Literature DB >> 23279411

Treatment planning in dentistry using an electronic health record: implications for undergraduate education.

O Tokede1, M Walji, R Ramoni, J M White, M Schoonheim-Klein, N S Kimmes, R Vaderhobli, P C Stark, V L Patel, E Kalenderian.   

Abstract

OBJECTIVE: Treatment planning, an essential component of clinical practice, has received little attention in the dental literature and there appears to be no consistent format being followed in the teaching and development of treatment plans within dental school curricula. No investigation, to our knowledge, has been carried out to explore the subject of treatment planning since the advent of electronic health record (EHR) use in dentistry. It is therefore important to examine the topic of treatment planning in the context of EHRs.
METHODS: This paper reports on how 25 predoctoral dental students from two U.S. schools performed when asked to complete diagnosis and treatment planning exercises for two clinical scenarios in an EHR. Three calibrated clinical teaching faculty scored diagnosis entry, diagnosis-treatment (procedure) pairing, and sequencing of treatment according to criteria taught in their curriculum. Scores were then converted to percent correct and reported as means (with standard deviations).
RESULTS: Overall, the participants earned 48.2% of the possible points. Participants at School 2 earned a mean of 54.3% compared with participants at School 1, who earned 41.9%. Students fared better selecting the appropriate treatment (59.8%) compared with choosing the correct diagnoses (41.9%) but performed least favorably when organizing the sequence of their treatment plans (41.7%).
CONCLUSION: Our results highlight the need to improve the current process by which treatment planning is taught and also to consider the impact of technology on the fundamental skills of diagnosis and treatment planning within the modern educational setting.
© 2012 John Wiley & Sons A/S.

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Year:  2012        PMID: 23279411      PMCID: PMC3539210          DOI: 10.1111/j.1600-0579.2012.00759.x

Source DB:  PubMed          Journal:  Eur J Dent Educ        ISSN: 1396-5883            Impact factor:   2.355


  15 in total

1.  A three-year programme in oral diagnosis and treatment planning. A model using an interdisciplinary teaching team.

Authors:  D Moskona; I Kaplan; P Leibovich; N Notzer; A Begleiter
Journal:  Eur J Dent Educ       Date:  1999-02       Impact factor: 2.355

2.  A cognitive perspective on medical expertise: theory and implication.

Authors:  H G Schmidt; G R Norman; H P Boshuizen
Journal:  Acad Med       Date:  1990-10       Impact factor: 6.893

3.  Developmental accounts of the transition from medical student to doctor: some problems and suggestions.

Authors:  V L Patel; G J Groen
Journal:  Med Educ       Date:  1991-11       Impact factor: 6.251

4.  Developments in caries diagnosis and their relationship to treatment decisions and quality of care. ORCA Saturday Afternoon Symposium 1997.

Authors:  E H Verdonschot; B Angmar-Månsson; J J ten Bosch; C H Deery; M C Huysmans; N B Pitts; E Waller
Journal:  Caries Res       Date:  1999       Impact factor: 4.056

5.  Expert-novice differences in the use of history and visual information from patients.

Authors:  G R Norman; L R Brooks; J P Cunnington; V Shali; M Marriott; G Regehr
Journal:  Acad Med       Date:  1996-10       Impact factor: 6.893

6.  Treatment planning instruction in North American dental schools, 1984-85.

Authors:  S Kennon; T F Sleamaker; A G Farman
Journal:  J Dent Educ       Date:  1985-10       Impact factor: 2.264

7.  The use of electronic medical records: communication patterns in outpatient encounters.

Authors:  G Makoul; R H Curry; P C Tang
Journal:  J Am Med Inform Assoc       Date:  2001 Nov-Dec       Impact factor: 4.497

8.  Using standardized patients to assess presentation of a dental treatment plan.

Authors:  H L Logan; P J Muller; Y Edwards; J R Jakobsen
Journal:  J Dent Educ       Date:  1999-10       Impact factor: 2.264

9.  A cost-benefit analysis of electronic medical records in primary care.

Authors:  Samuel J Wang; Blackford Middleton; Lisa A Prosser; Christiana G Bardon; Cynthia D Spurr; Patricia J Carchidi; Anne F Kittler; Robert C Goldszer; David G Fairchild; Andrew J Sussman; Gilad J Kuperman; David W Bates
Journal:  Am J Med       Date:  2003-04-01       Impact factor: 4.965

10.  Treatment planning processes in dental schools.

Authors:  Charles R Hook; Robert W Comer; Robert M Trombly; John W Guinn; Michael K Shrout
Journal:  J Dent Educ       Date:  2002-01       Impact factor: 2.264

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  7 in total

1.  Adoption of dental innovations: The case of a standardized dental diagnostic terminology.

Authors:  Rachel B Ramoni; Jini Etolue; Oluwabunmi Tokede; Lyle McClellan; Kristen Simmons; Alfa Yansane; Joel M White; Muhammad F Walji; Elsbeth Kalenderian
Journal:  J Am Dent Assoc       Date:  2017-03-30       Impact factor: 3.634

2.  Quality measures everywhere: The case for parsimony.

Authors:  Elsbeth Kalenderian; Rachel Ramoni; Heiko Spallek; Joel White; Muhammad Walji
Journal:  J Am Dent Assoc       Date:  2018-04       Impact factor: 3.634

3.  Usability assessment of an electronic health record in a comprehensive dental clinic.

Authors:  Siriwan Suebnukarn; Pawornwan Rittipakorn; Budsara Thongyoi; Kwanwong Boonpitak; Mansuang Wongsapai; Panu Pakdeesan
Journal:  Springerplus       Date:  2013-05-12

4.  Dental clinical research: an illustration of the value of standardized diagnostic terms.

Authors:  Elsbeth Kalenderian; Bunmi Tokede; Rachel Ramoni; Maria Khan; Nicole Kimmes; Joel White; Ram Vaderhobli; Alfa Yansane; Albert Feilzer; Muhammad Walji
Journal:  J Public Health Dent       Date:  2015-10-30       Impact factor: 1.821

5.  Dental Providers' Perspectives on Diagnosis-Driven Dentistry: Strategies to Enhance Adoption of Dental Diagnostic Terminology.

Authors:  Enihomo Obadan-Udoh; Lisa Simon; Jini Etolue; Oluwabunmi Tokede; Joel White; Heiko Spallek; Muhammad Walji; Elsbeth Kalenderian
Journal:  Int J Environ Res Public Health       Date:  2017-07-13       Impact factor: 3.390

6.  Unintended consequences and challenges of quality measurements in dentistry.

Authors:  Enihomo M Obadan-Udoh; Jean M Calvo; Sapna Panwar; Kristen Simmons; Joel M White; Muhammad F Walji; Elsbeth Kalenderian
Journal:  BMC Oral Health       Date:  2019-03-01       Impact factor: 2.757

7.  Caries Risk Documentation And Prevention: eMeasures For Dental Electronic Health Records.

Authors:  Suhasini Bangar; Ana Neumann; Joel M White; Alfa Yansane; Todd R Johnson; Gregory W Olson; Shwetha V Kumar; Krishna K Kookal; Aram Kim; Enihomo Obadan-Udoh; Elizabeth Mertz; Kristen Simmons; Joanna Mullins; Ryan Brandon; Muhammad F Walji; Elsbeth Kalenderian
Journal:  Appl Clin Inform       Date:  2022-01-19       Impact factor: 2.342

  7 in total

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