title: The influence of providing a clinical practice guideline on dental students' decision making.
abstract: The aim of this study was to assess the effect of the provision of a clinical practice guideline (CPG) on dental students' decisions to remove asymptomatic, impacted lower third molars. All dental students, who in 2001 were in the 3rd, 4th or 5th (final) year of their study at the Nijmegen College of Dental Sciences, were invited to participate. A pre-test-post-test control group design was used. Given 36 patient cases, all dental students were asked to assess the need for removal of asymptomatic, impacted lower third molars. All pre-test respondents were randomly allocated to the control or intervention group. After the provision of a CPG to the intervention group, both groups were asked to assess the same cases again. Frequencies of decisions to remove the third molars were calculated. Chi-square tests and anova were used to test the influence of study year and gender on the drop-out rate and on the effect of the provision of a CPG on students' treatment decisions. The decrease in indications to remove third molars by the intervention group was statistically significant (P < 0.05). In the control group, no significant decrease was observed. It was concluded that the provision of a CPG significantly influences dental students' decision making about treatment in a third-molar decision task. Students who used the CPG showed more guideline-conformed decision making.
authors.affiliation: Department of Cariology and Endodontology, College of Dental Sciences, University Medical Centre Nijmegen, Centre for Quality of Care Research (WOK), The Netherlands. w.vandersanden@dent.umcn.nl
authors.forename: Wil J M
authors.initials: WJ
authors.lastname: van der Sanden
authors.forename: Dirk G
authors.initials: DG
authors.lastname: Mettes
authors.forename: Alphons J M
authors.initials: AJ
authors.lastname: Plasschaert
authors.forename: Jan
authors.initials: J
authors.lastname: Mulder
authors.forename: Emiel H
authors.initials: EH
authors.lastname: Verdonschot
mesh_terms: D000704:Analysis of Variance; D016009:Chi-Square Distribution; D003657:Decision Making; D005260:Female; D005792:General Practice, Dental / Q000193:education; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D008334:Mandible; D008964:Molar, Third / Q000601:surgery; D009426:Netherlands; D017410:Practice Guidelines as Topic; D012737:Sex Factors; D013335:Students, Dental; D014081:Tooth Extraction; D014095:Tooth, Impacted / Q000601:surgery