Abstract
The Federal University of Rio de Janeiro's extension course in Implant Dentistry is a pioneering successful initiative of the university's Dental School, that provides free access to implant services through an innovative modality of educational training. In recent years, however, the lack of public investments in universities has negatively affected these kinds of initiatives, forcing the institutions to adapt to maintain the supply of vacancies and the quality of education offeredQuery. It is essential, therefore, to evaluate the structures and management processes to enable both the continuity of teaching and training and the implant services to low-income people. In order to overcome these problems, we applied a multimethodology for structuring and proposing interventions called Complex Holographic Assessment of Paradoxical Problems (CHAP2). This methodology, in contrast to those that isolate the parts of a problem and move quickly to its solutions, encompasses two levels: first, the perception of it as a complex problem and then the intervention on the problem to integrate the perspectives of the analysts and the agents involved. Concern the problem structuring, decision making and interventions. We identified and addressed the problems named “Disorganization and loss of medical records and administrative information”, “Lack of data collection and consolidation of the cases treated in the course” and “Lack of performance indicators and goal setting”. Concrete measures included the implementation of the database and respective indicators, the construction of the workflow in process maps and determining a new sliding-scale fee based on income for the dental implant service. The contribution of the application of CHAP2 to the Extension Course in Implantology not only impacted the results on the management of the course, but also influenced its legacy, as it has engaged the agents involved and expanded their perspectives about the system.
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Supported by the Brazilian agency: CNPq (Grant#303346/2017–5).
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Spyrides, S.M.M., Pedrosa, L.M., Lins, M.P.E., Martins, C.G.B. (2021). A Problem Structuring Multimethodology to Support a Post-graduation Course on Implant Dentistry. In: de Almeida, A.T., Morais, D.C. (eds) Innovation for Systems Information and Decision. INSID 2021. Lecture Notes in Business Information Processing, vol 435. Springer, Cham. https://doi.org/10.1007/978-3-030-91768-5_9
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