Patients’ views on dentists’ ability to manage medical crises – results of focus group research

Vaughan, Matthew; Mahoney, Greg; Sholapurkar, Amar; Ray, Robin

doi:10.1111/adj.12717

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…Furthermore, with an increased burden of diseases that come from non-communicable, or chronic disease such as cardiovascular disorders and stroke, dental professionals can anticipate a greater proportion of medically compromised patients in their practice [ 13 ]. In addition, the public expects dentists to understand their medical conditions and handle acute medical emergencies in the dental setting [ 35 ]. Thus, it is imperative that a dental professional has sufficient knowledge to manage these patients and be adequately prepared to handle medical emergencies.…”

Section: Discussionmentioning

confidence: 99%

Cross sectional study on the competence and confidence of dental students and graduates in the management of medically compromised patients and acute medical emergencies

2023

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A rapidly aging population means many people have multiple health issues leading to an increased risk of acute medical emergencies. The objective of this study was to evaluate how essential experiential learning is in developing dental graduates’ ability to manage medically compromised patients. Three hundred and twenty-seven students and graduates were invited to participate in an online survey to rate their confidence in managing medically compromised patients and acute medical emergencies using a 5-point Likert scale. Competence of knowledge was evaluated using 30 multiple choice questions (MCQs) across six domains. The respondents were also asked whether a theory-only training adequately prepared them to manage medically compromised patients, or whether it must be supplemented with clinical training. Two-hundred and sixty-four responses were collected from 75 undergraduates (UG), 96 junior dental officers (JDO) and 93 senior dental officers (SDO). The UG reported that they infrequently managed medically compromised patients, whereas both the JDO and SDO reported having frequent encounters with these patients. The mean confidence scale in the management of medically compromised patients were 2.62, 3.50 and 3.69 (out of 5), respectively. In contrast, their confidence scale in the management of acute medical emergencies was 2.05, 2.33 and 2.50 (out of 5), respectively. The MCQ scores were 25.51, 26.44 and 26.86 out of 30, respectively. The outcomes of the JDO and SDO were significantly better than the UG (t-tests, p<0.05). All three groups responded that a theory-only training in dental school did not adequately prepare them to manage medically compromised patients. Both the JDO and SDO felt that their clinical work experience better prepared them to manage these patients. Experiential learning from “real-life” clinical experience is an essential component in developing graduates’ confidence and competence in the management of medically compromised patients. A dental curriculum with theory-only training in this aspect is inadequate.

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Section: Discussionmentioning

confidence: 99%

Cross sectional study on the competence and confidence of dental students and graduates in the management of medically compromised patients and acute medical emergencies

2023

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“…It is therefore not unreasonable to expect the need for oral surgery services for increasingly frail and medically complex patients to grow, along with the challenges of providing safe and timely care. Students must be prepared as clinicians to navigate complex medical care plans involving multiple therapies drawn up by often disparate healthcare providers, and meet patient expectations that their treating practitioners will be able to manage medical emergencies in the dental setting competently (Vaughan et al, 2019 ; Watt & Serban, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…T A B L E 2 Top 10 drug classes by anatomical/physiological system (n = 440). that their treating practitioners will be able to manage medical emergencies in the dental setting competently (Vaughan et al, 2019;Watt & Serban, 2020).…”

Section: Multimorbiditymentioning

confidence: 99%

Medical profile of patients referred to an Australian postgraduate oral surgery clinic

Ngu,

Arora,

Reher

2023

Clinical & Exp Dental Res

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Background and ObjectivesThorough knowledge of a patient's medical history and medications is necessary for providing safe oral surgery care, and may be considered a form of risk management. This study investigated the prevalence of medical conditions and medication types in patients referred to an Australian postgraduate oral surgery clinic over 2 years.Materials and MethodsA retrospective cross‐sectional study of the clinical records of 233 randomized patients referred to the Griffith University (Queensland, Australia) postgraduate oral surgery clinic in 2018 and 2019 was performed. Medical conditions and medications were counted and categorized, and descriptive statistics were generated.ResultsIn all, 133 patients (57%) had at least one medical condition. 58% of them (77) had two or more categories of medical conditions, representing nearly a third (33.0%) of all sampled patients. The most prevalent category of medical conditions was psychiatric (25.3%), followed closely by cardiovascular (24.5%) diseases. Cardiovascular medications were the most prevalent, comprising 23.6% of all medications recorded, followed by psychotropics (18.3%).ConclusionOver half of patients referred to the postgraduate oral surgery clinic had at least one systemic medical condition. Nearly a third of patients referred had at least two distinct systemic medical conditions. With an ageing population and the accompanying rise in multimorbidity globally, dental school curricula must adapt to prepare students to meet these challenges in their careers.

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Medical emergencies teaching in dentistry undergraduate courses in southeastern Brazil

et al. 2020

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Aim: The aim of this study is to offer an overview of the MedicalEmergencies (ME) discipline offer in Dentistry graduations insoutheastern Brazil and to observe the curricular characteristicsof the discipline when present. Methods: This cross-sectionaldocumentary study analyzed the available curricular frameworksin the official websites of Higher Education Institutions (HEI)in southeastern Brazil registered on the Ministry of Education’se-MEC website. The data were analyzed and tabulated using theGraphPad Prism 8.1.2 software, being described by absolute andrelative frequencies. Fisher’s exact test was used to compare theproportions between public and private institutions. Results:Of the 176 courses in the Southeast, 144 were included in thestudy for providing access to the curriculum, 19 (13.19%) werepublic and 125 (86.81%) were private. Only 27 (18.75%) of the HEIpresent the discipline of ME, with a greater tendency of supply inprivate HEIs (20.80%) when compared to public HEIs (5.26%),but this difference was not statistically significant (p> 0.05).As a positive aspect, the discipline is predominantly mandatory(88.88%), and the with regard to the teaching methodology ispredominantly theoretical (68.18%). The average workload is50.14 hours (SD=19.54). Conclusions: In only 18.75% of thedental institutions in Southeast Brazil, ME discipline were offered.When offered, the discipline is predominantly theoretical andmandatory. This study raises an important discussion regardingthe need to include specific and mandatory subjects on ME inthe dentistry curricula in Brazil and reflects the need to updateand standardize the national curricular guidelines for dentistry.

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Patients’ views on dentists’ ability to manage medical crises – results of focus group research

Abstract: and Ray, Robin A. (2019) Patients' views on dentists' ability to manage medical crises-results of focus group research. Australian Dental Journal, 64 (4) pp. 338-345.

Cited by 3 publications

References 19 publications

Cross sectional study on the competence and confidence of dental students and graduates in the management of medically compromised patients and acute medical emergencies

Cross sectional study on the competence and confidence of dental students and graduates in the management of medically compromised patients and acute medical emergencies

Medical profile of patients referred to an Australian postgraduate oral surgery clinic

Medical emergencies teaching in dentistry undergraduate courses in southeastern Brazil

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