No real shortage of dentists?

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txlonghorn

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ADA paper disputes predicted dentist shortage
By DrBicuspid Staff

February 22, 2011 -- Workforce changes alone cannot overcome the many barriers that prevent too many Americans from attaining good oral health, according to a new paper published by the ADA, "Breaking Down Barriers to Oral Health for All Americans: The Role of Workforce."


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The authors warn that focusing on only this one barrier is "the policy equivalent of bailing a leaky boat." Future ADA papers will address other barriers, including the tattered public health safety net and the need to dramatically increase both disease prevention and financing, the organization announced.

The paper disputes the conventional wisdom of a coming shortage of dentists, projecting that later-than-predicted retirement, increased numbers of dental school applicants, and the opening of new dental schools will provide an adequate number of dentists through 2030.

Instead, the ADA argues that the challenges are the following:

Placing dentists -- whether in private practice or government-assisted clinics -- in more underserved areas that otherwise cannot support a full-time dental practice
Addressing issues that impede securing and keeping dental appointments, such as excessive paperwork, transportation, child care, and permission to take time off from work or school
"We know that the existing delivery model can accommodate millions more people, provided that we address administrative and financing barriers and workforce distribution," said ADA President Raymond Gist, DDS, in a press release. "Everyone deserves good oral health, and everyone deserves a dentist."

The ADA cites several examples in which states or municipalities have dramatically increased dental services provided to disadvantaged children through a combination of relatively minor funding increases and administrative reforms. These include the children's dental Medicaid programs in Tennessee, Alabama, and Michigan and the creation of a public-private dental clinic in Vermont.

The authors caution against a rush to create midlevel dental providers who, with as little as 18 months of training after high school, could be allowed to perform such irreversible/surgical procedures as extracting teeth. Such experiments, it argues, are likely to sap resources better directed toward proven methods for extending the availability of care from fully trained dentists.

It does, however, endorse such workforce innovations as the ADA's Community Dental Health Coordinator (CDHC) pilot project. CDHCs follow the medical community health worker model, providing health education and preventive services, identifying patients needing dental care, and helping those patients secure and keep appointments with fully trained dentists.


Just throwing this out there for everyone to read and comment on. Have fun 🙂
 
ADA paper disputes predicted dentist shortage
By DrBicuspid Staff

February 22, 2011 -- Workforce changes alone cannot overcome the many barriers that prevent too many Americans from attaining good oral health, according to a new paper published by the ADA, "Breaking Down Barriers to Oral Health for All Americans: The Role of Workforce."


What Supports Your Practice?
Does your practice management support include ongoing training and courses in industry best practices? How about exclusive upgrades to ensure performance increases over time? If not, try the PracticeWorks Advantage Plan.

The authors warn that focusing on only this one barrier is "the policy equivalent of bailing a leaky boat." Future ADA papers will address other barriers, including the tattered public health safety net and the need to dramatically increase both disease prevention and financing, the organization announced.

The paper disputes the conventional wisdom of a coming shortage of dentists, projecting that later-than-predicted retirement, increased numbers of dental school applicants, and the opening of new dental schools will provide an adequate number of dentists through 2030.

Instead, the ADA argues that the challenges are the following:

Placing dentists -- whether in private practice or government-assisted clinics -- in more underserved areas that otherwise cannot support a full-time dental practice
Addressing issues that impede securing and keeping dental appointments, such as excessive paperwork, transportation, child care, and permission to take time off from work or school
"We know that the existing delivery model can accommodate millions more people, provided that we address administrative and financing barriers and workforce distribution," said ADA President Raymond Gist, DDS, in a press release. "Everyone deserves good oral health, and everyone deserves a dentist."

The ADA cites several examples in which states or municipalities have dramatically increased dental services provided to disadvantaged children through a combination of relatively minor funding increases and administrative reforms. These include the children's dental Medicaid programs in Tennessee, Alabama, and Michigan and the creation of a public-private dental clinic in Vermont.

The authors caution against a rush to create midlevel dental providers who, with as little as 18 months of training after high school, could be allowed to perform such irreversible/surgical procedures as extracting teeth. Such experiments, it argues, are likely to sap resources better directed toward proven methods for extending the availability of care from fully trained dentists.

It does, however, endorse such workforce innovations as the ADA's Community Dental Health Coordinator (CDHC) pilot project. CDHCs follow the medical community health worker model, providing health education and preventive services, identifying patients needing dental care, and helping those patients secure and keep appointments with fully trained dentists.


Just throwing this out there for everyone to read and comment on. Have fun 🙂

Interesting read. +1 from one longhorn to another 👍
 
Interesting read, but most of the practicing dentists already know this.

This phenomenon is pretty prevalent across dentistry, dental specialties and almost all medical specialties too; saturation (overproduction and current economic downturn and ofcourse...everyone's favorite the same old: metropolitan areas all saturated and not that easy to just make it in rural areas. Truth hurts - true nonetheless.

as an aside (not trying to jack thread here) --
The only true models of folks that I have witnessed first hand, commanding lots of money moving to rural areas are: neurosurgeons, cardiologists and other big time surgeons (vascular, and plastics) who really are the cash cows for hospitals and so they command millions of dollars of salary and punk administrations. Also they run their private gig there too.

eh I just haven't met from extensive networking (lots of family friends are dentists and doctors as well), that many DENTISTS being that successful out in rural areas.

Point I am trying to make is: ADA! GET YOUR **** TOGETHER!!

MLPs would be a disaster. curtail admissions. otherwise, its pretty tough out there - for realz!
 
the real motive behind the article: "The authors caution against a rush to create midlevel dental providers..."

seems to me like they're trying to take away the argument that there is/will be a shortage of dentists --> need midlevel providers
 
There's no shortage in many of the urban/metropolitan areas of the East and West coasts, but I think rural areas might be a different story. But it's also difficult to get started in such places, despite a shortage. I agree with Dentinmyarmor--truth hurts.
 
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