出版社:Association for Medical Education in Europe (AMEE)
摘要:Background: The 2011 Institute of Medicine report Improving Access to Oral Health Care for Vulnerable and Underserved Populations acknowledged that to increase access to oral health care for vulnerable populations, oral health should be integrated into primary care. Subsequently, the Health Services and Resources Administration (HRSA) published the Integration of Oral Health and Primary Care Practice, which recommended five core competencies to be included in the training of non-dental primary care providers in oral health evaluation and prevention.Objective: This study describes the design, implementation, and evaluation of a peer-to-peer, interprofessional, oral health module integrated into the existing physical exam curriculum for first-year medical students (MS1).Methods: A survey was sent to graduating medical students to assess need and interest in adding an oral health component to medical school curriculum. A working group of dental and medical students and faculty designed and implemented an oral health module incorporating HRSA’s five core competencies and a skills session on basic oral health exam and fluoride varnish application. Pre- and post-module evaluations were administered and analyzed. Qualitative construct analysis was used to analyze open-ended responses.Results: Eighty-eight percent of graduating medical students that completed the needs assessment supported the addition of an oral health module in medical school curriculum. Eighty-four percent of MS1 participants completed the pre- and post-module evaluations; response comparisons showed significant increased positive opinion of the importance of oral health to overall health, increased comfort examining and describing patient’s oral health, assessing caries risk, and applying fluoride varnish (all p < 0.0001). Open-ended response themes included quality of the module and peer-to-peer teaching, appreciation for the topic, and applicability of oral health to future practice.Conclusion: Integration of oral health into the undergraduate medical curriculum is desired and valued. Interprofessional peer-to-peer learning is an effective method for promoting oral health education.
关键词:Oral Health; Inter-professional Education; Primary Care