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The teaching and assessment of local anaesthesia in UK dental schools 英国牙科学院的局部麻醉教学与评估。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-30 DOI: 10.1111/eje.13031
Charlotte Richards, Anna Dargue, Petros Mylonas, Dominic Morris, Charlotte Emanuel

Introduction

Local anaesthesia (LA) is fundamental to successful dental treatment. Graduating hygienists, therapist and dentists should be confident and proficient in delivering LA. There is one previously published article reviewing LA teaching in United Kingdom (UK) dental schools in 2016, and at this time 10 out of 14 schools allowed peer-to-peer administration. The method of teaching LA administration has become an area of debate in terms of legality and morality given the potential complications and issues with valid consent. The aim of the study was to explore current teaching practices and assessment of LA in UK dental schools.

Materials and Methods

Two national surveys (2020 and 2023) were sent out via the ABAOMS Education Committee to all 16 dental schools in the United Kingdom with dental and/or hygiene and therapy programmes.

Results

There was a 100% response rate from all schools. There has been a significant shift from peer-to-peer administration of local anaesthesia, with only 4 schools now allowing peer-to-peer administration. The majority of schools use simulation methods to deliver the teaching, including LA models, cadavers and ‘cap-on’ simulation with a peer. When comparing the timing of teaching between 2020 and 2023, BDS students now administer their first LA injection to a patient later in the programme, and there has been a reduction in intra-professional teaching.

Conclusion

Due to the large shift away from practicing LA on peers, there is a need for further development of simulation methods given the drawbacks with current models and the limited development of haptic technology in relation to LA.

简介局部麻醉(LA)是成功进行牙科治疗的基础。即将毕业的卫生师、治疗师和牙医应该有信心并熟练掌握局部麻醉的实施。此前发表的一篇文章回顾了2016年英国(UK)牙科学校的LA教学情况,当时14所学校中有10所允许点对点实施LA。鉴于潜在的并发症和有效同意的问题,LA管理的教学方法已成为合法性和道德性方面的一个争论领域。本研究旨在探讨英国牙科学院目前的LA教学实践和评估方法:通过ABAOMS教育委员会向英国所有16所开设有牙科和/或卫生与治疗课程的牙科学院发出了两份全国性调查问卷(2020年和2023年):所有学校的回复率均为100%。目前只有 4 所学校允许同伴间实施局部麻醉,而同伴间实施局部麻醉的情况已大为改观。大多数学校都采用模拟方法进行教学,包括 LA 模型、尸体和与同伴一起 "戴帽 "模拟。比较 2020 年和 2023 年的教学时间,现在的 BDS 学生在课程后期为患者进行第一次 LA 注射,专业内教学有所减少:鉴于目前的模型存在弊端,而且与 LA 相关的触觉技术发展有限,因此有必要进一步开发模拟方法。
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引用次数: 0
The pivotal role of clinical tutorial teaching in knowledge construction 临床指导教学在知识建构中的关键作用。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-29 DOI: 10.1111/eje.13032
Humberto Gonzalez Oneto

Students' new knowledge is gradually built up in the context of the task for which it is required and consolidated by applying it to clinical cases. As students see more and more clinical cases the knowledge emerges from an associative mesh of different levels of understanding. During tutorial clinical teaching, residents should be gradually exposed to an increasing range of real-world learning tasks and increasing levels of complexity. This exposure allows them to gradually develop shortcuts in the retrieval of their knowledge. This commentary provides a rationale for the construction of knowledge and the pivotal role that clinical tutorial teaching plays in this task.

学生的新知识是在任务要求的背景下逐步建立起来的,并通过应用于临床病例而得到巩固。随着学生看到的临床病例越来越多,知识就会从不同理解水平的联想网中产生。在临床教学指导过程中,住院医师应逐渐接触到范围越来越大、复杂程度越来越高的实际学习任务。这种接触可以让他们在检索知识时逐渐形成捷径。这篇评论为知识的建构以及临床指导教学在这一任务中发挥的关键作用提供了理论依据。
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引用次数: 0
Perceptions of undertaking a higher degree alongside dental specialty training: A cross-sectional survey of UK dental specialty trainees 对在接受牙科专业培训的同时攻读更高学位的看法:对英国牙科专业培训学员的横断面调查。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-20 DOI: 10.1111/eje.13024
Jennifer A. Haworth, Jenifer L. Jopson, Jayne E. Harrison, Martyn T. Cobourne, Susan J. Cunningham, Grant T. McIntyre, Anthony J. Ireland

