Glassman P, Meyerowitz C
Department of Dental Practice, University of the Pacific School of Dentistry, San Francisco 94115, USA.
J Dent Educ. 1999 Aug;63(8):615-25.
There has been increasing interest in the organization and accreditation of Postdoctoral General Dentistry Programs (PGD). In addition, numerous national organizations have called for increases in the number of first postdoctoral year (PGY-1) positions and programs. At the same time there has been a movement to incorporate concepts of competency-based education into dental education programs in order to stress the outcomes of education rather then the process. These movements have coincided with an increased recognition that dental education will be affected by the changing demographics of our population, the emerging trends in health care delivery and financing, and the need for an increase in the number of primary care providers in dentistry, trained at an advanced level, who are capable of caring for an increasingly socially diverse and medically complex population in our country in the next century. This paper reviews the history of postdoctoral education programs in dentistry and medicine with a focus on PGD education, describes the changing health care environment in which future dental professionals will practice, and relates the dental postdoctoral experience to that in medicine. A strategy is presented for the dental profession to prepare dental practitioners with the competencies needed for the future and to create enough training opportunities to prepare these practitioners to care for the oral health needs of the nation. This proposal calls for a "National Consensus Development Conference on the Future of Postdoctoral Primary Care Education in Dentistry". This conference would define the strategies necessary to prepare dental practitioners with the competencies needed for the future and develop approaches to create enough training opportunities to prepare these practitioners to care for the oral health needs of the nation.
人们对博士后普通牙科项目（PGD）的组织和认证越来越感兴趣。此外，众多国家组织呼吁增加第一年博士后（PGY -1）职位和项目的数量。与此同时，出现了将基于能力的教育理念纳入牙科教育项目的趋势，以强调教育成果而非教育过程。这些趋势恰逢人们越来越认识到，牙科教育将受到我国人口结构变化、医疗保健提供和融资的新趋势，以及对增加牙科初级保健提供者数量的需求的影响。这些初级保健提供者需接受高级培训，以便在未来世纪能够照顾我国社会日益多样化且医疗情况复杂的人群。本文回顾了牙科和医学博士后教育项目的历史，重点是PGD教育，描述了未来牙科专业人员将执业的不断变化的医疗保健环境，并将牙科博士后经历与医学博士后经历进行了比较。本文提出了一项战略，以使牙科行业培养出具备未来所需能力的牙科从业者，并创造足够的培训机会，使这些从业者能够满足国家的口腔健康需求。该提议呼吁召开一次“牙科博士后初级保健教育未来全国共识发展会议”。本次会议将确定培养具备未来所需能力的牙科从业者所需的战略，并制定方法以创造足够的培训机会，使这些从业者能够满足国家的口腔健康需求。
