140 СтоматологиЯ удК616.31:616.314. Оригинальная статья знаниЯ врачей СтоматологичеСкого профилЯ: резУльтаты Специализации К.Ч. Азодо – Нигерия, Университет базовой клиники г. Бенин, отделение пародонтологии, старший ординатор, бакалавр стоматологических наук, магистр; O. Эхигиатор – Нигерия, Университет базовой клиники г. Бенин, отделение патологии и медицины полости рта, старший ординатор, бакалавр стоматологических наук; А.О. Эхизеле – Нигерия, Университет базовой клиники г. Бенин, отделение пародонтологии, помощник лектора, бакалавр стоматологических наук, магистр здравоохранения; О. Ололо – Нигерия, штат Джигава, больница Rasheed Shekoni, отделение стоматологии, стоматолог, бакалавр стоматологических наук.
MeDICAL DOCtORS’ kNOwLeDge OF DeNtAL SPeCIALtY: IMPLICAtION FOR ReFeRRAL C.C. Azodo – Nigeria, University of Benin Teaching Hospital, Department of Periodontics, Senior Registrar, BDS, MSc; O. Ehigiator – Nigeria, University of Benin Teaching Hospital, Department of Oral Pathology and Oral Medicine, Senior Registrar, General Dental Practice/ Registrar, BDS; A.O. Ehizele – Nigeria, University of Benin Teaching Hospital, Department of Periodontics, Associate Lecturer, BDS, MPH; O. Ololo – Nigeria, Jigawa State, Dutse, Rasheed Shekoni Specialist Hospital, Dental Department, Dental officer, BDS.
дата поступления — 15.02.10 г. дата принятия в печать — 15.02.10 г.
Азодо К.Ч., Эхигиатор O., А.О. Эхизеле и соавт. Знания врачей стоматологического профиля: результаты специализации. Саратовский научно-медицинский журнал, 2010, том 6, № 1, с. 140–143.
цель исследования: оценить знания врачей различных стоматологических специальностей и определить, как их предыдущий практический опыт повлиял на уровень знаний. Ординаторы и врачи, работающие в университете базовой клиники г. бенин, Нигерия, участвовали в анкетировании в 2008 г. Всего в анкетировании приняло участие 142 врача, 71% опрошенных ответили на вопросы. Приблизительное соотношение женщин и мужчин:
Отделения, ответившие на вопросы анкеты: медицина внутренних органов – 21.1%; хирургия – 19%; педиатрия – 15.5%; семейная медицина – 11.3%; скорая медицинская помощь – 5.6%; радиология – 4.9%; офтальмология – 8.5%; патология – 5.6%; анестезиология – 5.6%; психическое здоровье – 2.8%. Оценка среднего уровня знаний 10.1±3.3 баллов (максимальное количество =21). только незначительный процент (5.6%) опрошенных подтвердил хорошие знания (выше 16 баллов), 79.6% респондентов показали удовлетворительные знания (815 баллов), 14.8% ответивших имели плохие знания (менее 8 баллов). Врач, обладающий практикой стоматологического лечения, проявил лучшие знания (p=0.03). Знания врачей, лично не относящихся к различным областям стоматологии оказались неудовлетворительными. улучшение знаний врачей стоматологического профиля может быть реализовано с помощью семинаров и других видов образовательных работ.
Azodo C.C., Ehigiator O., Ehizele A.O. et al. Medical Doctors’ Knowledge of Dental Specialty: Implication for Referral.
Saratov Journal of Medical Scientific Research, 2010, vol. 6, iss. 2, р. 140–143.
the research goal is to assess Medical doctors’ knowledge of the various dental specialties and to determine if their past dental experience affects their level of knowledge. Resident doctors and Medical officers working in the university of benin teaching hospital, nigeria were surveyed with self-administered questionnaire in 2008. a total of 142 doctors responded to the questionnaire, giving a response rate of 71%. the female: male ratio was approximately 1:2.5. the designations of respondents were Senior Registrar 21.8%, Registrar 48.6% and Medical officers 29.6%.
