EPID 595/DENT_ED595: Foundations of Dental Public Health: Introduction to Dental Public Health and Evidence-Based Dentistry (3 credit hour)

Transcription

1 EPID 595/DENT_ED595: Foundations of Dental Public Health: Introduction to Dental Public Health and Evidence-Based Dentistry (3 credit hour) Program in Dental Public Health Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry; Department Of Epidemiology School Of Public Health, University Of Michigan Fall 2009 Fridays 8-10 a.m. (Weekly 2 hours lecture and 1 hour applications laboratory) Room TBD at the School of Dentistry FACULTY: Woosung Sohn, DDS, MS, PhD, DrPH, Diplomate ABDPH 2395 School of Dentistry woosung@umich.edu; George W. Taylor, DMD, MPH, DrPH, Diplomate ABDPH 2303 School of Dentistry gwt@umich.edu; L. Susan Taichman, RDH, MPH, PhD 3066 School of Dentistry hipolite@umich.edu; Introduction to the course This course is an introduction to the discipline of dental public health and dentistry as a part of the health care delivery system for all graduate students regardless of their backgrounds. This course presents an introduction of social and historical context for dental public health. It also provides a basis for the more detailed aspects of the discipline which are covered in other dental public health courses. Details of topics include the epidemiology oral diseases, issue of oral health disparities, the connection between oral and systemic/general health, delivery and financing of dental care delivery, issues with access to care, determinants of utilization of dental care services, and various methods and public health programs in prevention of oral disease and promotion of oral health. Special emphasis will be given to evidence-based decision making. Clinical practitioners as well as experts in dental public health need to be able to locate information effectively and efficiently, to appraise its value, and to use that information in clinical decision making, writing and speaking. They need to be confident in their ability to communicate with their patients as well as to write clearly and to speak assertively in public. This course aims to provide students with the necessary skills and knowledge needed to locate information, judge 1 EPID 595/DENT_ED 595 8/31/2009

2 its quality, present critical summaries using written and oral communication. The course also allows students to develop confidence in their writing and public speaking. Students will prepare several written projects and oral presentations. The final project will involve the preparation of a mini systematic literature review of a topic chosen by the student, and an oral presentation based on this review. Learning Objectives Students who complete this course will have: a) An understanding of the concept of Dental Public Health as an organized efforts to address issues in oral health in a community or communities rather than an individual patient, and the system and mechanism of its delivery. b) An understanding of historical and social background and context of Dental Public Health and oral disease epidemiology. c) An understanding of the evidence-based healthcare including the concept, process, and methodology of evidence-based, search and critical appraisal of existing evidence, and application of evidence in clinical decision making. Exit Competencies Knowledge: a) An understanding of how the basic principles of public health are applied in dentistry. b) History and structure of the profession of dental public health. c) The role of governmental agencies and professional organizations involved in dental public health as well as recent activities, projects and publications of these agencies. d) Understand epidemiological/clinical study design (with an emphasis on RCT) to be able to evaluate/criticize study designs used in the literature. e) An understanding of the concept, process, and methodology of evidence-based dentistry; searching and critical appraisal of existing evidence; and application of evidence in clinical decision making. f) An understanding of theory, methodology, and interpretation of the results of metaanalysis. Skills: a) Planning, implementing, and evaluating a public health/disease prevention/health promotion program b) Asking critical, clinically relevant questions related to making clinical decisions c) Acquiring information from various sources including clinical guidelines, systematic reviews, and primary studies d) Assessing (critically evaluating) the quality of information e) Applying the information in clinical decision making f) Performing a systematic review (meta-analysis) g) Presenting a logical argument in written and oral presentations. 2 EPID 595/DENT_ED 595 8/31/2009

3 Schedule of classes Date Topics Assignments due Sep. 11 Sep. 18 What is public health? Public health problems Oral health surveillance Public health structure & activities Dental care and public health Access to care Dental workforce #1 Public health problem Read -ing Notes Sep. 25 Health promotion and prevention Taichman Oct. 2 Oct. 9 Oct. 16 Oct. 23 Oct. 30 Nov. 6 Nov. 13 Nov. 20 DPH practice: Program development, implementation and evaluation EBD: Asking clinically relevant question(s) - etiology, diagnosis, prognosis, therapeutics EBD: Searching for evidence, Inclusion & exclusion criteria EBD: Hierarchy of evidence, Research designs in public health & epidemiology research, evaluation of RCTs EBD: Conducting systematic reviews - Critical appraisal and data extraction EBD presentation of plans for systematic reviews; discussion EBD: Exploring heterogeneity and publication bias; Applying evidence in decision making Critique of systematic reviews: Understanding the outcome of systematic reviews Quality evaluation of systematic reviews #2 Public health problem (Dental workforce) #3 Clinically relevant question; topic for systematic reviews #4 Critical appraisal of RCTs #5 data extraction evidence table Taichman Mark Mac Eachern Nov. 27 Thanksgiving Break No class Dec. 4 Dec. 11 Dec. 18 Meta-analysis Meta-analysis II Presentations of systematic reviews #6 Final report (systematic review) is due #7 Final presentation 3 EPID 595/DENT_ED 595 8/31/2009

4 Assignments and Grading Grades are assessed by mid-term assignments (50%) and final presentation and report (40%). Course attendance and participation (10%) will also be accounted for grades. Grades are assessed on 2 mid-term projects (short reports and presentations). Specific criteria for grading them will be given on the instructions for each assignment. The assignments and the weights they carry are as follows: 1. Public health experiences (Problem in public health) 10% 9/18 2. Public health experiences (Dental workforce) 10/2 3. Forming clinically relevant questions/ plan for systematic review 10% 10/16 4. Critical appraisal exercise 10% 10/23 5. Data extraction evidence table 10% 10/30 6. Written report of systematic reviews 25% 12/11 7. Oral presentation of systematic reviews 25% 12/18 6. Attendance and class participation 10% Missing a deadline can result in downgrading, and any assignments still outstanding at the end of the course will result in a grade of incomplete. There are no exams in the course. Academic Integrity The faculty of the School of Public Health believes that the conduct of a student registered or taking courses in the School should be consistent with that of a professional person. Courtesy, honesty, and respect should be shown by students toward faculty members, guest lecturers, administrative support staff, and fellow students. Similarly, students should expect faculty to treat them fairly, showing respect for their ideas and opinions and striving to help them achieve maximum benefits from their experience in the School. Student academic misconduct refers to behavior that may include plagiarism, cheating, fabrication, falsification of records or official documents, intentional misuse of equipment or 4 EPID 595/DENT_ED 595 8/31/2009

5 materials (including library materials), and aiding and abetting the perpetration of such acts. The preparation of reports, papers, and examinations, assigned on an individual basis, must represent each student s own effort. Reference sources should be indicated clearly. The use of assistance from other students or aids of any kind during a written examination, except when the use of aids such as electronic devices, books or notes has been approved by an instructor, is a violation of the standard of academic conduct. Presentations and Assignments All written assignments must be prepared with a word processor and be submitted doublespaced. The face page on each assignment should carry your name, course number (EPID 595 or DENT_ED 595), and assignment number and title. Written assignments should use sub-headings as appropriate, and follow the usual conventions of scientific writing. Proper spelling and grammar are essential to effective communication and should be given much care. References are to be given in the Vancouver format ( or as now used in the majority of biomedical journals and in Community Dentistry and Oral Epidemiology. Oral assignments should be presented in a professional manner such as would be used when addressing a governmental agency, a scientific meeting, or the American Board of Dental Public Health. 5 EPID 595/DENT_ED 595 8/31/2009