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At least 1,747 records · Page 97Linked to original sources

Academic dismissal for clinical reasons: implications of the Horowitz case.

Dismissal of a student from the educational program of a school of dentistry has immeasurable impact on the student and results in considerable emotional trauma to the faculty and administration. The legalistic emphasis of today's society has resulted in an increasing amount of litigation subsequent to student dismissals. The U.S. Supreme Court's recent decision in the case of Ms. Charlotte Horowitz has provided helpful guidance regarding what is fair when considering student dismissal for clinical or academic reasons, or both. Inferences from this and related cases are drawn that can assist dental education administrators in developing sound dismissal procedures for the institutions they manage.

Clinical Competence↗

Dose reduction of intraoral dental radiography in Spain.

OBJECTIVES: To assess the influence of new European Union (EU) legislation on radiation doses in intraoral dental radiography in Spain. METHODS: A total of 10 109 official reports from Spanish dental offices covering the period 1996-2003 were analysed. RESULTS: The results point to a dose reduction of 19% in 7 years, with a mean dose of 3.11 mGy being administered in 2003. The third quartile value in 2002 was 4.8 mGy. Taking the EU recommended dose of 4 mGy as standard, 73.3% (2002) and 77.3% (2003) of installations are in compliance with the EU recommendations in Spain. However, there has been no further reduction in the last 3 years. The results showed that Ultraspeed dental X-ray film was used by 77.6% of the dentists in 1996-1997 and 82.3 in 2003. There was infrequent use of E-speed films (0.6%) and F-speed films (9.6%) in 2003. Statistical analysis pointed to significant differences between the doses administered and the type of processing used, the lowest exposures being measured in digital systems, which used significantly lower doses than both manual and automatic development, and when conventional radiographic films were used. CONCLUSION: The introduction of new legislation has resulted in a gradual reduction in the dose administered in intraoral dental radiology in Spain.

Analysis of Variance↗

The dental educator and the law.

Dental educators become vulnerable to student lawsuits if they ignore legislative changes and judicial decisions that affect all academic units in higher education. Issues involving contractual considerations, privacy and grading, and recent copyright revisions are of particular interest to those faculty actively engaged in teaching. Knowledge of these issues as they relate to the course director's daily responsibilities will better prepare the dental educator to avoid litigation and to know when to seek advice of institutional counsel.

Clinical Competence↗

The establishment of a course to train dental hygienists in South Australia: an evaluation after three years.

South Australia was the first State to legislate for the introduction of dental hygienists in Australia. A training course was established in 1975, and accepted ten trainees each year until 1980. The course was one year full-time, and it's content was based initially on recommendations by the General Dental Council of Great Britain for the training of hygienists. This was augmented with increased content in the behavioural science area and a topic approach to programming. The nature of the programme, selection, and assessment of students is discussed. Indications are that the course is well accepted by the majority of hygienists and their employing dentists from both the public and private sector.

Australia↗

[Paradigm shift in dental care services].

According to new legislation socially insured people born after December 31, 1978 do not get prostheses any longer. This law will accelerate the structural change in German dental care that already started in the early eighties. By this health policy finally gives priority to preventive instead of prosthetic dentistry. Some of the most important implications of this paradigm shift for patients and dentists are discussed.

Adolescent↗

[Effects of the new German quarterly practice fee on dental treatment -- cost-benefit analysis].

BACKGROUND: In the German Law on the Modernization of the Statutory Healthcare System of 19 November 2003 the legislator enacted payment of a so-called quarterly practice fee for ambulant medical and dental care. The legislator hopes that by the introduction of this fee the central "steering" function of the family doctor is strengthened and that medically unnecessary treatment will be reduced, thus reducing cost and consolidating health insurance funds. In public, however, the introduction of the practice fee as a steering instrument is very controversially discussed. The aim of the analysis is to balance the cost-effectiveness of a quarterly practice fee with regard to the specific features of the dental care system. RESULTS: Analysis of the allocative and distributive effects shows that the practice fee does not adequately take into account the specific features of the dental care sector and that the adverse effects prevail if seen under the aspect of health economics and social medicine. Neither on the micro-economic nor on the macro-economic level a noticeable medicine-term or long-term cost containment effect may be expected.

