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Evidence-based curriculum reform: the Kentucky Experience.
Mark V Thomas1, Fonda G Robinson, Patricia Nihill
1Department of Oral Health Practice, Division of Periodontology, University of Kentucky College of Dentistry, 800 Rose Street, Room M-122, Lexington, KY 40536-0297, USA. mvthom0@uky.edu
Dental Clinics of North America
|February 14, 2009
Summary
Evidence-based health care (EBHC) implementation in dental education significantly improved clinical decision-making and practice patterns. This approach is now expanding to predoctoral dental clinics, enhancing patient care through evidence-based protocols.
Area of Science:
- Dental Education
- Evidence-Based Dentistry
- Clinical Practice Guidelines
Background:
- Dentistry has historically been slow to adopt evidence-based health care (EBHC).
- The University of Kentucky's Graduate Periodontology Program (GPP) implemented an EBHC curriculum in 2004.
- This initiative aimed to integrate best evidence into clinical decision-making for faculty and residents.
Purpose of the Study:
- To evaluate the effectiveness of an evidence-based clinical curriculum in a graduate periodontology program.
- To assess the impact of EBHC on clinical practice patterns among program alumni.
- To inform the expansion of EBHC principles to predoctoral dental clinics.
Main Methods:
- Implementation of evidence-based protocols and tools within the GPP curriculum.
- Utilizing computerized risk assessment tools to support clinical decision-making.
- Conducting surveys of alumni to assess changes in practice patterns post-program.
Main Results:
- The GPP's EBHC program was largely successful in guiding clinical decision-making.
- Alumni surveys indicated that the EBHC program effectively changed practice patterns.
- Challenges were encountered but did not negate the overall positive outcomes.
Conclusions:
- The successful implementation of EBHC in the GPP provides a model for broader adoption in dental education.
- Evidence-based protocols are foundational for patient care and clinical education in the expanding program.
- Ongoing assessment is planned to confirm the effectiveness of EBHC in predoctoral clinics.
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