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J Dent Educ. 68(11): 1139-1150 2004
© 2004 American Dental Education Association
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Critical Issues in Dental Education

Reforming Dental Health Professions Education: A White Paper

Dominick P. DePaola, D.D.S., Ph.D.; Harold C. Slavkin, D.D.S.

Dr. DePaola is President and Chief Executive Officer, The Forsyth Institute, Boston, MA; Dr. Slavkin is Dean, School of Dentistry, University of Southern California. Direct correspondence and requests for reprints to Dr. Harold C. Slavkin, School of Dentistry, University of Southern California, 924 West 34th Street, Suite 203, Los Angeles, CA 90089-0641; 213-740-3124 phone; 213-740-1509 fax; slavkin{at}usc.edu.

Key words: oral health, education system, access to oral health care, competencies, collaborations, patient care, curriculum

Submitted for publication 09/03/04; accepted 09/23/04

The oral health education system is in need of major reform! This is especially apparent in university-based education for the health professions. So-called preclinical as well as clinical education simply has not kept pace with or been responsive enough to shifting patient demographics and patient/population desires and expectations, changing health system expectations, evolving interdisciplinary expertise and practice requirements, new scientific discoveries and scientific information, focus on quality improvement, and/or integration of emerging technologies. Moreover, university-based "dental education" is the most costly professional degree education within the entire university portfolio, and dental student accumulated debt is increasing each year well beyond national inflation estimates. Today, we have an enormous opportunity to explore major reforms in health professional education. Through the Santa Fe "process" of open and candid engagements and discussions (see www.santafegroup.org), we advance an argument as well as a national strategy that can enable major reforms in the oral health education system. We further suggest that major revisions can result in an outcome-based education system that prepares oral health professionals to meet both the needs of patients/families/communities and the requirements of a changing health system.




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