Centre for Special Care Dentistry (Stichting Bijzondere Tandheelkunde), Amsterdam, the Netherlands.
Department of Oral Biochemistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, the Netherlands.
Eur J Dent Educ. 2022 May;26(2):239-247. doi: 10.1111/eje.12692. Epub 2021 May 24.
In Europe, approximately 150.000 patients are diagnosed with head and neck cancer annually. Dentists play an important role in prevention and detection at an early stage when survival rates are best. This study aims to evaluate content of head and neck cancer education curricula of European dental schools.
A questionnaire, comprising 20 questions about content of curricula and teaching methods, was distributed to the deans of all 234 members of the Association for Dental Education in Europe.
The response rate was 24%. All dental schools included head and neck cancer screening practices in their curricula, two-thirds had their students perform this screening on all patients routinely and education was mostly divided over various courses (65%). A variation in content of education in screening practices and counselling patients about various risk factors was reported. Alcohol and tobacco use were included in most curricula as risk factors for head and neck cancer (98%), gastro-oesophageal reflux was less frequently included (41%). The human papillomavirus (HPV) as a risk factor for oropharyngeal cancer was included in 94% of curricula and 87% also contained education about strategies to discuss prevention of HPV-related cancer. No association was found between curricula containing strategies about discussing HPV-related cancer and inclusion of the HPV vaccine in national immunisation programmes.
Head and neck cancer teaching programmes show a considerable variation across European dental schools. Development of a unified teaching programme suitable for all European dental schools seems warranted.
在欧洲,每年约有 15 万名患者被诊断患有头颈部癌症。牙医在早期发现和预防方面发挥着重要作用,因为此时的生存率最高。本研究旨在评估欧洲牙科学校头颈部癌症教育课程的内容。
向欧洲牙科教育协会的 234 名成员的院长们分发了一份包含 20 个问题的问卷,内容涉及课程内容和教学方法。
回应率为 24%。所有牙科学校都在课程中纳入了头颈部癌症筛查实践,三分之二的学校要求学生对所有患者常规进行这种筛查,教育主要分布在各种课程中(65%)。报告了筛查实践和向患者提供有关各种风险因素咨询方面的教育内容存在差异。大多数课程都将酒精和烟草使用列为头颈部癌症的风险因素(98%),而较少包括胃食管反流(41%)。人乳头瘤病毒(HPV)作为口咽癌的一个风险因素被纳入 94%的课程,87%的课程还包含了关于讨论预防 HPV 相关癌症的策略的教育。讨论 HPV 相关癌症的策略纳入课程与 HPV 疫苗纳入国家免疫接种计划之间没有关联。
欧洲牙科学校的头颈部癌症教学课程存在相当大的差异。开发适合所有欧洲牙科学校的统一教学课程似乎是必要的。