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Updated: Jan 16, 2026
08:47
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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用临床能力考试为牙科卫生许可证的使用
Jocelyn D Weinhagen1, Tara L Newcomb2, Brenda T Bradshaw2
1Wake Technical Community College, Raleigh, NC, USA jocelynrdh@gmail.com.
Journal of dental hygiene : JDH
|September 29, 2025
概括
牙卫生执照考试或临床能力考试 (CCE) 正在受到审查. 尽管存在道德问题和缺乏证据,但CCE仍然是大多数司法管辖区许可的要求.
科学领域:
- 牙卫生 牙卫生
- 卫生专业 许可证 许可证 医疗专业
- 医学教育 医学教育
背景情况:
- 自1929年以来,牙科卫生许可历史上要求进行临床能力考试 (CCE).
- 当牙科培训不那么标准化并且依赖于学徒制时,CCE最初被实施.
- 加拿大和加利福尼亚已经取消了CCE要求,而牙科仍然是最后一个强制要求它们的医疗保健专业.
研究的目的:
- 审查关于使用临床能力考试用于牙科卫生许可证的持续关注和更新.
- 审查CCE在牙科卫生和牙科的历史背景和当前状态.
- 解决与CCE相关的伦理考虑和有效性问题.
主要方法:
- 关于牙卫生执照考试的历史和当前实践的文献综述.
- 分析与活体患者和基于人形的CCE相关的伦理问题和有效性研究.
- 审查改变了CCE要求的司法管辖区的政策变化.
主要成果:
- 临床能力考试 (CCEs) 面临着严重的审查,因为道德问题和关于其有效性和可靠性的问题.
- 尽管缺乏经过同行评审的证据支持它们在确保公共安全方面的预测有效性,但CCEs仍然是许可要求.
- 牙科专业在其对CCE的持续授权方面是独一无二的,与其他医疗保健专业不同,这些专业已经发展了他们的评估方法.
结论:
- 对于牙卫生执照的临床能力考试的持续依赖没有得到有效性或预测价值的科学证据的支持.
- 关于活体患者CCE中人类受试者的伦理问题以及基于人形的考试的局限性要求重新评估当前的执照实践.
- 需要基于证据的评估方法,准确地衡量牙科卫生师的能力和临床实践的准备.
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