Ethical Considerations in Geriatric Dentistry

Smith, Carlos S.

doi:10.1007/978-3-030-85993-0_12

Cited by 2 publications

(2 citation statements)

References 47 publications

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“…Ethical decision making is a daily task for all oral health professionals 1 . How one views and understands their professional identity, role and responsibility is foundational to one's ability to make these daily, and increasingly complex decisions 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Ethical decision making is a daily task for all oral health professionals. 1 How one views and understands their professional identity, role and responsibility is foundational to one's ability to make these daily, and increasingly complex decisions. 2 Ethics and professionalism are core components of the curriculum in accredited dental programs and have been recognized by accrediting bodies in both the United States and Canada as integral to the development of competent dentists and dental hygienists.…”

Section: Introductionmentioning

confidence: 99%

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Professionalism and professional identity formation in dental students: Revisiting the professional role orientation inventory (PROI)

Smith

Stilianoudakis

Carrico

2022

Journal of Dental Education

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Objective Professionalism is a hallmark of health professions education. Professional identity formation is a growing field of exploration in medical education, and the dental literature is sparse on just how professional identity formation is developed and assessed within dental education. Methods The validated professional role orientation inventory (PROI) was administered to 2nd year dental students during a spring semester ethics course. The PROI includes four 10‐item scales representing four attitudinal factors: Authority, Responsibility, Agency, and Autonomy. Results When compared to a historical sample of dental students in the early 1990s, dental students today scored significantly higher on Responsibility (p = 0.0309) and lower on the Agency factor (p = 0.0001). Authority scores in the current sample of dental students were significantly associated with age and race, with an increase in age associated with a decrease in Authority (p = 0.0504) and Caucasian respondents demonstrating significantly higher scores than Asian or Other races. Debt was associated with differences in Autonomy (p = 0.0683) and Agency (p = 0.0106), with those in the 100k–300k anticipated debt range demonstrating lower levels of both Autonomy and Agency. Race was marginally associated with Responsibility with those in the Other race category (Hispanic, Black/African American, Other/Multiracial) demonstrating higher levels than Caucasian (p = 0.0513). Conclusion Dental students' scores denote a continued commitment to others yet a feeling of less sense of control as a practicing professional. A redefining of professionalism to include social activism and advancing health equity is required given their altruism and commitment to others, which remains high.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Professionalism and professional identity formation in dental students: Revisiting the professional role orientation inventory (PROI)

Smith

Stilianoudakis

Carrico

2022

Journal of Dental Education

Self Cite

View full text Add to dashboard Cite

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Applying a systems oriented ethical decision making framework to mitigating social and structural determinants of health

Smith

2023

Front. Oral. Health

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ObjectivesClinical ethical decision-making models are largely geared toward individual clinician choices and individual patient outcomes, not necessarily accounting for larger systemic issues that affect optimal patient outcomes. The purpose of this paper is to provide an ethical decision-making model, drawing upon systems orientation and ethical theory, specifically incorporating and aiding in the mitigation of social and structural determinants of health.MethodsThis paper presents a systems-oriented ethical decision-making framework derived from the analysis and critique of the Four-Box Method for Ethical Decision-Making by Jonsen, Siegler, and Winslade. Drawing upon both deontological and utilitarian ethical theory, the developed framework will assist providers, organizations, and health system leaders in navigating the increasingly complex ethical dimensions of care delivery for underserved patient populations, who are largely impacted by social and structural determinants of health.ResultsThe needs of underserved patients are inextricably linked to various social and structural determinants of health that, if left unaddressed, result in even poorer health outcomes, exacerbating existing health disparities. A systems-oriented ethical decision-making framework, centered on obligation, duty, and a utilitarian view of the optimal good, will aid providers, organizations, health system leaders, and community stakeholders in navigating the increasingly complex ethical dimensions of care delivery for underserved patient populations.ConclusionSocioeconomic and political contexts have a significant impact on the way society is organized, how people are positioned in society, and how they will fare in terms of their health. Healthcare providers, including dentists, are largely unaware of and insensitive to the social issues that underlie the biological or psychological concerns that patients from socially disadvantaged backgrounds face. A systems-oriented ethical decision-making model will aid in mitigating social and structural determinants of health and the dental profession's obligations to the underserved.

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Ethical Considerations in Geriatric Dentistry

Cited by 2 publications

References 47 publications

Professionalism and professional identity formation in dental students: Revisiting the professional role orientation inventory (PROI)

Professionalism and professional identity formation in dental students: Revisiting the professional role orientation inventory (PROI)

Applying a systems oriented ethical decision making framework to mitigating social and structural determinants of health

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