Strategic Approaches to Curriculum Integration for Pre-doctoral Dental Education in an Iranian Research-intensive University Context

Golpar Radafshar, Andrea Suzanne Webb, Harry T Hubball


Drawing on the scholarship of educational leadership (SoEL), this paper examines strategic approaches to curriculum integration in a pre-doctoral dental program at Guilan University of Medical Sciences (GUMS), Iran. Appreciative inquiry methodology was employed to assess broad contextual factors, best practices and strategic institutional supports within a diverse disciplinary setting. Data suggest that strategically aligned promotion, tenure and reappointment criteria, as well as customised professional development initiatives are contributors to facilitate faculty engagement in effective learning-centred curriculum practices in the pre-doctoral dental program. Furthermore, a networked improvement community grounded in curriculum inquiry is to enhancing and sustaining curriculum integration in this research-intensive university context. Key institutional supports, challenges and strategic applications of curriculum integration are discussed.

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Arthur, J., Waring, M., Coe, R., & Hedges, L. (2012). Research methods and methodologies in education. Sage, London: UK.

Bassir, S. H., Sadr-Eshkevari, P., Amirikhorheh, S., & Karimbux, N. Y. (2014). Problem-based learning in dental education: A systematic review of the literature. Journal of dental education, 78(1), 98-109.

Bigatel, P.M., Ragan, L.C., Kennan, S., May, J., & Redmond, B.F. (2012). The identification of competencies for online teaching success. Journal of Asynchronous Learning Networks, 16(1), 59-77.

Boeije, H. (2002). A purposeful approach to the Constant Comparative Method in the analysis of qualitative interviews. Quality and Quantity, 36(4), 391-409. doi: 10.1023/A:1020909529486

Breslow, K., Crowell, L., Francis, L., & Stephen, P. (2015). Initial Efforts to Coordinate Appreciative Inquiry: Facilitators’ Experiences and Perceptions. Inquiry in Education, 6(1), 4.

Bryman, A. (2007). The research question in social research: what is its role?. International Journal of Social Research Methodology, 10(1), 5-20.

Bryk A. S., Gomez L. M., & Grunow, A. (2011). Getting ideas into action: Building networked improvement communities in education. In M. T. Hallinan (Ed.), Frontiers in Sociology of Education (pp. 127-162). Dordrecht, The Netherlands: Springer.

Burt, H., & Hubball, H. T. (2014). The scholarship of curriculum leadership: The art, science and politics of faculty engagement. International Journal for University Teaching and Faculty Development, 5(4).

Chickering, A. W., & Ehrmann, S. C. (1996). Implementing the seven principles: Technology as lever. AAHE bulletin, 49, 3-6.

Chickering, A. W., & Gamson, Z. F. (1987). Seven principles for good practice in undergraduate education. AAHE bulletin, 3, 7.

Cockell, J., & McArthur-Blair, J. (2012). Appreciative inquiry in higher education: A transformative force. John Wiley & Sons.

Cooperrider, D. L., & Whitney, D. (1987). Appreciative Inquiry in organizational life. In W. Pasmore & R. Woodman (Eds.), Research In Organization Change and Development (Vol. 1, pp. 129-169): Greenwich, CT: JAI Press.

Crain, G. (2008). Managing change in dental education: Is there a method to the madness? Journal of Dental Education, 72(10), 1100-1113.

Daryazadeh, S., Faghihi, A., Yaghini, J., & Yamani, N. (2017). Criticism of general dentistry curriculum in line with accountable and justice-oriented education package. Iranian Journal of Medical Education, 17(5), 54-69.

Davis, M.H. & Harden, R.M. (2003). Planning and implementing an undergraduate medical curriculum: The lessons learned. Medical Teacher, 25(6), 596-608.

Dehnavieh, R., Kalantari, A.R., Afsari, M., Abazade, F., Mohammadi, M., & Noori Hekmat, S. (2015). The sabbatical leave challenges at the Kerman university of medical sciences: A qualitative study. Journal of Medical Educational Development, 10(2), 105-118.

Dent, J.A., Harden, R.M., & Hodges, B.D. (2013). A practical guide for medical teachers. Elsevier Health Sciences.

Eslamipour, F., & Ghaiour, M. (2016). Assessment of knowledge, attitude, and practice with regard to evidence-based dentistry among dental students in Isfahan University of Medical Sciences. Journal of education and health promotion, 5. doi: 10.4103/2277-9531.184564

Farmer, E. A. (2004). Faculty development for problem-based learning. European Journal of Dental Education, 8(2), 59–66.

Fazel, A., Jafari, A., Khami, M. R., Seddighpour, L., Kharrazifard, M. J., Nassibi, M., Yazdani, R., & Soroush, M. (2013). Dental curriculum revision in Iran: Dentists’ perspective on achievement of essential competencies through national curriculum. Iranian journal of public health, 42(Supple1), 129. PMID: 23865030

Field, M. J. (Ed.). (1995). Dental education at the crossroads: challenges and change. National Academies Press.

