Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Education
  • Published:

Professionalism and dental education: in search of a shared understanding

Abstract

Professionalism has profound historical origins; however, the current health care environment in the UK dental sphere is changing, which presents new professional dilemmas that require continued learning and debate. Professionalism is a key aspect of the education of dental students and the lifelong learning and development of dental practitioners. However, 'being' professional can be challenging because while it is recognised as a social good, there is much debate on what professionalism means and how best it can be learned and assessed. Since 2017, the UK Council for the Dental Teachers of Professionalism, consisting of educators from UK dental schools and dental therapy hygiene institutions, has been exploring and debating the role and place of professionalism, as well as sharing challenges and good practice within UK dental education. This paper includes a narrative overview of current thinking in the academic literature on professionalism to consider the use of a shared understanding of professionalism to facilitate conversations between various stakeholders.

Key points

  • Professionalism is often seen as an umbrella term referring to anything that is not a technical skill. Although complex, it is often oversimplified and referred to as 'soft skills' in many contexts to try and manage this complexity.

  • Professionalism affects every individual on the dental register - often unconsciously, unless a minimum standard is breached. Educating for and developing professionalism is a lifelong process that requires careful consideration relating to learning and assessment.

  • A mutually agreed understanding may be a pragmatic starting point to enable meaningful conversations across various contexts.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Horton R. 2005. Medicine: the prosperity of virtue. Lancet 366: 1985-1987.

  2. Passi I, Doug M, Peile E, Thistlewaite J, Johnson N. Developing Professionalism in future doctors: a systematic review. Int J Med Educ 2010; 1: 19-29.

  3. Cruess R L, Cruess S R. Expectations and obligations: professionalism and medicine's social contract with society. Perspect Biol Med 2008; 51: 579-598.

  4. Hafferty F W. Academic Medicine and Medical Professionalism: A Legacy and a Portal Into an Evolving Field of Educational Scholarship. Acad Med 2018; 93: 532-536.

  5. Irvine D. The performance of doctors. I: Professionalism and self regulation in a changing world. BMJ 1997; 314: 1540-1542.

  6. Cruess S R, Cruess R L. Teaching professionalism - Why, What and How. Facts Views Vis Obgyn 2012; 4: 259-265.

  7. Cronin P, Coughlan M, Smith V. Understanding Nursing and Healthcare Research. London: SAGE Publishing, 2015.

  8. Birden H, Glass N, Wilson I, Harrison M, Usherwood T, Nass D. Defining professionalism in medical education: A systematic review. Med Teach 2014; 36: 47-61.

  9. Nguyen T M, Jones D, Ngo K L, Hayes M J. Developing Professionalism in Dentistry: A Systematic Review. MedEdPub 2017; DOI: 10.15694/mep.2017.000085.

  10. Van De Camp K, Vernooij-Dassen M J F J, Grol R P T M, Bottema B J A M. How to conceptualize professionalism: a qualitative study. Med Teach 2004; 26: 696-702.

  11. Brehm B, Breen P, Brown B et al. An interdisciplinary approach to introducing professionalism. Am J Pharm Educ 2006; DOI: 10.5688/aj700481.

  12. Zijlstra-Shaw S, Robinson P G, Roberts T. Assessing Professionalism within Dental Education; the need for a definition. Eur J Dent Educ 2012; DOI: 10.1111/j.1600-0579.2011.00687.x.

  13. Irby D M, Hamstra S J. Parting the clouds: three professionalism frameworks in medical education. Acad Med 2016; 91: 1606-1611.

  14. General Medical Council. Audit of the teaching of professionalism in undergraduate medical education. A statistical report for the Point of Care Foundation. 2018. Available at https://www.gmc-uk.org/education/standardsguidanceand-curricula/guidance/studentprofessionalismand-ftp/professionalisminteaching (accessed March 2022).

  15. General Dental Council. Professionalism: A mixed-methods research study. 2020. Available at https://www.gdc-uk.org/about-us/what-we-do/research/our-research-library/detail/report/professionalism-a-mixed-methods-research-study (accessed March 2022).

  16. Cruess S R, Cruess R L, Steinert Y. Supporting the development of a professional identity: General principles. Med Teach 2019; 41: 641-649.

  17. Hardy L J, Neve H. Professionalism and leadership in medical education: how do they differ and how are they related? BMJ Lead 2019; 3: 67-68.

  18. Trathen A, Gallagher J E. Dental professionalism: definitions and debate. Br Dent J 2009; 206: 249-253.

  19. Newsome P R H, Langley P P. Professionalism, then and now. Br Dent J 2014; 216: 497-502.

  20. Hanks S, Coelho C, Coster R. Prepared for practice and equipped for employment: what do dental foundation trainers think of their trainees? Br Dent J 2018; 225: 549-555.

