Journal of Isfahan Dental School

Patient Mix of Referring Patients to the Periodontics Department of Isfahan Dental School in Comparison with the Student's Requirement

Document Type : مقاله‌های پژوهشی

Authors

1 Associate Professor, Torabinejad Dental Research Center, Department of Oral Public Health, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

2 Dental Students Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

3 Professor, Implant Dental Research, Department of Periodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Introduction: According to the importance of the patient-mix in creating adequate clinical skills and experience for students, the aim of this study was to assess the periodontal needs of patients referred to the periodontics department of Isfahan dental school and compare them with the formulated curriculum for the students to determine if the number of required and performed treatments meets the curriculum.
Methods and Materials: In this cross-sectional study all the available files in the archive of the periodontics department during 2016-2017 were included. The information about the needs of the patients referred to the department (patient-mix) was compared with the number of dental students multiplied by the educational requirements in each semester of practical course 2-4.
Results: In periodontics course 2 most of the provided care was adequate comparing with the proposed requirement. In clinical course 3, 4 some provided cares including scaling and root planning, oral health education, charting and intra oral examination were adequate. In course 3, surgery assistance by the students was lower than the requirement. Reviewing the files of course 4 also demonstrated that surgical procedures performed by the students including crown-lengthening, flap surgery, curettage, gingivectomy and also surgery assistance were much lower than the proposed curriculum.
Conclusion: It appears that there might be a gap in students' training in the fields of periodontal surgeries. This lack might be due to the insufficient number of referring patients and the combination of the patient-mix. Therefore, considering outreach programs can efficiently increase the number and variety of patients and the patient-mix.
Key words: Patient-mix; Periodontics; Dental students; Curriculum

