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dentalprotection.org Australia Insideissue14 Reflection Howreflectivelearningworksandwhyitisvaluable9–11 Dental student Supportfordentalstudentssince1991

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Page 1: Dental Student Australia 14

dentalprotection.org

Australia

Inside�issue�14

ReflectionHow�reflective�learning�works�and�why�it�is�valuable��9–11

DentalstudentSupport�for�dental�students�since�1991

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2

A�Cambodian�ChristmasAmy�Cao�tells�the�story�of�five�Griffithstudents�who�volunteered�to�work�duringtheir�holiday�12–13

GuatemalaGregory�Fine�describes�his�visit�to�aunique�clinic�in�Central�America��14–15

ContactsWe�love�to�hear�from�you 16

Hello�from�DPLKara�Stokes�opens�the�batting�3

News�from�DPLWhat’s�hot�for�Australia’s�coolestdental�students��4

Hello�from�ADSAMohit�Tolani�looks�back�at�theassociation’s�achievements�in�2015��5

School�reportsYour�news�and�pictures��6–8

ReflectionDr�Mark�O’Brien�and�Leah�Falkinghamexplain�how�reflectve�learning�canenhance�your�dental�skills��9–11

DPL�Australia�Pty�Ltd�(‘‘DPLA’’)�ABN�24�092�695�933,�CAR�No.�326134�is�a�Corporate�Authorised�Representative�of�MDA�NationalInsurance�Pty�Ltd�(‘‘MDANI’’)�ABN�56�058�271�417,�AFS�Licence�No.�238073

Dental�Protection�Limited�(‘‘DPL’’)�is�registered�in�England�(No.�2374160)�and�along�with�DPLA�is�part�of�the�Medical�Protection�SocietyLimited�(‘‘MPS’’)�group�of�companies.�MPS�is�registered�in�England�(No.�36142).�Both�DPL�and�MPS�have�their�registered�office�at�33�Cavendish�Square,�London�W1G�0PS.�DPL�serves�and�supports�the�dental�members�of�MPS.�The�benefits�of�MPS�membership�arediscretionary,�as�set�out�in�MPS’s�Memorandum�and�Articles�of�Association

‘‘DPL�member’’�in�Australia�means�a�non-indemnity�dental�member�of�MPS.�DPL�members�have�access�to�the�Dental�Indemnity�Policyunderwritten�by�MDANI.�By�agreement�with�MDANI,�DPLA�provides�point-of-contact�member�services,�case�management�and�colleague-to-colleague�support�to�DPL�members.�None�of�DPL,�DPLA�and�MPS�are�insurance�companies.�Dental�Protection®�is�a�registeredtrademark�of�MPS

Contents

QueenslandLa�TrobeMelbourne

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3

Hello�fromDPL

Really goodAugust�was�a�huge�month�for�me�and�theteam�as�we�ran�our�fourth�annual�YoungDentist�Conference�in�Sydney.�It�was�atruly�wonderful�event�and�we�werepleased�to�welcome�not�only�recentgraduates�but�many�final�year�studentstoo.�We�have�locked�in�the�date�for�thenext�YDC:�20�August�2016�–�mark�yourcalendar.

In�the�next�edition�of�Dental�Student,�I�willupdate�you�on�my�tour�of�the�universities,visiting�all�nine�graduating�classes�offeringgraduate�membership�until�30�June�2017at�no�cost�–�as�well�as�providing�amemento�for�that�special�year�group.�Forthose�final�year�students�who�have�nowcompleted�their�last�exam,�congratulationsfor�making�it�through�your�dentistry�courseand�best�of�luck�for�your�bright�careersahead.�

Great seeing you atConventionDPL�sponsored�ADSA’s�Dental�Conventionagain�in�July�and�we’re�so�happy�we�couldbe�involved.�Thank�you�to�all�of�you�whoattended�Dr�Annalene�Weston’seducational�and�entertaining�lecture�whichhad�an�even�larger�audience�than�last�year.�

I�really�enjoyed�the�opportunity�to�chatwith�delegates�at�the�tradeshow,�many�ofwhom�were�already�members.�To�all�of�ournew�members,�I�hope�you�enjoy�your�firstread�of�Dental Student Australia.

Hi again and welcome to DentalStudent Australia

2015�is�drawing�to�a�close�and�it’s�alwaysnice�to�reflect�on�the�year�that�is�ending.As�DPL’s�Marketing�Coordinator�and�yourDental�School�Representative�I�am�keptbusy�with�all�of�the�social�and�academiccalendar�events�around�the�nine�dentalschools.�Since�the�last�update�I�have�had�a�great�time�meeting�many�of�you�atdifferent�events�as�part�of�DPL’s�ongoingcommitment�and�support�of�your�dentalschool�activities.

Out and aboutAfter�you�completed�your�mid-year�examsand�enjoyed�some�time�off,�school�eventsgot�going�again�in�July.�The�ADSAConvention�held�up�in�Cairns�on�the�JCUcampus�was�an�ideal�way�to�start�thesecond�half�of�2015�and�offered�afantastic�opportunity�to�get�together�withdental�students�from�all�over�the�country�inone�place.�DPL�ran�a�lecture�and�alsoattended�the�tradeshow�–�both�eventswere�a�hit.�Congratulations�to�everyoneinvolved�for�their�efforts�in�puttingtogether�such�a�big�event.

