fresh approaches to assessment for … • chooses competency exam to include eb component. 2 ......
TRANSCRIPT
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
ADEA CCI SPOTLIGHT:
FRESH APPROACHES TO ASSESSMENT
FOR DENTAL EDUCATORS
ADEA Leading Conversations Webinar Series
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
P: Join the Conversation
Follow @adeaweb on Twitter and tweet live during today’s event!
Use this hashtag throughout today’s webinar.
#assessment
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
P: Leading ConversationsWebinar Series
Dr. Eugene AndersonChief Policy Officer and Managing Vice President
American Dental Education Association
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
P: Presenters
Catherine A. Demko, Ph.D.Associate Professor in Community DentistryCase Western Reserve University School of Dental Medicine
Marnie Oakley, D.M.D.Associate Dean of Clinical AffairsUniversity of Pittsburgh School of Dental Medicine
Jean A. O'Donnell, D.M.D., M.S.N.Associate Dean of Academic AffairsUniversity of Pittsburgh School of Dental Medicine
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
1. Describe the global assessment program developed and implemented at the University of Pittsburgh School of Dental Medicine.
2. Identify key factors for successfully implementing change in a predoctoral dental program such as a global assessment program.
3. Describe two assessment strategies for evidence-based decision skills in didactic and clinical courses developed and implemented at the Case Western Reserve University School of Dental Medicine.
4. List three activities in faculty development for teaching and assessing evidence-based skills.
5. Identify lessons learned when implementing change and innovation not the dental curriculum.
Webinar Objectives
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
EXPERIENCES AND CHALLENGES ASSESSING EVIDENCE-BASED
DECISION MAKING
Catherine A. Demko, Ph.D.Associate Professor in Community DentistryCase Western Reserve University School of Dental Medicine
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Goal
EB KNOWLEDGE
& SKILLS
“Access, critically appraise, apply and communicate scientific and lay literature as it relates to providing evidence‐based patient care.”
CLINICAL PRACTICE
WITH EB
OBSERVE EB
MODELED
+ +
CODA Standard 2-21
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Challenges of EB Practice EducationTeaching, Modeling• Learner Background• Learner Attitude• Content• Educational format• Engagement• Time• Faculty/Preceptors
Assessment• Knowledge• Attitude• Skills• Clinical Application
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
D1: Foundational knowledge for critical appraisal
D2: Building skills; link to preclinical courses; searching emphasized; hybrid online/in-class
D3: 1) TX Planning, emphasis on SR; 2) Preceptor groups; identify Best Available Evidence
D4: Continue preceptor group activity; EBD Clinical Competency
Organization: Sequenced, Progressive Curriculum Thread
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
• Characterize• Recognize• Know strengths and
weaknesses
Study Design
• Define; distinguish• Recognize the threats• Describe how to
minimize threatsValidity
• Basic recognition• Interpretation; the
proper place of statistics
• Treatment effects
Statistical Literacy
• Homework• Quizzes• Introduce
CAHSL
Formative
• CAHSL for grade
• Final Exam MCQ and OE
Summative
D1 Core Topics Taught and Assessed
D1 Assessment
Lecture and PBL Formats
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
• AMSTAR (Shea, et al, BMC Medical Research Methodology, 2007)
• Students receive 2 SR• Apply AMSTAR
Emphasize Systematic
Reviews(SR)
• Course information is evidence-based, with ref• Emphasis on knowledge gathered from literature
Evidence-based Course
Materials
• Formative with AMSTAR feedback• Summative with graded AMSTAR tool; must
justify answersAssessment
D3: EB in Treatment Planning Course
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Ask clinical questions based on
given scenario
Acquire: Individual Search
Appraise: Decide on 3; Critically review papers; Group
discussion
Apply: Answer clinical question?Patient explanation
Formative Assessment: Feedback in the group and on 8 week preceptor form
Next steps: Formalize assessment of acquire and patient explanation
D3-D4 Clinical Groups: Formative
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
1 • Chooses competency exam to include EB component
2 • Completes and submits EB packet to examiner
3 • Queried by examiner
4 • Assessment of packet and oral responses
D4 Clinic-based Competency
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Faculty training, role-play, detailed manual/guides; completed CAHSLs
Observe expert facilitator;Facilitate group with “expert”
Facilitate/precept EB topics alone; Clinical faculty EB examiners trained and calibrated
Critical mass who can “solo” on EB practice
Faculty Development to Build Capacity
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
• Communicate early and often: Didactic Clinical
• Faculty development: Support your preceptors– Critical appraisal is stumbling block– Continue to pair with faculty EB champion
• Link to assessment of critical thinking
• Searching requires repeated practice/assessment
• “Thread” course
Moving From Didactic to Clinical EB Practice and Assessment
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Catherine A. Demko, Ph.D.Associate Professor, Community Dentistry
Case Western Reserve University School of Dental [email protected]
Acknowledgements:Jean Iannadrea, D.D.S.
Lisa Lang, D.D.S., RDH, M.S., M.B.A.Sorin Teich, D.M.D., M.B.A.
