title: Influence of community-based dental education on dental students' preparation and intent to treat underserved populations.
abstract: This study examined the influence of community-based dental education (CBDE) on dental students' perceived ability to treat underserved patients and their selection of community dental clinics as a first career path. In a 2009 survey, fourth-year dental students at the University of Michigan recorded their attitudes, skill level, and confidence in treating underserved patients before and after CBDE rotations and estimated what percentage of their practice they planned to devote to Medicaid-eligible patients. The first career choices of graduates from 2005 to 2010 were also correlated with the number of weeks the students spent in CBDE rotations. The results showed an improvement in student skill and confidence in treating low-income patients after the rotations. The examination of first career choices showed that, after three to five weeks of CBDE rotations, 5.6 percent of the students planned to practice in a community-based dental clinic. However, in 2009 when rotations were increased to eight weeks and included multiple clinic types, 11.8 percent of the students in 2009 and 16.5 percent in 2010 selected a community-based dental clinic as their preferred practice location. These findings suggest that CBDE improves dental students' skill and confidence level in treating underserved patients and that more time spent in CBDE rotations, specifically more than five weeks in multiple clinic types, may increase the number of graduates who select practice in community-based clinics as a first career choice.
authors.affiliation: School of Dentistry, University of Michigan, Ann Arbor, MI 48109-1078, USA. wapdds@umich.edu
authors.forename: Wilhelm A
authors.initials: WA
authors.lastname: Piskorowski
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Stenafac
authors.forename: Mark
authors.initials: M
authors.lastname: Fitzgerald
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Green
authors.forename: Rachel E
authors.initials: RE
authors.lastname: Krell
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D002983:Clinical Competence; D003149:Community Dentistry / Q000193:education*; D003740:Dental Clinics; D004497:Education, Dental; D006801:Humans; D008484:Medicaid; D008507:Medically Underserved Area; D008824:Michigan; D011203:Poverty; D011231:Preceptorship; D011365:Professional Practice Location; D012649:Self Concept; D013335:Students, Dental / Q000523:psychology*; D013997:Time Factors; D014481:United States