NAVIGATIONAL DECISION-MAKING IN DENTAL MANAGEMENT CASES

从影响牙科实践的新知识的日益流动和医学观念的变化中，显然需要一种解决问题的方法来教授医学上有问题的患者的牙科管理。该项目将设计、开发和评估一个以病例为导向的交互式多媒体光盘计划，以提供有关医学上有问题的患者的牙齿管理的基本培训。具体目标是：A)为牙科学生提供以病例为基础的交互式决策培训方法，使他们更好地为与医学上有危险的患者合作做好准备；B)为执业牙医提供易于访问、成本效益高的交互式培训和参考信息，以更新他们的知识；以及C)实施临床决策导航模式。最终产品将包含27种影响牙齿管理的医疗条件。在L阶段，将开发关于肾上腺疾病的8个程序，使用问题解决架构、真实的案例模拟和游戏式互动。将完成7个具体目标，包括：1)开发肾上腺疾病部分的内容，2)为肾上腺疾病部分开发完整的案例研究，3)建立基于解决问题的教学设计的方案架构，4)为肾上腺疾病部分创建多媒体和基于网络的组件，5)将组件组合成交互式多媒体程序，6)评估肾上腺疾病部分的可用性和教学有效性，以及7)制定最终产品的商业分销计划。拟议的商业应用：该计划将面向牙科学生和从业者进行营销。美国有52所牙科学校每年向4500名学生提供一门关于医疗受损患者的牙科管理课程。在过去的两年里，莫斯比公司已经售出了15,000本用于该计划内容的教科书，并建议将该CD-ROM包括在下一版中。1995年，美国有超过15.3万名执业牙医，43个州要求接受继续教育。次要受众包括牙科卫生师、牙科卫生专业学生、医生和医科学生。

The need for a problem-solving approach to the teaching of dental management of medically compromised patients is evident from the increasing flow of new knowledge and changing concepts in medicine that impact on the practice of dentistry. This project will design, develop and evaluate an Interactive case-oriented multimedia CD-ROM program to provide essential training on dental management of medically compromised patients. The specific aims are: A) to provide an interactive case-based decision-making approach to training for dental students to better prepare them to work with medically compromised patients; B) to provide easily- accessible, cost-effective interactive training and reference information for practicing dentists to update their knowledge; and C), to implement the Navigational Approach to Clinical Decision Making instwctional model. The final product will contain twenty-seven medical conditions that affect dental management. During Phase l, 8 program will be developed about adrenal disease using a problem-solving architecture, authentic case simulations, and game-like Interactivity. Seven specific objectives will be accomplished and include: 1) Develop the content for the adrenal disease section, 2) Develop a complete case study for the adrenal disease section, 3) Build the architecture of the program based on a problem-solving instructional design, 4) Create multimedia and web-based components for the adrenal disease section, 5) Combine components into an interactive multimedia program, 6) Evaluate the adrenal disease section for usabiiity and instructional effectiveness, and 7) Develop a plan for commercial distribution of the final product. PROPOSED COMMERCIAL APPLICATION: The program will be marketed to dental students and practitioners. Fifty-two U.S. dental schools offer a course on dental management of medically compromised patients available to 4,500 students/year. Mosby, Inc. has sold 15,000 copies of the textbook used for content for the program in the last 2 years and proposes that the CD-ROM be Included with the next edition. in 1995, there were more than 153,000 practicing dentists in the U.S. and continuing education is required In 43 states. A secondary audience includes dental hygienists, dental hygiene students, physicians, and medical students.