Middlesex Hospital Family Medicine Residency Program, Middletown, Connecticut 06457, USA.
Acad Pediatr. 2009 Nov-Dec;9(6):452-6. doi: 10.1016/j.acap.2009.09.004. Epub 2009 Oct 22.
Publication of Oral Health in America: A Report of the Surgeon General (SGROH) alerted the public and health professionals to the importance of oral health and the vulnerability of poor and underserved children to dental disease. In response, the American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP), and the Society of Teachers of Family Medicine (STFM) have initiated training programs for residents and practicing physicians, allowing them to conduct oral health screenings, apply preventive strategies, and facilitate appropriate referrals to dentists. Training programs are increasingly available on the Web, but their quality and effectiveness are rarely assessed. To ensure greater inclusion of oral health in graduate medical education, voluntary curricular guidelines have been developed, and education in oral health is mandated in family medicine residency programs. Several initiatives engaging practicing physicians in oral health activities have demonstrated improved access and reduced dental disease in children, but evaluation of all programs is essential to determine cost effectiveness and outcomes. The actions of AAP, AAFP, STFM, and other large-scale initiatives have helped break down the traditional separation between medicine and dentistry. Collaboration between physicians and dentists should be encouraged at all levels of education to ensure improvement of the oral health of America's children.
《美国口腔健康状况报告：美国外科医生总署的报告》（SGROH）提醒公众和卫生专业人员注意口腔健康的重要性，以及贫困和服务不足的儿童易患牙科疾病的脆弱性。作为回应，美国儿科学会（AAP）、美国家庭医生学会（AAFP）和家庭医学教师学会（STFM）已经为住院医师和执业医生启动了培训计划，使他们能够进行口腔健康筛查、应用预防策略，并为牙医提供适当的转诊。培训计划在网络上越来越多，但它们的质量和效果很少得到评估。为了确保口腔健康在研究生医学教育中得到更多的纳入，已经制定了自愿课程指南，并在家庭医学住院医师培训项目中规定了口腔健康教育。一些让执业医生参与口腔健康活动的举措已经证明，在儿童中改善了口腔健康的可及性并减少了牙科疾病，但对所有项目进行评估对于确定成本效益和结果至关重要。AAP、AAFP、STFM 和其他大规模举措的行动有助于打破医学和牙科之间的传统分离。应鼓励医生和牙医在各级教育中进行合作，以确保改善美国儿童的口腔健康。