The�following�week�I�was�accompanied�byDr�Mike�Rutherford�to�Adelaide�as�part�ofAdelaide�University’s�Academic�andProfessional�Development�Program(AAPDP).�Mike�is�one�of�five�Australia-based�Dentolegal�Advisers�working�for�uswho,�just�like�his�other�colleagues,�reallyenjoys�meeting�with�dental�students�andsharing�his�professional�experience.�It�wasthen�on�to�Melbourne�for�the�final�yearback�to�base�tradeshow�where�Dr�LeahMachmud,�one�of�our�Young DentistCommitteemembers,�presented�on�whatlife�is�like�after�graduation.�

Kara StokesMarketingCoordinator

Dental�Protection Dental�student�Australia�14

AppreciationAs�always,�we�really�appreciate�the�helpand�support�from�everyone�who�hascontributed�to�our�publication�as�you’vemade�it�another�great�edition.�We�couldn’thave�completed�this�fourteenth�issue�ofDental Student Australiawithout�you.

Best�wishes

Kara StokesMarketing�Coordinator�[email protected]

Save the dateYoung�DentistConference�20�August�2016

‘‘ ’’

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DPL�news

4

ElectivesDid�you�know�overseas�elective�cover�isone�of�the�benefits�of�student�membershipwith�DPL?�If�your�school�offers�an�electiveplacement�in�one�of�the�countries�wherewe�serve�members�then�we’ve�got�youcovered*.�Please�get�in�touch�with�usbefore�your�trip�so�we�can�help�organiseyour�dental�indemnity�well�in�advance.�

*Subject�to�the�terms�and�conditions�of�the�policy�andunderwriting�approval

Keep in touch onFacebookHave�you�liked us�on�Facebook�yet?�Findthe�DPL�Australia�page�today�to�see�thelatest�news�of�upcoming�events,�topicalarticles,�student�competitions�and�to�checkout�our�latest�photos.�It’s�a�great�way�tostay�connected�and�learn�more�about�allthat�DPL�has�to�offer.�

Get festiveWe�are�running�our�annual�Get�Festive�competition�over�thesummer�break�where�we�ask�our�DPL�Australia�Facebook�likers�topost�or�share�their�most�festive�Christmas�photos.�Create�some“Kodak”�moments�and�tag�DPL�Australia�in�all�of�your�fun,�cute�orcreative�photos.�If�you�want�to�win�one�of�three�Myer�vouchersplease�note�the�competition�ends�Friday�8�January�2016.

Contact detailsWe�know�some�of�you�move�around�a�lotso�please�remember�to�keep�us�informedof�any�changes�to�your�contact�details.�Tocontinue�to�receive�this�publication�in�themail�and�other�updates�from�DPL�it�isimportant�to�provide�us�with�your�currentpostal�address.�Call�us�on�1800�444�542or�email�us�at�[email protected] to�letus�know.

About to graduate?Check�out�theyoungdentist.com�for�all�sorts�of�tips.�This�websiteis�brought�to�you�by�DPL�and�is�a�dedicated�resource�for�youngdentists�including�articles,�event�dates,�competitions�andinformation�on�working�abroad�and�volunteering.�theyoungdentist.com/au

Want more graduateinformation? Never�fear!�After�assisting�ADSA�withtheir�first�ever�go-to-guide�they�are�nowavailable�to�download�from�adsa.org.au

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Hello�fromADSA

5Dental�Protection Dental�student�Australia�14

Dear fellow dental students

It’s�time�for�me�to�handover�to�the�newcommittee�for�next�year,�but�before�I�gothere,�let�me�talk�about�2015.�In�a�yearwhen�ADSA�restructured�itself,�we�alsomanaged�to�introduce�some�new�eventsand�activities.

We�started�out�with�six�goals�and�thesewere�achieved�in�the�first�six�months.�Atthe�Convention�in�Cairns,�we�increased�ourattendance�figures�and�produced�a�fun-filled�experience�with�plenty�of�learningimplanted�in�the�program.�Now�see�whatelse�we�did.

2015 achievementsIncrease�in�stakeholderparticipationWe�had�three�times�more�supporters�andsponsors�engage�with�us�this�year.�We�aimto�increase�it�again�in�2016.�Thank�you�toDPL�for�your�continued�support�andcommitment�to�dental�studentengagement.

Integration�of�DentalHygiene�and�Oral�HealthTherapy�studentsThis�move�has�been�well�received�by�thewider�student�committee�and�there�will�befurther�opportunities�for�integration�nextyear.

‘R�U�OKAY’�DayWe�introduced�a�dentally�oriented�mentalhealth�awareness�event�in�the�form�ofcoffee�‘n’�conversations.�This�year’s�trialwas�a�success�across�the�majority�of�sitesand�the�new�committee�has�alreadystarted�to�plan�for�2016.

