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Oral Health and Interprofessional Education Experiences in Family Medicine and Pediatric Residency

机译:家庭医学和儿科住院医师的口腔健康和专业教育经验

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INTRODUCTION Prevention of dental diseases in children requires interprofessional education (IPE) and care coordination between oral health professionals and primary care providers; however, the extent of preparation of medical residents and its impact on their provision of preventive oral health services in clinical practice requires further investigation. METHODS A two-stage cluster sample of 470 US family medicine and 205 pediatric residency programs was used. A random sample of 30% (N=140) of family medicine and 29% (N=60) of pediatric residency programs were randomly selected. Of these, 42 programs (21%) invited residents to participate. Residents (N=95, 28%) completed an online questionnaire regarding oral health training in residency. Statistical analysis included frequencies and Spearman’s rank correlations. RESULTS Eighty-three percent of family medicine and pediatric residents combined reported receiving oral health education. Clinical experiences involving oral healthcare were frequently reported (77%, n=75); however, IPE with an oral health professional was limited. Both groups indicated they provided anticipatory guidance regarding regular dental visits and toothbrushing “very often” and avoiding bottles at bedtime “often.” Residents reported performing dental caries assessments “often” and applying fluoride varnish “occasionally.” For family medicine residents, moderate correlations (p ≤ 0.01) were found between hours of oral health education and providing anticipatory guidance. For pediatric residents, a moderate correlation (p < 0.01) was found between hours of oral health education and assessing teeth for demineralization. CONCLUSION Increased effort is needed to meet national recommendations for educating family medicine and pediatric residents regarding oral healthcare for children, including increased IPE involving oral health professionals.
机译:引言预防儿童牙齿疾病需要进行跨专业教育(IPE),并需要口腔保健专业人员和初级保健提供者之间进行护理协调;然而,在临床实践中,医疗居民的准备程度及其对他们提供预防性口腔健康服务的影响需要进一步调查。方法使用美国470种家庭医学和205种儿科住院医师计划的两阶段整群样本。随机选择30%(N = 140)家庭医学和29%(N = 60)儿科住院医师程序的样本。其中,有42个计划(占21%)邀请居民参加。居民(N = 95,28%)完成了有关住院医师口腔健康培训的在线问卷。统计分析包括频率和Spearman的排名相关性。结果有83%的家庭医学和小儿科居民报告接受了口腔健康教育。经常报告涉及口腔保健的临床经验(77%,n = 75);但是,IPE与口腔保健专业人员的合作是有限的。两组都表示,他们“定期”提供定期牙科访问和刷牙的预先指导,并“经常”在睡前避免使用奶瓶。居民报告称“经常”进行龋齿评估,并“偶尔”使用氟化物清漆。对于家庭医学居民,在口腔健康教育时间与提供预期指导之间存在中等相关性(p≤0.01)。对于小儿科居民,在口腔健康教育时间与评估牙齿脱矿质之间存在中等相关性(p <0.01)。结论需要付出更多的努力才能满足有关教育家庭医学和儿科居民有关儿童口腔保健的国家建议,包括增加涉及口腔保健专业人员的IPE。

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