Family Translational Research Group, Department of Cariology and Comprehensive Care, New York University College of Dentistry, New York, New York, USA.
University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, USA.
J Dent Educ. 2020 May;84(5):586-592. doi: 10.1002/jdd.12044. Epub 2020 Feb 5.
Aggression from patients is one of the risks faced by healthcare workers during a typical work week. This risk begins during training. Although rates of patient aggression have been estimated for nursing students and medical residents, studies of aggression toward dental students have not been conducted. To begin to address this knowledge gap, we surveyed 160 D.D.S. student dentists in their third- or fourth years who were attending a large urban college of dentistry during the 2018-2019 academic year. Each class had approximately 375 students, leading to a response rate of 21%. Approximately 28% of students reported experiencing at least 1 instance of physical aggression, 86% reported experiencing at least 1 instance of verbal aggression, and 36% reported experiencing at least 1 instance of reputational aggression. There were no differences in rates of experienced aggression by age or gender, but Hispanic or Latinx students were more likely to experience physical and reputational aggression than non-Hispanic White or Asian students. We discuss implications for dental education, including modifications to training clinic procedures and curriculum additions or modifications that may help prepare students to prevent and address patient aggression within the dental clinic environment.
在典型的工作周期间,患者的攻击行为是医护人员面临的风险之一。这种风险始于培训期间。尽管已经对护理学生和住院医师的患者攻击率进行了估计,但尚未对牙科学生的攻击行为进行研究。为了开始解决这一知识差距,我们调查了 2018-2019 学年期间在一所大型城市牙科学院就读三年级或四年级的 160 名 D.D.S. 学生牙医。每个班级大约有 375 名学生,响应率为 21%。大约 28%的学生报告至少经历过 1 次身体攻击,86%的学生报告至少经历过 1 次言语攻击,36%的学生报告至少经历过 1 次名誉攻击。攻击经历的发生率与年龄或性别无关,但西班牙裔或拉丁裔学生比非西班牙裔白人和亚裔学生更有可能经历身体和名誉攻击。我们讨论了对牙科教育的影响,包括对培训诊所程序的修改以及增加或修改课程,这可能有助于学生在牙科诊所环境中预防和处理患者的攻击行为。