Clinical decision‐making in restorative dentistry. Content‐analysis of diagnostic thinking processes and concurrent concepts used in an educational environment
Identifieur interne : 007A46 ( Istex/Corpus ); précédent : 007A45; suivant : 007A47Clinical decision‐making in restorative dentistry. Content‐analysis of diagnostic thinking processes and concurrent concepts used in an educational environment
Auteurs : Gerardo Maupomé ; Aubrey SheihamSource :
- European Journal of Dental Education [ 1396-5883 ] ; 2000-11.
English descriptors
- KwdEn :
- Active elimination, Active interpretation, Annual meeting, Approximal caries, Bader, Bader shugars, Bold lettering, British columbia, Caries, Clinical decisions, Clinical history, Clinical information, Clinical picture, Clinical problem, Clinical reasoning, Clinical skills, Clinician, Community dent, Content analysis, Dent, Dent assoc, Dent educ, Dental caries, Dental explorers, Dental practice, Dental students, Dentistry, Diagnostic expertise, Diagnostic interpretation, Diagnostic interpretations, Educ, Educational environment, Enquiry, Expert clinicians, Forceful features, Further inquiry, Gale, Gale marsden, General history, Interviewee, Marginal defects, Maupome, Maupome sheiham, Medical education, Medical students, Memory structures, Mexico city, Nancial incentives, Newbury park, Novice clinicians, Occlusal surfaces, Operative dent, Oral hygiene, Other matters, Patient model, Patient simulations, Permanent teeth, Physical features, Possible interpretation, Present study, Processes frequency distribution, Publ health dent, Radiograph, Restorative, Restorative concern, Restorative decisions, Restorative dentistry, Restorative treatment, Restorative treatment decisions, Restorative treatment recommendations, Root abnormalities, Routine enquiry, Sage publications, Sheiham, Shugars, Social sciences, Systemic diseases, Treatment decisions, Treatment planning.
- Teeft :
- Active elimination, Active interpretation, Annual meeting, Approximal caries, Bader, Bader shugars, Bold lettering, British columbia, Caries, Clinical decisions, Clinical history, Clinical information, Clinical picture, Clinical problem, Clinical reasoning, Clinical skills, Clinician, Community dent, Content analysis, Dent, Dent assoc, Dent educ, Dental caries, Dental explorers, Dental practice, Dental students, Dentistry, Diagnostic expertise, Diagnostic interpretation, Diagnostic interpretations, Educ, Educational environment, Enquiry, Expert clinicians, Forceful features, Further inquiry, Gale, Gale marsden, General history, Interviewee, Marginal defects, Maupome, Maupome sheiham, Medical education, Medical students, Memory structures, Mexico city, Nancial incentives, Newbury park, Novice clinicians, Occlusal surfaces, Operative dent, Oral hygiene, Other matters, Patient model, Patient simulations, Permanent teeth, Physical features, Possible interpretation, Present study, Processes frequency distribution, Publ health dent, Radiograph, Restorative, Restorative concern, Restorative decisions, Restorative dentistry, Restorative treatment, Restorative treatment decisions, Restorative treatment recommendations, Root abnormalities, Routine enquiry, Sage publications, Sheiham, Shugars, Social sciences, Systemic diseases, Treatment decisions, Treatment planning.
Abstract
Dental practice is affected by variation in diagnosis and treatment planning between clinicians. The process underlying the decisions leading to management of dental caries is poorly understood. Objective: To explore diagnostic thinking and identify information used in the diagnosis, management and treatment of caries.
