School of Dentistry, University of Washington, US.
School of Public Health, University of Washington, US.
Ann Glob Health. 2020 Sep 3;86(1):113. doi: 10.5334/aogh.3024.
New education programs are developing to improve global health awareness. Dental students have demonstrated interest in international settings but are largely unaware of global health topics. The Timothy A. DeRouen Center for Global Oral Health of the University of Washington (UW) and Harvard School of Dental Medicine expanded a competency-based global health curriculum (Global Health Starter Kit) by integrating it within the UW School of Dentistry (UW SOD) existing elective course "Global Oral Health" to undergraduates, pre-, and doctorate students from the UW SOD and Public Health. The study objective was to evaluate the curriculum effectiveness by assessing 1) Knowledge and Attitudes (survey), and 2) Didactic coursework (global trends, global goals, primary care, social determinants and risks, and ethics and sustainability).
Eligibility included enrolled students with both pre- and post-assessments. Descriptive statistics were conducted to present demographic data. Significant changes on survey and didactic evaluations were analyzed with paired t-tests (p < 0.05).
The population (N = 15) represented 88% of the class. All Knowledge categories had a significant increase (p < 0.05), except in the topic of tropical diseases. At baseline, Attitudes categories had high scores and did not significantly increase by the end of the course. Even though all Didactic categories improved, only Social Determinants and Risks showed a significant increase (p < 0.01).
Competency-based global health learning can be implemented in the dental curriculum. While the study shows promising results, efforts to identify areas for improvement as well as considerations of the institution's culture need to be assessed and addressed for each teaching cycle.
新的教育项目正在开发中，以提高全球健康意识。牙科学生对国际环境表现出了兴趣，但对全球健康主题知之甚少。华盛顿大学（UW）和哈佛牙医学院的 Timothy A. DeRouen 全球口腔健康中心通过将基于能力的全球健康课程（全球健康入门套件）整合到 UW 牙科学院（UW SOD）现有的本科生、预博士生和博士生选修课程“全球口腔健康”中，扩大了该课程，目的是评估课程的有效性，方法是评估 1）知识和态度（调查），以及 2）教学课程（全球趋势、全球目标、初级保健、社会决定因素和风险以及伦理和可持续性）。
符合条件的学生需参加预评估和后评估。描述性统计用于呈现人口统计学数据。通过配对 t 检验（p < 0.05）分析调查和教学评估的显著变化。
研究人群（N = 15）代表了该班级的 88%。除了热带疾病主题外，所有知识类别都有显著增加（p < 0.05）。在基线时，态度类别得分较高，课程结束时没有显著增加。尽管所有教学类别都有所提高，但只有社会决定因素和风险显示出显著增加（p < 0.01）。
基于能力的全球健康学习可以在牙科课程中实施。虽然研究结果很有希望，但需要评估和解决每个教学周期中机构文化的改进领域和考虑因素。
