Wilson P H R, Boyle C A, Smith B J
United Bristol Healthcare NHS Trust, Bristol Dental Hospital, Bristol, BS1 2LY, USA.
Br Dent J. 2006 Sep 23;201(6):373-7. doi: 10.1038/sj.bdj.4814044.
To investigate conscious sedation training received by Specialist Registrars in Restorative Dentistry (SpRs) during their training programme.
Postal questionnaire survey in the UK. Setting SpRs and recently certificated Consultants in Restorative Dentistry (CRDs).
A questionnaire was sent to 81 current SpRs in Restorative Dentistry and CRDs who had been awarded a Certificate of Completion of Specialist Training within the previous three years. One follow-up letter was sent to non-responders.
The completed questionnaire was returned by 67 (83%) SpRs and CRDs. Analysis revealed that 44 (69%) respondents had received conscious sedation training during their specialist training programme and that 50 (78%) respondents carried out restorative dental treatment under sedation during their programme. Thirteen (20%) respondents had not received conscious sedation training in their programmes but eight (13%) SpRs indicated that sedation training was planned. Training experiences differed throughout the UK: 29 (66%) respondents gained experience in inhalational and single agent intravenous sedation techniques under the supervision of an experienced colleague. Fourteen (32%) respondents who performed sedation had not been on a resuscitation course in the previous year. These included nine (21%) current SpRs. Sixteen (53%) current SpRs intended to offer restorative dental treatment under sedation after specialist training. Fifty-nine (92%) respondents thought that all SpRs in Restorative Dentistry should receive sedation training and 42 (71%) thought that a structured core course would be the most appropriate format.
Although the majority of SpRs and recently certificated CRDs considered that all SpRs should receive training in conscious sedation via a core course during the restorative dentistry training programme, a small number had not received or planned to undertake such training. Conscious sedation training experiences differed throughout the UK and SpRs treated a wide range of deserving patient categories under sedation. It is encouraging that many SpRs hope to continue employing sedation techniques after their restorative dentistry training has finished. The results of this survey should inform all those involved with restorative dentistry training programmes.
调查牙体修复科专科住院医师（SpRs）在培训期间接受的清醒镇静培训情况。
在英国进行邮寄问卷调查。调查对象为牙体修复科的SpRs和最近获得认证的顾问牙医（CRDs）。
向81名现任牙体修复科SpRs和CRDs发放问卷，这些人在过去三年内获得了专科培训结业证书。向未回复者发送了一封跟进信。
67名（83%）SpRs和CRDs返回了完整的问卷。分析显示，44名（69%）受访者在专科培训期间接受了清醒镇静培训，50名（78%）受访者在培训期间进行了镇静下的牙体修复治疗。13名（20%）受访者在培训中未接受清醒镇静培训，但8名（13%）SpRs表示计划进行镇静培训。英国各地的培训经历有所不同：29名（66%）受访者在经验丰富的同事监督下获得了吸入性和单剂静脉镇静技术的经验。14名（32%）进行镇静操作的受访者在前一年没有参加过复苏课程。其中包括9名（21%）现任SpRs。16名（53%）现任SpRs打算在专科培训后提供镇静下的牙体修复治疗。59名（92%）受访者认为所有牙体修复科SpRs都应接受镇静培训，42名（71%）受访者认为结构化的核心课程是最合适的形式。
尽管大多数SpRs和最近获得认证的CRDs认为所有SpRs都应在牙体修复科培训计划中通过核心课程接受清醒镇静培训，但仍有少数人未接受或计划进行此类培训。英国各地的清醒镇静培训经历各不相同，SpRs在镇静下治疗了广泛的应治疗患者类别。令人鼓舞的是，许多SpRs希望在牙体修复科培训结束后继续采用镇静技术。本次调查结果应能为所有参与牙体修复科培训计划的人员提供参考。
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