Url:
DOI: 10.1034/j.1600-0579.2000.040401.x
Links to Exploration step
ISTEX:F777958EDA13F7AD0C337134074C7138CE58A849Le document en format XML
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Vancouver, Canada</mods:affiliation></affiliation></author><author><name sortKey="Sheiham, Aubrey" sort="Sheiham, Aubrey" uniqKey="Sheiham A" first="Aubrey" last="Sheiham">Aubrey Sheiham</name><affiliation><mods:affiliation>Department of Epidemiology and Public Health, University College London Medical School, University of London, London, UK</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:F777958EDA13F7AD0C337134074C7138CE58A849</idno><date when="2000" year="2000">2000</date><idno type="doi">10.1034/j.1600-0579.2000.040401.x</idno><idno type="url">https://api.istex.fr/document/F777958EDA13F7AD0C337134074C7138CE58A849/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">007A46</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">007A46</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Clinical decision‐making in restorative dentistry. Content‐analysis of diagnostic thinking processes and concurrent concepts used in an educational environment</title><author><name sortKey="Maupome, Gerardo" sort="Maupome, Gerardo" uniqKey="Maupome G" first="Gerardo" last="Maupomé">Gerardo Maupomé</name><affiliation><mods:affiliation>Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia. Vancouver, Canada</mods:affiliation></affiliation></author><author><name sortKey="Sheiham, Aubrey" sort="Sheiham, Aubrey" uniqKey="Sheiham A" first="Aubrey" last="Sheiham">Aubrey Sheiham</name><affiliation><mods:affiliation>Department of Epidemiology and Public Health, University College London Medical School, University of London, London, UK</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">European Journal of Dental Education</title><title level="j" type="alt">EUROPEAN JOURNAL OF DENTAL EDUCATION</title><idno type="ISSN">1396-5883</idno><idno type="eISSN">1600-0579</idno><imprint><biblScope unit="vol">4</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="143">143</biblScope><biblScope unit="page" to="152">152</biblScope><biblScope unit="page-count">10</biblScope><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" 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dent</term><term>Radiograph</term><term>Restorative</term><term>Restorative concern</term><term>Restorative decisions</term><term>Restorative dentistry</term><term>Restorative treatment</term><term>Restorative treatment decisions</term><term>Restorative treatment recommendations</term><term>Root abnormalities</term><term>Routine enquiry</term><term>Sage publications</term><term>Sheiham</term><term>Shugars</term><term>Social sciences</term><term>Systemic diseases</term><term>Treatment decisions</term><term>Treatment planning</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Active elimination</term><term>Active interpretation</term><term>Annual meeting</term><term>Approximal caries</term><term>Bader</term><term>Bader shugars</term><term>Bold lettering</term><term>British columbia</term><term>Caries</term><term>Clinical decisions</term><term>Clinical history</term><term>Clinical information</term><term>Clinical picture</term><term>Clinical problem</term><term>Clinical 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surfaces</term><term>Operative dent</term><term>Oral hygiene</term><term>Other matters</term><term>Patient model</term><term>Patient simulations</term><term>Permanent teeth</term><term>Physical features</term><term>Possible interpretation</term><term>Present study</term><term>Processes frequency distribution</term><term>Publ health dent</term><term>Radiograph</term><term>Restorative</term><term>Restorative concern</term><term>Restorative decisions</term><term>Restorative dentistry</term><term>Restorative treatment</term><term>Restorative treatment decisions</term><term>Restorative treatment recommendations</term><term>Root abnormalities</term><term>Routine enquiry</term><term>Sage publications</term><term>Sheiham</term><term>Shugars</term><term>Social sciences</term><term>Systemic diseases</term><term>Treatment decisions</term><term>Treatment planning</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Dental practice is affected by variation in diagnosis 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Content‐analysis of diagnostic thinking processes and concurrent concepts used in an educational environment</title><respStmt><resp>Références bibliographiques récupérées via GROBID</resp><name resp="ISTEX-API">ISTEX-API (INIST-CNRS)</name></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2000-11"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Clinical decision‐making in restorative dentistry. Content‐analysis of diagnostic thinking processes and concurrent concepts used in an educational environment</title><title level="a" type="short">Clinical decision‐making in restorative dentistry</title><author xml:id="author-0000"><persName><forename type="first">Gerardo</forename><surname>Maupomé</surname></persName><affiliation>Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia. Vancouver, Canada<address><country key="CA"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Aubrey</forename><surname>Sheiham</surname></persName><affiliation>Department of Epidemiology and Public Health, University College London Medical School, University of London, London, UK<address><country key="GB"></country></address></affiliation></author><idno type="istex">F777958EDA13F7AD0C337134074C7138CE58A849</idno><idno type="ark">ark:/67375/WNG-MLJRPR9H-M</idno><idno type="DOI">10.1034/j.1600-0579.2000.040401.x</idno><idno type="unit">EJE040401</idno><idno type="supplier">eje9o148</idno><idno type="toTypesetVersion">file:EJE.EJE040401.pdf</idno></analytic><monogr><title level="j" type="main">European Journal of Dental Education</title><title level="j" type="alt">EUROPEAN JOURNAL OF DENTAL EDUCATION</title><idno type="pISSN">1396-5883</idno><idno type="eISSN">1600-0579</idno><idno type="book-DOI">10.1111/(ISSN)1600-0579</idno><idno type="book-part-DOI">10.1111/eje.2000.4.issue-4</idno><idno type="product">EJE</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">4</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="143">143</biblScope><biblScope unit="page" to="152">152</biblScope><biblScope unit="page-count">10</biblScope><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2000-11"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p>Dental practice is affected by variation in diagnosis and treatment planning between clinicians. The process underlying the decisions leading to management of dental caries is poorly understood.