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[PMID]:29496804
[Au] Autor:Watkins RT; Conn LJ; Gellin RG; Gonzales TS; Hamil LM; Cayouette MJ; Schmidt MG
[Ad] Endereço:Dr. Watkins is Assistant Dean for Dental Education and Informatics, East Carolina University School of Dental Medicine; Dr. Conn is Associate Professor and Chair, Department of General Dentistry, East Carolina University School of Dental Medicine; Dr. Gellin is Professor and Chair, Department of Sto
[Ti] Título:Analyzing Dental Students' Clinic Production Using Time-Based Relative Value Units: Ten-Year Cross-Cohort Mapping.
[So] Source:J Dent Educ;82(3):260-268, 2018 Mar.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The analysis of dental students' clinical production/participation has been used to assess whether a prospective graduate is capable of unsupervised and independent practice (that is, competent to perform that practice). This method and others have inherent biases that may not accurately reflect whether the student has mastered the associated concepts and techniques required for dentistry. The aim of this study was to assess an informatics system that assigned curriculum meta-tags with time-based relative educational value units (ReVUs) to each clinical procedure performed by Medical University of South Carolina (MUSC) students. The system has been used since 1998, but for this study the complete data sets for the MUSC graduating classes of 2007 through 2016 were mapped using microcompetency codes for the dental procedures. In total, 421,494 procedures were formatted and analyzed using software developed to aggregate disparate data sets from clinical activities into a common format for evaluation. The results showed that the ten classes (cohorts) were very consistent with cohort high ReVUs averaging 7,317.1 points, cohort mean ReVUs being 5,180.2 points, and cohort low ReVUs averaging 3,381 points. A detailed analysis of student effort by dental subspecialty found that preventive activities represented 13.4%, patient assessment 32.6%, periodontology 2.8%, restorative dentistry 16.3%, prosthodontics 21.9%, endodontics 6.7%, and oral surgery 5.7% of the total points in the clinical part of the curriculum. In this system, point thresholds can be easily generated to monitor students' progress towards competence for each defined competency and thus assess their progress towards acquiring the skills required for unsupervised, independent practice.
[Mh] Termos MeSH primário: Estudantes de Odontologia/estatística & dados numéricos
[Mh] Termos MeSH secundário: Competência Clínica/normas
Competência Clínica/estatística & dados numéricos
Estudos de Coortes
Currículo/estatística & dados numéricos
Assistência Odontológica/normas
Assistência Odontológica/estatística & dados numéricos
Avaliação Educacional/métodos
Seres Humanos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180303
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.018.025


  2 / 17001 MEDLINE  
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[PMID]:29496802
[Au] Autor:Chu TG; Makhoul NM; Silva DR; Gonzales TS; Letra A; Mays KA
[Ad] Endereço:Dr. Chu is Associate Dean for Research and Professor of Biomedical and Applied Sciences, School of Dentistry, Indiana University; Dr. Makhoul is Assistant Professor, Faculty of Dentistry, McGill University; Dr. Silva is Chair, Section of Pediatric Dentistry, School of Dentistry, University of Califo
[Ti] Título:Should Live Patient Licensing Examinations in Dentistry Be Discontinued? Two Viewpoints: Viewpoint 1: Alternative Assessment Models Are Not Yet Viable Replacements for Live Patients in Clinical Licensure Exams and Viewpoint 2: Ethical and Patient Care Concerns About Live Patient Exams Require Full Acceptance of Justifiable Alternatives.
[So] Source:J Dent Educ;82(3):246-251, 2018 Mar.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This Point/Counterpoint article addresses a long-standing but still-unresolved debate on the advantages and disadvantages of using live patients in dental licensure exams. Two contrasting viewpoints are presented. Viewpoint 1 supports the traditional use of live patients, arguing that other assessment models have not yet been demonstrated to be viable alternatives to the actual treatment of patients in the clinical licensure process. This viewpoint also contends that the use of live patients and inherent variances in live patient treatment represent the realities of daily private practice. Viewpoint 2 argues that the use of live patients in licensure exams needs to be discontinued considering those exams' ethical dilemmas of exposing patients to potential harm, as well as their lack of reliability and validity and limited scope. According to this viewpoint, the current presence of viable alternatives means that the risk of harm inherent in live patient exams can finally be eliminated and those exams replaced with other means to confirm that candidates are qualified for licensure to practice.
[Mh] Termos MeSH primário: Licenciamento em Odontologia/ética
[Mh] Termos MeSH secundário: Simulação por Computador
Assistência Odontológica/ética
Assistência Odontológica/métodos
Assistência Odontológica/normas
Avaliação Educacional/métodos
Seres Humanos
Licenciamento em Odontologia/normas
Segurança do Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180303
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.018.023


