School of Dentistry, Cardiff University, Heath Park, Cardiff, CF14 4XY, United Kingdom.
J Dent Educ. 2010 May;74(5):510-6.
Over the past few years, community-based clinical teaching programs have become established within many dental schools in the United Kingdom. One such primary care teaching unit was developed to support the dental undergraduate program at Cardiff University in 2002. Students visit this unit throughout their five-year dental school training-as assistants/observers initially, but gaining about twenty-eight days of clinical operating experience each within the unit during their final year of studies. The aim of this article is to report the effect of this teaching program on the confidence of students to perform a range of clinical treatments. The final-year dental class of 2007-08 (n=55) at Cardiff University were asked to rate their confidence in their ability to perform thirty-six selected clinical tasks on a five-point scale prior to commencing their clinical operating experience at the community-based clinical teaching program and again at completion of the one-year program. Completed responses were received from forty-seven students (response rate=85 percent). The same students completed the initial and the final surveys. After one year, there were significant increases (p<0.05) in student confidence in performing thirty of the thirty-six selected clinical tasks. The largest positive change was in the area of endodontics: on a five-point scale, there was an increase of one unit for incisor/canine endodontics, 1.04 units for premolar endodontics, and 1.17 units for molar endodontics. These increases were statistically significant (p<0.05). The next largest positive change was for the provision of bridgework: 0.98 unit increase in confidence for providing conventional bridgework (p<0.05) and 0.91 unit increase for resin-retained bridgework (p<0.05). We conclude that clinical experience within a community-based clinical teaching program can have positive effects on dental students' confidence to perform a wide range of clinical tasks. Further work is needed to identify the benefits of this training on the clinical and professional development of young and recently graduated dentists.
在过去的几年中,英国许多牙科学院都建立了基于社区的临床教学计划。卡迪夫大学于 2002 年成立了一个这样的初级保健教学单位,以支持该校的牙科学本科课程。学生们在整个五年的牙科学学习期间都会访问这个单位-最初作为助理/观察员,但在最后一年的学习中,他们在该单位获得了大约二十八天的临床操作经验。本文旨在报告该教学计划对学生进行一系列临床治疗的信心的影响。卡迪夫大学 2007-08 年级的最后一年(n=55)的牙科学生在开始社区临床教学计划的临床操作经验之前和完成一年的计划后,被要求在五分制上对他们执行三十六项选定临床任务的能力进行评分。从四十七个学生(回应率=85%)那里收到了完整的答复。同样的学生完成了初始和最终调查。一年后,学生对执行三十六项选定临床任务中的三十项任务的信心有了显著提高(p<0.05)。最大的积极变化发生在牙髓病学领域:在五分制上,切牙/犬齿牙髓学增加了一个单位,前磨牙牙髓学增加了 1.04 个单位,磨牙牙髓学增加了 1.17 个单位。这些变化具有统计学意义(p<0.05)。其次是为修复体提供的最大积极变化:提供常规修复体的信心增加了 0.98 个单位(p<0.05),树脂保留修复体增加了 0.91 个单位(p<0.05)。我们得出结论,在基于社区的临床教学计划中获得的临床经验可以对牙科学生执行广泛的临床任务的信心产生积极影响。需要进一步的工作来确定这种培训对年轻和刚毕业的牙医的临床和专业发展的益处。