The teaching of medical clinic for dental students

a national screening of dentistry courses in Brazil

Authors

  • Evllen do Vale Castro Centro Universitário Christus
  • Andressa dos Santos Passos Centro Universitário Christus https://orcid.org/0000-0003-1228-2992
  • Thinali Sousa Dantas Centro Universitário Christus
  • Paulo Goberlânio de Barros Silva Centro Universitário Christus https://orcid.org/0000-0002-1513-9027
  • Renata Mota Bitu Sousa Centro Universitário Christus
  • Fabrício Bitu Sousa Centro Universitário Christus
  • Clarissa Pessoa Fernandes Forte Centro Universitário Christus
  • Ana Mirian da Silva Cavalcante Centro Universitário Christus https://orcid.org/0000-0003-0852-7600
  • Tayane Oliveira Gonçalves Centro Universitário Christus

DOI:

https://doi.org/10.30979/BrazJDentEduc.v25.2474

Keywords:

Education Dental, Comorbidity, Clinical Medicine

Abstract

The objective of this study is to evaluate the curricular components of systemically compromised patients in dentistry courses in Brazil until the pre-pandemic period through documental analysis. This study is a cross-sectional study that used a secondary data source based on the STROBE checklist. Publicly available data from regulated dentistry courses in Brazil in activity in 2020 were analyzed. Educational institutions were collected from the Ministry of Education online platform, then the website of each institution was searched on Google Search. Data were obtained by two trained examiners and calibrated by a gold standard, being tabulated in a standard Microsoft Excel spreadsheet, and exported to the Statistical Package for the Social Sciences software. At the end of the screening, 241 institutions were fully analyzed, where 75.1% had at least one discipline related to stomatology, special care in dentistry and hospital dentistry, with stomatology being mandatory. These three disciplines contemplate the knowledge of dentistry students in relation to systemic diseases and clinical medicine, and when it is not in the curriculum of the courses, it can cause insecurity in dentists in the care of these patients. Thus, in a post-COVID-19 pandemic context, where many patients have developed systemic impairments secondary to this infection, it will be necessary to increase dental education related to clinical medicine.

Author Biographies

Evllen do Vale Castro, Centro Universitário Christus

Departamento de Odontologia, Centro Universitário Christus (Unichristus), Fortaleza, Ceará, Brasil.

Andressa dos Santos Passos, Centro Universitário Christus

Departamento de Odontologia, Centro Universitário Christus (Unichristus), Fortaleza, Ceará, Brasil.

Thinali Sousa Dantas, Centro Universitário Christus

Departamento de Odontologia, Centro Universitário Christus (Unichristus), Fortaleza, Ceará, Brasil.

Paulo Goberlânio de Barros Silva, Centro Universitário Christus

Departamento de Odontologia, Centro Universitário Christus (Unichristus), Fortaleza, Ceará, Brasil.

Renata Mota Bitu Sousa, Centro Universitário Christus

Departamento de Odontologia, Centro Universitário Christus (Unichristus), Fortaleza, Ceará, Brasil.

Fabrício Bitu Sousa, Centro Universitário Christus

Departamento de Odontologia, Centro Universitário Christus (Unichristus), Fortaleza, Ceará, Brasil.

Clarissa Pessoa Fernandes Forte, Centro Universitário Christus

Departamento de Odontologia, Centro Universitário Christus (Unichristus), Fortaleza, Ceará, Brasil.

Ana Mirian da Silva Cavalcante, Centro Universitário Christus

Departamento de Odontologia, Centro Universitário Christus (Unichristus), Fortaleza, Ceará, Brasil.

Tayane Oliveira Gonçalves, Centro Universitário Christus

Departamento de Odontologia, Centro Universitário Christus (Unichristus), Fortaleza, Ceará, Brasil.

