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J Dent Educ. 69(4): 446-452 2005
© 2005 American Dental Education Association
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Critical Issues in Dental Education

Family Medicine Residency Directors’ Knowledge and Attitudes About Pediatric Oral Health Education for Residents

Wanda C. Gonsalves, M.D.; Judith Skelton, Ph.D.; Lisa Heaton, M.S.; Timothy Smith, Ph.D.; Gerald Feretti, D.M.D., M.P.H.; James D. Hardison, D.M.D.

Dr. Gonsalves is Assistant Professor, Department of Family Medicine, Medical University of South Carolina; Dr. Skelton is Associate Professor, University of Kentucky College of Dentistry; Ms. Heaton is Research Fellow, Department of Behavioral Science, University of Kentucky College of Medicine; Dr. Smith is Professor, Department of Behavioral Science, University of Kentucky College of Medicine; Dr. Feretti is Associate Professor, University of Kentucky College of Dentistry; and Dr. Hardison is Associate Professor, University of Kentucky College of Dentistry. Direct correspondence and requests for reprints to Dr. Wanda C. Gonsalves, Department of Family Medicine, 295 Calhoun Street, P.O. Box 250192, Charleston, SC 29425; 843-792-6687 phone; 843-792-3598 fax; gonsalvw{at}musc.edu.

Key words: pediatric oral health, oral health curriculum, graduate medical education, family medicine residents

Submitted for publication 12/13/04; accepted 02/04/05

The Surgeon General’s report on oral health called for improved education about oral health, a renewed understanding of relationships between oral and overall health, and an interdisciplinary approach to oral health involving primary care providers. This study examined the following: 1) family medicine residency directors’ knowledge of preventive dental care, 2) status of an oral heath curriculum in family medicine residencies, and 3) the likelihood of initiating an oral health curriculum. We conducted a fifty-item survey of family medicine program directors emphasizing pediatric oral health assessed demographics, knowledge of preventive procedures, existing oral health curriculum, composition, and time commitment for an oral health curriculum. Directors returned 208 (45 percent) surveys. Approximately 95 percent agreed that oral health knowledge should be a component of residency training. Most programs are teaching anticipatory guidance. The mean time program directors felt should be given to an oral health curriculum was four hours. Program directors lack knowledge of preventive dental procedures and oral health care recommendations. Oral health care knowledge is felt to be an important component of residency training. Program directors need faculty development for a successful delivery of an oral health curriculum.






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