Explanatory models in the interpretations of clinical features of dental patients within a university dental education setting

Gerardo Maupome, Aubrey Sheiham

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Clinicians may acquire biased perceptions during their dental education that can affect decisions about treatment/management of dental decay. This study established explanatory models used by students to interpret clinical features of patients. It employed a stereotypical dental patient under standardised consultation conditions to identify the interpretation of oral health/disease features in the eyes of student clinicians. The study aimed to establish the perceptions of the patient as a client of the university dental clinic, as seen through the ideological lens of a formal Dental Education system. The discourse during simulated clinical consultations was qualitatively analysed to interpret values and concepts relevant to the assessment of restorative treatment needs and oral health status. Three constructs during the consultation were identified: the Dual Therapeutic Realms, the Choices Underlying Treatment Options, and the High-Risk Triad. Comparing these discourse components, the Patient Factors of the Bader and Shugars model for treatment decisions supported the existence of a core set of themes. It was concluded that certain consultation circumstances influenced the adequacy of diagnostic strategies, mainly by introducing loosely defined but highly specific socio-cultural biases ingrained in the Dental Education concepts and diagnostic/treatment needs systems.

Original languageEnglish (US)
Pages (from-to)2-8
Number of pages7
JournalEuropean Journal of Dental Education
Volume6
Issue number1
DOIs
StatePublished - 2002
Externally publishedYes

Fingerprint

Dental Education
Tooth
diagnostic
interpretation
university
discourse
Referral and Consultation
education system
health status
education
student
Oral Health
Disease
Mouth Diseases
Therapeutics
trend
health
management
Students
Dental Clinics

Keywords

  • Dental caries
  • Dental education
  • Pprofessional training
  • Qualitative research

ASJC Scopus subject areas

  • Dentistry(all)
  • Education

Cite this

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abstract = "Clinicians may acquire biased perceptions during their dental education that can affect decisions about treatment/management of dental decay. This study established explanatory models used by students to interpret clinical features of patients. It employed a stereotypical dental patient under standardised consultation conditions to identify the interpretation of oral health/disease features in the eyes of student clinicians. The study aimed to establish the perceptions of the patient as a client of the university dental clinic, as seen through the ideological lens of a formal Dental Education system. The discourse during simulated clinical consultations was qualitatively analysed to interpret values and concepts relevant to the assessment of restorative treatment needs and oral health status. Three constructs during the consultation were identified: the Dual Therapeutic Realms, the Choices Underlying Treatment Options, and the High-Risk Triad. Comparing these discourse components, the Patient Factors of the Bader and Shugars model for treatment decisions supported the existence of a core set of themes. It was concluded that certain consultation circumstances influenced the adequacy of diagnostic strategies, mainly by introducing loosely defined but highly specific socio-cultural biases ingrained in the Dental Education concepts and diagnostic/treatment needs systems.",
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