Evaluation of Microscope Training during the Covid-19 Pandemic
Purpose: Since 2018, the Asahi University School of Dentistry has been holding hands-on training using a microscope (“microscopy training”) for fifth-year students undergoing clinical training at the Department of Endodontics. The introduction of group learning into microscopy training has enabled s...
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Published in | The Japanese Journal of Conservative Dentistry Vol. 65; no. 1; pp. 56 - 63 |
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Main Authors | , , , , , , , , , , , , |
Format | Journal Article |
Language | Japanese |
Published |
The Japanese Society of Conservative Dentistry
28.02.2022
特定非営利活動法人 日本歯科保存学会 |
Subjects | |
Online Access | Get full text |
ISSN | 0387-2343 2188-0808 |
DOI | 10.11471/shikahozon.65.56 |
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Abstract | Purpose: Since 2018, the Asahi University School of Dentistry has been holding hands-on training using a microscope (“microscopy training”) for fifth-year students undergoing clinical training at the Department of Endodontics. The introduction of group learning into microscopy training has enabled students to focus as smoothly as instructors. However, the Covid-19 pandemic that began in 2020 resulted in a number of unavoidable lifestyle changes. In the university educational setting, countermeasures had to be introduced to enable lectures to be held for large audiences and to hold practical sessions, and microscopy training for clinical training was no exception. In 2020, the previous group learning format of microscopy training was replaced by individual practical learning at a time specified by the instructor. We compared the effect of this change in method on learning and report the results here. Method: Microscopy training was provided to 42 students who applied to participate. Handouts summarizing the structure and the method of using the microscope were distributed 1 week before the training, and advance study was encouraged. At the beginning of the training session, the time taken to focus at maximum magnification on the orifice of the palatal root canal of a maxillary left first premolar fitted to a model jawbone was measured. The participants then engaged in individual learning with the microscope while referring to the handouts. Next, the instructor provided feedback and performed a demonstration, after which further time was allotted for individual learning. The focus adjustment time was re-measured at the end of the training session, and statistical analysis was conducted using a Mann-Whitney U test with p<0.05 regarded as significant. Results and Discussion: There was no significant difference in the time required to focus at the beginning of the training session between the 2020 and 2019 students, which involved group learning. However, the focus adjustment time at the end of the individual learning in 2020 was significantly longer than that of the group learning implemented in 2019. Although the results of this study did show a significant difference in focus adjustment time, we do not conclude that individual study is inferior. Instead, the results appear to suggest that the effectiveness of individual study is not maximized when it simply replaces group learning, and that further creative adjustments to learning methods are required to fit the context. |
