91 - Special Healthcare Needs Training in Postdoctoral General Dentistry Education Programs

Abstract:

Purpose: To assess US-based General Practice Residency (GPR) and Advanced Education in General Dentistry (AEGD) programs’ didactic and clinical training on Special Healthcare Needs (SHCN).

Methods: A cross-sectional survey using a 26-item questionnaire was distributed to directors of Commission on Dental Accreditation accredited GPR and AEGD programs.

Results: A total of 64 program directors responded (GPR:49; AEGD:15). Both GPRs and AEGDs serve SHCN patients of similar age groups and have seen rising patient numbers. While most programs offer SHCN training, we identified differences in current training and reported training gaps. GPRs were more longstanding (P=.045), often hospital-based (P < .001), emphasized didactic education (P=.05) and more often offered treatment under general anesthesia (P=.005), whereas AEGDs commit more time to scholarly projects/research (P < .001). Common training gaps included managing patient behavior (GPR:63.3%, AEGD:46.7%), building resident confidence (GPR:59.2%, AEGD:40%), and coordinating complex medical care (GPR:53%, AEGD:47%). Respondents cited insufficient faculty expertise (GPR:81%, AEGD:63%) and logistical issues as key barriers (GPR:88%, AEGD:100%) to improve training. Most respondents expressed interest in collaborating with facilities tailored to the management of SHCN patients (GPR:51%, AEGD:67%) and strengthening their SHCN training (GPR:63%, AEGD:80%). Although 58% of respondents reported inadequate funding for in-house training and associated expenses to patient care, 73% supported incorporating certifications related to SHCN to enhance resident competency.

Conclusions: While GPR and AEGD programs incorporate SHCN treatment training, curricular differences, clinical resources, and funding limitations impede consistent resident preparedness. Strengthening faculty development, affordable alternative training options, and interprofessional collaborations may enhance SHCN training.

Identify Supporting Agency and Grant Number: Research supported by Nicklaus Children’s Hospital Department of Pediatric Dentistry.