Post-qualification dental training. Part 1: perceptions of different dental foundation and dental core training pathways

Abstract

Introduction Upon completion of dental foundation training (DFT), a number of dental graduates apply for further training known as dental core training (DCT). Alternatively, there are two-year integrated training pathways within both primary and secondary care; known as longitudinal dental foundation training (LDFT). There is a lack of evidence supporting LDFT and how this compares to DFT and DCT.

Aim To explore perceptions and experiences of three post-qualification dental training pathways (DFT, DFT+DCT1, LDFT) and understand how this training prepares trainees for independent clinical practice and their future career.

Method A qualitative study, employing a 'grounded theory' approach. Theoretical sampling was carried out until data saturation was achieved; 36 individual in-depth semi-structured interviews of trainees and supervisors were conducted. Data analysis was iterative and inductive. The development of codes and generation of sub-themes resulted in major themes grounded within the data of participants.

Results Seven major themes were generated: training pathway choice, skill development, career development, identity, team, setting and training programme.

Conclusion The first part of this short series provides an understanding of perceptions of the different training pathways and factors considered when choosing a training pathway; in particular the impact of the recruitment process, peer opinion and service pressures.

Access options

Rent or Buy article

Get time limited or full article access on ReadCube.

from$8.99

All prices are NET prices.

Fig. 1
Fig. 2
Fig. 3

References

  1. 1.

    UK Committee of Postgraduate Dental Deans and Directors (COPDEND). Dental Foundation Training Handbook. 2016. Available online at http://www.copdend.org/DFTHandbook/index.html (accessed 18 August 2018).

  2. 2.

    UK Committee of Postgraduate Dental Deans and Directors (COPDEND). Dental Foundation Training Curriculum 2015. Available online at http://www.copdend.org//data/files/Foundation/Curriculum%202016%20Printable%20%20reverse%20colourway.pdf (accessed 18 August 2018).

  3. 3.

    National Health Service Health Education England. Advancing dental care: education and training review. final report. May 2018. Available online at https://www.hee.nhs.uk/sites/default/files/documents/advancing_dental_care_final.pdf (accessed 18 August 2018).

  4. 4.

    Ralph J P, Mercer P E, Bailey H. A comparison of the experiences of newly qualified dentists and vocational dental practitioners during their first year of general dental practice. Br Dent J 2000; 189: 101-106.

  5. 5.

    Palmer N O A, Kirton J A, Speechley D. An investigation of the clinical experiences of dentists within the national dental foundation training programme in the North West of England. Br Dent J 2016; 221: 323-328.

  6. 6.

    Clow R, Mehra S. Evaluation of vocational training of dentists in three different regions. Br Dent J 2006; 201: 774-778.

  7. 7.

    Cabott L B, Patel H M. Aspects of the dental vocational training experience in the South East of England. Br Dent J 2007; 202: 1-6.

  8. 8.

    Barlett D W, Coward P Y, Wilson R, Goodsman D, Darby J. Experiences and perceptions of vocational training reported by the 1999 cohort of vocational dental practitioners and their trainers in England and Wales. Br Dent J 2001; 191: 265-270.

  9. 9.

    McKenna G, Burke F, O'Sullivan K. Attitudes of Irish dental graduates to vocational training. Eur J Dent Educ 2010: 14; 118-123.

  10. 10.

    Gilmour J, Stewardson D A. Morale of vocational dental practitioners in the United Kingdom. Br Dent J 2008; 204: E18.

  11. 11.

    Oxley C J, Dennick R, Batchelor P. The standard of newly qualified dental graduates - foundation trainer perceptions. Br Dent J 2017; 222: 391-395.

  12. 12.

    UK Committee of Postgraduate Dental Deans and Directors (COPDEND). UK Dental Core Training Curriculum. December 2016. Available online at https://www.copdend.org/wp-content/uploads/2018/09/2016-12-14-UK-DCT-Curriculum-December-2016.pdf (accessed 31 October 2019)..

  13. 13.

    Keith D J W, Durham J. Senior house officer training in oral and maxillofacial surgery: a national survey. Br Dent J 2003; (Suppl) 23-28.

  14. 14.

    Stancliffe H, Little R, Keith D. An evaluation of senior house officer training in oral and maxillofacial surgery. Br Dent J 2011; 211: 75-80.