Introduction

The curricula for UK dental specialty training have recently been under review and until 2024, completion of a research component during training in Dental Public Health, Oral Microbiology and Orthodontics has been mandatory (with an alternative route for Orthodontics involving the submission of two scientific papers for those trainees not wishing to undertake a higher degree). Anecdotally, some trainees in other dental specialties choose to undertake higher degrees alongside specialty training.

Aims

The aims were to investigate how many dental specialty registrars study for higher degrees alongside specialty training, and whether undertaking a higher degree alongside specialty training has an impact on completion of training, research skills, research experience, patient care and career opportunities.

Materials and Methods

This was a cross-sectional study design, involving the distribution of an online, anonymous questionnaire-based survey to UK dental specialty registrars in November and December 2022.

Results

In total, 38 questionnaires were completed, representing a 7.7% response rate of the entire dental specialty registrar cohort in the UK and 42% of those who received it. Most respondents (76.3%) were either studying or had completed a clinically relevant higher degree prior to specialty training. Most respondents (76.3%) reported that the higher degree increased career opportunities and gave them additional skills.

Conclusions

Dental specialty trainees who responded to this survey perceived the higher degree to be beneficial in terms of preparing for exams, gaining skills in critical appraisal and for increasing future career opportunities.

介绍:最近,英国牙科专业培训课程正在接受审查,在 2024 年之前,在牙科公共卫生、口腔微生物学和正畸学的培训期间,必须完成一项研究内容(正畸学有另一条途径,即不希望攻读更高学位的学员可以提交两篇科学论文)。目的:本研究旨在调查有多少牙科专业注册医师在接受专业培训的同时还在攻读更高的学位,以及在接受专业培训的同时攻读更高的学位是否会对完成培训、研究技能、研究经验、患者护理和职业机会产生影响:这是一项横断面研究设计,包括在2022年11月和12月向英国牙科专业注册医师发放在线匿名问卷调查:共完成了38份问卷,占英国所有牙科专业注册医师总数的7.7%,占收到问卷者的42%。大多数受访者(76.3%)在接受专科培训前正在攻读或已经完成了临床相关的高等学位。大多数受访者(76.3%)表示,高等学位增加了他们的就业机会,并赋予了他们更多的技能:对本次调查做出回复的牙科专业受训者认为,高等学位在准备考试、获得批判性评价技能和增加未来职业机会方面是有益的。
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引用次数: 0
Changes in spinal curve during dentistry studies measured with a Spinal Mouse device: A five-year prospective study 使用脊柱鼠标装置测量牙科研究期间脊柱曲线的变化:为期五年的前瞻性研究
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-19 DOI: 10.1111/eje.13026
Martin Kapitán, Nela Jouklová, Stanislav Machač, Lenka Hodačová, Eva Čermáková, Jan Schmidt

Introduction

Musculoskeletal disorders (MSDs) often arise and develop during dentistry studies. The most affected regions are related to the spine. Possible associations between spinal curve parameters and MSDs have not yet been investigated amongst dentistry students. This longitudinal observational study aimed to determine whether spinal curve changes during dentistry studies, analyse the relationship between objective findings and subjectively declared MSDs and compare spinal curve parameters with those published in the literature.

Materials and Methods

Seventy-three dentistry students answered a questionnaire on MSDs, and were examined using the Spinal Mouse® device at the beginning, in the middle, and at the end of their 5-year study.

Results

The spinal curve exhibited a gender diversity in the lumbar lordosis angle, sacrum inclination, and thoracolumbar ratio. From the first to fifth study year, we observed an increase in the range of motions in the sagittal and frontal planes, an increase in the maximal extent of right lateral inclination, and a decrease in maximal left lateral inclination. Whole-spine backward inclination increased only in women, and forward sacral inclination decreased. No statistically significant relationships were found between the objective findings and subjectively declared MSDs.