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AbstractList | Purpose: Since 2018, the Asahi University School of Dentistry has been holding hands-on training using a microscope (“microscopy training”) for fifth-year students undergoing clinical training at the Department of Endodontics. The introduction of group learning into microscopy training has enabled students to focus as smoothly as instructors. However, the Covid-19 pandemic that began in 2020 resulted in a number of unavoidable lifestyle changes. In the university educational setting, countermeasures had to be introduced to enable lectures to be held for large audiences and to hold practical sessions, and microscopy training for clinical training was no exception. In 2020, the previous group learning format of microscopy training was replaced by individual practical learning at a time specified by the instructor. We compared the effect of this change in method on learning and report the results here. Method: Microscopy training was provided to 42 students who applied to participate. Handouts summarizing the structure and the method of using the microscope were distributed 1 week before the training, and advance study was encouraged. At the beginning of the training session, the time taken to focus at maximum magnification on the orifice of the palatal root canal of a maxillary left first premolar fitted to a model jawbone was measured. The participants then engaged in individual learning with the microscope while referring to the handouts. Next, the instructor provided feedback and performed a demonstration, after which further time was allotted for individual learning. The focus adjustment time was re-measured at the end of the training session, and statistical analysis was conducted using a Mann-Whitney U test with p<0.05 regarded as significant. Results and Discussion: There was no significant difference in the time required to focus at the beginning of the training session between the 2020 and 2019 students, which involved group learning. However, the focus adjustment time at the end of the individual learning in 2020 was significantly longer than that of the group learning implemented in 2019. Although the results of this study did show a significant difference in focus adjustment time, we do not conclude that individual study is inferior. Instead, the results appear to suggest that the effectiveness of individual study is not maximized when it simply replaces group learning, and that further creative adjustments to learning methods are required to fit the context. Purpose: Since 2018, the Asahi University School of Dentistry has been holding hands-on training using a microscope (“microscopy training”) for fifth-year students undergoing clinical training at the Department of Endodontics. The introduction of group learning into microscopy training has enabled students to focus as smoothly as instructors. However, the Covid-19 pandemic that began in 2020 resulted in a number of unavoidable lifestyle changes. In the university educational setting, countermeasures had to be introduced to enable lectures to be held for large audiences and to hold practical sessions, and microscopy training for clinical training was no exception. In 2020, the previous group learning format of microscopy training was replaced by individual practical learning at a time specified by the instructor. We compared the effect of this change in method on learning and report the results here. Method: Microscopy training was provided to 42 students who applied to participate. Handouts summarizing the structure and the method of using the microscope were distributed 1 week before the training, and advance study was encouraged. At the beginning of the training session, the time taken to focus at maximum magnification on the orifice of the palatal root canal of a maxillary left first premolar fitted to a model jawbone was measured. The participants then engaged in individual learning with the microscope while referring to the handouts. Next, the instructor provided feedback and performed a demonstration, after which further time was allotted for individual learning. The focus adjustment time was re-measured at the end of the training session, and statistical analysis was conducted using a Mann-Whitney U test with p<0.05 