Abstract
Introduction There is set to be a change in the way that oral surgery will be delivered with the introduction of managed clinical networks. The changes may require general dental practitioners (GDPs) to carry out more minor oral surgery in primary care.
Aim To determine the effectiveness of courses on GDPs carrying minor oral surgery in primary care.
Method Forty general dental practitioners attending a hands-on oral surgery course were surveyed regarding their understanding, knowledge and confidence in oral surgery skills. The same survey was circulated at the start and end of the course.
Results All delegates reported an improvement post-course in their skills and knowledge. Overall, 40% of delegates felt relatively confident or very confident in tooth sectioning and bone removal, compared to 91% having little confidence before the course. Furthermore, 87% and 68% of the delegates felt relatively confident or very confident in suturing and raising a mucoperiosteal flap, respectively, by the end of the course.
Conclusion Minor oral surgery courses can lead to an increase in skills, knowledge and confidence among GDPs. These courses are likely to be better supplemented in conjunction with refresher courses and mentoring. Barriers, however, remain to increasing minor oral surgery provision in primary care, including equipment availability and patient choice.
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References
NHS England. Five year forward view. 2014. Available at http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf (accessed March 2019).
NHS England. Guide for commissioning for oral surgery and oral medicine. 2015. Available at https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/09/guid-comms-oral.pdf (accessed March 2019).
Shah S, Halai T, Patel J, Sproat C. Perceived confidence and experience in oral surgery among final year undergraduate students in a UK dental school. Br Dent J 2018; 224: 177-182.
Gilmour A S, Welply A, Cowpe J G, Bullock A D, Jones R J. The undergraduate preparation of dentists: Confidence levels of final year dental students at the School of Dentistry in Cardiff. Br Dent J 2016; 221: 349-354.
Coulthard P, Kazakou I, Koron R, Worthington H V. Referral patterns and the referral system for oral surgery care. Part 1: general dental practitioner referral patters. Br Dent J 2000; 188: 142-145.
Patel J, Fox K, Grieveson B, Youngson C C. Undergradutate training as preparation for vocational training in England: a survey of vocational dental practitioners' and their trainers' views. Br Dent J 2006; 201 (Spec Iss): 9-15.
Cottrell D A, Reebye U N, Blyer S M, Hunter M J, Mehtra N. Referral patterns of general dental practitioners for oral surgical procedures. J Oral Maxillofac Surg 2007; 65: 686-690.
Absi E G, Satterthwaite J, Shepherd J P, Thomas D W. The appropriateness of referral of medically compromised dental patients to hospital. Br J Oral Maxillofac Surg 1997; 35: 133-136.
Bullock A D, Belfield C R, Butterfield S, Ribbins P M, Frame J W. Continuing education courses in dentistry: assessing impact on practice. Med Educ 1999; 33: 484-488.
Grant J. The good CPD guide. A practical guide to managed continuing professional development in medicine. 2nd ed. Abingdon: Taylor & Francis, 2011.
Forsetlund L, Bjørndal A, Rashidian A et al. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2009; CD003030. DOI: 10.1002/14651858.
The Faculty of General Dental Practice (UK). The impact of continuing professional development in dentistry. 2011. Available at https://www.fgdp.org.uk/sites/fgdp.org.uk/files/docs/in-practice/amps-online/final%20impact%20of%20cpd%20on%20dentistry%20november%202011.pdf (accessed March 2019).
Davies B J, Macfarlane F. Clinical decision making by dentists working in the NHS General Dental Services since April 2006. Br Dent J 2010; 209: E17.
Halai T, Yates J M. Assessment of oral surgery referrals from primary care to a regional dental hospital. Oral Surg 2014; 7: 168-176.
Scottish Dental Clinical Effectiveness Programme. Oral health management of patients prescribed bisphosphonates. 2011. Available at http://www.sdcep.org.uk/published-guidance/bisphosphonates/ (accessed March 2019).
Cowpe J, Plasschaert A, Harzer W, Vinkka-Puhakka H, Walmsley A D. Profile and competences for the graduating European dentist - update 2009. Eur J Dent Educ 2010; 14: 193-202.
Brand H S, van der Cammen C C J, Roorda S M E, Baart J A. Tooth extraction education at dental schools across Europe. BDJ Open 2015; 1: 15002.
Barnsley L, Lyon P M, Ralston S J et al. Clinical skills in junior medical officers: a comparison of self-reported confidence and observed competence. Med Educ 2004; 38: 358-367.
Davis D A, Mazmanian P E, Fordis M, Van Harrison R, Thorpe K E, Perrier L. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA 2006; 296: 1094-1102.
General Dental Council. Enhanced CPD guidance for dental professionals. 2018. Available at https://www.gdc-uk.org/professionals/cpd/enhanced-cpd (accessed March 2019).
Gibbs G. Learning by doing: a guide to teaching and learning methods. Oxford: FEE, 1988.
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Savla, A., Sanalla, A. & Tanna, N. How do minor oral surgery courses impact the confidence levels of general dental practitioners?. Br Dent J 226, 512–517 (2019). https://doi.org/10.1038/s41415-019-0151-8
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DOI: https://doi.org/10.1038/s41415-019-0151-8


