{"id":6435,"date":"2015-07-13T07:00:39","date_gmt":"2015-07-12T21:00:39","guid":{"rendered":"https:\/\/www.bitemagazine.com.au\/?p=6435"},"modified":"2020-03-19T17:44:57","modified_gmt":"2020-03-19T06:44:57","slug":"the-cost-of-private-dental-education","status":"publish","type":"post","link":"https:\/\/www.bitemagazine.com.au\/the-cost-of-private-dental-education\/","title":{"rendered":"The cost of private dental education"},"content":{"rendered":"<figure id=\"attachment_6436\" aria-describedby=\"caption-attachment-6436\" style=\"width: 1024px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2.jpg\"><img decoding=\"async\" class=\"size-full wp-image-6436 lazyload\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2.jpg\" alt=\"Dr Brad Wright (left) and Geoff Parkes of the Australian College of Dental Education.\" width=\"1024\" height=\"600\" data-srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2.jpg 1024w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-300x176.jpg 300w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-768x450.jpg 768w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-696x408.jpg 696w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-717x420.jpg 717w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-256x150.jpg 256w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-128x75.jpg 128w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-310x182.jpg 310w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-150x88.jpg 150w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><noscript><img decoding=\"async\" class=\"size-full wp-image-6436 lazyload\" src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2.jpg\" alt=\"Dr Brad Wright (left) and Geoff Parkes of the Australian College of Dental Education.\" width=\"1024\" height=\"600\" srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2.jpg 1024w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-300x176.jpg 300w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-768x450.jpg 768w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-696x408.jpg 696w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-717x420.jpg 717w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-256x150.jpg 256w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-128x75.jpg 128w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-310x182.jpg 310w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2015\/07\/Bite_June-39PP2-150x88.jpg 150w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/noscript><\/a><figcaption id=\"caption-attachment-6436\" class=\"wp-caption-text\">Dr Brad Wright (left) and Geoff Parkes of the Australian College of Dental Education.<\/figcaption><\/figure>\n<h4>Dental education is becoming increasingly contested as universities are squeezed for cash and staff, and private providers eye off opportunities to offer clinical training. What does the future hold? By <a href=\"http:\/\/engagecontent.com.au\/our-people\/\" target=\"_blank\" rel=\"noopener noreferrer\">Rob Johnson<\/a><\/h4>\n<p>When Mohit Tolani was choosing a university to do his dental degree four years ago, unlike students in years gone by, he was spoilt for choice. Tolani had completed his undergraduate degree at the University of Sydney. He could continue his dental education there, or go to one of the newer regional schools, such as CSU or Griffith on Queensland\u2019s Gold Coast, where he had gone to high school. However, is all this choice\u2014both in graduate training and later\u2014indicating a healthy future for dental education, or hiding weaknesses in a system that are going to plague the profession in the future?<\/p>\n<p>\u201cThe biggest deciding factor for me was what the university offered its students in terms of clinical exposure,\u201d Tolani says. \u201cI researched Griffith and found out their School of Dentistry had a new clinic opening up. They have this new high-tech, digital equipment in the clinic and there\u2019s a lot of newness in the program.\u201d<\/p>\n<p>Another selling point for Tolani was the pragmatic aspects of the course such as the prosthodontics program looking at building dentures, which he saw as helping with diagnoses in the future.<\/p><div class=\"bitem-article-desktop-720x300-in-text\" id=\"bitem-1099556318\"><!