Faculty of Dentistry, National University of Singapore, Singapore, Singapore.
PLoS One. 2023 Feb 15;18(2):e0281801. doi: 10.1371/journal.pone.0281801. eCollection 2023.
A rapidly aging population means many people have multiple health issues leading to an increased risk of acute medical emergencies. The objective of this study was to evaluate how essential experiential learning is in developing dental graduates' ability to manage medically compromised patients. Three hundred and twenty-seven students and graduates were invited to participate in an online survey to rate their confidence in managing medically compromised patients and acute medical emergencies using a 5-point Likert scale. Competence of knowledge was evaluated using 30 multiple choice questions (MCQs) across six domains. The respondents were also asked whether a theory-only training adequately prepared them to manage medically compromised patients, or whether it must be supplemented with clinical training. Two-hundred and sixty-four responses were collected from 75 undergraduates (UG), 96 junior dental officers (JDO) and 93 senior dental officers (SDO). The UG reported that they infrequently managed medically compromised patients, whereas both the JDO and SDO reported having frequent encounters with these patients. The mean confidence scale in the management of medically compromised patients were 2.62, 3.50 and 3.69 (out of 5), respectively. In contrast, their confidence scale in the management of acute medical emergencies was 2.05, 2.33 and 2.50 (out of 5), respectively. The MCQ scores were 25.51, 26.44 and 26.86 out of 30, respectively. The outcomes of the JDO and SDO were significantly better than the UG (t-tests, p<0.05). All three groups responded that a theory-only training in dental school did not adequately prepare them to manage medically compromised patients. Both the JDO and SDO felt that their clinical work experience better prepared them to manage these patients. Experiential learning from "real-life" clinical experience is an essential component in developing graduates' confidence and competence in the management of medically compromised patients. A dental curriculum with theory-only training in this aspect is inadequate.
人口老龄化意味着许多人有多种健康问题,导致急性医疗紧急情况的风险增加。本研究的目的是评估体验式学习对培养牙科毕业生管理有健康问题的患者的能力有多么重要。邀请了 327 名学生和毕业生参加在线调查,使用 5 分制李克特量表评估他们管理有健康问题的患者和处理急性医疗紧急情况的信心。通过 30 个多项选择题(MCQ)评估知识的掌握程度,涵盖六个领域。受访者还被问到理论培训是否足以使他们有能力管理有健康问题的患者,或者是否必须辅以临床培训。从 75 名本科生(UG)、96 名初级牙科官员(JDO)和 93 名高级牙科官员(SDO)中收集了 264 份回复。UG 报告称他们很少管理有健康问题的患者,而 JDO 和 SDO 都报告说经常遇到这些患者。管理有健康问题的患者的平均信心量表分别为 2.62、3.50 和 3.69(满分 5 分)。相比之下,他们管理急性医疗紧急情况的信心量表分别为 2.05、2.33 和 2.50(满分 5 分)。MCQ 分数分别为 25.51、26.44 和 26.86(满分 30 分)。JDO 和 SDO 的结果明显优于 UG(t 检验,p<0.05)。所有三组都表示,在牙科学校接受的仅理论培训不足以使他们有能力管理有健康问题的患者。JDO 和 SDO 都认为他们的临床工作经验使他们更有能力管理这些患者。从“现实生活”临床经验中获得的体验式学习是培养毕业生管理有健康问题的患者的信心和能力的重要组成部分。仅在这方面进行理论培训的牙科课程是不够的。