regarded as significant. Results and Discussion: There was no significant difference in the time required to focus at the beginning of the training session between the 2020 and 2019 students, which involved group learning. However, the focus adjustment time at the end of the individual learning in 2020 was significantly longer than that of the group learning implemented in 2019. Although the results of this study did show a significant difference in focus adjustment time, we do not conclude that individual study is inferior. Instead, the results appear to suggest that the effectiveness of individual study is not maximized when it simply replaces group learning, and that further creative adjustments to learning methods are required to fit the context. 目的:朝日大学歯学部では2018年度より保存科臨床実習中の5学年学生に対し,マイクロスコープを使用した体験実習(以下,マイクロ実習)を実施しており,マイクロ実習にグループ学修を導入したところ,インストラクター同等にスムーズに焦点を合わせることが可能となった. しかし,2020年にはCovid-19の世界的流行によりさまざまな生活様式の変化を余儀なくされた.大学教育の現場でも大人数での講義や実習運営において対応が求められ,これはマイクロ実習においても同様であった.そこで2020年度のマイクロ実習では,これまでのグループ学修に代わる対応として,インストラクターが指定した時間に個別で実習を行う形式に置き換えた.そこで本研究では,実習方法の変化による学修効果への影響について比較検討することを目的とした. 方法:マイクロ実習は,5学年学生の保存科臨床実習生の希望者42名に対して実施した.実習の1週前にマイクロスコープ使用に関する資料を配布し,事前学修を促した.実習開始時に,顎模型に装着した上顎左側第一小臼歯の模型歯の口蓋側根管口に最大倍率で焦点を合わせるまでの時間の計測を行った.その後,配布資料を再確認し,マイクロスコープを用いたセルフスタディを行った.次に,インストラクターによるフィードバックおよびデモンストレーションを実施し,再度セルフトレーニングを行う時間を設けた.実習終了時にも焦点調整時間を計測し,Mann-WhitneyのU検定を用いて有意水準5%(p<0.05)にて統計学的処理を実施した. 結果および考察:2020年度とグループ学修を取り入れた2019年度の実習開始時の焦点調整時間は,有意差を認めなかった.一方,2020年度のセルフトレーニング後の焦点調整時間は,2019年度のグループトレーニング後の焦点調整時間と比較して有意に長かった.個人学修ではインストラクターからの情報のインプットのみであるのに対して,グループ学修では学生間での活発なコミュニケーションにより,インプットとアウトプットの両者が存在し知識の定着に繋がったことや,学生間での操作方法の相互確認が可能であったことが影響したと考える.本研究の結果では焦点調整時間において差を認めたが,これは個人学修が劣ると結論づけるものではなく,グループ学修を単純に個人学修に置き換えるだけでは,個人学修での効果が最大限得られないことを示唆しており,新しい生活様式のなかで対応できる学修方法のさらなる創意工夫が必要と考える. |
Author | Shinpei, TAKEDA Chinami, SAKAI Kazuki, KIHO Satoshi, KAWANO Yuka, MIYAMOTO Daisuke, YOKOKAWA Tomoya, HASEGAWA Masatsugu, TOMITA Mamoru, WANI Hiroki, AKAHORI Yoshiaki, TAKITANI Motohiko, NAGAYAMA Masashi, TANAKA |
Author_FL | 河野 哲 永山 元彦 赤堀 裕樹 長谷川 智哉 冨田 昌嗣 武田 進平 宮本 侑果 木方 一貴 瀧谷 佳晃 田中 雅士 横川 大輔 和仁 護 堺 ちなみ |
Author_FL_xml | – sequence: 1 fullname: 木方 一貴 – sequence: 2 fullname: 田中 雅士 – sequence: 3 fullname: 宮本 侑果 – sequence: 4 fullname: 赤堀 裕樹 – sequence: 5 fullname: 横川 大輔 – sequence: 6 fullname: 堺 ちなみ – sequence: 7 fullname: 長谷川 智哉 – sequence: 8 fullname: 和仁 護 – sequence: 9 fullname: 冨田 昌嗣 – sequence: 10 fullname: 武田 進平 – sequence: 11 fullname: 瀧谷 佳晃 – sequence: 12 fullname: 永山 元彦 – sequence: 13 fullname: 河野 哲 |
Author_xml | – sequence: 1 fullname: Kazuki, KIHO organization: Department of Endodontics, Division of Oral Functional Science and Rehabilitation, Asahi University School of Dentistry – sequence: 1 fullname: Yoshiaki, TAKITANI organization: Department of Endodontics, Division of Oral Functional Science and Rehabilitation, Asahi University School of Dentistry – sequence: 1 fullname: Tomoya, HASEGAWA organization: Department of Endodontics, Division of Oral Functional Science and Rehabilitation, Asahi University School of Dentistry – sequence: 1 fullname: Chinami, SAKAI organization: Department of Endodontics, Division of Oral Functional Science and Rehabilitation, Asahi University School of Dentistry – sequence: 1 fullname: Satoshi, KAWANO organization: Department of Endodontics, Division of Oral Functional Science and Rehabilitation, Asahi University School of Dentistry – sequence: 1 fullname: Yuka, MIYAMOTO organization: Department of Oral Pathology, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry – sequence: 1 fullname: Mamoru, WANI organization: Department of Endodontics, Division of Oral Functional Science and Rehabilitation, Asahi University School of Dentistry – sequence: 1 fullname: Motohiko, NAGAYAMA organization: Department of Oral Pathology, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry – sequence: 1 