Citation Information :
Moafa I, Jafer A, Almashnawi M, Hedad I, Hakami S, Zaidan M, Kaabi AA, Abulqasim H, Jafer M. Transitioning to Private Dental Practice: An In-depth Exploration of Dental Graduates’ Perspectives in Saudi Arabia. Int J Clin Pediatr Dent 2024; 17 (7):777-782.
Background: Graduates of the Bachelor of Dental Surgery program meet the qualifications set by Saudi universities and pass the Saudi Commission for Health Specialties License Examination to practice dentistry. However, ambiguity persists concerning their preparedness for private dentistry. This study explored how dental graduates perceive their readiness to operate in the private sector.
Materials and methods: A qualitative study was conducted by interviewing dental graduates from different dental schools across Saudi Arabia using a semistructured interview guide with convenience sampling until thematic saturation was achieved. All interviews were verbatim transcribed and analyzed manually by two researchers working independently using Braun and Clarke's thematic analysis approach.
Results: A total of 35 participants from Saudi dental schools across five distinct regions (North, South, East, West, and Central) were included in the study. Data analysis revealed four prominent themes believed to influence participants’ readiness for private practice: (1) communication skills—concerns regarding proficiency in areas crucial for ensuring patient satisfaction, (2) technical management skills—uncertainty in aspects such as practice setup and dental insurance, (3) pedagogical curriculum design—primarily tailored to public sector roles, and (4) legal and ethical issues—concerns about legal and ethical issues intrinsic to dental practice.
Conclusion: The transition of Saudi dental graduates into private practice is influenced by multiple obstacles, encompassing factors related to their knowledge and skills in patient communication, technical management, education curriculum design, and familiarity with legal intricacies.
Clinical significance: Exploring dental graduates’ perceptions in relation to private practice is clinically significant as it highlights specific areas, including communication skills, where effective communication with both children and parents is paramount in private dentistry; technical management; curriculum adaptation; and legal/ethical awareness, where targeted interventions can enhance the quality and safety of dental care provided in private practice. These insights can lead to improvements in dental education and practice management, ultimately benefiting both dentists and patients in the private dental sector.
Chowdhury S, Mok D, Leenen L. Transformation of health care and the new model of care in Saudi Arabia: Kingdom's Vision 2030: J Med Life 2021;14(3):347–354. DOI: 10.25122/jml-2021-0070
Valachovic RW. From bungalow to big box? How DSO's could change the face of dentistry. American Dental Education Association blog: Charting. Progress June 13, 2014. Available online at https://adeachartingprogress.wordpress.com/2014/06/13/from-bungalow-to-big-box/. Accessed May 7, 2023.
Hancock M, Calnan M, Manley G. Private or NHS general dental service care in the United Kingdom? A study of public perceptions and experiences. J Public Health Med 1999;21(4):415–420. DOI: 10.1093/pubmed/21.4.415
Lynch M, Calnan M. The changing public/private mix in dentistry in the UK–a supply-side perspective. Health Econ 2003;12(4):309–321. DOI: 10.1002/hec.728
Sembiah S, Paul B, Dasgupta A, et al. Capacity building of private sector workforce for public health services in India: scope and challenges. Indian J Community Med 2018;43(3):144–147. DOI: 10.4103/ijcm.IJCM_316_17
Kroneman M, Boerma W, van den Berg M, et al. Netherlands: health system review. Health Syst Transit 2016;18(2):1–240.
Brown WC, Bumann A. Corporate dentistry: making an informed practice decision; 2014 Jul 12-14; Margaret River (AU). PowerPoint presentation available from: http://www.asdanet.org/uploadedfiles/Events/Presentations/AS14/AGD%20breakout.pptx. Accessed May 19, 2023.
Guay A, Warren M, Starkel R, et al. A proposed classification of dental group practices. Chicago, American Dental Association Health Policy Resources Center, 2014. Available online at www.ada.org/~/media/ADA/Publications/ADA%20News/Files/HPRCBrief_0214_2.ashx. Accessed May 20, 2023.
Abushanan A. Dentistry in Saudi Arabia. https://www.uclachatpd.org/uploads/1/4/9/1/14918002/act_-_alwaleed_abushanan.pdf
Al-Shalan TA. Dental education in Saudi Arabia: areas of attention. Saudi Dent J 2018;30(4):271–272. DOI: 10.1016/j.sdentj.2018.06.005
Clarke V, Braun V, Hayfield N. Thematic analysis. Qualitative Psychology: A Practical Guide to Research Methods. 2015. pp. 222–248.
Åstrøm AN, Özkaya F, Nasir E, et al. The dentist-patient relationship and oral health-related quality of life among older adults: a cohort study. Gerodontology 2023;40(3):355–362. DOI: 10.1111/ger.12663
Harrington J, Noble LM, Newman SP. Improving patients’ communication with doctors: a systematic review of intervention studies. Patient Educ Couns 2004;52(1):7–16. DOI: 10.1016/s0738-3991(03)00017-x
Beck RS, Daughtridge R, Sloane PD. Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Pract 2002;15(1):25–38.
Atchison KA. Understanding the quality in quality care and quality of life. In: Inglehart MR, Bagramian RA (Eds). Oral Health-related Quality of Life. Hanover Park: Quintessence Books; 2002. pp. 21–30.
Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life. a conceptual model of patient outcomes. JAMA 1995;273(1):59–65.
Shearer D, Macleod R, Thomson M. Oral-health-related quality of life: an overview for general dental practitioner. N Z Dent J 2007;103(4):82–87.
Khan AA, Siddiqui AZ, Mohsin SF, et al. Sociodemographic characteristics as predictors of satisfaction in public and private dental clinics. Pak J Med Sci 2018;34(5):1152. DOI: 10.12669/pjms.345.15519
Al-Hussyeen AJ. Factors affecting utilization of dental health services and satisfaction among adolescent females in Riyadh City. Saudi Dent J 2010;22(1):19–25. DOI: 10.1016/j.sdentj.2009.12.004
Woelber JP, Deimling D, Langenbach D, et al. The importance of teaching communication in dental education. A survey amongst dentists, students and patients. Eur J Dent Educ 2012;16(1):e200–e204. DOI: 10.1111/j.1600-0579.2011.00698.x
Yoshida T, Milgrom P, Coldwell S. How do U.S. and Canadian dental schools teach interpersonal communication skills? J Dent Educ 2002;66(11):1281–1288.
Moore R. Maximizing student clinical communication skills in dental education—a narrative review. Dent J 2022;10(4):57. DOI: 10.3390/dj10040057
Yagi BF, Luster JE, Scherer AM, et al. Association of health insurance literacy with health care utilization: a systematic review. J Gen Intern Med 2022;37(2):375–389. DOI: 10.1007/s11606-021-06819-0
Vamos S, Okan O, Sentell T, et al. Making a case for “education for health literacy”: an international perspective. Int J Environ Res Public Health 2020;17(4):1436. DOI: 10.3390/ijerph17041436
Upadhyay SS, Merrell LK, Temple A, et al. Exploring the impact of instruction on college students’ health insurance literacy. J Community Health 2022;47(4):697–703. DOI: 10.1007/s10900-022-01096-2
Bandura A, Hall P. Albert bandura and social learning theory. Learning theories for early years practice. 2018.