Exploring cultural differences in dental care

Exploring cultural differences in dental care

Anna Matthews

Dental Hygiene / SPS

Oral Anatomy DEN 1112

Activity Description: Provide a brief description of the activity

In Fall 2016, students in three sections of DEN1112 completed a term project assignment with the focus on Intercultural Knowledge and Skills assessment.
This assignment consisted of several parts.
Individually, students watched a Frontline PBS documentary “Dollars and Dentists” (http://www.pbs.org/wgbh/frontline/film/dollars-and-dentists/ ) which explores the complexity and availability of dental care in the U.S.
Next, students read the case study “Mortality associated with odontogenic infection” (Green et al., 2001) and answer accompanying questions. Students were asked to discuss the documentaries they watched in small groups. Students were provided questions for discussion prompting them to discuss their opinions regarding the status of dental health care in the U.S. as presented in the documentary. Students were also asked to share their cultural beliefs and attitudes towards dental care. Given the diversity of students in our Dental Hygiene program (over 50% of students were not born in the U.S. and speak over 20 primary/first languages), a difference of experiences and resulting opinions about health care more broadly and dental care in particular emerged in their discussions.

Individually, students wrote an essay reflecting on the Frontline documentary and the case study. Among the questions they were to address in their essay, they were asked to describe their interactions with peers in their groups and to evaluate how their own attitudes/opinions were or were not different from those of their classmates, what have they learned about other cultural beliefs/attitudes from the dialog with other students, how their own opinions have or have not changed as a result of the whole experience (watching the documentary and learning about the subject and their subsequent discussion of it in small groups).

Learning Goals: What do you aim to achieve with this activity?

1. introduce students to the complexity of dental care and its availability in the U.S.
2. connect the topics of spread of dental infection, as introduced in their Head & Neck portion of DEN1112 course, to the real-life situations leading to serious and life-threatening outcomes discussed in the scientific article (case study) and Frontline investigation.
3. work in teams to discuss the different cultural influences on how people perceive the necessity of dental care and its various aspects.
4. reflect on the whole experience by connecting all parts of this assignment in the written essay.

Timing: At what point in the lesson or semester do you use this activity? How much classroom time do you devote to it? How much out-of-class time is expected?

This assignment begins during week 13 of the Fall semester. The students discussed in small groups during class sessions twice for about 20 min. Depending on how long it takes students to write their 1200-1500 word essays, the activity would take at least 10 hours to complete outside of class.

Logistics: What preparation is needed for this activity? What instructions do you give students? Is the activity low-stakes, high-stakes, or something else?

This term project is worth 10% of their final grade for DEN1112. The students were given detailed instructions for each part of the assignment and provided with the PDF of the article and a link to Frontine documentary.

Assessment: How do you assess this activity? What assessment measures do you use? Do you use a VALUE rubric? If not, how did you develop your rubric? Is your course part of the college-wide general education assessment initiative?

In 2016, my course was part of college-wide assessment of Intercultural Knowledge and Skills. An appropriate AAC&U VALUE rubric was used for this evaluation, however, it was not used for grading. Students’ essays were evaluated based on the clarity and organization of the information, providing accurate and appropriate sources and citations (they were asked to substantiate their writing with at least two sources analyzing the topic of the video, other than the documentary itself), sentence structure, grammar and spelling.

Reflection: How well did this activity work in your classroom? Would you repeat it? Why or why not? What challenges did you encounter, and how did you address them? What, if anything, would you change? What did students seem to enjoy about the activity?

This activity worked very well and I intend to repeat it in Fall 2017. I don’t plan to introduce any changes at this time. The students seemed to enjoy the small group discussions and according to their reflections in the essays, they learned a lot from each other as well as the case study and Frontline documentary. One student’s essay was selected for publication in the 2017 issue of City Tech Writer.

Additional Information: Please share any additional comments and further documentation of the activity – e.g. assignment instructions, rubrics, examples of student work, etc. These can be links to pages or posts on the OpenLab.

