Goolsby Susie P, Young Douglas A, Chiang Harmeet K, Carrico Caroline K, Jackson Leonard V, Rechmann Peter
Dr. Goolsby and Dr. Young contributed equally to this study. Dr. Goolsby is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Chiang is Assistant Professor, Department of General Practice, School of Dentistry, Virginia Commonwealth University; Dr. Carrico is Assistant Professor, Department of Periodontics, School of Dentistry, Virginia Commonwealth University; Dr. Jackson is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; and Dr. Rechmann is Professor and Director of Clinical Sciences Research Group, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco.
J Dent Educ. 2016 Nov;80(11):1294-1300.
Accurate caries risk assessment (CRA) plays a pivotal role in managing the disease of dental caries. The aim of this quality assurance study was to determine if faculty calibration training using a specific set of guidelines in a single session would improve the faculty members' CRA decision making. A calibration seminar was held in December 2014 at the Virginia Commonwealth University School of Dentistry, during which seven completed CRA forms for simulated patients were used to test 55 faculty members' risk assignment level before and after an instructional lecture was given. The results showed a statistically significant increase in the proportion of faculty members responding correctly for five of the seven cases on the pre- and posttests (p<0.01). One case showed no significant increase in correct responses (p=0.07), and on the seventh case, which presented low caries risk, there was a significant decrease in the percentage responding correctly (p<0.0001) due to an increase in the proportion overestimating caries risk. This study's findings were consistent with those in previous studies that, without calibration, faculty members are not necessarily accurate at CRA diagnosis. Since the calibration training improved these faculty members' caries risk assessment scoring, future studies should extend to evaluations for both faculty and students.
准确的龋齿风险评估（CRA）在龋齿疾病管理中起着关键作用。这项质量保证研究的目的是确定在一次会议中使用特定的一组指南进行教员校准培训是否会改善教员的CRA决策。2014年12月在弗吉尼亚联邦大学牙科学院举办了一次校准研讨会，在此期间，在进行指导性讲座之前和之后，使用七份针对模拟患者的完整CRA表格来测试55名教员的风险分配水平。结果显示，在七例中的五例中，教员在测试前和测试后正确回答的比例有统计学上的显著增加（p<0.01）。有一例正确回答没有显著增加（p=0.07），而在呈现低龋齿风险的第七例中，由于高估龋齿风险的比例增加，正确回答的百分比有显著下降（p<0.0001）。这项研究的结果与之前的研究一致，即未经校准，教员在CRA诊断中不一定准确。由于校准培训提高了这些教员的龋齿风险评估评分，未来的研究应扩展到对教员和学生的评估。