References

Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence-based medicine: how to practice and teach EBM [Internet]. 2000 [cited 2024 June 26]. Available from: https://www.elsevier.com/books/evidence-based-medicine/sackett/978-0-443-06241-4

Richards D, Clarkson J, Matthews D, Niederman R. Evidence-Based Dentistry: managing information for better practice [Internet]. 2008 [cited 2024 June 26]. Available from: https://www.researchgate.net/publication/260135552_Evidence-based_Dentistry_Managing_Information_for_Better_Practice

Marshall TA, Straub-Morarend CL, Guzman-Armstrong S, McKernan SC, Marchini L, Handoo NQ, Cunningham MA. An approach on defining competency in evidence-based dentistry. Eur J Dent Educ [Internet]. 2018 [cited 2024 June 26];22:e107-15. doi: https://doi.org/10.1111/eje.12267

Iqbal A, Glenny AM. General dental practitioners' knowledge of and attitudes towards evidence based practice. BDJ Open [Internet]. 2002 [cited 2024 June 26];192:587-591. Available from: https://www.nature.com/articles/4801634

Gillette J, Matthews JD, Frantsve-Hawley J, Weyant RJ. The benefits of evidence-based dentistry for the private dental office. Gen Dent [Internet]. 2009;53(1):33–45. [cited 2024 June 26]. Available from: http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-72722012000100020

Neuppmann Feres MF, Roscoe MG, Job SA, Mamani JB, Canto GL, Flores-Mir C. Barriers involved in the application of evidence-based dentistry principles. J Am Dent Assoc [Internet]. 2020 [cited 2024 June 26];151(1):16–25. doi: https://doi.org/10.1016/j.adaj.2019.08.011

Straub-Morarend CL, Marshall TA, Holmes DC, Finkelstein MW. Informational resources utilized in clinical decision making: common practices in dentistry. J Dent Educ [Internet]. 2011 [cited 2024 June 26];75(3):441–52. Available from: https://pubmed.ncbi.nlm.nih.gov/25729028/

Al-Ansari A, El Tantawi M. Predicting academic performance of dental students using perception of educational environment. J Dent Educ [Internet]. 2015 [cited 2024 June 26];79(3):337–44. Available from: https://pubmed.ncbi.nlm.nih.gov/25729028/

Ciancio MJ, Lee MM, Krumdick ND, Lencioni C, Kanjirath PP. Self-perceived knowledge, skills, attitudes, and use of evidence-based dentistry among practitioners transitioning to dental educators. J Dent Educ [Internet]. 2017 [cited 2024 June 26];81(3):271–7. Available from: https://www.jdentaled.org/content/81/3/271

Gonçalves APR, Correa MB, Nahsan FPS, Soares CJ, Moraes RR. Use of scientific evidence by dentists in Brazil: Room for improving the evidence-based practice. PLoS One [Internet]. 2018 [cited 2024 June 26];13(9):e0203544. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203544

Cathrine G, John J, Narayan V. Evidence-based dentistry practice among dental practitioners in Chennai, Tamil Nadu - A cross-sectional study. J Indian Assoc Public Health Dent [Internet]. 2019 [cited 2024 June 26];11:38–43. Available from: https://www.researchgate.net/publication/331178816

Bansal N, Dogra M, Mehta P, Khan SA, Jhunjhunwala N, Gupta P. Perception, knowledge, and practice of endodontists and general dental practitioners toward evidence-based practice and factors associated with it—A cross-sectional study. J Family Med Prim Care [Internet]. 2020 [cited 2024 June 26];9(6):2958–62. Available from: https://journals.lww.com/jfmpc/Fulltext/2020/09060

Kathiresan M, Jain J, Sadhu B. Knowledge, Attitude and Barriers Perceived by Dentists Regarding Evidence-Based Practice. J Clin Diagn Res [Internet]. 2020 [cited 2024 June 26];13(4):1422–7. Available from: https://www.proquest.com/openview/0dbd566ca24aaca8a2ccace53eef20dd

Sudarsan V, Ravindran V, Anjaneyulu K. Knowledge, attitude, practice and barriers towards research among dental undergraduates: a questionnaire based survey. J Clin Diagn Res [Internet]. 2020 [cited 2024 June 26];14:6095–103. Available from: https://www.researchgate.net/publication/348295968

Vahabi S, Namdari M, Vatankhah M, Khosravi K. Evidence-based dentistry among Iranian general dentists and specialists: a knowledge, attitude, and practice study. J Educ Health Promot [Internet]. 2020 [cited 2024 June 26];22(9):e32. Available from: https://www.semanticscholar.org/paper/Evidence-Based-Dentistry

