered with adaptability and theoretical volume. conclusion - The study emphasizes the necessity of stress management techniques, mentorship programs, and academic support networks.

Keywords

Transitioning, Preclinical to Clinical Training, Students’ Challenges, Adaptation Strategies, Dental college

Introduction

Overview Students must learn biological sciences, manual dexterity, and patient-centered care as part of the rigorous academic and technical requirements of dental school.  Every academic year brings with it its own set of difficulties: First Year: Anatomy, physiology, and biochemistry are covered as you go from classroom instruction to professional education.  Second Year: Deeper theoretical understanding through preclinical lab work in prosthodontics, pathology, and microbiology. Third Year: Theory and patient care are balanced as clinical exposure begins. Final Year: Academic pressure, clinical quota completion, and thorough case handling. Internship: Clinical independence, practical patient care, and career readiness. To enhance dental education curriculum design, academic planning, and student well-being, it is crucial to comprehend how difficulties change during the course of the course.

Goals

1. until determining the clinical, academic, and psychological challenges that dental students encounter from their first year until their internship.2. To compare the type and degree of stress experienced during various academic years.3. To suggest tactics that support students' emotional fortitude, clinical proficiency, and adaptability.

MATERIALS AND METHODS

Undergraduate dentistry students in a cross-sectional descriptive research using questionnaires. 

Participants 

450 dental students in all were chosen at random: 

First Year: 55

Second Year: 100

Third Year: 100

Final Year: 100

Internships: 95

Data Gathering Instrument 

Subject matter experts created and verified a 20-item structured questionnaire. 

It addressed:

  • Stress from exams 
  • workload for preclinical and clinical 
  • Peer assistance and interactions with faculty 
  • Communication and treatment of patients
  •  Both physical and mental health

METHODOLOGY

A total of 450 participants we are taken a questionnaire based responce in dental students. According to the findings, the most often mentioned problems were exam pressure, clinical stress, and academic overload.  While interns dealt with workload and anxiety related to patient management, first-year students primarily suffered with adaptability and theoretical volume

Statical analysis

Interpretation: Out of 20 questions analyzed, 15 showed statistically significant differences (p <0.05) between students and interns. These indicate that response patterns for these questions differ meaningfully across groups by an chi square test was performed using SPSS software version 21.

RESULTS

Chi square

P value

265.00

.0000

26.20

.0001

265.00

.0000

9.95

.0413

8.47

.0372

118.70

.0000

265.00

.0000

6.67

.0355

18.09

.0012

265.00

.0000

1.41

.8430

47.06

.0000

104.05

.0000

262.04

.0000

247.61

.0000

DISCUSSION

There is a trend of rising academic and clinical stress as dentistry school progresses.  Later years concentrate on clinical responsibilities and patient care, while early years are dominated by theoretical overload.  The main stressors in dentistry education include workload, time limits, and performance anxiety, Despite being intended for hands-on learning, the internship term frequently becomes too demanding because of the demands of handling cases independently and meeting quotas.  The necessity of a structured mentorship program that offers individualized support according to a student's educational stage is emphasized by this study.

CONCLUSION

Throughout their academic careers, dental students encounter a range of challenges.  Adaptation and academic volume are challenges in the early stages (first and second years).  Stress from clinical learning and theoretical balance throughout the mid-phase (third and final year).  Internship: Limited emotional support and maximum responsibility.  Promoting a healthy learning environment requires frequent stress audits, candid faculty communication, and focused counseling sessions.                                          

REFERENCE

  1. Acharya S. Stress-related factors among dental students in India. J. Dent Educ. 2003;67(10):1140–1148. 
  2. Alzahem AM, Schmidt HG, Van der Molen HT. Dental students' stress: A comprehensive review.  Dent Educ. Eur J. 2011;15(1):8–18. 
  3. A comprehensive evaluation of dentistry students' stress was conducted by Elani HW, Allison PJ, Kumar RA, et al.  2014, 78(2), J Dent Educ., 226–242. 
  4. Barlow PJ, Divaris K, et al. The academic environment: The viewpoint of the students.  Dental Education in Europe, 12(Suppl 1), 2008, 120–130.
  5. Sources of stress among dental students in Australia. J Dent Educ. 1999;63(9):688–697; Sanders AE, Lushington K. 
  6. A modified dental environment stress questionnaire was used by Pani SC, Al Askar AM, Al Mohrij M, and Al Ohali TA to assess stress in dentistry students.  2013;3(3):199–203; J Int Soc Prev Community Dent.
  7. Lamis, D.R. (2001). Perceived sources of stress among dental students at University of Jordan. Journal of Dental Education. (65), 232-241.
  8. Morse, Z. & Dravo, U. (2007). Stress levels of dental students at the Fiji school of medicine. European Journal of Dental Education. (11), 99-103.
  9. Pau, A.K. Croucher, R. Sohanpal, R. Muirhead. & Seymour, K. (2004). Emotional intelligence and stress coping in dental undergraduates - A qualitative study. British Dental Journal. (197), 205-209. 10.Yadav, S. & Rawal, G. (2016). The current status of dental graduates in India. Pan African Medical Journal. (16), 23-22.

