Advancing Oral Health in Physician Assistant Education: Evaluation of an Innovative Interprofessional Oral Health Curriculum

Bowser, Jonathan; Sivahop, Jacqueline; Glicken, Anita Duhl

doi:10.1097/01367895-201324030-00005

Cited by 12 publications

(12 citation statements)

References 1 publication

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“…Interprofessional teaching with dental or dental hygiene programs, service learning activities, small group workshops, lectures, clinical skills lab, observed structured clinical examinations (OSCE), and an online curriculum are approaches that have been used and published in the literature. [3][4][5][9][10][11][12] Many medical and PA programs use the Society of Teachers of Family Medicine's (STFM) Smiles BACKGROUND AND OBJECTIVES: The purpose of this study was to determine the effectiveness of the Society of Teachers of Family Medicine's Smiles for Life: A National Oral Health Curriculum on the knowledge and attitudes of physician assistant students regarding oral health.…”

mentioning

confidence: 99%

Advancing Oral Health Knowledge and Attitudes of Physician Assistant Students Using the Smiles for Life Oral Health Curriculum

Forbes

Sierra

Papa

2018

Fam Med

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Background and Objectives: The purpose of this study was to determine the effectiveness of the Society of Teachers of Family Medicine’s Smiles for Life: A National Oral Health Curriculum on the knowledge and attitudes of physician assistant students regarding oral health. Methods: Seventy-two didactic year physician assistant students from one physician assistant program were surveyed to assess their knowledge and attitudes regarding oral health prior to starting the Smiles for Life oral health curriculum. The students were electronically surveyed a second time 1 week after completing all online modules in the Smiles for Life oral health curriculum. Results: Precourse and postcourse survey response rates were 57% and 36%, respectively. The mean of the attitude statements increased from 3.20 on the precourse survey to 3.87 on the postcourse survey (P=.0012). The mean number of correct responses on the knowledge questions increased from 6.83 on the precourse survey to 9.85 on the postcourse survey (P<.0001). Conclusions: Statistically significant improvements in the attitudes toward oral health and oral health knowledge of physician assistant students after completion of the Smiles for Life curriculum were observed. This study illustrates the effectiveness of the Smiles for Life curriculum as an interprofessional educational experience. This curriculum can be completed online and does not require faculty expertise in oral health, thus removing previously cited barriers to incorporating oral health into the physician assistant curriculum.

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confidence: 99%

Advancing Oral Health Knowledge and Attitudes of Physician Assistant Students Using the Smiles for Life Oral Health Curriculum

Forbes

Sierra

Papa

2018

Fam Med

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“…This included studies that added oral health screenings to EHR checklists or visit forms. 19,20,23 These studies did not examine the effect of adding this item to an EHR screening independent of the oral health training. Therefore, researchers were unable to discern if changes in practice were prompted by the training or these structural changes.…”

Section: Discussionmentioning

confidence: 99%

“…Many curricula reported increases in knowledge of oral health topics and confidence in the ability to identify common oral health issues. [22][23][24][25][26] Evaluations also showed an increase in positive attitudes of primary care providers regarding the importance of oral health care post curriculum. 27,28 However, few of the sources explored the next level in the Kirkpatrick Hierarchy for Health Professionals' Education Evaluation Model (Figure 1), to determine if there were practice behavior changes.…”

Section: Preliminary Literature Reviewmentioning

confidence: 99%

“…Curricula were offered online and in person, and included didactic components (n=11), clinical training (n=6), small groups to discuss training materials (n=3), and simulations/case studies (n=3). 13,14,17,[19][20][21]23,24,[32][33][34][35] Variation traditionally allows for analysis into necessary components for change, but the practice change outcomes and the way they were measured were also highly variable. Additionally, children's oral health was the focus of 8 of the final 12 sources with curriculum developed for pediatric clinicians or focused on dental care for children.…”

Section: Qualitative Review Of the Literaturementioning

confidence: 99%

“…A notable aspect of the final set of studies is that over 40% utilized selfreporting. 13,14,17,23,32 Self-reporting was often conducted through the use of posttraining surveys. These posttraining surveys asked clinicians if they had integrated oral health screenings into their wellness visits and how many times they had performed an oral health screening since receiving the training.…”

Section: Practice Change Measuresmentioning

confidence: 99%

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The Impact of Oral Health Training for Primary Care Clinicians: A Systematic Review

Dwiel

Hesketh

Alpert

et al. 2019

Fam Med

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Background and Objectives: Despite recent improvements in access to health care, many Americans still lack access to dental care. There has been a national focus on interprofessional education and team-based care to work toward the integration of services including dental care into primary care. The purpose of this systematic review is to understand the impact of implementing oral health curricula in primary care training on measurable changes in primary care practice. Methods: Researchers utilized a two-step process, first a scoping review and then using the PRISMA systematic review method to develop inclusion and exclusion criteria around audience, curricula, and outcomes to identify practice change due to oral health education curricula delivered in primary care clinician training. Researchers assessed titles, abstracts, and full texts and abstracted data for the review. Results: Researchers reviewed 2,749 articles and found 12 meeting the systematic review criteria. The reported outcomes and evaluations differed for each of the 12 studies identified. Over 40% utilized self-reporting. Seven of the included studies tracked outcomes by checklists embedded in electronic health records changes to well-child visit forms, or chart audits, one of which also tracked billing reimbursements. Conclusions: Oral health curricula for primary care clinicians are too heterogeneous to determine the effects on practice behavior. Future research should focus on developing a clear evaluation framework for measuring practice level changes in primary care settings as a result of implementing an oral health curriculum.

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An approach to developing oral health knowledge for allied health students

Lazaro

Karger

Despres

et al. 2021

Journal of Dental Education

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Background: Oral health competency-based education approaches have been proposed as a mechanism to address oral health outcomes and equity issues. Recommendations for oral health education for allied health professional students include practices to increase team members' knowledge and skills in the integration of oral health and primary care practice (IOHPCP) initiative's oral health clinical competencies for primary care providers. Aims: This study aimed to examine changes in self-reported knowledge of occupational students in the topics of oral health, the dental profession, and dental healthcare systems following participation in a series of webinars and a community-engaged learning project. Materials and Methods: This study utilized an oral health education program through webinars and a community-engaged learning project for occupational therapy students. Program evaluation measures were utilized to assess the oral health education activities through self-reported knowledge in oral health topics aligned with IOHPCP domains along with topics identified by the community partner organization.Results: Findings demonstrate that asynchronous webinars can increase selfreported knowledge in occupational therapy students.Discussion: Recommendations for inclusion of oral health education for allied health students related to knowledge of oral health, the dental profession, and dental healthcare systems are shared. Conclusions: Asynchronous webinars have the potential to increase selfreported oral health knowledge for allied health professionals.

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Advancing Oral Health in Physician Assistant Education: Evaluation of an Innovative Interprofessional Oral Health Curriculum

Cited by 12 publications

References 1 publication

Advancing Oral Health Knowledge and Attitudes of Physician Assistant Students Using the Smiles for Life Oral Health Curriculum

Advancing Oral Health Knowledge and Attitudes of Physician Assistant Students Using the Smiles for Life Oral Health Curriculum

The Impact of Oral Health Training for Primary Care Clinicians: A Systematic Review

An approach to developing oral health knowledge for allied health students

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