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Journal of the American College of Dentists

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https://www.readbyqxmd.com/read/30152933/access-to-dental-care-depends-on-appreciation-of-demographics-and-economics
#1
H Barry Waldman, Steven P Perlman
The evolving demographics and economics of dental practice require consideration as the profession plans forfuture changes in the dental workforce, the makeup of the population and ongoing access to care crisis. This paper is a sampling of U.S. Census Bureau reports on demographics and an appraisal of JADA and ADA News statements regarding the economics of dental practice, as well as a review of historical developments of the profession's perceptions of dental education and government support for dental care...
April 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/30152932/salt-fluoridation-an-adjunct-to-community-water-fluoridation
#2
Jack M Saroyan
After 70 years of community water fluoridation in the United States, still over 100 million people do not have the benefits of dietary fluoride. The saturation level may have been reached. Salt fluoridation can be an adjunct method for improving children's dental health in noncommunity water fluoridation areas. It is used worldwide and the World Health Organization recommends it when water fluoridation is not feasible as it is equally effective in the prevention and control of dental caries. The author calls for a debate on this proposal by organized dentistry...
April 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/30152931/dental-visit-utilization-procedures-and-episodes-of-treatment
#3
Frederick Rohde, Richard J Manski, Mark D Macek
This investigation describes the factors associated with patients' initial decisions to seek dental care, including the corresponding number of visits and the types of services received during a dental visit episode. Data came from the nationally representative Medical Expenditure Panel Survey (MEPS). Episode-specific dental visits were further classified into three categories, based on type of services received: preventive, treatment-based, or a combination. Among individuals with a visit episode, 78% of the episodes consisted of a single visit...
April 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/30152930/ethics-of-gaming-the-system
#4
Christopher Smiley
Dentists justifiably bridle at having to compromise what they believe, based on evidence, is in the patients' best interests based on reimbursement rules of benefits providers. Benefits providers justifiably bridle at having to pay for services not contracted by those who purchase insurance. A particular case involving performing multiple quadrants of root planing at a single appointment is used as an example of this tension. One alternative is for the profession and the industry to seek to negotiate a win-win joint position...
April 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/30152929/the-oregon-dental-market-a-case-study
#5
Howard Bailit, Michael Plunkett, Eli Schwarz
This case study examines changes taking place in the Oregon dental care system. Data were obtained from interviews with senior executives from several delivery organizations. Conducted by the senior author (HB), the summarized interviews were reviewed by informants. Oregon Medicaid enrollees now receive medical! dental care in capitated managed care organizations. Several dental group practices that provide care to privately and publicly insured patients are growing rapidly.The largest local dental insurer has diversified into other health products, including management services for affiliated dental practices...
April 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/30152928/disruptive-innovation-and-the-oral-health-system
#6
Paul Glassman
Disruptive innovation is a process whereby companies or industries that have succeeded in the past by producing ever more sophisticated and expensive products and services end up losing their customer base because eventually others enter to serve a market more in line with true consumer needs. The U.S. oral health system has followed this path and is now perfectly positioned for disruptive innovation. Among the innovations that are already disrupting the industry and will increasingly do so are consolidation of dental practices, bringing care to where people are through telehealth- health connected teams and Virtual Dental Homes, and payment systems that provide incentives for lowering costs and improving the health of the population...
April 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/30152927/the-dangerous-specter-of-addiction-a-cautionary-tale
#7
Craig Yarborough, Bruce Peltier, Jeff Huston
The literature is equivocal: dentists are either as susceptible to substance abuse or somewhat more susceptible than the general public. Most of us have suspected at one time that a colleague was troubled by excessive alcohol consumption or prescription pain medications. We often sit on the sidelines, waiting for an ideal opportunity to help, wary about offering unsolicited advice or invading the privacy of a colleague. When the problem is confronted and intervention begins, we hold our breath, yearning for a healthy outcome but dreading the worst...
2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/30152926/interim-acd-gies-ethics-project-report-is-professionalism-a-contact-sport-or-a-spectator-sport
#8
David W Chambers
This presentation is an interim report on the American College of Dentists Gies Ethics Project. Following the example of William Gies, our work has been grounded in empirical studies, with progress on the first 11 projects summarized here. The following general patterns are beginning to emerge: (a) the traditional model of individual dentists guided by abstract principles seems to exhibit some inadequacies; (b) ethical cases suggest that patients and dentists hold common views or what should be done and why in some areas but they diverge in others; (c) dentists place high value on technical excellence and income and relatively less on ethics and oral health outcomes; (d) ethics education in dental schools has not achieved the status of a discipline and is showing signs of receiving less attention than in recent years; (e) focus groups of both patients and dentists are concerned that private standards that differ across dentists as to what constitutes appropriate care are eroding trust in the profession, both among dentists and between dentists and patients; (f) recent economic trends highlight growing fragmentation within the profession; (g) practice is losing its direct relationship with patients as it becomes more commercial; (h) dentists are confused about their role in self-regulation and thus compromising public trust; (i) dentists seem to be willing to tolerate a significant number of their colleagues cutting corners; (j) educating individual dentists about ethical theory is unlikely to be effective in bringing about needed professional behavior...
2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/29474023/oral-priming-and-the-acd-basic-rule
#9
David W Chambers
James Rest proposed a model of moral behavior with four components: sensitivity, reasoning, character, and courage (or action). Research has shown that moral character is a complex construct. Multiple moral self-concepts exist within each individual, and different context predispose various of these to become dominant in different settings. Moral priming is the practice of manipulating the environment to favor the use of appropriate moral self-concepts. A study is reported, demonstrating that dentists can be primed to express more moral views based entirely on context...
January 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/29474022/what-did-we-just-agree-to-analysis-and-rewriting-of-the-dentist-s-pledge
#10
Zachary R Smith
No abstract text is available yet for this article.
January 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/29474021/ethics-on-our-sleeve
#11
Joe Vaughn
No abstract text is available yet for this article.
January 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/29474020/assessment-of-dental-student-competency-in-the-new-millennium-what-has-changed
#12
Cynthia C Gadbury Amyot
The major shift in dental education in the past couple of decades has been away from process-clock-hours and number of clinical procedures-to outcomes. In order to be accredited today, schools must document that their graduates have the skills, knowledge, 8nd values required to begin independent dental practice. There has been a corresponding change in assessment methods. Graduates must demonstrate independent competency in all aspects of dental practice, and schools must provide evidence that their programs function as claimed...
January 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/29474019/evidence-based-dentistry-and-coda-requirements
#13
Richard Niederman, Analia Veitz-Keenan
Most of us assume that what we do, and teach, is evidence-based. The challenge is to insure that this is indeed the case. More to the point, how can we readily find the credible evidence we need to guide practice and teaching? And, can we differentiate high-quality evidence from less trustworthy reports? This paper presents a basic, three-step process for querying the literature, identifying levels of evidence, evaluating the evidence, and summarizes the early experiences of three dental schools in developing a curriculum that incorporates EBD and critical thinking...
January 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/29474018/interprofessional-education-and-collaborative-practice-a-pathway-to-better-patient-care-improved-health-and-lower-costs
#14
Steven Friedrichsen
Dentistry usually concerns itself with managing the scope of practice relationships with areas historically performed by dentists as solo practitioners. Many trends in health care-such as electronic records, Big Data, consolidated reimbursement systems, effective but expensive technology, the economies of group practice-are now overwhelming the boundaries of tasks performed in isolation. The Commission on Dental Accreditation has added a standard that dental education programs must prepare professionals to function in these new environments...
January 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/29474017/new-accredittation-standard-for-dental-education-programs-on-humanistic-environment
#15
Karin K Quick
Dental techniques and materials have changed dramatically in the past few decades, as have the expectations of patients, and the relationships among oral healthcare professionals and those they serve. The most current accreditation standards for dental education require that programs demonstrate success in preparing graduates for these relation- ships. The core approach emerging is that this part of dentistry should be built around humanism or respect for the dignity of all. This paper describes the new accreditation requirement, some of the historic need for change, the evolving environment of oral health care, and some programs that schools are developing to address these needs...
January 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/29474016/educating-the-developing-dental-student-in-ethics-and-professionalism
#16
Phyllis L Beemsterboer
Ethics education has been a required part of accreditation standards for dental and dental hygiene programs since the 19lJs. The dominant approach uses a combination of lectures and small, case-based seminars to teach ethical principles and provide practice in decision-making procedures to reason through dilemmas where there are several "right" ways to act. Detail is provided about three such programs.
January 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/29474015/determining-dental-student-competence
#17
Frank W Licari
Almost 20 years ago dental education, including ancillary and residency training, made a fundamental shift to a competency model. Competency is the level of knowledge, skills, and values needed to begin independent practice. This replaced the older emphasis on process. It had formerly been assumed that if a student was exposed to good teaching for a set period of time, he or she must be ready for practice. The responsibility has been shifted from schools needing to demonstrate that they have done the traditional things well to requiring that they demonstrate that every graduate is in fact capable of independent performance as a dentist...
January 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/29474014/tell-me-again-what-is-a-college
#18
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
January 2016: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/27159969/moral-communities-and-moral-leadership
#19
David W Chambers
The American College of Dentists is embarking on a multiyear project to improve ethics in dentistry. Early indications are that the focus will be on actual moral behavior rather than theory, that we will include organizations as ethical units, and that we will focus on building moral leadership. There is little evidence that the "telling individuals how to behave" approach to ethics is having the hoped-for effect. As a profession, dentistry is based on shared trust. The public level of trust in practitioners is acceptable, but could be improved, and will need to be strengthened to reduce the risk of increasing regulation...
2015: Journal of the American College of Dentists
https://www.readbyqxmd.com/read/27159968/american-medicai-association-code-of-ethics-selections
#20
(no author information available yet)
No abstract text is available yet for this article.
2015: Journal of the American College of Dentists
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