Showing papers in "Journal of Dental Education in 1991"

Management considerations for an HIV positive dental student.

Abstract: Health care workers who are HIV positive or who have AIDS are faced with unique and perplexing problems. Likewise dental students who are HIV positive present a special circumstance that demands review of ethical, legal, managerial, and medical considerations. The purpose of this paper is to describe the management considerations at the Medical College of Georgia following a recent report of an HIV positive dental student. The administration assembled a diverse team of experts for advice in the situation. This group assumed that the circumstance was a potential crisis with possible serious long-term implications. Therefore detailed planning, appropriate announcements, and careful management have been the administration9s principle goal for several weeks. The key management strategies and actions are described from the time of notification of the student9s HIV antibody test results through the initial testing of the patient population subgroup.

Issues in the dental care management of patients with bloodborne infectious diseases: an opinion survey of dental school seniors.

Abstract: This study revealed some significant findings concerning the views of dental school seniors. Through a series of questions, we determined the opinions that seniors had about treating patients with bloodborne infections and the way they regarded their professional responsibility to provide care to these patients. We were able to identify that the majority of seniors had knowingly treated patients with one of these diseases, and believed that they had a professional obligation to do so. The study showed that these future professionals were aware of the risks related to disease transmission and they had real concerns about those risks; nevertheless, they were prepared to accept their professional obligation to provide care to these individuals. More than half of the survey population was fearful of treating patients with these diseases, and over half indicated that they would not treat these patients given the choice. This fear was compounded by their presumption that other patients would not want to be treated by a dentist who provides care to HBV/HIV patients, and by the presumption of increased cost of infection control. More than three fourths of these dental seniors agreed that treatment of infected patients would place them at higher risk. Nevertheless, in the face of this perceived danger, 62 percent indicated that they were willing to treat these patients, 79 percent said that they were capable of treating them, and 76 percent acknowledged the responsibility of the profession to treat. Another finding of note involves the treatment of infected patients and the effect that treatment experience had on the seniors9 attitudes.(ABSTRACT TRUNCATED AT 250 WORDS)

Effectiveness of student ratings feedback and consultation for improving instruction in dental school.

Abstract: The effects of student ratings feedback and consultation on instructional improvement over a four-year time interval were examined. Of the 40 course directors who led the same course over a four-year period, nine sought consultation services after receiving results from their initial student course evaluation. A sample of nine course directors who received student ratings feedback but did not seek consultation were matched to this consultation group, and student ratings comparisons were made over the subsequent three-year period. The consultation group received significantly higher ratings than the ratings only group for six of the nine course rating items. The magnitude of these effect sizes were substantial. When viewed in light of previously reported controlled studies on feedback, the results suggest that consultation is an important adjunct to ratings feedback for improving subsequent instruction in dental education. In response to an attitudinal survey, course directors indicated that students were qualified to rate aspects of instruction and that ratings provided useful feedback for making course improvements. Recommendations for using student ratings feedback are provided.

Comparison of self-instruction methods for teaching diagnostic testing.

Abstract: In a randomized controlled trial, self-teaching booklets and computer media were evaluated for teaching diagnostic testing to dental students as a foundation for further development of clinical decision making skills. Effectiveness was assessed by pre- and post-tests. Reliability of these test instruments was examined by analyzing the pre- and post-test scores of 49 first year dental students who received no instruction. Forty-one second year dental students were exposed to clinical epidemiological principles applied to endodontic diagnosis through either self-teaching booklets or computer media. No statistically significant difference was found between the mean test scores of the students through self-teaching booklets and computer media. Although first and second year students showed a statistically significant improvement between the pre-test and post-test, the improvement in the second year class was greater. An addendum was later made to the main trial to compare the self-teaching booklet to the traditional lecture format in teaching endodontic diagnosis. Seventy-one third year dental students were exposed to these same materials through either a lecture or the self-teaching booklet and then similarly tested. There was no significant difference between the self-teaching booklet and traditional lecture for the third year students.

Computer based decision support in dentistry.

Abstract: Work analyses in dental practices have revealed a need for improvements especially in regard to patient dental record, decision support for diagnosis and therapy and patient recall. An adequate decision support for diagnosis, therapy and prevention requires the use of the most advanced methods of informatics and computer bases interactive multimedia technology as well as of advanced human-computer interface techniques.

Planning, implementation, and evaluation of AIDS education programs for dentists.

Abstract: Because many dentists were trained before HIV disease was recognized and its implications for dentistry understood, there is a need for effective continuing education programs about the disease for health professionals. Unfortunately, much of the continuing professional education about AIDS in the last few years has been poorly evaluated and the value of continuing education itself has increasingly been called into question. In order to clarify how continuing educational efforts can be designed and evaluated, we report on our continuing educational projects and research which culminated in research on a nationwide educational intervention about AIDS for dentists. We outline and evaluate the steps taken in designing both the intervention and the research. The strengths and weaknesses of the design are discussed and suggestions made about how the design could be improved.

A theoretical model for understanding dentists' behavior in treating patients with AIDS.

Abstract: This paper attempts to expand on a model from the theory of reasoned action to help us identify and better understand the reasons dentists do or do not treat dental patients with, or at risk for, AIDS. We propose in the model that the dentist's actual behavior in treating dental patients with, or at risk for, AIDS, in his or her practice is a function of both his or her intention to treat such patients and his or her nonvolitional factors relevant to the behavior. The dentist's intention to treat patients with AIDS or HIV infection, or those belonging to high risk groups, is influenced by two belief components: (1) attitudinal variables, which are the dentist's beliefs about the consequences of treating such patients and the value that these consequences have for him or her; and (2) normative variables, which indicate the dentist's perceptions of how his or her reference groups view the treatment of such patients in his or her practice and his or her motivation to comply with those views. Finally, both the two belief components and the nonvolitional factors are affected by the personal characteristics and the environmental variables.

Dentists' sources of information about patient medications and other issues of medical management.

Abstract: The frequency of use of sources of information about medications used for patients and other issues of medical management are analyzed in a national sample of general practice dentists (GPs). Subgroups of urban/rural, solo/nonsolo, and younger/middle-aged/older dentists are examined for differences between groups. Assessing mean frequency of use for the entire group, the most frequently used sources of medical information are: 1) the consultant network; 2) the patient9s physician; and 3) the Physicians9 Desk Reference (PDR). Professional meetings, professional journals, and pharmaceutical detail people are the least frequently used sources. Frequency of use of information sources is related to solo/nonsolo status and to age, but not locale.