Launch�of�the�ADSA-ACDEScholarship�ProgramA�scholarship�is�available�for�one�final�yeardentistry�student�to�participate�in�a�courseleading�to�a�Diploma�in�Dental�PracticeManagement.�

International�engagementADSA�specific�international�dental�projectsprovide�a�holistic�experience�whilsttraining.�We�worked�with�ChallengesAbroad�in�India�and�Nepal�and�a�multitudeof�projects�organised�by�Work�the�World.

Dental�Rescue�Daysinitiative�We�engaged�with�the�National�DentalFoundation�to�help�dental�students�providecommunity�service�as�dental�assistantsand�observers�whilst�free�dental�care�wasprovided�to�the�community.�Thispartnership�will�be�sustained�next�year.

Convention�in�CairnsThis�year’s�theme�was�a�great�successaccording�to�the�sponsor/supporterreviews.�We�aim�to�keep�the�sunny�mixof�beach�and�learning�for�next�year’sconvention.�Look�for�the�Decemberannouncement.

ADSA�endorsed�projectsWe�have�continued�our�commitment�toearlier�projects�like�the�Red�Cross�BloodDrive.

New�linksAvenue�Dental�has�linked�up�with�us�forthe�Australian�Dental�Graduate�of�the�YearAward�Program.�Finalists�and�the�winnerattend�the�Mini�Residency�in�GeneralPractice�Dentistry.

Canadian�NDEB�examsFrom�2016�onwards,�together�with�SydneyUniversity,�we�will�be�co-ordinatingparticipation�in�these�Board�exams.�Moredetails�next�year.

International�tiesWe�joined�the�International�Association�ofDental�Students�which�now�opens�thedoors�to�several�community�and�educationprograms�which�are�open�to�Australianstudents�(subject�to�conditions).

Mohit TolaniPresident�ADSA

Shaping�the�futureADSA�was�represented�within�thefollowing�organisations:�ADA�DentalWorkforce�and�Planning�Committee,�ADARecent�Graduates�Committee,�AustralianDental�Council,�ADA�Rural�Workforce�andPolicy�committee.

Dental�Student�LeadershipAwardsThe�awards�will�be�launched�in�early�2016.Watch�out�for�details.

Members�of�this�year’s�ADSA�Committeehave�gone�above�and�beyond�their�roles.�I�would�like�to�thank�all�of�the�committeemembers,�the�university�representativesand�the�dental�school�student�presidentswho�have�supported�us�this�year.

We�have�been�busy�but�the�effortscertainly�bore�fruit�for�the�wider�dentalcommunity.�I�would�urge�all�students�tokeep�an�eye�on�the�ADSA�Facebook�page,Articulate�Newsletter�and�our�website.�The�New�Year�will�bring�new�opportunities-�so�definitely�stay�tuned.

Thank�you�very�much�for�giving�me�theopportunity�to�work�with�you�all.�I�havethoroughly�enjoyed�myself.

Yours�sincerely,

Mohit TolaniPresidentAustralian�Dental�Students�Association

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School�reportsUniversity of Adelaide The�“Midsummer’s�Night�Dream”�Grand�Dental�Ball�was�held�onAugust�22�at�the�National�Wine�Centre.�As�always,�it�was�thehighlight�of�the�social�calendar�for�all�dental�and�oral�healthstudents.

In�September�we�focused�on�student�welfare�and�community�aid,with�a�week-long�R U OK? campaign.�Determined�to�increase�ourparticipation�in�the�local�blood�donation�scheme,�the�student�bodypulled�together�and�this�dedication�provided�more�than�eight�timesthe�donations�in�2014.�What�made�it�even�more�special�was�thatmost�students�used�Facebook�to�post�their�donor�photos�andshared�positive�experiences�to�promote�the�cause.�While�ourfriends�and�family�were�not�counted�as�part�of�the�competition,they�were�still�able�to�donate�alongside�the�students�to�save�lives,which�was�the�ultimate�goal.�The�number�of�first�time�donors�wasremarkable�with�many�students�agreeing�to�become�regulardonors!

In�September�and�October�we�continued�our�academic�lectureseries,�specialist�society�study�clubs,�exam�revision�sessions�andworkshops�for�younger�years�to�practice�their�clinical�skills.�Someof�our�students�have�also�started�volunteering�with�the�NationalDental�Foundation.

We�have�now�welcomed�our�new�committee�and�said�our�finalgoodbyes�to�the�graduating�class�of�2015.�We�wish�them�all�thebest�for�2016!

Aleisha Bassett, Year�4

Charles Sturt University The�University�of�Sydney�visited�the�shores�of�CSU�in�May,�hopingto�break�their�Roland�Bryant�Cup�losing�streak.�Despite�theintroduction�of�a�new�sport�(Dodgeball),we�still�managed�todestroy�Sydney�University�and�take�the�cup�for�the�sixth�time.

Other�events�held�during�our�second�semester�included�the�2015Halfway�Ball,�where�Year�3�celebrated�completing�half�theirdegree.�Plenty�of�half-certificates�were�handed�out,�along�witha�lot�of�chewing�gum!�Dent�Revue�was�another�success,�withmultiple�video�submissions�providing�witty�perspectives�of�student�life.

The�R U OK? day�organised�in�association�with�ADSA,�was�anopportunity�for�dental�students�to�come�grab�a�free�coffee�and�askthat�all-important�question�to�each�other:�“Are�you�OK?”�Such�ashort�question�can�make�a�big�difference�to�those�struggling�withlife.

The�annual�Blood�Drive�also�gained�traction�during�September,with�many�dental�students�visiting�the�Red�Cross�Blood�Bank�inthe�hope�of�saving�three�or�more�lives.�In�competition�with�all�theother�schools�CSU�did�its�best�to�improve�on�narrowly�missing�firstplace�last�year.

Neil Sengupta, Year�2

Griffith University With�the�start�of�the�second�academic�semester,�we�have�beenbusier�than�ever�with�a�series�of�academic�seminars�ranging�frompatient�communication�(Dr�Lincoln�Harris)�to�palatally-displacedcanines�(Dr�Devan�Naidu).

We�also�played�in�the�Medfin�cup�against�traditional�rivals�UQ,which�was�a�close�thing,�but�left�Griffith�short�of�glory.�Despite�this,the�magical�“Yule’’�ball�was�one�for�the�dental�students�to�drinkaway�their�sorrows�and�dance�the�night�away.�It�was�a�magnificentsuccess.

We�have�also�been�fortunate�enough�to�have�had�guest�speakerssuch�as�Dr.�Glen�Hughes�who�presented�a�unique�perspective�onthe�divide�between�metropolitan�and�rural�dentistry.�Dr.�NinoGullotta’s�spoke�about�the�Invisalign�technique,�a�relevant�topic�ata�time�when�facial�aesthetics�are�more�than�ever�a�priority�forpatients.

The�start�of�October�began�with�our�bi-annual�Tradeshow,�whereour�students�learnt�about�the�companies�and�the�relevance�ofeach�to�their�futures.�Then�came�the�interfaculty�basketballtournament�which�followed�shortly�by�the�inaugural�“White�CoatCrawl”,�which�saw�white�coated�dental�students�trawling�the�pubsand�clubs�of�Surfers�Paradise�in�one�final�act�of�debauchery�beforethe�tsunami�wave�of�exams.

Jessica Sun,Year�4

James Cook University It’s�crunch�time�here�at�JCU�with�just�a�few�weeks�of�study,�as�the�academic�year�comes�to�a�close!�This�semester,�the�first�yearshave�been�working�hard�and�getting�oriented�to�the�simulationclinic.�The�second�years�survived�the�long�hours�in�theprosthodontics�lab.�Third�and�fourth�year�students�have�been�busyseeing�patients�in�the�clinic,�and�final�year�students�are�enjoyingtheir�last�placement�before�graduation�and�joining�the�workforce!

It�hasn’t�been�all�work�and�no�play,�however,�and�our�annual�dentalball�held�at�the�Cairns�Cruise�Liner�Terminal�was�hugely�succesful.It�was�catered�by�Nunu’s�Restaurant�whose�owner�Nick�Hollowayappeared�on�MasterChef�Australia.�We�also�held�a�medical�anddental�mixer.�Both�events�were�exceptional�and�a�greatopportunity�to�put�down�the�books�and�have�some�fun!

In�support�of�ADSA,�we�hosted�an�‘‘R U OK?’’ BBQ,�and�promotedtheir�annual�Blood�Drive.�We�would�like�to�thank�everyone�whoattended�the�BBQ�and�those�who�altruistically�donated�blood!�We�wish�all�students�Australia-wide�“Good�Luck!”�with�the�rest�ofthe�year�and�impending�exam�time.

Daniel Frank, Year�2

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7Dental�Protection Dental�student�Australia�14

Adelaide Charles�Sturt

Griffith

Melbourne

Queensland Sydney UWA

James�Cook

La�Trobe

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8

School�reportsLa Trobe University It�seems�like�only�yesterday�when�the�fresh�lot�of�first�years�werestarting�out�on�their�university�journey.�Nevertheless,�here�we�are.

We�have�had�a�great�year,�building�on�the�already�successfulevents�of�the�last�twelve�months�and�adding�some�new�ones,�likethe�BOHDS�week.�This�particular�week�included�a�pub�crawl,�laser-tag,�go-karting�and�a�whole�lot�more.�A�new�tutoring�program�wasalso�introduced�for�first�year�students�conducted�by�the�studentsin�year�3.

The�biggest�event�of�the�second�semester�was�the�“On�the�Rocks”themed�Cocktail�Night�which�provided�the�students�and�staff�witha�chance�to�relax�and�let�their�hair�down.�

BOHDS�also�brought�home�the�Club�of�the�Year�Award�(onceagain)�for�their�contribution�in�the�wider�community.�This�includedvolunteering�at�local�schools,�instructing�kids�in�oral�hygiene,donating�to�the�Tzu�Chi�foundation�and�running�an�outreachprogram�for�the�third�time.�

2015�has�been�a�great�year�and�2016�should�be�even�better.Congratulations�to�those�of�you�graduating�and�best�of�luck�for�the�future!

Varun Chopra, Year�2

University of Melbourne The�MDSS�kicked�off�semester�two�with�a�boat�cruise�on�the�YarraRiver.�It�was�a�night�of�endless�fun,�fist-pumping�music�and�ashowcase�of�naughty�nautical�costumes.