Flexner, A. (1910). Medical education in the United Sates and Canada. Washington, DC: Science and Health Publications, Inc.

Fogarty, R. (1991). Ten ways to integrate curriculum. Educational Leadership, 49, 2.

Fogarty, R. & Stoehr, J. (2007). Integrating curricula with multiple intelligences: Teams, themes, and threads. (2nd ed.). Thousand Oaks, CA: Sage Publications.

Friedman, V. J. (2008). Action science: Creating communities of inquiry in communities of practice. In P. Reason & H. Bradbury (Eds.), Handbook of action research: The concise paperback edition (pp. 131-143). Thousand Oaks, CA, USA: Sage Publications.

Gies, W.J. (1926). Dental education in the United States and Canada: a report to the Carnegie Foundation for the Advancement of Teaching. New York: Carnegie Foundation.

Glaser, B.G. (Spring 1965). The constant comparative method of qualitative analysis. Social Problems, 12(4), 436-445.

Gosselin, D., Vincent, S., Boone, C., Danielson, A., Parnell, R., & Pennington, D. (2016). Introduction to the special issue: negotiating boundaries: effective leadership of interdisciplinary environmental and sustainability programs. Journal of Environmental Studies and Sciences, 6(2), 268-274.

Grimmett, P. P. (2014). Re-visioning decision-making in educational leadership. In S. Chitpin & C. W. Evers (Eds.), Decision-making in educational leadership: Principles, policies and practices (pp. 110-128). New York, USA: Routledge.

Hathaway, K. L. (2013). An application of the seven principles of good practice to online courses. Research in Higher Education Journal, 22, 1.

Hendricson, W. D., Andrieu, S. C., Chadwick, D. G., Chmar, J. E., Cole, J. R., George, M. C., Glickman, G.N., Glover, J.F., Goldberg, J.S., Haden, N.K. & Meyerowitz, C. (2006). Educational strategies associated with development of problem-solving, critical thinking, and self-directed learning. Journal of Dental Education, 70(9), 925-936.

Hendricson, W. D. (2012). Changes in educational methodologies in predoctoral dental education: finding the perfect intersection. Journal of Dental Education, 76(1), 118-141.

Hosseini, S. M., Amery, H., Emadzadeh, A., & Babazadeh, S. (2015). Dental Students’ Educational Achievement in Relation to Their Learning Styles: A Cross-sectional Study in Iran. Global journal of health science, 7(5), 152. doi: 10.5539/gjhs.v7n5p152

Howard, K. M., Stewart, T., Woodall, W., Kingsley, K., & Ditmyer, M. (2009). An integrated curriculum: evolution, evaluation, and future direction. Journal of dental education, 73(8), 962-971.

Hubball, H. T., Clarke, A., Chng, H. H., & Grimmett, P. (2015). The scholarship of educational leadership in research-intensive university contexts: Implications for promotion and tenure supervision. Asian Journal of the Scholarship of Teaching and Learning, 5(2), 92-107.

Hubball, H. T., Clarke, A., & Pearson, M. L. (2016). Strategic Leadership Development in Research-Intensive Higher Education Contexts: The Scholarship of Educational Leadership. In P. Tripathi & S. Mukerji (Eds.), Handbook of Research on Administration, Policy, and Leadership in Higher Education. PA, USA: IGI Global.

Hubball, H., Clarke, A., & Pratt, D. D. (2013). Fostering scholarly approaches to peer review of teaching in a research-intensive university. In D. J. Salter (Ed.) Cases on quality teaching practices in higher education (pp. 191-211). Hershey, PA: IGI Global.

Hubball, H., Collins, J., Pratt, D. (2005) Enhancing reflective teaching practices: Implications for faculty development programs. Canadian Journal of Higher Education, 35(3), 57-81.

Hubball, H., & Pearson, M. L. (2009). Curriculum leadership portfolios: Enhancing scholarly approaches to undergraduate program reform. Transformative Dialogues: Teaching and Learning Journal, 3(2), 1-16.

Jolly, B.C. Faculty development for curricular implementation. (2002) In Norman, G.R., van der Vleuten, C.P., & Newble, D.I. (Eds.). International handbook for research in medical education (pp. 945-967). Springer Science & Business Media.

Khosravian, S., Moonaghi, H.K., Yazdani, S., Ahmadi, S., & Mansoorian, M.R. (2015). Leadership and management curriculum planning for Iranian general practitioners. Journal of advances in medical education & professionalism, 3(4), 159. PMID: 26457312

Lancaster, J. W., Stein, S. M., MacLean, L. G., Van Amburgh, J., & Persky, A. M. (2014). Faculty development program models to advance teaching and learning within health science programs. American journal of pharmaceutical education, 78(5), 99. doi: 10.5688/ajpe78599

Lincoln, Y.S., & Guba, E.G. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage Publications.

