DePaola Dominick P, Slavkin Harold C
The Forsyth Institute, Boston, MA, USA.
J Dent Educ. 2004 Nov;68(11):1139-50.
The oral health education system is in need of major reform! This is especially apparent in university-based education for the health professions. So-called preclinical as well as clinical education simply has not kept pace with or been responsive enough to shifting patient demographics and patient/population desires and expectations, changing health system expectations, evolving interdisciplinary expertise and practice requirements, new scientific discoveries and scientific information, focus on quality improvement, and/or integration of emerging technologies. Moreover, university-based "dental education" is the most costly professional degree education within the entire university portfolio, and dental student accumulated debt is increasing each year well beyond national inflation estimates. Today, we have an enormous opportunity to explore major reforms in health professional education. Through the Santa Fe "process" of open and candid engagements and discussions (see www.santafegroup.org), we advance an argument as well as a national strategy that can enable major reforms in the oral health education system. We further suggest that major revisions can result in an outcome-based education system that prepares oral health professionals to meet both the needs of patients/families/communities and the requirements of a changing health system.
口腔健康教育体系亟需重大改革！这在以大学为基础的健康专业教育中尤为明显。所谓的临床前教育以及临床教育根本没有跟上不断变化的患者人口结构、患者/人群的愿望和期望，没有对不断变化的卫生系统期望、不断发展的跨学科专业知识和实践要求、新的科学发现和科学信息、对质量改进的关注以及/或新兴技术的整合做出足够的反应。此外，以大学为基础的“牙科教育”是整个大学课程中成本最高的专业学位教育，牙科学生累积的债务每年都在增加，远远超过国家通胀预期。如今，我们有一个绝佳的机会来探索健康专业教育的重大改革。通过圣达菲的公开坦诚参与和讨论“进程”（见www.santafegroup.org），我们提出了一个论点以及一项国家战略，该战略能够推动口腔健康教育体系的重大改革。我们进一步建议，重大修订可以带来一个基于结果的教育体系，培养口腔健康专业人员以满足患者/家庭/社区的需求以及不断变化的卫生系统的要求。
