Curriculum development in final year dentistry to enhance competency and professionalism for contemporary general dental practice.

assessment competency curriculum general dental practice outcomes undergraduate

Journal

European journal of dental education : official journal of the Association for Dental Education in Europe
ISSN: 1600-0579
Titre abrégé: Eur J Dent Educ
Pays: England
ID NLM: 9712132

Informations de publication

Date de publication:
Nov 2019
Historique:
received: 07 12 2018
revised: 10 06 2019
accepted: 28 07 2019
pubmed: 3 8 2019
medline: 30 10 2019
entrez: 3 8 2019
Statut: ppublish

Résumé

General dentistry is the most common area of practice, and new dentists must have the competency and skills to safely deliver patient care. In New Zealand (NZ), completion of a 5-year Bachelor of Dental Surgery (BDS) degree enables graduates to register with the Dental Council in NZ. This necessitates that the clinical component of the curriculum in final year dentistry (BDS5) transparently delivers learning opportunities and evaluates competency for independent practice. A review of the BDS5 Clinical Practice course was undertaken in 2015 and a revised curriculum introduced in 2016. We present a BDS5 curriculum for a Clinical Practice course that is learner focused with emphasis on comprehensive patient-centred care, competency and professional practice. Learning opportunities and assessment processes are described alongside teacher training. These changes have provided students scaffolding to support clinical and professional development, and accommodate different learning preferences. The outcomes align with the competency requirements of the NZ regulatory body for registration as a general dental practitioner. Since its introduction 3 years ago, ongoing feedback from students and staff has been positive and indicates the curriculum is effective in achieving its objectives. This curriculum provides a firm foundation for students transitioning to independent clinical practice in the community and supports the professional development of clinical teachers. It may also be translated to other areas of health education to ensure the delivery of quality holistic patient care.

Identifiants

pubmed: 31373742
doi: 10.1111/eje.12458
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

498-506

Informations de copyright

© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Références

Dental Council of New Zealand. Dental Council Workforce Analysis 2013-2015. Wellington, New Zealand: Dental Council of New Zealand; 2017.
Dental Council of New Zealand. Annual Report 2017/18. Wellington, New Zealand: Dental Council of New Zealand; 2018.
New Zealand Ministry of Health.Health Practitioners Competency Assurance Act. http://www.legislation.govt.nz/act/public/2003/0048/latest/DLM203312.html. Accessed June 10, 2019.
Dental Council of New Zealand. Standards Framework for Oral Health Practitioners. Wellington, New Zealand: Dental Council of New Zealand; 2015.
Crespo KE, Torres JE, Recio ME. Reasoning process characteristics in the diagnostic skills of beginner, competent, and expert dentists. J Dent Educ. 2004;68(12):1235-1244.
Albino J, Young SK, Neumann LM, et al. Assessing dental students' competence: best practice recommendations in the performance assessment literature and investigation of current practices in predoctoral dental education. J Dent Educ. 2008;72(12):1405-1435.
Gruppen DL, Ten Cate AO, Lingard WL, et al. Enhanced requirements for assessment in a competency-based, time-variable medical education system. Acad Med. 2018;93(3S):S17-S21.
Fielding DW, Regehr G. A call for an integrated program of assessment. Am J Pharm Educ. 2017;81(4):1-11.
Kerosuo E, Ruotoistenmäki J, Murtomaa H. Report on the development of a new dental curriculum at Helsinki. Eur J Dent Educ. 2001;5(1):23-30.
Pea RD. The social and technological dimensions of scaffolding and related theoretical concepts for learning, education, and human activity. J. Learn. Sci. 2004;13(3):423-451.
Dolmans DH, De Grave W, Wolfhagen IH, van der Vleuten CP. Problem-based learning: future challenges for educational practice and research. Med Educ. 2005;39(7):732-741.
McLean M, Gibbs T. Twelve tips to designing and implementing a learner-centred curriculum: prevention is better than cure. Med Teach. 2010;32(3):225-230.
Anderson VR, Rapana ST, Broughton JR, et al. Preliminary findings from the Oranga Niho dental student outplacement project. N Z Dent J. 2015;111(1):6-14.
Strauss RP, Stein MB, Edwards J, Nies KC. The impact of community-based dental education on students. J Dent Educ. 2010;74(10 suppl):S42-S55.
Deogade S, Naitam D. Reflective learning in community-based dental education. Educ Health. 2016;29(2):119-123.
Alrqiq HM, Scott TE, Mascarenhas AK. Evaluating a cultural competency curriculum: changes in dental students' perceived awareness, knowledge, and skills. J Dent Educ. 2015;79(9):1009-1015.
Manogue M, McLoughlin J, Christersson C, et al. Curriculum structure, content, learning and assessment in European undergraduate dental education - update 2010. Eur J Dent Educ. 2011;15(3):133-141.
Freeman S, Eddy SL, McDonough M, et al. Active learning increases student performance in science, engineering, and mathematics. Proc Natl Acad Sci USA. 2014;111(23):8410-8415.
Abdel Meguid E, Collins M. Students' perceptions of lecturing approaches: traditional versus interactive teaching. Adv Med Educ Pract. 2017;8:229-241.
Miller CJ, McNear J, Metz MJ. A comparison of traditional and engaging lecture methods in a large, professional-level course. Adv Physiol Educ. 2013;37(4):347-355.
Jonas-Dwyer D, Abbott PV, Boyd N. First reflections: third-year dentistry students' introduction to reflective practice. Eur J Dent Educ. 2013;17(1):e64-e69.
Stenfors-Hayes T, Lindgren LE, Tranaeus S. Perspectives on being a mentor for undergraduate dental students. Eur J Dent Educ. 2011;15(3):153-158.
Buddeberg-Fischer B, Herta K-D. Formal mentoring programmes for medical students and doctors - a review of the Medline literature. Med Teach. 2006;28(3):248-257.
Wormald BW, Schoeman S, Somasunderam A, Penn M. Assessment drives learning: an unavoidable truth? Anat Sci Educ. 2009;2(5):199-204.
van der Vleuten CPM, Schuwirth LWT, Driessen EW, et al. A model for programmatic assessment fit for purpose. Med Teach. 2012;34(3):205-214.
Jahangiri L, Mucciolo TW, Choi M, Spielman AI. Assessment of teaching effectiveness in U.S. Dental schools and the value of triangulation. J Dent Educ. 2008;72(6):707-718.
Evans D, Zeun P, Stanier RA. Motivating student learning using a formative assessment journey. J Anat. 2014;224(3):296-303.
Steinert Y, Mann K, Centeno A, et al. A systematic review of faculty development initiatives designed to improve teaching effectiveness in medical education: BEME Guide No. 8. Med Teach. 2006;28(6):497-526.
McAndrew M, Horvath Z, Atiyeh LE. A survey of faculty development in U.S. and Canadian dental schools: types of activities and institutional entity with responsibility. J Dent Educ. 2018;82(11):1127-1139.
Christie C, Bowen D, Paarmann C. Effectiveness of faculty training to enhance clinical evaluation of student competence in ethical reasoning and professionalism. J Dent Educ. 2007;71(8):1048-1057.

Auteurs

Lara T Friedlander (LT)

Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, Dunedin, New Zealand.

Alison M Meldrum (AM)

Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, Dunedin, New Zealand.

Karl Lyons (K)

Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, Dunedin, New Zealand.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH