Khalifah Ayman M, Celenza Antonio
Ayman M. Khalifah, MHPEd, is a dentist and Lecturer, Department of Dental Education, Taibah University College of Dentistry, Almadinah Almunawwarah, Kingdom of Saudi Arabia; and Antonio Celenza, MBBS, MClinEd, FACEM, FRCEM, is Professor of Emergency Medicine and Medical Education, School of Medicine, Faculty of Health and Medical Sciences, The University of Western Australia, Australia.
J Dent Educ. 2019 Jan;83(1):16-31. doi: 10.21815/JDE.019.003.
Dentist-patient communication skills are important aspects of contemporary oral health care, as shared decision making with patients becomes more common. The aim of this systematic review of the literature on teaching and assessment methodologies for communication skills in dental practice was to categorize those skills most relevant to dental practice and determine the best-evidence teaching and assessment methods. The systematic review was conducted using MEDLINE, EBM-Cochrane Libraries, Embase, ERIC, BIOSIS, CAB Abstracts, and PsycINFO using the OVID search engine, together with manually searching relevant journal articles. Relevant data were extracted from all included articles, and thematic analysis, categorization, and quality review of the articles was performed. Fifty articles published between 2000 and 2016 were identified as relevant to this study. Most were comparative design studies. The largest numbers were single group studies with before and after tests and cross-sectional studies. A total of 26 communication skills were identified and grouped into four major categories: generic skills, case-specific skills, time-specific skills, and emerging skills. Review of the teaching methods described in those articles showed that educators used a combination of passive and active strategies. All the assessment measures were considered to be valid and reliable. This categorization of essential dentist-patient communication skills reported in the literature may be used to assist in curriculum design along with use of tested teaching methods and validated assessment measures. The review highlights the need for more robust study designs for research in this important aspect of dental education.
随着与患者共同决策变得越来越普遍，医患沟通技巧成为当代口腔医疗保健的重要方面。本系统综述旨在对牙科实践中沟通技巧的教学与评估方法的文献进行分类，以确定与牙科实践最相关的技能，并找出最佳证据支持的教学和评估方法。该系统综述使用OVID搜索引擎，通过检索MEDLINE、循证医学 - 考科蓝图书馆、Embase、教育资源信息中心（ERIC）、生物学文摘数据库（BIOSIS）、国际农业与生物科学中心文摘数据库（CAB Abstracts）和心理学文摘数据库（PsycINFO）来进行，并手动检索相关期刊文章。从所有纳入的文章中提取相关数据，并对文章进行主题分析、分类和质量审查。共确定了2000年至2016年间发表的50篇与本研究相关的文章。大多数是比较设计研究。数量最多的是采用前后测试的单组研究和横断面研究。总共确定了26种沟通技巧，并将其分为四大类：通用技能、特定病例技能、特定时间技能和新兴技能。对这些文章中描述的教学方法的综述表明，教育工作者采用了被动和主动策略相结合的方式。所有评估措施都被认为是有效且可靠的。文献中报道的这种基本医患沟通技能分类，可用于协助课程设计，并结合使用经过测试的教学方法和经过验证的评估措施。该综述强调在牙科教育这一重要方面的研究需要更稳健的研究设计。
