Journal of dental education
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In a general effort to facilitate dental professionals' effective tobacco-dependence education (TDE), the student part of the project reported here had three purposes: 1) to promote tobacco cessation activities in the dental school clinic, 2) to evaluate dental and dental hygiene students' confidence level in treating tobacco-dependent patients, and 3) to determine the frequency, duration, and depth with which the students assisted tobacco-dependent patients. Surveys of senior dental and dental hygiene students at the Loma Linda University School of Dentistry were conducted in 2008. ⋯ After the curricular intervention, the follow-up survey found that the dental students more frequently showed their patients the effects of tobacco on the oral mucosa and more frequently discussed pharmacotherapy options and made referrals during routine care. Until all dental and dental hygiene students are required to meet written board and clinical competencies in TDE and given adequate mentoring by clinical faculty to treat tobacco-dependent patients, the likelihood of seeing major improvements in tobacco-cessation treatment in dental practices is low.
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Clinical dental faculty members' lack of scholarly activity not only impacts their ability to be promoted and retained in their institutions but limits the contributions they could make to clinical discovery. Contributing factors to this situation include the lack of purposeful mentoring and the widespread faculty shortages, which increase faculty workloads. One way to address this challenge is to develop and implement formal mentoring programs, endorsed by the dental school's administration, that use reward structures in which novice clinical faculty members are teamed with faculty members experienced in scholarly activity. ⋯ Preliminary data from this program suggest that this has been a successful plan for increasing the scholarly activity of the clinical teacher-scholar. Although not without limitations, this program may serve as a model for other schools to consider as they encourage their own clinical faculty members to undertake research initiatives. Similar programs at dental schools across the country can enhance discovery, research, and treatment by expanding the number of researchers who are addressing the public's oral and systemic health needs.
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The University of Minnesota School of Dentistry launched its new dental therapy program in September 2009 after the Minnesota state legislature had authorized the training and practice of a dental therapist in May of the same year. The creation of this mid-level dental provider is seen as a workforce solution to help address the problem of access to dental care experienced by some members of our society. However, there is a lack of consensus and even controversy in organized dentistry about dental therapy, one of the mid-level provider models. ⋯ There was a clear divide between the part-time faculty members, who practice outside the institution, and the full-time educators with regard to the role of dental therapists. However, there was an overall consensus that dental faculty members have a commitment and responsibility to educate future dental therapists regardless of their personal position. This is encouraging to dental therapy students, who can be assured that they will receive the education they need to prepare them to practice.
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It is generally accepted that repetition of procedures is necessary to develop clinical skill in dentistry. Although there is a rich empirical research tradition in medicine establishing competency levels for new procedures, investigations of the shape of learning curves for clinical techniques are rare in dental education. Data were reviewed from three classes (n=465) of students at the University of the Pacific Arthur A. ⋯ No evidence was found that test case performance was affected by number of previous test cases, number of practice (ungraded) procedures previously completed, faculty ratings of technical skill in the discipline by quarter, faculty ratings of patient management and of clinical judgment competencies, overall clinical GPA, and performance on initial licensure examinations. The absence of a pattern showing that amount of prior experience improves clinical performance raises questions about the practice of setting "requirements" for graduation and challenges dental educators to better explain the presumed relationship between practice and performance and the validity of clinical evaluation of performance based exclusively on the objective technical quality of work samples. The literature on learning curves and on competency-based education offer alternative insights into what students are actually learning but schools are failing to measure in the clinical experience.
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Very few dental educators have formal pedagogical training, and the availability of degree-granting programs for dental educators is very limited. A joint D. D. ⋯ D. program, and one is enrolled. This article describes the details of both programs and discusses preliminary outcomes. The model described here may serve as an example for other dental schools that may choose to implement degree programs in education for dental educators.