Tahim A S, Payne K F B, Goodson A M C, Cabot L B, Fan K
Department of Oral and Maxillofacial Surgery, Kings College Hospital, London, UK.
Eur J Dent Educ. 2014 May;18(2):98-103. doi: 10.1111/eje.12062. Epub 2013 Oct 5.
Oral and maxillofacial surgery (OMFS) trainees in the UK have traditionally completed their dental undergraduate studies prior to returning to medical school. Recently, there have been increasing numbers of medical graduates who return to dental school before embarking on OMFS specialist training. There is limited research into the career motivation within this group and little guidance on how they may integrate the dental undergraduate course into their postgraduate training path. This study aims to evaluate these factors in more detail.
Questionnaires and focus groups were used to evaluate prior surgical experience of qualified medics who return to dental school with the intention of pursuing a career in OMFS, along with the factors that affect the timing of their return to dental school.
The average age of medical graduates entering dental school decreased during the study period. The average number of months each cohort of students spent as a practicing doctor prior to starting dentistry also reduced. Postgraduate experience in OMFS was highly variable, but the numbers of students who received alternative exposure to OMFS, such as undergraduate special study modules, medical school elective or taster weeks, increased. The key barriers that were carefully considered by these trainees before returning to university included the perceived increase in the length of training, trainees' prior surgical experience, financial implications and the impact on quality of life.
A trainee's decision to return to study dentistry is a multifactorial process. Understanding when trainees decide to return to sit their dental degree is vital not only to provide guidance for future trainees but also to assist future workforce planning, thus aiding training, education and development within OMFS.
在英国,口腔颌面外科(OMFS)实习生传统上是在完成牙科本科学习后才回到医学院。最近,越来越多的医学毕业生在开始OMFS专科培训之前回到牙科学院。对这一群体的职业动机研究有限,对于他们如何将牙科本科课程融入研究生培训路径也几乎没有指导。本研究旨在更详细地评估这些因素。
采用问卷调查和焦点小组的方式,评估那些回到牙科学院打算从事OMFS职业的合格医务人员的既往外科手术经验,以及影响他们回到牙科学院时间的因素。
在研究期间,进入牙科学院的医学毕业生的平均年龄有所下降。每个学生群体在开始牙科学习之前作为执业医生的平均月数也减少了。OMFS的研究生经历差异很大,但接受过OMFS其他形式接触的学生数量增加了,比如本科特别学习模块、医学院选修课或体验周。这些实习生在回到大学之前仔细考虑的关键障碍包括培训时间的增加、实习生的既往外科手术经验、经济影响以及对生活质量的影响。
实习生决定回到学校学习牙科是一个多因素的过程。了解实习生何时决定回去攻读牙科学位不仅对为未来的实习生提供指导至关重要,而且有助于未来的劳动力规划,从而促进OMFS领域的培训、教育和发展。