University Dental Hospital of Manchester, Manchester, UK.
University Dental Hospital, University Hospital of Wales, Cardiff, UK.
J Orthod. 2021 Dec;48(4):383-391. doi: 10.1177/14653125211019426. Epub 2021 May 31.
To improve the confidence and competence of newly qualified dentists in Wales in undertaking orthodontic assessments and making orthodontic referrals.
Quality improvement project.
Study days arranged by the Wales Deanery.
The 2018-2019 cohort of dental foundation trainees (DFTs) and dental core trainees (DCTs) in Wales.
Data were collected prospectively between January and February 2019 utilising a 20-item questionnaire based around knowledge and clinical ability in orthodontic assessment and referrals (Stage 1). In May 2019, the trainees were provided with an e-learning package tailored to the results of the clinical questions and the feedback received in Stage 1. After this, trainees repeated the questionnaire with a simplified Index of Orthodontic Treatment Need (IOTN; Stage 2).
There was increased self-reported confidence in 'conducting orthodontic assessments' from 67% to 95% and 'competence in completing orthodontic referrals' from 81% to 92%. At baseline, this cohort were only able to correctly determine dental age and orthodontic treatment need for 40.7% (mean) of the presented linical cases. Following the teaching intervention, this was improved with an average of 70.9% of clinical cases answered correctly.
Despite the noted improvement in the self-reported confidence and competence in undertaking orthodontic assessments and referrals in this cohort, there is still room for improvement. Hands-on orthodontic experience during dental training improved the self-reported confidence and competence with assessments and referrals. The results of this quality improvement project emphasise the need for regular continuing professional development in the field of orthodontics to maintain competence in utilising IOTN and referring appropriately.
提高威尔士新合格牙医在进行正畸评估和转诊方面的信心和能力。
质量改进项目。
威尔士教务长安排的学习日。
威尔士的 2018-2019 年牙科基础培训生（DFT）和牙科核心培训生（DCT）。
在 2019 年 1 月至 2 月期间，利用基于正畸评估和转诊的知识和临床能力的 20 项问卷（第 1 阶段）进行前瞻性数据收集。2019 年 5 月，为培训生提供了专门针对临床问题的结果和第 1 阶段收到的反馈的电子学习包。在此之后，培训生使用简化的正畸治疗需求指数（IOTN；第 2 阶段）重复了问卷。
自我报告的“进行正畸评估”的信心从 67%增加到 95%，“完成正畸转诊的能力”从 81%增加到 92%。在基线时，这一队列仅能正确确定 40.7%（平均值）呈现的临床病例的牙龄和正畸治疗需求。在教学干预之后，这一比例平均提高到 70.9%。
尽管该队列在进行正畸评估和转诊方面的自我报告的信心和能力有了显著提高，但仍有改进的空间。在牙科培训期间进行实际的正畸经验提高了对评估和转诊的自我报告的信心和能力。该质量改进项目的结果强调了在正畸领域定期进行持续专业发展的必要性，以保持使用 IOTN 和适当转诊的能力。
