L-M Ferreira, S Trezena, J-P Nascimento, M-P Maia-Lima, P-R Bonan, S-P Pêgo, H Martelli-Júnior
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引用次数: 0
Abstract
Background: Oral Pathology (OP) is an important part of diagnosing and managing oral and maxillofacial diseases. Despite being recognized as a specialty in Brazil for over 50 years, significant gaps remain in the availability of specialists and training programs. Therefore, this study aims to map and analyze the training of specialists in OP in Brazil.
Material and methods: A cross-sectional study was conducted using publicly available data from Brazilian governmental databases, including the Federal Council of Dentistry, the Brazilian Institute of Geography and Statistics, and the Ministry of Education. Variables analyzed included the number of OP specialists, their geographic distribution, training opportunities, and population coverage. Descriptive and comparative analyses were performed using Microsoft® Excel (version 2410) and Statistical Package for Social Sciences® (version 27.0).
Results: In 2024, 424 active OP specialists were registered in Brazil, composed of 240 women and 184 men, representing only 0.3% of all dental specialists. The ratio of OP specialists to inhabitants was 1:478,964, with marked regional disparities. The Southeast had the highest density, while the North had the lowest, with some states lacking any OP specialists. Additionally, 12 active OP training programs were identified, primarily concentrated in the Southeast. Most programs were distance learning, limiting opportunities for practical training. Temporal analysis revealed a decline in OP specialist registrations over the past two decades, despite population growth.
Conclusions: Brazil faces challenges in OP training, including insufficient specialists, uneven regional distribution and limited hands-on training opportunities. The expansion of hybrid training models and the promotion of the OP specialty among dental students are vital to address these issues. Collaborative efforts between educational institutions, professional organizations, and the government are essential to strengthen the specialty and improve early diagnosis rates of oral cancer.
背景：口腔病理学是口腔颌面部疾病诊断和治疗的重要组成部分。尽管在巴西被公认为一项专业已有50多年的历史，但在专家和培训计划的可用性方面仍然存在重大差距。因此，本研究旨在绘制和分析巴西OP专家的培训。材料和方法：一项横断面研究使用了巴西政府数据库的公开数据，包括联邦牙科委员会、巴西地理与统计研究所和教育部。分析的变量包括OP专家的数量、他们的地理分布、培训机会和人口覆盖率。使用Microsoft®Excel （version 2410）和Statistical Package for Social Sciences®（version 27.0）进行描述性和比较分析。结果：2024年，巴西注册了424名在职OP专家，其中240名女性和184名男性，仅占所有牙科专家的0.3%。OP专家与居民的比例为1:47 78 964，区域差异明显。东南部的密度最高，而北部的密度最低，一些州缺乏OP专家。此外，确定了12个活跃的OP培训项目，主要集中在东南部。大多数课程都是远程学习，限制了实践培训的机会。时间分析显示，尽管人口增长，但在过去二十年中，OP专家注册人数有所下降。结论：巴西在OP培训方面面临挑战，包括专家不足、区域分布不均和实践培训机会有限。在牙科学生中扩展混合培训模式和推广OP专业是解决这些问题的关键。教育机构，专业组织和政府之间的合作努力对于加强专业和提高口腔癌的早期诊断率至关重要。
期刊介绍：
1. Oral Medicine and Pathology:
Clinicopathological as well as medical or surgical management aspects of
diseases affecting oral mucosa, salivary glands, maxillary bones, as well as
orofacial neurological disorders, and systemic conditions with an impact on
the oral cavity.
2. Oral Surgery:
Surgical management aspects of diseases affecting oral mucosa, salivary glands,
maxillary bones, teeth, implants, oral surgical procedures. Surgical management
of diseases affecting head and neck areas.
3. Medically compromised patients in Dentistry:
Articles discussing medical problems in Odontology will also be included, with
a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients.
4. Implantology
5. Periodontology
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