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Open meeting of the Commission on Dental Education. 'What went wrong with my dental education?' A look back at the undergraduate course.

In this paper, my own undergraduate course from 1961 to 1966 at Guy's Hospital, London, is described and the merits and shortcomings of this course discussed. Subsequent alterations and future improvements to the course are considered. The various teaching methods are appraised and a closer relationship between the preclinical and clinical parts of the course is advocated. The introduction to clinical procedures and the block system of clinical teaching is considered. The overemphasis of the repetitive performance of simple clinical procedures and the time taken up doing laboratory work is criticized. The teaching of general anaesthetic administration with its lack of instruction in resuscitation and other emergency measures is deplored and the removal of this from the undergraduate course is suggested. The increasing importance attached to preventive dentistry is welcomed and the unique experience in preliminary diagnosis afforded by a dental casualty department is commended. Examination techniques are discussed and a compromise between external examination and continuous internal assessment is suggested. In conclusion, the importance of the evaluation of the course in totality is stressed, so that the overall development of the student into a self-reliant, responsible and ethical professional can be assessed. The necessity of frequent review and amendment of the curriculum is advocated if it is to remain relevant to the changing requirements of dental practice.

Education, Dental↗

A role for computers in the management of dental education.

The dental educator confronts increasing demands for technically demanding training against a background of factors working to reduce the clinical experience of students: less dental disease, new educational emphases and greater cost-consciousness. A computer system is described which has run successfully for 7 years in the Department of Conservative Dentistry at Manchester University. This system enables better use to be made of declining teaching resources; it allows the department to make more accurate and timely assessments of student progress; it can also provide information on current workload and clinical commitments. Some possible lines of future development are discussed, including use of the system to collect Korner data-sets and to support a more integrated approach to treatment.

Computers↗

Variation, certainty, evidence, and change in dental education: employing evidence-based dentistry in dental education.

Variation in health care, and more particularly in dental care, was recently chronicled in a Readers Digest investigative report. The conclusions of this report are consistent with sound scientific studies conducted in various areas of health care, including dental care, which demonstrate substantial variation in the care provided to patients. This variation in care parallels the certainty with which clinicians and faculty members often articulate strongly held, but very different opinions. Using a case-based dental scenario, we present systematic evidence-based methods for accessing dental health care information, evaluating this information for validity and importance, and using this information to make informed curricular and clinical decisions. We also discuss barriers inhibiting these systematic approaches to evidence-based clinical decision making and methods for effectively promoting behavior change in health care professionals.

Attitude of Health Personnel↗

Program planning for effective continuing dental education.

Continuing dental education can only be effective if it is efficiently planned and presented. It is essential to determine the needs as seen by the dentists and to ensure that these needs can best be met by educational means. The potential participants in the programme must then be identified and times and locations most convenient for them be established. The precise purpose and objectives of the course must be clearly stated and detailed organisation can then be commenced. The principles involved in adult education should be clearly understood and appropriate learning aids should be prepared. Evaluation of the programme is essential in order that adjustments can be made to future programmes to correct deficiencies which have been identified and so that the impact on the participants' practices can be assessed.

Education, Dental, Continuing↗

Factors influencing pursuit and satisfaction of academic dentistry careers: perceptions of new dental educators.

New dental educators (n = 280) with zero to five years full-time teaching experience were surveyed to ascertain their perceptions regarding salary, work environment, and workload to determine the impact of these factors on faculty recruitment and retention. Work environment was the most frequently reported factor for considering and maintaining an academic dentistry position. Educational resources, facilities, salary, and benefits were ranked as moderately important for considering an academic position. Mentoring, startup funds for research, and external private practice opportunities were also reported as moderately important for maintaining a position. Other factors of concern to new faculty included quality of administration and leadership, reputation of program, professional development opportunities, faculty autonomy, and reasonable criteria for tenure and promotion. These findings suggest that resources, strategies, and formal mentoring programs that provide direction and guidance in the areas of teaching, promotion, and tenure for new educators should be considered for implementation in our dental schools.

Attitude of Health Personnel↗

An idea that works. NYU Harris Infant Dental Education Area.

Dental decay continues to plague infants and toddlers, as evidenced by the continued prevalence of nursing caries. The Samuel D. Harris Infant Dental Education Area (IDEA) in the New York University College of Dentistry is the first of its kind in the nation and is especially designed for the promotion of oral health and prevention of diseases of the teeth and mouth of infants and toddlers. Teaching mothers-to-be and new mothers the ABC's of maintaining a healthy oral environment for their babies and themselves is the focus of activities at IDEA.

Adult↗

Implications for dental education of a dental school-initiated practice research network.

The Case Western Reserve University (CWRU) School of Dentistry has organized a research network of 210 general dentists in northern Ohio. Seventeen of these dentists have volunteered to serve on a steering committee, for the purpose of generating research questions and helping with network organization. To enable the practitioners to investigate questions of interest in their practices, faculty in the CWRU schools of Dentistry and Medicine provide consultation to network dentists, as needed, with regard to research design, implementation, and analysis. In turn, the network serves as a resource for the dental school, facilitating faculty development, encouraging the development of new research programs, and providing an opportunity for students throughout the university to become involved in dental practice research. To date, faculty members have initiated studies of dental practice that include a survey of dentists' attitudes toward tobacco, a weekly return caries study, and a direct observation study of general dental practice. The network provides a research "laboratory" for the dental school, enabling clinical faculty to participate in research concerning dental practice. It has also stimulated a major re-examination of several curriculum elements in the school.

Adult↗