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Performance of ChatGPT and Dental Students on Concepts of Periodontal Surgery. ChatGPT 和牙科学生在牙周手术概念方面的表现。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-24 DOI: 10.1111/eje.13047
Chen Li, Jinmei Zhang, John Abdul-Masih, Sihan Zhang, Jingmei Yang

Introduction: As a large language model, chat generative pretrained transformer (ChatGPT) has provided a valuable tool for various medical scenarios with its interactive dialogue-based interface. However, there is a lack of studies on ChatGPT's effectiveness in handling dental tasks. This study aimed to compare the knowledge and comprehension abilities of ChatGPT-3.5/4 with that of dental students about periodontal surgery.

Materials and methods: A total of 134 dental students participated in this study. We designed a questionnaire consisting of four questions about the inclination for ChatGPT, 25 multiple-choice, and one open-ended question. As the comparison of ChatGPT-3.5 and 4, the question about the inclination was removed, and the rest was the same. The response time of ChatGPT-3.5 and 4 as well as the comparison of ChatGPT-3.5 and 4' performances with dental students were measured. Regarding students' feedback on the open-ended question, we also compared the outcomes of ChatGPT-4' and teacher's review.

Results: On average, ChatGPT-3.5 and 4 required 3.63 ± 1.18 s (95% confidence interval [CI], 3.14, 4.11) and 12.49 ± 7.29 s (95% CI, 9.48, 15.50), respectively (p < 0.001) for each multiple-choice question. For these 25 questions, the accuracy was 21.51 ± 2.72, 14 and 20 for students, ChatGPT-3.5 and 4, respectively. Furthermore, the outcomes of ChatGPT-4's review were consistent with that of teacher's review.

Conclusions: For dental examinations related to periodontal surgery, ChatGPT's accuracy was not yet comparable to that of the students. Nevertheless, ChatGPT shows promise in assisting students with the curriculum and helping practitioners with clinical letters and reviews of students' textual descriptions.

简介作为一种大型语言模型,聊天生成预训练转换器(ChatGPT)的交互式对话界面为各种医疗场景提供了宝贵的工具。然而,有关 ChatGPT 在处理牙科任务时的有效性的研究还很缺乏。本研究旨在比较 ChatGPT-3.5/4 与牙科学生在牙周手术方面的知识和理解能力:本研究共有 134 名牙科学生参加。我们设计了一份问卷,其中包括 4 个有关 ChatGPT 倾向的问题、25 个选择题和 1 个开放式问题。作为 ChatGPT-3.5 和 ChatGPT-4 的对比,去掉了关于倾向性的问题,其余问题相同。我们测量了 ChatGPT-3.5 和 4 的反应时间,以及 ChatGPT-3.5 和 4 与牙科学生的表现对比。关于学生对开放式问题的反馈,我们还比较了 ChatGPT-4 和教师评阅的结果:结果:ChatGPT-3.5 和 4 平均分别需要 3.63 ± 1.18 秒(95% 置信区间 [CI],3.14, 4.11)和 12.49 ± 7.29 秒(95% 置信区间 [CI],9.48, 15.50)(P对于与牙周手术相关的牙科检查,ChatGPT 的准确性还无法与学生的准确性相提并论。尽管如此,ChatGPT 在帮助学生学习课程、帮助医生撰写临床信函和审查学生的文字描述方面还是大有可为的。
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引用次数: 0
Impact of COVID-19 on Depression, Anxiety and Stress of Dental Students: A Systematic Review. COVID-19 对牙科学生抑郁、焦虑和压力的影响:系统回顾
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-01 DOI: 10.1111/eje.13043
Nethmi Piyumika Gunewardena, Shea Teresa Hironaka, Hamza Javaid Khan, Tara Miriam Rassam, Jeroen Kroon

Aim: To determine the impact of the COVID-19 pandemic on depression, anxiety and stress of dental students by way of a systematic review.

Materials and methods: This review was conducted following the Cochrane Handbook for Systematic Reviews. An electronic search was conducted for the period January 2020 to February 2023. Quality assessment was evaluated in accordance with the Newcastle-Ottawa Scale. Frequency distribution was calculated for stress, anxiety and depression associated with students' gender, year of study and living circumstances.

