Zabihulla Ahmadi, Michael Spector, Angelica Alvarez, Judy Chia-Chun Yuan, Cortino Sukotjo, Adriana Semprum-Clavier, Fatemeh S Afshari
{"title":"Comparison of Objective Structured Clinical Examination Preparation and Performance Between Foreign-Trained Dentists and Domestic Dental Students.","authors":"Zabihulla Ahmadi, Michael Spector, Angelica Alvarez, Judy Chia-Chun Yuan, Cortino Sukotjo, Adriana Semprum-Clavier, Fatemeh S Afshari","doi":"10.1002/jdd.70253","DOIUrl":"https://doi.org/10.1002/jdd.70253","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to compare the Objective Structured Clinical Examination (OSCE) preparation and performance of foreign-trained dentists enrolled in a 28-month international dental program (DMDAS) with the traditional, domestic dental students (DMD).</p><p><strong>Material and methods: </strong>This study was exempted by the Institutional Review Board at the University of Illinois, Chicago (#2024-1441). De-identified OSCE results of 337 DMD and 249 DMDAS predoctoral dental students from the graduating classes of 2021-2025 were gathered and analyzed. For the purpose of analysis, differences greater than 2 standard deviations for each discipline tested on the OSCE were considered \"academically meaningful.\" Student perceptions and preparation strategies for the exam were assessed by an anonymous electronic survey disseminated to the class of 2025 (N = 118), 4 months following the OSCE. Descriptive and statistical analyses were performed (α = 0.05).</p><p><strong>Results: </strong>Both cohorts performed similarly with respect to the number of station failures. DMD students performed statistically significantly better than their counterparts in several OSCE stations; academically meaningful difference in performance was noted in Medical Referral, Lifelong Learning, and Evidence-Based Dentistry. Both student cohorts perceived the exam to have been fair and objective, covered a wide range of clinical applications and the curriculum, and was realistic. The exam platform and English proficiency seemed to have played a minor role in student's perception of the exam outcomes.</p><p><strong>Conclusion: </strong>Although OSCE performance varied between DMD and DMDAS students across disciplines/stations, no notable differences were found in how the two groups perceived the exam, nor in the total number of station failures.</p>","PeriodicalId":50216,"journal":{"name":"Journal of Dental Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on an Original Article: Perceptions of Pharmacology Teaching Approaches in Pre-Doctoral Dental Education.","authors":"Jiayi Chen","doi":"10.1002/jdd.70254","DOIUrl":"https://doi.org/10.1002/jdd.70254","url":null,"abstract":"","PeriodicalId":50216,"journal":{"name":"Journal of Dental Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Leadership and Change in US Dental Education: A Characterization of Dental Deans' Self-Reported Leadership Styles.","authors":"Jeffrey T Johnson","doi":"10.1002/jdd.70252","DOIUrl":"https://doi.org/10.1002/jdd.70252","url":null,"abstract":"<p><strong>Purpose: </strong>Despite repeated national calls for reform, US dental education has shown limited systemic change. Leadership is often cited as a critical lever for transformation, yet empirical descriptions of leadership styles among dental school deans remain sparse. This study characterized the self-reported leadership styles of US dental school deans and examined whether gender identity and deanship tenure were associated with leadership style.</p><p><strong>Methods: </strong>A quantitative, non-experimental correlational study used the Multifactor Leadership Questionnaire (MLQ 5X-Short Form). All deans of accredited US dental schools who were members of the American Dental Education Association (ADEA) were invited to participate. Descriptive statistics summarized leadership style profiles, and inferential analyses examined associations between leadership style and selected demographic variables.</p><p><strong>Results: </strong>Twenty-six deans completed the MLQ. Respondents overwhelmingly self-identified with transformational leadership styles (mean composite score = 3.43). No statistically significant differences in leadership style were observed by gender identity, deanship length, or race/ethnicity. Scores for transactional and passive-avoidant leadership were relatively low.</p><p><strong>Conclusion: </strong>US dental school deans report strong tendencies toward transformational leadership across demographic characteristics. However, structural inertia in dental education persists, suggesting that leadership self-perception alone is insufficient to drive systemic reform. Translating transformational intent into sustained change likely requires organizational mechanisms, leadership pipelines, and institutional infrastructure that support adaptive change.</p>","PeriodicalId":50216,"journal":{"name":"Journal of Dental Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Student Anxiety and Stress Related to Needlestick/Sharps Injuries in Dental Clinics.","authors":"Lindsey C Billing, Marisa A Cornewell","doi":"10.1002/jdd.70235","DOIUrl":"https://doi.org/10.1002/jdd.70235","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This study explored how the threat of needlestick/sharps injuries affects stress and anxiety among dental, dental hygiene, and dental assisting students in accredited US programs. It also aimed to identify contributing factors and assess potential educational interventions.