Are New Dentists Prepared for Clinical Practice? A Survey of Recent Graduates and Their Supervisors.

IF 2.2 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
K Chiodo, O Capin, K Diefenderfer, G Eckert, R Adcook, N B Cook
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引用次数: 0

Abstract

Objective: The purpose of this study was to measure clinical competence in preventive and restorative dental procedures among recently graduated dentists entering US military service.

Methods: An anonymous, electronic survey was sent to 201 new dentists and 32 clinical supervisors in the US Air Force, Army, and Navy in 2022. Using a modified Dreyfus model of skill acquisition, new dentists, during their first year following graduation, completed self-assessments of their ability to perform 20 preventive and restorative procedures, and supervisors evaluated the proficiency of the new dentists under their supervision.

Results: A total of 59 (29.3%) new dentists and 25 (78.1%) supervisors responded. The proportion of ratings of competent or higher was calculated, along with a 95% confidence interval, and one-sample chi-square tests were used to compare the proportion against 50%. Supervisor ratings of competent or higher were significantly greater than 50% in caries diagnosis and treatment planning, caries risk assessment, Class III anterior resin composites, and posterior resin composites. Significant discrepancies between new dentist and supervisor ratings occurred with Class I and II amalgam restorations, restoring endodontically treated teeth not requiring a post, and crown preparation and delivery skill levels. When rating new dentists overall, supervisors assessed 71.3% of new dentists at novice or beginner skill level.

Conclusions: Supervisor ratings of new dentists' skill levels were significantly lower than the new dentists' self-assessments for the majority of procedures. Fewer than one-third (28.7%) of new dentists were evaluated as overall competent in preventive and restorative procedures during their first year following graduation.

新牙医是否为临床工作做好准备?对应届毕业生及其导师的调查。
目的:本研究的目的是衡量最近毕业的牙医进入美国军队预防和修复牙科程序的临床能力。方法:对2022年美国空军、陆军和海军的201名新牙医和32名临床督导进行匿名电子调查。使用改进的Dreyfus技能习得模型,新牙医在毕业后的第一年完成了他们执行20种预防和修复程序的能力的自我评估,导师在他们的监督下评估新牙医的熟练程度。结果:共有59名(29.3%)新牙医和25名(78.1%)主管参与调查。计算合格或更高等级的评分比例,以及95%置信区间,并使用单样本卡方检验将该比例与50%进行比较。在龋齿诊断和治疗计划、龋齿风险评估、III类前路树脂复合材料和后路树脂复合材料方面,合格及以上的主管评分显著大于50%。在I类和II类汞合金修复体、不需要桩位修复根管治疗过的牙齿以及冠准备和交付技能水平上,新牙医和主管的评级存在显著差异。在评定新牙医的整体水平时,督导人员评定71.3%的新牙医为新手或初级技能水平。结论:在大多数程序中,督导对新牙医技能水平的评价明显低于新牙医的自我评价。不到三分之一(28.7%)的新牙医在毕业后的第一年被评估为全面胜任预防和修复程序。
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来源期刊
Operative dentistry
Operative dentistry 医学-牙科与口腔外科
CiteScore
4.00
自引率
9.10%
发文量
124
审稿时长
6-12 weeks
期刊介绍: Operative Dentistry is a refereed, international journal published bi-monthly and distributed to subscribers in over 50 countries. In 2012, we printed 84 articles (672 pages). Papers were submitted by authors from 45 countries, in the categories of Clinical Research, Laboratory Research, Clinical Techniques/Case Presentations and Invited Papers, as well as Editorials and Abstracts. One of the strong points of our journal is that our current publication time for accepted manuscripts is 4 to 6 months from the date of submission. Clinical Techniques/Case Presentations have a very quick turnaround time, which allows for very rapid publication of clinical based concepts. We also provide color for those papers that would benefit from its use. The journal does not accept any advertising but you will find postings for faculty positions. Additionally, the journal also does not rent, sell or otherwise allow its subscriber list to be used by any other entity
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