Qualitative comparison of curricula in oral and maxillofacial surgery training. Part 1: dental foundation training

Varley, Iain; Argiris, K.; Walker, Tom; Magennis, Patrick

doi:10.1016/j.bjoms.2011.07.022

Cited by 6 publications

(3 citation statements)

References 4 publications

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“…4 Indeed much of the curricula relating to postgraduate dental training will have been covered in part during the postgraduate foundation, general surgical, and oral and maxillofacial surgery training. 5,6 Despite this, very few are keen to have an academic portion to their career. Indeed only 9.9% are keen for research to be a part of their consultant career.…”

Section: Discussionmentioning

confidence: 99%

Academic background of oral and maxillofacial specialty trainees in the United Kingdom

et al. 2013

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Those involved in appointing to training programmes will now be able to see the level of competition. Future applicants to training programmes in oral and maxillofacial surgery in the United Kingdom are now aware of the level of competition. OMFS is not immune to the 'academic crisis' that exists in other surgical specialties, and the completion of higher degrees and entry in to academic careers should be encouraged and supported among trainees with an interest.

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Section: Discussionmentioning

confidence: 99%

Academic background of oral and maxillofacial specialty trainees in the United Kingdom

et al. 2013

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“…As discussed in Chap. 2, the studies usually assessed a part of the training year or evaluated other possible different training models and the trainer's and trainees' perceptions of the training programme's effectiveness (19)(20)(21)(22)(23). One recent study looked at the intended future working patterns of the FDs in England in the 2018-2019 scheme via a mixed-methods study comprising a quantitative questionnaire and focus groups.…”

Section: Introductionmentioning

confidence: 99%

Is Dental Foundation Training succeeding in producing general dental practitioners with aspirations of a future career primarily within NHS dentistry? A qualitative study involving dentists who completed Dental Foundation Trainees (DFT) from 2020 to 2021 and 2021 to 2022 from the Health Education England (HEE) schemes in England investigating which feelings and experiences of the DFT in their training year promoted or discouraged intentions of pursuing a full-time career in NHS general dental practice

MALIK,

SHERRATT

2023

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Introduction Upon completion of dental foundation training (DFT), the foundation trainee (FT) will, in the majority, be expected to start in independent general practice. The main pathway into general practice will be via NHS dentistry for most foundation trainees. Due to poor access to NHS dentistry by the public and surveys showing NHS practices having problems recruiting dentists, does this mean the newly qualified dentists are shunning NHS dentistry for the private pathway? The study would like to explore whether the DFT year's experiences and interactions influence the foundation trainee's choice to work within the NHS primarily long-term or opt for a more significant career in the private contingent. Aims to determine whether, by the end of the DFT, which beliefs/perceptions/experiences have reinforced or diminished the trainee's desire to work mainly within NHS general dental practice. Materials and methods The research method was a cross-sectional survey involving a qualitative questionnaire submitted to a sample of recently completed foundation trainees in HEE England who completed their DFT in 2020 to 2021 and 2021 to 2022 cohorts via WhatsApp (Mobile Messaging App). The researcher will conduct the data analysis using a thematic style analysis to develop codes and generate subthemes, resulting in significant themes grounded within the participant's data. Results We identified three major themes within the data: NHS remuneration is inadequate for the work and time required to treat patients with high-quality care all the time, high workload and stress/pressure of NHS dentistry are causing a drop in standards of care in some cases and poor job satisfaction most of the time, and NHS GDP dentists' main aim is to achieve their Unit of Dental Activity(UDA) targets for the year. The main issues noted were that NHS dentists were overworked, underpaid and on a treadmill chasing their UDA targets at the expense of patient care and job satisfaction. Conclusion Most participants did not see NHS dentistry as a significant portion of their working life within 2 to 3 years after completing DFT and would look to focus on private dentistry. They felt that the current NHS contract was not fit for purpose due to the high workload, UDA treadmill and poor remuneration compared to the private sector. This is a significant problem for the government as NHS dentistry is currently in a state of crisis due to some patients being unable to access an NHS dentist. If the majority of the future workforce does not see its career within the NHS, then NHS dentistry is in a precarious position if the government does not look at contract reform of the current NHS dental contract sooner rather than later.

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“…There is also a joint position statement from COPDEND and the British Association of Oral & Maxillofacial Surgeons (BAOMS/COPDEND 2011) intended as guidance on the provision of education, training and healthcare by a dental Foundation Year 2 in an OMFS department. A qualitative comparison has already been completed on the overlap between dental foundation training curricula and that of the medical foundation training curricula and the core surgery training curricula.…”

Section: Introductionmentioning

confidence: 99%

Cervical spine training in first on‐call trainees in oral & maxillofacial surgery

et al. 2018

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Aim This study aims to determine the training and confidence in the management of cervical spine (c‐spine) injuries amongst first on‐call trainees in oral & maxillofacial surgery(OMFS) units working in the UK. The dental training curricula pertaining to these trainees shall be reviewed to determine the relevant knowledge and skills currently deemed appropriate. Materials & Methods A questionnaire was sent to 100 UK OMFS first on call trainees. This determined their primary qualification(s), previous experience in OMFS, prior training and confidence in the management of C‐spine injuries. Dental training curricula were analysed for sections relating to cervical spine injuries. Results Sixty‐six questionnaires were returned. 70% were from singly qualified dental graduates. The mean experience in OMFS was 16.3 months. 59% of respondents had no cervical spine training. Of those who had received training, 66.7% received this by an advanced trauma life support (ATLS) course. 63% of oral & maxillofacial trainees were not confident in assessing and managing potential cervical spine injuries. 95% stated that training in the assessment and management of cervical spine injuries would be useful. Dental training curricula do not mention the initial assessment and management of patients with cervical spine injury. Conclusion There is a knowledge and confidence deficit in OMFS first on call trainees in management of cervical spine injury. Dental foundation curricula do not specifically mention the management of patients with cervical spine injury. Most (95%) first on call trainees in Oral & Maxillofacial Surgery felt that cervical spine teaching would be useful to them.

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Qualitative comparison of curricula in oral and maxillofacial surgery training. Part 1: dental foundation training

Cited by 6 publications

References 4 publications

Academic background of oral and maxillofacial specialty trainees in the United Kingdom

Academic background of oral and maxillofacial specialty trainees in the United Kingdom

Cervical spine training in first on‐call trainees in oral & maxillofacial surgery

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