A curriculum framework for undergraduate studies in dental health science

Abstract

This study begins with an ethnographic self-study which allows for a reflection on traditional learning experiences. This study is located in the context of the initial development of dental health professionals within those higher education institutions that endeavour to provide education and training in a rapidly changing context. This context is characterised by the simultaneous need to address the blurring of boundaries and the dichotomies that exist such as the first world and the third world, the developed and the less developed world, the rich and the poor, health and wealth, the private and the public sectors, the formal and the informal sectors, the advantaged and the disadvantaged, the privileged and the underprivileged. The definitions, concepts, theories and principles around curricula and professional development are examined in an effort to extend into discoveries of educational research usually beyond the purview of dental health practitioners, policy makers or higher education specialists involved in training these dental health practitioners. It poses key questions regarding the nature of professional competences within dental health science undergraduate studies and how the curricula are organised around these perceptions of competence. Investigative tools include participant observation, interviews and questionnaires which have included both education deliverers - the teaching staff - and education consumers - the students. The areas of access by students to programmes (input), activities whilst in the programmes (throughput) and their competences at the exit end of the programme (output) are examined. It was found that institutions and programmes are paradoxically positioned declaring missions to be globally competitive and internationally recognised and at the same time wanting to reach out to the population who are disadvantaged and who form a majority. Whilst the needs of the wider community is for basic dental services and primary health care, the resources appear to be geared for producing technologically-superior professionals who will cater for a largely urban and middle class populations.