Smith M, Lennon M A, Robinson P G
Department of Oral Health and Development, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, UK.
Eur J Dent Educ. 2009 Feb;13(1):28-30. doi: 10.1111/j.1600-0579.2008.00533.x.
Undergraduate dental curricula are being supplemented with primary care placements requiring periods away from the dental school. These absences may impact negatively on students' other studies.
To compare the effect of outreach placement and traditional hospital-based training alone on students' final examination scores. Existing primary care placements in northern England about one year from students' qualification.
Analysis of secondary outcomes in a randomised controlled trial with students' final examination marks being compared on qualification. To reduce Type I error only 4 of 24 available scores were considered and multiple testing correction applied. Five-week block outreach placements for 25 of 49 students. Honours awarded and examination scores for children's dentistry, overall clinical work and theory.
Groups' final exam scores were similar: children's dentistry - outreach 64.9 (SD 2.1), hospital-based 65.0 (3.0); overall clinical work 58.3 (3.4) cf 60.7 (4.8) and theory 54.6 (3.5) cf 56.5 (4.0). The numbers of students awarded honours (outreach 1, hospital 4) showed no significant difference (Fisher's exact text P = 0.19).
Dental outreach training involving several weeks' absence from the school had no negative impact on students' finals scores.
本科牙科课程正在通过要求学生离开牙科学院一段时间的基层医疗实习来加以补充。这些缺勤可能会对学生的其他学业产生负面影响。
比较基层医疗实习和单纯传统医院培训对学生期末考试成绩的影响。在英格兰北部开展的现有基层医疗实习距学生毕业约一年时间。
对一项随机对照试验的次要结果进行分析，在学生毕业时比较他们的期末考试成绩。为减少I型错误，仅考虑24个可用分数中的4个，并应用多重检验校正。49名学生中的25名参加为期五周的整段基层医疗实习。授予荣誉的情况以及儿童牙科、总体临床工作和理论的考试成绩。
两组的期末考试成绩相似：儿童牙科——基层医疗实习组为64.9（标准差2.1），医院培训组为65.0（3.0）；总体临床工作成绩分别为58.3（3.4）和60.7（4.8），理论成绩分别为54.6（3.5）和56.5（4.0）。获得荣誉的学生人数（基层医疗实习组1人，医院培训组4人）无显著差异（费舍尔精确检验P = 0.19）。
为期数周的离开学校的牙科基层医疗培训对学生的期末考试成绩没有负面影响。
