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  1. 1. BIOINF 2202 How do we teach dental students IT and informatics? Titus Schleyer, DMD, PhD and Heiko Spallek, DMD, PhD Center for Dental Informatics University of Pittsburgh, School of Dental Medicine, Pittsburgh, PA
  2. 2. <ul><li>Agenda </li></ul><ul><li>IT environment in dental practice </li></ul><ul><li>Achieving IT competencies </li></ul><ul><li>Our method: integrated IT courses </li></ul><ul><li>Bloom’s taxonomy </li></ul><ul><li>Handout Basic predoctoral information technology course “Introduction to Computing” proposal document to curriculum committee by Heiko Spallek </li></ul>
  3. 3. IT environment in dental practice
  4. 4. Administrative applications <ul><li>patient registration *** </li></ul><ul><li>accounts receivable/billing *** </li></ul><ul><li>practice reporting *** </li></ul><ul><li>recall reminders *** </li></ul><ul><li>electronic claims submission *** </li></ul><ul><li>scheduling ** </li></ul><ul><li>inventory management ** </li></ul>*** must-have ** nice-to-have IT environment in dental practice
  5. 5. Clinical applications <ul><li>dental/medical history *** </li></ul><ul><li>treatment planning *** </li></ul><ul><li>progress notes ** </li></ul><ul><li>charting/oral health status ** </li></ul><ul><li>digital imaging ** </li></ul><ul><li>diagnostic applications * </li></ul><ul><li>therapeutic applications * </li></ul><ul><li>decision support applications * </li></ul>*** must-have ** nice-to-have * optional IT environment in dental practice
  6. 6. Internet applications <ul><li>online supply ordering ** </li></ul><ul><li>practice Website ** </li></ul><ul><li>e-mail-based recall ** </li></ul><ul><li>e-mail communication with patients ** </li></ul><ul><li>online courses ** </li></ul><ul><li>Internet-based preregistration * </li></ul><ul><li>Internet-based scheduling * </li></ul><ul><li>patient access to their record * </li></ul><ul><li>remote consultations * </li></ul><ul><li>remote access to patient data * </li></ul>** nice-to-have * optional IT environment in dental practice
  7. 7. Computer use in dentistry IT environment in dental practice
  8. 8. <ul><li>Relate to school’s competency </li></ul><ul><li>The graduate of the University of Pittsburgh School of Dental Medicine must be able to: </li></ul><ul><li>... evaluate the scientific literature including information technology resources to make evidence-based decisions about oral health. ...* </li></ul><ul><li>information technology skills applicable throughout </li></ul><ul><ul><li>education </li></ul></ul><ul><ul><li>professional life </li></ul></ul><ul><li>*Competency Document, University of Pittsburgh School of Dental Medicine, Revised December 17, 2002 </li></ul>Achieving IT competencies
  9. 9. Curricular approach Basic IT course (1 st and 2 nd year): Introduction to Computing Advanced course (3 rd and 4 th year): Computing in Dentistry (proposed) Our method: integrated IT course
  10. 10. IT literacy of dentists vs. average americans surveys of dental school seniors graduating classes: practice management ranked low (ADEA 2002) 85% dentists (US) use computers in their practice: billing & practice management (ADA, 2000) VERSUS 52 million American adults have used the Web to get health or medical information (Pew: Online Health Care Revolution, 2000) IT environment in dental practice
  11. 11. What do you think incoming students know regarding basic IT? Record the list of topics: In-class exercise 1 What they know What they don’t know
  12. 12. <ul><li>Students will be able to demonstrate a working knowledge of: </li></ul><ul><ul><li>computer basics </li></ul></ul><ul><ul><li>bibliographical databases </li></ul></ul><ul><ul><li>electronic communication for professional use </li></ul></ul><ul><ul><li>assessment of information quality </li></ul></ul><ul><ul><li>information retrieval </li></ul></ul>Achieving IT competencies
