DOPS评价口腔显微镜示范教学在牙体牙髓科住院医师规范化培训中的应用
Application of DOPS Evaluation in Assessment of Demonstrative Teaching with a Dental Microscope in Standardized Training of Residents in Endodontics

目的：应用DOPS评价口腔显微镜示范教学在牙体牙髓科住院医师规范化培训临床教学中的应用效果。方法：选择2023年12月~2024年4月期间在同济大学附属口腔医院牙体牙髓病一科、三科及全科牙科的住院医师规范化培训学员，随机分为对照组(传统教学组，15人)和实验组(显微镜教学组，15人)。在入科第八周末应用DOPS评价两组学员在开髓、根管预备、根管充填三项根管治疗相关操作的水平。结果：实验组学员在开髓、根管预备、根管充填三项考核中，临床技能、术后处理和整体能力方面成绩均显著高于对照组。在根管预备考核中，实验组学员在“适当的止痛或麻醉”方面，成绩显著高于对照组。结论：口腔显微镜示范教学在牙体牙髓科住院医师规范化培训中可显著提高学员的临床诊疗水平。
Objective: To evaluate the application effect of demonstrative teaching with a dental microscope using DOPS (Direct Observation of Procedural Skills) in the clinical teaching of standardized training for residents in endodontics. Methods: From December 2023 to April 2024, residents in the standardized training program at the Department of Endodontics I, Department of Endodontics III, and General Dentistry Department of the Affiliated Stomatology Hospital of Tongji University were randomly divided into a control group (traditional teaching group, 15 people) and an experimental group (microscope teaching group, 15 people). At the end of the eighth week in the department, DOPS was used to evaluate the levels of both groups in three endodontic procedures: pulp opening, canal preparation, and canal filling. Results: In the assessments of pulp opening, canal preparation, and canal filling, the experimental group significantly outperformed the control group in clinical skills, postoperative management, and overall ability. Specifically, in the canal preparation assessment, the experimental group achieved significantly higher scores than the control group in “appropriate pain control or anesthesia”. Conclusion: Demonstrative teaching with a dental microscope in the standardized training of resident physicians in endodontics can significantly improve the clinical diagnostic and treatment skills of the trainees.