It�is�a�tradition�that�the�second�year�students�host�an�annualCocktail�Ball�to�celebrate�those�who�are�half-way�through�theirdegree.�The�theme�was�“A�Mid-Summer�Night’s�Dream”�and�so�itwas�-�warm�weather,�crisp�cocktails�and�everyone�looking�theirbest!

In�the�Victoria�Sports�Cup,�we�competed�against�La�Trobe�inbasketball,�netball,�volleyball,�soccer�and�dodgeball.�Despite�toughcompetition,�our�teams�prevailed�in�all�five�sports�to�win�the�cupfor�the�second�year�in�a�row.

We�held�a�forum�with�speakers�from�all�the�dental�specialities,recent�graduates�and�an�oral�health�therapist.�The�speakers�toldinspirational�stories�that�provided�just�the�right�dose�of�motivationand�realism�needed.

The�Grand�Dental�Ball�starts�with�whispers�about�the�possibletheme,�followed�by�the�ticket-sales�madness�and�then�a�sold-outevent.�The�“Fire�and�Ice”�night�was�one�of�elegance�and�spectacle.

It�was�an�opportunity�for�us�to�honour�the�outgoing�MDSScommittee�and�to�see�the�baton�pass�to�the�newly�elected�2016committee.�We�look�forward�to�what’s�in�store!

Velanni Martins, Year�4

University of Queensland This�year�we�moved�into�the�brand�new�Oral�Health�Center�in�Herston.But�now�it�is�exam�time�and�the�students�have�hidden�away�to�catchup�on�a�semester’s�worth�of�study.�

The�year�began�with�a�dance-fuelled�meet�and�greet,�that�set�thestandard�for�all�the�events�that�followed.�Students�partied�hard�duringthe�“Toy-Box”�cruise�and�the�“Night�Under�the�Stars”�Annual�DentalBall.�This�year�also�saw�UQ�Dentistry�challenge�Griffith�Dentistry�forthe�Medfin�Cup�and�once�again�we�came�out�victorious.�

We�hosted�our�first�R U OK?Day�with�free�coffee�vouchers,�a�sausagesizzle�and�giant�board�games�for�the�inner�child.�Lunch�and�Learnseminars�and�tradeshows�made�a�comeback�along�with�the�annualsport’s�day.�

We�wish�all�students�the�best�of�luck�in�preparing�for�exams�andcongratulate�everyone�graduating�at�the�end�of�the�year.

Betty Cheregi, Year�1

University of Sydney Sydney’s�dental�and�oral�health�students�have�had�plenty�ofopportunity�to�socialise,�play�sport�and�party.�The�2015�Dental�Ball�wasa�sell-out.�It�was�staged�at�the�exclusive�Ivy�Sunroom�with�plenty�ofcanapés,�drinks,�a�DJ,�dance�floor�and�a�photo�booth.�Our�studentsditched�the�wine�scrubs�for�dresses�and�suits,�and,�well…�actual�wine.Thanks�to�the�DMD3�social�reps�for�organising�such�a�fantastic�night.

The�quad-faculty�men’s�rugby�and�women’s�touch�football�competitionagainst�the�Medical,�Pharmacy�and�Veterinary�faculties�was�anopportunity�to�demonstrate�the�great�dental�team�spirit�andsportsmanship.

We�had�more�donors�this�year�for�the�ADSA�Blood�Drive.�Thanks�to�allwho�participated�and�we�hope�that�even�more�people�donate�in�thefuture.�There�are�always�more�people�in�need�than�there�are�donors,�soplease�consider�making�it�a�habit!

Coming�up:�End�of�exams!�As�well�as�the�DMD4�Grad�Ball�and�DMD2Halfway�Ball.�I�wish�all�students�all�the�very�best�with�upcomingassessments.�

Darian Karunaikumar, Year�2

University of Western Australia We�have�been�active�all�year,�continually�trying�to�improve�conditionsat�the�dental�school.�This�semester�saw�many�efforts�come�to�fruition.UDSS�has�been�successful�in�lobbying�for�better�Wi-Fi�access,negotiated�student�discounts�at�local�cafes,�and�new�cues�for�the�pooltable.�Most�notably,�they�were�successful�in�their�application�for�a$30,000�grant�to�renovate�the�common�room.�With�additional�supportfrom�the�School�of�Dentistry,�the�common�room�is�due�to�receive�a�newcarpet,�microwaves�and�projectors.�

Our�fantastic�social�events�have�included�the�annual�GV�Black’sCocktail�Party�held�this�year�at�Llama�Bar,�a�pool�tournament�and�asports�day.�The�recent�gangster-themed�quiz�night�also�proved�popular,with�a�win�for�the�year�5�Mafia.�There�was�good�participation�in�the�R�UOK?�event,�with�sponsored�free�flat�whites�from�ADSA.�It�had�been�awhile,�but�a�party�from�UWA�attended�the�ADSA�Convention�this�year.

