Community-based dental education in Iranian dental schools.


Journal

BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684

Informations de publication

Date de publication:
03 May 2024
Historique:
received: 19 01 2024
accepted: 24 04 2024
medline: 4 5 2024
pubmed: 4 5 2024
entrez: 3 5 2024
Statut: epublish

Résumé

Community-based dental education (CBDE) has been an essential advancement in dental education in recent decades, enhancing it in many aspects. This study aimed to determine the characteristics and improvements of CBDE in dental schools in Iran. In the present descriptive study, an electronic questionnaire, including 18 "yes/no", "multiple choice", and "short answer" questions about the nature and extent of CBDE and students' experience in CBDE, was used. In early 2021, the questionnaires were mailed to the deans of all 43 dental schools in Iran under the supervision of the Council for Dental Education of the Iranian Ministry of Health and Medical Education. Reminder calls were made after 6 and 12 weeks. Dental schools that did not follow the CBDE program were excluded. The responses were analyzed descriptively. Thirty-six dental schools completed the questionnaire (response rate: 84%). Seventeen schools (47%) reported having CBDE in their dental program. Sites lacking a well-equipped dental setting were the most used out of all extramural sites. The number of weeks dedicated to CBDE ranged between 1 and 20 (median: 4). The most common dental procedures practiced in extramural sites were pediatric dentistry (100%), restorative dentistry (71%), and dental examination (59%). The student-to-supervisor ratio in CBDE ranged between 3 and 15 (median: 5). In most schools (65%), the staff involved in directing CBDE were Community Oral Health PhDs. An increasing number of Iranian dental schools have integrated CBDE into their undergraduate dental curriculum. The characteristics and extent of this educational strategy vary widely among dental schools. CBDE can be more effective by making positive changes in dental programs.

Sections du résumé

BACKGROUND BACKGROUND
Community-based dental education (CBDE) has been an essential advancement in dental education in recent decades, enhancing it in many aspects. This study aimed to determine the characteristics and improvements of CBDE in dental schools in Iran.
METHODS METHODS
In the present descriptive study, an electronic questionnaire, including 18 "yes/no", "multiple choice", and "short answer" questions about the nature and extent of CBDE and students' experience in CBDE, was used. In early 2021, the questionnaires were mailed to the deans of all 43 dental schools in Iran under the supervision of the Council for Dental Education of the Iranian Ministry of Health and Medical Education. Reminder calls were made after 6 and 12 weeks. Dental schools that did not follow the CBDE program were excluded. The responses were analyzed descriptively.
RESULTS RESULTS
Thirty-six dental schools completed the questionnaire (response rate: 84%). Seventeen schools (47%) reported having CBDE in their dental program. Sites lacking a well-equipped dental setting were the most used out of all extramural sites. The number of weeks dedicated to CBDE ranged between 1 and 20 (median: 4). The most common dental procedures practiced in extramural sites were pediatric dentistry (100%), restorative dentistry (71%), and dental examination (59%). The student-to-supervisor ratio in CBDE ranged between 3 and 15 (median: 5). In most schools (65%), the staff involved in directing CBDE were Community Oral Health PhDs.
CONCLUSIONS CONCLUSIONS
An increasing number of Iranian dental schools have integrated CBDE into their undergraduate dental curriculum. The characteristics and extent of this educational strategy vary widely among dental schools. CBDE can be more effective by making positive changes in dental programs.

Identifiants

pubmed: 38702651
doi: 10.1186/s12903-024-04290-x
pii: 10.1186/s12903-024-04290-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

526

Informations de copyright

© 2024. The Author(s).