</p><p><strong>Methods: </strong>Following IRB exemption, a mixed-methods survey was distributed between April 17th and July 7th, 2025, via program directors nationally and administered through Qualtrics. The survey included Likert-scale and open-ended questions assessing students' anxiety, stress, injury history, confidence, awareness of post-exposure protocols, and training adequacy. Quantitative data were analyzed using descriptive statistics and chi-square analysis; qualitative responses were analyzed using Creswell and Poth Data Analysis Spiral.</p><p><strong>Results: </strong>Of 300 valid responses, 52% were dental hygiene students, 41% dental students, and 7% dental assisting students. While only 14% reported experiencing a needlestick/sharps injury, 76% reported at least mild anxiety about the risk, and 81% expressed concern about disease transmission. Dental students reported significantly higher anxiety than dental hygiene students (p = 0.00008). Those with prior injuries were more likely to report anxiety (p = 0.0004) and insufficient training (p = 0.013). Despite most reporting awareness of post-exposure protocols, open-ended responses revealed confusion, underreporting, and concerns about institutional response and judgment.</p><p><strong>Conclusion(s): </strong>The threat of needlestick/sharps injuries significantly contributes to stress and anxiety among dental healthcare students, particularly those with prior injuries. Findings suggest a need for curriculum improvements, including supportive stress management resources following injury, and enhanced faculty/staff training on post-exposure protocols. These interventions could improve both student well-being and safety culture in dental education.</p>","PeriodicalId":50216,"journal":{"name":"Journal of Dental Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mapping Patient Complexity to Educational Needs: Proof-of-Concept for a Data-Driven Framework.","authors":"Francesca Zotti, Rozendo Luiz Corso, Bruna Orlandin, Leandro Corso, Thiago Oliveira Gamba","doi":"10.1002/jdd.70245","DOIUrl":"https://doi.org/10.1002/jdd.70245","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine whether routinely collected clinical data from a university dental clinic could be translated into a coherent framework for organizing competency-based clinical training. By examining patterns of patient complexity, the study sought to generate an evidence-informed set of educational care lines to guide case allocation, support competency development, and strengthen assessment practices.</p><p><strong>Methods: </strong>A total of 331 anonymized patient records from 2023 to 2025 were extracted from the institutional database. Variables included demographic information, reasons for appointments, treatment duration, number of visits, procedure codes, and completion status. After data cleaning, relevant variables were selected based on their educational relevance. A multivariate K-means clustering model (K = 2-7) was applied using standardized numerical variables and one-hot-encoded categorical variables. The optimal solution (K = 2) was identified through silhouette analysis. Cluster profiles were examined and interpreted pedagogically to generate educational care lines.</p><p><strong>Results: </strong>Two distinct macro-clusters emerged, reflecting low and high clinical complexity. Low-complexity patients (n = 282) typically underwent short, straightforward treatments with high completion rates. High-complexity patients (n = 49) demonstrated longer treatment trajectories, multiple procedures, and a higher risk of interruption. These patterns informed the derivation of five educational care lines: preventive care, simple restorative care, complex chronic care, prosthodontic care, and critical adherence care. For each line, corresponding competencies, learning objectives, assessment criteria, and autonomy expectations were defined.</p><p><strong>Conclusions: </strong>This proof-of-concept study demonstrates that clinical data can be transformed into a structured educational framework capable of informing competency-based curriculum design. The resulting care-line model offers a practical method for aligning case complexity with student readiness, improving consistency in clinical exposure, and supporting more reliable assessment practices. Further validation in larger or multicenter cohorts is warranted.</p>","PeriodicalId":50216,"journal":{"name":"Journal of Dental Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dan Burch, Marvellous A Akinlotan, Oluyomi Oloruntoba, Prerana Gurudath, Carol Dean, Katherine Miller Nimmons, Nina Ray, Jayne Reuben