Please share a helpful link to a pages or post on the OpenLab

Teamwork assignment

Teamwork assignment

Anna Matthews

Dental Hygiene/SPS

DEN2315

Activity Description: Provide a brief description of the activity

This assignment focused on fostering students’ ability to work in teams, in class and online. Students in my Summer session’s class were randomly assigned to one of four groups (each had 5 members) and they were asked to create a PowerPoint presentation of 15-20 slides on a randomly assigned topic (one of four possible topics), which included a group of drugs that were not covered in class (anti-fungal medications, AIDS/HIV and drugs used in management, topical and systemic corticosteroids, and anti-allergy medications). Groups worked in class to create their own OpenLab project sites and I was a member of each group together with the five students. After the sites were created, students exchanged information and resources online and communicated among each other and with me. They had 2 weeks to work on their presentations and I evaluated their progress continuously. The final presentations were uploaded by one of the students from each group to our course OpenLab site. All students reviewed the presentations from each group.

Learning Goals: What do you aim to achieve with this activity?

I have done similar activity before and the main goal of it is to provide opportunity for students to work in teams and foster collaboration. While the final products by teams were always successful in the previous sessions of DEN2315, some students complained that it was not a true team effort and some students did not participate equally and did not contribute to the team’s outcome. By observing individual students’ participation online and evaluating their contributions to the process and the final group product, I was able to grade their efforts in a much more fair way and there was no more concerns from students about the unequal share of group’s work if some had done more or less than others.

Timing: At what point in the lesson or semester do you use this activity? How much classroom time do you devote to it? How much out-of-class time is expected?

Summer session 2-S is a 5-week course, we meet twice weekly in class. This assignment was due after the 4th week of the session and a progress evaluation was done at the end of week 3. We spent about 30 min in class to discuss the activity, organize students in groups and create their OpenLab project sites. The rest of work was done entirely online.

Logistics: What preparation is needed for this activity? What instructions do you give students? Is the activity low-stakes, high-stakes, or something else?

Students needed to learn how to create and manage their OpenLab sites and how to post/comment/add media and links there.
The activity is one of the 3 online assignments and it is 10% of their final course grade.

Assessment: How do you assess this activity? What assessment measures do you use? Do you use a VALUE rubric? If not, how did you develop your rubric? Is your course part of the college-wide general education assessment initiative?

I assessed students’ work by the following:
1. their participation in class in creating the site
2. the number of posts/comments they contributed during the group’s work online
3. quality of the resources they found and shared
4. clarity and organization of their own powerpoint slides in the group’s presentation
5. appropriateness of references/citations
I did use the VALUE rubric for the assessment of Teamwork as my guide to evaluate students’ interactions. My session was part of college-wide Spring 2016 assessment (although it was conducted in the Summer 2016 session) but the rubrics were used for guidance and assessment only, not for grading individual student work.

Reflection: How well did this activity work in your classroom? Would you repeat it? Why or why not? What challenges did you encounter, and how did you address them? What, if anything, would you change? What did students seem to enjoy about the activity?

The activity worked very well. It was a marked improvement compared to the previous times I used this assignment and allowed students to select their own groups and topics as well as divide their work by themselves. Previously, for some groups it resulted in unequal work distribution and by overseeing each group of students I was able to evaluate each student’s work individually. I especially liked that this time all students worked together very well, even though they were randomly assigned to groups. Students’ comments about their experience were positive as well.

Additional Information: Please share any additional comments and further documentation of the activity – e.g. assignment instructions, rubrics, examples of student work, etc. These can be links to pages or posts on the OpenLab.

For students’ privacy, their OpenLab project sites were for members only. Assignment description is here: group-study-assignment-2016-teamwork
Teamwork VALUE rubric is on the CityTech AIR website.