1. Lynch CD, Ash PJ, Chadwick BL, Hannigan A. Effect of community-based clinical teaching programs on student confidence: a view from the United Kingdom. J Dent Educ 2010; 74(5): 510-6.
2. Asgari I, Karimi S, Charmdooz N, Tahani B. Competencies of dental public health for undergraduate students and their self-perceived achievements: The case of Iran. Eur J Dent Educ 2022; 26(4): 767-80.
3. Henzi D, Davis E, Jasinevicius R, Hendricson W. North American dental students’ perspectives about their clinical education. J Dent Educ 2006; 70(4): 361-77.
4. Finucane D, Nunn JH, O'connell A. Paediatric dentistry experience of the first cohort of students to graduate from Dublin Dental School and Hospital under the new curriculum. Int J Paediatr Dent 2004; 14(6): 402-8.
5. Clark J, Robertson LJ, Harden RM. In our opinion: The first five years--A framework for Dental Undergraduate Education. British Dent J 2003; 195(3): 125-7.
6. Rohlin M, Petersson K, Svensäter G. The Malmö model: a problem‐based learning curriculum in undergraduate dental education. Eur J Dent Educ 1998; 2(3): 103-14.
7. Honey J, Lynch CD, Burke FM, Gilmour A|SM. Ready for practice? A study of confidence levels of final year dental students at Cardiff University and University College Cork. Eur J Dent Educ 2011; 15(2): 98-103.
8. Mann KV. Theoretical perspectives in medical education: past experience and future possibilities. Med Educ 2011; 45(1): 60-8.
9. Kolb DA. Experiential learning: Experience as the source of learning and development. 2nd ed. New York, NY: Pearson FT Press; 2014.
10. Sanz M, Meyle J. Scope, competences, learning outcomes and methods of periodontal education within the undergraduate dental curriculum: a consensus report of the 1st European workshop on periodontal education--position paper 2 and consensus view 2. Eur J Dent Educ 2010; 14(Suppl 1): 25-33.
11. Duvivier RJ, van Dalen J, Muijtjens AM, Moulaert VR, van der Vleuten CP, Scherpbier AJ. The role of deliberate practice in the acquisition of clinical skills. BMC Med Educ 2011; 11(1): 101.
12. Sanz M, Chapple I. First European consensus workshop in periodontal education--objectives and overall recommendation. Eur J Dent Educ 2010; 14(Suppl 1): 1.
13. Baehni P, Tonetti MS, Group 1 of the European Workshop on Periodontology. Conclusions and consensus statements on periodontal health, policy and education in Europe: a call for action--consensus view 1: Consensus report of the 1st European Workshop on Periodontal Education. Eur J Dent Educ 2010; 14(Suppl 1): 2-3.
14. Sanz M, Van Der Velden U, Van Steenberghe D, Baehni P. Periodontology as a recognized dental speciality in Europe. J Clin Peridontol 2006; 33(6): 371-5.
15. Darby IB, Angkasa F, Duong C, Ho D, Legudi S, Pham K, et al. Factors influencing the diagnosis and treatment of periodontal disease by dental practitioners in Victoria. Aust Dent J 2005; 50(1): 37-41.
16. Bakdash MB, Keenan KM. An evaluation of the effectiveness of community preventive periodontal education. J Periodontol 1978; 49(7): 362-6.
17. Carreon DC, Davidson PL, Andersen RM. The evaluation framework for the dental pipeline program with literature review. J Dent Educ 2009; 73(2 Suppl): S23-36.
18. Dornan T, Boshuizen H, King N, Scherpbier A. Experience‐based learning: a model linking the processes and outcomes of medical students' workplace learning. Med Educ 2007; 41(1): 84-91.
19. Wilson NHF. Curricular issues changing from amalgam to tooth-coloured materials. J Dent 2004; 32(5): 367-9.
20. de Jong J, Visser M, Van Dijk N, van der Vleuten C, Wieringa-de Waard M. A systematic review of the relationship between patient mix and learning in work-based clinical settings. A BEME systematic review: BEME Guide No. 24. Med Teach 2013; 35(6): e1181-96.
21. Brandt E. The relationship of medical education to patient mix. Southern Med J 1974; 67(4): 387.
22. de Jong J, Visser MRM, Mohrs J, Wieringa-de Waard M. Opening the black box: the patient mix of GP trainees. Br J Gen Pract 2011; 61(591): e650-7.
23. Khoshnevisan MH. Oral health status in Iran. Tehran, Iran: Ministry of Health and Medical Education; 2012.
24. Tahani B, Hosseini F, Ghafournia M, Rajaei A. Evaluation of mix of patients referring to the pediatric Department of Isfahan Dental School during 2010-2012 in terms of the students' requirements [in Persian]. J Isfahan Dent Sch 2017; 13(1): 36-46.
25. Esmaeili A NN, Ghafournia M. Self-assessment of clinical skills of dental undergraduate students in providing pediatric dental care [in Persian]. [Thesis]. Isfahan, Iran: Isfahan Dental School; 2012.
26. Boynes SG, Lemak AL, Close JM. General dentists’ evaluation of anesthesia sedation education in US dental schools. J Dent Educ 2006; 70(12): 1289-93.
27. Stewardson DA, Shortall ACC, Lumley PJ. Endodontics and new graduates, Part 2: Undergraduate experience and course evaluation. Eur J Prosthodont Restor Dent 2003; 11(1): 15-21.
28. Levine RS. Experience, skill and knowledge gained by newly qualified dentists during their first year of general practice. Br Dent J 1992; 172(3): 97-102.
29. Samyari HKG. Assessment of educational goal achievment in the field of periodontix and restorative dentistry at Shahed and Tehran Dental Schools [in Persian]. [Thesis]. Tehran, Iran; 2002.
30. Pakdaman A, Soleimani Shayesteh Y, Kharazifard M, Kabosi R. Evaluation of the achievement of educational objectives of the Community Oral Health and Periodontics Departments using the CIPP model of evaluation-students' perspective [in Persian]. J Dent Med 2011; 24(1): 20-5.
Journal of Isfahan Dental School
Volume 19, Issue 2 - Serial Number 2
July 2023
Pages 122-132