The Effects of Faculty Calibration on Caries Risk Assessment and Quality Assurance.
Accurate caries risk assessment (CRA) plays a pivotal role in managing the disease of dental caries. The aim of this quality assurance study was to determine if faculty calibration training using a specific set of guidelines in a single session would improve the faculty members' CRA decision making. A calibration seminar was held in December 2014 at the Virginia Commonwealth University School of Dentistry, during which seven completed CRA forms for simulated patients were used to test 55 faculty members' risk assignment level before and after an instructional lecture was given. The results showed a statistically significant increase in the proportion of faculty members responding correctly for five of the seven cases on the pre- and posttests (p<0.01). One case showed no significant increase in correct responses (p=0.07), and on the seventh case, which presented low caries risk, there was a significant decrease in the percentage responding correctly (p<0.0001) due to an increase in the proportion overestimating caries risk. This study's findings were consistent with those in previous studies that, without calibration, faculty members are not necessarily accurate at CRA diagnosis. Since the calibration training improved these faculty members' caries risk assessment scoring, future studies should extend to evaluations for both faculty and students.
Dr. Goolsby and Dr. Young contributed equally to this study. Dr. Goolsby is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Chiang is Assistant Professor, Department of General Practice, School of Dentistry, Virginia Commonwealth University; Dr. Carrico is Assistant Professor, Department of Periodontics, School of Dentistry, Virginia Commonwealth University; Dr. Jackson is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; and Dr. Rechmann is Professor and Director of Clinical Sciences Research Group, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco. srgoolsby@vcu.edu.
Susie P
SP
Goolsby
Dr. Goolsby and Dr. Young contributed equally to this study. Dr. Goolsby is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Chiang is Assistant Professor, Department of General Practice, School of Dentistry, Virginia Commonwealth University; Dr. Carrico is Assistant Professor, Department of Periodontics, School of Dentistry, Virginia Commonwealth University; Dr. Jackson is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; and Dr. Rechmann is Professor and Director of Clinical Sciences Research Group, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco.
Douglas A
DA
Young
Dr. Goolsby and Dr. Young contributed equally to this study. Dr. Goolsby is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Chiang is Assistant Professor, Department of General Practice, School of Dentistry, Virginia Commonwealth University; Dr. Carrico is Assistant Professor, Department of Periodontics, School of Dentistry, Virginia Commonwealth University; Dr. Jackson is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; and Dr. Rechmann is Professor and Director of Clinical Sciences Research Group, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco.
Harmeet K
HK
Chiang
Dr. Goolsby and Dr. Young contributed equally to this study. Dr. Goolsby is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Chiang is Assistant Professor, Department of General Practice, School of Dentistry, Virginia Commonwealth University; Dr. Carrico is Assistant Professor, Department of Periodontics, School of Dentistry, Virginia Commonwealth University; Dr. Jackson is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; and Dr. Rechmann is Professor and Director of Clinical Sciences Research Group, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco.
Caroline K
CK
Carrico
Dr. Goolsby and Dr. Young contributed equally to this study. Dr. Goolsby is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Chiang is Assistant Professor, Department of General Practice, School of Dentistry, Virginia Commonwealth University; Dr. Carrico is Assistant Professor, Department of Periodontics, School of Dentistry, Virginia Commonwealth University; Dr. Jackson is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; and Dr. Rechmann is Professor and Director of Clinical Sciences Research Group, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco.
Leonard V
LV
Jackson
Dr. Goolsby and Dr. Young contributed equally to this study. Dr. Goolsby is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Chiang is Assistant Professor, Department of General Practice, School of Dentistry, Virginia Commonwealth University; Dr. Carrico is Assistant Professor, Department of Periodontics, School of Dentistry, Virginia Commonwealth University; Dr. Jackson is Assistant Professor, Department of General Practice and Department of Admissions, School of Dentistry, Virginia Commonwealth University; and Dr. Rechmann is Professor and Director of Clinical Sciences Research Group, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco.
Peter
P
Rechmann
D003657:Decision Making; D003731:Dental Caries / Q000453:epidemiology*; D005179:Faculty, Dental / Q000592:standards*; D011786:Quality Control; D012189:Retrospective Studies; D018570:Risk Assessment; D012575:Schools, Dental; D014768:Virginia
CAMBRA; caries; caries risk assessment; clinical faculty; dental education; dental faculty; faculty calibration