Dental Public Health as Prime Catalyst for Advancing Solidarity and Accompaniment Within Dental Service-Learning and Community-Based Dental Education

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry Pub Date : 2026-03-22 DOI:10.1111/jphd.70023

Sarah E. Raskin, Carlos Smith

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引用次数: 0

Abstract

Objectives

This commentary examines US-based dental service learning (DSL), community-based dental education (CBDE), and dental public health residency education in light of the profession's ethical commitments, social contract, and reparative obligations. Drawing on the introduction into US-based global dental education of Brocher Declaration principles including mutual partnership, capacity strengthening, humility, accountability, sustainability, responsiveness, and respect for local values, the authors consider how frameworks of solidarity and accompaniment can transform dental learning in domestic community settings to produce truly justice-centered ethical clinicians in future dental public health, community dentistry, and dental private practice spheres.

Methods

We critically assessed the APHA, AAPHD, and ADA professional codes of ethics, which guide DSL, CBDE, and dental public health residency education, and compared with frameworks of solidarity and accompaniment along the following dimensions: core focus, primary audience, values emphasized, ethical scope, reflection and deliberation, justice framing, veracity (truth-telling), and accountability.

Results

The APHA, AAPHD, and ADA codes of ethics emphasize justice, truth-telling, and professional responsibility but differ in scope, from individual clinical care to population-level health. We demonstrate how frameworks of solidarity and accompaniment can deepen dental professional codes of ethics by expanding traditional principles to include relationality, proximity to suffering, and structural critique.

Conclusions

This commentary positions dental public health as a critical catalyst for transforming DSL/CBDE by embracing solidarity and accompaniment as guiding ethical frameworks and by redefining success through humility, shared purpose, authentic partnership, community-driven metrics, and culturally responsive pedagogy. Doing so will inculcate in dental professionals sustainable, responsive, accountable, and justice-oriented practices and will strengthen the future of public health dentistry by cultivating clinicians committed to equity beyond episodic outreach. The paper concludes with recommendations for curricular reform and institutional alignment to support this paradigm.

查看原文本刊更多论文

牙科公共卫生是促进牙科服务学习和社区牙科教育的团结和陪伴的主要催化剂。

目的：本评论考察了基于美国的牙科服务学习（DSL）、基于社区的牙科教育（CBDE）和牙科公共卫生住院医师教育，根据职业的道德承诺、社会契约和修复义务。通过将《布罗彻宣言》原则引入美国的全球牙科教育，包括相互伙伴关系、能力加强、谦逊、责任、可持续性、响应性和尊重当地价值观，作者考虑了团结和陪伴的框架如何改变国内社区环境中的牙科学习，从而在未来的牙科公共卫生、社区牙科、以及牙科私人执业领域。方法：我们对指导DSL、CBDE和牙科公共卫生住院医师教育的APHA、AAPHD和ADA职业道德规范进行了批判性评估，并在以下方面与团结和陪伴框架进行了比较：核心焦点、主要受众、强调的价值观、道德范围、反思和审议、正义框架、真实性（讲真相）和问责制。结果：APHA、AAPHD和ADA的道德准则强调公正、讲真话和职业责任，但在范围上有所不同，从个人临床护理到人群健康水平。我们展示了团结和陪伴的框架如何通过扩展传统原则来深化牙科专业道德规范，包括关系，接近痛苦和结构批评。结论：本评论将牙科公共卫生定位为转变DSL/CBDE的关键催化剂，将团结和陪伴作为指导道德框架，并通过谦逊、共同目标、真正的伙伴关系、社区驱动的指标和文化响应教学法重新定义成功。这样做将向牙科专业人员灌输可持续的、反应迅速的、负责任的和以正义为导向的做法，并将通过培养致力于超越偶发外诊的公平的临床医生来加强公共卫生牙科的未来。论文最后提出了课程改革和制度调整的建议，以支持这一范式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.