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医学生对口腔颌面外科的理解:爱尔兰视角

Medical students' understanding of oral and maxillofacial surgery: an Irish perspective.

作者信息

Kielty P G C, O'Connor B R, Cotter C J, Goodson A M C, Payne K F B, Tahim A

机构信息

University College Cork, Brookfield Health Sciences Complex, College Road, Cork.

Our Lady's Childrens Hospital, Crumlin, Dublin 12.

出版信息

Br J Oral Maxillofac Surg. 2017 May;55(4):371-377. doi: 10.1016/j.bjoms.2016.11.312. Epub 2016 Nov 30.

DOI:10.1016/j.bjoms.2016.11.312
PMID:27914724
Abstract

Oral and Maxillofacial Surgery (OMFS) remains an enigmatic specialty in Irish medicine and many students are unaware of its scope and the unique career pathway involved. We completed a multicentre cross-sectional study to identify their ability to identify the requirements for entry to specialty training year 3 (ST3) in OMFS, to assess their awareness of OMFS surgeons, and their general awareness of, and exposure to, the specialty. Data were collected through an electronic questionnaire. Participants were asked to select the most suitable surgical specialty to treat a number of common conditions in the head and neck, and to choose the requirements they deemed essential for specialist training. Knowledge was measured by the number of correct responses. A total of 443 medical students participated (University College Cork (UCC) n=328, 74%; Royal College of Surgeons in Ireland (RCSI) n=113, 26%). A total of 318/374 (85%) had had no previous experience of OMFS, 38/374 (10%) had had theoretical teaching only, and 18/374 (5%) had had clinical experience. A total of 212/329 (64%) wished for greater exposure as a student, but only 34/329 (9%) would consider a career in the specialty. The median (IQR) number of correct responses for OMFS procedures was 3.0/10 (2.0), with women, direct entrants, and RCSI students scoring highest. Only 11/367 (3%) could identify the minimum entry requirements for a post of specialist registrar. This study has identified a potential gap in the undergraduate curriculum. Although medical students are rarely taught about OMFS, they show an interest in learning more.

摘要

口腔颌面外科(OMFS)在爱尔兰医学领域仍是一个神秘的专业,许多学生并不了解其范围以及所涉及的独特职业道路。我们完成了一项多中心横断面研究,以确定他们识别进入口腔颌面外科专科培训第3年(ST3)要求的能力,评估他们对口腔颌面外科医生的认识,以及他们对该专业的总体认识和接触情况。数据通过电子问卷收集。参与者被要求选择最适合治疗一些常见头颈疾病的外科专业,并选择他们认为专科培训必不可少的要求。知识水平通过正确回答的数量来衡量。共有443名医学生参与(科克大学学院(UCC)n = 328,占74%;爱尔兰皇家外科医学院(RCSI)n = 113,占26%)。共有318/374(85%)的学生此前没有口腔颌面外科的经验,38/374(10%)的学生仅有理论教学经历,18/374(5%)的学生有临床经验。共有212/329(64%)的学生希望在学生阶段有更多接触,但只有34/329(9%)的学生会考虑从事该专业。口腔颌面外科手术正确回答的中位数(四分位间距)为3.0/10(2.0),女性、直接入学的学生和RCSI的学生得分最高。只有11/367(3%)的学生能够识别专科住院医师职位的最低入职要求。这项研究发现了本科课程中可能存在的差距。尽管医学生很少接受口腔颌面外科方面的教学,但他们表现出了更多学习的兴趣。

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