Evaluation of Dental Students’ Medical History Records on Hypertension and Diabetes Mellitus at The National University of Malaysia
https://doi.org/10.47836/mjmhs.19.4.30
- Author:
Jun Ai Chong
1
;
Fara Azwin Adam
2
;
Ang Yee
3
;
Laila Azwa Hassan
4
;
Hetal Ashvin Kumar Mavani
5
;
Rama Krsna Rajandram
6
Author Information
1. Division of Clinical Oral Health Sciences, School of Dentistry, International Medical University, 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia
2. Center for Periodontology Studies, Faculty of Dentistry, Universiti Teknologi MARA (UiTM), Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
3. Department of Conservative Dentistry, Faculty of Dentistry, MAHSA University, Jalan SP 2, Bandar Saujana Putra, 42610 Jenjarom, Selangor Malaysia
4. Department of Conservative Dentistry and Prosthodontics, Universiti Sains Islam Malaysia (USIM) Jalan Pandan Utama, Pandan Indah, 56100 Kuala Lumpur, Malaysia
5. Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia
6. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia
- Publication Type:Journal Article
- Keywords:
Dental education, Medical records, Hypertension, Diabetes mellitus
- From:Malaysian Journal of Medicine and Health Sciences
2023;19(No.4):201-206
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: A thorough medical history ensures safe dental practice. A good medical history guides clinicians in
risk stratification to avoid medical emergencies and improve preparedness to prevent patient morbidity and mortality. This clinical audit aims to analyse the medical history taken by the dental students in patients with hypertension
and/or diabetes mellitus (DM) and subsequently, recommend improvements in history-taking components in the
dental practice. Methods: Hundred and two patients’ folders from the Faculty of Dentistry were examined by two
independent auditors using a validated history-taking evaluation form. Six components of the medical history were
classified as good or bad practices. Sociodemographic factors and distribution of the American Society of Anesthesiologists (ASA status) were described. The level of completeness of medical history records with years of study was
assessed using the Chi-square test. Results: None of the students met 100% of the components required in medical
history taking. Year three undergraduates performed poorly in the completeness of diagnosis and control of the
medical condition whereby none of them had a good level of practice. The completeness of records did not differ
between years of study except for diagnosis (p=0.026), control (p<0.001) and updating medical history (p=0.009)
whereby the postgraduates had the best practice. Conclusion: This study highlighted marked deficiencies in taking a
thorough medical history. Adaptation of the European Medical Risk Related History (EMRRH) form is recommended
to be implemented in dental schools.
- Full text:11.2023my1581.pdf