-- Bite 720x300 [async] -->\r\n<script type=\"text\/javascript\">if (!window.AdButler){(function(){var s = document.createElement(\"script\"); s.async = true; s.type = \"text\/javascript\";s.src = 'https:\/\/servedby.engagemedia.com.au\/app.js';var n = document.getElementsByTagName(\"script\")[0]; n.parentNode.insertBefore(s, n);}());}<\/script>\r\n<script type=\"text\/javascript\">\r\nvar AdButler = AdButler || {}; AdButler.ads = AdButler.ads || [];\r\nvar abkw = window.abkw || '';\r\nvar plc705185 = window.plc705185 || 0;\r\ndocument.write('<'+'div id=\"placement_705185_'+plc705185+'\"><\\\/'+'div>');\r\nAdButler.ads.push({handler: function(opt){ AdButler.register(165450, 705185, [720,300], 'placement_705185_'+opt.place, opt); }, opt: { place: plc705185++, keywords: abkw, domain: 'servedby.engagemedia.com.au', click:'CLICK_MACRO_PLACEHOLDER' }});\r\n<\/script><\/div>\n<p>\u201cHaving permanent staff on campus in the dental school, who are specialists, was a big deal,\u201d he adds. \u201cWe also have visiting casual dentists who supervise us in clinic\u2014for example, oral maxillofacial surgeons who are normally lecturing and a specialist endodontist.\u201d<\/p>\n<p>While Tolani\u2019s experience has been positive, some students will occasionally express disquiet about the education they are receiving. The publication of an article at the end of April on the need for more geriodontics training at dental schools stimulated an online discussion on the <i>Bite<\/i> website about the tight supply of qualified teaching staff.<\/p>\n<p>\u201cIt\u2019s a real problem, and governments have to look at dental education, training and research across Australia,\u201d says Professor Chris Peck, Dean of the Faculty of Dentistry at the University of Sydney. \u201cWe\u2019ve had this organic growth of dental schools. It has not been coordinated. It\u2019s been done in a way to meet the needs of certain regions but importantly, there has been no consideration for academic workforce.\u201d In short, he says, no-one is sure where the teaching and research staff are coming from.<\/p>\n<p>\u201cSome of the schools are looking at two pathways. One is recruiting the best we can from both Australia and internationally. The second is, how can we grow our own staff? For example, the next meeting of the Australasian Council of Dental Schools has got that on their agenda about comparing and contrasting staff development programs, to see if we can actually work out a combined approach.\u201d<\/p>\n<h5>One door opens \u2026<\/h5>\n<p>While that discussion continues between established universities, the private sector is watching green shoots of opportunity appear with interest. For example, a few weeks ago, Dr Brad Wright and Geoff Parkes, two of the founders of the Australian College of Dental Education (ACDE), met in Sydney to discuss, among other things, how and where they could offer clinical training to dentists.<\/p>\n<p>While ACDE was originally established to fill a gap in business training for dentists, it soon became clear to them that while universities grappled with funding and staffing pressures, the educational sector outside of universities was, in Geoff Parkes\u2019s words, \u201cakin to a dog\u2019s breakfast\u201d.<\/p>\n<p>\u201cWe were running CPD [continuing professional development] seminars and assisting clients in the market on a range of things to do with the practice, from evaluations to setting up, to operations and staffing,\u201d he explains. \u201cAs a result of the discussion between Brad, myself and Bettina Purcell, our other partner, we concluded we were in a space that was ill-defined. We saw an opportunity to formalise it and put some structure to it.\u201d They set their sights on becoming an accredited higher education training organisation\u2014which opened the door to offering independent clinical training.<\/p>\n<p>Dr Brad Wright adds, \u201cPost-graduate clinical education seems to be: go to a hotel room, get a lecture and go home. People are in clinical programs but there are opportunities to conduct clinical training in a different way.\u201d<\/p>\n<p>Dr Wright, a former Queensland president of the Australian Dental Association, is coming in from a unique position, having come from a post at the University of Queensland and several decades\u2019 work in managing dental practices. He adds that the notion of true clinical training being offered by private providers is still a \u201clong way off\u201d, but that the path the profession is on seems clear.<\/p>\n<p>\u201cUniversities are struggling across the board to provide clinical experience and any general practitioner we speak to complains that students are graduating without clinical experience. Albeit everyone knows that their education was better than the younger generation, but even if you take that factor out, there is still evidence of schools where students just aren\u2019t getting a number of patients.\u201d<\/p>\n<blockquote><p><strong>\u201cThe biggest deciding factor for me was what the University offered its students in terms of clinical exposure.