就本科儿童龋病管理课程达成共识:德尔菲法和名义群体法研究方案
Generating a consensus on an undergraduate curriculum for paediatric caries management: a protocol for a Delphi and nominal groups study.
作者信息
Rogers Helen J, Campbell Faith, Innes Nicola
机构信息
School of Dental Sciences, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
School of Dentistry, Park Place, University of Dundee, Dundee, UK.
出版信息
BMC Med Educ. 2025 Jul 1;25(1):917. doi: 10.1186/s12909-025-06985-3.
BACKGROUND
Untreated dental caries is the most common condition to affect children globally, and significantly affects their oral health-related quality of life. Our understanding of caries and its management has progressed significantly over the past two decades, though a number of Dental Schools in the United Kingdom (UK) continue to teach traditional techniques, which no longer align with the evidence base. There is a clear need for an evidence-based curriculum for paediatric caries management for UK Dental Schools. This protocol details a study to generate consensus on what should be included in such a curriculum.
METHODS
Preliminary research by the authors will be used to identify techniques to be considered for inclusion in the curriculum and their definitions will be drawn from scientific literature. A total of 21 national and international experts in paediatric cariology will be invited to take part in a Delphi survey, via the Welphi application. Participants will be given a list of techniques, with associated definitions, and asked to state whether each should be included in the curriculum, or not, or if they are unsure. Techniques with at least 70% agreement will be removed from future survey rounds. Participants will be provided with feedback regarding all techniques not reaching a consensus, and asked to re-evaluate these again, up to a maximum of four rounds. Seven UK-based Delphi participants will then be invited to participate in a Nominal Group Technique approach, to confirm suitability of the techniques agreed for inclusion in a UK curriculum, reviewing and discussing where agreement was previously not reached. The final list of approved techniques will inform a UK paediatric caries management curriculum, which will be developed with involvement of stakeholders. Endorsement for this curriculum will be sought from the British Society of Paediatric Dentistry. The UK General Dental Council will be asked to consider its content as part of the standards for UK Dental Schools. Following dissemination of the curriculum we will seek to investigate whether there is greater alignment across UK Dental Schools with the evidence base for cariology.
CONCLUSION
This study proposes a rigorous approach to curriculum development with active involvement of a broad range of stakeholders. These methods can be applied to development of further curricula in dental education, benefitting the teaching community, students and patients.
背景
未经治疗的龋齿是全球影响儿童的最常见病症,严重影响他们与口腔健康相关的生活质量。在过去二十年里,我们对龋齿及其治疗的认识有了显著进展,然而英国的一些牙科学院仍在教授传统技术,这些技术已不再符合循证医学依据。英国牙科学院显然需要一套基于循证医学的儿童龋齿管理课程。本方案详细介绍了一项研究,旨在就此类课程应包含的内容达成共识。
方法
作者的初步研究将用于确定可纳入课程的技术,并从科学文献中提取其定义。将通过Welphi应用程序邀请总共21位国内和国际儿童龋病学专家参与德尔菲调查。参与者将收到一份技术清单及相关定义,并被要求说明每项技术是否应纳入课程,或者他们是否不确定。达成至少70%共识的技术将从未来的调查轮次中剔除。将向参与者提供所有未达成共识的技术的反馈信息,并要求他们再次重新评估,最多进行四轮。然后将邀请7位英国的德尔菲参与者采用名义群体技术方法,确认商定纳入英国课程的技术的适用性,对之前未达成共识的地方进行审查和讨论。批准技术的最终清单将为英国儿童龋齿管理课程提供参考,该课程将在利益相关者的参与下制定。将寻求英国儿童牙科学会对该课程的认可。将要求英国牙科总理事会将其内容作为英国牙科学院标准的一部分予以考虑。在课程发布后,我们将试图调查英国各牙科学院在龋病学循证医学依据方面是否有更大程度的一致性。
结论
本研究提出了一种严谨的课程开发方法,有广泛的利益相关者积极参与。这些方法可应用于牙科教育中进一步课程的开发,使教学界、学生和患者受益。