Purpose: This study aimed to survey current 3rd and 4th year dental students, academic deans, and department chairs within U.S. dental schools to analyze the level of understanding; education; guidelines; and overall awareness regarding antibiotic use within dentistry and antimicrobial resistance. Methods: A 25-question survey intended for 3rd and 4th year dental students and a 20-question survey intended for academic deans and various department chairs of U.S dental schools were each developed utilizing REDCap. The survey invitations were sent via e-mail to the current academic dean of each U.S. dental school for distribution. Results: There were a total of 18 respondents from the academic dean and department chair survey and 172 student respondents. Overall, 71% of students reported that they could benefit from more education regarding antibiotics. The majority of both groups agreed that dentistry should play an important role in reducing antimicrobial resistance, but most dental students were ‘not at all familiar’ with the term antimicrobial stewardship and several were unsure if clinical guidelines were present at their schools. Conclusion: Improvements to the dental educational curriculum regarding the responsible use of antibiotics, along with the implementation of stewardship programs within dentistry are strongly encouraged.

Syftet med denna studie var att jämföra tandläkarstudenters reella resultat på en Objective Structured Clinical Examination (OSCE) med deras egenskattade resultat. Dessa resultat jämfördes sedan med avseende på genus. Ett flertal studier finns publicerade där man har beskrivit skillnader i självvärdering mellan kvinnor och män på teoretiska examinationer. Dock saknas kunskap där man granskar dessa skillnader vid examination av kliniska moment. Vid teoretiska prov har man funnit att män har en tendens att värdera sina prestationer högre än vad kvinnor gör. Om dessa skillnader i självvärdering beror på överskattning hos män, underskattning hos kvinnor, en kombination av båda eller att värderingen faktiskt överensstämmer med de verkliga resultaten varierar mellan olika studiers resultat. Samtliga elever (35 kvinnor och 16 män) på sjätte termin på Odontologiska fakulteten på Malmö högskola examinerades med en OSCE bestående av 13 stationer. Studenternas reella resultat på OSCE jämfördes med deras självvärdering för varje station. Kvinnliga och manliga studenters bedömningar jämfördes. På de flesta av de 13 stationerna förekom inga signifikanta skillnader i över- och underskattning mellan kvinnor och män. Män hade svårare än kvinnor att korrekt värdera sin prestation gällande avtryckstagning med alginat. Dessa missbedömningar berodde främst på överskattning. Ingen tendens till att kvinnor underskattade sin prestation i större utsträckning än män kunde konstateras. Till skillnad från studier där man undersöker genusskillnader i självvärdering vid teoretiska examinationer fann man i denna studie inga signifikanta skillnader i över- och underskattning mellan könen. / The objective of this study was to compare dental student’s results at an Objective Structured Clinical Examination (OSCE) with their self-assessed results. These results were compared depending on gender. There are several studies published comparing gender differences in self-assessment in theoretical written exams. However there is a lack of knowledge regarding clinical examinations. At theoretical examinations it has been found that men tend to over-estimate their performance more frequently than women do. Whether these differences in self-assessment exist because men tend to over-estimate themselves, women tend to under-estimate themselves, a combination of both or the self-assessment is consistent with the result at the examination vary between different studies. All students (35 women, 16 men) at the Faculty of Odontology, Malmö University (sixth semester) were examined with an OSCE with 13 stations. The student’s real results at OSCE were compared with their self-assessed results at each station. The assessments were compared regarding gender. At most of the 13 stations there were no significant differences in over- and under-estimation regarding women and men. It was more difficult for men to assess their performance regarding impression with alginate, this difference was statistically significant. These misjudgments were mainly caused by over-estimation. There were no results indicating that women under-estimate their performance at greater extent than men. As opposed to studies where gender differences concerning self-assessment in theoretical examinations are studied, there were no significant differences in over- and under-estimation between genders in clinical examination evaluated in the present study.

Bakgrund: Tandhygienistprofessionen har en betydande roll i svenska tandvården och arbetar främst förebyggande och hälsofrämjande. Tandläkarens och tandhygienistens arbetsområden kompletterar varandra, vilket gör att samarbetet är av stor vikt för en patientsäker vård. Syftet: Att studera vilken kunskap tandläkarstudenter i termin tio har avseende tandhygienistens kompetens. Metod: Studien var en kvantitativ tvärsnittsstudie med enkät som mätinstrument. Urvalet bestod av tandläkarstudenter (termin 10) från Malmö- och Göteborgs universitet som erbjuder två- respektive treårig tandhygienistutbildning. Materialet bearbetades i SPSS. Variablerna analyserades genom deskriptiv statistik samt utfördes jämförelser mellan lärosätena genom Chi2-tester. Resultatet baserades på 51 deltagare från Malmö och 26 från Göteborg. Statistisk signifikanta skillnader fanns avseende frågorna om att diagnostisera pericoronit, arbeta med beteendeförändringar, avlägsna suturer, arbeta med bettfysiologiska patienter, utföra avtryckstagning och inneha röntgenutrustning. Totalt var det 39 deltagare i Malmö och 18 i Göteborg som ansåg att de inte har tillräcklig kunskap om tandhygienisters kompetensområden. Samband mellan studenternas kunskap och tandhygienisternas utbildningslängd på respektive lärosäte kan dock inte påvisas. Slutsats: Det finns kunskap hos tandläkarstudenterna om tandhygienistens kompetens, men med viss variation. Skillnader i kunskap om tandhygienisters kompetens finns mellan lärosätena. Majoriteten av deltagarna ansåg att tandläkarutbildningen inte gett tillräcklig kunskap om tandhygienistens kompetensområden. / Background: Dental hygienist profession plays a significant role in Swedish dentistry and works primarily with prevention/health promotion. Dentists and dental hygienist's professions complete each other, which makes co-operation necessary to obtain a safe care for the patient. The aim was to study dental students (semester 10) knowledge regarding dental hygienists competence. Method: A cross-sectional study with questionnaire as measuring instrument was performed. The sample consisted of dentistry students from Malmo- and Gothenburg’s University, with two respective three years of dental hygienist education. Variables were analyzed by descriptive statistics. Comparisons between institutions, through Chi2-test were performed in SPSS. The result was based on 51 (Malmo) respective 26 (Gothenburg) participants. Statistically significant differences occurred regarding questions of diagnosing pericoronitis, behavioral changes, removing sutures, working with temporomandibular disorders, bite-impressions and responsibility of radiographic equipment. Malmo had 39 participants and Gothenburg 18 that reported they had not received enough knowledge. The relationship between the students knowledge and dental hygienists’ length of education cannot be established. Conclusion: There is a knowledge about dental hygienist’s competence, but with some variation. Differences in knowledge exists between the institutions. The majority of participants felt that the education did not give them sufficient knowledge about the dental hygienist's competence.

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