Smith M, Lennon M A, Brook A H, Ritucci L, Robinson P G
Department of Oral Health and Development, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, UK.
Eur J Dent Educ. 2006 May;10(2):80-6. doi: 10.1111/j.1600-0579.2006.00396.x.
Dental schools are developing new curricula, with outreach placements enhancing the hospital-based training.
To assess the students' experience of outreach as one component of determining the value and feasibility of outreach placements.
Six-week block placements for 10 undergraduates and 3 weeks for 11 hygiene and hygiene and therapy students in existing primary care clinics, in areas of need, to work supervised by local dentists.
Semi-structured interviews with 20 students by staff independent of the course team. Interviews were audio-recorded, transcribed and content analysed before being verified by a second observer. Findings were triangulated against a peer-run focus group and students' clinical records.
Students were very positive about their experience and the potential role of outreach training in dental education. They described: gaining greater experience of new types of patients and their communities; learning from broader clinical experience, alternative approaches and practicing or observing dentistry in different settings; the benefits of team working; and, acquiring a more holistic and pragmatic view of health care. Many students reported gaining greater confidence, wider awareness of potential careers in dentistry and a greater sense of realism in their experience. Some reflected on their own training needs. Students also discussed the importance of preparation for the placements and the merits of different styles of supervision.
Dental outreach training can provide students with valuable learning experience in a range of areas. It requires careful management to ensure those experiences match individuals' needs and the programme's purposes.
牙科学院正在开发新的课程，通过拓展实习来加强以医院为基础的培训。
评估学生对拓展实习的体验，以此作为确定拓展实习价值和可行性的一个因素。
10名本科生进行为期六周的集中实习，11名口腔卫生和口腔治疗专业的学生在需求地区的现有基层医疗诊所进行为期三周的实习，由当地牙医进行监督指导。
由与课程团队无关的工作人员对20名学生进行半结构化访谈。访谈进行录音、转录和内容分析，然后由第二名观察员进行核实。研究结果与同伴主导的焦点小组讨论结果以及学生的临床记录进行了三角验证。
学生们对他们的经历以及拓展培训在牙科教育中的潜在作用非常积极。他们描述了：获得了对新型患者及其社区的更多体验；从更广泛的临床经验、不同方法以及在不同环境中实践或观察牙科治疗中学到了东西；团队合作的好处；以及，对医疗保健有了更全面和务实的看法。许多学生报告说获得了更大的信心、对牙科潜在职业有了更广泛的认识，并且在实习经历中有了更强的现实感。一些学生反思了自己的培训需求。学生们还讨论了实习准备的重要性以及不同监督方式的优点。
牙科拓展培训可以在一系列领域为学生提供宝贵的学习经验。需要精心管理以确保这些经验符合个人需求和项目目标。