Conclusions

The spinal curve shape differed between men and women and changed during dentistry studies. No objective markers or predictors of MSDs were found amongst the dentistry students. These findings can serve as a benchmark for further studies on the association between MSDs and objective findings.

导言:肌肉骨骼疾病(MSDs)经常在牙科学习期间出现和发展。受影响最大的部位与脊柱有关。目前尚未对牙科学生的脊柱曲线参数与 MSD 之间可能存在的关联进行调查。这项纵向观察研究旨在确定牙科学专业学习期间脊柱曲线是否发生变化,分析客观发现与主观申报的 MSDs 之间的关系,并将脊柱曲线参数与文献中公布的参数进行比较:73名牙科学生回答了关于MSDs的调查问卷,并在5年学习的开始、中期和结束时使用脊柱鼠标®设备进行了检查:结果:脊柱曲线在腰椎前凸角、骶骨倾斜度和胸腰椎比例方面表现出性别差异。从研究的第一年到第五年,我们观察到矢状面和额状面的活动范围增大,右侧倾斜的最大范围增大,而左侧倾斜的最大范围减小。全脊柱后倾仅在女性中有所增加,而骶骨前倾则有所减少。客观结果与主观申报的 MSD 之间没有统计学意义上的关系:结论:男性和女性的脊柱曲线形状不同,并且在牙科研究中发生了变化。在牙科学生中没有发现 MSDs 的客观标记或预测因素。这些发现可作为进一步研究 MSD 与客观结果之间关系的基准。
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引用次数: 0
Analysis of different factors on dental students' perception of a flipped classroom model: A 6-year follow-up study 牙科学生对翻转课堂模式认知的不同因素分析:为期6年的跟踪研究。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-18 DOI: 10.1111/eje.13025
Kathleen Fischer, Michael Sekula, David Hannigan, Randall Vaught, Tarin Williams

Introduction

To evaluate different factors affecting two different cohorts of dental students' perceptions with the flipped classroom (FC) model in a preclinical dental course over six years.

Materials and Methods

In 2016 (cohort #1) and 2022 (cohort #2), second-year dental students participated in FC model in a preclinical dental course consisting of pre-class recorded videos and lectures along with classroom interactive exercises. Students then completed an anonymous pen-and-paper survey evaluating three factors influencing students' overall study experience with the FC model. Survey responses from cohort #1 and cohort #2 were compared to assess the effect of generation, student demographics and COVID-19 pandemic on students' perceptions.

Results

When asked to rate the FC experience out of 5, the mean ratings of cohort #1 and cohort #2 were 4.3 (±0.9) and 4.0 (±0.8), respectively. Cohort #2 preferred viewing slides and videos prior to class and had a higher agreement that pre-class course materials were beneficial to class preparation. Conversely, cohort #1 had a higher agreement that in-class discussion and exercises helped them to learn course content. From cohort #2, 88.6% of males and 71.6% of females preferred the FC approach over traditional lecture.

Conclusion

Both cohorts reported positively with the FC model of teaching. Cohort #2 had higher positive reports with the pre-class work and cohort #1 had a higher positive report with in-class work. Course design should reflect the students' points of view and learning perspectives with careful consideration of the student population in the classroom.

