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AuthorPillai, Sangeeth
AuthorRohani, Kimia
AuthorMacdonald, Mary Ellen
AuthorAl-Hamed, Faez Saleh
AuthorTikhonova, Svetlana
Available date2024-01-29T06:35:42Z
Publication Date2023-10-11
Publication NameJournal of Dental Education
Identifierhttp://dx.doi.org/10.1002/jdd.13388
CitationPillai, S., Rohani, K., Macdonald, M. E., Al‐Hamed, F. S., & Tikhonova, S. (2023). Integration of an evidence‐based caries management approach in dental education: The perspectives of dental instructors. Journal of Dental Education.
ISSN0022-0337
URIhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85173664226&origin=inward
URIhttp://hdl.handle.net/10576/51303
AbstractPurpose/objectives: Evidence-based caries management (EBCM) has developed into an internationally recognized tool for integration of comprehensive non-surgical caries treatment in dental education. However, uptake of the EBCM approach remains uneven across Canadian dental schools. Our project sought to understand how dental instructors perceive the challenges and solutions to the integration of the EBCM approach in undergraduate clinical education. Methods: Using a qualitative descriptive design, we recruited a purposeful sample of clinical instructors supervising undergraduate dental students in caries-related dental care. Semi-structured, online interviews focused on the main characteristics of EBCM. Interviews were analyzed using the awareness, desire, knowledge, ability, and reinforcement (ADKAR) change management model to understand challenges with EBCM implementation in undergraduate education. The analysis process started with verbatim transcription; then, transcripts were coded deductively based on the interview guide and the ADKAR model domains, and inductively to generate emergent codes. Finally, thematic analysis was used to develop themes and subthemes. Results: We interviewed 11 dental instructors with a wide range of clinical experience. Our results show that participants had sufficient awareness regarding the need for the EBCM approach and portrayed a strong desire to participate in bringing curricular changes. Knowledge and ability of participants depended on their training, experience, and involvement in continuing education courses. A lack of standardized caries management practices, less chairside time, and poor remuneration for instructors were major barriers in EBCM clinical implementation. Potential solutions suggested included providing continuing education courses, credits for students for non-surgical caries management, and remunerating instructors for implementation. Conclusions: In conclusion, most participants were aware of the need for a substantive change toward EBCM and demonstrated the desire to participate and improve its implementation. Our analysis showed that to facilitate full integration of the EBCM approach into the undergraduate dental clinics, organizational focus needs to be placed on the individual's knowledge and ability, with tailored efforts toward reinforcement.
SponsorThis work was funded by the Faculty of Dental Medicine and Oral Health Sciences, McGill University.
Languageen
PublisherWiley-Blackwell
SubjectADKAR
dental caries
EBD
evidence-based caries management
implementation
qualitative study
TitleIntegration of an evidence-based caries management approach in dental education: The perspectives of dental instructors
TypeArticle
Pagination69-81
Issue Number1
Volume Number88
ESSN1930-7837
dc.accessType Open Access


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