scholarly journals Assessment of Clinical Reasoning and Diagnostic Thinking Among Dental Students

Author(s):  
Fatemeh Keshmiri ◽  
Fatemeh Owlia ◽  
Maryam Kazemipoor ◽  
Fahimeh Rashidi Meybodi

Abstract Aim and background: Diagnostic thinking is the ultimate goal of educational system and the basis for clinical reasoning. The aim of this study was to assess the clinical reasoning and diagnostic thinking ability of dental students by key features test and Diagnostic thinking inventory (DTI) questionnaire. Materials and methods The present study was a descriptive cross-sectional study. The participants consisted of 61 senior dental students. Clinical reasoning and diagnostic thinking were assessed by key feature test and DTI questionnaire, respectively. To design the KF test questions, the blueprint of exam was first designed in expert panel based on dental curriculum. The questions developed based on common cases in oral and maxillofacial diseases by the group of oral and maxillofacial specialists. The DTI was developed by Bourdieu et al. in France and consists of 41 questions on a 6-point Likert scale, of which 21 are memory structure category and 20 are in flexibility in thinking category. Satisfaction of student assessed through a 10-item questionnaire. Data were analyzed using SPSS 19 by descriptive tests (mean, SD, percentage) and student independent T-test and Pearson test. Significance level was determined p < 0.05. Results The mean scores of the key features test of students were 56.55 ± 7.80. No significant difference was reported between clinical reasoning scores of key features test by students' gender (p-value = 0.19). There was no significant difference between the scores of diagnostic thinking between men and women (p-value = 0.11). The difference in students' scores in the domain of flexibility in thinking was significantly higher among male students than female students. (P-value = 0.04). There was no significant correlation between students' diagnostic thinking scores and their clinical reasoning scores in the key features test. Conclusion Based on the present results, the clinical reasoning and diagnostic thinking skills of participants were reported in the low level. This issue emphasizes the need for training to enhance diagnostic thinking and clinical reasoning in dental education. Formative evaluation and reform the educational programs of this course should be considered.

2019 ◽  
Vol 7 (5) ◽  
pp. 805-809 ◽  
Author(s):  
Shahabe Saquib ◽  
Weam Ibrahim ◽  
Ali Othman ◽  
Mohammed Assiri ◽  
Hamoud Al-Shahri ◽  
...  

BACKGROUND: Hepatitis B infection is a universal health problem. Worldwide, 5% of health-care-related injections continued unsafe. Dentist considers being at high-risk group for cross infection. Therefore, their knowledge and practice towards Hepatitis B virus (HBV) positive patients should be at an optimal level. AIM: The current study is aimed to evaluate and comparison of the knowledge, attitude and practice of Saudi dental students and interns towards HBV infection. METHODS: A self-explanatory questionnaire comprising of 16 questions was designed to assess and compare students’ knowledge, attitude and risk perception regarding hepatitis B infection among dental students across Saudi Arabia. RESULTS: The response rate was 91.6% the overall knowledge of the participants was poor. The attitude was fair, with the female show a significant difference in attitude and practice (P-value < 0.05). The overall practice was good, 78.1% was vaccinated against HBV, and 73.2% stated that they regularly use personal protection equipment. The higher levels show a good attitude and practice compared with the lower levels; the difference was significant (P value < 0.05). CONCLUSION: The overall knowledge was below average, continuous health education courses are mandatory.


2021 ◽  
Vol 2 (1) ◽  
pp. 39-44
Author(s):  
Munsara Khalid Khan ◽  
Khalid Rahim Khan

