The Blurred Lines of Professionalism in Dentistry

Abstract

AbstractIntroduction: as in other health professions, professionalism is a core concept in dentistry. Endeavours to determine a clear definition of professionalism in dentistry are widespread. However, there has been substantially less focus on the boundaries of professionalism, and what constitutes unprofessional or a lapse in professionalism.Aims: what leads a dentist’s professionalism to be called into question? An exploration of the boundaries between professional and unprofessional and the implications for maintaining professionalism in dentistry.Methods: drawing on data from a large mixed-method study, we conducted a thematic analysis of 772 open-text responses, from dental professionals and members of the public, to an online survey.Results: two lines of argument were identified for the conditions under which a dentist’s professionalism is called into question: circumstances that bear a direct influence on patient care, and circumstances that lead to the loss of patient trust. We identify and review processes that build and foster patient trust and thereby maintain professionalism.Conclusion: the findings support an approach to professionalism that mirrors a dentist’s approach to clinical practice. We provide two detailed recommendations for consideration: learned and tailored interactions, and judgement and reflection.