title: The impact of course attendance on the practice of dentists.
abstract: BACKGROUND
  This paper reports the impact of course attendance on the practice of dentists.
  
  
  METHODS
  Phase One: A survey sent to all general dental practitioners (GDPs) in three deaneries in England. The survey included self-ratings of the impact of course attendance on practice. Phase Two: Interviews with 20 dentists before and two to three months after they had participated in a self-selected course. The response rate to the survey was 54% (n = 2082). Comparisons with national data showed no notable bias in the sample for gender, owners/partners and age/experience. An ordered logit model was used to explore the net effect of factors (including years' experience in general dental practice and gender) on dentists' ratings of course impact.
  
  
  RESULTS
  Course attendance was judged to impact on practice. Impact rating was affected by participation rate and years' experience. Barriers to implementation included cost, time, NHS constraints and personal or staff issues. Impact was enhanced when selection of courses was based on learning needs although courses may also serve usefully to confirm current practice.
  
  
  CONCLUSIONS
  There is much that dentists themselves can do to enhance the impact of courses, principally by reflecting on learning needs. They should be supported in the development of personal learning plans.
authors.affiliation: Centre for Research in Medical and Dental Education (CRMDE), School of Education, University of Birmingham Birmingham B15 TT. v.r.firmstone@bham.ac.uk
authors.forename: V R
authors.initials: VR
authors.lastname: Firmstone
authors.forename: A D
authors.initials: AD
authors.lastname: Bullock
authors.forename: A
authors.initials: A
authors.lastname: Fielding
authors.forename: J W
authors.initials: JW
authors.lastname: Frame
authors.forename: C
authors.initials: C
authors.lastname: Gibson
authors.forename: J
authors.initials: J
authors.lastname: Hall
mesh_terms: D004498:Education, Dental, Continuing; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D019239:Practice Patterns, Dentists'; D015203:Reproducibility of Results