牙髓病学项目主任、住院医师和牙髓病专家对与 CBCT 相关研究生教育的考虑。
Endodontics Program Directors', Residents', and Endodontists' Considerations About CBCT-Related Graduate Education.
机构信息
Hooman Rabiee, DDS, MS, is an endodontist in private practice, Seattle, WA; Neville J. McDonald, BDS, MS, is Director, Endodontics Graduate Program, Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan; Reinhilde Jacobs, DDS, PhD, is Professor, Faculty of Medicine, Head of Oral Imaging and Research Coordinator OMFS IMPATH research group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, and Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium, and Visiting Professor, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden; Alireza Aminlari, DDS, MS, is Adjunct Clinical Assistant Professor, Endodontics Graduate Program, Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan; and Marita R. Inglehart, Dr phil habil, is Professor, Department of Periodontics and Oral Medicine, School of Dentistry, and Adjunct Professor, Department of Psychology, College of Literature, Science, and Arts, University of Michigan.
出版信息
J Dent Educ. 2018 Sep;82(9):989-999. doi: 10.21815/JDE.018.098.
Over the past decade, cone beam computed tomography (CBCT) has been increasingly used by endodontists. The aims of this study were to assess endodontic program directors', residents', and endodontists' considerations concerning CBCT-related graduate education, attitudes, and professional behavior. Survey data were collected from 31 of the 56 directors of U.S. endodontic graduate programs, 73 of 270 contacted residents, and 689 of 2,221 contacted endodontists (response rates 55%, 27%, and 31%, respectively). Ten of the 31 responding programs did not offer a CBCT-related class. Of the 21 programs that offered a CBCT class, 91% of the program directors and 85% of the residents agreed strongly that future endodontists need training to be able to use CBCT. Residents were less satisfied than directors with the way CBCT was taught (on a five-point scale with 1=most negative: 3.26 vs. 4.37; p<0.001) and the quality of their clinical CBCT-related education (3.75 vs. 4.62; p<0.001). Both groups strongly agreed that there is a need for CBCT training in endodontics (4.81 vs. 4.90). Endodontists reported being less well educated than residents about CBCT in classroom-based (2.02 vs. 2.70; p<0.001) and clinical graduate education settings (2.09 vs. 2.97; p<0.001) and wanted more CBCT-related education in endodontic programs (4.37 vs. 3.18; p<0.001). Yet, they reported being more confident than residents in interpreting CBCT scans (3.57 vs. 2.75; p<0.001) and rated themselves more positively as having sufficient clinical experience (3.76 vs. 2.92; p<0.001) to be competent in utilizing CBCT. These findings about residents' and practicing endodontists' CBCT-related considerations suggest that endodontic program directors should add more CBCT-related education.
在过去的十年中，锥形束 CT（CBCT）越来越多地被牙髓学家使用。本研究旨在评估牙髓学项目主任、住院医师和牙髓医师对与 CBCT 相关的研究生教育、态度和专业行为的考虑。从美国牙髓学研究生课程的 56 名主任中的 31 名、270 名联系的住院医师中的 73 名和 2221 名联系的牙髓医师中的 689 名收集了调查数据（回复率分别为 55%、27%和 31%）。31 名回复方案中有 10 个不提供与 CBCT 相关的课程。在提供 CBCT 课程的 21 个课程中，91%的课程主任和 85%的住院医师强烈认为未来的牙髓医师需要接受使用 CBCT 的培训。与主任相比，住院医师对 CBCT 的教学方式（五分制，1 分表示最负面，3.26 分与 4.37 分；p<0.001）和临床 CBCT 相关教育的质量（3.75 分与 4.62 分；p<0.001）的满意度较低。两组都强烈认为牙髓学需要 CBCT 培训（4.81 分与 4.90 分）。牙髓医师报告说，他们在课堂基础（2.02 分与 2.70 分；p<0.001）和临床研究生教育环境（2.09 分与 2.97 分；p<0.001）方面接受的 CBCT 教育不如住院医师多，并且希望在牙髓学课程中获得更多与 CBCT 相关的教育（4.37 分与 3.18 分；p<0.001）。然而，他们报告说，他们比住院医师更有信心解读 CBCT 扫描（3.57 分与 2.75 分；p<0.001），并对自己拥有足够的临床经验（3.76 分与 2.92 分；p<0.001）有更积极的评价，认为自己有能力使用 CBCT。这些关于住院医师和执业牙髓医师与 CBCT 相关考虑的发现表明，牙髓学项目主任应该增加更多与 CBCT 相关的教育。
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