大阪齿科大学口腔正畸科住院医师培训体系及其(3)
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【摘要】表1 日本矫正齿科学会认定医师最低病例数要求Table 1 Minimum case quantity for Japanese Orthodontic Society board?certificated orthodontistsTreatment dentition orthodontic treatment 2
表1 日本矫正齿科学会认定医师最低病例数要求Table 1 Minimum case quantity for Japanese Orthodontic Society board?certificated orthodontistsTreatment dentition orthodontic treatment 2.Mixed dentition orthodontic treatment manufacture and treatment experience Quantity Over 10 cases Over 5 cases Over 10 cases Over 15 appliances Over 110 cases Requirement Extraction or non?extraction in the case of whole dentition fixed orthodontics Mixed dentition orthodontic treatment with removable appliance or functional appliance Diagnosis except 1 and 2 Appliance except 1 and 2 Treatment experience except 1 and 2
4.2 病例讨论
大阪齿科大学的病例讨论分为初诊患者诊断会议和病例研讨会。大阪齿科大学的每个正畸病例都必须由正畸科教授确认诊断。诊断会议大致每周一次,由负责患者治疗的住院医师做PPT 汇报,指导老师补充,教授总结点评。多学科联合治疗还要请相关科室派人出席。会前,住院医师需要完成初诊资料收集、检查结果分析,根据分析结果和文献支持给出诊断和治疗方案,再在会上请教授点评。病例研讨会每月1 次,一般讨论JOS 认定医师参评病例和特殊病例。JOS 参评病例的讨论主要集中在“挑刺”和评判该病例是否达到认定医师标准[7]。特殊病例主要是困难病例、有代表性的病例。大阪齿科大学正畸科的病例讨论方式与国内学校并无不同,但每一个病例都进行了详尽的分析和PPT 汇报,在病例管理的精细化程度上较国内一些高校胜出一筹。
4.3 参加学会和临床学习班
大阪齿科大学正畸科对参加学会态度积极。所有住院医师每年原则上都需要参加日本矫正齿科学会;博士生还要参加日本正颌外科学会、日本颞下颌关节病学会、近畿东海矫正齿科学会。正畸科非常支持参加各种流派的临床学习班,公示栏常年有这些学习班的开办通知,同时也有科室组织的,面向社会大众的学习班。近年来还逐渐开展了针对海外学员的短期培训班。
上述正畸临床培训在最少3 年的时间内完成,保证住院医师可以从头到尾完成足够的病例量,获得扎实的基本功。和前述的2 年临床前基础培训加在一起,成为一个完整的有机整体。培训结束后,学员从住院医师成长为可以独当一面的高水平正畸专科医师,形成了医、患、培训机关、认证机构都获利的多赢局面。
5 小 结
因各地区情况不同,其正畸医生培养方式也各异[8?11],各国学生对正畸学的兴趣也不尽相同[12],但对优秀的正畸住院医师培养系统的要求具有相似性[13]。日本在口腔正畸领域占有世界先进地位,大阪齿科大学的正畸专业培训已经培养出了诸多日本一流,世界知名的正畸医师,其正畸基础、临床培训较我国内容更为丰富,要求更为细致,训练更为扎实。虽然我国的正畸住院医师规范化培训系统已经得到较为全面的建设,但大阪齿科大学的正畸住院医师培养系统仍有值得我国学习、借鉴之处。
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