Claims

ECE improves theoretical knowledge, clinical practice performance and self-efficacy, with the largest effect on self-efficacy

Claim · All claims
Evidence · 1 study · quant-synthesis r3 · q4 · i3 large
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person

Subclaims

Reading the evidence codes

q is the design tier, i the impact, n the sample, and the kind with its r the rigour judged within that kind: what each code means.

This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.

q4 i3 ECE showed significant positive effects on theoretical knowledge (SMD = 1.02), clinical practice performance (SMD = 1.47) and self-efficacy (SMD = 1.62). → Pang Xuefei 2026

Evidence

Pang Xuefei 2026

Pang Xuefei, Wang Huilin, Li Jinggui, Gui Haijun, Cao Xia, Cai Ming. (2026). The Impact of Early Clinical Exposure on Competency Development in Dental Students: A Systematic Review and Meta-Analysis. International Dental Journal. https://doi.org/10.1016/j.identj.2026.109483

q4 · i3 · quant-synthesis · r3

Competency-domain subgroup analysis of the 27 included studies, assessed via examinations and questionnaires. All three domains were significant, with self-efficacy showing the largest pooled SMD and very high heterogeneity.

"ECE had significant positive effects on theoretical knowledge acquisition (SMD = 1.02, 95% CI = 0.58-1.46, I² = 93.9%, P < .001), clinical practice performance (SMD = 1.47, 95% CI = 0.98-1.96, I² = 96.7%, P < .001), and self-efficacy (SMD = 1.62, 95% CI = 0.92-2.32, I² = 96.1%, P < .001)"

Discussion

Learner Variables

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