  21. Gilmour A S M, Jones R J, Cowpe J G, Bullock A D. Communication and professionalism skills of a new graduate: the expectations and experiences of dental foundation trainers. Eur J Dent Educ 2014; 18: 195-202.

  22. Westwood O M R, Griffin A, Hay F C. How to assess students and trainees in medicine and health. Oxford: Wiley-Blackwell, 2013.

  23. Starr P. The social transformation of American medicine. New York: Basic Books, 1982.

  24. Rule J T, Veatch R M. Ethical Questions in Dentistry. 2nd ed. Illinois: Quintessence Publishing, 2004.

  25. Brainard A H, Brislen H C. Learning professionalism: a view from the trenches. Acad Med 2007; 82: 1010-1014.

  26. Hafferty F W. Beyond curriculum reform: confronting medicine's hidden curriculum. Acad Med 1998; 73: 403-407.

  27. Hodges B D, Ginsburg S, Cruess R et al. Assessment of professionalism: recommendations from the Ottawa 2010 Conference. Med Teach 2011; 33: 354-363.

  28. Masella R S. Renewing professionalism in dental education: overcoming the market environment. J Dent Educ 2007; 71: 205-216.

  29. Morris R, Neve H. Learning and teaching professionalism. In Cantillon P, Wood D F, Yardley S (eds) ABC of Learning and Teaching in Medicine. 3rd ed. Oxford: Wiley-Blackwell, 2017.

  30. Neville P. Introducing dental students to reflective practice: a dental educator's reflections. Reflect Pract 2018; 19: 278-290.

  31. Papadakis M A, Teherani A, Banach M A et al. Disciplinary action by medical boards and prior behaviour in medical school. N Engl J Med 2005; 353: 2673-2682.

  32. Cruess R L, Cruess S R, Boudreau J D, Snell L, Steinert Y. Reframing medical education to support professional identity formation. Acad Med 2014; 89: 1446-1451.

  33. Hafferty F W, Gaufberg E H, O'Donnell J F. The role of the hidden curriculum in "on doctoring" courses. AMA J Ethics 2015; 17: 130-139.

  34. Todhunter S, Cruess S R, Cruess R C, Young M, Steinert Y. Developing and piloting a form for student assessment of faculty professionalism. Adv Health Sci Educ Theory Pract 2011; 16: 223-238.

  35. Ranauta A, Freeth D, Davenport E. Developing understanding and enactment of professionalism: undergraduate dental students' perceptions of influential experiences in this process. Br Dent J 2018; 225: 662-666.

  36. General Dental Council. Standards for the Dental Team. 2013. Available at https://standards.gdc-uk.org/Assets/pdf/Standards%20for%20the%20Dental%20Team.pdf (accessed March 2022).

  37. General Dental Council. Preparing for practice. 2015. Available at https://www.gdc-uk.org/docs/default-source/quality-assurance/preparing-for-practice-(revised-2015).pdf (accessed March 2022).

  38. Bateman H, McCracken G I, Ellis J S, Stewart J. Delivering to 'that list': the challenges of working with learning outcomes. Br Dent J 2019; 226: 441-446.

  39. General Dental Council. Promoting professionalism. 2020. Available at https://www.gdc-uk.org/standards-guidance/standards-and-guidance/promoting-professionalism (accessed March 2022).

Download references

Acknowledgements

The authors would like to acknowledge all members of the UK Council for the Dental Teachers of Professionalism for their input into the ongoing work of the group that has led to this position paper. Members are listed on the website http://www.dtop.org.uk and can be contacted via the corresponding author and founder of DToP or the current chair of DToP .

Author information

Authors and Affiliations

Authors

Contributions

The authors confirm contribution to the paper as follows: Sally Hanks contributed to the manuscript conception and design. Sally Hanks, Ilona Johnson, Patricia Neville, Heidi Bateman, Melanie Nasseripour and Amitha Ranauta helped with draft manuscript preparation. All authors reviewed and approved the final version of the manuscript.

Corresponding author

Correspondence to Sally Hanks.

Ethics declarations

The authors declare no conflicts of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hanks, S., Ranauta, A., Johnson, I. et al. Professionalism and dental education: in search of a shared understanding. Br Dent J 232, 470–474 (2022). https://doi.org/10.1038/s41415-022-4094-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue date:

  • DOI: https://doi.org/10.1038/s41415-022-4094-0

This article is cited by

Search

Quick links