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.

Graduate students

Post graduate

Graduate Education

10.5466/ijoms.15.40

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20) Bibliography of Anesthesiology (6th Report) : On "Dental Materia Medica"

日本歯科医史学会会誌 (1992)

Hajime Ishibashi Koh Shibutani Yohichiro Koike M Yatsu

Materia medica

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A Case of Difficult Mask Ventilation and Intubation due to Giant Nasal Tip Tumor

THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA (2004)

Michiharu Shimosaka Manabu Hashimoto Akira Kouchi Koh Shibutani

巨大鼻尖部腫瘍のため麻酔導入時のマスク換気および挿管困難が予測された症例の全身麻酔を経験した. 70歳, 男性. 身長170cm, 体重50kg. 腎癌の鼻尖部転移に対し, 全身麻酔下鼻尖部腫瘍摘出術が予定された. 9.6×7.2×8.0cmの巨大腫瘍のため, マスク換気, 挿管困難が予測された. プロポフォール, フェンタニルを用いて鎮静を行い, 挿管用ラリンジアルマスクを挿入し, 換気が可能なことを確認した後, 気管支ファイバーガイド下に気管挿管を行った. 挿管操作時の腫瘍への接触を防止するため, 挿管用ラリンジアルマスクのハンドルの角度を調整した. 麻酔維持は酸素, 亜酸化窒素, プロポフォールで行い, 手術・麻酔は問題なく終了した.

Nasotracheal intubation

10.2199/jjsca.24.604

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27) On the Popular Pathology

日本歯科医史学会会誌 (1995)

Yasuko Mukai Hidenori Yamaguchi Koh Shibutani Mitsuo Yatsu

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歯科医史学(歯科医学史)教育カリキュラム・プランニングの試み

日本歯科医史学会会誌 (2010)