Gerodontology. 2017;1–8.
|
1 wileyonlinelibrary.com/journal/ger
Accepted: 17 March 2017
DOI: 10.1111/ger.12269
ORIGINAL ARTICLE
Dental students’ reflections about long-term care experiences
through an existing model of oral health
Mario Brondani | Komkham Pattanaporn
© 2017 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd
Faculty of Dentistry, University of British
Columbia, Vancouver, BC, Canada
Correspondence
Mario Brondani, Faculty of Dentistry,
University of British Columbia, Vancouver, BC,
Canada.
Email: brondani@dentistry.ubc.ca
Objective: The aim of this study was to explore students’ reflective thinking about
long-term care experiences from the perspective of a model of oral health.
Materials and methods: A total of 186 reflections from 193 second-year undergradu-
ate dental students enrolled between 2011/12 and 2014/15 at the University of
British Columbia were explored qualitatively. Reflections had a word limit of 300, and
students were asked to relate an existing model of oral health to their long-term care
experiences. We have identified the main ideas via a thematic analysis related to the
geriatric dentistry experience in long-term care.
Results: The thematic analysis revealed that students attempted to demystify their pre-
conceived ideas about older people and long-term care facilities, to think outside the
box, for example away from a typical dental office, and to consider caring for elderly
people from an interprofessional lens. According to some students, not all domains from
the existing model of oral health were directly relevant to their geriatric experience
while other domains, including interprofessionalism and cognition, were missing. While
some participants had a positive attitude towards caring for this cohort of the popula-
tion, others did not take this educational activity as a constructive experience.
Conclusions: The nature of most students’ reflective thinking within a long-term care
experience showed to be related to an existing model of oral health. This model can
help to give meaning to the dental geriatric experience of an undergraduate curricu-
lum. Such experience has been instrumental in overcoming potential misconceptions
about long-term care and geriatric dentistry.
KEYWORDS
geriatric dentistry, geriatric education, model of oral health, reflective thinking, undergraduate
dental curriculum
1 | INTRODUCTION
As people live longer and healthier, and retain their natural teeth for
life,
1,2
there is an increased demand for preventive and curative ser-
vices for older people, particularly those who are frail.
3,4
Such services
call for dental professionals who are knowledgeable about ageing
and capable of treating humanly and interacting meaningfully with
elderly people, particularly those who are frail and/or reside in long-
term care facilities.
5
More importantly, they should be able to work
holistically when planning and delivering oral health care.
6
According
to Yellowitz and Scheneiderman, the dental profession must be pre-
pared “to meet the challenges of providing oral health services to
the increasing numbers of medically compromised and cognitively
impaired older adults whose care is often complicated by functional,
behavioral, and situational factors” (page 191).
7
In turn, an overarching
goal of an undergraduate geriatric dental education is on graduating
dental professionals with positive and grounded attitudes towards
older people. Different countries have approached the undergraduate