Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
Eur J Dent Educ. 2021 Feb;25(1):28-34. doi: 10.1111/eje.12574. Epub 2020 Aug 30.
This cross-sectional study aims to evaluate whether Continuing Education Activities (CEA) influence dentists' behaviour in relation to oral lesions. The secondary aim is to assess the association between dentists' perception of learning adequacy and self-efficacy for oral mucosal lesion management.
A self-administered online questionnaire was conducted on dentists working at the public health system of Rio Grande do Sul State, Brazil. The questionnaire included questions pertaining to perception of adequacy for oral diagnosis classes upon graduation, participation in oral cancer CEA and self-efficacy in managing oral mucosal lesions.
221 dentists from 91 municipalities answered the questionnaire. Most participants were female (71.5%) with a mean age of 38.3 years. Perception of learning as adequate during undergraduate coursework was associated with self-efficacy to diagnose, biopsy, and treat oral mucosal lesions (P < .05, Chi-squared test). However, 83.3% of dentists considered the time devoted to these topics prior to graduation insufficient. The frequency of oral lesion detection was related to self-efficacy to treat oral lesions and detecting oral cancer (P < .05, Chi-squared test). Among dentists who detected oral lesions frequently, 88.9% had attended CEA, whereas 11.1% of them had never attended these activities.
CEA may improve awareness and efficacy of primary healthcare professional's detection of oral cancer.
本横断面研究旨在评估继续教育活动（CEA）是否会影响牙医在口腔病变方面的行为。次要目的是评估牙医对口腔黏膜病变管理学习充足感的感知与自我效能之间的关联。
对巴西南里奥格兰德州公立卫生系统工作的牙医进行了一项自我管理的在线问卷调查。问卷包括毕业后口腔诊断课程学习充足感、参加口腔癌 CEA 以及口腔黏膜病变管理自我效能的问题。
来自 91 个城市的 221 名牙医回答了问卷。大多数参与者为女性（71.5%），平均年龄为 38.3 岁。在本科课程中，对学习的感知是充足的，这与诊断、活检和治疗口腔黏膜病变的自我效能相关（P<.05，卡方检验）。然而，83.3%的牙医认为毕业前分配给这些主题的时间不足。口腔病变检测的频率与治疗口腔病变和检测口腔癌的自我效能相关（P<.05，卡方检验）。在经常检测口腔病变的牙医中，88.9%的人参加了 CEA，而其中 11.1%的人从未参加过这些活动。
CEA 可能会提高初级保健专业人员对口腔癌的检测意识和能力。
