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牙科学生处理正畸急症的经历——对学生反思的定性评估

Dental students' experiences of treating orthodontic emergencies - a qualitative assessment of student reflections.

作者信息

Jones K, Popat H, Johnson I G

机构信息

School of Dentistry, Cardiff University, Cardiff, UK.

Applied Clinical Research and Public Health, School of Dentistry, Cardiff University, Cardiff, UK.

出版信息

Eur J Dent Educ. 2016 Aug;20(3):156-60. doi: 10.1111/eje.12155. Epub 2015 Jun 9.

Abstract

INTRODUCTION

Professional regulatory bodies in the UK and Europe state that dental graduates should be able to manage orthodontic emergency patients. Therefore, the aim of this study was to explore dental student experiences of treating orthodontic emergencies within a teaching institution.

MATERIALS AND METHOD

This study was designed as a single-centre evaluation of teaching based in a UK university orthodontic department. The participants were fourth-year dental students who treated orthodontic emergency patients under clinical supervision as part of the undergraduate curriculum. Student logbook entries for one academic year detailing the types of emergencies treated and structured, reflective commentaries for each procedure were analysed using thematic analysis methods. The total numbers and types of orthodontic emergencies treated by students were presented. Overall, self-reported student confidence in managing orthodontic emergencies was calculated. Themes, which represented student reflections, were identified.

RESULTS

Seventy-two students participated in the study. Overall, 69% of students stated they were confident in managing orthodontic emergencies. Students treated a range of emergencies, of which the most frequent was debonded brackets (38%). Reflections from student commentaries were housed under a primary theme of building procedural confidence. Three subthemes were identified: (i) theory-practice integration; (ii) expanding clinical experience; and (iii) importance of a supportive clinical learning environment.

CONCLUSION

The majority of dental students were confident in managing orthodontic emergencies. Theoretical knowledge supplemented by exposure to a range of clinical problems within a supported learning environment made students feel more confident.

摘要

引言

英国和欧洲的专业监管机构指出,牙科毕业生应具备处理正畸急症患者的能力。因此,本研究的目的是探讨牙科学生在教学机构内治疗正畸急症的经历。

材料与方法

本研究设计为对英国一所大学正畸科教学的单中心评估。参与者为四年级牙科学生,他们在临床监督下治疗正畸急症患者,这是本科课程的一部分。使用主题分析方法分析了一个学年的学生日志记录,其中详细记录了所治疗的急症类型以及每个程序的结构化反思性评论。展示了学生治疗的正畸急症的总数和类型。总体而言,计算了学生自我报告的处理正畸急症的信心。确定了代表学生反思的主题。

结果

72名学生参与了该研究。总体而言,69%的学生表示他们有信心处理正畸急症。学生们处理了一系列急症,其中最常见的是托槽脱落(38%)。学生评论的反思集中在建立程序信心这一主要主题下。确定了三个子主题:(i)理论与实践相结合;(ii)扩展临床经验;(iii)支持性临床学习环境的重要性。

结论

大多数牙科学生有信心处理正畸急症。在支持性学习环境中接触一系列临床问题所补充的理论知识让学生更有信心。

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