Please share a helpful link to a pages or post on the OpenLab

Drugs in the News

Drugs in the News

Anna Matthews https://openlab.citytech.cuny.edu/members/amatthews/

Dental Hygiene/SPS

DEN 2315

Activity Description: Provide a brief description of the activity

This low-stakes assignment is one of the four OpenLab assignments for second-year Dental Hygiene students who take DEN 2315, Oral Pharmacology, in the Summer session. The purpose of the online assignments, including “Drugs in the News”, is to continue the conversation related to the subject of pharmacology beyond the walls of our classroom and to supplement our limited classroom time (Summer session lasts only 5 weeks – 9 in-person sessions + final examination). Assignment description for students can be found here: Drugs in the News Assignment 2015

Learning Goals: What do you aim to achieve with this activity?

1. to relate information about drugs presented in the media (print, TV) to the information students learn in the course (DEN2315);

2. to evaluate the information from the news source (article, TV segment, TV ad, blog post) for correctness by finding the original source such as the research article, textbook, professional resources and websites;

3. to share the information about drugs (which can be newly developed or approved medications, or recent updates about medications available previously) with classmates on OpenLab by creating a post and including the links to the original source and references;

4. to read each others’ posts and comment on at least two of them.

Timing: At what point in the lesson or semester do you use this activity? How much classroom time do you devote to it? How much out-of-class time is expected?

this is the first of the four OpenLab assignments and it is due after the first week of Summer session. Students have three days after the posts are available to comment on each others’ entries. Late posts or comments are not accepted and an appropriate penalty is applied as described in the syllabus.

Logistics: What preparation is needed for this activity? What instructions do you give students? Is the activity low-stakes, high-stakes, or something else?

because of time limitations and very tight schedule of our session, I invite students to join our OpenLab site ahead of time and upload their syllabus before the session starts and assignments at least a week before they are due. Students must be OpenLab members and know how to create a post and reply to each other. I demonstrate it in class during our first session. No other special arrangements are required.

High-Impact Educational Practices: Which of these practices based on George Kuh’s High Impact Educational Practices (and other innovative approaches) does this activity incorporate? Choose all that apply.

Collaborative assignments and projects, Open Digital Pedagogy (the OpenLab), Wrriting-intensive projects/assignments

Assessment: How do you assess this activity? What assessment measures do you use? Do you use a VALUE rubric? If not, how did you develop your rubric? Is your course part of the college-wide general education assessment initiative?

this assignment is 5 points of the students’ final grade in DEN2315. Half of the grade (2.5 points) was given to the students’ original post and half to their two responses to each others’ posts. I did not use the VALUE rubric but evaluated the students’ work using a simple Grading rubric, which I created myself based on the examples from Bean’s “Engaging Ideas: The Professor’s Guide to Integrating Writing, Critical Thinking and Active Learning in the Classroom” (2011).

Reflection: How well did this activity work in your classroom? Would you repeat it? Why or why not? What challenges did you encounter, and how did you address them? What, if anything, would you change? What did students seem to enjoy about the activity?

I designed and first used this assignment in 2013, and have used it since with success. The students are required to find and share a new article/news segment, published or aired within a year from the beginning of our session, so when they share these news about drugs on OpenLab, we all learn from each other and there is a very active conversation. Consistently, there are many more responses from each student than the two required by the assignment, and each of the posts receives a lot of attention. For example, in our group of 25 (24 students and I) there were 151 posts and comments for the “Drugs in the News” assignment, averaging 6 per person!

The students often surprise me by finding something very unique and sometimes even unbelievable, such as this year one student found a small article about a common medication lansoprazole (Prilosec), an OTC medication for heartburn, which showed promising activity against the bacterium that causes tuberculosis! I was very intrigued but quite skeptical until a few days later an original research article was published in Nature Communications.

This assignment has been a rich source of learning for our students and me every time I offered it in my Pharmacology course, and I intend to include it in my sessions in the coming years.

Additional Information: Please share any additional comments and further documentation of the activity – e.g. assignment instructions, rubrics, examples of student work, etc. These could be in the form of PDF or Word files, links to posts or files on the OpenLab, etc.

