Over the past couple of weeks I have seen articles in the dental press about dental students who have taken their elective study period in a developing nation.
Their passion for getting involved, and their desire to serve developing nations with their dental skills is admirable. Their determination to make a difference needs to be encouraged amongst their fellow students - the future generation of UK Dentistry. However, I have some concerns that some ‘hands on’ dental electives may bring a conflict to the grassroots dental public health strategy , and even be detrimental to the students themselves.
Some articles have highlighted that students are working much faster than they do in their undergraduate clinics, are providing root canal treatments without radiographs and are having to compromise with sterilisation procedures in order to get as many people seen for treatment as possible. I am concerned for the people who are going to these clinics for treatment!
The above situations also cause concern because following treatment, there is no one to deal with problems that could be caused by an inexperienced student. And for the students, the potential for needle stick injuries when working in these sorts of circumstances is significantly raised, as is the possibility of a patient issue becoming a complaint against the student.
Let me state that I want to see more students going overseas for their electives. I want to see them contributing, dialoguing, getting involved, understanding the issues and discovering sustainable approaches. Once they are qualified and have further clinical experience, I would also like to see them continue to serve the poor and marginalised in an appropriate way. However while they are students I would like to see them assisting within their experience level and observing when outside of it. By watching and assisting experienced indigenous clinicians who provide wonderful clinical care in difficult conditions they will gain a whole new set of skills.
As I type, Kathy Wilson, our Student Coordinator, is in Mwanza with our four brilliant students for the Bridge2Aid Student Elective Programme. The team will be observing, dialoguing, contributing, collecting data and evaluating our programme of training rural clinical officers in oral urgent treatment. Their work during the Elective Programme will help us to shape the training programme for the future while giving them an insight into dental needs of a developing country.
Their contribution as a student team will be significant to the work of B2A. They will learn much in short period of time. Their awareness and understanding will be changed. We hope that they will return to the UK better equipped to make a more lasting change to other developing nations once they have qualified and moved on from undergraduate training. This kind of elective experience is a win for everyone – protecting patients, giving a positive introduction to the developing world for the students, and contributing to the work of an indigenous government and grass root charity.










