Milward Mike R, Cooper Paul R
School of Dentistry, University of Birmingham, St Chads Queensway, Birmingham, UK.
Eur J Dent Educ. 2007 Aug;11(3):148-54. doi: 10.1111/j.1600-0579.2007.00439.x.
This study aimed at investigating the introduction of an infection control competency assessment on undergraduate dental student's awareness and knowledge of infection control.
A short course, including an introductory lecture and a three component competency based assessment exercise testing student's knowledge and ability in infection control measures was incorporated into the previously established training programme. The assessment exercises included a written test of students' knowledge of the Infection Control Policy, a unit management exercise and a hand hygiene assessment. The infection control competency was initially incorporated into the final term of the second year in 2004 and is now an established part of the 5-year dental undergraduate degree programme. Re-assessments were scheduled (at the start of third year) for students failing to meet the required standard as successful completion of this course was compulsory prior to students being allowed to treat their first patients. Student performance over the last 2 years on this course and during their first year on clinic were analysed to determine potential improvements in student knowledge and application in infection control. Examination results from the year 3, infection control spot test were compared with those of earlier years. In addition, the opinions, as assessed by questionnaire analysis, of dental staff and students on the infection control competency were obtained.
All students successfully completed the infection control competency (either at first or second attempt) and were subsequently allowed to enter clinical training in year 3. Significant improvements were seen in students passing the course at their initial attempt, 42% and 78%, in the 2004 and 2005 academic years, respectively. Also subsequent testing of these students during their first year on clinic showed marked increases in awareness and knowledge of the infection control protocols. Staff and student feedback on this course was also found to be highly supportive of the introduction of the infection control competency.
Incorporation of additional formal pre-clinical teaching and introduction of an infection competency potentially provides enduring knowledge and clinical application benefits.
本研究旨在调查引入感染控制能力评估对本科牙科学生感染控制意识和知识的影响。
在先前制定的培训计划中纳入了一门短期课程，该课程包括一次入门讲座和一项基于能力的三部分评估练习，以测试学生在感染控制措施方面的知识和能力。评估练习包括对学生感染控制政策知识的书面测试、单元管理练习和手卫生评估。感染控制能力最初于2004年纳入二年级最后一学期，现在是5年制牙科本科学位课程的既定组成部分。对于未达到要求标准的学生安排了重新评估（在三年级开始时），因为在允许学生治疗他们的第一位患者之前，成功完成该课程是强制性的。分析了学生在过去两年中该课程的表现以及他们在诊所第一年的表现，以确定学生在感染控制知识和应用方面的潜在改进。将三年级感染控制现场测试的考试结果与前几年的结果进行了比较。此外，通过问卷分析评估了牙科工作人员和学生对感染控制能力的意见。
所有学生都成功完成了感染控制能力评估（要么第一次尝试，要么第二次尝试），随后被允许在三年级进入临床培训。在2004年和2005学年，首次尝试通过该课程的学生分别有42%和78%，有显著提高。此外，在这些学生诊所第一年期间对他们的后续测试表明，他们对感染控制方案的意识和知识有显著提高。还发现工作人员和学生对该课程的反馈高度支持引入感染控制能力评估。
纳入额外的正式临床前教学和引入感染控制能力评估可能会带来持久的知识和临床应用益处。
