Create guidelines to prevent practice risks, eliminate patient harm, and protect patient privacy.
It is not unusual for dentists to receive requests to accept students, volunteers, and/or observers who are seeking an opportunity to follow them in their dental practice. Many high schools offer programs and courses that focus on health-related careers. Dentists also receive requests for shadowing experiences from college and vocational students.
Understanding what it means to be a dentist or dental professional is critical for individuals who are considering a career in the dental field. Shadowing and mentoring opportunities may be rewarding for the dentist and benefit the pre-dental student by fulfilling requisite application criteria. It is a great opportunity to promote the dental profession, but it is important to recognize that there are risks to your patients and your dental practice if you decide to accommodate such requests.
Before deciding to accept a student into an observation/shadowing experience, or as a volunteer, you should thoroughly explore the expectations of the observer/learner and the impact on your dental practice. Identify and validate the program associated with the student and understand the objectives that are expected to be achieved. It is important for the dental practice to differentiate between shadowing or observing versus volunteering, or a formal clinical rotation where direct patient care is provided.
An observing or shadowing experience allows an individual to watch a dental professional provide care to patients in a clinical setting. Shadowing experiences are generally used as an introduction to the profession. They might also provide the dentist or hygienist with an opportunity to mentor and model professionalism in the care and treatment of patients with various dental conditions. It is also an opportunity to demonstrate sensitive communications with patients from diverse social cultural and financial backgrounds.
The student may be associated with a formal school or vocational program. In many instances, they are pre-dental students who are required to volunteer or shadow a dentist or dental hygienist as part of an application process. In most cases, those individuals will not have a clinical instructor. Therefore, in order to prevent any harm, the dentist should decide whether to limit a student’s interaction with patients based on the student’s education and training.
Regardless of the shadowing or volunteer situation, it is vital that patient’s rights, privacy, and confidentiality are protected at all times. It is the responsibility of the sponsoring dental practice to ensure that the observer or learner is mature enough to understand the expectations of the sponsoring dental professional.
The following general guidelines should be considered to reduce the risk of breaching patient confidentiality and other risks to the practice. They may also help you identify the specific goals and objectives of the learner to make the shadowing or volunteer experience mutually rewarding for the student, patient, and the dental practice.
American Student Dental Association Shadowing Guide and Log. http://www.asdanet.org/uploadedFiles/Membership_Resources/Predental/Shadow%20Guide%20and%20Log.pdf
American Dental Education Association Shadowing http://www.adea.org/GoDental/Application_Prep/Preparing_for_Dental_School/Shadowing.aspx
Contact the Department of Patient Safety and Risk Management for guidance and assistance in addressing any patient safety or risk management concerns.
The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider in light of all circumstances prevailing in the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered.