# Critical–Reflective Self-Assessment in Clinical Activities in a Dentistry Program at a Brazilian Public University

## TL;DR

This study examines how dentistry students in Brazil assess themselves during clinical training, finding that few consistently engage in critical reflection, which is important for professional competence.

## Contribution

The study highlights the need to integrate critical and reflective self-assessment more broadly into dental education curricula.

## Key findings

- Only 20.0% of third-year and 24.1% of fifth-year students engaged in reflection in at least half of their clinical activities.
- 78.7% of third-year and 90.8% of fifth-year students completed at least one reflection during the academic year.
- Only 22.1% of 453 students demonstrated sustained critical reflection.

## Abstract

Objectives: This study aimed to analyze the critical and reflective self-assessment capacity of dentistry students based on two clinical courses that employ self-assessment processes as a strategy to foster autonomy in health care. Materials and Methods: Reflections from third- and fifth-year students were evaluated over a three-year period. The methodology sought to identify the presence of critical reflections, perceptions of strengths and weaknesses, and the formulation of improvement plans. Results: The results revealed low levels of continuous reflection, with only 20.0% of third-year students and 24.1% of fifth-year students engaging in reflection in at least half of their clinical activities. However, 78.7% of third-year students and 90.8% of fifth-year students completed at least one reflection during the academic year. The ability to sustain continuous critical reflection was observed in only 22.1% of the 453 students evaluated. These findings present a concerning scenario, as critical reflection is directly linked to competence in health care and informed decision-making. Conclusions: The study concludes that formative assessment processes requiring critical and reflective self-assessment must be broadly integrated into the curriculum to foster significant gains in the development of professional competencies.