Background: People suffering from imposter syndrome despite being competent consider themselves less skillful and incapable. Such individuals are also more prone to regret their choice of career with consequent early drop out, experience burnout, more prone to medical errors, absenteeism and low job satisfaction.  The current study aims to determine the difference in the characteristics of imposter syndrome in dental students of preclinical and clinical phase and its gender predisposition. Objectives: 1. To find out the frequency and characteristics of imposter syndrome among dental students. 2. To evaluate the differences in the characteristics of imposter syndrome among dental students of preclinical and clinical year. 3. To determine gender predisposition of imposter syndrome among dental students. Methods: The cross-sectional study was conducted on 138 dental students of CMH Lahore Medical and Dental College. A validated questionnaire (Clance IP Scale) containing 20 items with 5-point Likert scale was used to collect data by convenient sampling technique. The characteristics of IP were determined by adding the scores of all items. Descriptive statistics were done, chi-square applied, p-value <0.05 was considered significant. Results: One hundred and thirty-eight students filled the IP Scale. The frequency of imposter syndrome is found to be 52.1% among Dental Students. Majority (72) of the dental students have frequent to intense imposter feelings. There is non-significant difference in the IP characteristics of male and female students. No significant difference in the characteristics of imposter syndrome is found between dental students of preclinical and clinical year. Conclusions: There frequency of imposter syndrome is high among Dental students. Non-significant difference in the IP characteristics is found between male and female students as well as students of preclinical and clinical year.


2020 ◽  
Vol 1 (3) ◽  
Author(s):  
Akinode John Lekan ◽  
Oloruntoba Samson Abiodun

The wide spread of Corona virus or Covid-19 pandemic across the world has affected educational system worldwide, resulting to partial closures of schools. In line with the efforts to contain the spread, governments in different countries have issued directives to close schools to curtail the virus. As a result, there is a paradigm shift in the educational sector with the rise of Online/E-Learning and Teaching. The purpose of this study was to examine children perceptions of online coding in a boot camp program in Nigeria during COVID-19 period. The data were collected through interviews and questionnaire from the participants. A sample of fifty students in primary schools (K-8) were randomly selected. The students were examined based on their previous knowledge using the normal classroom teaching and the knowledge acquired using the e-learning platform on Computational thinking via unplugged activities and scratch programming. Sample t-test was used to compare the level of skill/knowledge acquired during online coding class and coding in formal contexts. The result shows that there is no significant difference between the teaching methods because p-value >5% significance level. However, the class activities were hampered by the difficulties in breaking the participants into groups and technical challenges as a result of internet and power failure. It was concluded that both interventions significantly improved students’ computational thinking skills and competency.


Author(s):  
Forouz Keshani ◽  
Seyed Mohammad Razavi ◽  
Negar Jalalpour

Introduction: Biopsy is the most accurate way to make a definitive diagnosis, based on which the prognosis and treatment plan can be determined. This study aimed to evaluate the knowledge, attitude, and practice of general dentists and dental students about the principles of biopsy. Materials & Methods: This descriptive-analytical and cross-sectional study conducted on 188 general dentists and 93 senior dental students of Isfahan University of Medical Sciences using a questionnaire. Then data were analyzed using Pearson correlation coefficient, T-test) in all tests, the significance level is considered 0.05). Results: The mean score of dentists’ knowledge was 4.62 ± 1.42 and, the mean score of students’ knowledge was 4.96 ± 1.77 out of 8 points. The knowledge of dentists who had participated in retraining courses was higher than that of dentists who had not attended any biopsy retraining and was statistically significant (p value > 0.001).The mean score of dentists’ attitude (39.6 ± 4.06) was higher than the students’ (37.05 ± 3.06). Conclusion: Level of knowledge and attitude of dentists and students about the principles of biopsy was moderate. Their performance was also poor and most of the dentists expressed a lack of necessary skills for not doing a biopsy. This study shows the need for educational programs related to the principles of biopsy, in the form of retraining courses and more emphasis on the student curriculum.


