Learning cariology in a new dental curriculum: Long lasting student learning of critical thinking and problem solving skills in the context of patient care

Learning cariology in a new dental curriculum: Long lasting student learning of critical thinking and problem solving skills in the context of patient care

Academic Year:
2013 - 2014 (June 1, 2013 through May 31, 2014)
Funding Requested:
$4,000.00
Project Dates:
-
Applicant(s):
Overview of the Project:
Critical-thinking and problem-solving are two of the most frequently espoused goals for student learning across disciplines. As part of a current major revision of the dental school's curriculum, faculty recognized that many students struggled to translate information from the classroom and use it later during their clinical experiences in the context of patient care. Two new first year courses were developed (Cariology I and II) to enhance and facilitate critical-thinking, problem-solving, and use of evidence-based information for dental caries (dental decay) detection, diagnosis, risk assessment, prevention and management. We are interested in investigating what are the long lasting student learning outcomes from the critical-thinking and problem-solving components assessed in these courses. Specifically, does early assessment correlate with these skills being demonstrated in later years during decision-making in clinical patient care? The key purpose of our participation in the ISL (Investigating Student Learning grant) community is to systematically develop and pilot assessment rubrics derived from data from our existing course and clinical activities and/or consider piloting additional assessment strategies of critical thinking during our didactic and clinical courses throughout the curriculum, and assess the relationships between initial and long-term follow up assessments. Pedagogical activities focused on teaching critical thinking and assessment of long-term transfer of learning developed and tested as part of this proposal will have implications for teaching and learning not only for dentistry, but broadly within higher education, as these are key educational goals now-a-days of most disciplines.
Final Report Fields
Project Objectives:

Develop and test assessment strategies to evaluate critical thinking in the first year Cariology I and II courses and patient case scenarios in the second through fourth years. Investigate the relationship between critical thinking performance in didactic courses and decision-making in clinical activities.

Project Achievements:

The data from the project indicated that assessments requiring critical thinking early on in the dental curriculum can help improve students’ ability to critically think as they problem solve clinical scenarios in years 2-4 of the curriculum. The Cariology I and II courses provided measurable improvements in students’ critical thinking throughout the 4 years of dental education. However, a challenge we faced was finding consistent measures of critical thinking. This project encourages the school to evaluate and implement more consistent assessments that require critical thinking and that allow for monitoring critical thinking improvements over time.

Continuation:
We will continue this project by collecting data from the same courses for another cohort of students to determine if there are similar trends. We may also re-assess the current data by adding a data point for prior to students entering dental school (such as undergraduate GPA, the Dental Admissions Test score, etc.).
Dissemination:
The information from this project will be utilized to make improvements in the assessments of critical thinking during dental school. It will be presented as a poster in future poster fairs within the dental school and at future national and international dental meetings (ADEA, IADR).
Advice to your Colleagues:
There are multiple ways to analyze educational data and it can be difficult to determine the best way to interpret it. We had a try a few different methods before realizing which worked best for this project. CRLT’s help was extremely valuable in analyzing data and completing this project.