中华医学教育杂志
中華醫學教育雜誌
중화의학교육잡지
CHINESE JOURNAL OF MEDICAL EDUCATION
2012年
1期
108-110
,共3页
彭楚芳%张笋%刘鹤%张小平
彭楚芳%張筍%劉鶴%張小平
팽초방%장순%류학%장소평
儿童口腔%临床实习%龋齿充填
兒童口腔%臨床實習%齲齒充填
인동구강%림상실습%우치충전
Pediatric dentistry%Clinical practice%Caries fillings
目的 比较口腔医学专业学生在儿童口腔临床实习方式改革前后的实习效果.方法 以北京大学2003级和2004级八年制口腔医学专业80名学生为研究对象,其中,2003级39名学生为对照组,2004级41名学生为实验组.对照组采用传统临床实习方式进行实习,实验组采用改革的临床实习方式进行实习.改革的临床实习方式为:缩短了接诊儿童患者时间,增加接诊年轻的牙体牙髓患者,增加外伤病例PBL教学等.教学结束后,比较实习工作量登记手册中两组学生的操作数量并就实习方式对学生进行了问卷调查.结果 实验组完成乳恒牙龋齿充填,乳恒牙牙髓治疗和外伤病例治疗等儿童口腔基本临床操作的病例数同对照组学生相比没有减少(P＞0.05).但是,如果加上平时接诊年轻牙体牙髓病患者进行的恒牙龋齿充填和牙髓治疗的操作,实验组完成这两种操作的病例数显著多于对照组(P＜0.05).问卷结果显示,实验组学生肯定了改革的儿童口腔临床实习方式,对照组大部分学生要求在实习中增加病源,增加实践机会的愿望强烈.结论 在儿童口腔临床实习患者就诊量减少的情况下,改革的儿童口腔临床实习方式更能合理分配实习时间,增加临床实践机会,提高临床实习效果.
目的 比較口腔醫學專業學生在兒童口腔臨床實習方式改革前後的實習效果.方法 以北京大學2003級和2004級八年製口腔醫學專業80名學生為研究對象,其中,2003級39名學生為對照組,2004級41名學生為實驗組.對照組採用傳統臨床實習方式進行實習,實驗組採用改革的臨床實習方式進行實習.改革的臨床實習方式為:縮短瞭接診兒童患者時間,增加接診年輕的牙體牙髓患者,增加外傷病例PBL教學等.教學結束後,比較實習工作量登記手冊中兩組學生的操作數量併就實習方式對學生進行瞭問捲調查.結果 實驗組完成乳恆牙齲齒充填,乳恆牙牙髓治療和外傷病例治療等兒童口腔基本臨床操作的病例數同對照組學生相比沒有減少(P＞0.05).但是,如果加上平時接診年輕牙體牙髓病患者進行的恆牙齲齒充填和牙髓治療的操作,實驗組完成這兩種操作的病例數顯著多于對照組(P＜0.05).問捲結果顯示,實驗組學生肯定瞭改革的兒童口腔臨床實習方式,對照組大部分學生要求在實習中增加病源,增加實踐機會的願望彊烈.結論 在兒童口腔臨床實習患者就診量減少的情況下,改革的兒童口腔臨床實習方式更能閤理分配實習時間,增加臨床實踐機會,提高臨床實習效果.
목적 비교구강의학전업학생재인동구강림상실습방식개혁전후적실습효과.방법 이북경대학2003급화2004급팔년제구강의학전업80명학생위연구대상,기중,2003급39명학생위대조조,2004급41명학생위실험조.대조조채용전통림상실습방식진행실습,실험조채용개혁적림상실습방식진행실습.개혁적림상실습방식위:축단료접진인동환자시간,증가접진년경적아체아수환자,증가외상병례PBL교학등.교학결속후,비교실습공작량등기수책중량조학생적조작수량병취실습방식대학생진행료문권조사.결과 실험조완성유항아우치충전,유항아아수치료화외상병례치료등인동구강기본림상조작적병례수동대조조학생상비몰유감소(P＞0.05).단시,여과가상평시접진년경아체아수병환자진행적항아우치충전화아수치료적조작,실험조완성저량충조작적병례수현저다우대조조(P＜0.05).문권결과현시,실험조학생긍정료개혁적인동구강림상실습방식,대조조대부분학생요구재실습중증가병원,증가실천궤회적원망강렬.결론 재인동구강림상실습환자취진량감소적정황하,개혁적인동구강림상실습방식경능합리분배실습시간,증가림상실천궤회,제고림상실습효과.
Objective The efficacy of the pediatric clinical practice was compared between the reformed practice model and the traditional practice model.Methods Using 80,Eight-year program graduate dentists between 2003 and 2004 as the object of research,and the students of grade 2003 ( n =39) for control group and that of grade 2004( n=41 ) for experimental group.Clinical practice of control group was arranged in the traditional pediatric dental practice model.Clinical practice of experimental group was organized by shortening the practice time of treating child patients,admitting treatment of adolescent endodontic patients and adding problem-based learning( PBL) of dental trauma case to the teaching schedule.At the end of the clinical practice,the number of clinical operation record and the questionnaire survey about the practice models among the students were compared.Results The numbers of caries fillings,pulp therapies and dental-trauma cases of child patients in experimental group was not statistically decreased compared to control group (P＞0.05).But the number of pulp therapies and caries fillings in permanent teeth of all patients in experimental group overwhelmed the counterparts of only child patients in control group (P＜0.05).Questionnaire-survey revealed that dental students in experimental group appreciated the innovation very much,and dental students in control group expected more patient admission and practice opportunities.Conclusions Under the condition of limited out-patient numbers in pediatric dentistry,by applying the reformed practice model,the time is more reasonably distributed,practice opportunity is increased and the effect of practice is improved.