Author(s):  
I Made W Jembawan

Objective: To determine the difference of sexual function after vaginal delivery with episiotomy and cesarean section in Sanglah Hospital, Denpasar. Method: This research was conducted using cross sectional method. Sample was collected using consecutive sampling, starting from October 2011-September 2012. Our sample consists of 86 women, 43 post-episiotomy and 43 post-cesarean section. Sexual function was assessed using FSFI (Female Sexual Function Index). Total score was analyzed using independent t-test and difference of sexual function was tested using Chi-square, with significance level p0.05). There was no significant difference between the two groups in term of sexual arousal and lubrication, with p-value 0.160 and 0.67, respectively. However, we found significant difference in other domains, namely desire (p=0.014), orgasm (p=0.045), satisfaction (p=0.018), pain (p=0.02), and total FSFI score (p=0.006). Sexual dysfunction was found in 18.60% of the episiotomy group and 2.33% of the cesarean section group, with p=0.030. Conclusion: Female sexual dysfunction was found to be significantly different between women post vaginal delivery with episiotomy and women who had cesarean section. [Indones J Obstet Gynecol 2014; 4: 199-203] Keywords: cesarean section, episiotomy, female sexual function


2020 ◽  
Vol 14 (S 01) ◽  
pp. S110-S115
Author(s):  
Sundas Ghaus ◽  
Madiha Abdul Waheed ◽  
Shahreen Zahid Khan ◽  
Laila Mustafa ◽  
Sohaib Siddique ◽  
...  

Abstract Objective The purpose of our study is to determine the effect of coronavirus disease 2019 (COVID-19) on the levels of empathy toward patients among undergraduate dental students in Pakistan. Materials and Methods A cross-sectional, survey-based study was conducted at Islamic International Dental College, Islamabad, Pakistan. After taking an informed consent, a validated and pretested Toronto Empathy Questionnaire (TEQ) was distributed amongst the undergraduate dental students at two points, one before the COVID-19 existed, and the other after August 7th, 2020, when the COVID-19 cases dropped in Pakistan. Responses were indicated on a five point Likert Scale. Statistical Analysis A one-way ANOVA (analysis of variance) was used to compare the TEQ scores between the different years of education at the dental school. Difference within the groups was analyzed using the post-hoc Tukey test. Pre- and post-COVID-19 comparison was done using the Chi-square test (significance level p < 0.05). Results A total of 221 out of 260 students in the pre-COVID-19 group, while 210 out of 260 students in the post-COVID-19 group enrolled in the dentistry program participated in the study. Significant difference in the empathy levels was observed in the pre- and post-COVID-19 groups of the same population, i.e., (p < 0.05). The response rate was 85%. Conclusions This study showed an increase in mean empathy scores among the undergraduate dental students after COVID-19, indicating a significant improvement in their empathy levels during the time of COVID-19. It highlights the impact of the pandemic, whereby death and chaos seem to have brought about an improvement in interpersonal harmony.


2016 ◽  
Vol 64 (1) ◽  
pp. 43-49
Author(s):  
Rayssa Pereira NACASATO ◽  
Rafael Aiello BOMFIM ◽  
Alessandro Diogo DE-CARLI

ABSTRACT Objective: To assess the progression of a public university's dental students through stages of moral development during the course. Methods: A cross-sectional study with 115 students (from the 1st to the 7th semester), to whom the "Opiniões sobre problemas sociais" test, adapted and translated to the Portuguese language, was applied. Results: The collected answers were charted according to the test manual's guidelines and data were analyzed by the GraphPad Prism software 6.0 and STATA v.13. Principal morality score values, expressed as a P value (%), were 40.26%; 39.32%; 36.45% and 36.27% for the 1st, 3rd, 5th and 7th semesters, respectively, with no statistically significant difference between the groups (ANOVA, p = 0.52). Conclusion: Students' degrees of morality did not vary significantly among the semesters compared, indicating the need for a reorientation of teaching-learning practices that takes the potential of transformative learning into account.


