Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • General
  • Published:

Flexibility and access to dental postgraduate speciality training

Abstract

Increasingly, there is a clear emphasis on the need for improved access to flexible training. This reflects changing societal attitudes and expectations towards work-life balance and increasing demand for flexible working. The recently published Advancing dental care review: final report (2021) reflects these same demands within dental postgraduate training. Increasing flexible training options has the potential for far-reaching beneficial effects for dental speciality training. There are barriers to accessing speciality training for specific applicant groups and this risks potentially excluding excellent-quality candidates from pursuing speciality training. There is opportunity in utilising and developing flexible training options to support widening access to dental speciality training. Recruitment and working pattern arrangements should reflect these aspirations, ensuring that the best trainees are successful irrespective of their personal circumstances.

Key points

  • Discusses the increasing need for flexibility within dental speciality training in England.

  • Highlights the existence of barriers to undertaking dental speciality training.

  • Considers solutions for developing and supporting additional flexible training options which may mitigate some of these barriers.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. NHS England. The NHS Long Term Plan. 2019. Available at https://www.longtermplan.nhs.uk/wp-content/uploads/2019/08/nhs-long-term-plan-version-1.2.pdf (accessed August 2022).

  2. NHS England. Flexible working: Raising the standards for the NHS. 2022. Available at https://www.england.nhs.uk/wp-content/uploads/2022/02/B0395-flexible-working-raising-the-standards-for-the-NHS.pdf (accessed November 2022).

  3. Gallagher J, Clarke W, Wilson N. Understanding the motivation: a qualitative study of dental students' choice of professional career. Eur J Dent Educ 2008; 12: 89-98.

  4. Lee Y, Ross A J. Projected speciality career choices among undergraduate dental students in Scotland. Br Dent J 2018; 224: 32-37.

  5. Orchard A, Ali S, French K, Gormley M. A survey on the cost of oral surgery dental speciality training. Br Dent J 2020; 228: 533-536.

  6. Health Education England. Experiences of Flexibility in Dental Speciality Training: a survey of dental speciality trainees and educators. Unpublished.

  7. Gröpel P, Kuhl J. Work-life balance and subjective well-being: the mediating role of need fulfilment. Br J Psychol 2009; 100: 365-375.

  8. Bateman L E, Collins J M, Cunningham S J. A qualitative study of work-life balance among specialist orthodontists in the United Kingdom. J Orthod 2016; 43: 288-299.

  9. NHS England. We are the NHS: People Plan for 2020/21 - action for us all. 2020. Available at https://www.england.nhs.uk/wp-content/uploads/2020/07/We-Are-The-NHS-Action-For-All-Of-Us-FINAL-March-21.pdf (accessed August 2022).

  10. NHS England. The People Promise. 2021. Available at https://www.england.nhs.uk/ournhspeople/online-version/lfaop/our-nhs-people-promise/the-promise (accessed September 2022).

  11. Health Education England. Advancing Dental Care Review: Final Report. 2021. Available at https://www.hee.nhs.uk/our-work/advancing-dental-care (accessed September 2021).

  12. Stagnell S, Patel N, Shah S. Is less-than-full-time training in dentistry swimming against the tide? Br Dent J 2019; 227: 347-351.

  13. Diversity in Dentistry Action Group. Equality, Diversity and Inclusion in Dentistry: a profession-wide commitment. 2021. Available at https://cgdent.uk/wp-content/uploads/securepdfs/2022/08/equality-diversity-and-inclusion-in-dentistry-ddag.pdf (accessed February 2023).

  14. Dental Schools Council. Survey of Dental Clinical Academic Staffing Levels 2017. 2017. Available at https://www.dentalschoolscouncil.ac.uk/wp-content/uploads/2017/07/Survey-Dental-Clinical-Academic-Staffing-Levels-2017.pdf (accessed February 2023).

  15. Health Education England. Medical Doctor Degree Apprenticeship. Available at https://www.hee.nhs.uk/our-work/talent-care-widening-participation/apprenticeships/medical-doctor-degree-apprenticeship (accessed February 2023).

  16. Gallagher J E, Clarke W, Eaton K A, Wilson N H. Dentistry - a professional contained career in healthcare. A qualitative study of Vocational Dental Practitioners' professional expectations. BMC Oral Health 2007; 7: 16.

  17. Murphy T C, Parkin N A, Willmot D R, Robinson P G. The feminisation of the orthodontic workforce. Br Dent J 2006; 201: 355-357.

  18. General Dental Council. Registration report - October 2022. Available at https://www.gdc-uk.org/about-us/what-we-do/the-registers/registration-reports (accessed October 2022).

  19. Gordon M B, McGuinness G A, Stanton B F et al. Part-time training in paediatric residency programmes: principles and practices. Paediatrics 2008; 122: 938-944.

  20. Ayers K M, Thomson W M, Rich A M, Newton J T. Gender differences in dentists' working practices and job satisfaction. J Dent 2008; 36: 343-350.

  21. Eaton K A, West N X, Wilson N H, Sanz M. European Federation of Periodontology Survey of Postgraduate and Specialist Training in Europe in 2020. Eur J Dent Educ 2022; 26: 361-367.

  22. Moss J P, Orosz M, Bánóczy J. Specialisation in dentistry in Europe - a review. Eur J Dent Educ 1999; 3: 180-183.

  23. Illsley A. Time to look more closely at attitudes to less than full time working? Br J Hosp Med (Lond) 2020; 81: 1-3.

  24. Drugan C S, Chestnutt I G, Boyles J R. The current working patterns and future career aspirations of specialist trainees in dentistry. Br Dent J 2004; 196: 761-765.

  25. Gallagher J E, Wilson N H. The future dental workforce? Br Dent J 2009; 206: 195-199.

  26. NHS Employers. Principles underpinning the new arrangements for flexible training. 2005. Available at https://heiw.nhs.wales/files/less-than-full-time-training/nhs-principles-underpinning-the-new-arrangements-for-flexible-training/ (accessed September 2022).

  27. Health Education England. Foundation Trainee Pharmacist Recruitment Applicant Handbook. 2021. Available at https://www.lasepharmacy.hee.nhs.uk/dyn/_assets/_folder4/_folder4/national-recruitment/foundation_training_year_recruitment_applicant_handbook_2021_final.pdf (accessed May 2022).

  28. UK Committee of Postgraduate Dental Deans and Directors. National Certificate of Dental Core Equivalence (NCDCE). Available at https://www.copdend.org/postgraduate-training/header-dental-core-training/dct2-equivalence-process/ (accessed February 2023).

Download references

Author information

Authors and Affiliations

Authors

Contributions

Jessie Tebbutt, Richard James Spencer and Richard Balmer contributed equally to the content development and write up of this manuscript.

Corresponding author

Correspondence to Jessie E. Tebbutt.

Ethics declarations

The authors declare that the second and last author are currently affiliated with Health Education England, in the respective roles of Postgraduate Dental Dean for Yorkshire and the Humber, and Associate Dental Dean for Speciality Training in Yorkshire and the Humber.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tebbutt, J., Spencer, R. & Balmer, R. Flexibility and access to dental postgraduate speciality training. Br Dent J 235, 211–214 (2023). https://doi.org/10.1038/s41415-023-6079-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41415-023-6079-z

Search

Quick links