Haralur Satheesh B, Al-Malki Abdullah Edrees
Department of Prosthodontics, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia.
Department of Orthodontics, Majmaah University, Al Majma'ah, Kingdom of Saudi Arabia.
J Educ Health Promot. 2014 Jun 23;3:73. doi: 10.4103/2277-9531.134898. eCollection 2014.
Studies indicate that the initial transition period between preclinical and clinical phases are the most stressful. The students have experienced the difficulty in performing clinical procedures due to the vast difference in the clinical and preclinical setup. It is better to identify the particular skill found poorly correlated, enabling educators to address the concerns. We sought the opinion and suggestion from the beneficiary student on fixed prosthodontics steps difficult to practice in clinical setup at the initial stage, their suggestion to overcome these shortcomings was also sought.
To determine the fixed prosthodontics skills difficult to perform in a transition period due to poor correlation between preclinical and clinical training from our focus group study on the student's perception, and their suggestion regarding alternative methods to improve the preclinical training.
Focus groups in the study were the students involved in clinical practice of fixed partial denture procedure. A well-constructed Questionnaire, designed to evaluate the difficult clinical steps in a transitional period and suggestion to improve the existing preclinical training was distributed to all focus group students. The response to the questionnaire was based on the five-point Likert scale.
Medians, frequencies were used to assess their perception on preclinical training and suggestion.
A total of 97 students participated in the study, 88% response received during the survey. The clinical steps student felt difficult during a transition period from preclinical to clinical phase were positional variations of teeth (52.6%-63.9%), fluid control (48.5-67.1%), shade selection procedure (29.9%-50.5%), subgingival cervical finish line preparation (38.1-51.5%), and gingival retraction procedure. The students felt that the inclusion of problem-based learning, preclinical patient exposure, and better simulation will alleviate the stress during the transition period.
This study highlighted the tooth preparation steps found difficult to practice in a transition period between preclinical and clinical phases. This study also obtained suggestions from the students for innovative upgradation of the course curricula.
研究表明,临床前阶段与临床阶段之间的初始过渡期压力最大。由于临床与临床前设置存在巨大差异,学生们在进行临床操作时遇到了困难。最好找出相关性较差的特定技能,以便教育工作者解决相关问题。我们征求了受益学生对于在临床初始阶段难以在临床环境中实践的固定义齿修复步骤的意见和建议,同时也征求了他们克服这些缺点的建议。
通过我们针对学生认知的焦点小组研究,确定由于临床前与临床培训之间相关性差而在过渡期难以执行的固定义齿修复技能,以及他们对于改进临床前培训的替代方法的建议。
本研究中的焦点小组是参与固定局部义齿修复临床实践的学生。一份精心设计的问卷被分发给所有焦点小组学生,该问卷旨在评估过渡期困难的临床步骤以及改进现有临床前培训的建议。对问卷的回答基于五点李克特量表。
中位数、频率用于评估他们对临床前培训和建议的认知。
共有97名学生参与了该研究,调查期间收到了88%的回复。学生们认为在从临床前阶段过渡到临床阶段的过程中,感觉困难的临床步骤包括牙齿的位置变化(52.6%-63.9%)、液体控制(48.5%-67.1%)、比色程序(29.9%-50.5%)、龈下颈缘预备(38.1%-51.5%)以及牙龈退缩程序。学生们认为纳入基于问题的学习、临床前患者接触以及更好的模拟将减轻过渡期的压力。
本研究突出了在临床前和临床阶段之间的过渡期难以实践的牙体预备步骤,并从学生那里获得了关于课程创新升级的建议。