Interprofessional enhanced skills training in periodontology: a qualitative study of one London pilot

Radcliffe, Eloise; Ghotane, S. G.; Harrison, Victoria; Gallagher, Jennifer E.

doi:10.1038/bdjopen.2017.1

Cited by 7 publications

(3 citation statements)

References 33 publications

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“…This results in an ongoing evolution of the roles and capacities of oral health therapists within the intraprofessional team across public and private settings. 6 Previous studies [24][25][26][27] have shown that unfounded preconceptions about each other's roles within the dental team would result in ineffective interprofessional collaboration and job dissatisfaction. During this intraprofessional pediatric clinical practice study, dental students gained considerable understanding of the scope of practice of oral health students through the time spent observing each other performing dental examinations, formulating diagnoses and subsequent treatment plans, as well as providing treatment for pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

Intraprofessional learning: Dentistry and oral health students’ readiness and experience

Wong,

Irving,

Forsyth

et al. 2023

Journal of Dental Education

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IntroductionIntraprofessional learning is a promising approach to enhance teamwork and patient care. This mixed‐method study aimed to assess the readiness and experience of dental and oral health students toward intraprofessional learning.MethodsDental and oral health students were paired alternatively in a clinician and assistant role in a pediatric clinical setting. The Readiness for Interprofessional Learning Scale was adapted for a pre‐ and post‐survey. Focus groups were conducted to elicit the students’ shared learning experience.ResultsApproximately 50% of dental and oral health students participated in the pre‐ and post‐survey. Pre‐test findings revealed similar attitudes toward intraprofessional practice for both groups. However, a statistically significant lower score (p < 0.022) for the oral health students in the post‐test suggested a less positive attitude toward their experience. Qualitative results indicated that dental students acquired a better understanding of the clinical scope of oral health students, and they learned clinical skills and behavior management from their counterparts. Conversely, oral health students experienced a hierarchical lack of collegiality and reciprocity from dental students, which may have contributed to their lower post‐test score. Despite this, some oral health students gained more confidence in their roles and abilities within the intraprofessional team. Overall, dental students valued this learning experience more and desired more intraprofessional opportunities.ConclusionBoth groups of dental and oral health students had similar readiness levels to enter intraprofessional practice, appreciated the intraprofessional experience, and gained an increased appreciation for the collaborative approach to patient care. Intraprofessional learning during training may assist with developing collegiality across the dental professions in practice.

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Section: Discussionmentioning

confidence: 99%

Intraprofessional learning: Dentistry and oral health students’ readiness and experience

Wong,

Irving,

Forsyth

et al. 2023

Journal of Dental Education

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“…Furthermore, an important dimension in qualitative data analysis is ‘reflexivity’ to maintain an ‘empathic neutrality’ in analysing data. 77 The researchers in this study were trained dental professionals having experience of conducting qualitative research; 58,59,97,98 however, they had no collaborative work in Sierra Leone prior to this study which helped to maintain a neutral point of view in analysing the data.…”

Section: Discussionmentioning

confidence: 99%

Fortitude and resilience in service of the population: a case study of dental professionals striving for health in Sierra Leone

2019

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Objective Sierra Leone (SL), with a population of over 7 million people, has a critical health workforce shortage. This research explores the views of key players on population oral health needs and demands, the challenges of oral and dental care delivery, and professional careers in dentistry, in order to inform future capacity building. Materials and methods Semi-structured interviews were conducted with a purposive sample of key players in dentistry and healthcare, both in-country and externally. An interpretive phenomenological approach was used in exploring views of key-players on the oral needs and demands of population, challenges in the delivery of oral and dental care, professional careers of dental professionals in SL, and future workforce capacity building based on a topic guide drawn from the available literature. Interviews were audio-recorded, transcribed verbatim, anonymised and analysed using QSR NVivo 10 for data management and reported in accordance to the consolidated criteria for reporting qualitative research. Results Twenty-one informants, of whom 18 were male, 17 were in-country and 16 were dental professionals, participated in the research. Dental professionals reported clear consensus on a considerable level of unmet oral health needs, most notably dental caries and periodontal disease, together with life threatening oral conditions such as osteomyelitis, Ludwig’s Angina and Burkitt’s Lymphoma. Challenges associated with the delivery of dental care revolved around five themes: patients’ predisposition for traditional remedies and urgent care; practical hindrances to the delivery of care; professional isolation and weak governance; and place with pressing local crises and lack of political will. An emerging typology of dental professionals included: demonstrating loyalty to their nation and family; exhibiting resilience in challenging circumstances; embracing opportunity most notably amongst expatriates; and striving to serve the needs of the population. There was support for innovative future capacity building developments. Conclusion This paper provides important insights to the delivery of dental care in a low-income country with significant oral health needs and multiple challenges in the delivery of dental care, whilst also providing a vision for developing, building and retaining future human resources for oral health.

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“…17 Studies of DES in restorative specialties report positive experiences from those that take part, with investments in suitable training and support, but some expressed concerns with the financial rewards of delivering more complex patient care within the constraints of a primary care-based government-funded system. 18,19,20,21 It should also be recognised that implementation of an MCN in oral medicine also requires an appropriate specialist service at the centre, and reinforces the need to have specialists in oral medicine located outside of the relatively few dental hospitals in the UK, and co-located with OMFS colleagues in district general hospitals with an appropriate geographic spread. The planning of such a service in West Yorkshire was described in 2017 but has yet to be implemented some five years later, perhaps highlighting the ongoing difficulties of trying to establish oral medicine specialist service provision outside of a dental hospital setting.…”

Section: Managed Clinical Networkmentioning

confidence: 99%

Oral medicine in regional oral and maxillofacial surgery units: a five-year review

2023

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Introduction This study looks at the amount of oral medicine activity in oral and maxillofacial surgery (OMFS) units in both South East Wales and South West England, and to consider the development of training programmes in oral medicine and OMFS, to determine how to best deliver a service which would benefit patients with oral medicine diagnoses.Materials and methods Following institutional approvals, local OMFS units in South East Wales and South West England collected data from OMFS outpatient clinics to determine what proportion of patient diagnoses fell within the scope of practice of oral medicine.Results In South East Wales in 2017, patients with oral medicine diagnoses formed 45% of total outpatient activity in OMFS outpatient clinics compared to 37% of patients in the South West of England in 2021. Patients with oral medicine diagnoses were predominantly female and in the older age groups.Discussion and conclusions Changing age demographics suggest that the demand for specialist oral medicine services will continue to rise. Outside of the university dental hospital setting, where all UK oral medicine units are currently located, there is a growing need for specialists in oral medicine to work alongside colleagues in OMFS in district general hospitals to provide specialist oral medicine care to an increasingly large and complex patient group, ideally as part of a managed clinical network.

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Interprofessional enhanced skills training in periodontology: a qualitative study of one London pilot

Cited by 7 publications

References 33 publications

Intraprofessional learning: Dentistry and oral health students’ readiness and experience

Intraprofessional learning: Dentistry and oral health students’ readiness and experience

Fortitude and resilience in service of the population: a case study of dental professionals striving for health in Sierra Leone

Oral medicine in regional oral and maxillofacial surgery units: a five-year review

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