An Update of Oral Health Curricula in US Family Medicine Residency

04-25-2018 15:12

Purpose: National initiatives have attempted to address the lack of oral health (OH) training for family medicine. Our survey assesses progress of family medicine residency programs on this health topic since our last nationwide survey in 2011. Methods: Family medicine residency directors completed an online survey covering number of hours of OH teaching, topics covered, barriers, interprofessional education, evaluation, and influences on curricula. Subanalyses compared programmatic and curricular influences on quantity of oral health training hours and graduates’ competency. Results: Compared to 2011, more program directors reported that OH should be addressed by family physicians (2011: 72%; 2017: 86%), yet fewer programs are teaching OH (2011: 96%; 2017: 82%) with fewer hours overall (2011: 45% - 3+ hours; 2017: 32% - 3+ hours). Satisfaction with the competence of graduating residents in OH has decreased (2011: 32%; 2017: 17%). Programs that reported graduates being well prepared for OH topics on the boards (Agree: 39%; Disagree: 8%; P<0.001), and satisfaction with graduates’ OH competency (Agree: 55%; Disagree: 10%; p<0.001) were more likely to have an OH champion. Conclusions: Family medicine program directors are more aware of the importance of oral health, yet less oral health is being taught. Developing more faculty oral health champions and reconsidering ACGME requirements for OH competencies may help improve this educational void.

Author(s):Hugh Silk, MD, MPH; Judith Savageau, MPH; Kate Sullivan
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