简介:目的评估影响两批不同的口腔医学学生在六年内对口腔医学临床前课程翻转课堂(FC)模式的看法的不同因素:2016年(第一批)和2022年(第二批),口腔医学二年级学生参加了口腔医学临床前课程的翻转课堂模式,包括课前录制的视频和讲座以及课堂互动练习。随后,学生们完成了一份匿名纸笔调查,评估了影响学生对 FC 模式总体学习体验的三个因素。将第一批学生和第二批学生的调查反馈进行比较,以评估代沟、学生人口统计学和 COVID-19 大流行对学生看法的影响:当被要求给 FC 体验打 5 分时,第一组学生和第二组学生的平均分分别为 4.3 分(±0.9)和 4.0 分(±0.8)。2 号学生更喜欢在课前观看幻灯片和视频,并更同意课前课程材料有利于备课。相反,1 号学生更认同课堂讨论和练习有助于他们学习课程内容。在第二组学生中,88.6% 的男生和 71.6% 的女生更喜欢 FC 教学法,而不是传统的讲授法:结论:两组学生都对 FC 教学模式给予了积极评价。结论:两组学生都对 FC 教学模式持肯定态度,2 号学生对课前作业的肯定程度较高,1 号学生对课上作业的肯定程度较高。课程设计应反映学生的观点和学习视角,并认真考虑课堂上的学生群体。
{"title":"Analysis of different factors on dental students' perception of a flipped classroom model: A 6-year follow-up study","authors":"Kathleen Fischer,&nbsp;Michael Sekula,&nbsp;David Hannigan,&nbsp;Randall Vaught,&nbsp;Tarin Williams","doi":"10.1111/eje.13025","DOIUrl":"10.1111/eje.13025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>To evaluate different factors affecting two different cohorts of dental students' perceptions with the flipped classroom (FC) model in a preclinical dental course over six years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>In 2016 (cohort #1) and 2022 (cohort #2), second-year dental students participated in FC model in a preclinical dental course consisting of pre-class recorded videos and lectures along with classroom interactive exercises. Students then completed an anonymous pen-and-paper survey evaluating three factors influencing students' overall study experience with the FC model. Survey responses from cohort #1 and cohort #2 were compared to assess the effect of generation, student demographics and COVID-19 pandemic on students' perceptions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>When asked to rate the FC experience out of 5, the mean ratings of cohort #1 and cohort #2 were 4.3 (±0.9) and 4.0 (±0.8), respectively. Cohort #2 preferred viewing slides and videos prior to class and had a higher agreement that pre-class course materials were beneficial to class preparation. Conversely, cohort #1 had a higher agreement that in-class discussion and exercises helped them to learn course content. From cohort #2, 88.6% of males and 71.6% of females preferred the FC approach over traditional lecture.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Both cohorts reported positively with the FC model of teaching. Cohort #2 had higher positive reports with the pre-class work and cohort #1 had a higher positive report with in-class work. Course design should reflect the students' points of view and learning perspectives with careful consideration of the student population in the classroom.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50488,"journal":{"name":"European Journal of Dental Education","volume":"28 4","pages":"905-912"},"PeriodicalIF":1.7,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731614","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
Digital impression perception among dental students in Saudi Arabia: A cross-sectional study 沙特阿拉伯牙科学生对数字印模的认知:横断面研究。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-16 DOI: 10.1111/eje.13023
Passent Ellakany, Shaimaa M. Fouda, Yousif A. Al-Dulaijan, Nourhan M. Aly

Introduction

The use of digital dentistry is rapidly increasing in prosthodontics. However, most dental students are not familiar with applying digital technologies in dental clinics. Thus, the aim of the current study was to assess the perception of dental students at different educational years towards digital impressions in comparison to conventional impressions.

Materials and Methods

A cross-sectional questionnaire-based study was conducted on various educational years of dental students in the College of Dentistry, Imam Abdulrahman Bin Faisal University, between February and April 2023. The students had performed at least one intraoral scan (Trios 3shape) and another conventional polyether impression for phantom casts/patients. The questionnaire assessed students' perceptions of digital impressions using a 5-point scale ranging from strongly agree to strongly disagree. Mann–Whitney U and Kruskal–Wallis tests were used to compare students' perceptions of digital impressions according to gender and educational year, respectively.

Results

The study included 122 students. About 55% were females with a mean (SD) age = 22.51 (3.36). Most students thought that digital impressions are faster and more user-friendly compared to conventional impressions. Significantly more female students thought that the handpiece was too big for intraoral use (p = 0.04) and that the process of the software was time-consuming and complicated. In general, higher educational year students were more satisfied with the digital impressions than lower educational year students.

Conclusions

Digital impressions were perceived by most students as being faster and easier than conventional ones. However, male students and those with higher educational years showed better perception of digital impression.

