Department of Restorative Dentistry and Periodontology, Dublin Dental School and Hospital, Dublin, Ireland.
Eur J Dent Educ. 2011 May;15(2):104-9. doi: 10.1111/j.1600-0579.2010.00647.x. Epub 2011 Mar 17.
The purpose of this study was to examine the effectiveness of conventional pre-clinical training in dentistry and to determine if evaluation of a dental procedure at the beginning of dental training can be a predictor for future performance. A group of second year dental students with no previous experience in operative dentistry were asked to prepare a conventional class I cavity on a lower first molar typodont. Their first preparation was carried out after an introductory lecture and a demonstration and their second at the end of conventional training. The prepared typodonts were coded and blindly scored for the traditional assessment criteria of outline form, retention form, smoothness, cavity depth and cavity margin angulation. Once the codes were broken, a paired t-test was used to compare the difference between the means of before and after scores (P<0.0001) and a Pearson's linear correlation to test the association (r=0.4). From the results of this study, we could conclude that conventional preclinical training results in a significant improvement in the manual skills of the dental students and that the dental procedure used had only a limited predictive value for later performance at the preclinical level.
本研究旨在考察传统口腔医学临床前培训的效果,并确定口腔医学培训初始阶段对某一操作程序的评估是否可作为未来表现的预测指标。一组无口腔操作经验的二年级口腔医学生被要求在一典型下第一磨牙上制备传统的 I 类窝洞。第一次预备操作在介绍性讲座和示范之后进行,第二次则在传统培训结束时进行。制备完成的典型牙被编码,然后由两位不知晓学生身份的评估员根据传统评估标准,对外形、固位形、光滑度、深度和边缘角度进行盲评。一旦破盲,使用配对 t 检验比较前后得分的差异(P<0.0001),并采用皮尔逊线性相关分析检验关联性(r=0.4)。本研究结果表明,传统的临床前培训可显著提高口腔医学生的手工技能,而所使用的操作程序对临床前水平的后期表现仅有有限的预测价值。