Références

Voinea-Griffin A, Solomon ES. Dentist shortage: an analysis of dentists, practices, and populations in the underserved areas. J Public Health Dent. 2016;76(4):314–9.
doi: 10.1111/jphd.12157 pubmed: 27198620
Edington DW, Schultz AB, Pitts JS, Camilleri A. The Future of Health Promotion in the 21st Century: a focus on the Working Population. Am J Lifestyle Med. 2016;10(4):242–52.
doi: 10.1177/1559827615605789 pubmed: 30202279
Ronald P, Strauss MB, Stein, Jeffrey Edwards KCN. The impact of community-based Dental Education on students. J Dent Educ. 2010;74(10):13.
Howell SE. Attitudes and behaviors regarding public health of dental school graduates from AT Still University. J Dent Educ. 2020;84(6):681–7.
doi: 10.1002/jdd.12062 pubmed: 32068258
[ https://hcmep.behdasht.gov.ir/
Licari FW, Evans CA. Clinical and community-based education in U.S. Dental Schools. J Dent Educ. 2017;81(8):eS81–7.
doi: 10.21815/JDE.017.011 pubmed: 28765459
Van Tubergen E, Kane L, Fitzgerald M, Hamerink H, Piskorwoski W. Health Education and Public Health. Health Educ. 2022;5:1.
Smith PD, Mays KA. Dental Students’ non-clinical learning during community-based experiences: a Survey of U.S. Dental Schools. J Dent Educ. 2019;83(11):1289–95.
doi: 10.21815/JDE.019.130 pubmed: 31285366
Lynch CD, Ash PJ, Chadwick BL. Current trends in community-based clinical teaching programs in U.K.and Ireland dental schools. J Dent Educ. 2013;77(5):604–11.
doi: 10.1002/j.0022-0337.2013.77.5.tb05509.x pubmed: 23658406
Thikkurissy S, Rowland ML, Bean CY, Kumar A, Levings K, Casamassimo PS. Rethinking the role of community-based clinical education in pediatric dentistry. J Dent Educ. 2008;72(6):662–8.
doi: 10.1002/j.0022-0337.2008.72.6.tb04531.x pubmed: 18519596
Smith M, Lennon MA, Brook AH, Ritucci L, Robinson PG. Student perspectives on their recent dental outreach placement experiences. Eur J Dent Educ. 2006;10(2):80–6.
doi: 10.1111/j.1600-0579.2006.00396.x pubmed: 16634815
Mofidi M, Strauss R, Pitner LL, Sandler ES. Dental students’ reflections on their community-based experiences: the use of critical incidents. J Dent Educ. 2003;67(5):515–23.
doi: 10.1002/j.0022-0337.2003.67.5.tb03653.x pubmed: 12809186
DeCastro JE, Bolger D, Feldman CA. Clinical competence of graduates of community-based and traditional curricula. J Dent Educ. 2005;69(12):1324–31.
doi: 10.1002/j.0022-0337.2005.69.12.tb04031.x pubmed: 16352768
McFarland KK, Nayar P, Ojha D, Chandak A, Gupta N, Lange B. Impact of community-based Dental Education on Attainment of ADEA competencies: students’ self-ratings. J Dent Educ. 2016;80(6):670–6.
doi: 10.1002/j.0022-0337.2016.80.6.tb06128.x pubmed: 27251348
Nayar P, McFarland K, Lange B, Ojha D, Chandak A. Supervising dentists’ perspectives on the effectiveness of community-based dental education. J Dent Educ. 2014;78(8):1139–44.
doi: 10.1002/j.0022-0337.2014.78.8.tb05784.x pubmed: 25086146
Mascarenhas AK. Community-based dental education at Boston University. J Dent Educ. 2011;75(10 Suppl):S21–4.
pubmed: 22012933
Bean CY, Rowland ML, Soller H, Casamassimo P, Van Sickle R, Levings K, Agunga R. Comparing fourth-year dental student productivity and experiences in a dental school with community-based clinical education. J Dent Educ. 2007;71(8):1020–6.
doi: 10.1002/j.0022-0337.2007.71.8.tb04368.x pubmed: 17687084
Sharon Gordon ACW, Wanda G. Wright. Influence of community-based Dental Education on Practice Choice: Preliminary Data from East Carolina University. J Dent Educ. 2019;83(9).
Johnson G, Blinkhorn A. Assessment of a dental rural teaching program. Eur J Dent. 2012;6(3):235–43.
doi: 10.1055/s-0039-1698956 pubmed: 22904650 pmcid: 3420829
Hamershock RA, Rajabiun S, Fox JE, Mofidi M, Abel SN, York JA, et al. Dental students’ HIV/AIDS-related knowledge, attitudes, and intentions: impact of the U.S. Health Resources and Services Administration’s community-based dental partnership program. J Dent Educ. 2014;78(8):1106–17.
doi: 10.1002/j.0022-0337.2014.78.8.tb05781.x pubmed: 25086143
Mays KA, Scheffert DR, Maguire M, Lunos S, Johnson R, Jackson L, Riggs S. Dental Students’ intent to practice in rural communities before and after community-based rotations in a rural area. J Dent Educ. 2019;83(11):1296–303.
doi: 10.21815/JDE.019.142 pubmed: 31451555
Behar-Horenstein LS, Feng X, Roberts KW, Gibbs M, Catalanotto FA, Hudson-Vassell CM. Developing Dental Students’ awareness of Health Care disparities and Desire to serve vulnerable populations through service-learning. J Dent Educ. 2015;79(10):1189–200.
doi: 10.1002/j.0022-0337.2015.79.10.tb06012.x pubmed: 26427778
Johnson G, Blinkhorn A. The influence of a clinical rural placement programme on the work location of new dental graduates from the University of Sydney, NSW, Australia. Eur J Dent Educ. 2013;17(4):229–35.
