Undergraduates’ perceptions of the value of practical inhalation sedation experience in a UK dental school
- 172 Downloads
- 2 Citations
Abstract
Aim
This was to establish the level and reported value of paediatric IHS experience from the perspective of final year undergraduates and to evaluate whether those students with more experience expressed feeling better-prepared for future practice and more likely to undertake further postgraduate education in IHS.
Methods
All final year students were invited to complete an anonymous questionnaire designed to elicit undergraduate perceptions of IHS using visual analogue scales and free-text questions.
Results
A response rate of 77 % was achieved. Results revealed that only 21 % of participants reported acting as operator sedationist in ten or more IHS cases. Thus, the majority of undergraduates’ did not meet the recommended quantity of practical IHS experiences, as outlined by the British Dental Sedation Teachers Group. In general, students felt on the value of IHS in the management of anxious children and expressed a desire to undertake further postgraduate education in conscious sedation. However, those students with more experience of practical IHS expressed feeling better able to describe the IHS experience with patients and parents, and were more satisfied with the quality of teaching. Furthermore free-text comments revealed that, regardless of experience, students wished to gain more experience of the practical administration of IHS.
Conclusion
There is a need to increase the provision of IHS training within an undergraduate curriculum, in addition to improving the accessibility of postgraduate sedation courses.
Keywords
Student perceptions Nitrous oxide Inhalation sedationReferences
- Blain K, Hill F. The use of inhalation sedation and local anaesthesia as an alternative to general anaesthesia for dental extractions in children. Br Dent J. 1998;184:608–11.CrossRefPubMedGoogle Scholar
- Burnard P, Gill P, Stewart K, Treasure E, Chadwick B. Analysing and presenting qualitative data. Br Dent J. 2008;204:429–32.CrossRefPubMedGoogle Scholar
- Chadwick B, Thompson S, Treasure E. Sedation in Wales: a questionnaire. Br Dent J. 2006;201:453–6.CrossRefPubMedGoogle Scholar
- Cowpe J, Plasschaert A, Harzer W, Vinkka-Puhakka H, Walmsley A. Profile and competences for the graduating European dentist—update 2009. Eur J Dent Educ. 2010;14:193–202.CrossRefPubMedGoogle Scholar
- Dental Sedation Teachers Group. The competent graduate. Dublin: DSTG; 2000. http://www.saad.org.uk/documents/the-competent-graduate/. Accessed 8 Mar 2015.Google Scholar
- Foley J. The way forward for dental sedation and primary care? Br Dent J. 2002;193(3):161–4.CrossRefPubMedGoogle Scholar
- General Dental Council. Preparing for dental practice, dental team learning outcomes for registration. London: GDC; 2003. http://www.gdc-uk.org/Newsandpublications/Publications/Publications/GDC%20Learning%20Outcomes.pdf. Accessed 8 Mar 2015.Google Scholar
- Hallonsten A, Koch G, Schröder U. Nitrous oxide–oxygen sedation in dental care. Commun Dent Oral Epidemiol. 1983;11:347–55.CrossRefGoogle Scholar
- Hill K, Hainsworth J, Burke F, Fairbrother K. Evaluation of dentists’ perceived needs regarding treatment of the anxious patient. Br Dent J. 2008;204(8):E13.CrossRefPubMedGoogle Scholar
- Hofmann N, Datz C, Schöchl H. Sedation training using a human patient simulator. Digestion. 2010;82(2):115–7.CrossRefPubMedGoogle Scholar
- Hunter M, Chaudhry U. Paediatric dentistry in outreach settings: an essential part of undergraduate curricula? Euro J Dent Educ. 2009;13:199–202.CrossRefGoogle Scholar
- Leitch J, Girdler N. A survey of the teaching of conscious sedation in dental schools of the United Kingdom and Ireland. Br Dent J. 2000;188:211–6.PubMedGoogle Scholar
- Leitch J, Jauhar S. A follow-up survey of the teaching of conscious sedation in dental schools of the United Kingdom and Ireland. Anesth Prog. 2006;53(2):43–8.PubMedCentralCrossRefPubMedGoogle Scholar
- Levine R. Experience, skill and knowledge gained by newly qualified dentists during their first year of general practice. Br Dent J. 1992;172:97–102.CrossRefPubMedGoogle Scholar
- Seddon R. Undergraduate experience of clinical procedures in paediatric dentistry in a UK dental school during 1997–2001. Euro J Dent Educ. 2004;8(4):172–6.CrossRefGoogle Scholar
- The Society for the Advancement of Anaesthesia in Dentistry. Guidance for Commissioning NHS England Dental Conscious Sedation Services: A Framework Tool. 2013 SAAD. http://www.saad.org.uk/wp-content/uploads/2013/06/SAAD-Guidance-Commissioning-Sedation.pdf. Accessed 8 Mar 2015.
- Walley S, Bailey J, Albadri S, et al. Undergraduates’ self-reported clinical experience, confidence and perspectives of hospital and outreach paediatric dentistry: a three-year multi-centre evaluation. Br Dent J. 2014;216(5):250–5.CrossRefGoogle Scholar