Characteristics of civilian postdoctoral general dentistry programs.
U.S. civilian (non-VA/non-military) Advanced Education in General Dentistry (AEGD) and General Practice Residency (GPR) programs were identified (n=208) and surveyed. The assessment evaluated infrastructure support, populations served, services provided, and trainee stipends. One hundred thirty-one programs responded (thirty-two AEGD, 64 percent/ninety-nine GPR, 63 percent). Sixty-nine programs were HRSA-funded (53 percent), and sixty-three (47 percent) were nonfunded. One hundred and five responses identified hospital/medical center resources; fifty-six indicated dental school support. Mean faculty support was similar regardless of program type or HRSA funding. Mean first-year positions in AEGDs were greater than GPRs. Mean first-year GPR positions were greater in funded than in nonfunded programs. A comparison of AEGD and GPR programs showed that residents in GPRs treated more children, medically intensive, economically/socially disadvantaged, and in-patient/same-day surgery patients (p<0.05). Residents in AEGDs treated more healthy adults (p<0.05). GPRs treated more lower fee (no pay, Medicaid, welfare/general relief, Medicare, and capitation/HMO) patients. AEGDs treated more insurance/private pay patients (p=.0001). No differences existed in comprehensive care and emergency visits between AEGDs and GPRs. GPRs treated more hospital-based patients. The mean stipends for GPRs ($32,055) and AEGDs ($22,403) were different.
Mito
Ronald S
RS
UCLA School of Dentistry, CHS, Los Angeles, CA 90095, USA.
Atchison
Kathryn A
KA
Lefever
Karen H
KH
Lin
Sylvia
S
Engelhardt
Rita
R
D000328:Adult; D000556:Ambulatory Surgical Procedures; D016009:Chi-Square Distribution; D002648:Child; D019140:Dental Care for Children; D017742:Dental Care for Chronically Ill; D003752:Dental Health Services / Q000145:classification; D003796:Dental Service, Hospital; D004499:Education, Dental, Graduate / Q000191:economics; D005179:Faculty, Dental; D005380:Financing, Government; D005792:General Practice, Dental / Q000191:economics / Q000193:education*; D006295:Health Resources; D006760:Hospitalization; D006801:Humans; D007347:Insurance, Dental; D007396:Internship and Residency / Q000191:economics; D008483:Medical Assistance; D012575:Schools, Dental; D012923:Social Class; D018709:Statistics, Nonparametric; D014146:Training Support; D017664:Uncompensated Care; D014481:United States; D014488:United States Health Resources and Services Administration / Q000191:economics