title: Managing dental emergencies: a descriptive study of the effects of a multimodal educational intervention for primary care providers at six months.
abstract: BACKGROUND
  Clinicians providing primary emergency medical care often receive little training in the management of dental emergencies. A multimodal educational intervention was designed to address this lack of training. Sustained competency in managing dental emergencies and thus the confidence to provide this care well after an educational intervention is of particular importance for remote and rural healthcare providers where access to professional development training may be lacking.
  
  
  METHODS
  A descriptive study design with a survey instrument was used to evaluate the effectiveness of a brief educational intervention for primary care clinicians. The survey was offered immediately before and at six months following the intervention. A Wilcoxon signed rank test was performed on pre and six month post-workshop matched pair responses, measuring self-reported proficiency in managing dental emergencies. The level of significance was set at p < 0.001. Confidence intervals (CI) were calculated for participants who scored an improved proficiency.
  
  
  RESULTS
  The educational intervention was associated with a significant and sustained increase in proficiency and confidence to treat, especially in oral local anaesthesia, management of avulsed teeth and dental trauma, as reported by clinicians at six months after the education. This was associated with a greater number of cases where dental local anaesthesia was utilised by the participants. Comments from participants before the intervention, noted the lack of dental topics in professional training.
  
  
  CONCLUSIONS
  The sustained effects of a brief multimodal educational intervention in managing dental emergencies on practice confidence and proficiency demonstrates its value as an educational model that could be applied to other settings and health professional groups providing emergency primary care, particularly in rural and remote settings.
authors.affiliation: Education Westmead Centre for Oral Health, Western Sydney Local Health District, University of Sydney Faculty of Dentistry, PO Box 533, Wentworthville, NSW 2145, Australia. Tony.Skapetis@swahs.health.nsw.gov.au
authors.forename: Tony
authors.initials: T
authors.lastname: Skapetis
authors.forename: Tania
authors.initials: T
authors.lastname: Gerzina
authors.forename: Wendy
authors.initials: W
authors.lastname: Hu
mesh_terms: D000328:Adult; D000766:Anesthesia, Dental; D000772:Anesthesia, Local; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003479:Curriculum; D003625:Data Collection; D003729:Dental Care; D004493:Education; D004502:Education, Medical, Continuing; D004509:Education, Nursing, Continuing; D004635:Emergency Medicine / Q000193:education*; D004638:Emergency Treatment; D005260:Female; D058006:General Practice / Q000193:education*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D009722:Nurse Practitioners / Q000193:education; D011320:Primary Health Care; D012423:Rural Health; D018677:Tooth Injuries / Q000628:therapy*