Jauhar P, Mossey P A, Popat H, Seehra J, Fleming P S
Barts and The London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, Queen Mary University of London, London, E1 2AD.
University of Dundee.
Br Dent J. 2016 Oct 21;221(8):487-492. doi: 10.1038/sj.bdj.2016.778.
Background Undergraduate orthodontic teaching has been focused on developing an understanding of occlusal development in an effort to equip practitioners to make appropriate referrals for specialist-delivered care. However, there is a growing interest among general dentists in delivering more specialised treatments, including short-term orthodontic alignment. This study aimed to assess the levels of knowledge of occlusal problems among final year undergraduate dental students, as well as their interest in various orthodontics techniques and training.Methods A 36-item electronic questionnaire was sent to all final year undergraduate students in four dental institutes in the UK (Barts and the London, Kings College London, Cardiff and Dundee). The questionnaire explored satisfaction with undergraduate orthodontic teaching; students' perception of knowledge, based on General Dental Council learning outcomes; perceptions of the need for specialist involvement in the management of dental problems; interest in further training in orthodontics; and potential barriers to undertaking specialist training.Results The overall response rate was 66% (239/362). The majority of students (84.1%) were aware of GDC guidance in terms of undergraduate teaching. Students reported a preference for case-based and practical teaching sessions in orthodontics, with less interest in lectures or problem-based learning approaches. A high percentage were interested in further teaching in interceptive orthodontics (60.3%) and fixed appliance therapy (55.7%). Further training including specialist orthodontic training (36.4%), Invisalign (59%) and Six Month Smiles (41%) courses appealed to undergraduates. Levels of student debt, course fees and geographical issues were seen as potential barriers to formal, specialist training pathways.Conclusions Satisfaction with undergraduate orthodontic teaching is high and interest in further training, including specialist training pathways, continues to be high. While short-term orthodontics is not taught at undergraduate level, there appears to be an appetite to undertake alternatives to conventional orthodontics among dental students.
背景 本科正畸教学一直侧重于培养对咬合发育的理解，以使从业者能够为专科提供的治疗进行适当的转诊。然而，普通牙医对提供更专业的治疗，包括短期正畸排齐，兴趣日益浓厚。本研究旨在评估本科牙科专业最后一年学生对咬合问题的知识水平，以及他们对各种正畸技术和培训的兴趣。
方法 向英国四所牙科学院（巴茨和伦敦、伦敦国王学院、卡迪夫和邓迪）的所有本科最后一年学生发送了一份包含36个条目的电子问卷。该问卷探讨了对本科正畸教学的满意度；基于英国牙科总会学习成果，学生对知识的认知；对专科医生参与牙齿问题管理必要性的看法；对正畸进一步培训的兴趣；以及接受专科培训的潜在障碍。
结果 总体回复率为66%（239/362）。大多数学生（84.1%）了解英国牙科总会在本科教学方面的指导意见。学生们表示更喜欢正畸方面基于病例和实践的教学课程，对讲座或基于问题的学习方法兴趣较低。很大比例的学生对阻断性正畸（60.3%）和固定矫治器治疗（55.7%）的进一步教学感兴趣。包括专科正畸培训（36.4%）、隐适美（59%）和六个月微笑（41%）课程在内的进一步培训吸引了本科生。学生债务水平、课程费用和地理问题被视为正规专科培训途径的潜在障碍。
结论 对本科正畸教学的满意度较高，对包括专科培训途径在内的进一步培训的兴趣也持续较高。虽然本科阶段不教授短期正畸，但牙科学生似乎有兴趣采用传统正畸之外的替代方法。