简介数字牙科技术在口腔修复学中的应用正在迅速增加。然而,大多数牙科学生并不熟悉在牙科诊所中应用数字化技术。因此,本研究旨在评估不同教育年级的牙科学生对数码印模与传统印模的看法:在 2023 年 2 月至 4 月期间,对伊玛目-阿卜杜勒拉赫曼-本-费萨尔大学牙科学院不同教育年级的牙科学生进行了一项横断面问卷调查。这些学生至少进行过一次口内扫描(Trios 3shape)和另一次用于模型/患者的传统聚醚印模。调查问卷采用从非常同意到非常不同意的 5 级评分法评估学生对数字印模的看法。曼-惠特尼 U 检验和 Kruskal-Wallis 检验分别用于比较不同性别和教育年级学生对数字印模的看法:研究包括 122 名学生。约 55% 为女性,平均年龄(SD)= 22.51 (3.36)。大多数学生认为,与传统印模相比,数字印模更快、更方便用户使用。认为手机太大不适合口内使用(p = 0.04)以及软件使用过程耗时且复杂的女生明显较多。总的来说,高年级学生比低年级学生对数字印模更满意:大多数学生认为数字印模比传统印模更快、更简单。然而,男生和高年级学生对数字印模的感知更好。
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引用次数: 0
Clinical skills examination as part of the Swedish proficiency test of dentists educated outside of the EU/EEA 临床技能考试是瑞典对在欧盟/欧洲经济区以外接受教育的牙医进行的能力测试的一部分。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-12 DOI: 10.1111/eje.13022
Jesper Dalum, Nikolaos Christidis, Henrike Häbel, Klas Karlgren, Charlotte Leanderson, Gunilla Sandborgh Englund

Introduction

The increase in the migration of dentists educated outside the EU/EEA calls for the sharing of information and evaluation of recognition processes within countries in the EU. In 2017, the Swedish National Board of Health and Welfare implemented the Proficiency test, a recognition process for dentists who have completed an education programme outside the EU/EEA. The Proficiency test consists of a theoretical and an integrated clinical skills examination, followed by a 6-month clinical practice. The clinical skills examination is a two-part examination that includes an OSCE and an operative test on a dental manikin. This paper presents data from proficiency tests between 2018 and 2022, and explores factors related to grade fail, that is, demographics, theoretical exam scores and language comprehension.

Materials and Methods

In a cohort study, demographics and factors associated with grade fail were explored using test results from theoretical and clinical skills examinations (n = 181) from 2018 to 2022. Pearson correlation coefficient and linear regression analysis were used for studying correlations and associations between exam results. Univariable linear and logistic regression models were used for background variable associations with clinical skills exam outcomes.

Results

Higher age was a significant risk factor for failing the clinical skills examination and the OSCE. Higher scores in the theoretical exam reduced the odds of failing the OSCE but were not associated with results in the operative test or the overall results of the clinical skills examination. Regarding the OSCE there was a statistically significant difference within all professional qualifications explored between participants who passed and participants who failed the OSCE.

Conclusions

Four years of data collection reveal that age and previous theoretical exam results influence the odds of failing the clinical examination. The study results also highlight the necessity of multiple assessment formats to assess clinical and communication skills of foreign-trained dentists.

引言:在欧盟/欧洲经济区以外接受教育的牙医移民人数增加,这就要求在欧盟国家内共享信息和评估认可程序。2017 年,瑞典国家卫生与福利委员会实施了能力测试,这是对在欧盟/欧洲经济区以外完成教育课程的牙医的一种认可程序。水平测试包括理论考试和综合临床技能考试,之后是为期 6 个月的临床实践。临床技能考试由两部分组成,包括开放式口腔操作考试和牙科人体模型操作考试。本文介绍了2018年至2022年间的能力测试数据,并探讨了与成绩不及格相关的因素,即人口统计学、理论考试成绩和语言理解能力:在一项队列研究中,利用2018年至2022年理论和临床技能考试的测试结果(n = 181),探讨了人口统计学和与成绩不及格相关的因素。采用皮尔逊相关系数和线性回归分析来研究考试成绩之间的相关性和关联性。单变量线性回归和逻辑回归模型用于研究背景变量与临床技能考试结果之间的关联:结果:年龄越大,临床技能考试和 OSCE 不及格的风险越高。理论考试成绩越高,OSCE考试不及格的几率越小,但与手术考试成绩或临床技能考试总成绩无关。在所有专业资格考试中,通过 OSCE 考试的学员与未通过 OSCE 考试的学员之间存在显著的统计学差异:四年的数据收集显示,年龄和之前的理论考试成绩会影响临床考试不及格的几率。研究结果还凸显了采用多种评估形式来评估外国受训牙医的临床和交流技能的必要性。
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引用次数: 0
Acceptability of dental students and professionals concerning child behaviour management techniques: Systematic review 牙科学生和专业人员对儿童行为管理技术的接受程度:系统回顾。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-10 DOI: 10.1111/eje.13016
Fabíola Fontes Galdino, Cristiane Baccin Bendo, Tatiana Kelly da Silva Fidalgo