I�can�guarantee�that�everyone�is�looking�forward�to�celebrating�theend�of�another�academic�year�at�the�Dental�Dinner:�Vegas�Style.�Withso�much�positivity�in�2015,�we’re�really�looking�forward�to�2016.�

Spencer Li, Year�3

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Reflection

Dr Mark O’Brien and Leah Falkinghamdiscuss the role of experiential andreflective learning in dentistry andexplain how a combination of learningby doing and active reflection can helpsteer a path that is professionallyrewarding, ethically responsible andfacilitates delivery of great care tothe patients

Charting a courseAfter�graduation�and�once�in�practice,�theroad�to�professional�success�can�takemany�turns.�How�do�you�navigate�throughthe�difficult�terrain�of�maintaining�yourtechnical�and�interpersonal�competence�to�ensure�you�get�where�you�want�to�goin�the�safest,�most�effective�andprofessionally�rewarding�way?�

Dentists�are�constantly�faced�with�a�rangeof�learning�choices�to�help�them�adapt�tothe�shifting�cultural�and�social�contexts�ofa�scrutinising�society�that�is�less�forgivingof�error.�Even�in�our�busy�professional�livesit�is�worthwhile�taking�a�few�minutes�tolook�at�what�the�experts�say�are�the�mosteffective�ways�that�professionals�can�learnand�adapt�their�way�of�working�for�thebenefit�and�protection�of�their�patients�andthemselves.�

David�Kolb,�an�American�pioneer�in�adulteducation,�proposed�that�adults�learnthrough�a�continuous�cycle�that�beginswith�an�experience�which�triggersreflection�that�leads�to�action,�thusproviding�another�concrete�experience�anda�return�to�the�start�of�the�cycle.�Learning‘by�experience’�is�distinct�from�learning“from�experience”.�The�latter�requires�aprocess�of�thinking�and�reflecting�onevents�and�leads�to�adaptability�whereaslearning�by�experience�(or�by�doing)without�reflection�can�lead�to�usunwittingly�repeating�errors.

Rear view mirrorOver�time,�instruction�in�dental�techniqueshas�become�more�sophisticated�both�insubstance�and�method.�Reflecting�on�aroad�already�travelled�can�help�usappreciate�not�only�how�far�we�have�comebut�also�how�far�we�still�might�need�to�go.

The�history�of�dental�education�is�markedby�both�change�and�continuity.�Theattribution�of�tooth�decay�to�worms�wasonly�discarded�in�the�18th�century

1and

during�this�time�few�medical�schoolsincluded�any�formal�instruction�ondentistry.�Dentists�either�learned�their“trade”�through�a�form�of�apprenticeship�oroffered�their�services�without�any�training.They�were�self-taught�and�judged�theirown�competency;�the�ultimate�example�oflearning�by�experience.�

A�more�organised�system�was�establishedin�later�years�and�experienced�dentistsprofited�financially�by�acting�as�preceptors.At�that�time,�arguing�that�the�preceptorconcept�was�inadequate�amounted�toarguing�that�the�majority�of�existingpractitioners�were�ill-trained!�

Looking�back�we�can�see�how�dentaleducation�has�evolved.�

Dr Mark O’Brien (Education�ProgrammeManager) and Ms Leah Falkingham(Education�Programme�Manager�–�AsiaPacific)�work�for�DPL/MPS�EducationalServices�in�Brisbane�

The�approach�many�older�dentistsremember�from�their�university�days�oftenseparated�“knowing”�and�“doing”.�Studentswere�taught�abstract�concepts�before�anypractical�experience�was�allowed�andmuch�of�the�teaching�took�place�in�anenvironment�removed�from�the�reality�in�which�the�concepts�might�be�applied.While�this�model�of�teaching�and�learningstill�exists�to�some�degree,�there�is�now�a�greater�understanding�of�the�closerelationship�between�“doing”�and“knowing”.�It�is�more�widely�accepted�thatlearning�takes�place�through�action�andinteraction�with�people,�places�and�withindifferent�cultural�and�social�settings

2.�In�the

real�world�tasks�are�rarely�isolated;�eg.�adental�practitioner�might�be�gatheringfacts�from�a�patient�at�the�same�time�asdeveloping�a�relationship�with�them.�So�theroad�towards�professional�excellence�willinevitably�wind�through�the�old�landmarksof�“learning�by�doing”.

9Dental�Protection Dental�student�Australia�14

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10

Reflection

Landmarks andmilestones “All genuine education comes about throughexperience (although this) does not meanthat all experiences are genuinely or equallyeducative” (John�Dewey)

3

Reflection�is�what�turns�learning�byexperience�into�learning�from experience.Reflection�can�prompt�us�to�gain�newinsights�and�understanding�about�ourselvesand�our�environment

4,�5.�Reflecting�on

something�different�or�challenging�thathappened�during�a�clinical�session�can�helpyou�draw�important�lessons�about�whatyou�may�need�to�do�more�of,�perhaps�lessof�and�even�occasionally�stop�all�together!It�might�prompt�you�to�acquire�moreknowledge,�seek�more�instruction�on�aparticular�technique�or�discuss�yourexperience�with�a�colleague.�It�may�alsoheighten�the�sense�of�purpose�andmeaning�you�obtain�from�the�practice�ofthe�profession.�

Donald�Schön,�another�Americanresearcher�who�studied�the�way�thatadults�can�change�after�they�reflect�onexperiences

6,�saw�active�reflection�in�

two�ways:�‘telling-listening’�and‘‘demonstrating-imitating’’.�He�consideredthese�two�methods�of�reflection�as�bothcontinuous�and�reciprocal�between�thestudent�and�instructor.�Schön�alsohighlighted�how�reflection,�whenincorporated�into�professional�education,can�counteract�the�risk�of�studentsrepeating�bad�habits�and�failing�to�learnfrom�their�experiences

7.

