Cheng Hsin-Chung, Wang Yung-Chuan, Jeng Yachung, Chen Sam Li-Sheng
School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan.
Division of Orthodontics, Department of Dentistry, Taipei Medical University Hospital, Taipei, Taiwan.
J Dent Sci. 2022 Apr;17(2):913-919. doi: 10.1016/j.jds.2022.01.005. Epub 2022 Jan 24.
BACKGROUND/PURPOSE: The postgraduate year dentist training program (PGYD) officially implemented in 2010. This study aimed to assess PGYD trainees' subjective satisfaction perception and objective competence performance according to different training institutions (either dental clinics or hospitals).
A nationwide cross-sectional survey was conducted in 2018. Subjective satisfaction questionnaires from 222 PGYD trainees and 166 PGYD trainees' scores of objective structured clinical examinations (OSCEs) were collected for analysis. The -test and logistic regression were used to compare differences between two groups.
In subjective satisfaction, PGYD trainees in hospitals revealed less positive perceptions on teachers (odds ratios [ORs] range: 0.33-0.7) and on training plans and auxiliary facilities (ORs range: 0.23-0.69), but they had more opportunities to attend and present at professional meetings than those in clinics. In PGYD trainees' opinion, the optimal training period allocation was 25% in hospitals and 75% in clinics. Overall, trainees in hospitals had better OSCE scores than those in clinics (OR [95% confidence interval, CI]: 3.12 [1.68-5.79]), except for the item of "the relation between physical condition and dental treatment outcome" (0.3 [0.1-0.97]).
PGYD trainees in dental clinics have more positive perceptions on teachers and on training plans and auxiliary facilities, but PGYD trainees in hospitals have better OSCE scores. PGYD trainees prefer to be trained in clinics for a better connection with future careers, while hospitals can offer better training for PGYD trainees to become independent dentists because they have better training environment and more educational resources.
背景/目的:研究生阶段牙医培训项目(PGYD)于2010年正式实施。本研究旨在根据不同的培训机构(牙科诊所或医院)评估PGYD学员的主观满意度认知和客观能力表现。
2018年进行了一项全国性横断面调查。收集了222名PGYD学员的主观满意度问卷和166名PGYD学员的客观结构化临床考试(OSCE)成绩进行分析。采用t检验和逻辑回归比较两组之间的差异。
在主观满意度方面,医院的PGYD学员对教师(优势比[OR]范围:0.33 - 0.7)以及培训计划和辅助设施(OR范围:0.23 - 0.69)的积极认知较少,但他们比诊所的学员有更多机会参加专业会议并在会上发言。在PGYD学员看来,最佳培训时间分配是25%在医院,75%在诊所。总体而言,医院的学员OSCE成绩比诊所的学员更好(OR[95%置信区间,CI]:3.12[1.68 - 5.79]),但“身体状况与牙科治疗结果的关系”这一项除外(0.3[0.1 - 0.97])。
牙科诊所的PGYD学员对教师以及培训计划和辅助设施有更积极的认知,但医院的PGYD学员OSCE成绩更好。PGYD学员更倾向于在诊所接受培训以便更好地与未来职业接轨,而医院可以为PGYD学员提供更好的培训使其成为独立牙医,因为医院有更好的培训环境和更多的教育资源。