doi: 10.1111/eje.12043 pubmed: 24127764
Gordon S, Warren AC, Wright WG. Influence of community-based Dental Education on Practice Choice: Preliminary Data from East Carolina University. J Dent Educ. 2019;83(9):1000–11.
doi: 10.21815/JDE.019.101 pubmed: 31133618
Altman DS, Alexander JL, Woldt JL, Hunsaker DS, Mathieson KM. Perceived influence of community oral health curriculum on graduates’ dental practice choice and volunteerism. J Dent Educ. 2013;77(1):37–42.
doi: 10.1002/j.0022-0337.2013.77.1.tb05440.x pubmed: 23314463
Shannon CK, Price SS, Jackson J. Predicting Rural Practice and Service to Indigent patients: Survey of Dental Students before and after Rural Community rotations. J Dent Educ. 2016;80(10):1180–7.
doi: 10.1002/j.0022-0337.2016.80.10.tb06200.x pubmed: 27694291
Kuthy RA, Heller KE, Riniker KJ, McQuistan MR, Qian F. Students’ opinions about treating vulnerable populations immediately after completing community-based clinical experiences. J Dent Educ. 2007;71(5):646–54.
doi: 10.1002/j.0022-0337.2007.71.5.tb04321.x pubmed: 17493973
Thind A, Atchison K, Andersen R. What determines positive student perceptions of extramural clinical rotations? An analysis using 2003 ADEA Senior Survey data. J Dent Educ. 2005;69(3):355–62.
doi: 10.1002/j.0022-0337.2005.69.3.tb03922.x pubmed: 15749946
DeCastro JE, Matheson PB, Panagakos FS, Stewart DC, Feldman CA. Alumni perspectives on community-based and traditional curricula. J Dent Educ. 2003;67(4):418–26.
doi: 10.1002/j.0022-0337.2003.67.4.tb03643.x pubmed: 12749571
Volvovsky M, Vodopyanov D, Inglehart MR. Dental students and faculty members’ attitudes towards care for underserved patients and community service: do community-based dental education and voluntary service-learning matter? J Dent Educ. 2014;78(8):1127–38.
doi: 10.1002/j.0022-0337.2014.78.8.tb05783.x pubmed: 25086145
Kuthy RA, McQuistan MR, Heller KE, Riniker-Pins KJ, Qian F. Dental students’ perceived comfort and future willingness to treat underserved populations: surveys prior to and immediately after extramural experiences. Spec Care Dentist. 2010;30(6):242–9.
doi: 10.1111/j.1754-4505.2010.00161.x pubmed: 21044104 pmcid: 3003618
Simon L, Shroff D, Barrow J, Park SE. A reflection curriculum for Longitudinal Community-based clinical experiences: impact on student perceptions of the Safety Net. J Dent Educ. 2018;82(1):12–9.
doi: 10.21815/JDE.018.004 pubmed: 29292321
[ https://hcmep.behdasht.gov.ir/Omoomi_Dent
Major N, McQuistan MR, Qian F. Association of Community-Based Dental Education Components with fourth-year dental students’ clinical performance. J Dent Educ. 2014;78(8):1118–26.
doi: 10.1002/j.0022-0337.2014.78.8.tb05782.x pubmed: 25086144
Piskorowski WA, Stenafac SJ, Fitzgerald M, Green TG, Krell RE. Influence of community-based dental education on dental students’ preparation and intent to treat underserved populations. J Dent Educ. 2012;76(5):534–9.
doi: 10.1002/j.0022-0337.2012.76.5.tb05286.x pubmed: 22550098
Bailit HL. Financial impact of community-based dental education. J Dent Educ. 2010;74(10 Suppl):S33–41.
pubmed: 20930225
Mascarenhas AK, Freilich SR, Henshaw MM, Jones JA, Mann ML, Frankl SN. Evaluating externship programs: impact of program length on clinical productivity. J Dent Educ. 2007;71(4):516–23.
doi: 10.1002/j.0022-0337.2007.71.4.tb04304.x pubmed: 17468313
Mays KA. Community-based Dental Education models: an analysis of current practices at U.S. Dental Schools. J Dent Educ. 2016;80(10):1188–95.
doi: 10.1002/j.0022-0337.2016.80.10.tb06201.x pubmed: 27694292
Strauss R, Mofidi M, Sandler ES, Williamson R 3rd, McMurtry BA, Carl LS, Neal EM. Reflective learning in community-based dental education. J Dent Educ. 2003;67(11):1234–42.
doi: 10.1002/j.0022-0337.2003.67.11.tb03715.x pubmed: 14650505

Auteurs

Ata Bandehagh (A)

Research Center for Caries Prevention (RCCP), Dentistry Research Institute, Tehran University of Medical Sciences, First floor, Qods Street, Enghelab Avenue, Tehran, 1417614411, Iran.

Mohammad Reza Khami (MR)

Research Center for Caries Prevention (RCCP), Dentistry Research Institute, Tehran University of Medical Sciences, First floor, Qods Street, Enghelab Avenue, Tehran, 1417614411, Iran.
Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

Fatemeh Farshad (F)

Research Center for Caries Prevention (RCCP), Dentistry Research Institute, Tehran University of Medical Sciences, First floor, Qods Street, Enghelab Avenue, Tehran, 1417614411, Iran.

Hossein Hessari (H)

Research Center for Caries Prevention (RCCP), Dentistry Research Institute, Tehran University of Medical Sciences, First floor, Qods Street, Enghelab Avenue, Tehran, 1417614411, Iran. h-hessari@tums.ac.ir.
Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. h-hessari@tums.ac.ir.

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