Some�schools�of�dentistry�now�guidestudents�through�a�formal�process�ofreflection�to�see�if�learning�in�communitysettings�can�be�enriched�by:�photographic�documentationwritten�narrativescritical�incident�reports�andmentored�post-experiential�small�groupdiscussions.

Other�ways�to�incorporate�reflectioninclude�case�studies,�journals,�videos�andfocus�groups.�In�a�practice�or�postgraduatesetting�these�strategies�can�promotereflection�on�experience;�prompting�thelearner�to�re-examine�preconceivednotions�and�gain�deeper�insight�into�caringfor�patients.�The�perspective�we�can�gainby�reflection�can�change�the�way�we�seeour�work�and�our�patients.

••••

Case study“Initially�my�preconceptions�towardselderly�patients�included�a�mixture�of�thefollowing:�they�are�difficult�to�treat�in�aphysical�sense�because�of�their�frailty;�theyare�not�conversational�and�might�havedifficulty�hearing�or�understanding�myinstructions;�their�medical�history�or�longlist�of�medications�may�pose�barriers�tosuccessful�treatment;�and�basically�I�haveto�provide�constant�assistance�for�themfrom�the�moment�they�arrive�at�the�clinic.

All�of�these�unfounded�preconceptionschanged�radically�after�cleaning�Odessa’steeth.�Odessa�is�a�healthy�and�vital�patientof�91�years,�who�pleasantly�enlightenedme�on�how�the�elderly�should�beunderstood�and�cared�for.�After�meetingher,�I�brought�her�into�the�operatory�andtried�to�aid�her�in�sitting�down�in�the�chair.She�instantly�scolded�me,�saying,�“I�can�doit�myself.”

We�went�over�her�medical�history�formand�I�was�surprised�that�she�was�onlytaking�one�medication.�She�kept�sayinghow�lucky�and�blessed�she�was�to�have�nomajor�medical�complications�at�all.

We�talked�freely�and�easily�–�she�talkedabout�the�recent�death�of�her�husband�ayear�ago�and�how�they�had�such�awonderful�life�together.�Tears�welled�up�inboth�of�our�eyes�as�we�shared�hermemories.�She�also�talked�about�living�byherself�now�and�how�she�had�never�livedalone.�The�memories�of�her�husband,children�and�grandchildren�keep�her�strongand�now�she�expects�to�live�many�moreyears.

Education�hasevolved�from�theapprenticeshipmodel�into�acomprehensiveprogramme�ofprofessionaleducation�involving�a�lengthy�period�offormal�instruction

‘‘ ’’

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Are we there yet?Best�reflective�practice�is�not�always�asolitary�pursuit.�Reflective�interaction�withothers,�while�often�more�challenging,�offersthe�potential�of�shining�a�powerful�light�onour�professional�‘‘blind�spots’’,�be�theyunhelpful�assumptions,�embedded�buterroneous�beliefs,�knowledge�deficits�orlack�of�technical�mastery.�Critical,�intensereflection�can�transform�our�thinking�andview�of�the�world

9when�beliefs�or

assumptions�are�changed�through�criticalreflection;�our�whole�perspective�orframing�of�the�world�can�change�also

10.

Change�can�be�dramatic�or�can�occurslowly�but�learning�will�occur�whenever�ourexpectations,�beliefs,�feelings,�attitudes,awareness�of�knowledge�or�technicaldeficits�or�judgments�are�altered�bypowerful�reflective�practice.�

As�we�encounter�and�deal�with�newsituations,�our�ideas�about�whatcompetence�is�can�also�change.�Reflectivediscussion�and�peer�interaction�will�lead�tounderstanding�and�appreciation�fordifferent�ways�of�practising�competently

11.

Experience,�critical�reflection�and�reflectingthrough�interaction�with�others�are�theunchanging�ingredients�of�the�learningprocess�that�truly�develop�us�ascompetent�and�caring�dentists�–�no�matterhow�the�cultural�and�social�context�inwhich�we�may�practise�varies�over�time.

Odessa�taught�me�many�things�that�day.She�looked�only�at�the�positive�of�whateach�day�offers�and�reflects�on�the�goodthings�from�days�past.�It�was�important�toher�to�keep�an�active�mind�and�to�alwaysthank�God�for�the�life�she�was�given.�Herpositive�energy�made�me�reflect�after�oursession�on�how�I�think�of�other�patients,friends�and�family.�It�also�made�me�reflecton�the�open-mindedness�that�I�must�strivefor�when�dealing�with�all�patients�and�howI�can�learn�from�patients�of�all�ages,�notjust�about�treating�their�teeth�but�abouttheir�lives�and�relationships.

