Scope of practice comparison: a tool for curriculum decision making.
The proportion of claims filed for specific dental procedures (ADA codes # 05110, 05120, 03320, 03330, 04260, 02150) between January 1, 2000 and June 30, 2004 by Texas general practitioners participating in a preferred provider network was compared to the proportion of these procedures performed by students graduating from the three Texas dental schools during the same period. Analysis of the data revealed that Texas dental students provide class two amalgam restorations in permanent teeth (02150) at approximately the same frequency as Texas general practitioners. Both groups provide periodontal osseous surgery (04260) at an extremely low frequency (<0.02% of total procedures). Bicuspid endodontic procedures (03320) were performed at a slightly higher frequency by students (0.43% of all procedures) than by general practitioners (0.36% of all procedures), and molar endodontic procedures (03330) were performed at a slightly higher frequency by general practitioners (0.65%) than by students (0.36%). Significant discrepancies between the groups were noted for the two complete denture procedures (05110, 05120). Students provided these procedures at frequencies fifteen times (05110) and twenty-five times (05120) greater than general practitioners. Dental schools should use data provided by scope of practice analyses to help determine an appropriate breadth and depth for their educational programs.
Solomon
Eric
E
UTHSCSA-Dentistry, 7703 Floyd Curl Drive, San Antonio, TX 78248, USA.
Murray
John
J
Dodge
William W
WW
Redding
Spencer W
SW
Valenza
John A
JA
Flaitz
Catherine M
CM
Cole
James S
JS
Kalkwarf
Kenneth L
KL
D000571:American Dental Association; D039702:Current Procedural Terminology; D003479:Curriculum; D003657:Decision Making; D003814:Dentistry, Operative / Q000193:education / Q000706:statistics & numerical data; D004497:Education, Dental; D004708:Endodontics / Q000193:education / Q000706:statistics & numerical data; D005792:General Practice, Dental / Q000193:education* / Q000706:statistics & numerical data; D006801:Humans; D007344:Insurance Claim Reporting / Q000706:statistics & numerical data*; D010517:Periodontics / Q000193:education / Q000706:statistics & numerical data; D019239:Practice Patterns, Dentists' / Q000706:statistics & numerical data*; D011476:Prosthodontics / Q000193:education / Q000706:statistics & numerical data; D013781:Texas; D014481:United States