Wudrich KM, Matthews DC, Brillant MS, Hamdan NM. Knowledge translation among general dental practitioners in the field of periodontics. J Can Dent Assoc [Internet]. 2020 [cited 2024 June 26];86:k5. Available from: https://jcda.ca/k5

Rodriguez SL, Uzeda Salguero M, Rodriguez Clavijo L. Evidencia basada en la práctica: conocimientos, percepciones y comportamiento de los estudiantes de primer año de Odontología. Rev Cient Cienc Salud [Internet]. 2021 [cited 2024 June 26];44(1):57–63. Available from: http://www.scielo.org.bo/scielo.php?script=sci_arttext&pid=S1012-29662021000100010

American Dental Education Association. ADEA competencies for the new general dentist. J Dent Educ [Internet]. 2013 [cited 2024 June 26];77(7):899–902. Available from: https://onlinelibrary.wiley.com/doi/10.1002/j.0022-0337.2017.81.7.tb06299.x

American Dental Education Association. ADEA foundation knowledge and skills for the new general dentist. J Dent Educ [Internet]. 2013 [cited 2024 June 26];77(7):903–7. Available from: https://onlinelibrary.wiley.com/doi/10.1002/j.0022-0337.2017.81.7.tb06300.x

Commission on Dental Accreditation. Accreditation Standards for Dental Education Programs. [Internet]. [cited 2024 June 26]. Available from: https://coda.ada.org/

Chiappelli F. Evidence-Based Dentistry: Two Decades and Beyond. Dent Clin North Am [Internet]. 2019 [cited 2024 June 26];19(1):7–16. Available from: https://www.sciencedirect.com/science/article/pii/S1532338218301519?via%3Dihub

Hinton RJ, Dechow PC, Abdellatif H, Jones DL, McCann AL, Schneiderman ED, D'Souza R. Creating an evidence-based dentistry culture at Baylor College of Dentistry: the winds of change. J Dent Educ [Internet]. 2011 [cited 2024 June 26];75(3):279–90. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3125111/

Lallier TE. Introducing evidence-based dentistry to dental students using histology. J Dent Educ [Internet]. 2014 [cited 2024 June 26];78(3):380–8. Available from: https://pubmed.ncbi.nlm.nih.gov/24609340/

Marshall TA, Straub-Morarend CL, Handoo N, Solow CM, Cunningham-Ford MA, Finkelstein MW. Integrating critical thinking and evidence-based dentistry across a four-year dental curriculum: a model for independent learning. J Dent Educ [Internet]. 2014 [cited 2024 June 26];78(3):359–67. Available from: https://pubmed.ncbi.nlm.nih.gov/24609338/

Stafford GL. Fostering dental faculty collaboration with an evidence-based decision making model designed for curricular change. J Dent Educ [Internet]. 2014 [cited 2024 June 26];78(3):349–58. Available from: https://pubmed.ncbi.nlm.nih.gov/24609337/

Koffel J, Reidt S. An interprofessional train-the-trainer evidence-based practice workshop: design and evaluation. J Interprof Care [Internet]. 2015 [cited 2024 June 26];29(4):367–9. Available from: https://www.tandfonline.com/doi/10.3109/13561820.2014.962127

Straub-Morarend CL, Marshall TA, Holmes DC, Finkelstein MW. Toward defining dentists' evidence-based practice: influence of decade of dental school graduation and scope of practice on implementation and perceived obstacles. J Dent Educ [Internet]. 2013 [cited 2024 June 26];77(2):137–45. Available from: https://pubmed.ncbi.nlm.nih.gov/23382522/

Hannes K, Norré D, Goedhuys J, Naert I, Aertgeerts B. Obstacles to implementing evidence-based dentistry: a focus group-based study. J Dent Educ [Internet]. 2008 [cited 2024 June 26];72(6):736–44. Available from: https://pubmed.ncbi.nlm.nih.gov/18519604/