Results: Twenty-three studies were eligible for inclusion in the final review. Variables contributing to stress, anxiety and depression of dental students include gender, year of study and living circumstances. Being female is the most significant factor impacting on mental health.

Conclusions: Results emphasise the need for dental institutions to develop targeted intervention programmes for more vulnerable students. Failure to act in a future pandemic event could result in ongoing psychological issues that persist following graduation, resulting in unfit dentists who may potentially affect the quality of the dental workforce.

目的:通过系统综述确定 COVID-19 大流行对牙科学生抑郁、焦虑和压力的影响:本综述按照《科克伦系统综述手册》(Cochrane Handbook for Systematic Reviews)进行。电子检索时间为 2020 年 1 月至 2023 年 2 月。根据纽卡斯尔-渥太华量表进行了质量评估。计算了与学生性别、就读年级和生活环境相关的压力、焦虑和抑郁的频率分布:有 23 项研究符合纳入最终审查的条件。导致牙科学生压力、焦虑和抑郁的变量包括性别、就读年级和生活环境。女性是影响心理健康的最重要因素:结论:研究结果表明,牙科院校有必要为更脆弱的学生制定有针对性的干预计划。在未来的大流行病事件中,如果不采取行动,可能会导致学生在毕业后持续存在心理问题,从而培养出不合格的牙科医生,这可能会影响牙科医生队伍的质量。
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引用次数: 0
Factors Influencing the Selection of Dentistry as a Career Among Prospective Candidates: A Multicentre Cross-Sectional Study. 影响未来考生选择牙医职业的因素:一项多中心横断面研究。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-30 DOI: 10.1111/eje.13044
Nor Faharina Abdul Hamid, Azlan Jaafar, Nurshafikah Nazirah Asming, Nurul Syafiqah Suria, Ting Khee Ho, Zhi Yin Joan Lim, Tong Wah Lim

Objective: This study aimed to analyse the impact of sociodemographic factors on dental school candidates' decision to pursue dentistry as their career of choice.

Materials and methods: Candidates shortlisted by three dental schools were invited to participate in a self-administered questionnaire study, featuring a validated instrument containing sociodemographic questions and 16 motivational items grouped into four domains: economic, professional, vocational and personal background reasons. The variations in motivational item scores across sociodemographic factors were assessed using the Mann-Whitney U test (age, sex, ethnicity, having relatives in the dental profession and dentistry as the first choice) and Kruskal-Wallis test (dental school and family income).

Results: A total of 295 dental school candidates participated in the study (Universiti Teknologi MARA: 137; Universiti Kebangsaan Malaysia: 99; MAHSA University: 59). Approximately 95% of participants identified dentistry as their primary career choice, with the vocational motivation of 'I like to help people' being the most prominent motivational factor. Dental school emerged as the critical factor significantly influencing three quarters of the motivational items. Sex, ethnicity and having relatives in the dental profession were the remaining factors significantly associated with variations in certain motivational items. Both dental school and ethnicity significantly affected four motivational domains (economic, professional, vocational and personal background).

Conclusion: This study provides an insightful overview of the sociodemographic factors that impact career decision-making among prospective dental students. The scores for most motivational items varied among shortlisted candidates in three dental schools. The findings hold implications for policy development in dentistry by universities and public policymakers.

研究目的本研究旨在分析社会人口学因素对牙科学校考生将牙科作为其职业选择的影响:三所牙科学校邀请入围考生参加自填式问卷调查,问卷中包含社会人口学问题和16个动机项目,分为四个领域:经济、专业、职业和个人背景原因。通过曼-惠特尼U检验(年龄、性别、种族、有亲属从事牙科职业和牙科为第一选择)和Kruskal-Wallis检验(牙科学校和家庭收入)评估了不同社会人口学因素在动机项目得分上的差异:共有 295 名牙科学校考生参加了此次研究(马来西亚玛拉理工大学:137 人;马来西亚国民大学:99 人;马来西亚玛哈夏大学:59 人)。约 95% 的参与者认为牙科是他们的主要职业选择,"我喜欢帮助别人 "这一职业动机是最突出的动机因素。牙科学校是影响四分之三动机项目的关键因素。性别、种族和有亲属从事牙科职业是与某些动机项目的变化有显著关联的其余因素。牙科学校和种族对四个动机领域(经济、专业、职业和个人背景)都有明显影响:本研究对影响未来牙科学生职业决策的社会人口因素进行了深入的概述。三所口腔医学院的入围候选人在大多数动机项目上的得分各不相同。研究结果对大学和公共政策制定者制定口腔医学政策具有启示意义。
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引用次数: 0
Attitudes and Perceptions of Australian Dentists and Dental Students Towards Applications of Artificial Intelligence in Dentistry: A Survey. 澳大利亚牙医和牙科学生对人工智能在牙科应用的态度和看法:调查。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-28 DOI: 10.1111/eje.13042
Shwetha Hegde, Shanika Nanayakkara, Ashleigh Jordan, Omar Jeha, Usaamah Patel, Vivian Luu, Jinlong Gao

