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8 September 2007

Dental student survey raises issues of NHS workforce planning

***Strictly embargoed for use until 00.01 am, Saturday September 8th***

A survey of senior dental students has found that 18% of them plan to work exclusively within the private sector while only 3% intend to work wholly within the NHS.

The study, led by researchers at the University of Dundee and published in the British Dental Journal today (Saturday September 8th), raises questions over future workforce planning for dentistry within the NHS.

"The results of this study suggest that future generations of dentists will have a pattern of professional life that may have the effect of reducing their clinical commitment, both in terms of working time and participation in patient care within the NHS," said Dr Fiona Stewart of the University of Dundee Dental School, lead author of the study.

"Our findings indicate that the plans senior dental students have for their future careers may well reduce the `supply side' of the workforce equation. This is particularly true with respect to their intentions regarding NHS work, childcare arrangements and retirement plans."

"If these career intentions are followed through it could impact significantly on the future clinical commitment available to the NHS, and in our view these intentions should be taken into account for future dental workforce planning."

The study also found that around 60% of students foresaw themselves retiring from the profession or reducing their working commitment before they were 60. More than half the students also said they would plan to take time out of dentistry once they had started families.

141 final-year dental students at the Universities of Dundee and Manchester were asked about their future career plans, with particular emphasis on work-life balance issues, their attitudes towards the NHS, and retirement plans.

The survey was carried out by principal investigator Dr Fiona Stewart and Dr John Drummond, both at the University of Dundee, Dr Lloyd Carson at the University of Abertay Dundee, and Dr Elizabeth Theaker at the University of Manchester.

A similar study published two years ago by the same authors questioned entrants to dental school and found similar numbers (3%) intending to dedicate their careers wholly to the NHS. The biggest difference in the results this time lay in the proportion of students intending to work wholly in the private sector.

"When we previously spoke to younger students the number looking to work exclusively in private practice was 7.5%. This time we have spoken to more senior students and that figure has jumped to 18%," said Dr Stewart.

"That may reflect changes in attitude as students progress through their training."

The vast majority, 79%, expressed intent to share their workload between the NHS and the private sector.

NOTES TO EDITORS

Dr Fiona Stewart is a lecturer at Dundee Dental Hospital. Her principal research interest is the work pattern of dental professionals.

Dr John R. Drummond is a Senior Lecturer/ consultant at Dundee Dental school and is interested in dental workforce planning, admissions policies to dental schools and the careers of dentists.

Dr Lloyd Carson, a social psychologist at University of Abertay, Dundee was involved in the design of the survey instrument. She is also currently examining the data from the survey from the point of view of detecting differences in the types of motivation towards dentistry reported by male and female late stage dental students.

Dr Elizabeth Theaker is a lecturer and Specialist in Oral Medicine at the University of Manchester Dental School. She is also Senior Tutor for Undergraduate Studies.


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Roddy Isles
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University of Dundee
Nethergate Dundee, DD1 4HN
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E-MAIL: r.isles@dundee.ac.uk