Burke F J T, Ravaghi V, Mackenzie L, Priest N, Falcon H C
University of Birmingham School of Dentistry, School of Medical and Dental Sciences, 5 Mill Pool Way, Pebble Mill, Birmingham, B5 7EG.
Health Education England, Thames Valley and Wessex, Thames Valley House, 4,630 Kingsgate, Oxford Business Park South, Oxford, OX4 2SU.
Br Dent J. 2017 Apr 21;222(8):605-611. doi: 10.1038/sj.bdj.2017.362.
Aim To assess the performance and thereby the progress of the FDs when they carried out a number of simulated clinical exercises at the start and at the end of their FD year.Methods A standardised simulated clinical restorative dentistry training exercise was carried out by a group of 61 recently qualified dental graduates undertaking a 12 months' duration foundation training programme in England, at both the start and end of the programme. Participants completed a Class II cavity preparation and amalgam restoration, a Class IV composite resin restoration and two preparations for a porcelain-metal full crown. The completed preparations and restorations were independently assessed by an experienced consultant in restorative dentistry, using a scoring system based on previously validated criteria. The data were subjected to statistical analysis.Results There was wide variation in individual performance. Overall, there was a small but not statistically significant improvement in performance by the end of the programme. A statistically significant improvement was observed for the amalgam preparation and restoration, and, overall, for one of the five geographical sub-groups in the study. Possible reasons for the variable performance and improvement are discussed.Conclusions There was variability in the performance of the FDs. The operative performance of FDs at the commencement and end of their FD year indicated an overall moderately improved performance over the year and a statistically significant improvement in their performance with regard to amalgam restoration.
目的 评估牙科学士（FD）在其牙科学士课程开始时和结束时进行一系列模拟临床练习时的表现及相应进展。方法 一组61名最近获得资格的牙科毕业生在英格兰参加为期12个月的基础培训项目，在项目开始和结束时都进行了标准化的模拟临床修复牙科训练练习。参与者完成了二类洞制备及银汞合金修复、四类复合树脂修复以及两次金属烤瓷全冠的制备。完成的制备和修复由一位经验丰富的修复牙科顾问使用基于先前验证标准的评分系统进行独立评估。对数据进行统计分析。结果 个体表现存在很大差异。总体而言，在项目结束时表现有小幅提升，但无统计学意义。银汞合金制备和修复以及研究中的五个地理亚组之一总体上有统计学意义的改善。讨论了表现差异和改善的可能原因。结论 牙科学士的表现存在差异。牙科学士在其牙科学士课程开始时和结束时的操作表现表明，一年中总体表现有适度改善，且在银汞合金修复方面表现有统计学意义的改善。
