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A Study on Changes in the Stress and Adaptability of Clinical Practice at Dental Technology Department

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KMID : 0647820010240010115
³ªÁ¤¼÷ ( Na Jung-Sook ) - ÁøÁÖº¸°Ç´ëÇÐ Ä¡±â°ø°ú

Abstract

This paper is aimed at figuring out the training-related adaptability and changes of students by comparing the current situation of clinical practice in a period ranging from 1998 to 2000 and by making use of an examination table modified and supplemented in the year 2000, and at inquiring into the degree of stress on the basis of several items. This study is particularly interested in having a proper understanding of changes brought out by competition by comparing a competitive situation where the participant is engaged in dental practice all alone with a situation devoid of such competition.
I have come up with the following findings.
1. the research shows that trainees were usually posted at more than two units when taking part in clinical practice in the year 2000, and that Crown had the most considerable practice (89.7%), which was followed by Porcelain (66.7%), Partial (64.1%), Full Denture (59.0%), Orthodontias (25.6%), and others (15.4%). In view of the last three years¡¯ changes, a more substantial amount of practice turns out to be carried out in such areas as pinning, mounting, sand blaster, full denture, and model trimming in comparison with the amount of practice two years ago. Such things as margin trimming and resin jacket crown show a little increase in practice. However, such areas as partial denture, crown, porcelain, and casting (P<.001) tend to be lower than the year 1999.
2. The evaluation of clinical practice runs as follows : the subjects turn out to have difficulty in being adapted in the beginning of practice (average : 2.74¡¾1.22), they prove to make a medium effort during their training (average : 3.33¡¾1.00), they have substantial difficulties in applying theories to clinical practice (average : 2.72¡¾.68), the participants turn out not to be very satisfied with clinical training after practice (average : 3.44¡¾.93), the instructors turn out to evaluate the trainees in a good way (average : 3.77¡¾1.03). Their instructing level turns out to be decent (average : 3.77¡¾.90). The abilities of the trainees turn out to be improved on a medium basis (average : 3.36¡¾.74), and they respond that their abilities are a little insufficient (average : 3.03¡¾.77). The research indicates that the participants respond that their abilities are substantially enhanced by three years¡¯ clinical practice (Paired t=-4.528, P<.001). The year 1999 saw the lowest initial satisfaction (F=6.093, P<.01), which was lower than the medium level of both 1998 and 2000, but higher than the level of 1999. Yet, they turn out to be quite satisfied with no difference by year.
3. The subjects turn out to be exposed to the highest stress caused by job environment and treatment : stress caused by clinical practice (average : 3.03¡¾.52), physical and mental stress (average 2.54¡¾.79), job environment and treatment (average : 3.60¡¾.72), practice and adaptability (average : 2.71¡¾.73), and general affairs and evaluation (average 3.29¡¾.78). The stress caused by job environment and treatment turns out to be followed by a stress caused by general affairs and evaluation, a stress by practice and adaptability and other physical and mental stresses (table 6). The survey shows that the more adaptable the participants are (P<.05), the more instruction the trainers give (P<.01), the more insufficient the participants feel in view of their powers (P<.01), the higher stress the subjects are exposed to.
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