Birmingham Community Healthcare NHS Foundation Trust, Birmingham Dental Hospital, Birmingham, UK.
Sheffield Teaching Hospitals NHS Foundation Trust, Department of Oral and Maxillofacial Surgery, Charles Clifford Dental Hospital, Sheffield, UK.
Eur J Dent Educ. 2018 Aug;22(3):e379-e385. doi: 10.1111/eje.12314. Epub 2018 Jan 6.
To work in the National Health Service (NHS) as a dentist, the practitioner needs to be on the UK dental "performer's list". To apply for access to this list and work as a General Dental Practitioner (GDP), dentists must be qualified from the European Economic Area (EEA) or, those trained in the UK, must undertake Dental Foundation Training (DFT). Dentists interested in further taught learning or pursuing specialist training must continue working as "Dental Core Trainees" (DCTs). Most of these jobs are available in Oral and Maxillofacial Surgery (OMFS) Units and require dentists to undertake unsupervised surgical procedures. It is currently estimated that over 400 "junior dentists" undertake DCT a year. It is the aim of this study to ascertain whether confidence in simple surgical procedures improves when compared to GDPs of similar experience.
One hundred and two junior dentists, 34 DFTs, 20 DCT1s, 21 DCT2s and 27 second and third year post-DFT GDPs all working across the Midlands, UK, had Likert scale responses about confidence in 14 minor surgical skills assessed. Results were analysed to ascertain whether gender, year group and number of extractions had any effect on confidence.
We conclude that confidence in minor surgical procedures improves significantly when undertaking DCT OMFS posts, with the most significant improvement in confidence occurring within the first 6 months. Dental Core Trainees become significantly more confident in their surgical ability within the first 6 months when compared to GDPs with longer postgraduate experience.
要在英国国民保健制度（NHS）担任牙医，从业者需要在英国牙科“表演者名单”上。要申请加入该名单并作为普通牙科医生（GDP）工作，牙医必须来自欧洲经济区（EEA），或者在英国接受培训的牙医必须接受牙科基础培训（DFT）。有兴趣进一步接受教学学习或从事专业培训的牙医必须继续作为“牙科核心培训生”（DCT）工作。这些工作大多在口腔颌面外科（OMFS）单位提供，需要牙医进行无人监督的手术程序。目前估计每年有超过 400 名“初级牙医”接受 DCT。本研究旨在确定与具有类似经验的 GDP 相比，简单手术程序的信心是否会提高。
来自英国中部地区的 102 名初级牙医、34 名 DFT、20 名 DCT1、21 名 DCT2 和 27 名第二和第三年 DFT GDP 参与了这项研究，他们对 14 项小型手术技能的信心进行了李克特量表评估。分析结果以确定性别、年级组和拔牙数量是否对信心有任何影响。
我们的结论是，从事 DCT OMFS 职位时，对小型手术程序的信心会显著提高，在头 6 个月内信心提高最为显著。与具有更长研究生经验的 GDP 相比，牙科核心培训生在头 6 个月内对自己的手术能力的信心显著提高。
