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Biomedical subjects

T G Green

Publications and source records attributed to T G Green.

17 recordsLinked to original sources

Clinic simulation and preclinical performance.

The physical environment in which dental students learn preclinical skills has been a focus of attention recently; the effect of this variable on practical examination performance by first-year students in a preclinical dentistry course was examined. In a controlled, two-part experiment, students doing preclinical work in the clinic did not perform significantly better on practical examinations than students working in a typical laboratory environment. Other factors such as enthusiasm, motivation, satisfaction, operator comfort, long-term productivity, and exposure to the clinical environment prior to patient treatment are important dimensions of the preclinical experience; the effect of the environment on these factors should be examined.

Clinical Clerkship

One day versus seven days of preventive antibiotic therapy in orthopedic surgery.

Three hundred fifty-eight patients undergoing total hip arthroplasty, total knee arthroplasty, and hip fracture repair were given preventive antibiotics 20 minutes before surgery; administration of antibiotics was continued for either 24 hours or seven days. The 24-hour group (186 operations) had three (1.6%) deep wound infections. The difference in infection rates between groups was not significant.

Adult

Dental student response to moral dilemmas.

This study was performed to test whether there is any difference in the manner in which freshmen, sophomore, junior, and senior dental students respond to dental moral dilemmas. An instrument composed of three dental moral dilemmas was completed by 483 dental students during the first day of class of the fall 1979 semester. An analysis of the results showed that freshmen rated principled reasons more highly than sophomores, juniors, and seniors. It appears that the differences in response to moral dilemmas exist early in the dental educational process, even before students have substantial clinical experience.

Decision Making

Assessing medical and dental students' knowledge of preventive medicine.

This cross-sectional study examined medical and dental students' knowledge of preventive medicine. The purpose of the study was to assess the knowledge of preventive medicine--both epidemiological and clinical--that students demonstrate as they enter medical and dental school and acquire during training. The results of a two-group (medical versus dental school) by three-time (first-, second-, and third-year level) analysis of variance of students' mean examination scores showed significant main effects for school (F = 28.3, P less than .001) and training level (F = 24.5, P less than .001), and a significant school-by-training level interaction (F = 13.9, P less than .001). Medical students at higher training levels demonstrated greater knowledge of preventive medicine. In contrast, there were no significant differences by year of training among the dental students on the total test or on the epidemiological or clinical subscales. Both the dental and medical students demonstrated greater knowledge of clinical applications than of epidemiological foundations (t = 4.21, P less than .01). Dental students performed better than medical students on items that focused on diseases and risk factors that manifest symptoms more likely to be observed in dentistry than in general medical practice. The findings underscore the need to demonstrate practice relevance when teaching preventive medicine.

Analysis of Variance

Working relationship between dentists and dental hygienists: their perceptions.

The purpose of this study was to reexamine the working relationship between the dentist and the dental hygienist with regard to delegation and professional interaction. A questionnaire was mailed to Michigan dentists and dental hygienists to acquire data regarding dental hygiene practice, office procedures, and employer/employee interaction. Of the 500 dentists surveyed, 289 (58%) returned questionnaires, and of the 360 hygienists surveyed, 298 (83%) returned questionnaires. The dental hygienists' perception of their practice is significantly different from the dentists' in several major areas. More than half of the dentists reported checking the hygienist's work all of the time, whereas only one third of the hygienists reported always being checked. Assessment of patient needs by a clinical caries examination is perceived differently. Most of the hygienists reported they perform clinical caries examinations all of the time, whereas only two thirds of the dentists reported the hygienist always performs an examination. Delegation of auxiliary procedures is viewed similarly by both dentists and hygienists, but procedures which can be performed are not being delegated. With respect to professional communications, half of the dentists perceive that they provide feedback to the hygienist all of the time, while only one third of the hygienists feel they receive feedback all of the time. In determining the recall interval, most of the dentists reported establishing it in consultation with the hygienist, whereas half of the hygienists reported setting it alone. Data suggest that the dentists' perceptions are inconsistent with the hygienists' in role delineation and patient care.

Adult

Patient and dental student responses to a survey about AIDS in the dental setting.

The purpose of the study was to gain information about patients' and dental students' attitudes concerning AIDS and dentistry. Opinions of patients and students at a Midwestern dental school were surveyed. The dental students' responses were not as consistent as the patient responses. Both groups felt there was a risk to patients and dentists of HIV infection. Both groups had confidence in the CDC infection control guidelines. The patient responses to the testing questions were significantly more positive than the student responses. The patients responded positively to the concept that healthcare professionals had the right to ask patients to be tested and to being required to be tested if a healthcare provider is accidentally stuck by a needle used on a patient. The dental students were more cautious with both issues. Patients would use knowledge about a healthcare provider's HIV status and the office treatment of AIDS patients to determine if they should continue treatment at that dental office.

Acquired Immunodeficiency Syndrome