Dalal Michelle, Savageau Judith A, Silk Hugh, Isong Inyang
Michelle Dalal, MD, is Staff Physician, Reliant Medical Group, Milford, MA, and Associate Professor of Pediatrics, UMass Memorial Medical Center; Judith A. Savageau, MPH, is Associate Professor, Department of Family Medicine and Community Health, UMass Medical School; Hugh Silk, MD, MPH, is Professor, Department of Family Medicine and Community Health, UMass Medical School; and Inyang Isong, MD, MPH, ScD, is Assistant Professor, Harvard Medical School and Attending Physician, Boston Children's Hospital.
Michelle Dalal, MD, is Staff Physician, Reliant Medical Group, Milford, MA, and Associate Professor of Pediatrics, UMass Memorial Medical Center; Judith A. Savageau, MPH, is Associate Professor, Department of Family Medicine and Community Health, UMass Medical School; Hugh Silk, MD, MPH, is Professor, Department of Family Medicine and Community Health, UMass Medical School; and Inyang Isong, MD, MPH, ScD, is Assistant Professor, Harvard Medical School and Attending Physician, Boston Children's Hospital
J Dent Educ. 2019 Jun;83(6):630-637. doi: 10.21815/JDE.019.058. Epub 2019 Feb 25.
A 2011 study evaluating oral health training in pediatric medical residency programs highlighted opportunities to improve residents' oral health competence. The aim of this 2017 follow-up study was to assess progress since 2011 in promoting development of pediatric residents' oral health competence. A survey was sent to all 281 pediatric and med-peds medical residency program directors to assess the structure and determinants of oral health training in their programs. A total of 110 program directors responded to the 2017 survey (response rate 40%). Just over half (54%) of the respondents reported that their residents received one to two hours of oral health education during residency, while 38% received ≥3 hours (compared to 47% and 48%, respectively, in 2011). There was improvement in the proportion of respondents reporting that their residents integrated fluoride varnish application training in 2017 vs. 2011 (83% vs. 43%; p<0.001). Departmental support for integrating oral health and having an oral health elective were significantly associated with satisfaction with residents' oral health competence. These findings suggest that pediatric and med-peds medical residency programs have improved their residents' oral health awareness and training through integration of at least one hour of oral health education and fluoride varnish training. However, given deficiencies in program structure and uneven perceptions of residents' oral health competence found in this study, opportunities remain to improve pediatric residency programs' oral health curricula.
一项2011年评估儿科医学住院医师培训项目中口腔健康培训的研究强调了提高住院医师口腔健康能力的机会。这项2017年的随访研究旨在评估自2011年以来在促进儿科住院医师口腔健康能力发展方面取得的进展。向所有281名儿科和儿内科医学住院医师培训项目主任发送了一份调查问卷，以评估其项目中口腔健康培训的结构和决定因素。共有110名项目主任回复了2017年的调查问卷（回复率40%）。略超过一半（54%）的受访者表示，他们的住院医师在住院期间接受了一到两个小时的口腔健康教育，而38%的住院医师接受了≥3小时的教育（2011年分别为47%和48%）。与2011年相比，2017年报告其住院医师接受氟化物涂膜应用培训的受访者比例有所提高（83%对43%；p<0.001）。部门对整合口腔健康的支持以及开设口腔健康选修课与对住院医师口腔健康能力的满意度显著相关。这些发现表明，儿科和儿内科医学住院医师培训项目通过整合至少一小时的口腔健康教育和氟化物涂膜培训，提高了住院医师的口腔健康意识和培训水平。然而，鉴于本研究中发现的项目结构缺陷以及对住院医师口腔健康能力的不均衡认知，仍有机会改进儿科住院医师培训项目的口腔健康课程。