Introduction

During child dental treatment, different behavior management techniques (BMTs) are applied and it is important to understand the possible discomfort in the operator.

Objective

The present systematic review aimed to evaluate the acceptability of dental students and professionals concerning BMTs applied with paediatric dentistry patients.

Materials and Methods

A systematic search was conducted, following the PEOS strategy: Population (P) – dental students/professionals (S); Exposure (E) – BMTs preconized by the American Academy of Paediatric Dentistry, Outcome (O) – proportion of BMT acceptance; and Study design (S) – observational studies based on data from PubMed, Scopus, Web of Science, BVS (Lilacs/BBO), Cochrane, and Open Grey databases up to September 2021. The eligible studies were submitted to data extraction and to the evaluation of methodological quality, using the Joanna Briggs Institute Critical Appraisal Tool. The certainty of evidence was evaluated by GRADE.

Results

The search retrieved 710 articles; a total of 21 fulfilled the eligibility criteria and were used for qualitative analysis. Among the undergraduate students and dentists, the most accepted techniques were tell-show-do and positive reinforcement, while paediatric dentists preferred the tell-show-do technique and dental professionals with graduate degrees preferred sedation using nitrous oxide and positive reinforcement. The least accepted technique was protective stabilization. Seven students presented a low risk for bias, while 14 presented a high risk. The certainty of evidence was classified as very low.

Conclusion

Although the basis of available certainty of evidence is scarce and with a considerable risk for bias, it is still possible to conclude that the more accepted techniques were based on communication.