Visit to a Drugstore

Visit to a Drugstore

Anna Matthews https://openlab.citytech.cuny.edu/members/amatthews/

Dental Hygiene/SPS

DEN 2315

Activity Description: Provide a brief description of the activity

This assignment is focused on place-based learning as the activity happens outside of class. It is part of DEN 2315 course, Oral Pharmacology, taken by our second year students in a 5-week Summer session. Full description for students can be found here: Visit to a Drugstore Assignment 2015

Learning Goals: What do you aim to achieve with this activity?

1. to enhance classroom learning by observing the availability and selection of herbal and nutritional supplements, and vitamins/minerals in a drugstore or supermarket of students’ choice;

2. to work individually or in groups of 2-4, depending on the students’ preference, and learn to work in teams;

3. to investigate the claims listed on the package of the selected supplement and find information from independent academic or professional sources;

4. to explain possible adverse effects, drug interactions, and effects on dental/periodontal conditions and process of dental hygiene care;

5. to share the findings, including pictures from the visit to the drugstore, references, and personal impressions with classmates on OpenLab.

Timing: At what point in the lesson or semester do you use this activity? How much classroom time do you devote to it? How much out-of-class time is expected?

this is the 3rd of the four OpenLab written assignments and it is due at the end of week 3 of our Summer session.

Logistics: What preparation is needed for this activity? What instructions do you give students? Is the activity low-stakes, high-stakes, or something else?

as a place-based assignment, this activity requires extra time and some additional travel from students, but because they can select the drugstore to visit and choose to either work individually or in groups, it hasn’t presented any difficulties.

High-Impact Educational Practices: Which of these practices based on George Kuh’s High Impact Educational Practices (and other innovative approaches) does this activity incorporate? Choose all that apply.

Collaborative assignments and projects, Open Digital Pedagogy (the OpenLab), Wrriting-intensive projects/assignments, Place-Based Learning

Assessment: How do you assess this activity? What assessment measures do you use? Do you use a VALUE rubric? If not, how did you develop your rubric? Is your course part of the college-wide general education assessment initiative?

this assignment is 5 points of the students’ final grade in DEN2315. I did not use the VALUE rubric but evaluated the students’ work using a simple Grading rubric, which I created myself based on the examples from Bean’s “Engaging Ideas: The Professor’s Guide to Integrating Writing, Critical Thinking and Active Learning in the Classroom” (2011). Although reading and commenting on each others’ posts was not graded, I strongly encouraged it, and many students did reflect on information shared in group. The post authors, however, were responsible to answer any questions I or the classmates asked and to provide additional information when necessary.

Reflection: How well did this activity work in your classroom? Would you repeat it? Why or why not? What challenges did you encounter, and how did you address them? What, if anything, would you change? What did students seem to enjoy about the activity?

this is my favorite assignment that I created and started using in 2014 and the students share with me that it’s their favorite as well. Visiting a drugstore for a specific purpose can be overwhelming due to the variety of available supplements, their brands, and dosages, and my goal is to let the students experience this and become aware of how our patients who don’t have background information that we know, and perhaps don’t have access to reliable and trustworthy sources of information, might feel in a similar situation. Many students describe this assignment as an eye-opening experience and share that they learn very much from it.

Here are some of the students’ quotes from this year’s posts:

“This assignment made me realize just how many conditions one drug can treat, as well as just how much side effects may occur with the use of these drugs. It really goes to show just how complex the field of pharmacology really is, and just how much there is still to learn.“

“This exercise helped me learn that before I buy such things it is important to do my own research. Trusting the words on a bottle is simply not enough!”

“With all that we have learned in class and my own research I have done, I have decided to stop taking vitamin supplements all together. This assignment has opened my eyes even more and I rather get my vitamin intakes from real food sources.”

I intend to continue using this place-based activity in the coming years and i hope my students will continue to learn from this experience and enjoy the trip!

Additional Information: Please share any additional comments and further documentation of the activity – e.g. assignment instructions, rubrics, examples of student work, etc. These could be in the form of PDF or Word files, links to posts or files on the OpenLab, etc.