与临床经验相关的不确定性 - - 一项关于牙科学生对根充满牙的风险评估反思的定性研究
Joséphine Brodén1,2, Maria Pigg3, Niklas Vareman4
1Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.
International endodontic journal
|October 3, 2025
概括
牙科学生通过反思获得了对评估牙周炎风险的信心. 他们相信临床经验,而不仅仅是证据,在不确定的情况下建立确定性.
科学领域:
- 牙科教育 牙科教育
- 牙周内科医院 牙周内科医院 牙周内科医院
- 临床推理 临床推理
背景情况:
- 对牙科学生来说,评估根充满牙的牙周炎恶化的风险对牙科学生来说具有临床的不确定性.
- 反射式学习对于在复杂情况下发展临床判断至关重要.
研究的目的:
- 探索本科牙科学生如何反映临床不确定性,在评估根充满牙的牙与牙周炎.
- 了解体验在学生在内牙科病例中对确定性的感知中的作用.
主要方法:
- 使用系统文本凝聚 (STC) 的52名牙科学生的简短反思的定性分析.
- 学生们反思了一个根充满牙的病例,牙周炎和恶化的风险.
- 反思是由旨在刺激反思性思维的提示指导的.
主要成果:
- 两个主要主题出现了:"临床经验的意义"和"差异和相似之处".
- 这些主题分为九个子组,强调了临床经验和感知确定性之间的关系.
- 学生将经验与在评估中更大的确定性联系在一起.
结论:
- 学生认为临床经验是确定性的首要驱动力,即使没有强有力的科学证据.
- 这表明需要在牙科教育中整合反思性实践,将经验与基于证据的决策联系起来.
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