简介:在儿童牙科治疗过程中,会使用不同的行为管理技术(BMT),了解操作者可能出现的不适非常重要:本系统综述旨在评估牙科学生和专业人员对儿童牙科患者应用行为管理技术的可接受性:材料和方法:按照 PEOS 战略进行了系统检索:人群(P)--牙科学生/专业人员(S);暴露(E)--美国儿童牙科学院预设的BMT,结果(O)--接受BMT的比例;研究设计(S)--基于PubMed、Scopus、Web of Science、BVS (Lilacs/BBO)、Cochrane和Open Grey数据库中截至2021年9月的数据的观察性研究。对符合条件的研究进行了数据提取,并使用乔安娜-布里格斯研究所的批判性评估工具(Critical Appraisal Tool)对研究方法的质量进行了评估。通过 GRADE 对证据的确定性进行评估:搜索共检索到 710 篇文章,其中 21 篇符合资格标准,并被用于定性分析。在本科生和牙科医生中,最被接受的技术是 "告诉-演示-做 "和 "积极强化",而儿童牙科医生更喜欢 "告诉-演示-做 "技术,拥有研究生学位的牙科专业人员更喜欢使用一氧化二氮和积极强化的镇静技术。最不被接受的技术是保护性稳定。7名学生存在低偏倚风险,14名学生存在高偏倚风险。证据的确定性被归类为非常低:尽管现有证据的确定性很低,而且存在相当大的偏倚风险,但仍可得出结论,即较多人接受的技术是基于沟通的。
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引用次数: 0
Artificial intelligence to develop outcomes for critical thinking: A helping start and still up to the educator to develop the final outcome 人工智能开发批判性思维成果:这是一个有益的开端,但最终成果仍取决于教育者。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-10 DOI: 10.1111/eje.13017
David C. Johnsen, Leonardo Marchini
<p>Artificial intelligence (AI) is widely seen as a big part of the future of education with many areas already affected, for example, data mining, data retrieval and diagnostics, particularly radiology. Critical thinking is widely seen as an essential skill for a successful dentist. While critical thinking has received much thematic attention, the literature on explicit learning outcomes is sparse and the literature for learning guidance end performance assessment is sparser. Dental education faces similar challenges in articulating learning outcomes, learning guides, performance assessments for different perspectives on critical thinking, including ethics, treatment planning, risk assessment for caries, periodontitis and Geriatrics, Interprofessional Practice, Evidence-based Dentistry, social responsibility, empathy projection, technology decision making.<span><sup>1-11</sup></span></p><p>The purpose of this essay is to begin a discussion on ways AI can facilitate the development of outcomes for critical thinking—followed by learning guides and assessments. The selection of critical thinking can precede similar discussions on AI and outcomes for other domains beyond knowledge and technical. A starter question is, ‘How can AI help professors to articulate learning outcomes beyond knowledge and technical, selecting critical thinking as a starting point?’ The authors have prompted the AI model ChatGPT 3.5 (OpenAI Inc.) with the following prompt ‘What are appropriate learning outcomes for critical thinking?’ The details about the prompt and the AI model responses are in Table 1. A rich assortment of perspectives appears that serve as strong background for the educator developing an understanding of the complexities of critical thinking in general. Several of these have been addressed with more explicit articulation of outcomes related to specific dental education goals as well as learning guidance and performance assessments (References on treatment planning, IPP, EBD, Literature search and critique, risk assessment for caries and geriatrics, technology decision making, etc.) This level of analysis falls short of articulating the explicit learning outcomes—what the student is to <i>do</i>—to lead to learning guidance and performance assessment. A comment from the AI is, ‘Learning outcomes for critical thinking can vary depending on the specific context…’ A question arises as to who determines the context?</p><p>A further question can be, ‘How can the articulation of learning outcomes lead to learning guidance and performance assessment – what the student is to do and how do we know if the student did it?’ The authors have prompted the same AI model using the following prompt: ‘How can the articulation of learning outcomes lead to learning guidance and performance assessment – what the student is to do and how do we know if the student did it?’ The narrative response of GTP is ‘The articulation of learning outcomes is a crucial step in educational d
人工智能(AI)被广泛视为未来教育的重要组成部分,许多领域已经受到影响,例如数据挖掘、数据检索和诊断,尤其是放射学。批判性思维被广泛视为成功牙医的一项基本技能。虽然批判性思维受到了很多专题的关注,但有关明确的学习成果的文献却很少,而有关学习指导最终绩效评估的文献则更少。口腔医学教育在阐述学习成果、学习指南、对批判性思维的不同视角进行绩效评估方面面临着类似的挑战,这些视角包括伦理、治疗计划、龋病、牙周炎和老年病学的风险评估、跨专业实践、循证口腔医学、社会责任、移情投射、技术决策等。在选择批判性思维之前,可以先对人工智能和知识与技术以外的其他领域的成果进行类似的讨论。一个开头的问题是:"人工智能如何帮助教授们明确提出知识和技术以外的学习成果,并选择批判性思维作为起点? 作者用人工智能模型 ChatGPT 3.5(OpenAI 公司)提示 "批判性思维的适当学习成果是什么?有关提示和人工智能模型回答的详情见表 1。表 1 列出了丰富的观点,为教育者了解批判性思维的复杂性提供了有力的背景资料。其中有几个问题已经通过更明确地阐述与具体口腔医学教育目标相关的成果以及学习指导和成绩评估(关于治疗计划、IPP、EBD、文献检索和评论、龋病和老年病风险评估、技术决策等方面的参考文献)得到了解决,但这一层面的分析还不足以阐明明确的学习成果--学生要做什么--从而引导学习指导和成绩评估。人工智能的一个评论是:"批判性思维的学习成果可能因具体环境的不同而不同...... "这就产生了一个问题,即谁来决定环境?进一步的问题可以是:"学习成果的阐述如何引导学习指导和绩效评估--学生要做什么,我们如何知道学生是否做到了?"作者用下面的提示对相同的人工智能模型进行了提示:学习成果的阐述如何导致学习指导和绩效评估--学生要做什么,我们如何知道学生是否做到了?"GTP的叙述性回答是:"阐明学习成果是教育设计和评估的关键步骤。学习成果定义了学生在学习结束时应该知道、理解和能够做到的事情。如果阐述得当,学习成果将成为有效的学习指导和成绩评估的基础。这个过程是这样的有关第二个提示和人工智能模型回答的详情见表 2。与表 1 一样,表 2 中出现了丰富的子类别,这将有利于口腔教育者增加批判性思维文化的深度。然而,关于学生思考的方式以及学生应该做什么的明确的学习指导仍然是难以捉摸的。总之,人工智能可以提供批判性思维的丰富背景(也可在现有文献中找到),但却无法提供明确的学习指导和绩效评估。大卫-C-约翰森(David C. Johnsen)和莱昂纳多-马尔基尼(Leonardo Marchini)积极主动、平等地参与了论文的概念开发、方法开发、方法实施、结果解释和手稿起草。
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引用次数: 0
Practical training using BEWE aimed at improving the diagnosis ability of erosive tooth wear for dental students—A randomized trial 旨在提高牙科学生诊断腐蚀性牙齿磨损能力的 BEWE 实践培训--随机试验。
IF 1.7 4区 教育学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-06 DOI: 10.1111/eje.13015
Camilla Cristina Lira Di Leone, Gabriela Carvalho Bueno, Ana Paula Boteon, Daiana da Silva Martins, Thiago Cruvinel, Heitor Marques Honório, Linda Wang, Mariana Minatel Braga, Daniela Rios

