Core Competencies in Geriatric Dentistry Fellowship Programs: a Delphi Study

Hogue, Christie; Andrade, Allen D.; Ruiz, Jorge G.; Gibson, Gretchen

doi:10.1111/scd.12158

Cited by 8 publications

(6 citation statements)

References 29 publications

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“…However, Gerodontology is not currently a recognized specialty in Europe, Canada or in the USA and advanced training opportunities are limited worldwide. In 2016, a framework for core competencies in Geriatric Dentistry Fellowship programs in the USA was proposed, based on the high demand for educating both dental practitioners and academics in the country [35]. The development of a European postgraduate core curriculum in Gerodontology that will be the basis for the development of Gerodontology Specialty programs in European dental schools is necessary.…”

Section: Discussionmentioning

confidence: 99%

Higher education in Gerodontology in European Universities

Kossioni

McKenna²,

Müller

et al. 2017

BMC Oral Health

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BackgroundThe rapid aging of the European population and the subsequent increase in the oral care needs in older adults necessitates adequate training of dental professionals in Gerodontology (Geriatric Dentistry). This study was designed to investigate the current status of Gerodontology teaching amongst European dental schools at the undergraduate, postgraduate and continuing education levels.MethodsAn electronic questionnaire was developed by a panel of experts and emailed to the Deans or other contact persons of 216 dental schools across 39 European countries. The questionnaire recorded activity levels, contents and methodology of Gerodontology teaching as part of dental education programs. Repeated e-mail reminders and telephone calls were used to encourage non-responders to complete the questionnaire.ResultsA total of 123 responses from 29 countries were received (response rate: 56.9%). Gerodontology was taught in 86.2% of schools at the undergraduate level, in 30.9% at the postgraduate level and in 30.1% at the continuing education level. A total of 43.9% of the responding schools had a dedicated Gerodontology program director. Gerodontology was taught as an independent subject in 37.4% of the respondent schools. Medical problems in old age, salivary impairment and prosthodontic management were the most commonly covered topics in Gerodontology teaching. Clinical teaching took place in 64.2% of the respondent schools, with 26.8% offering clinical training in outreach facilities.ConclusionsThe vast majority of European dental schools currently teach Gerodontology at the undergraduate level. More training opportunities in oral care of frail elders should be offered, and more emphasis should be placed on interdisciplinary and interprofessional training, educational collaborations, and the use of modern technologies. Dedicated postgraduate Gerodontology courses need to be developed to create a significant number of specialized dentists and trained academics.Electronic supplementary materialThe online version of this article (doi:10.1186/s12903-017-0362-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Higher education in Gerodontology in European Universities

Kossioni

McKenna²,

Müller

et al. 2017

BMC Oral Health

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“…This approach used quantitative criteria, defined a priori, to determine which components would be included in the framework, combined with qualitative data from open-ended comments to refine wording and identify conceptual redundancy. The Delphi approach is a widely accepted method for establishing consensus and has been used many other oral health studies and beyond [17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Patient centered dental home: Building a framework for dental quality measurement and improvement

Reynolds

Damiano

Herndon³

2021

J Public Health Dent

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Introduction This article presents results of the second phase of a project to develop a patient‐centered dental home (PCDH) model. Aims of PCDH model development include broadening the scope of prior dental home definitions to include populations across the lifespan, developing a quality measurement framework to facilitate quality assessment and improvement, and promoting opportunities for medical‐dental integration through alignment with existing PCMH models. This phase determined the components, or conceptual subdivisions, associated with a previously developed PCDH definition and characteristics. Methods We used a modified Delphi process to obtain structured feedback and gain consensus among the project national advisory committee (NAC). The process included a web‐based survey that asked NAC members to rank the importance of each potential component on a scale of 1–9. Criteria for consensus on component inclusion/exclusion combined a median rating and measure of disagreement. Respondents were also encouraged to provide open‐ended feedback regarding rationale for component ratings and additional suggested components. Results A total of 47 out of 51 members completed the survey. All 34 components met the quantitative criteria for inclusion in the PCDH model. Changes were made to components based on open‐ended feedback. Conclusions This project phase further developed a PCDH measurement framework that aims to guide practice transformation, quality measurement and improvement in dental care delivery, as well as integration between medicine and dentistry. Using a Delphi approach with a broad group of stakeholders ensured that components had face validity and were conceptually aligned with the PCDH definition and characteristics.

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“…The core competencies pertaining to geriatric dentistry that were included in this study were selected due to their inclusion criteria in previously published geriatric dentistry didactic curriculum assessment studies of United States dental schools, currently existing accreditation standards for AEGD and GPR programs from the CODA website, previous reports on GD education, website searches, available online curriculum from existing post‐graduate geriatric dentistry programs, and literature regarding post‐graduate GD education in other countries 12–17 …”

Section: Methodsmentioning

confidence: 99%

An evaluation of the geriatric dental curricula within Advanced Education in General Dentistry and General Practice Residency programs in the United States

Mueldener

McQuistan

Qian

et al. 2020

Special Care in Dentistry

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Aim To compare the geriatric dentistry curricula between Advanced Education in General Dentistry (AEGD) and General Practice Residency (GPR) programs. Methods A 108‐item survey was developed to assess residents’ didactic and clinical experiences pertaining to geriatric patients. Surveys were mailed in 2018 to all AEGD (N = 89) and GPR (N = 180) program directors. Statistical analysis consisted of descriptive and bivariate analyses with the chi‐square test, Fisher's exact test, and the Wilcoxon rank sum test (alpha = .05). Results Twenty‐four AEGD and fifty‐eight GPR directors completed surveys (response rate = 30%). Seventy‐one percent of responding programs reported mandatory didactic training pertaining to frail and functionally dependent geriatric adults. Ninety‐nine percent of respondents reported that residents provided treatment to geriatric patients; however, they were less likely to perform procedures on frail and functionally dependent patients. Only 15% of respondents provided nursing home care. Considering all patient encounters, responding GPR programs were more likely than AEGD programs to treat patients using IV bisphosphonates (63% vs 25%; P < .01), undergoing chemotherapy (48% vs 16%; P = .02), and undergoing head and neck radiation therapy (55% vs 25%; P = .02). Conclusion A majority of responding AEGD and GPR programs reported providing educational experiences pertaining to geriatric patients; however, GPR programs reported treating more medically complex patients than AEGD programs.

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Core Competencies in Geriatric Dentistry Fellowship Programs: a Delphi Study

Abstract: Utilizing the Delphi process, a panel of geriatric dental experts identified a set of core competencies for curriculums in dental fellowship programs.

Cited by 8 publications

References 29 publications

Higher education in Gerodontology in European Universities

Higher education in Gerodontology in European Universities

Patient centered dental home: Building a framework for dental quality measurement and improvement

An evaluation of the geriatric dental curricula within Advanced Education in General Dentistry and General Practice Residency programs in the United States

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