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Does a case completion curriculum influence dental students' clinical productivity?

Sang E Park¹, Harlyn K Susarla, Romesh Nalliah

¹Harvard School of Dental Medicine, Boston, MA 02115, USA. sang_park@hsdm.harvard.edu

Journal of Dental Education

|May 3, 2012

Summary

The new Case Completion Curriculum (CCC) at Harvard Dental School increased operative and removable prosthodontic procedures but decreased periodontal and endodontic procedures among dental students. This curriculum shift prioritized comprehensive patient care.

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Area of Science:

Dental Education
Clinical Curriculum Design
Healthcare Productivity

Background:

Traditional dental education often relies on discipline-based numeric thresholds.
A shift towards comprehensive patient care models is emerging in dental curricula.
Evaluating curriculum impact on student clinical productivity is crucial for educational reform.

Purpose of the Study:

To assess the impact of a new Case Completion Curriculum (CCC) on dental student clinical productivity.
To compare procedure numbers in key dental disciplines between a threshold-based and a case completion system.
To determine if the CCC influences the comprehensive management of dental patients.

Main Methods:

Comparative analysis of clinical productivity data from two graduating classes (2009 and 2010).
Assessment of procedures performed across five major dental disciplines: periodontics, operative dentistry, removable prosthodontics, fixed prosthodontics, and endodontics.
Statistical comparison of procedure volumes between students under a discipline-based threshold system and the new CCC.

Main Results:

Students in the CCC group performed significantly more operative and removable prosthodontic procedures (p≤0.03).
The CCC group performed fewer periodontal and endodontic procedures compared to the threshold group (p≤0.03).
No significant difference in fixed prosthodontic procedures was observed between the two curriculum models.

Conclusions:

Redesigning the clinical curriculum impacts dental student productivity variably across disciplines.
The Case Completion Curriculum (CCC) fosters a patient-based, comprehensive care approach.
Curriculum structure influences the balance of procedures performed in dental training.