  13. 13. <ul><li>Course approach </li></ul><ul><li>Web-enhanced format (lecture-style & Web-based) </li></ul><ul><li>hands-on group sessions </li></ul><ul><li>integrated into curriculum </li></ul><ul><li>adaptive based on pre-existing knowledge </li></ul>Achieving IT competencies
  14. 14. First Year Second Year Fall Fall Spring Computer basics Searching biblio- graphical databases Electronic communi- cation, legal aspects Assessment of information quality Understanding information retrieval Data Interpretation (CDENT 5111) Professionalism (BHVSCI 5110) Amalgam Restorations (RESTD 5143) Preassessment for group assignments Fall Spring Preclinical PBL (DENT 5257) Ability to find infor- mation on the Internet Final 1. Competency Exam for SDM Competency Standard #6 2. M ultiple-choice comprehensive exam Assignm. using Excel: calculate statistics Medline library session and assignment Lecture and assignment AH online course and assignment AH online course AH online course
  15. 15. Format illegible screen shot: Introduction to Computing Group-based training Guest lectures (other courses) Online course (Adaptive Hypermedia) Computer basics lecture, hands-on training in LRC Medline lecture, hands-on training in library Assessment of information quality newsgroup evaluation Professional use of email email evaluation Information retrieval concept How to search Pre-assessment for topics Final and Competency exam Our method: integrated IT course
  16. 16. <ul><li>Computing in dentistry (proposed) </li></ul><ul><ul><li>designed to allow students to function in technology-rich practice environment </li></ul></ul><ul><ul><li>builds logically on Introduction to Computing </li></ul></ul><ul><ul><li>focus is on clinical practice </li></ul></ul>Proposed advanced course
  17. 17. Debate topic: Hands-on exposure within daily clinical activities is a better way to learn about IT than a didactic course. 1. Pick your side (agree or disagree). 2. Record the arguments supporting your position. In-class exercise 2
  18. 18. <ul><li>Course modules </li></ul><ul><li>practice management systems </li></ul><ul><li>computer-based dental records </li></ul><ul><li>digital imaging </li></ul><ul><li>computer-based diagnostic and therapeutic systems </li></ul><ul><li>Internet and its dental applications </li></ul><ul><li>professional development and research </li></ul>Advanced course
  19. 19. <ul><li>Course structure </li></ul><ul><li>extends over 3 rd and 4 th year </li></ul><ul><li>brief introductory sessions to precede technology use in clinic </li></ul><ul><li>lectures and labs for technologies which are not in use at the school </li></ul><ul><li>competency exams throughout </li></ul>Advanced course
  20. 20. <ul><li>Course not yet implemented because of … </li></ul><ul><li>lack of faculty </li></ul><ul><li>book Computing in Dentistry not yet complete </li></ul><ul><li>lack of clinical information system and chairside technologies </li></ul>Advanced course
  21. 21. <ul><li>Book: Computing in Dentistry </li></ul><ul><li>comprehensive reference on computing technologies in dentistry </li></ul><ul><li>innovative combination of print and electronic media </li></ul><ul><li>new direction in academic publishing </li></ul><ul><li>more information at </li></ul>Advanced course
  22. 22. <ul><li>Evaluation </li></ul><ul><li>Student evaluation </li></ul><ul><li>graded assignments </li></ul><ul><li>pass/fail competency exam </li></ul><ul><li>graded final </li></ul><ul><li>Course & teacher evaluation </li></ul><ul><li>formative evaluation </li></ul><ul><ul><li>The Muddiest Point </li></ul></ul><ul><ul><li>Minute Paper </li></ul></ul><ul><ul><li>One Sentence Summary </li></ul></ul><ul><li>summative evaluation </li></ul><ul><ul><li>OMET </li></ul></ul>Evaluation methods
  23. 23. <ul><li>Bloom’s taxonomy </li></ul><ul><li>cognitive levels for learning activities </li></ul><ul><li>six levels </li></ul><ul><ul><li>know </li></ul></ul><ul><ul><li>comprehend </li></ul></ul><ul><ul><li>apply </li></ul></ul><ul><ul><li>analyze </li></ul></ul><ul><ul><li>synthesize </li></ul></ul><ul><ul><li>evaluate </li></ul></ul>Fundamental concept
  24. 24. Questions?/Comments?