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Research ArticleCommunity-Based Dental Education

Influence of Community-Based Dental Education on Practice Choice: Preliminary Data from East Carolina University

Sharon Gordon, Abigail C. Warren and Wanda G. Wright
Journal of Dental Education May 2019, JDE.019.101; DOI: https://doi.org/10.21815/JDE.019.101
Sharon Gordon
Sharon Gordon is currently Dean, UConn School of Dental Medicine and was Associate Dean for Research and Chair, Department of Foundational Sciences, East Carolina University School of Dental Medicine at the time of this study; Abigail C. Warren is a dental student, East Carolina University School of Dental Medicine; and Wanda G. Wright is Assistant Professor, Department of Foundational Sciences, and Division Director of Dental Public Health, East Carolina University School of Dental Medicine.
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  • For correspondence: sgordon@uchc.edu
Abigail C. Warren
Sharon Gordon is currently Dean, UConn School of Dental Medicine and was Associate Dean for Research and Chair, Department of Foundational Sciences, East Carolina University School of Dental Medicine at the time of this study; Abigail C. Warren is a dental student, East Carolina University School of Dental Medicine; and Wanda G. Wright is Assistant Professor, Department of Foundational Sciences, and Division Director of Dental Public Health, East Carolina University School of Dental Medicine.
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Wanda G. Wright
Sharon Gordon is currently Dean, UConn School of Dental Medicine and was Associate Dean for Research and Chair, Department of Foundational Sciences, East Carolina University School of Dental Medicine at the time of this study; Abigail C. Warren is a dental student, East Carolina University School of Dental Medicine; and Wanda G. Wright is Assistant Professor, Department of Foundational Sciences, and Division Director of Dental Public Health, East Carolina University School of Dental Medicine.
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Abstract

Maldistribution of the dental workforce contributes to poor access to oral health care. Community-based dental education (CBDE) may help to address this problem by using experiential learning to encourage new dentists to practice in underserved areas. The East Carolina University School of Dental Medicine (East Carolina University SoDM) employs a multifaceted strategy, including CBDE, to increase the number of dentists practicing in underserved areas of North Carolina. The aim of this study was to assess the influence of CBDE and other factors on practice choice among East Carolina University SoDM graduates. This cross-sectional study assessed practice intentions before and after a senior-year CBDE experience. Data were obtained for students in three graduating years from written student reflections and self-reported practice plans solicited at graduation. Of the total 156 students between 2015 and 2017 (52 each year), all students participated in at least one component of this evaluation: all students (100%) completed required student reflections, and 148 (95%) provided pre-graduation practice plans. Data were also obtained on alumni practice characteristics via a survey of recent graduates; 72 alumni (46% response rate) participated in the alumni survey. The assessments found positive attitudes towards the CBDE program before and after participation, although areas for improvement relating to business management and financial viability were reported. The majority of alumni respondents (67%) remained in the state to practice after graduation, with half reporting practicing in rural areas. For most alumni respondents (>75%), debt, salary, benefits, type of patient population, and desire to own/run a business were important factors other than the CBDE program influencing their practice choice. Nearly half of them (45.8%) rated desire to work in a public health setting as an important factor. This study provides preliminary evidence of the effectiveness of this educational model in retaining new dentists within the state to address the critical shortage of dentists in North Carolina.

Keywords
  • dental education
  • community-based dental education
  • educational methodology
  • oral health care for the underserved
  • access to health care
  • career choice
  • community health

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Journal of Dental Education: 83 (12)
Journal of Dental Education
Vol. 83, Issue 12
1 Dec 2019
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Influence of Community-Based Dental Education on Practice Choice: Preliminary Data from East Carolina University
Sharon Gordon, Abigail C. Warren, Wanda G. Wright
Journal of Dental Education May 2019, JDE.019.101; DOI: 10.21815/JDE.019.101

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Influence of Community-Based Dental Education on Practice Choice: Preliminary Data from East Carolina University
Sharon Gordon, Abigail C. Warren, Wanda G. Wright
Journal of Dental Education May 2019, JDE.019.101; DOI: 10.21815/JDE.019.101
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More in this TOC Section

  • Dental Students’ Non-Clinical Learning During Community-Based Experiences: A Survey of U.S. Dental Schools
  • Dental Students’ Intent to Practice in Rural Communities Before and After Community-Based Rotations in a Rural Area
  • Benefits and Challenges of Partner Site Engagement with Community-Based Dental Education Programs: The Partner Sites’ Perspectives
Show more Community-Based Dental Education

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Keywords

  • dental education
  • community-based dental education
  • educational methodology
  • oral health care for the underserved
  • access to health care
  • career choice
  • community health

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