Dionne R A, Campbell R L
Anesth Prog. 1977 Nov-Dec;24(6):198-204.
Pain and anxiety control is taught at the continuing education level in a large number of diverse courses. This paper reports the results of a survey of those courses held in 1976. The majority of courses centered on the use of inhalation or intravenous sedation. Relatively few courses were offered on the other aspects of pain and anxiety control. Very little attempt is being made at formally evaluating the competence of participants in these courses. Few courses appear to adequately cover the prevention and management of complications. Suggestions for changes in the teaching of pain and anxiety control at the continuing education level are made based on these findings.Pain and anxiety control encompasses the application of various physical, chemical and psychological modalities in the prevention and treatment of peri-operative patient apprehension and pain. Patient apprehension about dental procedures is felt to influence the seeking of remedial and preventive dental care by a significant portion of the population. Efforts to improve the training of dentists in pain and anxiety control modalities have included several workshops sponsored by the American Dental Society of Anesthesia, the formulation of guidelines for courses at the predoctoral, postdoctoral and continuing education levels, and the establishment of postdoctoral pain control training programs at several dental schools.Recent graduates have been trained in pain control in predoctoral programs which vary widely in content and length. A large number of practitioners seek training in pain control through continuing education courses offered by dental schools, hospitals and a variety of other institutions. This paper reports the results of a survey of these courses and suggests several recommendations based on the findings.
在大量不同的课程中，疼痛与焦虑控制是继续教育层面所教授的内容。本文报告了1976年举办的那些课程的调查结果。大多数课程集中于吸入或静脉镇静的使用。关于疼痛与焦虑控制的其他方面的课程相对较少。在正式评估这些课程参与者的能力方面几乎没有进行尝试。很少有课程似乎充分涵盖了并发症的预防与管理。基于这些发现，针对继续教育层面疼痛与焦虑控制教学的变革提出了建议。疼痛与焦虑控制包括在预防和治疗围手术期患者的焦虑和疼痛方面应用各种物理、化学和心理方法。人们认为患者对牙科手术的焦虑会影响很大一部分人寻求补救性和预防性牙科护理。为改善牙医在疼痛与焦虑控制方法方面的培训所做的努力包括美国牙科麻醉学会主办的几次研讨会、制定博士前、博士后和继续教育层面课程的指导方针，以及在几所牙科学院设立博士后疼痛控制培训项目。刚毕业的学生在博士前项目中接受了疼痛控制方面的培训，这些项目在内容和时长上差异很大。大量从业者通过牙科学院、医院和各种其他机构提供的继续教育课程寻求疼痛控制方面的培训。本文报告了对这些课程的调查结果，并基于调查结果提出了若干建议。
