Long Huimin, Nie Xin, Wang Chi
Department of Oral and Maxillofacial Surgery, School & Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China.
BMC Med Educ. 2025 Mar 18;25(1):392. doi: 10.1186/s12909-025-06980-8.
Standardized residency training for dental residents is a clinical skills development program designed for newly graduated dental students. A significant conflict arises between patients' expectations for high-quality medical services and residents' need to enhance their skills through hands-on clinical practice. This study aims to explore the current situation and needs of resident doctors in the outpatient department of oral and maxillofacial surgery, based on patient dissatisfaction feedback and a comprehensive questionnaire survey among resident doctors.
Dissatisfaction feedback related to the oral and maxillofacial surgery outpatient clinic from 2021 to 2023 was collected, categorized, and analyzed. Concurrently, a survey questionnaire comprising 19 questions was designed to assess the the residents' current work status and needs of in the outpatient department. The questionnaire was completed by the residents and analyzed to gather insights.
From 2021 to 2023, there were 84 instances of dissatisfaction feedback involving resident doctors in the oral and maxillofacial surgery outpatient clinic. The primary reason for dissatisfaction was "severe postoperative reactions" (42.9%), followed by "resident doctors unable to solve problems independently" (26.2%), and "patients' lack of trust in resident doctors" (25%). The resident doctor questionnaire yielded 71 valid responses, revealing that the main factor hindering their ability to consult patients was patients' distrust (42.25%), followed by "lack of confidence and fear of causing adverse effects" (36.62%). Residents rated their theoretical knowledge and practical abilities at 2.75 and 2.86, respectively, indicating moderate proficiency levels. They identified increased clinical consultation opportunities as their most critical need to improve diagnostic and treatment skills (77.5%). Their preferred consultation modes were: [1] operating independently with the teacher observing and summarizing afterward (56.34%), and [2] operating independently with the teacher observing and providing real-time reminders during the operation (23.9%).
In the outpatient department of oral and maxillofacial surgery, the primary reasons for patient dissatisfaction related to resident doctors are inadequate operational skills and patients' distrust in their abilities. However, due to the limited sample size of this study, the generalizability of these findings to a broader population remains uncertain. Further large-scale, objective investigations are needed to provide clearer and more meaningful insights into this issue.
牙科住院医师标准化培训是一项为刚毕业的牙科学生设计的临床技能培养项目。患者对高质量医疗服务的期望与住院医师通过临床实践提高技能的需求之间存在重大冲突。本研究旨在基于患者的不满反馈以及对住院医师的全面问卷调查，探讨口腔颌面外科门诊住院医师的现状和需求。
收集、分类并分析了2021年至2023年期间与口腔颌面外科门诊相关的不满反馈。同时，设计了一份包含19个问题的调查问卷，以评估住院医师在门诊的当前工作状态和需求。住院医师完成了问卷并进行分析以获取见解。
2021年至2023年期间，口腔颌面外科门诊有84例涉及住院医师的不满反馈。不满的主要原因是“术后反应严重”（42.9%），其次是“住院医师无法独立解决问题”（26.2%）以及“患者对住院医师缺乏信任”（25%）。住院医师问卷获得了71份有效回复，结果显示阻碍他们向患者问诊的主要因素是患者的不信任（42.25%），其次是“缺乏信心以及担心产生不良影响”（36.62%）。住院医师对自己理论知识和实践能力的评分分别为2.75和2.86，表明熟练程度中等。他们认为增加临床问诊机会是提高诊断和治疗技能最关键的需求（77.5%）。他们偏好的问诊模式为：[1]独立操作，教师观察并事后总结（56.34%），以及[2]独立操作，教师观察并在操作过程中实时提醒（23.9%）。
在口腔颌面外科门诊，患者对住院医师不满的主要原因是操作技能不足以及患者对其能力缺乏信任。然而，由于本研究样本量有限，这些发现对更广泛人群的普遍性仍不确定。需要进一步进行大规模、客观的调查，以更清晰、更有意义地洞察这一问题。