fullname: Masatsugu, TOMITA organization: Department of Endodontics, Division of Oral Functional Science and Rehabilitation, Asahi University School of Dentistry – sequence: 1 fullname: Hiroki, AKAHORI organization: Department of Endodontics, Division of Oral Functional Science and Rehabilitation, Asahi University School of Dentistry – sequence: 1 fullname: Shinpei, TAKEDA organization: Department of Endodontics, Division of Oral Functional Science and Rehabilitation, Asahi University School of Dentistry – sequence: 1 fullname: Masashi, TANAKA organization: Department of Endodontics, Division of Oral Functional Science and Rehabilitation, Asahi University School of Dentistry – sequence: 1 fullname: Daisuke, YOKOKAWA organization: Department of Endodontics, Division of Oral Functional Science and Rehabilitation, Asahi University School of Dentistry |
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References | 8) Mamoun JS, Napoletano D. Cracked tooth diagnosis and treatment: An alternative paradigm. Eur J Dent 2015; 9: 293-303. 16) Suter B, Lussi A, Sequeira P. Probability of removing fractured instruments from root canals. Int Endod J 2005; 38: 112-123. 1) Kim S, Baek S. The microscope and endodontics. Dent Clin North Am 2004; 48: 11-18. 3) Low JF, Dom TNM, Baharin SA. Magnification in endodontics: A review of its application and acceptance among dental practitioners. Eur J Dent 2018; 12: 610-616. 20) 木方一貴, 田中雅士, 赤堀裕樹, 長谷川智哉, 瀧谷佳晃, 河野 哲. 臨床実習生に対する歯科用実体顕微鏡実習の教育実践報告―デモンストレーションおよびトレーニングの教育効果―. 日歯教誌 2020 ; 36 : 144-149. 24) 田中利典, 河野 哲, 海老原 新, 佐藤暢也, 田中弘顕, 西谷佳浩, 廣瀬和人, 松﨑英津子, 中田和彦, 北村知昭. 歯学教育機関における歯内療法に使用する器具・材料・薬剤の調査―2019年アンケート調査結果―. 日歯内療誌 2021 ; 42 : 31-40. 21) 木方一貴, 田中雅士, 赤堀裕樹, 長谷川智哉, 瀧谷佳晃, 河野 哲. 臨床実習生に対する歯科用実体顕微鏡実習の教育実践報告―eラーニングシステムとアクティブラーニングの活用―. 日歯教誌 2021 ; 37 : 102-108. 17) Kim S. Principles of endodontic microsurgery. Dent Clin North Am 1997; 41: 481-497. 9) 堺 ちなみ, 木方一貴, 田中雅士, 長谷川智哉, 堀 雅晴, 赤堀裕樹, 瀧谷佳晃, 吉田隆一, 河野 哲. 上顎小臼歯に3根管を認めた二症例. 日歯内療誌 2019 ; 40 : 37-42. 5) 古澤成博. 第22章 マイクロスコープを応用した歯内療法. 興地隆史, 石井信之, 小木曽文内. エンドドンティクス. 5版. 永末書店 ; 京都 : 2018. 230-235. 23) 山内由美, 石井信之, 小澤寿子, 笠原悦男, 辻本恭久, 中川寛一, 林 美加子, 歯内療法教育勉強会. 歯学教育機関における歯内療法に使用する器具・材料・薬剤の調査. 日歯保存誌 2010 ; 53 : 525-533. 25) 文部科学省. 歯学教育モデル・コア・カリキュラム 平成28年度改訂版. 2017. 12) Biswas M, Mazumdar D, Neyogi A. Non surgical perforation repair by mineral trioxide aggregate under dental operating microscope. J Conserv Dent 2011; 14: 83-85. 6) 河野 哲. 新歯内療法学サイドリーダー. 2版. 東京 : 学建書院 ; 2018. 128-130. 14) Suter B. A new method for retrieving silver points and separated instruments from root canals. J Endod 1998; 24: 446-448. 18) Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod 2006; 32: 601-623. 10) Al-Fouzan KS. The microscopic diagnosis and treatment of a mandibular second premolar with four canals. Int Endod J 2001; 34: 406-410. 22) 首相官邸. 3つの密を避けましょう. https://www.kantei.go.jp/jp/content/000061868.pdf (2021年11月10日アクセス 2) AAE Position Statement. Use of microscopes and other magnification techniques. AAE Special Committee to Develop a Microscope Position Paper. J Endod 2012; 38: 1153-1155. 4) 北村知昭, 鷲尾絢子. 第14章 歯科用実体顕微鏡を応用した歯内治療. 勝海一郎, 興地隆史, 石井信之, 中田和彦. 歯内治療学. 5版. 医歯薬出版 ; 東京 : 2018. 225-234. 19) Setzer FC, Shah SB, Kohli MR, Karabucak B, Kim S. Outcome of endodontic surgery: a meta-analysis of the literature―part 1: Comparison of traditional root-end surgery and endodontic microsurgery. J Endod 2010; 36: 1757-1765. 11) Karapinar-Kazandag M, Basrani BR, Friedman S. The operating microscope enhances detection and negotiation of accessory mesial canals in mandibular molars. J Endod 2010; 36: 1289-1294. 13) 堀 雅晴, 関根源太, 瀧谷佳晃, 森 春菜, 河野 哲, 吉田隆一. 根尖孔外へ突出した破折器具除去の1症例. 日歯内療誌 2010 ; 31 : 92-95. 15) Ward JR, Parashos P, Messer HH. Evaluation of an ultrasonic technique to remove fractured rotary nickel-titanium endodontic instruments from root canals: clinical cases. J Endod 2003; 29: 764-767. 7) Clark DJ, Sheets CG, Paquette JM. Definitive diagnosis of early enamel and dentin cracks based on microscopic evaluation. J Esthet Restor Dent 2003; 15: 391-401. |