Introduction: As artificial intelligence (AI) rapidly evolves in dentistry, understanding dentists' and dental students' perspectives is key. This survey evaluated Australian dentists' and students' attitudes and perceptions of AI in dentistry.

Methods: An online questionnaire developed on Qualtrics was distributed among registered Australian dentists and students enrolled in accredited Australian dental or oral health programmes. Descriptive and bivariate analyses were used to examine the demographic variables and participant attitudes.

Results: 177 responses were received, and 155 complete responses were used in data analysis. 54.8% were aware of dental AI applications, but 70.3% could not name a specific AI software. A majority (91.6%) viewed AI as a supportive tool, with 69% believing that it would be beneficial in clinical tasks and 35.6% expecting it to perform similarly to an average specialist. 40% anticipated that dental AI would be routinely used in the next 5-10 years, with more dental students expecting this short-term integration. Concerns included job displacement, inflexibility in patient care, and mistrust of AI's accuracy. Attitudes towards AI were influenced by age, gender, clinical experience and technological proficiency.

Conclusions: The survey underscores the potential of AI to revolutionise dental care, enhancing clinical workflows and decision-making. However, challenges like trust in AI and ethical concerns remain. It is recommended that practising dentists receive hands-on training with AI tools and continuing dental education programmes. Integrating AI into dental curricula and fostering interdisciplinary teaching and research collaborations between computer science and dentistry is necessary to prepare graduates to use AI effectively and responsibly.

导言:随着人工智能(AI)在牙科领域的快速发展,了解牙医和牙科学生的观点至关重要。这项调查评估了澳大利亚牙医和学生对牙科人工智能的态度和看法:方法:在Qualtrics上开发了一份在线调查问卷,向注册的澳大利亚牙医和注册澳大利亚牙科或口腔健康课程的学生发放。采用描述性分析和双变量分析来研究人口统计学变量和参与者的态度:结果:共收到 177 份回复,其中 155 份完整回复用于数据分析。54.8%的人知道牙科人工智能应用,但70.3%的人说不出具体的人工智能软件。大多数人(91.6%)认为人工智能是一种辅助工具,69%的人认为人工智能将有益于临床工作,35.6%的人期望人工智能的表现与普通专科医生相似。40%的人预计人工智能将在未来5-10年内得到常规使用,更多的牙科学生期待这种短期整合。担心的问题包括工作被取代、病人护理缺乏灵活性以及对人工智能准确性的不信任。对人工智能的态度受年龄、性别、临床经验和技术熟练程度的影响:这项调查强调了人工智能在革新牙科护理、改进临床工作流程和决策方面的潜力。然而,对人工智能的信任和伦理问题等挑战依然存在。建议执业牙医接受人工智能工具的实践培训和继续牙科教育课程。将人工智能纳入口腔医学课程,促进计算机科学与口腔医学之间的跨学科教学与研究合作,对于培养毕业生有效、负责任地使用人工智能十分必要。
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引用次数: 0
Spatial Abilities and Endodontic Access Cavity Preparation: Implications for Dental Education. 空间能力与根管治疗入路洞准备:牙科教育的意义。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-23 DOI: 10.1111/eje.13039
Philippine Collet, Robenson Tra, Anna Reitmann, Sébastien Valette, Nady Hoyek, Jean-Christophe Maurin, Maxime Ducret, Cyril Villat, Julie Santamaria, Raphaël Richert

Introduction: Access cavity preparation is a crucial step in root canal treatment but is one of the most complex procedures in the curriculum to learn, with students often reporting spatial orientation difficulties during drilling. The present study aimed to evaluate the influence of spatial abilities on the preparation of endodontic access cavities among third-year dental students.

