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J Dent Educ ; 83(4): 464-473, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30936212


The Association of Canadian Faculties of Dentistry (ACFD) recently developed a proposal that reflects its evolving understanding of competency-based dental education. The ACFD proposal was developed into an Educational Framework for the Development of Competency in Dental Programs and has been adopted by all ten Canadian dental schools as the basis for their ongoing curriculum development and assessment. This framework identifies five global competencies that provide a big picture of the complex skills, knowledge, and behaviors that dental graduates must demonstrate. Detail for clarification and illustration is provided by more comprehensive "components" of each area that elaborate on the global statement and by a new dimension that assists with assessment: "indicators" of the specific knowledge, skills, and behaviors that can be measured as steps towards developing competence. In the information supporting understanding and assessment of the five key areas are both the existing national competency statements to facilitate the use of the framework by other stakeholders and a parallel set of knowledge, skills, and abilities statements developed by the National Dental Examining Board of Canada (NDEB) as the starting point for updating its examination blueprints. This article outlines the development, structure, and contents of the ACFD Educational Framework in the hope that it can serve as the foundation for a new Canadian national competencies document serving all national stakeholders.

Competência Clínica/normas , Educação em Odontologia/normas , Docentes de Odontologia , Sociedades Odontológicas/normas , Comitês Consultivos , Canadá , Educação Baseada em Competências/normas , Humanos
BMC Oral Health ; 18(1): 23, 2018 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-29448934


BACKGROUND: Despite its importance, the integration of oral health into primary care is still an emerging practice in the field of health care services. This scoping review aims to map the literature and provide a summary on the conceptual frameworks, policies and programs related to this concept. METHODS: Using the Levac et al. six-stage framework, we performed a systematic search of electronic databases, organizational websites and grey literature from 1978 to April 2016. All relevant original publications with a focus on the integration of oral health into primary care were retrieved. Content analyses were performed to synthesize the results. RESULTS: From a total of 1619 citations, 67 publications were included in the review. Two conceptual frameworks were identified. Policies regarding oral heath integration into primary care were mostly oriented toward common risk factors approach and care coordination processes. In general, oral health integrated care programs were designed in the public health sector and based on partnerships with various private and public health organizations, governmental bodies and academic institutions. These programmes used various strategies to empower oral health integrated care, including building interdisciplinary networks, training non-dental care providers, oral health champion modelling, enabling care linkages and care coordinated process, as well as the use of e-health technologies. The majority of studies on the programs outcomes were descriptive in nature without reporting long-term outcomes. CONCLUSIONS: This scoping review provided a comprehensive overview on the concept of integration of oral health in primary care. The findings identified major gaps in reported programs outcomes mainly because of the lack of related research. However, the results could be considered as a first step in the development of health care policies that support collaborative practices and patient-centred care in the field of primary care sector.

Prestação Integrada de Cuidados de Saúde/organização & administração , Política de Saúde , Saúde Bucal , Atenção Primária à Saúde/organização & administração , Assistência Odontológica/organização & administração , Humanos , Modelos Organizacionais
BMJ Open ; 6(10): e013807, 2016 10 18.
Artigo em Inglês | MEDLINE | ID: mdl-27798039


INTRODUCTION: Integrated care has been introduced as a means of improving health outcomes and access to care, and reducing the cost of healthcare. Despite its importance, the integration of oral health into primary care is still an emerging healthcare pathway. This scoping review protocol has been developed and funded by the Canadian Institutes of Health Research to provide an evidence-based synthesis on a primary oral healthcare approach and its effectiveness in improving oral health outcomes. METHODS AND ANALYSIS: The 6-stage framework developed by Levac et al underpins this scoping review. We will identify relevant existing theories, programmes and original research through a comprehensive and systematic search of electronic databases such as OVID (MEDLINE, EMBASE, Cochrane databases), NCBI (PubMed), EBSCOhost (CINAHL), ProQuest, Databases in Public Health, Databases of the National Institutes of Health (health management and health technology) and relevant organisational websites and other sources of grey literature. All types of studies from 1978 to May 2016 in the French and English languages will be included. Using the Rainbow conceptual model of integrative primary care, a qualitative descriptive approach and thematic analysis will be used to synthesise the literature. Implementing novel healthcare models necessitates identifying barriers, sharing knowledge and delivering information. The integration of oral healthcare into primary care is an approach that promotes breaking the boundaries separating oral healthcare professionals and primary care. It creates opportunities for the dental workforce to become more involved in community-based practice and to assume shared responsibility with healthcare professionals to address the unmet oral health needs of those experiencing vulnerability and marginalisation. ETHICS AND DISSEMINATION: The scoping study has received approval from the Université de Montréal's Institutional Review Board (#14-097-CERES-D). The findings will be disseminated through publications and presentations in provincial, national and international research symposiums and professional meetings.

