Does Use of an Electronic Health Record with Dental Diagnostic System Terminology Promote Dental Students’ Critical Thinking?

Does Use of an Electronic Health Record with Dental Diagnostic System Terminology Promote Dental Students’ Critical Thinking?

The Consortium for Oral Health Research and Informatics (COHRI) is leading the way in use of the Dental Diagnostic System (DDS) terminology in the axiUm electronic health record (EHR). This collaborative pilot study had two aims: 1) to investigate whether use of the DDS terms positively impacted pre...

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Bibliographic Details
Published in:Journal of dental education Vol. 79; no. 6; pp. 686 - 696
Main Authors: Reed, Susan G., Adibi, Shawn S., Coover, Mullen, Gellin, Robert G., Wahlquist, Amy E., AbdulRahiman, Anitha, Hamil, Lindsey H., Walji, Muhammad F., O’Neill, Paula, Kalenderian, Elsbeth
Format: Journal Article
Language:English
Published: United States American Dental Education Association 01-06-2015
Subjects:
Adult
Clinical Coding
clinical education
critical thinking
Cross-Sectional Studies
dental education
Dental Records
Diagnosis, Differential
Diagnosis, Oral - classification
diagnostic terminology
Education, Dental
electronic health record
Electronic Health Records
Female
Humans
Judgment
Male
Patient Care Planning
Physical Examination
Pilot Projects
Program Evaluation
Students, Dental - psychology
Systematized Nomenclature of Medicine
Terminology as Topic
Thinking
Young Adult
dental education
critical thinking
diagnostic terminology
clinical education
electronic health record
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Summary:The Consortium for Oral Health Research and Informatics (COHRI) is leading the way in use of the Dental Diagnostic System (DDS) terminology in the axiUm electronic health record (EHR). This collaborative pilot study had two aims: 1) to investigate whether use of the DDS terms positively impacted predoctoral dental students’ critical thinking skills measured by the Health Sciences Reasoning Test (HSRT), and 2) to refine study protocols. The study design was a natural experiment with cross‐sectional data collection using the HSRT for 15 classes (2013–17) of students at three dental schools. Characteristics of students who had been exposed to the DDS terms were compared with students who had not, and the differences were tested by t‐tests or chi‐square tests. Generalized linear models were used to evaluate the relationship between exposure and outcome on the overall critical thinking score. The results showed that exposure was significantly related to overall score (p=0.01), with not‐exposed students having lower mean overall scores. This study thus demonstrated a positive impact of using the DDS terminology in an EHR on the critical thinking skills of predoctoral dental students in three COHRI schools as measured by their overall score on the HSRT. These preliminary findings support future research to further evaluate a proposed model of critical thinking in clinical dentistry.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ISSN:0022-0337
1930-7837
DOI:10.1002/j.0022-0337.2015.79.6.tb05942.x