Materials and methods: Students from Lyon dental faculty participated voluntarily. The mental rotation test (MRT) evaluated spatial ability. Students prepared access cavities on 3D-printed mandibular molars, subsequently scanned and assessed against eight evaluation points, including morphology, canal access, floor preservation and convergence angle. Principal component analysis (PCA) assessed dataset variations.

Results: A total of 43 volunteers participated. PCA revealed two principal components accounting for 80.8% of variations: the first PC primarily consisted of MRT score (64.3%) and morphology (14.1%); the second comprised operative time (46.1%) and morphology (18.0%). There were significant differences in morphology based on MRT scores, but no correlation was found between other parameters.

Discussion: Lower MRT scores were associated with larger cavity preparations, raising questions about potential curriculum adaptations to enhance spatial reasoning. The operative time was not correlated with higher MRT scores but did contribute to variations in cavity morphology.

Conclusion: Spatial abilities have a substantial impact on the quality of endodontic access cavity preparations; further studies should evaluate if the incorporation of 3D atlas exercises could be beneficial.

介绍:通路洞制备是根管治疗的关键步骤,但也是课程中最复杂的学习程序之一,学生们经常反映在钻孔时空间定位困难。本研究旨在评估空间能力对牙科三年级学生牙髓治疗通路洞准备的影响:里昂牙科学院的学生自愿参加。心理旋转测试(MRT)评估空间能力。学生们在 3D 打印的下颌磨牙上制作通路洞,随后进行扫描,并根据八个评估点进行评估,包括形态、通路、底面保存和会聚角。主成分分析(PCA)评估了数据集的变化:共有 43 名志愿者参与。PCA 显示有两个主成分,占变异的 80.8%:第一个主成分主要包括 MRT 评分(64.3%)和形态(14.1%);第二个主成分包括手术时间(46.1%)和形态(18.0%)。根据MRT评分,形态学存在明显差异,但其他参数之间没有相关性:讨论:较低的MRT评分与较大的龋洞制备有关,这提出了有关潜在课程调整以提高空间推理能力的问题。手术时间与较高的MRT评分无关,但确实与牙洞形态的变化有关:空间能力对根管治疗入路洞制备的质量有很大影响;进一步的研究应评估纳入三维地图册练习是否有益。
{"title":"Spatial Abilities and Endodontic Access Cavity Preparation: Implications for Dental Education.","authors":"Philippine Collet, Robenson Tra, Anna Reitmann, Sébastien Valette, Nady Hoyek, Jean-Christophe Maurin, Maxime Ducret, Cyril Villat, Julie Santamaria, Raphaël Richert","doi":"10.1111/eje.13039","DOIUrl":"https://doi.org/10.1111/eje.13039","url":null,"abstract":"<p><strong>Introduction: </strong>Access cavity preparation is a crucial step in root canal treatment but is one of the most complex procedures in the curriculum to learn, with students often reporting spatial orientation difficulties during drilling. The present study aimed to evaluate the influence of spatial abilities on the preparation of endodontic access cavities among third-year dental students.</p><p><strong>Materials and methods: </strong>Students from Lyon dental faculty participated voluntarily. The mental rotation test (MRT) evaluated spatial ability. Students prepared access cavities on 3D-printed mandibular molars, subsequently scanned and assessed against eight evaluation points, including morphology, canal access, floor preservation and convergence angle. Principal component analysis (PCA) assessed dataset variations.</p><p><strong>Results: </strong>A total of 43 volunteers participated. PCA revealed two principal components accounting for 80.8% of variations: the first PC primarily consisted of MRT score (64.3%) and morphology (14.1%); the second comprised operative time (46.1%) and morphology (18.0%). There were significant differences in morphology based on MRT scores, but no correlation was found between other parameters.</p><p><strong>Discussion: </strong>Lower MRT scores were associated with larger cavity preparations, raising questions about potential curriculum adaptations to enhance spatial reasoning. The operative time was not correlated with higher MRT scores but did contribute to variations in cavity morphology.</p><p><strong>Conclusion: </strong>Spatial abilities have a substantial impact on the quality of endodontic access cavity preparations; further studies should evaluate if the incorporation of 3D atlas exercises could be beneficial.</p>","PeriodicalId":50488,"journal":{"name":"European Journal of Dental Education","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Technical Quality of Root Fillings Performed by Undergraduate Dental Students in Single-Canal Teeth: A 10-Year Retrospective Study 口腔医学本科生进行单冠牙根充填的技术质量:10 年回顾性研究
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-18 DOI: 10.1111/eje.13041
Vinicius Grangeiro Leite Bezerra, André de Lima Ferreira, Viton Dyrk Guimarães Fernandes, Douglas Teixeira-da-Silva, Luiz Renato Paranhos, Felipe de Souza Matos

