中华医学教育杂志

中华医学教育杂志 ›› 2021, Vol. 41 ›› Issue (10): 927-931.DOI: 10.3760/cma.j.cn115259-20210110-00045

• 住院医师规范化培训 • 上一篇    下一篇

口腔医学住院医师规范化培训学员的口腔美学分析设计临床实践现状及其影响因素

孔俊俊1, 叶曦玥1, 彭舟1, 杨梓艺1, 张弢2, 黄翠1, 梁珊珊1   

  1. 1武汉大学口腔医院修复科 430079;
    2武汉大学口腔医院毕业后教育办公室 430079
  • 收稿日期:2021-01-10 出版日期:2021-10-01 发布日期:2021-09-28
  • 通讯作者: 梁珊珊, Email: wb000867@whu.edu.cn, 电话: 027-87686005
  • 基金资助:
    武汉大学医学部教学研究项目(2020065);全国医学专业学位研究生教育指导委员会(中国学位与研究生教育学会医学专业工作委员会)研究课题(B1-YX20190303-02)

Investigation on the situation of clinical practice of oral aesthetic analysis and design for stomatological residents receiving standardized training

Kong Junjun1, Ye Xiyue1, Peng Zhou1, Yang Ziyi1, Zhang Tao2, Huang Cui1, Liang Shanshan1   

  1. 1Department of Prosthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2Department of Post-graduation Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2021-01-10 Online:2021-10-01 Published:2021-09-28
  • Contact: Liang Shanshan, Email: wb000867@whu.edu.cn, Tel: 0086-27-87686005
  • Supported by:
    Educational Research Project of Medical Department of Wuhan University (2020065); National Steering Committee for Medical Professional Degree Education (Medical Committee of China Academic Degree and Graduate Education Association) Grant (B1-YX20190303-02)

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摘要： 目的 了解口腔医学住院医师规范化培训学员的口腔美学分析设计临床实践现状及其影响因素。方法 选取2020年1月于武汉大学口腔医院口腔医学住院医师规范化培训基地在培的263名学员作为研究对象,采用问卷星对住培学员的基本特征、口腔美学分析设计临床实践现状以及口腔美学修复临床实践能力进行调研。采用χ2检验和多因素logistic回归模型进行数据分析。结果 63.5%(167/263)的住培学员自我评价为“能够完成口腔美学修复临床实践”;仅有33.8%(89/263)的住培学员能够掌握数字化美学分析设计技术。口腔修复专业住培学员更具备口腔美学修复临床实践能力(OR=4.90,95%CI:2.27～10.60),并且更好地掌握“了解患者美学需求”(OR=2.47,95%CI:1.10～5.59)、“进行数字化美学分析设计”(OR=2.29,95%CI:1.23～4.26)和“制作研究模型及诊断蜡型”(OR=2.75,95%CI:1.43～5.28);“四证合一”研究生更好地掌握“采用口腔临床数码摄影技术记录相关美学信息”(OR=2.37,95%CI:1.27～4.40)和“制作研究模型及诊断蜡型”(OR=1.91,95%CI:1.07～3.41);2017级学员更好地掌握“进行数字化美学分析设计”(OR=2.41,95%CI:1.20～4.83)。结论 部分口腔医学住培学员已经基本掌握口腔美学分析设计相关技术并具备口腔美学分析设计临床实践能力。口腔修复专业、“四证合一”研究生或2017级住培学员更有可能掌握口腔美学分析设计临床实践相关技术并具备口腔美学修复临床实践能力。

关键词: 住院医师规范化培训, 口腔美学分析设计, 口腔美学修复, 临床实践, 现状

Abstract: Objective To investigate the performance of and influencing factors on clinical practice of oral aesthetic analysis and design for trainees receiving resident standardized training. Methods Totally 263 trainees were selected at School and Hospital of Stomatology, Wuhan University, in January 2020. The platform of “wjx.cn” was used for distribution of questionnaires and data collection. The contents of questionnaire included the general information of participants, the current situation of clinical practice of oral aesthetic analysis and design, and their self-evaluation of the aesthetic restorative capacity. Chi square test and multivariable logistic regression analysis were applied for analyzing the data. Results The results showed that 63.5%(167/263) of the trainees evaluated themselves as competent to complete clinical practice of oral aesthetic restoration; but only 33.8% (89/263) of the trainees were capable of doing the digital aesthetic analysis and design. The trainees majoring in prosthodontics had better “clinical practice capacity of oral aesthetic restoration”(OR=4.90, 95%CI:2.27～10.60), and did better in “understanding the aesthetic needs of patients”(OR=2.47, 95%CI:1.10～5.59), “digital aesthetic analysis and design”(OR=2.29, 95%CI:1.23～4.26), and “making research model and diagnostic wax pattern”(OR=2.75, 95%CI:1.43～5.28); “four licenses in one” master degree students did better in “record aesthetic information by using oral clinical digital photography”(OR=2.37, 95%CI:1.27～4.40) and “making research model and diagnostic wax pattern”(OR=1.91, 95%CI:1.07～3.41); The trainees of grade 2017 did better in “digital aesthetic analysis and design”(OR=2.41, 95%CI:1.20～4.83). Conclusions Part of trainees in standardized training of stomatological residents had mastered the relevant technologies of oral aesthetic analysis and design, and had the clinical practice capacity of aesthetic restoration. Trainees, whose major was prosthodontics, or who was“four licenses in one” master degree students, or whose grade was 2017 were more likely to perform well in these aspects.

Key words: Standardized training of residents, Dental aesthetics analysis and design, Aesthetic restoration, Clinical practice, Current situation

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