  3 / 17001 MEDLINE  
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[PMID]:29496801
[Au] Autor:Sabato E; Owens J; Mauro AM; Findley P; Lamba S; Fenesy K
[Ad] Endereço:Dr. Sabato is Assistant Dean for Academic Affairs and Instructor, Rutgers School of Dental Medicine; Dr. Owens is Predoctoral Director, Department of Periodontics and Assistant Professor, Louisiana State University School of Dentistry; Dr. Mauro is Assistant Dean for Educational Research and Innovat
[Ti] Título:Integrating Social Determinants of Health into Dental Curricula: An Interprofessional Approach.
[So] Source:J Dent Educ;82(3):237-245, 2018 Mar.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Approaching patient care from a holistic perspective, incorporating not only the patient's medical and dental history but also psychosocial history, improves patient outcomes. Practitioners should be trained to provide this style of care through inclusive education, including training working on interprofessional teams. A component of this education must incorporate social determinants of health into the treatment plan. Social determinants of health include income, race/ethnicity, education level, work opportunities, living conditions, and access to health care. Education regarding social determinants of health should be woven throughout dental curricula, including hands-on application opportunities. This education must extend to patient care situations rather than be limited to didactic settings. This article explains the need to incorporate social determinants of health into dental education and illustrates how social determinants education is being addressed in two U.S. dental schools' curricula, including how to weave social determinants of health into interprofessional education. These descriptions may serve as a model for curricular innovation and faculty development across the dental education community.
[Mh] Termos MeSH primário: Educação em Odontologia
Relações Interprofissionais
Determinantes Sociais da Saúde
[Mh] Termos MeSH secundário: Currículo
Assistência Odontológica/métodos
Avaliação Educacional
Seres Humanos
Fatores Socioeconômicos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180303
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.018.022


  4 / 17001 MEDLINE  
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[PMID]:28449763
[Au] Autor:Brignardello-Petersen R
[Ti] Título:Early orthodontic treatment produces short-term dental and skeletal changes in patients with Class III malocclusions.
[So] Source:J Am Dent Assoc;148(5):e59, 2017 05.
[Is] ISSN:1943-4723
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Má Oclusão de Angle Classe III
Mandíbula
[Mh] Termos MeSH secundário: Cefalometria
Assistência Odontológica
Seres Humanos
Má Oclusão
[Pt] Tipo de publicação:REVIEW; COMMENT
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


  5 / 17001 MEDLINE  
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[PMID]:28449758
[Au] Autor:Brignardello-Petersen R
[Ti] Título:Anxiety related to dental treatment is probably associated with perceived pain, but the magnitude of this association remains unclear.
[So] Source:J Am Dent Assoc;148(5):e54, 2017 05.
[Is] ISSN:1943-4723
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência Odontológica
Dor
[Mh] Termos MeSH secundário: Ansiedade
Ansiedade ao Tratamento Odontológico
Seres Humanos
[Pt] Tipo de publicação:REVIEW; COMMENT
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


  6 / 17001 MEDLINE  
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[PMID]:29206952
[Au] Autor:MacDougall H
[Ad] Endereço:3144 Chowen Avenue South #211, Minneapolis, MN 55416.
[Ti] Título:Dental Disparities among Low-Income American Adults: A Social Work Perspective.
[So] Source:Health Soc Work;41(3):208-210, 2016 Aug 01.
[Is] ISSN:0360-7283
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência Odontológica
Disparidades em Assistência à Saúde
Renda/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Pobreza
Serviço Social
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1093/hsw/hlw026


  7 / 17001 MEDLINE  
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[PMID]:29384859
[Au] Autor:Wang TF; Fang CH; Hsiao KJ; Chou C
[Ad] Endereço:School of Nursing.
[Ti] Título:Effect of a comprehensive plan for periodontal disease care on oral health-related quality of life in patients with periodontal disease in Taiwan.
[So] Source:Medicine (Baltimore);97(5):e9749, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A comprehensive plan for periodontal disease (PD) care in Taiwan provides non-surgical and supportive periodontal treatment. The aim of this study was to determine whether the care plan could improve the oral health-related quality of life of patients with PD.This study was conducted by purposive sampling and a quasi-experimental design. Patients with PD were assigned to either comprehensive periodontal treatment (n = 32) or a simple cleaning regimen (n = 32). Their oral health-related quality of life (OHRQoL) was measured using the Taiwanese version of the Brief World Health Organization Quality of Life (WHOQOL-BREF) scale (general QoL) and the Oral Health Impact Profile (OHIP-14) (OHRQoL). Both scales were completed 14, 28, and 90 days after the initial assessment. The extent of PD in the experimental group was determined again at the end of the study.On the 28-item WHOQOL-BREF scale, the scores of the experimental group were higher than those of the control group on 5 items and the environmental domain at 14 days. There was a significant improvement in the experimental group on 2 items at 28 days and at 90 days after periodontal treatment (both P < .05). No difference was found between the 2 groups in score on the OHIP-14; however, there was a significant improvement in the experimental group in total score at 28 and 90 days after periodontal treatment (both P < .05). The number of teeth with probing depth ≥5 mm and the percentage of dental plaque were both significantly reduced after the intervention (both P < .001).Patients with a comprehensive plan for PD care showed some improvement in QoL, including in the environmental domain, and on the total score for OHRQoL. Comprehensive periodontal treatment also alleviated periodontal symptoms.
[Mh] Termos MeSH primário: Assistência Odontológica
Saúde Bucal
Doenças Periodontais/terapia
Qualidade de Vida
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Índice Periodontal
Inquéritos e Questionários
Taiwan
[Pt] Tipo de publicação:CONTROLLED CLINICAL TRIAL; JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009749