Objective

This study assessed the radiographic technical quality of root fillings in single-canal teeth performed over a decade (June 2013 to June 2023) by undergraduate dental students of the Federal University of Campina Grande.

Methods

All teeth underwent chemomechanical preparation using Gates-Glidden drills and hand instrumentation with stainless steel files up to 1 mm short of the root apex. Apical expansion was performed with up to two or three instruments above the initial anatomical apical diameter. The canal was filled in the absence of signs and symptoms of infection using gutta-percha cones and Sealer 26 or MTA Fillapex. A post-filling radiograph was routinely taken to assess the quality of root filling and coronal restoration. An experienced researcher trained and calibrated an examiner to evaluate post-operative periapical radiographs considering root-filling length, lateral adaptation and taper using ImageJ 1.52q software. Root filling was satisfactory when reaching acceptable classifications for the three parameters. The chi-squared test compared tooth type, dental arch and pulpal diagnosis at a 5% significance level.

Results

The study assessed 124 canals, showing 90 (72.6%) satisfactory root fillings. The sub-analysis of individual parameters demonstrated that 105 (84.7%) root fillings had acceptable length, 113 (91.1%) adapted well to lateral canal walls, and 109 (87.9%) had proper taper. Most cases occurred in maxillary teeth (n = 99), pulp necrosis was the most frequent pulpal diagnosis (n = 89), and root-filling quality showed no association with tooth type, dental arch or pulpal diagnosis.

Conclusion

The technical quality of root fillings in single-canal teeth treated by dental students was predominantly satisfactory.

本研究评估了坎皮纳格兰德联邦大学牙科本科生在十年内(2013 年 6 月至 2023 年 6 月)进行的单冠牙根充填的放射成像技术质量。方法使用盖茨-格利登钻头对所有牙齿进行化学机械预备,并使用不锈钢锉在距根尖 1 毫米处进行手工器械操作。使用多达两到三个器械在解剖学初始根尖直径之上进行根尖扩张。在没有感染迹象和症状的情况下,使用古塔漆锥体和 Sealer 26 或 MTA Fillapex 填充根管。常规拍摄充填后X光片,以评估根部充填和冠状修复的质量。一名经验丰富的研究人员对一名检查员进行了培训和校准,让他使用 ImageJ 1.52q 软件评估术后根尖周X光片,考虑根充长度、侧向适应性和锥度。当三个参数达到可接受的分级时,根充即为满意。在 5%的显著性水平下,对牙齿类型、牙弓和牙髓诊断进行了卡方检验比较。结果该研究评估了 124 个根管,结果显示 90 个(72.6%)根管充填令人满意。对单个参数的子分析表明,105 个(84.7%)根管充填物的长度可以接受,113 个(91.1%)根管充填物与侧壁适应良好,109 个(87.9%)根管充填物有适当的锥度。大多数病例发生在上颌牙(99 人),牙髓坏死是最常见的牙髓诊断(89 人),根管充填质量与牙齿类型、牙弓或牙髓诊断没有关联。
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引用次数: 0
Graduating European Dentist Curriculum Domain V: Research 欧洲毕业牙医课程领域 V:研究
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-14 DOI: 10.1111/eje.13040
James Field, Jonathan Dixon, Sibylle Vital, Denis Murphy, Brian O'Connell, Julia Davies

This commentary introduces the new Graduating European Dentist Curriculum Domain V—‘Research’, and outlines the international multi-stakeholder development and consultation process that was undertaken in order to develop the new Domain.