\u201d <\/strong>Mohit Tolani, Griffith University student<\/p><\/blockquote>\n<p>Fee pressures on those clinics are exacerbated, he says, by patients having the option to get their dental work done elsewhere, cheaper. In the past, university clinics and public clinics were a patient\u2019s only low-cost option. Now, he says, private dentists can become more efficient through help from dental auxiliary staff, which in turn places fee pressure on the university clinics. \u201cThat has been a big problem compared to the number of dental schools, the number of patients around, and the locations of those schools,\u201d he adds. \u201cClinical experience is going to be a huge problem in the future.\u201d<\/p>\n<p>Adding to that is the staff problem. \u201cThe number of academics who are prepared to devote themselves to clinical education is diminishing all the time, so you\u2019ve got a number of universities across the country all competing for a limited number of academics,\u201d he says. \u201cThat creates problems. Some universities are prepared to employ academics who could not get registration within Australia. But all of that seems to combine to get outcomes that some people don\u2019t think are good enough.\u201d<\/p>\n<p>Professor Chris Peck disputes the notion that the current crop of dental graduates aren\u2019t as well educated as they were previously: \u201cThere has always been concern by some groups that the new graduate does not have the range of clinical skills that they should, and if you talk to dental practitioners who have graduated some time before, they\u2019ll often compare themselves with new graduates, which I think is a bit unfair.<\/p>\n<p>\u201cThe demographics of the population have changed and we have many more people who have chronic diseases, and people who are on multiple medications. Twenty years ago, we didn\u2019t see the same range of health issues, which require new skills and knowledge to deal with the resulting problems. You really need to focus on having research intertwined with education. Otherwise, we\u2019re not going to be able to meet the community needs.\u201d<\/p>\n<p>However, as the competition increases to serve the career-long educational needs of dentists, there have been suggestions that a tightening of the accreditation process for private providers may spill over to greater scrutiny on the education provided by universities.<\/p>\n<p>\u201cThere\u2019s talk that the Australian Dental Council (ADC) would move from accrediting universities solely to considering a national board exam in order to graduate dentists,\u201d says Dr Wright. \u201cI understand that currently it\u2019s in the background, but at some point, universities won\u2019t be the only providers of dental education on the graduate level. That means some universities and some post-graduate or undergraduate education providers may not get across the line at the board exams. Today, my understanding is every university that\u2019s applied for ADC accreditation has received it. Whether that will continue, who knows?\u201d<\/p>\n<h5>The money problem<\/h5>\n<p>The metaphorical gorilla in the room, however, is money. \u201cThe big problem with the clinical components of dental education is they\u2019re really expensive components, and if we had a course where we didn\u2019t need to provide clinical education, we would do very well financially in dental schools,\u201d says Professor Peck.<\/p>\n<p>A number of years ago, the Australasian Council of Dental Schools did a funding review with the Government to investigate the costs for training and educating a dental or oral health therapy student. While no-one debated Australia\u2019s commitment for putting funding into higher education, the results of the review made very clear the financial challenge of dental education.<\/p>\n<p>\u201cThe cost varied from $35,000 per student per year up to about $90,000 per year, and the $90,000 was in the clinically intensive, senior years,\u201d explains Professor Peck. \u201cWhen you see a student who has a Commonwealth supported place, which equates to income of about $30,000, you see there\u2019s a big mismatch between what you can get from government support, and what it costs.<\/p>\n<p>\u201cThere is real pressure. Perhaps a solution is to look at a consortia between schools\u2014some way of sharing curriculum resources across schools\u2014so we can ensure we\u2019re meeting the needs of the community with regards to oral health.\u201d<\/p>\n<blockquote><p><strong>\u201cThe number of academics who are prepared to devote themselves to clinical education is diminishing all the time \u2026 and that creates problems.