Prestação Integrada de Cuidados de Saúde/organização & administração , Assistência Odontológica/organização & administração , Acesso aos Serviços de Saúde/organização & administração , Atenção Primária à Saúde/organização & administração , Canadá/epidemiologia , Análise Custo-Benefício , Prestação Integrada de Cuidados de Saúde/economia , Assistência Odontológica/economia , Prática Clínica Baseada em Evidências , Acesso aos Serviços de Saúde/economia , Necessidades e Demandas de Serviços de Saúde , Humanos , Saúde Bucal/normas , Atenção Primária à Saúde/economia
J Can Dent Assoc ; 81: f23, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26679337


INTRODUCTION: The chronic shortage of dentists in rural communities may affect the quality of care provided to these communities. The aim of this study was to explore the knowledge and perspectives of Quebec's future dentists regarding rural dental practice and their career intentions. METHODS: We conducted a qualitative study at 2 major dental faculties using the interpretive description method. Purposeful maximum variation sampling and snowball techniques were used to recruit 4th-year dental students and specialty residents as study participants. Face-to-face, semi-structured, 60-90-minute interviews were conducted and audio-recorded. Qualitative data were analyzed using a thematic approach including interview debriefing, transcript coding, data display and interpretation. RESULTS: Of the 17 interviews, 10 were with women and 7 with men; the age range of participants was 22-39 years. Five major themes emerged from the interviews: awareness of access to oral health care in rural areas, image of rurality, image of rural dental practice, perceived barriers to and perceived enablers of rural dental practice. Students said that undergraduate dental education, financial rewards, professionalism, professional support and social media may positively affect their perspective on rural dental practice. CONCLUSIONS: There is a need to implement and support strategies known to increase dental students' knowledge of rural practice and their motivation to choose rural practice. Dental educators have an essential role to play in shaping professional character and encouraging apprenticeship to meet these goals.

Escolha da Profissão , Serviços de Saúde Rural/organização & administração , Estudantes de Odontologia/psicologia , Adulto , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pesquisa Qualitativa , Quebeque
Med Educ ; 46(5): 454-63, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22515753


CONTEXT: Clinical reasoning is a core skill in medical practice, but remains notoriously difficult for students to grasp and teachers to nurture. To date, an accepted model that adequately captures the complexity of clinical reasoning processes does not exist. Knowledge-modelling software such as mot Plus (Modelling using Typified Objects [MOT]) may be exploited to generate models capable of unravelling some of this complexity. OBJECTIVES: This study was designed to create a comprehensive generic model of clinical reasoning processes that is intended for use by teachers and learners, and to provide data on the validity of the model. METHODS: Using a participatory action research method and the established modelling software (mot Plus), knowledge was extracted and entered into the model by a cognitician in a series of encounters with a group of experienced clinicians over more than 250 contact hours. The model was then refined through an iterative validation process involving the same group of doctors, after which other groups of clinicians were asked to solve a clinical problem involving simulated patients. RESULTS: A hierarchical model depicting the multifaceted processes of clinical reasoning was produced. Validation rounds suggested generalisability across disciplines and situations. CONCLUSIONS: The MOT model of clinical reasoning processes has potentially important applications for use within undergraduate and graduate medical curricula to inform teaching, learning and assessment. Specifically, it could be used to support curricular development because it can help to identify opportune moments for learning specific elements of clinical reasoning. It could also be used to precisely identify and remediate reasoning errors in students, residents and practising doctors with persistent difficulties in clinical reasoning.

Competência Clínica/normas , Gráficos por Computador , Tomada de Decisões Assistida por Computador , Educação de Graduação em Medicina/métodos , Instrução por Computador , Humanos , Resolução de Problemas
J Dent Educ ; 73(9): 1043-54, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19734245


Dental education on specific knowledge and intervention approaches for working with people living on welfare is crucial to the therapeutic success of the relationships dental professionals establish with this clientele. Despite growing attention to the importance of cultural competence and communication skills training in dentistry, very few initiatives have been documented in relation to serving low-income populations. Following discussions at a 2006 Montreal-based colloquium on access to dental care, academics, dental association administrators, and public health agency and antipoverty coalition representatives began collaborating to develop innovative pedagogy designed to increase providers' competence in interacting with their underprivileged patients. The group's first round of workshops (November 2006-October 2007) resulted in the creation of an original video-based tool containing testimonies from six individuals living currently or formerly on welfare. The videotaped interview data represent their perceptions and experiences regarding their oral health, dental care service provision, and poverty in general. This article describes the participative methods, the content of the resulting DVD, and the implications of the "Listening to Each Other" program, a collaborative knowledge translation approach for improving interaction between underprivileged people and dental care providers.

Recursos Audiovisuais , Assistência Odontológica , Educação em Odontologia , Disparidades em Assistência à Saúde , Pobreza , Agendamento de Consultas , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Comunicação , Confidencialidade , Cultura , Relações Dentista-Paciente , Empatia , Retroalimentação , Feminino , Financiamento Pessoal , Acesso aos Serviços de Saúde , Humanos , Seguro Odontológico , Entrevistas como Assunto , Masculino , Saúde Bucal , Participação do Paciente , Pobreza/psicologia , Relações Profissional-Paciente , Quebeque , Seguridade Social , Transporte de Pacientes , Gravação em Vídeo