Mofidi Mahyar, Strauss Ronald, Pitner Leslie L, Sandler Eugene S
Department of Dental Ecology, School of Dentistry, University of North Carolina, Chapel Hill, NC 27599, USA.
J Dent Educ. 2003 May;67(5):515-23.
Dental schools are challenged to develop new learning methodologies and experiences to better prepare future dental practitioners. The purpose of this study was to gain insight into the community-based experiences of dental students as documented in their critical incident essays and explore what learning outcomes and benefits students reported. Following two required community-based clinical rotations, each student wrote a reflection essay on a self-defined critical incident that occurred during the rotations. Rotations took place in settings such as a public health clinic, special needs facility, hospital, or correctional institution. Essays for two classes of students were content-analyzed for recurring themes and categories. Students were confronted in their rotations with a wide range of situations not typically encountered in dental academic settings. Their essays showed that, as a result of these rotations, students developed increased self-awareness, empathy, communications skills, and self-confidence. Critical incidents challenged assumptions and stereotypes, enhanced awareness of the complexities of dental care, and raised complex ethical dilemmas. The essays also illustrated a heightened sense of professional identity and enabled students to appreciate the role dentistry can play in impacting patients' lives. We concluded from the study that community-based dental education that includes a process for reflection holds promise as an educational strategy to facilitate the personal and professional development of future dentists.
牙科学院面临着开发新的学习方法和体验，以便更好地培养未来的牙科从业者。本研究的目的是深入了解牙科学生在其关键事件论文中记录的基于社区的经历，并探索学生报告的学习成果和益处。在两次必需的基于社区的临床轮转之后，每位学生就轮转期间发生的一个自行定义的关键事件撰写了一篇反思论文。轮转在诸如公共卫生诊所、特殊需求机构、医院或惩教机构等场所进行。对两个班级学生的论文进行了内容分析，以找出反复出现的主题和类别。学生们在轮转中遇到了牙科学习环境中通常不会遇到的各种各样的情况。他们的论文表明，通过这些轮转，学生们提高了自我意识感、同理心、沟通技巧和自信心。关键事件挑战了假设和刻板印象，增强了对牙科护理复杂性的认识，并引发了复杂的伦理困境。这些论文还体现了更强的职业认同感，使学生能够认识到牙科在影响患者生活方面所能发挥的作用。我们从该研究中得出结论，包括反思过程的基于社区的牙科教育有望成为促进未来牙医个人和职业发展的一种教育策略。
