title: Dentists' comfort in treating underserved populations after participating in community-based clinical experiences as a student.
abstract: The purpose of this project was to determine new dentists' comfort levels in treating traditionally underserved populations after participating in two consecutive five-week community-based clinical experiences while in dental school. A written survey was mailed to all known University of Iowa alumni (1992-2002; N=745). Respondents were asked to rank their comfort levels in treating twelve underserved populations on a five-point Likert type scale (5=no problem; 1=will not). Bivariate and logistic regression model analyses were performed to examine associations (p<0.05) among comfort and six predictor variables. Alumni (n=372) were most comfortable treating other ethnic, low-income, non-English-speaking, and HIV+/AIDS populations and least comfortable treating incarcerated and homebound populations. The following variables were significantly associated with comfort: 1) perception that the community experiences had great/much value; 2) practice located in larger communities; 3) non-solo practitioners; and 4) dentist's gender. As more dental schools utilize community-based clinical experiences to increase students' exposure to underserved populations, it is important that these experiences provide exposure to a variety of populations. Additionally, dental schools should continuously monitor the short- and long-term value of these programs for their students and recent graduates.
authors.affiliation: Department of Preventive and Community Dentistry, University of Iowa College of Dentistry, 343 Dental Science Building North, Iowa City, IA 52242-1010, USA. michelle-mcquistan@uiowa.edu
authors.forename: Michelle R
authors.initials: MR
authors.lastname: McQuistan
authors.forename: Raymond A
authors.initials: RA
authors.lastname: Kuthy
authors.forename: Keith E
authors.initials: KE
authors.lastname: Heller
authors.forename: Fang
authors.initials: F
authors.lastname: Qian
authors.forename: Katharine J
authors.initials: KJ
authors.lastname: Riniker
mesh_terms: D001291:Attitude of Health Personnel; D003149:Community Dentistry / Q000193:education*; D016321:Dental Care for Aged; D017742:Dental Care for Chronically Ill; D003730:Dental Care for Persons with Disabilities; D003815:Dentists / Q000523:psychology*; D004497:Education, Dental / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D011231:Preceptorship; D018709:Statistics, Nonparametric; D013335:Students, Dental / Q000523:psychology*; D014481:United States; D035862:Vulnerable Populations