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Summary
Pages 1-20

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From page 1...
... This progress notwithstanding, questions persist about the position of dental education within the university and its relationship to medicine and the overall health care system. The dental profession is at odds with itself on a number of matters including work force policies, licensure, and health care restructuring.
From page 2...
... The purpose of the study was "to assess dental education in the United States and make recommendations regarding its future." The study was overseen by an 18-member committee that was appointed after extensive consultation with dental and related organizations. The group included members with expertise and experience in dental practice and education, oral health and health services research, other areas of the health professions and higher education, health care delivery and financing, and public policy.
From page 3...
... Rather, it offers a distilled view of what the future will likely bring combined with the committee's conclusions about how dental educators and others can reasonably, if not easily, prepare the profession to play a constructive role in improving oral health for all Americans in the years ahead. In the future envisioned in this report, five elements stand out.
From page 4...
... All dental graduates should have the opportunity for a year of postgraduate education with an emphasis on advanced education in general dentistry. Third, securing the resources essential for educational improvement and, indeed, survival will require that dental schools demonstrate their contributions to their parent universities, academic health centers, and communities.
From page 5...
... Environmental change and dental education's efforts to respond constructively may exacerbate tensions with dental practitioners, for example, as dental schools experiment with new models of patient care and extend their outcomes research agenda. Thus, efforts to manage and resolve conflicts must also have a high priority.
From page 6...
... In particular, dental educators should be involved in basic science, clinical, and health services research to distinguish effective and ineffective oral health services, to clarify oral disease patterns and trends and the factors affecting them, and to develop costeffective strategies likely to help those with the poorest health status and those with limited access to oral health services. In their outreach activities, dental educators and practitioners should continue to encourage physicians, nursing home personnel, public officials, and others to be alert to oral health problems among those they serve and to provide information about good oral health habits.
From page 7...
... Dental schools will differ in how they define the specifics of their research priorities, but all schools need to formulate a program of faculty research and scholarly activity that meets or exceeds the expectations of their universities. To build research capacity and resources, as well as to foster relationships with other researchers, it is important for dental schools to pursue collaborative research opportunities that start with the academic health center or the university and extend to industry, government, dental societies, and other institutions able to support or assist basic science, clinical, and health services research.
From page 8...
... They will have to ensure that their activities and objectives are compatible with those of their parent institutions. THE DENTAL S CHOOL IN THE UNIVERSITY To fulfill their missions of education, research, and patient care, dental schools need the intellectual vitality, support, and discipline of universities and academic health centers.
From page 9...
... The major deficiencies of dental licensure are concentrated in a few areas: the use of live patients in clinical licensure examinations; variations in the content and relevance of clinical examinations; unreasonable barriers to the movement of dentists and dental hygienists across state lines; practice acts that unreasonably restrict the use of appropriately trained allied dental personnel; and inadequate means of assessing competency after initial licensure. The committee concluded that it is neither practical nor necessary to construct new national systems for licensure and accreditation.
From page 10...
... In the face of uncertainty, the committee believes it is prudent to continue monitoring trends in the supply of dental personnel and developing a better understanding of their productivity, of the appropriateness of dental services, and of the factors that impede access to dental care. This course will require a more sustained investment in a comprehensive oral health data infrastructure than has been evident over the last decade.
From page 11...
... The recommendations underscore that the future of dental education is necessariTy linked to its contributions to improving the effectiveness and efficiency of oral health services through education, research, and patient care. It must not only contribute but also be perceived as contributing-by the dental profession, the university, and society generally.
From page 12...
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From page 13...
... . J a ' modes of oral health care and more medically~complleated~ .
From page 15...
... . ing ~and development programs; greater demonstra e pro uctivity ~n strengthen~ng the: oral health research :capac~ty of d:ental schools an ficulties; an '-'.
From page 16...
... .. ~ trom the relationship between :un~versities -ancl dental schools, ~ ~.
From page 17...
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From page 18...
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From page 19...
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