Brasil. Ministério da Educação. Diário Oficial da União. Portaria nº 343, de 17 de março de 2020. [Internet]. 2020 [cited 2024 June 26]. Available from: https://www.planalto.gov.br/ccivil_03/portaria/prt/portaria%20nº%20343-20-mec.htm

Koffel J, Reidt S. An interprofessional train-the-trainer evidence-based practice workshop: design and evaluation. J Interprof Care [Internet]. 2015 [cited 2024 June 26];29(4):367–9. Available from: https://www.tandfonline.com/doi/10.3109/13561820.2014.962127

Straub-Morarend CL, Marshall TA, Holmes DC, Finkelstein MW. Toward defining dentists' evidence-based practice: influence of decade of dental school graduation and scope of practice on implementation and perceived obstacles. J Dent Educ [Internet]. 2013 [cited 2024 June 26];77(2):137–45. Available from: https://pubmed.ncbi.nlm.nih.gov/23382522/

Hannes K, Norré D, Goedhuys J, Naert I, Aertgeerts B. Obstacles to implementing evidence-based dentistry: a focus group-based study. J Dent Educ [Internet]. 2008 [cited 2024 June 26];72(6):736–44. Available from: https://pubmed.ncbi.nlm.nih.gov/23382522/

Brasil. Ministério da Educação. Portaria nº 343, de 17 de março de 2020. Diário Oficial da União [Internet]. 2020 [cited 2024 June 26];53(1). Available from: https://www.planalto.gov.br/ccivil_03/portaria/prt/portaria%20nº%20343-20-mec.htm

Pahinis K, Stokes CW, Walsh TF, Cannavina G. Evaluating a blended-learning course taught to different groups of learners in a dental school. J Dent Educ [Internet]. 2007 [cited 2024 June 26];71(2):269–78. PMID: 17314389.

Ramlogan S, Raman V, Sweet J. A comparison of two forms of teaching instruction: video vs. live lecture for education in clinical periodontology. Eur J Dent Educ [Internet]. 2014 [cited 2024 June 26];18(1):31–8. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/eje.12053

Albarqouni L, Hoffmann T, Straus S, Olsen NR, Young T, Ilic D, et al. Core Competencies in Evidence-Based Practice for Health Professionals: Consensus Statement Based on a Systematic Review and Delphi Survey. JAMA Netw Open [Internet]. 2018 [cited 2024 June 26];1(2):e180281. Available from: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2685621

Weyant RJ. Teaching evidence-based practice: considerations for dental education. Gen Dent [Internet]. 2019 [cited 2024 June 26];63(1):97–111. Available from: https://www.sciencedirect.com/science/article/pii/S0011853218300740?via%3Dihub

Hendricson WD, Rugh JD, Hatch JP, Stark DL, Deahl T, Wallmann ER. Validation of an instrument to assess evidence-based practice knowledge, attitudes, access, and confidence in the dental environment. J Dent Educ [Internet]. 2011 [cited 2024 June 26];75(2):131–44. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3078051/

Azarpazhooh A, Mayhall JT, Leake JL. Introducing dental students to evidence-based decisions in dental care. J Dent Educ [Internet]. 2008 [cited 2024 June 26];72(1):87–109. PMID: 18172240.

Botelho MG, Lo EC, Bridges S, McGrath C, Yiu CK. Journal-based learning, a new learning experience building on PBL at HKU. Eur J Dent Educ [Internet]. 2013 [cited 2024 June 26];17(1):e120–5. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1600-0579.2012.00771.x

Kahatab AF, Ho YB, O'Reilly D, Tan C, McTernan J, Ahmad T, et al. Evidence-based dentistry can effectively be taught to dental care professional students - A mixed methods study. Eur J Dent Educ [Internet]. 2018 [cited 2024 June 26];22:167–73. Available from: https://onlinelibrary.wiley.com/doi/10.1111/eje.12302

Hinton RJ, McCann AL, Schneiderman ED, Dechow PC. The winds of change revisited: progress towards building a culture of evidence-based dentistry. J Dent Educ [Internet]. 2015 [cited 2024 June 26];79:499–509. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4911804/