本评论介绍了新的欧洲牙科医生毕业课程领域五--"研究",并概述了为开发新领域而开展的国际多方利益相关者开发和磋商过程。
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引用次数: 0
Patient Feedback Applied in Undergraduate Dental Education for Individual Student Development and Assessment: A Scoping Review 将患者反馈应用于本科口腔医学教育以促进学生的个人发展和评估:范围综述
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-09 DOI: 10.1111/eje.13037
Heidi Louise Bateman, Giles Ian McCracken

Introduction

Active involvement of patients in healthcare professional education is well established, taking a variety of forms. There is a steer towards patient feedback informing the development of dental students and while there is recognition of its potential value to individual students, challenges exist related to collection and use. What is unclear is, within a dental education setting, the extent and use of patient feedback to individual students. A scoping review was conducted to assess and map the volume and characteristics of the research/literature in this area.

Methods

Systematic searches of bibliographic databases Ovid MEDLINE(R), Scopus, ERIC and Embase were conducted, and wider literature (Google Scholar) was searched. Screening was conducted based on eligibility criteria and a customised data charting form was used.

Results

The electronic and citation tracking searches identified 1021 studies. After duplicates were removed, 778 studies were screened by title and abstract, and 718 studies were found to be irrelevant to the current review. Sixty full-text studies were assessed for eligibility, 46 studies were excluded, and 14 studies were included for data charting.

Conclusion

This review has identified that patient feedback has been captured through both simulated and real patient encounters. There was a bias towards feedback generated through simulated patient encounters. Feedback was reported to support the development of a range of skills, most frequently communication and patient management. Challenges that were identified by researchers related to staff/student engagement and available resources.

导言:患者以各种形式积极参与医疗保健专业教育的做法已得到广泛认可。虽然人们认识到患者反馈对学生个人的潜在价值,但在收集和使用患者反馈方面仍存在挑战。目前尚不清楚的是,在口腔医学教育环境中,患者对学生个人反馈的程度和使用情况。我们进行了一次范围界定综述,以评估和描绘该领域研究/文献的数量和特点。方法我们对文献数据库Ovid MEDLINE(R)、Scopus、ERIC和Embase进行了系统检索,并对更广泛的文献(谷歌学术)进行了检索。根据资格标准进行筛选,并使用定制的数据图表表。去除重复的研究后,根据标题和摘要筛选出 778 项研究,发现其中 718 项研究与本次综述无关。对 60 项全文研究进行了资格评估,排除了 46 项研究,纳入了 14 项研究的数据图表。通过模拟患者就诊获得的反馈意见有一定的偏向性。据报道,反馈有助于发展一系列技能,其中最常见的是沟通和患者管理技能。研究人员发现的挑战与员工/学生的参与和可用资源有关。
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引用次数: 0
Attitudes and Knowledge of Dental Students in Bosnia and Herzegovina Towards Child Abuse and Neglect 波斯尼亚和黑塞哥维那牙科学生对虐待和忽视儿童问题的态度和认识。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-06 DOI: 10.1111/eje.13038
Olivera Dolic, Marija Obradovic, Zeljka Kojic, Svjetlana Jankovic, Bojana Davidovic, Natasa Knezevic, Slava Sukara

Introduction

Child abuse and neglect (CAN) are social and public health problems. Access to oral health care for abused and neglected children is a challenge. The aim of this study was to assess the attitudes and knowledge of dental students from Bosnia and Herzegovina towards CAN.

Materials and Methods

A cross-sectional survey was conducted among 263 dental students from two public universities in Bosnia and Herzegovina. The students answered 31 questions about the topic of CAN. The study population was categorised by year of study into six groups. Pearson's chi-squared test was used to analyse differences among participants regarding the year of study. The level of significance was set at p < 0.05.

Results

The results show that 10.26% of total participants had experienced some knowledge about the topic of CAN during their studies, 17.87% had read about it in professional dental literature and 8.74% had some form of education and training on the topic. Over 50% of participants answered all of the questions about social indicators of CAN correctly. The knowledge of the study participants was found to be deficient concerning some physical signs of CAN found in the orofacial region. For a significant number of questions ‘I don't know’ was a frequent answer.

