本科口腔医学生临床综合轮转实习的探索与实践

Exploration and practice of comprehensive clinical rotation internship for undergraduate dental students.

作者信息

Liao Yanting, Liu Yingjun, Huang Jing, Jiang Yong, Ge Wenshu, Fan Cong, An Na

机构信息

Department of General Dentistry II, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Key Laboratory of Digital Stomatology & NMPA Key Laboratory for Dental Materials, Beijing, 100081, PR China.

Department of Occupational and Environmental Health Science, School of Public Health, Peking University, Beijing, 100191, PR China.

出版信息

BMC Med Educ. 2025 Apr 15;25(1):539. doi: 10.1186/s12909-025-07143-5.

DOI:10.1186/s12909-025-07143-5

PMID:40234818

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12001601/

Abstract

BACKGROUND

University-based programs should aim to teach dental students about practice procedures to gain insight into day-to-day activities. This study introduces a newly established comprehensive dental professional curriculum, including an additional 9-week comprehensive rotation internship program.

METHODS

All dental students from the Department of General Dentistry II under Peking University School and Hospital of Stomatology (PKUSS) who completed a specialized internship in the five research areas (endodontics, periodontics, prosthodontics, oral and maxillofacial surgery, and pediatric dentistry), including an additional 9-week comprehensive rotation, were invited to participate in the survey (total n = 253 in years 2022-2024). Utilizing the complete sample population, we distributed the questionnaire electronically via WeChat. Descriptive statistics were employed to analyze the distribution of responses. The Chi-Square test was utilized to assess potential differences in response patterns between genders and between academic programs.

RESULTS

The response rate was 98.8% (n = 250/253). A total of 70.4% of students believed that a 9-week comprehensive rotation was necessary to improve the program. 76.8% thought it was essential to introduce the dental comprehensive specialty. 75.6% felt that the dental comprehensive specialty internship should last longer, and 83.2% believed that it helped them develop comprehensive diagnostic and treatment thinking abilities. No significant differences were observed in the responses between male and female students (p > 0.05). However, 5-year program students demonstrated significantly higher preference rates for both comprehensive rotation (80.3% vs. 59.32%; p < 0.001) and dental comprehensive specialty internship (82.58% vs. 70.34%; p = 0.011) compared to 8-year program students. Furthermore, a significantly higher proportion of 5-year program students reported improvement in their prosthodontic competence following the training (45.45% vs. 27.97%; p = 0.004).

CONCLUSION

The comprehensive rotation model was effective in helping students establish comprehensive diagnostic thinking and train multi-specialty clinical skills. Further exploration and improvement are needed to effectively leverage the advantages of multi-specialty training in the comprehensive teaching clinic.

摘要

背景

以大学为基础的项目应旨在教授牙科学生实践程序，以便深入了解日常活动。本研究引入了一个新设立的全面牙科专业课程，包括一个为期9周的额外综合轮转实习项目。

方法

邀请北京大学口腔医学院第二口腔综合科所有完成了五个研究领域（牙髓病学、牙周病学、口腔修复学、口腔颌面外科学和儿童牙科学）专业实习（包括为期9周的额外综合轮转）的牙科学生参与调查（2022 - 2024年共有253名学生）。利用全部样本群体，我们通过微信以电子方式分发问卷。采用描述性统计分析回答的分布情况。使用卡方检验评估性别之间以及学术项目之间回答模式的潜在差异。

结果

回复率为98.8%（n = 250/253）。共有70.4%的学生认为为期9周的综合轮转对于改进该项目是必要的。76.8%的学生认为引入牙科综合专科至关重要。75.6%的学生觉得牙科综合专科实习应该持续更长时间，83.2%的学生认为这有助于他们培养综合诊断和治疗思维能力。在男女生的回答中未观察到显著差异（p > 0.05）。然而，与八年制项目学生相比，五年制项目学生对综合轮转（80.3%对59.32%；p < 0.001）和牙科综合专科实习（82.58%对70.34%；p = 0.011）的偏好率显著更高。此外，更高比例的五年制项目学生报告称培训后其口腔修复能力有所提高（45.45%对27.97%；p = 0.004）。