Leary S, Ness A. Teaching research methods to undergraduate dental students. Educ Sci [Internet]. 2021 [cited 2024 June 26];18(2):7. Available from: https://files.eric.ed.gov/fulltext/EJ1304777.pdf

Lalla RV, Li EY, Huedo-Medina TB, MacNeil RLM. Evaluation of an Experiential and Self-Learning Approach to Teaching Evidence-Based Decision Making to Dental Students. J Dent Educ [Internet]. 2019 [cited 2024 June 26];83(10):1125–33. Available from: https://doi.org/10.21815/JDE.019.125

Wadgave U, Khairnar MR, Kadu TS, et al. Effect of training on evidence-based practice to undergraduate dental students: pre and postexperimental study. Int J Evid Based Healthc [Internet]. 2020 [cited 2024 June 26];18(1):101–7. Available from: https://journals.lww.com/ijebh/abstract/2020/03000

Santiago V, Cardenas M, Charles AL, Hernandez E, Oyoyo U, Kwon SR. Evidence-Based Practice Knowledge, Attitude, Access and Confidence: A comparison of dental hygiene and dental students. J Dent Hyg [Internet]. 2018 [cited 2024 June 26];92(2):31–7. Available from: https://pubmed.ncbi.nlm.nih.gov/29739845/

Agossa K, Sy K, Pinçon C, Nicolas T, Catteau C, Blaizot A, et al. Knowledge, attitude, access and confidence in evidence-based practice amongst French dental undergraduates: a transcultural adaptation and psychometrics analysis of French version of the KACE questionnaire. Eur J Dent Educ [Internet]. 2022 [cited 2024 June 26];26(1):106–15. Available from: https://onlinelibrary.wiley.com/doi/10.1111/eje.12677

Tebcherany H, Khocht A. An evidence-based teaching approach enhances student learning of periodontal disease pathogenesis. J Dent Educ [Internet]. 2024 [cited 2024 June 26];88(3):304–13. Available from: https://onlinelibrary.wiley.com/doi/10.1002/jdd.13416

Parhar S, Gibson J. Does participation in an undergraduate journal club make dental students more knowledgeable and confident in practising evidence-based dentistry?. Eur J Dent Educ [Internet]. 2017 [cited 2024 June 26];21(4):e59–63. doi: https://doi.org/10.1111/eje.12219

Al-Yaseen W, Nanjappa S, Jindal-Snape D, Innes N. A longitudinal study of changes in new dental graduates' engagement with evidence-based practice during their transition to professional practice. Br Dent J [Internet]. 2022 [cited 2024 June 26]. Available from: https://www.nature.com/articles/s41415-022-3931-5

Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med [Internet]. 2005 [cited 2024 June 26];142:260–73. Available from: https://doi.org/10.7326/0003-4819-142-4-200502150-00008

Thorsteinsson HS, Sveinsdóttir H. Readiness for and predictors of evidence-based practice of acute-care nurses: a cross-sectional postal survey. Scand J Caring Sci [Internet]. 2014 [cited 2024 June 26];28:572–81. doi: https://doi.org/10.1111/scs.12083

Kim SC, Stichler JF, Ecoff L, Brown CE, Gallo AM, Davidson JE, et al. Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews Evid Based Nurs [Internet]. 2016 [cited 2024 June 26];13:340–8. doi: https://doi.org/10.1111/wvn.12171

Tilson JK, Kaplan SL, Harris JL, Hutchinson A, Ilic D, Niederman R, et al. Sicily statement on classification and development of evidence-based practice learning assessment tools. BMC Med Educ [Internet]. 2011 [cited 2024 June 26];11:78. Available from: https://bmcmededuc.biomedcentral.com/articles/10.1186/1472-6920-11-78

Downloads

Published

2026-01-07

How to Cite

Castro, E. do V., Passos, A. dos S., Dantas, T. S., Silva, P. G. de B., Sousa, R. M. B., Sousa, F. B., … Gonçalves, T. O. (2026). The teaching of medical clinic for dental students: a national screening of dentistry courses in Brazil. Brazilian Journal of Dental Education, 25, 2474 . https://doi.org/10.30979/BrazJDentEduc.v25.2474

Issue

Section

Articles

Most read articles by the same author(s)