Dental schools are challenged to develop new learning methodologies and experiences to better prepare future dental practitioners. The purpose of this study was to gain insight into the community-based experiences of dental students as documented in their critical incident essays and explore what learning outcomes and benefits students reported. Following two required community-based clinical rotations, each student wrote a reflection essay on a self-defined critical incident that occurred during the rotations. Rotations took place in settings such as a public health clinic, special needs facility, hospital, or correctional institution. Essays for two classes of students were content-analyzed for recurring themes and categories. Students were confronted in their rotations with a wide range of situations not typically encountered in dental academic settings. Their essays showed that, as a result of these rotations, students developed increased self-awareness, empathy, communications skills, and self-confidence. Critical incidents challenged assumptions and stereotypes, enhanced awareness of the complexities of dental care, and raised complex ethical dilemmas. The essays also illustrated a heightened sense of professional identity and enabled students to appreciate the role dentistry can play in impacting patients' lives. We concluded from the study that community-based dental education that includes a process for reflection holds promise as an educational strategy to facilitate the personal and professional development of future dentists.
Reflection Upon A Critical Incident Essays
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Reflection has its importance in clinical practice; we always seek to be successful and that can be achieved by learning every day of our life through experiences we encounter. In that way we can reconsider and rethink our previous knowledge and add new learning to our knowledge base so as to inform our practice. Learning new skills does not stop upon qualifying; this should become second nature to thinking professionals as they continue their professional development throughout their careers (Jasper, 2006).
In keeping within current legislation on the protection and respect of an individuals’ right of anonymity, (Polit and Beck 2007), and to confidentiality, (Munhall 2007), any and all possible identifiable characteristics of the…show more content…
One research summary listed on AHRQ website under patient safety is a device that has potential in reducing the incidence of ventilator-associated pneumonia (VAP) (Collard & Saint, 2010). Continuous aspiration of subglottic secretions (CASS) is an apparatus that has been shown to decrease the incidence of VAP in certain patients. Included in this piece is a description of VAP, how CASS can help improve patients at risk for VAP and a patient care situation regarding clients receiving mechanical ventilation.
Pneumonia is the second most common hospital-acquired infection and is the leading cause of death due to nosocomial infection in the United States (Augustyn, 2007). A patient who is intubated with an endotracheal tube (ETT) is at increased risk of developing pneumonia. The bacteria colonizing the oropharynx can move into the lower respiratory tract because the ETT provides a direct route into the lower airway (Craven & Hjalmarson, 2010). This type of pneumonia is called ventilator-associated pneumonia (VAP), it occurs in patients receiving mechanical ventilation for an extended period of time. Ventilator associated pneumonia can be categorized as either early-onset or late-onset. Early-onset VAP occurs between 48 to 96 hours and is usually caused by Haemophilus influenza, an antibiotic sensitive community-acquired organisms (Collard & Saint, 2010). Late-onset VAP is caused by