title: Impact of the University of Colorado's Advanced Clinical Training and Service (ACTS) Program on dental students' clinical experience and cognitive skills, 1994-2006.
abstract: The University of Colorado Denver School of Dental Medicine has operated a community-based dental education program for all of its students since 1985. A database of student productivity has been maintained in a standardized format, capable of multiyear compilation, since 1994. This study utilizes twelve years of these data to profile the type and amount of clinical treatment that can be provided by a typical fourth-year dental student during a 100-day community-based training experience. Between 1994 and 2006, the school's 423 graduates provided a mean of 922 treatment procedures per student at a mean of 498 patient visits per student. During a typical four-week clinical affiliation, each student provided a mean of approximately twenty-seven restorations on permanent teeth, sixteen restorations on primary teeth, and twenty-four oral surgery procedures (extractions). Students also gained considerable experience in periodontics, fixed and removable prosthodontics, and endodontics. Self-assessed competency ratings tended to increase after completing the program, as did willingness to treat underserved populations after graduation. About 16 percent of graduates reported planning to practice in the public sector after completing dental school. A community-based experience such as this appears to offer an opportunity to substantially augment dental students' clinical training experiences.
authors.affiliation: Department of Applied Dentistry, Advanced Clinical Training and Service Program, School of Dental Medicine, University of Colorado Denver, Aurora, CO 80045, USA. Rob.Berg@ucdenver.edu
authors.forename: Rob
authors.initials: R
authors.lastname: Berg
authors.forename: Richard L
authors.initials: RL
authors.lastname: Call
authors.forename: Kerry
authors.initials: K
authors.lastname: Maguire
authors.forename: Douglas B
authors.initials: DB
authors.lastname: Berkey
authors.forename: Bernard A
authors.initials: BA
authors.lastname: Karshmer
authors.forename: Brad
authors.initials: B
authors.lastname: Guyton
authors.forename: Karen
authors.initials: K
authors.lastname: Tawara-Jones
mesh_terms: D002983:Clinical Competence; D003071:Cognition; D003120:Colorado; D003149:Community Dentistry / Q000193:education*; D054521:Cultural Competency; D003479:Curriculum; D003814:Dentistry, Operative / Q000193:education*; D004497:Education, Dental / Q000191:economics / Q000379:methods*; D004521:Educational Measurement; D005179:Faculty, Dental; D006801:Humans; D017145:Models, Educational; D011231:Preceptorship; D016730:Program Development; D015397:Program Evaluation; D012575:Schools, Dental; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D014146:Training Support