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J Dent Educ. 65(5): 449-455 2001
© 2001 American Dental Education Association
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Journal of Dental Education, Vol 65, Issue 5, 449-455
Copyright © 2001 by American Dental Education Association

Articles

Variation, certainty, evidence, and change in dental education: employing evidence-based dentistry in dental education

VC Marinho, D Richards, and R Niederman

Variation in health care, and more particularly in dental care, was recently chronicled in a Readers Digest investigative report. The conclusions of this report are consistent with sound scientific studies conducted in various areas of health care, including dental care, which demonstrate substantial variation in the care provided to patients. This variation in care parallels the certainty with which clinicians and faculty members often articulate strongly held, but very different opinions. Using a case-based dental scenario, we present systematic evidence-based methods for accessing dental health care information, evaluating this information for validity and importance, and using this information to make informed curricular and clinical decisions. We also discuss barriers inhibiting these systematic approaches to evidence-based clinical decision making and methods for effectively promoting behavior change in health care professionals.


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