Cost Control↗

The residency pathway to dental licensure: the paradigm shift from inception to policy.

Following decades of minimal advancement, the dental licensure reform movement has rallied around the recent introduction of a bold new concept. The New York State Dental Association has introduced and passed legislation that allows the substitution of a successfully completed dental residency program for the traditional clinical licensing examination. The residency must be one approved by the Commission on Dental Accreditation of the American Dental Association. New York's main objective was to elevate the standards required for licensure beyond those of minimal competency. The residency experience provides extensive didactic and clinical experience in a supervised setting relevant to contemporary dental practice.

American Dental Association↗

CDA hones its marketing message.

This article discusses the many tacks CDA has taken with its marketing campaigns over the years. The keys to success have been reasonable goals and sufficient funds to make an impact. The current campaign, while underfunded due to budget constraints, carries on the successful theme of positioning CDA and its member dentists as the trusted sources of dental information for consumers, legislators, and health care decision-makers. An accompanying article discusses the proposed ADA national marketing campaign.

Advertising↗

A "health commons" approach to oral health for low-income populations in a rural state.

Oral health needs are urgent in rural states. Creative, broad-based, and collaborative solutions can alleviate these needs. "Health commons" sites are enhanced, community-based, primary care safety net practices that include medical, behavioral, social, public, and oral health services. Successful intervention requires a comprehensive approach, including attention to enhancing dental service capacity, broadening the scope of the dental skills of locally available providers, expanding the pool of dental providers, creating new interdisciplinary teams in enhanced community-based sites, and developing more comprehensive oral health policy. By incorporating oral health services into the health commons primary care model, access for uninsured and underserved populations is increased. A coalition of motivated stakeholders includes community leaders, safety net providers, legislators, insurers, and medical, dental, and public health providers.

Adult↗

The New York State postgraduate fifth-year dental residency as a new licensure path: concerns for public protection.

The recently enacted law creating an alternative pathway to dental licensure in New York state is benchmark legislation. Along with the positive effects of dental education that may ensue, the author has serious concerns that the strongly emotional and political debate occurring during the bill's consideration obscured important considerations for public safety and the erosion of standards for licensure in New York. In addition, this pathway has potential to negatively affect freedom of movement and licensure by credentials for practice in other jurisdictions.

Accreditation↗

Integration of oral health into primary health care: the role of dental hygienists and the WHO stewardship.

Interest in addressing the unmet oral health needs of the citizens of the world has manifested itself, lately, in noteworthy expressions of commitment. Oral health is integrated with general health and support for community programmes offering 'essential oral health' within primary health care (PHC) is increasing. The WHO Global Goals for Oral Health 2020 has assumed a more directed public health orientation, and the Global Oral Health Programme has its focus on modifiable oral risk behaviours. Last, but not the least, opportunities are being created, under the 'stewardship' of the World Health Organization (WHO), for the expansion of oral disease prevention and health promotion knowledge and practices in communities. A review of the literature on community-oriented oral health primary care reveals one dominant and disease-oriented practice model with dental practitioners being the principal and exclusive actors. One alternative to this biomedical model of care that may be better suited to translate health promotion principles into action at community levels is the practice that involves hygienists serving as primary oral health care providers. The WHO 'stewardship' should include the support of dental hygiene practice within PHC, many legislative restrictions and regulatory barriers would be relaxed, thus enabling dental hygienists to respond to the WHO's call for community-based demonstration projects. With their focus on preventive oral care, hygienists are 'best poised' to help accelerate the integration of oral health with primary care, particularly in the light of the compelling evidence confirming the cost-effectiveness of the care delivered by intermediate providers.

Community Health Services↗

The tax bite.

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Dentistry↗