Dodging the draft report

The US Congress is getting bad advice about dentistry.

The American Dental Association and American Academy of Pediatric Dentistry urged the Health Resources and Services Administration to reject a federal advisory panel’s dental workforce recommendations in a draft health personnel report to Congress. Their requests came to advisory committee by way of a letter, reproduced online here, which detailed various shortcomings with the draft report.

The pipeline of future primary care medical and dental providers is severely limited and “interventions are required” to ensure an adequate supply of primary care physicians and dentists, says the report drafted by HRSA’s Advisory Committee on Training in Primary Care Medicine and Dentistry, which advises the Department of Health and Human Services and the U.S. Congress on the primary care workforce.

The report, ninth in a series of annual reports to health policymakers, envisions “a health care system that cares for all patients within a patient centered medical-dental home” and “consisting of a team of health care professionals providing coordinated comprehensive care.” Among 11 proposals are recommendations for dental faculty programs, dental applications from underserved and rural areas, public dentistry practice and dental workforce models.

“Unfortunately, for the ninth draft report, we believe it is so fraught with errors and misplaced emphasis that the ACTPCMD should scrap it and start over, at least for the sections that address dental programs,” the dental organisations said in the letter to the committee. “The AAPD and ADA have consistently supported Title VII programs for decades. Our organizations do not wish to see HRSA diminishing the past success of these programs while diverting funds for ill-conceived initiatives.” Title VII of the Public Health Service Act authorizes health professions education and training grants.

The ADA-AAPD letter said the draft report “seems to ignore many of the recommendations and conclusions from previous ACTPCMD reports” and confuses the dental and medical home models, misconstrues the purpose of the 2010 health reform law, overstates a shortage of dentists and underestimates other factors impacting access, and advocates dental therapists to improve oral health access by mischaracterizing available evidence.

“Further, the draft report grossly under-estimates the number of dentists currently available or available in the near future to care for the population,” said the letter. “This is quite incredible given that eight new dental schools opened from 1997-2011, as well as two additional dental schools that are slated to have their first class in 2013.”


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  1. Obviously, a state of upheaval that must be seen in the context of a failed system. If we chose to recognise Nature’s requirements would we have this ludicrous scenario? I think not , imitating the chewing motion when brushing must be the turning point. Why can we not see the obvious?


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