Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies

Dentistry and medicine traditionally practice as separate professions despite sharing goals for optimal patient health. Many US residents experience both poor oral and general health, with difficulty accessing care. More efficient collaboration between these professions could enhance health. The COV...

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Autores principales:	Sara C. Gordon, Linda M. Kaste, Wendy E. Mouradian, Phyllis L. Beemsterboer, Joel H. Berg, Carol Anne Murdoch-Kinch
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	oral physician primary care dentist dental student oral health primary care provider (OP-PCP) oral-systemic interprofessional education/care (IPE/IPC) Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/e0b444843eb7481fb748aad051f2858b
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spelling	oai:doaj.org-article:e0b444843eb7481fb748aad051f2858b2021-11-11T05:11:36ZDentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies2673-491510.3389/fdmed.2021.703958https://doaj.org/article/e0b444843eb7481fb748aad051f2858b2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fdmed.2021.703958/fullhttps://doaj.org/toc/2673-4915Dentistry and medicine traditionally practice as separate professions despite sharing goals for optimal patient health. Many US residents experience both poor oral and general health, with difficulty accessing care. More efficient collaboration between these professions could enhance health. The COVID-19 pandemic disclosed further disparities while underscoring concerns that physician supply is inadequate for population needs. Hence, enhancing healthcare provider education to better meet the public's health needs is critical. The proposed titles “Oral Physician” or “Oral Health Primary Care Provider” (OP-PCP) acknowledge dentist's capacity to diagnose and manage diseases of the orofacial complex and provide some basic primary healthcare. The US Surgeon General's National Prevention Council and others recommend such models. Medical and dental education already overlap considerably, thus it is plausible that dental graduates could be trained as OP-PCPs to provide primary healthcare such as basic screening and preventive services within existing dental education standards. In 2018, 23 dental and medical educators participated in an expert-opinion elicitation process to review educational competencies for this model. They demonstrated consensus on educational expansion and agreed that the proposed OP-PCP model could work within existing US Commission on Dental Accreditation (CODA) standards for predoctoral education. However, there were broader opinions on scope of practice details. Existing CODA standards could allow interested dental programs to educate OP-PCPs as a highly-skilled workforce assisting with care of medically-complex patients and to helping to reduce health disparities. Next steps include broader stakeholder discussion of OC-PCP competencies and applied studies including patient outcome assessments.Sara C. GordonLinda M. KasteWendy E. MouradianWendy E. MouradianPhyllis L. BeemsterboerJoel H. BergCarol Anne Murdoch-KinchFrontiers Media S.A.articleoral physicianprimary care dentistdental studentoral health primary care provider (OP-PCP)oral-systemicinterprofessional education/care (IPE/IPC)DentistryRK1-715ENFrontiers in Dental Medicine, Vol 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	oral physician primary care dentist dental student oral health primary care provider (OP-PCP) oral-systemic interprofessional education/care (IPE/IPC) Dentistry RK1-715
spellingShingle	oral physician primary care dentist dental student oral health primary care provider (OP-PCP) oral-systemic interprofessional education/care (IPE/IPC) Dentistry RK1-715 Sara C. Gordon Linda M. Kaste Wendy E. Mouradian Wendy E. Mouradian Phyllis L. Beemsterboer Joel H. Berg Carol Anne Murdoch-Kinch Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies
description	Dentistry and medicine traditionally practice as separate professions despite sharing goals for optimal patient health. Many US residents experience both poor oral and general health, with difficulty accessing care. More efficient collaboration between these professions could enhance health. The COVID-19 pandemic disclosed further disparities while underscoring concerns that physician supply is inadequate for population needs. Hence, enhancing healthcare provider education to better meet the public's health needs is critical. The proposed titles “Oral Physician” or “Oral Health Primary Care Provider” (OP-PCP) acknowledge dentist's capacity to diagnose and manage diseases of the orofacial complex and provide some basic primary healthcare. The US Surgeon General's National Prevention Council and others recommend such models. Medical and dental education already overlap considerably, thus it is plausible that dental graduates could be trained as OP-PCPs to provide primary healthcare such as basic screening and preventive services within existing dental education standards. In 2018, 23 dental and medical educators participated in an expert-opinion elicitation process to review educational competencies for this model. They demonstrated consensus on educational expansion and agreed that the proposed OP-PCP model could work within existing US Commission on Dental Accreditation (CODA) standards for predoctoral education. However, there were broader opinions on scope of practice details. Existing CODA standards could allow interested dental programs to educate OP-PCPs as a highly-skilled workforce assisting with care of medically-complex patients and to helping to reduce health disparities. Next steps include broader stakeholder discussion of OC-PCP competencies and applied studies including patient outcome assessments.
format	article
author	Sara C. Gordon Linda M. Kaste Wendy E. Mouradian Wendy E. Mouradian Phyllis L. Beemsterboer Joel H. Berg Carol Anne Murdoch-Kinch
author_facet	Sara C. Gordon Linda M. Kaste Wendy E. Mouradian Wendy E. Mouradian Phyllis L. Beemsterboer Joel H. Berg Carol Anne Murdoch-Kinch
author_sort	Sara C. Gordon
title	Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies
title_short	Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies
title_full	Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies
title_fullStr	Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies
title_full_unstemmed	Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies
title_sort	dentists as primary care providers: expert opinion on predoctoral competencies
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/e0b444843eb7481fb748aad051f2858b
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Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies

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