Deshpande Saee, Chahande Jayashree
Department of Prosthodontics, Vidya Shikshan Prasarak Mandal's (VPSM) Dental College and Research Centre, Nagpur, Maharashtra, India.
Adv Med Educ Pract. 2014 Aug 21;5:269-74. doi: 10.2147/AMEP.S66264. eCollection 2014.
Successful prosthodontic rehabilitation involves making many interrelated clinical decisions which have an impact on each other. Self-directed computer-based training has been shown to be a very useful tool to develop synthetic and analytical problem-solving skills among students. Thus, a computer-based case study and treatment planning (CSTP) software program was developed which would allow students to work through the process of comprehensive, multidisciplinary treatment planning for patients in a structured and logical manner. The present study was aimed at assessing the effect of this CSTP software on the clinical judgment of dental students while planning prosthodontic rehabilitation and to assess the students' perceptions about using the program for its intended use.
A CSTP software program was developed and validated. The impact of this program on the clinical decision making skills of dental graduates was evaluated by real life patient encounters, using a modified and validated mini-CEX. Students' perceptions about the program were obtained by a pre-validated feedback questionnaire.
The faculty assessment scores of clinical judgment improved significantly after the use of this program. The majority of students felt it was an informative, useful, and innovative way of learning and they strongly felt that they had learnt the logical progression of planning, the insight into decision making, and the need for flexibility in treatment planning after using this program.
CSTP software was well received by the students. There was significant improvement in students' clinical judgment after using this program. It should thus be envisaged fundamentally as an adjunct to conventional teaching techniques to improve students' decision making skills and confidence.
成功的口腔修复治疗需要做出许多相互关联且相互影响的临床决策。基于计算机的自主训练已被证明是培养学生综合分析和解决问题能力的非常有用的工具。因此，开发了一种基于计算机的病例研究与治疗计划（CSTP）软件程序，使学生能够以结构化和逻辑化的方式完成对患者进行全面、多学科治疗计划的过程。本研究旨在评估该CSTP软件在口腔修复治疗计划过程中对牙科学生临床判断的影响，并评估学生对按预期使用该程序的看法。
开发并验证了CSTP软件程序。使用经过修改和验证的迷你临床评估练习（mini-CEX），通过实际患者病例来评估该程序对牙科毕业生临床决策技能的影响。通过预先验证的反馈问卷获取学生对该程序的看法。
使用该程序后，临床判断的教师评估分数显著提高。大多数学生认为这是一种信息丰富、有用且创新的学习方式，他们强烈感觉在使用该程序后学到了计划的逻辑流程、决策的洞察力以及治疗计划中灵活性的必要性。
CSTP软件受到学生的好评。使用该程序后，学生的临床判断有显著提高。因此，应从根本上将其视为传统教学技术的辅助手段，以提高学生的决策技能和信心。