  8 / 17001 MEDLINE  
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[PMID]:29185658
[Au] Autor:Flores JR
[Ti] Título:The Importance of Vital Signs.
[So] Source:Dent Today;35(12):88-91, 2016 Dec.
[Is] ISSN:8750-2186
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Sinais Vitais
[Mh] Termos MeSH secundário: Assistência Odontológica
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


  9 / 17001 MEDLINE  
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[PMID]:29407495
[Au] Autor:Barber S; Bekker HL; Meads D; Pavitt S; Khambay B
[Ad] Endereço:Department of Orthodontics, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom. Electronic address: sophybarber@nhs.net.
[Ti] Título:Identification and appraisal of outcome measures used to evaluate hypodontia care: A systematic review.
[So] Source:Am J Orthod Dentofacial Orthop;153(2):184-194.e18, 2018 Feb.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Identification and appraisal of the outcome measures that have been used to evaluate hypodontia treatment and deliver services are essential for improving care. A lack of alignment between outcomes and patient values can limit the scope for patient-centered care. Our objectives were to identify and appraise the outcomes selected to evaluate hypodontia care. METHODS: Data sources included 10 electronic databases and grey literature, searched using terms for hypodontia and its treatment methods. Study eligibility included mixed study designs to ensure comprehensive identification of outcomes, excluding case reports and case series with fewer than 10 participants and nonsystematic reviews. Participants and interventions involved people with hypodontia receiving any dental treatment to manage their hypodontia. Simulated treatment, purely laboratory-based interventions, and future treatments still in development were excluded. Research outcomes were identified and synthesised into 4 categories: clinical indicators, and patient-reported, clinician-reported, and lay-reported outcomes. No synthesis of efficacy data was planned, and consequently no methodologic quality appraisal of the studies was undertaken. RESULTS: The search identified 497 abstracts, from which 106 eligible articles were retrieved in full. Fifty-six studies and 8 quality-improvement reports were included. Clinical indicators were reported in 49 studies (88%) including appearance, function, dental health, treatment longevity, treatment success and service delivery. Patient-reported outcomes were given in 22 studies (39%) including oral health-related quality of life, appearance, function, symptoms of temporomandibular dysfunction, and patient experience. Clinician-reported outcomes were limited to appearance. Variability was seen in the tools used for measuring outcomes. CONCLUSIONS: There is a lack of rationale and consistency in the selection of outcome measures used to evaluate hypodontia care. Outcomes are largely clinician and researcher-driven with little evidence of their relevance to patients. There was a paucity of outcomes measuring access to care, quality of care, and cost. Evidence from hypodontia research is clinician-focused and likely to have limited value to support patients during decision making. Attempts to synthesise the evidence base for translation into practice will be challenging. There is a need for a core outcomes set with a patient-centric approach to drive improvements in health services.
[Mh] Termos MeSH primário: Anodontia/terapia
Assistência Odontológica/normas
Garantia da Qualidade dos Cuidados de Saúde/métodos
[Mh] Termos MeSH secundário: Assistência Odontológica/métodos
Seres Humanos
Garantia da Qualidade dos Cuidados de Saúde/normas
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  10 / 17001 MEDLINE  
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[PMID]:29172316
[Au] Autor:Keshtgar A; D'Cruz L
[Ti] Título:Serving the Customer ­ Do Patient Feedback and Questionnaires Improve Quality?
[So] Source:Dent Update;44(1):75-9, 2017 Jan.
[Is] ISSN:0305-5000
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This review article aims to analyse whether patient feedback and questionnaires improve quality of care. It is recognized that patients cannot assess the medical competence of the clinician, yet patient experience provides an insight into the process of care through the patients' eyes. Patient experience measures are more reliable for use to assess quality than patient satisfaction surveys. It is inappropriate to use patient satisfaction surveys as a basis for remuneration of dentists within the NHS. Patient Reported Outcome Measures (PROMs) have been a successful measure of patient experience in medicine and their introduction to dentistry needs to be considered. Clinical relevance: This article will enable clinicians to understand the importance of patient experience measures as a more reliable way of improving the quality of clinical care than patient satisfaction surveys.
[Mh] Termos MeSH primário: Assistência Odontológica/normas
Satisfação do Paciente
Melhoria de Qualidade
[Mh] Termos MeSH secundário: Seres Humanos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE



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