牙醫學系畢業生對牙科課程之評估

為瞭解牙科近期畢業生，對於在學時所接受的課程之份量與品質是否符合他們從事牙醫師工作之需要。以問卷寄發給95位近五年台大牙醫系畢業的牙醫師，有效問卷之回收率為70.5％。本研究將問卷分為開業組與非開業組進行分析。結果顯示，在課程的量與質的評量排行上，兩組雖稍有出入，但大致相似；而對於份量不足或品質不佳的課程，則意見一致。整體而言，除齒顎矯正學有待改進外，其餘牙科課程份量適中，品質都居中上。臨床實習以齒內治療學份量最重，但品質最優。兒童牙科與齒顎矯正學則份量不足。基礎醫學之量與質在所有課程群中居首。畢業生在獨力診治病人方面的信心度，以開業組較高；隨著時間的累積，信心度也會提高。但醫病關係之信心度，似與時間的累積無關。畢業生建議加強牙科整體照護的訓練、加開診所經營管理的課程及整合基礎與臨床學科。由於知識爆炸，新課程似可考慮。但改變教學方式，藉由小組教學可養成學生終身學習的態度，解決修業年限內過多學分的問題，並可改善醫病關係的信心度。

關鍵字

牙醫學教育；課程；份量；品質

並列摘要

The purpose of this survey is to understand recent dental graduates'perceptions of adequacy of theweighting and quality of their undergraduate curriculum relevant to their present practice of dentistry.Questionnaires were sent to 95 graduates who graduated from National Taiwan University between1994 and 1998,and who are now practicing dentistryin Taiwan.The response rate was 70.5%.Respondents were divided into two groups:those in privatepractice and university hospital practice.The graduates in both groups had comparable views concerning the weighting and quality of their coursework.Although the ranking of the courses showed minordifferences between the two groups,their views onthe least adequate course were the same.The graduates reported that overall weighting and quality oftheir dental courses were above average,except fororthodontics which needed more emphasis on bothweighting and quality.The graduates felt that theyreceived very good training in endodontics,but,clinical experience in the areas of pediatric dentistryand orthodontics could have been more extensive.The graduates felt that dental education in the basicmedical sciences was more than adequate,and as aresult,their weighting and quality were tops amongall course groups.The degree of self-confidence forsolo practice was higher in the private practice group.This degree of confidence grew as time after graduation increased.However,the degree of confidencein the doctor-patient relationship remained relativelyunchanged among graduates regardless of the lengthof time after graduation.The graduates suggested agreater emphasis on comprehensive patient care,anearlier introduction to working with patients,the addition of practice management into a new curriculum,and the integration of more basic sciences intoclinical sciences,etc.Adding new courses into thecurriculum is not possible due to the overloaded situation which already exists with earned credit.However,providing continuing education and conductinga problem-based teaching program through smallgroup tutorials will improve students'attitude towards life-long learning,which can help alleviate theproblem of time limitations for studying in dentalschool and also improve their confidence in buildingdoctor-patient relationships.(Full text in Chinese)

並列關鍵字

dental education ； curriculum ； weight ； quality

國際替代計量

牙醫學系畢業生對牙科課程之評估

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