References_xml | – reference: 11) Karapinar-Kazandag M, Basrani BR, Friedman S. The operating microscope enhances detection and negotiation of accessory mesial canals in mandibular molars. J Endod 2010; 36: 1289-1294. – reference: 10) Al-Fouzan KS. The microscopic diagnosis and treatment of a mandibular second premolar with four canals. Int Endod J 2001; 34: 406-410. – reference: 16) Suter B, Lussi A, Sequeira P. Probability of removing fractured instruments from root canals. Int Endod J 2005; 38: 112-123. – reference: 9) 堺 ちなみ, 木方一貴, 田中雅士, 長谷川智哉, 堀 雅晴, 赤堀裕樹, 瀧谷佳晃, 吉田隆一, 河野 哲. 上顎小臼歯に3根管を認めた二症例. 日歯内療誌 2019 ; 40 : 37-42. – reference: 21) 木方一貴, 田中雅士, 赤堀裕樹, 長谷川智哉, 瀧谷佳晃, 河野 哲. 臨床実習生に対する歯科用実体顕微鏡実習の教育実践報告―eラーニングシステムとアクティブラーニングの活用―. 日歯教誌 2021 ; 37 : 102-108. – reference: 5) 古澤成博. 第22章 マイクロスコープを応用した歯内療法. 興地隆史, 石井信之, 小木曽文内. エンドドンティクス. 5版. 永末書店 ; 京都 : 2018. 230-235. – reference: 7) Clark DJ, Sheets CG, Paquette JM. Definitive diagnosis of early enamel and dentin cracks based on microscopic evaluation. J Esthet Restor Dent 2003; 15: 391-401. – reference: 4) 北村知昭, 鷲尾絢子. 第14章 歯科用実体顕微鏡を応用した歯内治療. 勝海一郎, 興地隆史, 石井信之, 中田和彦. 歯内治療学. 5版. 医歯薬出版 ; 東京 : 2018. 225-234. – reference: 19) Setzer FC, Shah SB, Kohli MR, Karabucak B, Kim S. Outcome of endodontic surgery: a meta-analysis of the literature―part 1: Comparison of traditional root-end surgery and endodontic microsurgery. J Endod 2010; 36: 1757-1765. – reference: 14) Suter B. A new method for retrieving silver points and separated instruments from root canals. J Endod 1998; 24: 446-448. – reference: 18) Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod 2006; 32: 601-623. – reference: 24) 田中利典, 河野 哲, 海老原 新, 佐藤暢也, 田中弘顕, 西谷佳浩, 廣瀬和人, 松﨑英津子, 中田和彦, 北村知昭. 歯学教育機関における歯内療法に使用する器具・材料・薬剤の調査―2019年アンケート調査結果―. 日歯内療誌 2021 ; 42 : 31-40. – reference: 15) Ward JR, Parashos P, Messer HH. Evaluation of an ultrasonic technique to remove fractured rotary nickel-titanium endodontic instruments from root canals: clinical cases. J Endod 2003; 29: 764-767. – reference: 3) Low JF, Dom TNM, Baharin SA. Magnification in endodontics: A review of its application and acceptance among dental practitioners. Eur J Dent 2018; 12: 610-616. – reference: 23) 山内由美, 石井信之, 小澤寿子, 笠原悦男, 辻本恭久, 中川寛一, 林 美加子, 歯内療法教育勉強会. 歯学教育機関における歯内療法に使用する器具・材料・薬剤の調査. 日歯保存誌 2010 ; 53 : 525-533. – reference: 20) 木方一貴, 田中雅士, 赤堀裕樹, 長谷川智哉, 瀧谷佳晃, 河野 哲. 臨床実習生に対する歯科用実体顕微鏡実習の教育実践報告―デモンストレーションおよびトレーニングの教育効果―. 日歯教誌 2020 ; 36 : 144-149. – reference: 1) Kim S, Baek S. The microscope and endodontics. Dent Clin North Am 2004; 48: 11-18. – reference: 8) Mamoun JS, Napoletano D. Cracked tooth diagnosis and treatment: An alternative paradigm. Eur J Dent 2015; 9: 293-303. – reference: 12) Biswas M, Mazumdar D, Neyogi A. Non surgical perforation repair by mineral trioxide aggregate under dental operating microscope. J Conserv Dent 2011; 14: 83-85. – reference: 25) 文部科学省. 歯学教育モデル・コア・カリキュラム 平成28年度改訂版. 2017. – reference: 13) 堀 雅晴, 関根源太, 瀧谷佳晃, 森 春菜, 河野 哲, 吉田隆一. 根尖孔外へ突出した破折器具除去の1症例. 日歯内療誌 2010 ; 31 : 92-95. – reference: 22) 首相官邸. 3つの密を避けましょう. https://www.kantei.go.jp/jp/content/000061868.pdf (2021年11月10日アクセス) – reference: 2) AAE Position Statement. Use of microscopes and other magnification techniques. AAE Special Committee to Develop a Microscope Position Paper. J Endod 2012; 38: 1153-1155. – reference: 17) Kim S. Principles of endodontic microsurgery. Dent Clin North Am 1997; 41: 481-497. – reference: 6) 河野 哲. 新歯内療法学サイドリーダー. 2版. 東京 : 学建書院 ; 2018. 128-130. |
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SubjectTerms | Covid-19 microscope self-study マイクロスコープ 個人学修 新型コロナウイルス感染症 |
Title | Evaluation of Microscope Training during the Covid-19 Pandemic |
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