the departments that returned the questionnaire were internal Medicine 21.1%, Surgery 19%, paediatrics 15.5% family Medicine 11.3%, accident and emergency 5.6%, Radiology 4.9%, ophthalmology 8.5%, pathology 5.6%, anaesthesiology 5.6% and Mental health 2.8% the mean knowledge score was 10.1±3.3. (Maximum score =21).
only a small percentage (5.6%) had a good knowledge (scored above 16), 79.6% had a fair knowledge (scored 8-15) and 14.8% had a very poor knowledge (scored less than 8). doctor with history of previous dental treatment had better knowledge (p=0.03). the knowledge of Medical doctors about the various areas in dentistry is presently not satisfactory. comprehensive care of patients, which includes prompt and appropriate referral, can be optimized by improvement of doctors’ knowledge of dental specialty through seminars and other educational interventions.
dentistry is a profession concerned with the evalu- physicians are known to provide some form of care to ation, diagnosis, prevention, and treatment of diseases, patients with dental problems. this may include screendisorders and conditions of the oral cavity, maxillofacial ing and alleviation of pain but dentists usually provide area and the adjacent and associated structures and their the definitive treatment . universally, the healthcare impact on the human body . the profession is widely system encourages patients to be seen first by the phyconsidered necessary for complete oral health and has sician. it is even more likely in a developing country like contributed immensely to the quality of life and well-being nigeria. it can be predicted that doctors in almost all the of humanity. historically, pierre fauchard can be said to specialties would have come in contact with patients whose primary problem is of dental origin. this was subbe the founder of modern dentistry because he developed stantiated by the fact that 86.6% of referrals to a nigerian dentistry as an independent profession from medicine .
oral and maxillofacial clinic were sent by general medidentistry is now practiced under different specialties such cal practitioners and specialist medical practitioners .
dental public health, endodontics, oral and Maxillofacial a previous study also revealed that about three quarters pathology, oral and Maxillofacial Radiology, oral and Maxillofacial Surgery, oral Medicine, orthodontics, perio- of physicians in ilorin, nigeria, had attended to patients with oral diseases in their practice .
dontics, pediatric dentistry and prosthodontics.
in nigeria, accessibility to dental practice is poorer Corresponding author — dr clement chinedu azodo than medical practice because dentists are fewer in numdepartment of periodontics, new dental complex, university of benin teaching hospital ber and the few available dental practices are unevenly address: p.M.b. 1111 ugbowo, benin city, edo State, nigeria 300001.
distributed. this limited access to dentist, ignorance and phone: +2348034051699.
email: firstname.lastname@example.org shortage of oral healthcare facility and manpower make Саратовский научно-медицинский журнал. 2010. том 6. № 1.
StOMAtOLOgY the presentation of orofacial conditions to Medical doc- included hospital emergency room setting and other tors in the accident and emergency department and gen- medical settings where approximately 2.7% and 7.0% of eral medical practice common . the fear of the dentist them received care respectively . data from developed is also a reason why some patients visit the physicians countries also recorded the prevalence of dental probrather than a dentist for orofacial problems. lems documented in emergency departments and general in developed parts of the world where dental aware- medical practice in united kingdom and united States of ness is better, patients with dental problems usually pres- america as 0.3% to 6.5% [3, 7, 8, 9, 10, 11].
ent first to the dentist. a survey in 2001 revealed that only the management of some dental conditions is mul3.1% of the uS population who experienced dental prob- tidisciplinary in nature. there are cases where a physilem reported outside of the traditional dental office which cian is expected to co-manage a patient with a dentist.
fig. 1. questionnaire used for the stud Saratov Journal of Medical Scientific Research. 2010. Vol. 6. № 1.
142 СтоматологиЯ Such patients may require medical management for a dental procedure or may have a medical condition that will increase the risk of dental disease . it is therefore surprising that dental problems and issues are not part of medicine and surgery undergraduate curriculum. it means most medical doctors will not receive any formal dental education prior to graduation.
doctors who trained in universities where dentists are also trained are expected to be aware of the scope of dentistry based on their interaction with their dental colleagues. this informal dental orientation may not be so significant as presently in nigeria, only 7 universities offer dentistry.