Author(s):  
Seyed Alireza Mousavi ◽  
Golmehrsadat Sajadi ◽  
Jamshid Ayatollahi ◽  
Mahmood Vakili ◽  
Seyed Hossein Shahcheraghi

Introduction: Considering the increasing rate of HIV virus in human societies and given the immune deficiency in HIV positive people, the prevalence of infections such as toxoplasmosis has been higher among these patients. In other words, in the case of not treating this infection, it can be fatal. Furthermore, due to favorable conditions provided for the parasite in these hosts, the presence of species resistant to treatment or with pathogenesis is more probable. This risk threatens the entire community. So, the aim of this study was to evaluate seroepidemiology of toxoplasmosis in HIV positive patients, who referred to the Treatment Centers of Yazd in 2014 Method: This  cross-sectional study was conducted on 84 patients with HIV in behavioral health counseling centers in Yazd. In this study, IgG antibodies were measured by ELISA and CD4 cell counts methods using the flow-cytometry for all patients. Chi-square test was run to evaluate the relationship between the prevalence of toxoplasmosis in terms of independent variables at a significance level of 5 percent. Results: We found that 4.52 percent of patients had positive IgG results. No significant difference was observed in the prevalence of toxoplasmosis in the studied patients and variables, such as gender, age, drug addiction, and income (p-value > 0.05). Considering the transfer of the disease, results of this study showed that 3 cases (3.6%), 20 cases (23.8%), and 57 cases (67.9%) of the disease transmitted from mother to child, spouse, and the person him/her-self, which included 95.3 percent. The disease transmission method was not determined in other four patients. Conclusion:High risk groups of society, especially people with intravenous addiction and high-risk sexual contacts should be informed and screened about the risk factors of contamination with HIV. In this regard, logical and practical planning, educational programs, and treatment measures are required to reduce the high-risk behaviors among this group.


Author(s):  
I Made W Jembawan

Objective: To determine the difference of sexual function after vaginal delivery with episiotomy and cesarean section in Sanglah Hospital, Denpasar. Method: This research was conducted using cross sectional method. Sample was collected using consecutive sampling, starting from October 2011-September 2012. Our sample consists of 86 women, 43 post-episiotomy and 43 post-cesarean section. Sexual function was assessed using FSFI (Female Sexual Function Index). Total score was analyzed using independent t-test and difference of sexual function was tested using Chi-square, with significance level p0.05). There was no significant difference between the two groups in term of sexual arousal and lubrication, with p-value 0.160 and 0.67, respectively. However, we found significant difference in other domains, namely desire (p=0.014), orgasm (p=0.045), satisfaction (p=0.018), pain (p=0.02), and total FSFI score (p=0.006). Sexual dysfunction was found in 18.60% of the episiotomy group and 2.33% of the cesarean section group, with p=0.030. Conclusion: Female sexual dysfunction was found to be significantly different between women post vaginal delivery with episiotomy and women who had cesarean section. [Indones J Obstet Gynecol 2014; 4: 199-203] Keywords: cesarean section, episiotomy, female sexual function


Author(s):  
Yaswitha Jampani ◽  
Deepika Kandukuri ◽  
B Vikram Simha ◽  
Asha Lodagala ◽  
Namratha Kasarnenivi

Aim: To compare the oral health knowledge, attitude and behavior among pre-clinical and clinical undergraduate dental students. Methodology: A questionnaire based cross-sectional study was conducted among pre-clinical and clinical undergraduate students at a teaching dental institution in Andhra Pradesh.A total of 357students were selected using non- probability purposive sampling technique. Modified English version of Hiroshima University Dental Behavior Inventory (HU-DBI) Questionnaire consisting of 31 closed ended questions has been implemented in this study after performing appropriate psychometric analysis. Results:Knowledge, attitude and behavior differences between preclinical and clinical students were analyzed by Student’s t-testand statistically significant difference was obtained with p value of 0.004.Chi- square test was employed for dichotomous datai.e. to find the differences in the distribution of "yes" among students from the different academic year as well as between male and female students.Majority of females (86.3%) have responded that they don’t use tooth brush with hard bristles for cleaning their teeth which is high when compared to males (73.4%) and the difference is statistically significant (p=0.01). There is also a statistically significant difference with respect to smoking habits between males and females (p=0.003). CONCLUSION: The outcome of this study shows clinical students having higher oral health knowledge, attitude and behavior scoresthan preclinical students and also the self-reported quality of overall oral health behavior was more pronounced in clinical students.Specific educational and awarenessprograms should be planned for the preclinical students. Keywords: Dental students, Oral health knowledge, Oral health behavior,Oral health education.


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