Reference

  1. Acharya S. Stress-related factors among dental students in India. J. Dent Educ. 2003;67(10):1140–1148. 
  2. Alzahem AM, Schmidt HG, Van der Molen HT. Dental students' stress: A comprehensive review.  Dent Educ. Eur J. 2011;15(1):8–18. 
  3. A comprehensive evaluation of dentistry students' stress was conducted by Elani HW, Allison PJ, Kumar RA, et al.  2014, 78(2), J Dent Educ., 226–242. 
  4. Barlow PJ, Divaris K, et al. The academic environment: The viewpoint of the students.  Dental Education in Europe, 12(Suppl 1), 2008, 120–130.
  5. Sources of stress among dental students in Australia. J Dent Educ. 1999;63(9):688–697; Sanders AE, Lushington K. 
  6. A modified dental environment stress questionnaire was used by Pani SC, Al Askar AM, Al Mohrij M, and Al Ohali TA to assess stress in dentistry students.  2013;3(3):199–203; J Int Soc Prev Community Dent.
  7. Lamis, D.R. (2001). Perceived sources of stress among dental students at University of Jordan. Journal of Dental Education. (65), 232-241.
  8. Morse, Z. & Dravo, U. (2007). Stress levels of dental students at the Fiji school of medicine. European Journal of Dental Education. (11), 99-103.
  9. Pau, A.K. Croucher, R. Sohanpal, R. Muirhead. & Seymour, K. (2004). Emotional intelligence and stress coping in dental undergraduates - A qualitative study. British Dental Journal. (197), 205-209. 10.Yadav, S. & Rawal, G. (2016). The current status of dental graduates in India. Pan African Medical Journal. (16), 23-22.

Photo
Dr. M. Hariharan
Corresponding author

Department of Public Health Dentistry, JKKN Dental College and Hospital, Komarapalayam

Photo
Dr. C. Selvakmar
Co-author

Department of Public Health Dentistry, JKKN Dental College and Hospital, Komarapalayam

Photo
Dr. K. Hiruthika
Co-author

Department of Public Health Dentistry, JKKN Dental College and Hospital, Komarapalayam

Photo
Dr. Haseena Begum H.
Co-author

Department of Public Health Dentistry, JKKN Dental College and Hospital, Komarapalayam

Photo
Dr. T. Yoka
Co-author

Department of Public Health Dentistry, JKKN Dental College and Hospital, Komarapalayam

Photo
Dr. S. Kavitha
Co-author

Department of Public Health Dentistry, JKKN Dental College and Hospital, Komarapalayam

Photo
Dr. P. Jayakumar
Co-author

Department of Public Health Dentistry, JKKN Dental College and Hospital, Komarapalayam

Photo
Dr. M. Janapriya
Co-author

Department of Public Health Dentistry, JKKN Dental College and Hospital, Komarapalayam

Photo
Dr. S. Gopikrisna
Co-author

Department of Public Health Dentistry, JKKN Dental College and Hospital, Komarapalayam

Photo
Dr. S. Gowtham Raj
Co-author

Department of Public Health Dentistry, JKKN Dental College and Hospital, Komarapalayam

Dr. M. Hariharan*, Dr. C. Selvakmar, Dr. T. Yoka, Dr. S. Gopikrisna, Dr. S. Gowtham Raj, Dr. K. Hiruthika, Dr. Haseena Begum H., Dr. S. Kavitha, Dr. P. Jayakumar, Dr. M. Janapriya, Transitioning from Preclinical to Clinical Training: An Evaluation of Students’ Challenges and Adaptation Strategies, Int. J. Sci. R. Tech., 2025, 2 (11), 348-350. https://doi.org/10.5281/zenodo.17605515

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