{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:49:38Z","timestamp":1756309778625,"version":"3.38.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T00:00:00Z","timestamp":1622419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthod"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> To improve the confidence and competence of newly qualified dentists in Wales in undertaking orthodontic assessments and making orthodontic referrals. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design:<\/jats:title><jats:p> Quality improvement project. <\/jats:p><\/jats:sec><jats:sec><jats:title>Setting:<\/jats:title><jats:p> Study days arranged by the Wales Deanery. <\/jats:p><\/jats:sec><jats:sec><jats:title>Participants:<\/jats:title><jats:p> The 2018\u20132019 cohort of dental foundation trainees (DFTs) and dental core trainees (DCTs) in Wales. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Data were collected prospectively between January and February 2019 utilising a 20-item questionnaire based around knowledge and clinical ability in orthodontic assessment and referrals (Stage 1). In May 2019, the trainees were provided with an e-learning package tailored to the results of the clinical questions and the feedback received in Stage 1. After this, trainees repeated the questionnaire with a simplified Index of Orthodontic Treatment Need (IOTN; Stage 2). <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> There was increased self-reported confidence in \u2018conducting orthodontic assessments\u2019 from 67% to 95% and \u2018competence in completing orthodontic referrals\u2019 from 81% to 92%. At baseline, this cohort were only able to correctly determine dental age and orthodontic treatment need for 40.7% (mean) of the presented linical cases. Following the teaching intervention, this was improved with an average of 70.9% of clinical cases answered correctly. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Despite the noted improvement in the self-reported confidence and competence in undertaking orthodontic assessments and referrals in this cohort, there is still room for improvement. Hands-on orthodontic experience during dental training improved the self-reported confidence and competence with assessments and referrals. The results of this quality improvement project emphasise the need for regular continuing professional development in the field of orthodontics to maintain competence in utilising IOTN and referring appropriately. <\/jats:p><\/jats:sec>","DOI":"10.1177\/14653125211019426","type":"journal-article","created":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T07:55:42Z","timestamp":1622447742000},"page":"383-391","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Welsh dental trainees\u2019 confidence and competence in completing orthodontic assessments and referrals"],"prefix":"10.1177","volume":"48","author":[{"given":"Emma","family":"Foster-Thomas","sequence":"first","affiliation":[{"name":"University Dental Hospital of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3801-1664","authenticated-orcid":false,"given":"Jacob","family":"Curtis","sequence":"additional","affiliation":[{"name":"University Dental Hospital, University Hospital of Wales, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Eckhardt","sequence":"additional","affiliation":[{"name":"Morriston Hospital, Heol Maes Eglwys, Morriston, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Atkin","sequence":"additional","affiliation":[{"name":"University Dental Hospital, University Hospital of Wales, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,5,31]]},"reference":[{"key":"bibr1-14653125211019426","doi-asserted-by":"publisher","DOI":"10.1111\/eje.12420"},{"key":"bibr2-14653125211019426","doi-asserted-by":"publisher","DOI":"10.1179\/bjo.21.2.185"},{"key":"bibr3-14653125211019426","doi-asserted-by":"publisher","DOI":"10.1177\/1465312518824099"},{"key":"bibr4-14653125211019426","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjq085"},{"key":"bibr5-14653125211019426","unstructured":"COPDEND (2015) Dental Foundation Training Curriculum. Available at: https:\/\/www.copdend.org\/wp-content\/uploads\/2018\/08\/Curriculum-2016-Printable-reverse-colourway.pdf (accessed October 2020)."},{"volume-title":"Preparing for practice. Dental team learning outcomes for registration","year":"2015","author":"General Dental Council","key":"bibr6-14653125211019426"},{"key":"bibr7-14653125211019426","doi-asserted-by":"publisher","DOI":"10.1080\/00016350701771850"},{"key":"bibr8-14653125211019426","unstructured":"National Assembly for Wales (2014) South West Wales Orthodontic Managed Clinical Network - The provision of NHS Orthodontic Care across South West Wales. National Assembly for Wales: UK. Available at: https:\/\/business.senedd.wales\/documents\/s26386\/OS%2009%20Response%20from%20SW%20Wales%20Orthodontic%20Managed%20Clinical%20Network.pdf (accessed October 2020)."},{"key":"bibr9-14653125211019426","doi-asserted-by":"publisher","DOI":"10.1080\/14703290903525911"},{"key":"bibr10-14653125211019426","unstructured":"Scott JK, Atack NE (2015) Quick Reference guide to Orthodontic assessment and referral. London: British Orthodontic Society."},{"key":"bibr11-14653125211019426","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjs051"},{"key":"bibr12-14653125211019426","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1111\/j.1600-0528.2006.00362.x","volume":"36","author":"Sherlock JM","year":"2008","journal-title":"Community Dentistry and Oral Epidemiology"}],"container-title":["Journal of Orthodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14653125211019426","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14653125211019426","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14653125211019426","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T05:20:17Z","timestamp":1740892817000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14653125211019426"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,31]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1177\/14653125211019426"],"URL":"https:\/\/doi.org\/10.1177\/14653125211019426","relation":{},"ISSN":["1465-3125","1465-3133"],"issn-type":[{"type":"print","value":"1465-3125"},{"type":"electronic","value":"1465-3133"}],"subject":[],"published":{"date-parts":[[2021,5,31]]}}}