{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T10:50:17Z","timestamp":1750762217849},"reference-count":22,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005364","name":"American Dental Education Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005364","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>Dental school academic environments, whether the overall environment or the smaller environments of the classroom, lab, clinic, or community, are critical to student learning and professional development. The aims of this study were to assess dental students\u2019 experiences in the overall academic environment related to discrimination, destructive communication, belittlement, and isolation and to explore the relationships between students\u2019 emotional health and such experiences. Dental students in all four years at five U.S. dental schools were invited to participate in an electronic survey in April 2017. A total of 358 students responded for a 19.4% response rate. These students reported a total of five cases of discrimination that had been formally reported to their schools. Among these respondents, 24% had experienced destructive communication, 33% had experienced belittlement, and 33% reported feeling a sense of isolation. Non\u2010males and students with disabilities were more likely to experience belittlement and isolation. Both destructive communication and feeling belittled increased with program year (relative to year 1)\u2014spiking in year 3. Destructive communication and isolation were associated with behavior changes such as weight change, increased alcohol or over\u2010the\u2010counter medication use, and consultation with a health professional. To improve overall academic environments, dental educators should create learning environments to foster development of professional relationships, and schools should continue to provide student support services. Identifying and acknowledging shared issues across dental education might stimulate a national discussion that could lead to concerted approaches to address these issues. Identifying the proportions of students with feelings of isolation or loneliness along with experiences of belittlement and destructive communication could provide schools with a useful picture of their academic environment.<\/jats:p>","DOI":"10.21815\/jde.018.120","type":"journal-article","created":{"date-parts":[[2018,11,5]],"date-time":"2018-11-05T16:34:02Z","timestamp":1541435642000},"page":"1162-1170","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Identifying Needs to Ensure a Humanistic Academic Dental Environment: A Multi\u2010Site Survey of Dental Students\u2019 Perspectives"],"prefix":"10.1002","volume":"82","author":[{"given":"Karin K.","family":"Quick","sequence":"first","affiliation":[{"name":"Division of Dental Public Health, Department of Primary Dental Care University of Minnesota School of Dentistry"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela R.","family":"Overman","sequence":"additional","affiliation":[{"name":"University of Missouri\u2010Kansas City School of Dentistry"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Venita J.","family":"Sposetti","sequence":"additional","affiliation":[{"name":"University of Florida College of Dentistry"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2014.78.12.tb05841.x"},{"key":"e_1_2_7_3_1","volume-title":"Accreditation standards for dental education programs","author":"Commission on Dental Accreditation","year":"2016"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.21815\/JDE.017.073"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.21815\/JDE.017.044"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2005.69.10.tb04015.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/01421590500151054"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_7_9_1","unstructured":"Association of American Medical Colleges.2018 graduate questionnaire.. 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