Original Article

Comparison of Two Educational Methods to Improve Emergency Management Among Dentists

Abstract


The efficacy of different educational methods needs to be evaluated in dental courses. The main objective of the present study was to compare the effectiveness of two educational methods in the improvement of medical emergencies management among dentists in terms of knowledge, diagnosis, practice, and availability of necessary drugs and equipment. The target population of this randomized controlled trial study was all the dentists working in public and private offices in the city of Tehran, Iran. Baseline data collection through a designed and piloted questionnaire was conducted among 210 randomly selected dentists. The dentists were then randomly assigned to one of the one-day workshop program (W), flipchart (F), and control (C) groups. One month after interventions the follow-up data collection using the same questionnaire was performed. Chi-square, non-parametric Kruskal Wallis, and Wilcoxon Signed Ranks were used to compare outcome variables among the three groups before and after the interventions. The total response rate was 61.5%. No statistical differences existed among the three groups regarding the background at baseline. Diagnosis, practice, and knowledge score before and after the intervention improved significantly among the participants in W group (P=0.02, P<0.001 and P<0.001, respectively). In both F and C group, improvement occurred in practice scores (P=0.03 and P<0.001, respectively). Continuing education in the form of attending workshop seemed to be superior to receiving educational flipchart in the enhancement of the self-reported knowledge and practice of practicing dentists. None of these educational methods seemed to have significant effect on the availability of necessary equipment and drugs to manage medical emergencies in dental offices.

Wilson MH, McArdle NS, Fitzpatrick JJ, Stassen LF. Medical emergencies in dental practice. J Ir Dent Assoc 2009;55:134-43.

Kaviani N, Birang R, Behnia M, Mirghaderi M. Occurrence rate of medical emergencies in Dental offices of Isfahan. Scientific Journal of I.R. Iran Medical Council 2007;25:198-205.

Hosseinpour R, Safari HR. A review of statistics and information in dental sector of Iran. Tehran, Iran. Iranian Dental Assoc., 2013.

Girdler NM, Smith DG. Prevalence of emergency events in British dental practice and emergency management skills of British dentists. Resuscitation 1999;41:159-67.

Atherton GJ, Pemberton MN, Thornhill MH. Medical emergencies: the experience of staff of a UK dental teaching hospital. Br Dent J 2000;188:320-4.

Gupta T, Aradhya MR, Nagaraj A. Preparedness for management of medical emergencies among dentists in Udupi and Mangalore, India. J Contemp Dent Pract 2008;9:92-9.

Gonzaga HF, Buso L, Jorge MA, Gonzaga LH, Chaves MD, Almeida OP. Evaluation of knowledge and experience of dentists of São Paulo State, Brazil about cardiopulmonary resuscitation. Braz Dent J 2003;14:220-2.

Arsati F, Montalli VA, Flório FM, Ramacciato JC, da Cunha FL, Cecanho R, et al. Brazilian dentists' attitudes about medical emergencies during dental treatment. J Dent Educ 2010;74:661-6.

Morse Z, Murthi VK. Medical emergencies in dental practice in the Fiji Islands. Pac Health Dialog 2004;11:55-8.

Chapman PJ. Medical emergencies in dental practice and choice of emergency drugs and equipment: a survey of Australian dentists. Aust Dent J 997;42:103-8.

Birang R, Kaviani N, Behnia M, Mirghaderi M. Isfahan Dentists’ Readiness for Medical Emergencies: Their knowledge and Access to Necessary Equipments. Iran J Med Educ 2005;5:51-7.

Mesgar Zadeh AH, Dabbaghi Tabrizi F. Prevalence emergency events and the kinds of drugs & emergency equipment in Tabriz dental offices in 2003. J Dental School 2005;23:484-93.

Bayat M, Malkamian L, Baheri F. Evaluation of emergency equipment and drugs in Karaj urban dental clinics and the ability of dentists to use them. J Islamic Dent Assoc Iran 2005;17:105-10.

Müller MP, Hänsel M, Stehr SN, Weber S, Koch T. A state-wide survey of medical emergency management in dental practices: incidence of emergencies and training experience. Emerg Med J 2008;25:296-300 .

Pakshir HR. Oral health in Iran. Int Dent J 2004;54:367-72.

Iran statistical year book 1392. Statistical Center of Iran. (Accessed May 2017, 3, at https://www.amar.org.ir/ Portals/1/yearbook/1391/16.pdf).

Clarkson JE, Turner S, Grimshaw JM, Ramsay CR, Johnston M, Scott A, et al. Changing clinicians' behavior: a randomized controlled trial of fees and education. J Dent Res 2008;87:640-4.

Seager JM, Howell-Jones RS, Dunstan FD, Lewis MA, Richmond S, Thomas DW. A randomised controlled trial of clinical outreach education to rationalise antibiotic prescribing for acute dental pain in the primary care setting. Br Dent J 2006;201:217-22.

Albert DA, Anluwalia KP, Ward A, Sadowsky D. The use of 'academic detailing' to promote tobacco-use cessation counseling in dental offices. J Am Dent Assoc 2004;135:1700-6.

Best HA, Messer LB. Effectiveness of interventions to promote continuing professional development for dentists. Eur J Dent Educ 2003;7:147-53.

Kay EJ, Silkstone B, Worthington HV. Evaluation of computer aided learning in developing clinical decision-making skills. Br Dent J 2001;190:554-7.

Brown LF, Keily PA, Spencer AJ. Evaluation of a continuing education intervention "Periodontics in General Practice". Community Dent Oral Epidemiol 1994;22:441-7.

Khami MR, Yazdani R, Afzalimoghaddam M, Razeghi S, Moscowchi A. Medical emergency management among Iranian dentists. J Contemp Dent Pract 2014:15:693-8.

Marks LA, Van Parys C, Coppens M, Herregods L. Awareness of dental practitioners to cope with a medical emergency: a survey in Belgium. Int Dent J 2013;63:312-6.

Adewole RA, Sote EO, Oke DA, Agbelusi AG. An assessment of the competence and experience of dentists with the management of medical emergencies in a Nigerian teaching hospital. Nig Q J Hosp Med 2009;19:190-4.

Chate RA. Evaluation of a dental practice cardiopulmonary resuscitation training scheme. Br Dent J 1996;181:416-20.

Gasco C, Avellanal M, Sánchez M. Cardiopulmonary resuscitation training for students of odontology: skills acquisition after two periods of learning. Resuscitation 2000;45:189-94.

Perkins GD, Hulme J, Bion JF. Peer-led resuscitation training for healthcare students: a randomised controlled study. Intensive Care Med 2002;28:698-700.

Mayo E. The human problems of an industrial civilization. 2nd ed. New York: MacMillan, 1993: 5-73

Helöe LA. Comparison of dental health data obtained from questionnaires, interviews and clinical examination. Scand J Dent Res 1972;80:495-9.

Sjöström O, Holst D, Lind SO. Validity of a questionnaire survey: the role of non-response and incorrect answers. Acta Odontol Scand 1999;57:242-6.

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IssueVol 56, No 2 (2018) QRcode
SectionOriginal Article(s)
Keywords
Cardiopulmonary resuscitation Education Dentists Educational measurement

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How to Cite
1.
Khami MR, Yazdani R, Afzalimoghaddam M, Razeghi S, Moscowchi A. Comparison of Two Educational Methods to Improve Emergency Management Among Dentists. Acta Med Iran. 2018;56(2):119-126.