Teaching local anesthesia in dental schools: Opinions about the student-to-student administration model
Department of Oral and Maxillofacial Surgery, University of California, San Francisco, San Francisco, CA 94143-0440, USA.Journal of dental education (Impact Factor: 0.97). 09/2011; 75(9):1263-9.
The student-to-student local anesthesia administration model has been an accepted part of the formal curriculum in dental schools for teaching this clinical skill. However, there is very little published literature that explores the validity of this model or examines students' attitudes toward it. The ethics of this educational model and the value of consent also need to be explored. In this study, an online survey regarding the student-to-student administration model was used to obtain the opinions of students and faculty members at three dental schools in one state of the United States. The survey was distributed by the Office of Academic Affairs at each school. A total of 152 individuals responded to this survey: 123 (80.9 percent) dental students and twenty-nine (19.1 percent) faculty members. The respondents consistently identified the perceived strengths of this model, while a number also identified the need for consent and raised ethical concerns. These findings highlight the complex nature of the respondents' opinions and raise the question of whether modification of this mode of instruction may be needed.
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ABSTRACT: To examine the role of 'student-to-student local analgesia administration' on undergraduate dental students' opinions regarding pain-free local analgesia techniques in children. Grade 3 (n:29), Grade 4 (n:59) and Grade 5 students (n:28) of Yeditepe University, School of Dentistry, Istanbul, Turkey participated in the study. Informed consent and ethical approval were obtained. Students' opinions were evaluated by means of a short survey administered before and after educational activities. Activities were provided in a didactic manner (theoretical, practical and clinical stages) and lasted for 6 months. Theoretical lectures on 'pain-free local analgesia techniques in children' were given to all classes. In the practical stage, 3rd and 4th grade students were paired and performed infiltration analgesia on each other according to the lectured technique. In the final clinical stage, 4th and 5th grade students were supervised, whilst administering the technique on children during their clinical training. Before the activities, only 40% of students believed in the possibility of pain-free local analgesia in children, whereas after the educational activities, the percentage had risen to 68% (P = 0.0001). A significant difference was observed between the opinions of 4th grade students who attended the practical stage and 5th grade students who did not. The role of 'student-to-student local analgesia administration' was found to be significant in changing undergraduate students' opinions about pain-free dental injections in children.European Journal Of Dental Education 08/2013; 17(3):185-9. DOI:10.1111/eje.12040 · 0.94 Impact Factor
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ABSTRACT: Student-to-student administration of local anesthesia (LA) has been widely used as the teaching modality to train preclinical dental students. However, studies assessing students' outlook towards their first injection were limited. Therefore, this study aims to evaluate students' perception and anxiety levels towards their first LA injection. Sixty three pre-clinical dental students swapped their roles as both operator and respondents in relation to their first supraperiosteal injection. After being injected, the students conferred their opinion and experiences to the questionnaire based on the five point Likert's scale and indicated their anxiety levels based on the Interval Scale of Anxiety response (ISAR). Their perception was described using frequencies and percentages and anxiety levels were statistically analysed using one way analysis variance and paired t test. Students learning LA techniques directly on human subjects depicted not only greater confidence in them but also increased anxiety levels. The anxiety levels were found to be high before and during injection in both operator and respondent. The students' preferred the use of preclinical models rather than student to student administration for their first LA injection exercise. Based on the results obtained, we recommend the need of preclinical simulation model in LA training program.Malaysian Journal of Medical Sciences 11/2014; 21(6):45-51.
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