  15. 15.

    Wildan T, Amin J, Bowe D, Gerber B, Saeed N R. Dental foundation year 2 training in oral and maxillofacial surgery units - the trainees' perspective. Br J Oral Maxillofac Surg 2013; 51: e155-e64.

  16. 16.

    Gallagher J E, Bates T J, Kalsi H, Shah A, Wang Y J, Newton J T. What is the role of senior house officer or dental foundation year two posts within professional careers? Prim Dent Care 2010; 17: 115-122.

  17. 17.

    Plowman L, Musselbrook K. An evaluation of general professional training for dentistry in Scotland. Br Dent J 2000; 188: 154-159.

  18. 18.

    Prescott L E, McKinlay P, Rennie J S. The development of an assessment system for dental vocational training and general professional training: a Scottish approach. Br Dent J 2001; 190: 41-44.

  19. 19.

    Karsondas N, Karsondas N, Blaylock P. The two-year longitudinal dental foundation training programme: an option worth revisiting. Br Dent J 2019; 226: 224-227.

  20. 20.

    UK Committee of Postgraduate Dental Deans and Directors (COPDEND). A reference guide for dental foundation training in England, Wales and Northern Ireland. The DENTAL BLUE GUIDE. Available online at https://www.copdend.org/wp-content/uploads/2018/03/BlueGuide2016.pdf (accessed February 2019).

  21. 21.

    UK Foundation Programme Office. UK Foundation Programme. 2003. Available online at http://www.foundationprogramme.nhs.uk/content/about (accessed 19 August 2018).

  22. 22.

    UK Committee of Postgraduate Dental Deans and Directors (COPDEND). A curriculum for UK dental foundation programme training. 2006. Available online at http://www.copdend.org/data/files/Foundation/Dental%20Foundation%20Programme%20Curriculum.pdf (19 August 2018).

  23. 23.

    UK Committee of Postgraduate Dental Deans and Directors (COPDEND). Dental Foundation Training Policy Statement. Available online at http://www.copdend.org/content.aspx?Group=foundation&Page=foundation_policystatement (19 August 2018).

  24. 24.

    Glaser B G, Strauss A L. The discovery of grounded theory: strategies for qualitative research. New York, USA: Aldine de Gruyter, 1967.

  25. 25.

    Morse J, Richards L. Read me first for a user's guide to qualitative methods. California, USA: SAGE Publications, 2002.

  26. 26.

    Cresswell J W. Educational research: Planning, conducting and evaluating quantitative and qualitative research. 2nd ed. New Jersey: Pearson Education Inc, 2005.

  27. 27.

    Corbin J, Strauss A. Basics of qualitative research: Techniques and procedures for developing grounded theory. 3rd ed. California, USA: SAGE Publications, 2008.

  28. 28.

    Roller M R, Lavrakas P J. Applied qualitative research design: a total quality framework approach. New York: The Guilford Press, 2015.

  29. 29.

    Cresswell J W. Research design: Qualitative, quantitative and mixed methods approaches. 3rd ed. California: SAGE Publications Inc, 2009.

  30. 30.

    Spencer L, Ritchie J, O'Connor W. Analysis: practices, principles and processes. In Ritchie J, Lewis J (eds) Qualitative research practice: a guide for social science students and researchers. pp. 199-218. London: SAGE Publications Ltd, 2003.

  31. 31.

    Lewis J, Ritchie J. Generalising from Qualitative Research. In Ritchie J, Lewis J (eds) Qualitative research practice a guide for social science students and researchers. pp. 263-286. London: SAGE Publications Inc, 2003.

  32. 32.

    Bullock A, Webb K L, Muddiman E, McDonald J, Allery L, Pugsley L. Enhancing the quality and safety of care through training generalist doctors: a longitudinal, mixed-methods study of a UK broad-based training programme. BMJ Open 2018; 8: e021388.

Download references

Acknowledgements

The authors wish to thank all participants who contributed towards this project.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Alexandra J. Coleman.

Ethics declarations

This study was funded by Health Education England.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

J. Coleman, A., M. Finn, G. Post-qualification dental training. Part 1: perceptions of different dental foundation and dental core training pathways. Br Dent J 227, 915–921 (2019). https://doi.org/10.1038/s41415-019-0909-z

Download citation

Further reading

Search