Conclusion

The level of knowledge of dental students from Bosnia and Herzegovina regarding the challenge of CAN is insufficient. An important strategy this to improve this is to increase the education and training of child abuse and neglect in dental curriculums.

导言:虐待和忽视儿童(CAN)是社会和公共卫生问题。受虐待和被忽视儿童获得口腔保健是一项挑战。本研究旨在评估波斯尼亚和黑塞哥维那的牙科学生对 CAN 的态度和知识:对来自波斯尼亚和黑塞哥维那两所公立大学的 263 名牙科学生进行了横断面调查。学生们回答了 31 个有关 CAN 的问题。研究对象按就读年级分为六组。采用皮尔逊卡方检验来分析参与者在学习年限方面的差异。显著性水平定为 p:结果显示,10.26% 的参与者在学习期间对 CAN 有一定的了解,17.87% 的参与者曾在专业牙科文献中读到过 CAN 的相关内容,8.74% 的参与者接受过有关 CAN 的某种形式的教育和培训。超过 50%的参与者正确回答了有关 CAN 社会指标的所有问题。研究发现,参与者对在口面部发现的一些 CAN 体征缺乏了解。对于大量问题,"我不知道 "是常见的回答:结论:波斯尼亚和黑塞哥维那的牙科学生对 CAN 挑战的认识水平不足。改善这一状况的一个重要策略是在牙科课程中增加有关虐待和忽视儿童的教育和培训。
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引用次数: 0
Understanding Residents' and Supervisors' Views on Developing Support–Autonomy Balance Through Supervision Methods in Postgraduate Dental Training: A Qualitative Study 了解住院医师和督导员对在口腔医学研究生培训中通过督导方法发展支持-自主平衡的看法:定性研究。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-03 DOI: 10.1111/eje.13036
Fatemeh Amir-Rad, Lisi Gordon

Background

Supervisors continuously need to decide when to provide clinical opportunities for unsupervised patient care to facilitate residents' development in the complex clinical learning context. The aim of this study is to explore residents' and supervisors' views and understanding of the influence of clinical supervision on affording a balanced support–autonomy from the cognitive apprenticeship (CA) theoretical lens.

Methods

Residents and supervisors, representing all disciplines, participated in five focus groups and four semi-structured individual interviews. Purposive and convenience sampling methods were used for recruiting participants. The reflexive thematic analysis approach was used for inductive data analysis.

Results

A total of 15 residents and 8 supervisors participated in this study. All agreed that CA teaching methods can be applied across all levels. Participants experienced changes in their supervision methods and supervisor–resident interactions at different levels of training. They related the selection of supervision to task-, resident- and supervisor-related factors. Learning facilitating factors in clinical learning environment were identified and suggestions to enrich residents' learning experiences were also reported.

Conclusion

The current study found that a one-size-fits-all paradigm may not be effective for clinical supervision. It contributes to our understanding of how the CA model may be used to guide supervisor behaviour and how such practices can be modified to residents' level of development and competencies.

背景:督导人员需要不断决定何时提供无督导的临床患者护理机会,以促进住院医师在复杂的临床学习环境中的发展。本研究旨在从认知学徒制(CA)的理论视角出发,探讨住院医师和督导对临床督导对提供平衡的支持-自主影响的看法和理解:代表所有学科的住院医师和督导参加了五个焦点小组和四次半结构化个人访谈。在招募参与者时采用了有目的抽样和便利抽样方法。采用反思性主题分析法进行归纳数据分析:共有 15 名住院医师和 8 名督导参与了本研究。所有参与者都认为,CA 教学法可适用于所有级别。在不同级别的培训中,参与者的督导方法和督导与住院医师之间的互动都发生了变化。他们将督导的选择与任务、住院医师和督导相关因素联系起来。研究还发现了临床学习环境中促进学习的因素,并提出了丰富住院医师学习经验的建议:本研究发现,"一刀切 "的模式对临床督导未必有效。本研究有助于我们了解如何利用 CA 模式指导督导员的行为,以及如何根据住院医师的发展水平和能力修改这些做法。
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引用次数: 0
期刊
European Journal of Dental Education
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