Experience, skill and knowledge gained by newly qualified dentists during their first year of general practice

Abstract

This study was commissioned by the Department of Health in 1988 for the assessment of the preparation of newly qualified dentists for general practice and the effect of the Vocational Training Schemes on their development. Newly qualified dentists working either as VTS trainees or associates were assessed in three ways. During the third and the twelfth months of practice they were asked to keep a one-week clinical diary record. They were also asked to complete a questionnaire to give a subjective assessment of their skill and knowledge related to general practice. Similar questionnaires were completed by their trainers or principals in order to provide an objective assessment. An indication of the volume of treatment they provided was also obtained from DPB records. The results showed that associates saw more patients and provided more treatment than VTS trainees during their first year. The difference between the two groups was greater at 3 months than at 12 months; however, wide variations were found, especially in the VTS group. The results from the questionnaires suggest that, with the exception of practice administration, oral surgery, orthodontics, anaesthesia and sedation, the undergraduate course provides adequate preparation for the initial demands of general practice. However, initially both groups were judged to be unprepared for independent practice. The results suggest that during the first year of practice the support and guidance of a more experienced colleague is essential, together with the provision of adequate and varied clinical experience.