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      Final year dental students’ perception and practice of professionalism and ethical attitude in ten Sudanese dental schools: A cross-sectional survey

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          Abstract

          Introduction:

          Professionalism and ethics are essential components of all dental schools. Therefore, this study aimed to assess the level of professionalism among Sudanese undergraduate dental students.

          Materials and Methods:

          This descriptive cross-sectional study was conducted among 307 students in the final year undergraduate Dental Surgery Bachelor program with 155 public and 152 private university students. We collected data through a self-administrated, semistructured questionnaire.

          Results:

          Although most of the students enrolled in dental schools due to their performance at higher school ( P value 0.00), this has no significant effect on their attendance and academic performance afterward ( P value 0.25). The perception of the students toward ethics teaching was generally positive in both public (77.34%) and private schools (78.77%). Ethics was represented in the curriculum of both private (51.7%) and public (48.3%) dental schools as perceived by their students. 95.43% and 94.00% of public and private students, respectively, would always or sometimes work in teams, and 98.02% and 94.04% of public and private students, respectively, would always or sometimes respect patients' preference ( P value 0.01). A total of 95.33% of the dental students would consult or refer patients with unexpected situations. Only 26% of all students would treat infectious diseases themselves.

          Conclusion:

          About three-quarters of Sudanese dental students showed a satisfactory level of perception toward the importance of teaching dental ethics and professionalism. It was reflected in an excellent attitude for teamwork and respecting patients' choices. The demand for teaching professionalism course in every dental school will increase gradually, and family physicians with interest in medical education may play a pivotal role in teaching professionalism to dental students.

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          Most cited references31

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          Dental students' reflections on their community-based experiences: the use of critical incidents.

          Dental schools are challenged to develop new learning methodologies and experiences to better prepare future dental practitioners. The purpose of this study was to gain insight into the community-based experiences of dental students as documented in their critical incident essays and explore what learning outcomes and benefits students reported. Following two required community-based clinical rotations, each student wrote a reflection essay on a self-defined critical incident that occurred during the rotations. Rotations took place in settings such as a public health clinic, special needs facility, hospital, or correctional institution. Essays for two classes of students were content-analyzed for recurring themes and categories. Students were confronted in their rotations with a wide range of situations not typically encountered in dental academic settings. Their essays showed that, as a result of these rotations, students developed increased self-awareness, empathy, communications skills, and self-confidence. Critical incidents challenged assumptions and stereotypes, enhanced awareness of the complexities of dental care, and raised complex ethical dilemmas. The essays also illustrated a heightened sense of professional identity and enabled students to appreciate the role dentistry can play in impacting patients' lives. We concluded from the study that community-based dental education that includes a process for reflection holds promise as an educational strategy to facilitate the personal and professional development of future dentists.
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            Knowledge, attitudes and practices related to healthcare ethics among medical and dental postgraduate students in south India.

            Conventional medical training offers students little help in resolving the ethical dilemmas they will encounter as healthcare professionals.
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              Providing humanistic care: dentists' experiences in deprived areas.

              Communication barriers severely reduce the effectiveness of oral health care provision to people living in poverty. Our objective was to identify specific approaches and skills developed by dentists for more effective treatment of people living in poverty and addressing their needs. We conducted qualitative research based on in-depth interviews with eight dentists practicing in disadvantaged communities of Montreal, Canada. Analyses consisted of interview debriefing, transcript coding, and data interpretation. Results revealed that, over years of practice, these dentists had developed a five-faceted socio-humanistic approach that involved: (1) understanding patients' social context; (2) taking time and showing empathy; (3) avoiding moralistic attitudes; (4) overcoming social distances; and (5) favoring direct contact with patients. This approach is original, and, even though participants found it successful, it should be evaluated in terms of its impact for access to services and patients' experience of care.
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                Author and article information

                Journal
                J Family Med Prim Care
                J Family Med Prim Care
                JFMPC
                Journal of Family Medicine and Primary Care
                Wolters Kluwer - Medknow (India )
                2249-4863
                2278-7135
                January 2020
                28 January 2020
                : 9
                : 1
                : 87-92
                Affiliations
                [1 ] Department of Prosthodontics, Faculty of Dentistry, The National Ribat University, Khartoum, Sudan
                [2 ] Department of Mental Health, Faculty of Medicine, University of Gezira, Medani, Sudan
                [3 ] Department of Pathology, Faculty of Medicine and Health Sciences, Omdurman Islamic University, Khartoum, Sudan
                [4 ] Directory of Training, Ministry of Health, Khartoum, Sudan
                [5 ] Department of Dental Public Health, Dental Program, Al-Yarmouk Faculty, Khartoum, Sudan
                [6 ] Department of Nephrology, Noble's Hospital, Isle of Man, IM4 4RJ, UK
                [7 ] Department of Community Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
                [8 ] Department of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, UK
                Author notes
                Address for correspondence: Nasr M. A. Elsheikh, Department of Prosthodontics, Faculty of Dentistry, The National Ribat University, Nile Street, Burri, Khartoum, Sudan. E-mail: nasr99nasr@ 123456yahoo.com
                Article
                JFMPC-9-87
                10.4103/jfmpc.jfmpc_499_19
                7014902
                7be5b2e6-b984-4134-8b47-07b4d4251495
                Copyright: © 2020 Journal of Family Medicine and Primary Care

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 26 June 2019
                : 06 December 2019
                : 16 December 2019
                Categories
                Original Article

                behavior,dental students,ethics,patient choice,professionalism,sudan,teamwork,undergraduate

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