{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:15:33Z","timestamp":1788279333455,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess dental residents' self\u2010perceived preparedness to provide dental care and their experiences delivering care in rural communities in South Texas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      This cross\u2010sectional study evaluates advanced education in general dentistry (AEGD,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200919) and pediatric dentistry (PD,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) residents' preparation for rural dentists and experiences providing dental care in rural South Texas. Residents participated in a rural dental practice management workshop, followed by clinical rotations at rural community health centers (CHCs) in South Texas. At the conclusion of each CHC rotation, residents completed a Resident's Online Activity Report (ROAR) reflecting on their preparation for rural dental practice, ability to manage patients with complex healthcare needs, and understanding of perceived barriers to care and access issues in rural communities. Descriptive analyses were conducted to summarize residents' patient encounters, preparation to treat patients with complex healthcare needs, and evaluation of rural clinical rotation experience. Open\u2010ended responses were summarized narratively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Primary care dentistry residents participated in 78 rural rotations and completed 74 ROARs (94.9% rate). AEGD residents self\u2010reported (rating system: 1\u2009=\u2009no preparation, 4\u2009=\u2009excellent preparation) that they were best prepared to treat dental pain (3.54) and manage patients with tobacco use (3.17), while PD residents cited being well prepared to manage early childhood caries (3.76) and dental and facial trauma (3.68). Overall, PD residents (4.19) had a higher mean rating for clinical rotations at rural CHCs than AEGD (4.01). Residents indicated that the most useful parts of the rotations were the formulation of treatment plans guided by specialist faculty, using available resources to provide dental care, and understanding challenges to receiving dental care in rural areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Didactic education in rural dental practice combined with clinical rotations at rural CHCs across South Texas, improved primary care dentistry residents' understanding of challenges faced by rural populations and enhanced their clinical and patient management skills, better preparing them to care for populations with high burden of oral disease and complex healthcare needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.70331","type":"journal-article","created":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T17:45:09Z","timestamp":1777225509000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Experience and Preparedness of Primary Care Dentistry Residents in Dental Care Delivery to Rural Communities in South Texas"],"prefix":"10.1002","volume":"12","author":[{"given":"Rochisha Singh","family":"Marwaha","sequence":"first","affiliation":[{"name":"Department of Comprehensive Dentistry, Dental Public Health Residency Program, School of Dentistry UT Health San Antonio San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohini","family":"Dhar","sequence":"additional","affiliation":[{"name":"Department of Comprehensive Dentistry School of Dentistry, UT Health San Antonio San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suman","family":"Challa","sequence":"additional","affiliation":[{"name":"Strategic Initiatives, Dental Public Health Residency Program, Department of Comprehensive Dentistry, School of Dentistry UT Health San Antonio San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0579.2009.00581.x"},{"key":"e_1_2_10_3_1","unstructured":"Advisory Committee on Training in Primary Care Medicine and Dentistry.2020. \u201cStrengthening Primary Care and Oral Health Education and Training of Future and Current Health Professionals for Rural and Underserved Populations.\u201dhttps:\/\/www.hrsa.gov\/sites\/default\/files\/hrsa\/primary-care\/strengthening-primary-care-oral-health.pdf."},{"key":"e_1_2_10_4_1","volume-title":"Supply of Dentists in the U.S.: 2001\u20132020 (Master File Analysis)","author":"American Dental Association, Health Policy Institute","year":"2020"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.13.119008"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/jispcd.JISPCD_57_17"},{"key":"e_1_2_10_7_1","unstructured":"Doescher M. P. G. A.Keppel S. M.Skillman andR.Rosenblatt.2009. \u201cThe Crisis in Rural Dentistry.\u201d WWAMI Rural Health Research Center Policy Brief."},{"key":"e_1_2_10_8_1","unstructured":"Health Professions Resource Center.2020. \u201cTrends Distribution and Demographics.\u201dwww.dshs.texas.gov\/sites\/default\/files\/chs\/hprc\/publications\/2020\/Dentist-factsheet_2020.pdf."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/amajethics.2022.73"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-017-4210-z"},{"issue":"10","key":"e_1_2_10_11_1","first-page":"S36","article-title":"Impact of Community Externships on the Clinical Performance of Senior Dental Students","volume":"75","author":"Mashabi S.","year":"2011","journal-title":"Journal of Dental Education"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2013.0174"},{"key":"e_1_2_10_13_1","unstructured":"National Organization of State Offices of Rural Health.2013. \u201cOral Health in Rural America.\u201d Accessed July 15 2021.https:\/\/nosorh.org\/wp-content\/uploads\/2013\/08\/Oral-Health-Fact-Sheet-and-Resources.pdf."},{"key":"e_1_2_10_14_1","first-page":"12909","article-title":"Assessment of Knowledge, Attitude and Practice Towards Human Immunodeficiency Virus Post Exposure Prophylaxis Among Academicians, Interns and Students in Dental and Medical Colleges in Pune City: A Cross Sectional Questionnaire Based Study","volume":"7","author":"Nimbulkar G. C.","year":"2016","journal-title":"International Journal of Science and Research"},{"key":"e_1_2_10_15_1","unstructured":"Professionally Active Dentists.2023. \u201cState Health Facts.\u201d Kaiser Family Foundation."},{"key":"e_1_2_10_16_1","first-page":"f23","article-title":"Dental Students' Perspectives on Rural Dental Practice: A Qualitative Study","volume":"81","author":"Sharifian N.","year":"2015","journal-title":"Journal\/ Canadian Dental Association. Journal de l Association Dentaire Canadienne"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2010.00178.x"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/children8090724"},{"key":"e_1_2_10_19_1","unstructured":"Texas Department of State Health Services.2019. \u201cTexas Supply and Demand Dental Projections 2018\u20132030.\u201dwww.dshs.texas.gov\/sites\/default\/files\/chs\/hprc\/publications\/DSHS_DentalProjections_092019.pdf."},{"key":"e_1_2_10_20_1","volume-title":"Working Together for Health: World Health Report 2006","author":"World Health Organization","year":"2006"},{"key":"e_1_2_10_21_1","volume-title":"Global Policy Recommendations: Increasing Access to Health Workers in Remote and Rural Areas Through Improved Retention","author":"World Health Organization","year":"2010"},{"key":"e_1_2_10_22_1","volume-title":"Reviewing Progress, Renewing Commitment: Progress Report on the Kampala Declaration and Agenda for Global Action","author":"World Health Organization","year":"2011"}],"container-title":["Clinical and Experimental Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.70331","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cre2.70331","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.70331","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T15:18:45Z","timestamp":1788275925000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cre2.70331"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/cre2.70331"],"URL":"https:\/\/doi.org\/10.1002\/cre2.70331","archive":["Portico"],"relation":{},"ISSN":["2057-4347","2057-4347"],"issn-type":[{"value":"2057-4347","type":"print"},{"value":"2057-4347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-02-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70331"}}