Introduction

Erosive tooth wear (ETW) has been gaining attention due to its high prevalence. However, ETW clinical diagnosis is difficult and may go unnoticed by many professionals. The present study aimed to develop, implement and evaluate a theoretical–practical training using active methodologies in the development of undergraduate students' skills for the diagnosis of ETW compared to the traditional teaching method.

Materials and Methods

This randomized controlled study involved two parallel groups: control group (n = 22), with learning based only on theoretical content and test group (n = 24), learning by theoretical–practical activity mediated by monitors/tutors. The theoretical class covered the current concepts of ETW, aetiology, diagnosis, use of the BEWE index, prevention and treatment. The practical training included exercises and discussions based on the diagnosis using BEWE scores of a collection of images and extracted teeth. To evaluate the efficacy of the teaching–learning methods, a theoretical multiple-choice questionnaire and a practical test using images and extracted teeth were applied. The outcome was the number of correct answers. Groups were compared by Mann–Whitney (theoretical knowledge) and T tests (practical ability in diagnosis) (p < .05).

Results

There was no significant difference between groups in the theoretical evaluation (p = .866). The test group showed higher ability to diagnose ETW lesions compared to the control group in the practical tests (p = .001). The performance of ETW diagnosis was similar when images were used in comparison to extracted teeth (p = .570).

Conclusion

The practical activity associated with theoretical classes can be a promising strategy to improve the development of undergraduate students' skills in the diagnosis of ETW.

导言:腐蚀性牙齿磨损(ETW)因其发病率高而备受关注。然而,ETW 的临床诊断十分困难,许多专业人员可能会忽视这一问题。本研究旨在开发、实施和评估一种理论与实践相结合的培训方法,与传统的教学方法相比,该培训方法在培养本科生诊断 ETW 的技能方面采用了积极的方法:这项随机对照研究包括两个平行组:对照组(22 人)和测试组(24 人),对照组只学习理论内容,测试组则在监督员/辅导员的指导下通过理论-实践活动进行学习。理论课包括 ETW 的当前概念、病因、诊断、BEWE 指数的使用、预防和治疗。实践培训包括基于使用 BEWE 分数对一组图像和拔牙进行诊断的练习和讨论。为了评估教学方法的效果,采用了理论选择题问卷和使用图像和拔牙进行的实践测试。测试结果为正确答案的数量。通过 Mann-Whitney 检验(理论知识)和 T 检验(诊断实践能力)对各组进行比较(P 结果:各组在理论评估方面没有明显差异(p = .866)。在实际测试中,试验组诊断 ETW 病变的能力高于对照组(p = .001)。与拔牙相比,使用图像诊断 ETW 的表现相似(p = .570):结论:与理论课相关的实践活动是提高本科生诊断 ETW 技能的有效策略。
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引用次数: 0
期刊
European Journal of Dental Education
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