Lochmiller, C. R., & Lester, J. N. (2015). An introduction to educational research: Connecting methods to practice. SAGE Publications.

Manakil, J., Rihani, S., & George, R. (2015). Preparedness and practice management skills of graduating dental students entering the work force. Education Research International, 2015. doi: 10.1155/2015/976124

Mårtensson, K., & Roxå, T. (2016). Leadership at a local level–Enhancing educational development. Educational Management Administration & Leadership, 44(2), 247-262.

McAndrew, M., Motwaly, S.M., & Kamens, T.E. (2015). The role of organizational context in the creation and sustainability of dental faculty development initiatives. Journal of Dental Education, 79(11), 1339-1348.

McLeod, P. & Steinert, Y. (2015). Twelve tips for curriculum renewal. Medical teacher, 37(3), 232-238.

Ministry of Health and Medical Education. (2012). Iranian Dental Curriculum. [Persian]

Ministry of Health and Medical Education. (2015). Guide to Reappointment, Promotion, and Tenure. [Persian]

Mortaz Hejri, S., Gandomkar, R., Mirzazadeh, A., Jalili, M., & Hasanzadeh, G. (2015). Comparison of academic achievement and educational environment of basic sciences phase of MD program in Tehran University of Medical Sciences, before and after curricular reform. Iranian Journal of Medical Education, 15, 366-376.

Nadershahi, N. A., Bender, D. J., Beck, L., & Alexander, S. (2013). A case study on development of an integrated, multidisciplinary dental curriculum. Journal of Dental Education, 77(6), 679-687.

O'sullivan, P. S., & Irby, D. M. (2011). Reframing research on faculty development. Academic Medicine, 86(4), 421-428. doi: 10.1097/ACM.0b013e31820dc058

Pakshir, H. R. (2003). Dental education and dentistry system in Iran. Medical Principles and Practice, 12(Suppl. 1), 56-60.

Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 42(5), 533-544. doi: 10.1007/s10488-013-0528-y

Pearson, M., & Hubball, H.T. (2012). Scholarly approaches to curricular integration: Theory-practice implications for the Health Professions. American Journal for Pharmaceutical Sciences Education, 76(10), Article 204.

Pyle, M. A. (2012). New models of dental education and curricular change: their potential impact on dental education. Journal of dental education, 76(1), 89-97.

Radafshar, G., Sobhani, A., & Sadegh, F. (2010), Survey of the attitudes towards thesis writing process among students of Guilan University of Medical Sciences. Journal of Guilan University of Medical Sciences, 19(74), 86-97.

Sabounchi, S. S., Nouri, M., Erfani, N., Houshmand, B., & Khoshnevisan, M. H. (2013). Knowledge and attitude of dental faculty members towards evidence‐based dentistry in Iran. European Journal of Dental Education, 17(3), 127-137.

Sanders, J., & Murdoch-Eaton, D. (2017). Appreciative inquiry in medical education. Medical Teacher, 39(2), 123-127.

Shiranibidabadi, N., NasrIsfahani, A.R., Rouhollahi, A., & Khalili R. (2016). Effective teaching methods in higher education: Requirements and barriers. Journal of Advances in Medical Education & Professionalism, 4(4), 170-178.

Steinberg, A.D., Bashook, P.G., Drummond, J., Ashrafi, S., & Zefran, M. (2007). Assessment of faculty perception of the content validity of PerioSim: A haptic-3D virtual reality dental training simulator. Journal of Dental Education, 71(12), 1574–82.

Steinert, Y., Mann, K., Anderson, B., Barnett, B. M., Centeno, A., Naismith, L., ... & Ward, H. (2016). A systematic review of faculty development initiatives designed to enhance teaching effectiveness: A 10-year update: BEME Guide No. 40. Medical teacher, 38(8), 769-786. doi: 10.1080/0142159X.2016.1181851

Tabatabaei, Z., Yazdani, S., & Sadeghi, R. (2016). Barriers to integration of behavioral and social sciences in the general medicine curriculum and recommended strategies to overcome them: A systematic review. Journal of advances in medical education & professionalism, 4(3), 111-121.

Van der Veken, J., Valcke, M., De Maeseneer, J., & Derese, A. (2009). Impact of the transition from a conventional to an integrated contextual medical curriculum on students' learning patterns: A longitudinal study. Medical Teacher, 31(5), 433-441.

Vitello-Cicciu, J.M. (2015). Appreciative inquiry survey: Discovery and dreams of past chapter presidents. Nurse Leader, 13(1), 51-54.

World Education News and Reviews. (September 2016). Retrieved August 9, 2017 from

Wilson, J., Sweet, J., & Pugsley, L. (2015). Developmental guidelines for good chairside teaching. European Journal of Dental education, 19(3), 185-191.


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