School of Dental Medicine, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-4905, USA.
J Dent Educ. 2009 Dec;73(12):1387-93.
As dental schools incorporate training in evidence-based dentistry (EBD) into their curricula, students must learn how to critically evaluate systematic reviews and meta-analyses. It is important that dental education in the United States support the American Dental Association's position statement on EBD, which defines "best evidence" as data obtained from all study designs. Given that much evidence is missing when EBD is derived from Cochrane Systematic Reviews' randomized clinical trials, we propose the creation of a dental practice network of U.S. dental schools. We developed an electronic clinical dentistry research database for EBD using Epi-Info (available at www.cdc.gov/epiinfo/downloads.htm). As a free, public use software, Epi-Info provides the foundation for the development of clinical research databases that can increase the research capacity through multisite studies designed to generate outcomes data on the effectiveness of dental treatment. The creation of a dental practice network of dental schools with their large number of patients would expand the research capacity for EBD practice and advance the EBD science regarding the effectiveness of dental treatment. The next step is to link clinical dental researchers/educators at multiple dental schools through a collaborative clinical research network, so that the findings can be applied to the EBD component of problem-based learning curricula of dental education.
随着牙科学院将循证牙科(EBD)培训纳入课程,学生必须学会如何批判性地评估系统评价和荟萃分析。美国的牙科教育支持美国牙科协会关于 EBD 的立场声明非常重要,该声明将“最佳证据”定义为从所有研究设计中获得的数据。鉴于从 Cochrane 系统评价的随机临床试验中得出 EBD 时,许多证据缺失,我们建议创建一个美国牙科学校的牙科实践网络。我们使用 Epi-Info(可在 www.cdc.gov/epiinfo/downloads.htm 获得)为 EBD 开发了一个电子临床牙科研究数据库。作为一个免费的公共使用软件,Epi-Info 为开发临床研究数据库提供了基础,通过旨在生成牙科治疗效果数据的多站点研究,可以提高研究能力。创建一个拥有大量患者的牙科学校的牙科实践网络将扩大 EBD 实践的研究能力,并推进关于牙科治疗效果的 EBD 科学。下一步是通过一个协作临床研究网络将多个牙科学校的临床牙科研究人员/教育者联系起来,以便将研究结果应用于牙科教育的基于问题的学习课程的 EBD 部分。