{"title":"Community-Based Postdoctoral Dentistry Program in Special Care Dentistry: Development and Implementation.","authors":"Dan Burch, Marvellous A Akinlotan, Oluyomi Oloruntoba, Prerana Gurudath, Carol Dean, Katherine Miller Nimmons, Nina Ray, Jayne Reuben","doi":"10.1002/jdd.70239","DOIUrl":"https://doi.org/10.1002/jdd.70239","url":null,"abstract":"<p><strong>Introduction: </strong>There is a growing, national need for properly trained dentists to provide special care dentistry to a transitioning, aging, and medically complex population. This study describes the implementation and initial impact of a novel academic-community intervention designed to rapidly address this critical gap in provider training and service delivery in the Dallas-Fort Worth Metroplex-.</p><p><strong>Methods: </strong>The compromised care and hospital dentistry (CCHD) fellowship and an associated special care dentistry clinic were launched based on five core objectives. Key strategies included interdepartmental collaboration and streamlined administrative processes to facilitate rapid program startup. Evaluation tracked implementation and service outcomes (reach and workforce impact), using administrative and electronic dental record data from seven partner sites across 2020-2025.</p><p><strong>Results: </strong>The program demonstrated high feasibility by launching in 45 days. Maintenance was achieved through securing over $4.9 million in foundational support and implementing a novel community practice partnership model to sustain core positions. Service outcomes showed high reach, with fellows treating 8013 unduplicated patients annually. The population served was highly diverse, low-income, and 93.6% reliant on Medicaid/Medicare. Workforce impact was 100%, with all 12 graduated fellows remaining in SHCN practice and the 4 remaining fellows planning to continue serving patients with SHCN.</p><p><strong>Conclusion: </strong>The CCHD model provides a replicable and scalable implementation template for academic dental centers seeking to rapidly increase specialized care capacity. Successful collaboration and streamlined administration achieved institutional stability quickly. Future assessments will focus on longitudinal patient outcomes and the cost-effectiveness of this model to further substantiate its value in mitigating oral health disparities for the SHCN population.</p>","PeriodicalId":50216,"journal":{"name":"Journal of Dental Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial Intelligence Revolution: The Need for a Regulatory and Governance Framework in Dentistry.","authors":"Ehsan Jozaghi","doi":"10.1002/jdd.70241","DOIUrl":"https://doi.org/10.1002/jdd.70241","url":null,"abstract":"","PeriodicalId":50216,"journal":{"name":"Journal of Dental Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cheryline Pezzullo, Lucia Wang, Maria Cordero, Roberto Guerrero, Eugenia E Mejia, Lorel E Burns
{"title":"The Impact of Race-Blind Admission Policies on Pathway Program Admissions: Saturday Academy at NYU Dentistry.","authors":"Cheryline Pezzullo, Lucia Wang, Maria Cordero, Roberto Guerrero, Eugenia E Mejia, Lorel E Burns","doi":"10.1002/jdd.70243","DOIUrl":"https://doi.org/10.1002/jdd.70243","url":null,"abstract":"<p><strong>Purpose/ objectives: </strong>The aim of this study was to evaluate the impact of race-blind admissions policies on the recruitment and enrollment of a single, university-based, pathway program.</p><p><strong>Methods: </strong>Programmatic data were used to conduct a retrospective cohort study of applicants to the pathway program, Saturday Academy at New York University College of Dentistry, during the period of race-conscious admissions practices (2023) and after the implementation of race-blind admissions policies (2024). Chi-squared, Fisher's exact, and Z-tests were used to compare demographic characteristics reported by program applicants and enrollees.</p><p><strong>Results: </strong>No statistically significant differences were observed in the demographics of the applicant pool between 2023 and 2024, as it related to gender, ethnicity, race, use of federal/ state assistance programs, or first-generation college status. No statistically significant differences could be observed between Saturday Academy enrollees in 2023 and 2024 as it related to gender and use of federal/ state assistance programs. There was a 46.2% (p = 0.002) decrease in the proportion of Hispanic students and a 74.4% (p = 0.001) decrease in the proportion of Black students admitted to the program in 2024. Also in 2024, there was a 119.8% (p = 0.004) increase in the proportion of Asian American students admitted, and the proportion of students who self-identified as first-generation college students increased 27% (p = 0.03).</p><p><strong>Conclusion: </strong>The effective federal ban on race-conscious admissions practices is likely to compromise the ability of pathway programs to significantly contribute to the development of a healthcare workforce that is representative of the demographics of the US population.</p>","PeriodicalId":50216,"journal":{"name":"Journal of Dental Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"LLM-Based Anki Card Generation: Solving the \"Creation Bottleneck\" in Dental Education?","authors":"Ke Chen, Andrew Zhang, Xianju Xie, Yuxing Bai","doi":"10.1002/jdd.70247","DOIUrl":"https://doi.org/10.1002/jdd.70247","url":null,"abstract":"","PeriodicalId":50216,"journal":{"name":"Journal of Dental Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}