Chandrasekaran Sangeetha, Powell Charles, De la Rosa Laurice, Mittal Anuj, Johnson Lonnie
Dr. Chandrasekaran is Assistant Professor, Surgical Dentistry, University of Colorado School of Dental Medicine; Dr. Powell is Associate Professor, Surgical Dentistry, University of Colorado School of Dental Medicine; Ms. De la Rosa is Clinical Instructor, Surgical Dentistry, University of Colorado School of Dental Medicine; Dr. Mittal is Associate Professor, Department of Community Medicine, Aarupadai Veedu Medical College, Pondicherry, India; and Dr. Johnson is Professor, Surgical Dentistry, University of Colorado School of Dental Medicine.
J Dent Educ. 2017 Jan;81(1):14-21.
The aim of this study was to analyze dental students' descriptions of and reflections on the periodontal care they provided for their patients in dental school clinics. All students enrolled in the final year of the DDS program in 2011-14 at the University of Colorado School of Dental Medicine were required to complete a self-assessment of the periodontal care they provided for patients. Assessments from 263 students were compiled and qualitatively analyzed. The key reasons given for not providing good care were identified and then stratified as student/school-dependent or patient-dependent factors. Among these students, 63.1% reported that the periodontal care they provided for their patients was inadequate. Some of the student/school-dependent factors were multiple providers involved in patient care (22.8%), student oversight (21.3%), licensure and academic requirements (20.9%), limited clinic operator sessions (19.4%), clinical rotations to other sites (18.3%), and students' interest in/emphasis on other areas of dentistry (17.9%). Some of the patient-dependent factors were patient scheduling compliance (61.6%), patient finances (46.4%), medical status (20.5%), urgent dental needs (18.3%), emphasis only on restorative care (17.5%), periodontal care awareness (16.4%), and patients' oral hygiene compliance (11.5%). This analysis of students' attitudes, challenges they faced, and patient-related factors that influenced the delivery of periodontal care helped to facilitate changes in the curriculum and school policies to optimize clinical instruction and patient care in periodontics.
本研究的目的是分析牙科学生对其在牙科学院诊所为患者提供的牙周护理的描述和反思。要求所有在2011 - 14年就读于科罗拉多大学牙医学院DDS项目最后一年的学生，对他们为患者提供的牙周护理进行自我评估。收集了263名学生的评估并进行了定性分析。确定了未提供良好护理的主要原因，然后将其分为学生/学校相关因素或患者相关因素。在这些学生中，63.1%报告称他们为患者提供的牙周护理不足。一些学生/学校相关因素包括参与患者护理的提供者众多(22.8%)、学生监督(21.3%)、执照和学术要求(20.9%)、临床操作时段有限(19.4%)、到其他地点的临床轮转(18.3%)以及学生对牙科其他领域的兴趣/重视程度(17.9%)。一些患者相关因素包括患者预约依从性(61.6%)、患者财务状况(46.4%)、医疗状况(20.5%)、紧急牙科需求(18.3%)、仅强调修复护理(17.5%)、牙周护理意识(16.4%)以及患者口腔卫生依从性(11.5%)。对学生态度、他们面临的挑战以及影响牙周护理提供的患者相关因素的分析，有助于推动课程和学校政策的变革，以优化牙周病学的临床教学和患者护理。