</p><p>To explore diagnostic thinking and identify information used in the diagnosis, management and treatment of caries.<hi rend="bold">Objective:</hi></p><p>15 senior dental students (mean age, 23.1 years; 66% female) in Mexico City were interviewed using a Simulated Patient Model (SPM).</p><p>The SPM consultation session and its review, aimed at eliciting an introspective recall description of the Diagnostic Thinking Processes (DTP) and the pieces of information (concepts) employed, were transcribed and content‐analyzed (CA). CA reproducibility coefficients were 0.53 to 0.64. The cognitive psychology Gale & Marsden (GM) model was used to structure DTP and concepts. Data were analyzed with chi‐squared tests.</p><p>DTP utilization was similar to the original report in endocrinology and neurology cases. A wide variety of concepts were combined with DTP to describe the strategies and information preferentially resorted to while addressing four areas identified in the consultation.<hi rend="bold">Results:</hi></p><p>Narrow arrays of concepts of restorative concern (mostly physical features present in/on teeth) were often investigated using DTP 1, 2 and 4 in combination with the use of dental explorers. The heuristics detected link features common to the GM model and to an indirect pattern‐recognition model, whereby reliance on visual/tactile concepts facilitates the acquisition of a clinically meaningful image. Non‐clinical factors believed to be at play in the application of strategies were not investigated but were controlled for in the SPM.<hi rend="bold">Conclusions:</hi></p><:t>Context:</:t><:t>Subjects/materials:</:t><:t>Methods:</:t></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">clinical decision‐making</term><term xml:id="k2">restorative dentistry</term><term xml:id="k3">diagnostic thinking</term><term xml:id="k4">treatment</term><term xml:id="k5">treatment appropriateness</term><term xml:id="k6">cognitive psychology</term><term xml:id="k7">dental education</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc><revisionDesc><change>undefined</change><change>[object Object]</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/F777958EDA13F7AD0C337134074C7138CE58A849/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley component found"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Munksgaard International Publishers</publisherName><publisherLoc>Copenhagen</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0579</doi><issn type="print">1396-5883</issn><issn type="electronic">1600-0579</issn><idGroup><id type="product" value="EJE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="EUROPEAN JOURNAL OF DENTAL EDUCATION">European Journal of Dental Education</title></titleGroup></publicationMeta><publicationMeta level="part" position="11004"><doi origin="wiley">10.1111/eje.2000.4.issue-4</doi><numberingGroup><numbering type="journalVolume" number="4">4</numbering><numbering type="journalIssue" number="4">4</numbering></numberingGroup><coverDate startDate="2000-11">November 2000</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0014300" status="forIssue"><doi origin="wiley">10.1034/j.1600-0579.2000.040401.x</doi><idGroup><id type="unit" value="EJE040401"></id><id type="supplier" value="eje9o148"></id></idGroup><countGroup><count type="pageTotal" number="10"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title></titleGroup><eventGroup><event type="firstOnline" date="2002-01-04"></event><event type="publishedOnlineFinalForm" date="2002-01-04"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:Header result:Header" date="2010-03-04"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="143">143</numbering><numbering type="pageLast" number="152">152</numbering></numberingGroup><linkGroup><link type="toTypesetVersion" href="file:EJE.EJE040401.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 7 March 2000</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="0"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="0"></count><count type="wordTotal" number="7916"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Clinical decision‐making in restorative dentistry. Content‐analysis of diagnostic thinking processes and concurrent concepts used in an educational environment</title><title type="shortAuthors">Maupomé & Sheiham</title><title type="short">Clinical decision‐making in restorative dentistry</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Gerardo</givenNames><familyName>Maupomé</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Aubrey</givenNames><familyName>Sheiham</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="CA"><unparsedAffiliation>Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia. Vancouver, Canada</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="GB"><unparsedAffiliation>Department of Epidemiology and Public Health, University College London Medical School, University of London, London, UK</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">clinical decision‐making</keyword><keyword xml:id="k2">restorative dentistry</keyword><keyword xml:id="k3">diagnostic thinking</keyword><keyword xml:id="k4">treatment</keyword><keyword xml:id="k5">treatment appropriateness</keyword><keyword xml:id="k6">cognitive psychology</keyword><keyword xml:id="k7">dental education</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><section xml:id="abs1-1"><title type="main">Context:</title><p>Dental practice is affected by variation in diagnosis and treatment planning between clinicians. The process underlying the decisions leading to management of dental caries is poorly understood.</p><p><b>Objective:</b> To explore diagnostic thinking and identify information used in the diagnosis, management and treatment of caries.