Case Western Reserve University School of Dental Medicine
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Today’s Guest Presenters
Today’s Host
Eugene Anderson, Ph.D.American Dental Education Association
Jean A. O'Donnell, D.M.D., M.S.University of Pittsburgh
School of Dental Medicine
Marnie Oakley, D.M.D. University of Pittsburgh
School of Dental Medicine
Catherine A. Demko, Ph.D.Case Western Reserve University
School of Dental Medicine
Leading Conversations Webinar Series:Fresh Approaches to Assessment for Dental Educators
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
GLOBALLY ASSESSING ETHICAL AND PROFESSIONAL BEHAVIORS
IN DENTAL STUDENTS
Marnie Oakley, D.M.D.Associate Dean of Clinical AffairsUniversity of Pittsburgh School of Dental Medicine
Jean A. O'Donnell, D.M.D., M.S.N.Associate Dean of Academic AffairsUniversity of Pittsburgh School of Dental Medicine
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
How many cases of unprofessional or unethical behavior did your school respond to last year?
a. Noneb. 1–2c. 3–4d. 5 or moree. Don’t know
Audience Poll
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Why Global Assessment?
• Grading practices• Communication• Inadequate policies • Legal challenge
Timing/Opportunities
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Goals of Global Assessment
• All students would succeed as professional, ethical graduates of the program
• Early identification and intervention for struggling students
• Legally defendable
Timing/Opportunities
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Intent Statement...
“Programs should assess overall competency, not simply individual competencies,
in order to measure the graduate’s readiness to enter the practice of general dentistry.”
CODA Standard 2-23
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Biomedical Science Behavioral
Science
Perio
Prostho
Endo
OrthoRestorative
Oral Surgery
Pedo
Anesth
Emergency
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Biomedical Science Behavioral
Science
Perio
Prostho
Endo
OrthoRestorative
Oral Surgery
Pedo
Anesth
Emergency
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Qualities of a General Dentist course:
• Series of courses (one each term)• Database to house input from faculty • HIGH STAKES
GA Program Specifics
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
QGD courses criteria• Clinical• Non-clinical
Two levels of behavior• Needs Improvement (NI)• Unsatisfactory (U)
Qualities of a General Dentist
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Behavior needs improvement Behavior needs improvement Behavior needs improvement Behavior needs improvement Learning Plan…academic warning
Behavior needs improvement Performance Improvement Plan…academic probation
Behavior needs improvement/No improvement Course failure
QGD in Action
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Academic vs. Disciplinary
• Freedom of speech• Social media
Important considerations...
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
1. Kerr, E. Professional standards on social media: How Colleges and Universities have denied students’ constitutional rights and courts refused to intervene. Journal of College and University Law. 2015; (41)3: 601-26.
2. Papadakis P, Hodgson CS, Teherani A, and Kohatsu ND. Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board. Academic Medicine. 2004; (79)3: 244-49.
3. Ziring D, Danoff D, Grosseman S, Langer D, Esposito A, Kouresch M, Rosenzweig S, and NovackD. How do medical schools Identify and remediate professionalism lapses in medical students? A study of U.S. and Canadian medical schools. Academic Medicine. 2015; 90(7): 913-20.
4. ADEA statement on professionalism in dental education. Retrieved fromadea.org/documents/Section3/(3.2.5)-ADEA-Statement-on-Professionalism-in-Dental-Education.pdf
References
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Jean A. O'Donnell, D.M.D., M.S.N.Associate Dean of Academic Affairs
University of Pittsburgh School of Dental Medicine
Marnie Oakley, D.M.D.Associate Dean of Clinical Affairs
University of Pittsburgh School of Dental Medicine
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
CHANGE AND INNOVATION:LESSONS LEARNED
Catherine Demko, Ph.D.Jean O’Donnell, D.M.D., M.S.N.
Marnie Oakley, D.M.D.
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
• Timing/opportunities• Strength in numbers• Broad-based support• Follow up • Sustainability/evaluation
Innovation Process: Lessons Learned
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
• Timing/opportunities• Strength in numbers• Broad-based support• Follow up • Sustainability/evaluation
Innovation Process: Lessons Learned
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
• Timing/opportunities• Strength in numbers• Broad-based support• Follow up • Sustainability/evaluation
Innovation Process: Lessons Learned
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
• Timing/opportunities• Strength in numbers• Broad-based support• Follow up • Sustainability/evaluation
Innovation Process: Lessons Learned
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
• Timing/opportunities• Strength in numbers• Broad-based support• Follow up • Sustainability/evaluation
Innovation Process: Lessons Learned
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
• Timing/opportunities• Strength in numbers• Broad-based support• Follow up • Sustainability/evaluation
Innovation Process: Lessons Learned
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Thank you!
Catherine A. Demko, Ph.D.Associate Professor, Community Dentistry
Case Western Reserve University School of Dental [email protected]
Jean A. O'Donnell, D.M.D., M.S.N.Associate Dean of Academic Affairs
University of Pittsburgh School of Dental [email protected]
Marnie Oakley, D.M.D.Associate Dean of Clinical Affairs
University of Pittsburgh School of Dental [email protected]
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A M E R I C A N D E N T A L E D U C A T I O N A S S O C I A T I O N
Today’s Guest Presenters
Today’s Host
Eugene Anderson, Ph.D.American Dental Education Association
Jean A. O'Donnell, D.M.D., M.S.University of Pittsburgh
School of Dental Medicine
Marnie Oakley, D.M.D. University of Pittsburgh
School of Dental Medicine
Catherine A. Demko, Ph.D.Case Western Reserve University
School of Dental Medicine
Leading Conversations Webinar Series:Fresh Approaches to Assessment for Dental Educators
QUESTIONS?