Associations among distributions of dental postgraduate residents, dentists and clinical training facilities in Japan

Gotouda, Hiroya; Kasai, Kazuhiko; Kaneda, Takashi; Fukumoto, Masahiko; Sasai, Hirofumi; Kobayashi, Seigo; Kanazawa, Eisaku; Kawara, Misao; Makimura, Mizue

doi:10.2334/josnusd.51.635

Cited by 12 publications

(3 citation statements)

References 2 publications

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“…Because Japan implemented mandatory vocational training for dentists (so-called junior resident year) in 2006, the new-entry dentists need to receive one-year postgraduate clinical training before they can practice freely anywhere or become the owner of a dental clinic in Japan. 6 , 7 …”

Section: Discussionmentioning

confidence: 99%

The training effectiveness of dental trainees in postgraduate year training program for dentists

Cheng

Lin

Chang

et al. 2022

Journal of Dental Sciences

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Background/purpose Taiwan's two-year postgraduate year training program for dentists (PGYD) has been implemented since 2010. However, there was no relevant study for confirming the training effectiveness of PGYD trainees. This study evaluated whether different training institution attributes and different training modes for PGYD trainees could result in differences in the achievement of PGYD training purposes. Materials and methods We adopted the questionnaire survey to collect the views of PGYD trainees on the training effectiveness of PGYD and further evaluated whether different training institution attributes and different training modes for PGYD trainees could result in differences in the achievement of PGYD training purposes. Results For the “patient-centered” learning environment and the management ability to be a responsible dental clinic owner, the views of PGYD trainees in dental clinics and district hospitals were more positive than those in medical centers. For the clinical professional ability and the management ability to be a responsible dental clinic owner, the views of PGYD trainees in joint group were more positive than those in single hospital. Conclusion We conclude that both hospitals and dental clinics can achieve PGYD training purposes. The smaller training institutions (dental clinics or district hospitals) are better training institution attributes and the joint group is the better training mode to achieve PGYD training purposes. The joint groups with medical centers combining many dental clinics, especially those in remote areas, may be an excellent training mode, because this training mode has the high potential to subsequently balance the distribution of dentists in Taiwan.

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Section: Discussionmentioning

confidence: 99%

The training effectiveness of dental trainees in postgraduate year training program for dentists

Cheng

Lin

Chang

et al. 2022

Journal of Dental Sciences

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“…Previously, we reported on the regional distribution of dentists and physicians, university dental schools, medical schools, and postgraduate residents (10) . In this study, with respect to the current status of the regional distribution of dentists, we compare the number of dental hygienists against that of physicians and nurses.…”

Section: Introductionmentioning

confidence: 99%

Geographic Distribution of Dentists and Physicians in Comparison with Dental Hygienists and Nurses in Japan

Gotouda

Okamoto

et al. 2020

Int J Oral-Med Sci

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The uneven regional distribution of healthcare workers is an important issue in the healthcare system and has been controversial worldwide. Even though policies that are intended to resolve the shortage of healthcare workers are established, the recruitment of most healthcare workers tend to be concentrated in urban areas, and the shortage of medical workers in rural areas remains unresolved. It is also important for medical and healthcare professionals from different disciplines to work as a team to provide medical care of interprofessional collaboration and integrated community for patients. Previously, we reported on the regional distribution of dentists and physicians, university dental schools, medical schools, and postgraduate residents. In this study, we compared the number of dental hygienists and that of physicians and nurses to the current numbers of dentists by region and analyzed the examination numbers from 1958 to 2018 for dentists and physicians.The ratios of physicians and nurses per 100,000 population were relatively high in western Japan, particularly in the Kinki, Chugoku/Shikoku, and Kyushu/Okinawa regions. The ratio of dental hygienists per 100,000 population was also high in western Japan; however, there was no significant difference in the distribution of dentists. Although there was a significant correlation between the ratios of physicians and nurses at the prefectural level, no such correlation was observed for the ratios of dentists and dental hygienists. Our analyses revealed that, while the increase in the number of dentists during the previous decade (from 2008 to 2018) was gradual, the number of physicians increased at a more rapid rate. The ratio of dentists per 100,000 population in each prefecture was more uniform; however, the regional bias in the ratio of physicians remains unresolved. In conclusion, the results of our present study suggest that the uneven regional distribution of dentists in comparison with physicians in Japan has reduced recently and that the rate of increase in the number of dentists has also slowed down. Our study also found that the correlation between the regional distribution of dentists and dental hygienists was lower than that of the regional distribution of physicians and nurses.

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“…This is based on the global standards proposed by the World Federation for Medical Education (1,2). Cross-sectional studies for each period have been reported regarding education at the pre-graduate clinical practical training and post-graduate clinical training levels (3)(4)(5)(6)(7)(8)(9). However, no studies on a clinical competency examination as an overall evaluation at the end of pregraduate clinical practical training and at the end of OSCAT as a pilot study with the objective of establishing a clinical competency evaluation for professionalism in dental education.…”

Section: Introductionmentioning

confidence: 99%

Correlation between Assignments for Professionalism of the Post-graduate Clinical Competency Evaluation and the Pre-graduate Objective Structured Clinical Achievement Test in Dental Education

et al. 2017

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Currently, there is a strong need to establish a clinical competency evaluation along with associated criteria, taking into consideration the international trend of quality assurance in higher education promoted in Europe, the United States, and Japan. This is based on the global standards proposed by the World Federation for Medical Education. Cross-sectional studies for each period have been reported regarding education at the pre-graduate clinical practical training and post-graduate clinical training levels. However, no studies on a clinical competency examination as an overall evaluation at the end of pre-graduate clinical practical training and at the end of post-graduate clinical training, or sequential evaluations on pre-and post-graduate dental education have ever been conducted. We report the results of a pilot study on the correlations within the post-graduate clinical competency evaluation as well as the results of comparative examinations between pre-graduate objective structured clinical achievement tests. The objective of this pilot study was to establish an appropriate clinical competency evaluation for professionalism in dental education. An examination was administered to dental trainees at the end of their clinical training. Analysis of the individual evaluation scores indicated a significant correlation with the post-graduate psychomotor domain. The correlation between the total score for postgraduate assignments and the post-graduate prosthetic dentistry score was high. The correlation between the individual evaluation scores for pre-and post-graduate assessment indicated no significant correlation. The present study found no correlation between the evaluations for the same item in the same subject over time before and after graduation, whereas a correlation was observed with the evaluation of the items in the psychomotor domain after postgraduate clinical training. The specific item may represent the entire assessment.

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Associations among distributions of dental postgraduate residents, dentists and clinical training facilities in Japan

Cited by 12 publications

References 2 publications

The training effectiveness of dental trainees in postgraduate year training program for dentists

The training effectiveness of dental trainees in postgraduate year training program for dentists

Geographic Distribution of Dentists and Physicians in Comparison with Dental Hygienists and Nurses in Japan

Correlation between Assignments for Professionalism of the Post-graduate Clinical Competency Evaluation and the Pre-graduate Objective Structured Clinical Achievement Test in Dental Education

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