A model for dental workload measurement.

Parker, Warren A.; Williams, Derica; Mayotte, Richard V.; James, Jim; Mangelsdorff, A. David

doi:10.2105/ajph.72.9.1022

Cited by 8 publications

(7 citation statements)

References 5 publications

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“…An observation study with a video-based analysis [21] would help to clarify why dentists who used Pd in this study spent more time on each task. Also a paper-based task analysis [22] or actual time measurements on patient visits [23] could give more interesting information on the variability of working time in dental work tasks.…”

Section: Discussionmentioning

confidence: 99%

Working Conditions and Dentists’ Attitude Towards Proprioceptive Derivation

Chaikumarn

2004

International Journal of Occupational Safety and Ergonomics

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Proprioceptive derivation (Pd), a new method of organising a dentist workstation as well as a working procedure, was introduced to Thailand. The aim of this study was to assess the working conditions and the attitude to Pd among experienced users. Questionnaires were distributed among 12 dentists. The results showed that all dentists chose to work in a sitting posture and mostly worked without breaks between patients. They spent less time on dental examination and crown and bridge therapy tasks. Solving problems in patients with physical limitations resulted in a low stress level. Seven dentists (58.3%) always used Pd and liked it. Five dentists (41.7%) sometimes used Pd, with 3 of them liking it. Only 2 dentists, who sometimes used Pd, did not like it because it could not cover all dental tasks and treatment, and it was difficult and complex.

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Section: Discussionmentioning

confidence: 99%

Working Conditions and Dentists’ Attitude Towards Proprioceptive Derivation

Chaikumarn

2004

International Journal of Occupational Safety and Ergonomics

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“…ReVUs were developed to normalize equivalencies for each clinical procedure performed by predoctoral dental students across the clinics of dental schools. The ReVU had its origins in the dental workload measurement model pioneered by Parker et al, in which those investigators standardized the approach to workload reporting in a non‐fee dental care system 7 . The result was a set of 264 task/procedure‐driven codes that corresponded to the broad scope of dental practice.…”

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confidence: 99%

Analyzing Dental Students’ Clinic Production Using Time‐Based Relative Value Units: Ten‐Year Cross‐Cohort Mapping

Watkins

Conn

Gellin

et al. 2018

Journal of Dental Education

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The analysis of dental students' clinical production/participation has been used to assess whether a prospective graduate is capable of unsupervised and independent practice (that is, competent to perform that practice). This method and others have inherent biases that may not accurately reflect whether the student has mastered the associated concepts and techniques required for dentistry. The aim of this study was to assess an informatics system that assigned curriculum meta-tags with time-based relative educational value units (ReVUs) to each clinical procedure performed by Medical University of South Carolina (MUSC) students. The system has been used since 1998, but for this study the complete data sets for the MUSC graduating classes of 2007 through 2016 were mapped using microcompetency codes for the dental procedures. In total, 421,494 procedures were formatted and analyzed using software developed to aggregate disparate data sets from clinical activities into a common format for evaluation. The results showed that the ten classes (cohorts) were very consistent with cohort high ReVUs averaging 7,317.1 points, cohort mean ReVUs being 5,180.2 points, and cohort low ReVUs averaging 3,381 points. A detailed analysis of student effort by dental subspecialty found that preventive activities represented 13.4%, patient assessment 32.6%, periodontology 2.8%, restorative dentistry 16.3%, prosthodontics 21.9%, endodontics 6.7%, and oral surgery 5.7% of the total points in the clinical part of the curriculum. In this system, point thresholds can be easily generated to monitor students' progress towards competence for each defined competency and thus assess their progress towards acquiring the skills required for unsupervised, independent practice.

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“…Dental claims and self‐report data have been previously used as single‐method data sources in productivity and time studies to estimate workload requirements and efficiencies in service delivery (5, 6). Frequency distribution of dental services and procedures are routinely collected from surveys of dental professionals, but self‐report is subject to both over‐ and under‐reporting (7–9) and has not been compared with any other data source.…”

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confidence: 99%

Concordance of chart and billing data with direct observation in dental practice

Demko

Victoroff

Wotman

2008

Comm Dent Oral Epid

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These concordance findings suggest that strengths and weaknesses of data collection sources should be considered when investigating delivery of dental services especially when using practitioner survey data. Future investigations can more fully rely on charted information rather than billing data and provider self-report for most dental procedures, but nonbillable procedures and most counseling interactions will not be captured with routine charting and billing practices.

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A model for dental workload measurement.

Abstract: The primary purpose of the study was to develop a model that would provide an efficient and standardized approach to workload reporting in a nonfee (HMO-like) dental care system. The model was also designed to predict the dental personnel resource

Cited by 8 publications

References 5 publications

Working Conditions and Dentists’ Attitude Towards Proprioceptive Derivation

Working Conditions and Dentists’ Attitude Towards Proprioceptive Derivation

Analyzing Dental Students’ Clinic Production Using Time‐Based Relative Value Units: Ten‐Year Cross‐Cohort Mapping

Concordance of chart and billing data with direct observation in dental practice

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