\u201d <\/strong>Dr Brad Wright, ACDE co-founder<\/p><\/blockquote>\n<p>Professor Peck also doesn\u2019t see this as a problem that can be fixed by private entrants into the market. \u201cThe problem with clinical teaching in the professional entry-level courses, like oral health therapy and the general dentist, and having private or industry looking after the clinical education, is unless they\u2019ve got revenue coming in from another source, they\u2019re not going to be able to make ends meet.\u201d<\/p>\n<p>So the post-graduate and CPD space becomes the contested one. \u201cWe\u2019ve got some post-graduate specialty programs where we utilise a model where the students who are registered dental practitioners under supervision can do part of their education and training in their private practice,\u201d says Professor Peck. \u201cThat\u2019s because the demand from students is flexibility. If they\u2019re a graduate, and they have bought into a dental practice, or are practising already, if there was an option that they don\u2019t have to give up their own practice, for what has been traditionally a three-year full-time graduate specialty program, we think this provides much better education opportunities. So we\u2019ve been trialling exactly that and it\u2019s been working quite successfully. It\u2019s for a special calibre of student\u2014one who is experienced\u2014because while they have supervision, it\u2019s up to them to arrange with their mentor regular sessions. While it\u2019s not the true private model, taking ownership of the clinical education, it\u2019s quite an interesting model and I\u2019m certainly open to having public private partnerships in this.\u201d<\/p>\n<p>There is also furious agreement that rules around CPD need to be tightened up for it to mean anything. \u201cIf you look at CPD across the country, not much of it is truly independent and if it\u2019s not independent and it\u2019s not actually assessed or regulated, you\u2019d have to have doubts about its value,\u201d says Dr Brad Wright. \u201cNonetheless, some of it is excellent. There are people providing good CPD and not exclusively dental associations that may well increase.\u201d<\/p>\n<h5>What the future holds<\/h5>\n<p>Thanks to advanced technology in dentistry, the dental industry is adapting to the digital age and embracing innovation in ways never seen before.<\/p>\n<p>Furthermore, the professional educational space that Mohit Tolani will graduate into is one that is currently very uncertain. One thing Tolani is certain of, however, is that it will be a contested space, and one that requires even greater engagement of recent graduates. Dentistry was perhaps the last profession where you got your degree and walked out of the university gates into a job.<\/p>\n<p>But Tolani sees the competition as a positive. \u201cA lot of private providers run these courses for young dentists who\u2019ve graduated and are universally wholesaling to others, where they do hands-on, community training. What I take from that, as a student, is the fact that there are many avenues to gain your skills.<\/p>\n<p>\u201cThe opportunities are endless. Ultimately, there could be a head-butt moment between private and public providers in terms of dental education. I think in the next five-to-10 years as the job market gets tight and competition skyrockets, everyone\u2019s going to do everything possible to get the maximum benefit from any aspect of industry where they can advance their knowledge and increase their awareness.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dental education is becoming increasingly contested as universities are squeezed for cash and staff, and private providers eye off opportunities to offer clinical training. What does the future hold? By Rob Johnson When Mohit Tolani was choosing a university to do his dental degree four years ago, unlike students in years gone by, he was [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":6436,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[688],"tags":[1862,835,1860,1863,1859,1858,1861],"class_list":{"0":"post-6435","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-your-world","8":"tag-australian-dental-council","9":"tag-dental-education","10":"tag-dr-brad-wright","11":"tag-geoff-parkes","12":"tag-mohit-tolani","13":"tag-private-education","14":"tag-professor-chris-peck"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The cost of private dental education - Bite Magazine<\/title>\n<meta name=\"description\" content=\"Dental education is becoming contested as universities are squeezed for cash and staff. 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