Bartlett D W, Coward P Y, Wilson R, Goodsman D, Darby J
Division of Conservative Dentistry, School of Dentistry, King's College, London.
Br Dent J. 2001 Sep 8;191(5):265-70. doi: 10.1038/sj.bdj.4801159a.
To assess the self-reported confidence of vocational dental practitioners (VDPs) in clinical procedures together with vocational trainers' perceptions of the VDPs confidence in the same procedures, immediately after qualification and towards the end of the vocational training year.
A questionnaire-based cohort study.
A general practice study carried out in 1999.
Vocational Dental Practitioners and vocational trainers in England and Wales.
VDPs and trainers were asked on a single occasion to grade the clinical confidence of the VDP at the beginning and near the end of vocational training as high, satisfactory or low.
Questionnaires were sent to 531 VDPs and 555 trainers; 82 per cent of VDPs and trainers responded. Approximately half the VDPs were male and 57 per cent were white, whilst 89 per cent of trainers were male and 81 per cent white. A large proportion of both VDPs and trainers reported low confidence in orthodontics, molar endodontics and surgical extractions at the start of the training year. Towards the end of training, both groups reported improved confidence levels in most clinical procedures. However, a higher proportion of trainers reported low confidence than their VDPs in most clinical procedures at both time points (p<0.001). VDPs appeared to gain most from experience and training in administration/management and interpersonal skills.
Vocational training appears to satisfy its aim to enhance clinical and administrative confidence.
评估职业牙科从业者(VDPs)在临床操作方面自我报告的信心,以及职业培训师对VDPs在相同操作方面信心的看法,分别在资格认证后即刻以及职业培训年结束时进行评估。
基于问卷的队列研究。
1999年开展的一项全科医疗研究。
英格兰和威尔士的职业牙科从业者及职业培训师。
要求VDPs和培训师一次性对VDPs在职业培训开始时和接近结束时的临床信心进行高、满意或低的分级。
向531名VDPs和555名培训师发放了问卷;82%的VDPs和培训师做出了回应。大约一半的VDPs为男性,57%为白人,而89%的培训师为男性,81%为白人。在培训年开始时,很大一部分VDPs和培训师表示对正畸、磨牙牙髓病学和外科拔牙操作信心不足。在培训接近结束时,两组均表示在大多数临床操作方面信心有所提高。然而,在两个时间点的大多数临床操作中,报告信心不足的培训师比例均高于其对应的VDPs(p<0.001)。VDPs似乎从行政管理/管理和人际技能方面的经验和培训中获益最多。
职业培训似乎实现了增强临床和管理信心的目标。