</p></section><section xml:id="abs1-2"><title type="main">Subjects/materials:</title><p>15 senior dental students (mean age, 23.1 years; 66% female) in Mexico City were interviewed using a Simulated Patient Model (SPM).</p></section><section xml:id="abs1-3"><title type="main">Methods:</title><p>The SPM consultation session and its review, aimed at eliciting an introspective recall description of the Diagnostic Thinking Processes (DTP) and the pieces of information (concepts) employed, were transcribed and content‐analyzed (CA). CA reproducibility coefficients were 0.53 to 0.64. The cognitive psychology Gale & Marsden (GM) model was used to structure DTP and concepts. Data were analyzed with chi‐squared tests.</p><p><b>Results:</b> DTP utilization was similar to the original report in endocrinology and neurology cases. A wide variety of concepts were combined with DTP to describe the strategies and information preferentially resorted to while addressing four areas identified in the consultation.</p><p><b>Conclusions:</b> Narrow arrays of concepts of restorative concern (mostly physical features present in/on teeth) were often investigated using DTP 1, 2 and 4 in combination with the use of dental explorers. The heuristics detected link features common to the GM model and to an indirect pattern‐recognition model, whereby reliance on visual/tactile concepts facilitates the acquisition of a clinically meaningful image. Non‐clinical factors believed to be at play in the application of strategies were not investigated but were controlled for in the SPM.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Clinical decision‐making in restorative dentistry. Content‐analysis of diagnostic thinking processes and concurrent concepts used in an educational environment</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Clinical decision‐making in restorative dentistry</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Clinical decision‐making in restorative dentistry. Content‐analysis of diagnostic thinking processes and concurrent concepts used in an educational environment</title></titleInfo><name type="personal"><namePart type="given">Gerardo</namePart><namePart type="family">Maupomé</namePart><affiliation>Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia. Vancouver, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Aubrey</namePart><namePart type="family">Sheiham</namePart><affiliation>Department of Epidemiology and Public Health, University College London Medical School, University of London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Munksgaard International Publishers</publisher><place><placeTerm type="text">Copenhagen</placeTerm></place><dateIssued encoding="w3cdtf">2000-11</dateIssued><edition>Accepted for publication 7 March 2000</edition><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">0</extent><extent unit="formulas">0</extent><extent unit="references">0</extent><extent unit="linksCrossRef">0</extent><extent unit="words">7916</extent></physicalDescription><abstract>Dental practice is affected by variation in diagnosis and treatment planning between clinicians. The process underlying the decisions leading to management of dental caries is poorly understood. Objective: To explore diagnostic thinking and identify information used in the diagnosis, management and treatment of caries.</abstract><abstract>15 senior dental students (mean age, 23.1 years; 66% female) in Mexico City were interviewed using a Simulated Patient Model (SPM).</abstract><abstract>The SPM consultation session and its review, aimed at eliciting an introspective recall description of the Diagnostic Thinking Processes (DTP) and the pieces of information (concepts) employed, were transcribed and content‐analyzed (CA). CA reproducibility coefficients were 0.53 to 0.64. The cognitive psychology Gale & Marsden (GM) model was used to structure DTP and concepts. Data were analyzed with chi‐squared tests. Results: DTP utilization was similar to the original report in endocrinology and neurology cases. A wide variety of concepts were combined with DTP to describe the strategies and information preferentially resorted to while addressing four areas identified in the consultation. Conclusions: Narrow arrays of concepts of restorative concern (mostly physical features present in/on teeth) were often investigated using DTP 1, 2 and 4 in combination with the use of dental explorers. The heuristics detected link features common to the GM model and to an indirect pattern‐recognition model, whereby reliance on visual/tactile concepts facilitates the acquisition of a clinically meaningful image. Non‐clinical factors believed to be at play in the application of strategies were not investigated but were controlled for in the SPM.</abstract><subject lang="en"><genre>keywords</genre><topic>clinical decision‐making</topic><topic>restorative dentistry</topic><topic>diagnostic thinking</topic><topic>treatment</topic><topic>treatment appropriateness</topic><topic>cognitive psychology</topic><topic>dental education</topic></subject><relatedItem type="host"><titleInfo><title>European Journal of Dental Education</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">1396-5883</identifier><identifier type="eISSN">1600-0579</identifier><identifier type="DOI">10.1111/(ISSN)1600-0579</identifier><identifier type="PublisherID">EJE</identifier><part><date>2000</date><detail type="volume"><caption>vol.</caption><number>4</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>143</start><end>152</end><total>10</total></extent></part></relatedItem><identifier type="istex">F777958EDA13F7AD0C337134074C7138CE58A849</identifier><identifier type="ark">ark:/67375/WNG-MLJRPR9H-M</identifier><identifier type="DOI">10.1034/j.1600-0579.2000.040401.x</identifier><identifier type="ArticleID">EJE040401</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Munksgaard International Publishers</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/F777958EDA13F7AD0C337134074C7138CE58A849/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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