community-based learning;
geriatric dentistry;
constructivism;
disability simulation;
empathy;
special care dentistry;
GERIATRIC DENTISTRY;
D O I:
10.1002/jdd.13624
中图分类号:
R78 [口腔科学];
学科分类号:
1003 ;
摘要:
PurposeClinicians who have not experienced the difficulties that come with aging or disability may be unable to relate to the limitations and experiences of afflicted patients, which is necessary to improve patient-provider connection and treatment outcomes. The purpose of this study was to test the effectiveness of an aging-simulation experience on improving dental students' awareness of aging-related limitations, examine the students' perceptions, and assess planned patient-care modifications based on the aging-simulation experience.MethodsA total of 78 dental students who rotated through two extramural clinic sites from August 2021 through October 2022 completed pre-simulation surveys, donned aging simulators in the dental operatory, initiated pre-defined tasks and their corresponding modifications, completed a post-simulation survey, and completed a reflection questionnaire containing structured and open-ended questions. Quantitative responses were analyzed using descriptive frequencies and paired sample t-tests, whereas thematic analyses were used to interpret free-text portion of the reflection questionnaire.ResultsStudent awareness of the impact of the four aging-related disabilities improved after the experience. Visual impairment was identified as the most difficult symptom to experience during simulation. Students reported increased feelings of empathy and acknowledged the effectiveness of clinical practice modifications to accommodate elderly patients with limitations. Students also expressed intentions to make similar modifications in their future clinical practice and the need for exposure to longer periods of simulated experiences to further clinical practice modifications for elderly patients.ConclusionThe aging-simulation experience is an effective tool for raising dental students' awareness of aging-related difficulties, the need for clinical practice modifications, and increasing empathy.
机构:
Boston Univ, Henry M Goldman Sch Dent Med, Dept Hlth Policy & Hlth Serv Res, Boston, MA 02215 USA
Boston Univ, Henry M Goldman Sch Dent Med, Div Dent Publ Hlth, Boston, MA 02215 USABoston Univ, Henry M Goldman Sch Dent Med, Dept Hlth Policy & Hlth Serv Res, Boston, MA 02215 USA
Mascarenhas, Ana Karina
Henshaw, Michelle
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h-index: 0
机构:Boston Univ, Henry M Goldman Sch Dent Med, Dept Hlth Policy & Hlth Serv Res, Boston, MA 02215 USA
机构:
Univ Michigan, Sch Dent, Ann Arbor, MI 48109 USAUniv Michigan, Sch Dent, Ann Arbor, MI 48109 USA
Niemchick, Audrey L.
Delgado, Jessica
论文数: 0引用数: 0
h-index: 0
机构:
Univ Detroit Mercy, Sch Dent, Orthodont Grad Program, Detroit, MI 48221 USAUniv Michigan, Sch Dent, Ann Arbor, MI 48109 USA
Delgado, Jessica
Taichman, Russell S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Sch Dent, Dept Periodont & Oral Med, Res, Ann Arbor, MI 48109 USA
Univ Michigan, Sch Dent, Dept Periodont & Oral Med, Dent, Ann Arbor, MI 48109 USAUniv Michigan, Sch Dent, Ann Arbor, MI 48109 USA
Taichman, Russell S.
Inglehart, Marita R.
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h-index: 0
机构:
Univ Michigan, Sch Dent, Dept Periodont & Oral Med, Coll Literature Sci Arts,Dent, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Psychol, Coll Literature Sci Arts, Ann Arbor, MI 48109 USAUniv Michigan, Sch Dent, Ann Arbor, MI 48109 USA
机构:
Univ N Carolina, Dent Pipeline Project, Chapel Hill, NC 27599 USAUniv N Carolina, Dent Pipeline Project, Chapel Hill, NC 27599 USA
Strauss, Ronald P.
Stein, Margot B.
论文数: 0引用数: 0
h-index: 0
机构:
Univ N Carolina, Sch Dent, Chapel Hill, NC 27599 USA
Univ N Carolina, Sch Med, Chapel Hill, NC 27599 USAUniv N Carolina, Dent Pipeline Project, Chapel Hill, NC 27599 USA
Stein, Margot B.
Edwards, Jeffrey
论文数: 0引用数: 0
h-index: 0
机构:
Univ N Carolina, Sch Social Work, Chapel Hill, NC 27599 USAUniv N Carolina, Dent Pipeline Project, Chapel Hill, NC 27599 USA
Edwards, Jeffrey
Nies, Kevin C.
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h-index: 0
机构:
Univ Maryland, Sch Nursing, College Pk, MD 20742 USAUniv N Carolina, Dent Pipeline Project, Chapel Hill, NC 27599 USA