Since the dental awareness is still very poor in nigefig. 2. department of the respondents ria, it is expected that the Medical doctors will still come in contact with some dental cases first. it is therefore important that Medical doctors know the various areas of dentistry as proper referral to the various dental specialty will eliminate unnecessary delay in the management of the patients and consequently improve the care received at a reduced cost. the knowledge of the dental specialty in the tertiary health sector is expected to have a multiplier effect on the overall management of the patients.
training may therefore be necessary to correct such deficiencies. the first line of action towards achieving this is to have baseline information for proper formulation of the necessary material. the objective of this study is to assess Medical doctors’ knowledge of the various dental specialties and to determine if their past dental experience affects their level of knowledge.
Methods. a descriptive cross sectional survey of all fig. 3. knowledge of dental specialty among respondents the resident doctors in the university of benin teaching hospital was done using a pre-tested, self administered 23-item questionnaire. the questionnaire was divided into two sections; Section 1 was on demographic variable and history of previous dental treatment. Section elicited knowledge of the doctors on areas of dentistry where certain oral and dental conditions should be referred to using 21 questions (Figure 1). correct answers were scored 1 point while wrong answers or no response were scored zero. a score less than 8 points was rated poor knowledge, 8-15 points fair knowledge and points and above rated good knowledge. informed consent was obtained from all the 32 participants before the study. ethical approval was obtained from university of benin teaching hospital ethics committee. data analysis was done with SpSS version 15.0. the results were pre- fig. 4. percentage of correct response on referral dental specialty sented using pie charts and a bar chart Results. a total of 142 doctors responded to the tal specialties was not affected by the department, years questionnaire, giving a response rate of 71%. the feof experience and medical school of graduation.
male: male ratio was approximately 1:2.5. the desigquestion 11 was the most correctly answered by nations of respondents were Senior Registrar 21.8%, 83.1% of the respondents. the second most correctly Registrar 48.6% and Medical officers 29.6%. Majority of answered were question 12 and question 18 (78.9%).
the respondents (83.1%) attended universities training question 17 was the fourth most correctly answered dentists. the respondents were from internal Medicine (76.1%). question 4 was answered correctly by about 21.1%, Surgery 19%, paediatrics 15.5% family Medione-third (33.8%) of the respondents. question 13 was cine 11.3%, accident and emergency 5.6%, Radiology least correctly answered by 19.7% of the respondents 4.9%, ophthalmology 8.5%, pathology 5.6%, anaesthe(Figure 4). the questions are outlined questionnaire siology 5.6% and Mental health 2.8% (Figure 2). a total used for the study.
of 77 (54.2%) had received dental treatment as at the Discussion. this study revealed that that only a time of this study while 65(45.8%) had not had any densmall percentage of the Medical doctors have a good tal treatment. the mean knowledge score was 10.1±3.3.
knowledge of dental specialties. this may be because (Maximum score =21). only a small percentage (5.6%) dentistry is not part of the nigerian Medical school curhad a good knowledge (scored above 16), 79.6% had riculum. Majority of the respondents had a fair knowla fair knowledge (scored 8-15) and 14.8% had a very poor knowledge (scored less than 8) (Figure 3). doc- edge though and this may be due to the fact that some tor with history of previous dental treatment had better doctors may have received some education on the knowledge (p=0.03). the knowledge of the various den- management of dental conditions from revision courses, Саратовский научно-медицинский журнал. 2010. том 6. № 1.
StOMAtOLOgY journals, conferences, workshops and the internet. in the ings from this study could not be compared with other united kingdom, a survey revealed that only 11 of the studies since not much has been done in this area.
medical schools studied had oral pathology in their curConclusion. this study revealed that doctors’ knowlricula . it is therefore not surprising that serious defiedge of dental specialty in this study was deficient and ciencies in diagnostic awareness of oral diseases have need to be improved through seminars and other educabeen reported on medical students and doctors in the tional interventions. Standard written advice sheets for uk . in dentistry, an early diagnosis or a prompt and referral for common dental problems for patients would appropriate referral are important objectives as this will also be useful. this will ensure that the comprehensive improve outcome and reduce the morbidity of treatment care of dental patients which includes prompt and apin cases. it will also save the patient the agony of going propriate referral to dental specialist by doctors is at its back and forth the healthcare facility, ensure early return optimal level.
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