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Biomedical subjects

P Glassman

Publications and source records attributed to P Glassman.

17 recordsLinked to original sources

Developing competency systems: a never-ending story.

A competency system in its whole and its parts is described. Such a system can help dental educators rationally and efficiently organize and articulate educational programs, curricula, and courses. Repeated iterations of standard setting, design of experiences, and appraisal can reduce the need for less desirable rework or remediation and rejection of the objects of the experience such as dismissing students. Such an iterative process is one in which there is constant cyclical improvement which can move a dental education organization to develop a shared vision and become a true learning organization.

Accreditation

Program directors' opinions on the competency of postdoctoral general dentistry program graduates.

Meeting the demand for postdoctoral general dentistry programs will require new, innovative, and flexible models. Many believe that these new models must be competency-based and focus on the outcomes of postdoctoral general dentistry training rather than on the structure and process of that training. The Section on Postdoctoral General Dentistry of the American Association of Dental Schools formed a broadly representative working group in the fall of 1994 to develop a set of competency and proficiency statements describing graduates of postdoctoral general dentistry programs. PGD program directors were then surveyed to determine the extent to which they felt these competencies matched their concepts of the PGD graduate. Between 44 and 65 competency statements that were rated highly by program directors could serve as the basis for a "core" set of statements to describe the abilities of graduates of postdoctoral general dentistry programs. These data should stimulate further discussion among educators, program directors, accrediting bodies, and government agencies about the future of postdoctoral general dentistry programs.

Accreditation

Accreditation of postdoctoral general dentistry programs.

There is increasing demand for PGD positions. New and innovative models for accrediting these programs will be necessary if the number of positions is to grow to meet the anticipated need. The current accreditation system is the result of a historical and political evolution and now does not reflect the increasing diversity among PGD programs. Ad hoc attempts to respond to changing workforce pressures led to difficulties for program directors in meeting accreditation requirements and confusion among applicants to these programs. At the same time, there is a growing trend to describe educational endeavors using a competency-based model, emphasizing the outcome rather than the structure or process of the educational experience.

Accreditation

Guidelines for the administration of local anesthesia in fearful dental patients.

Fear of dentistry is a major problem for patients and dentists. Fear of local anesthetic injections is one of the most common fears reported by dental patients. It is imperative that local anesthetic injections be administered to dental patients in the context of treatment of the patient's fear. To try to "get through" the injection without addressing the patient's fear is to risk perpetuating or increasing the fear and missing an opportunity to help patients overcome their fear of dentistry. This article describes principles for treatment of dental fear. An injection technique is described that can be used in conjunction with the treatment of a patient's fear and represents a part of that treatment. This "low pain and anxiety" injection technique can be used with any patient.

Anesthesia, Dental

Treatment of high and low fear individuals.

This article presents case histories of two patients who were treated at the Dental Fears Research Program at the University of the Pacific School of Dentistry. These cases demonstrate that dental fear in various forms can be successfully treated and that there are principles which have application in patients with mild anxiety as well as with patients who experience extreme anxiety.

Anesthesia, Dental

Psychophysiological responses to dental injections.

Dentists frequently change local anesthetic formulations on the basis of a patient's experience of adverse effects. Frequently, less effective anesthetics are selected because a lack of understanding exists regarding the nature of untoward events. This may exacerbate the problem. Allergic reactions are overreported, whereas fear responses frequently are unrecognized. This article outlines the clinical problem of adverse reactions to local anesthetics in dental practice. Clinical recommendations based on proper diagnosis are provided to prevent recurrence of the problem.

Adult

A suggested curriculum for teaching conscious sedation in advanced general practice programs: GPR and AEGD. American Association of Hospital Dentists.

Previously published national guidelines related to the teaching and performance of conscious sedation in dentistry have not included guidance in this area for program directors of General Practice Residency and Advanced Education in General Dentistry Programs. A suggested curriculum is presented here for use by program directors of such programs who wish to design training experiences in their own programs or as a reference for program directors who wish to compare their programs with experiences provided in other locations. Guidelines are provided for facilities, equipment, personnel, records and preparation necessary to perform conscious sedation procedures, as well as goals, objectives, and evaluation methodology for training residents in conscious sedation.

Anesthesiology

A review of liver transplantation for the dentist and guidelines for dental management.

The number of recipients of liver transplants has grown rapidly in the last few years and is likely to continue to do so in the future. The dentist should be prepared to see individuals who are contemplating or have had liver transplants. The major goal of dental intervention, before and after liver transplantation, is the prevention of bacteremia from an oral source that could lead to systemic infection. In addition, pre-transplant medical conditions of concern to the dentist include poor drug metabolism, bleeding disorders, poor wound healing, and an inability to metabolize swallowed blood. Post-transplant dental treatment must take into consideration immunosuppressive drugs and the potential for infections. Dental treatment should include a thorough dental examination, elimination of dental problems that could cause medical problems, and an intensive preventive dentistry program to minimize the occurrence of dental disease.

Anti-Bacterial Agents

A preventive dentistry training program for caretakers of persons with disabilities residing in community residential facilities.

People with disabilities develop more dental disease than the average population and have a harder time accessing and using resources for dental treatment. It is therefore critical to prevent dental problems in this population. This article discusses the development and use of a preventive dentistry training program consisting of a videotape, workbook, instructions for trainers, and pre- and post-tests. The training program was designed to facilitate integration of dental and behavioral information into daily routines. Participants were able to demonstrate that they could learn the information in the training materials using the methodology that was employed. Further work remains to be done to revise and disseminate the materials and to demonstrate that the knowledge that the participants gained can be effectively applied in community care settings.

Aged

A dental school's role in developing a rural, community-based, dental care delivery system for individuals with developmental disabilities.

The long-standing problem of access to dental care for persons with developmental disabilities in rural Northern California has been addressed in several communities by a unique community-based program. The goal was to create a coalition to coordinate dental school resources with those of a consortium of agencies to address problems in the local communities. This program established a community-based model demonstrating the provision of quality preventive and therapeutic dental services to these individuals. Through this program, dental care delivery systems were formed in three rural communities involving local community dentists and agency personnel. The role of the dental school was: (1) to establish and then work with a consortium of hospitals, agencies, dentists, and other dental personnel; (2) to train local dental personnel; (3) to establish and equip hospital dental facilities; (4) to conduct dental screening and triage clinics; (5) to consult with local agencies and dentists; (6) to act as a referral center for patients with complex medical situations; and (7) to develop and disseminate preventive dentistry training materials.

California