I�know�now�that�I�enjoy�working�with�theelderly�and�possess�a�better�understandingof�their�needs�and�outlook.�I�owe�this�to�themany�special�patients�like�Odessa�thathave�enriched�my�dental�experience.”

As�the�researcher,�Strauss,�noted,�“patientencounters�and�experiences�in�thecommunity�alone�may�not�necessarily�lead�to�learning�and�growth,�professionalor�personal.�Worse�yet,�an�unexaminedexperience�may�serve�to�confirmstereotypes�and�faulty�assumptionsabout�patients�and/or�practice.”

8

Signposts for learning:practical reflectiveactionsConscious�purposeful�reflection�canbecome�a�dynamic�part�of�the�learningprocess.Techniques�to�aid�reflection:–�allocate�time�by�either�reframing�thetime�already�available�to�reflect�onindividual�interactions�with�your�patients�at�the�end�of�the�clinical�session.–�organise�a�discussion�with�colleagues�for:Case�study�reflectionsSharing�stories–�consider�and�reflect�on�routine�events;not�just�the�difficult�ones�(use�a�learningjournal�or�log�book)–�review�instructional�videos/other�mediawith�time�allowed�for�critical�refection.�

References

••

1Field�J�M�(editor).�Dental�Education�at�the�Crossroads:�Challenges�and�Change.�1995.�Institute�of�Medicine.�The�National�Academies�Press.�35-39

2Lave�J�and�Wenger�E.�Situated�Learning:�Legitimate�Peripheral�Participation.�Cambridge,�UK:�Cambridge�University�Press,�1990

3Robertson�K.�Reflection�in�professional�practice�and�education.�AFP�2005;�34(9):�781-783

4Benner�P.�Taking�a�good�stand�on�experiential�learning�and�good�practice.�Am�J�Crit�Care�2001;�10:�60-62.�Smith�CS,�Irby�DM.�The�roles�of�experience�and�reflection�in�ambulatory�care�education.�Acad�Med�1997;�72:�32

5Saltmarsh�J.�Education�for�critical�citizenship:�John�Dewey’s�contribution�to�the�pedagogy�of�community�service�learning.�Mich�J�Comm�Service�Learning�1996;�3:�13-21

6Schön�DA.�Educating�the�reflective�practitioner:�towards�a�new�design�for�teaching�and�learning�in�the�professions.�San�Francisco:�Jossey-Bass,�1987

7Schön�DA.�The�reflective�practitioner:�how�professionalsthink�in�action.�Aldershot:�Ashgate�Arena,�1991

8Strauss�R�et�al.�Reflective�Learning�in�Community-Based�Dental�Education.�Journal of Dental Education2003;�67(11):�1,239

9Scott�J�Allen.�Adult�Learning�Theory�&�Leadership�Development.�Kravis�Leadership�Institute,�Leadership Review 2007;�7:�26-37

10Mezirow�J.�Learning�to�Think�Like�an�Adult:�Core�Concepts�of�Transformation�Theory.�In�Learning as Transformation: Critical Perspectives on a Theory in Progress,�by�Mezirow�J�and�Associates.�San�Francisco:�Jossey-Bass,�2000

11Gonczi.�Competency�based�learning�in�Understanding�Learning�at�Work.�D�Boud�&�J�Garnick�(eds),�2012.�Psychology�Press;�183-184

‘‘ ’’Intense�reflection�can�transform our�thinking�and�view�of�theworld

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A�CambodianChristmas

The briefIn�the�first�week�we�would�be�travelling�to�Prey�Veng,�a�province60-70km�south-east�of�Phnom�Penh,�to�set�up�a�mobile�clinic�ata�village�school.�In�the�second�week,�we�were�to�return�to�thePhnom�Penh�guesthouse�and�work�at�the�Happy�Clinic,�a�dentalclinic�located�on�the�ground�floor�of�the�guesthouse�and�whichpredominantly�treated�children�from�nearby�orphanages.

Day oneIn�the�morning,�we�met�the�Cambodian�staff�who�would�beaccompanying�us.�Our�team�which�now�consisted�of�one�dentist,seven�dental�nurses�and�five�Griffith�students�were�somehowfolded�into�the�space�of�just�half�a�van.�The�other�half�was�devotedto�five�sets�of�dental�units�along�with�chairs,�fans,�lamps,�bins,�theentire�steri�and�dispensary,�and�suitcases�containing�a�week�ofluggage�for�thirteen�people.�

Although Cambodia is a country filled with vibrant beauty,I could still hear echoes of its tumultuous history whenI arrived there last December. Four friends and I had justsurvived our third year of dental school at Griffith Universityand were about to embark on two weeks of volunteeringwith an organisation called One-2-One. Our role was toprovide dental treatment for disadvantaged communitiesstill recovering from the socio-economic repercussions ofcivil war more than 40 years ago

We�landed�in�Phnom�Penh�on�the�Sunday�before�our�programcommenced�and�were�driven�from�the�airport�to�the�One-2-Oneguesthouse.�We�were�welcomed�warmly�by�the�Cambodianstudents�resident�there.�These�were�students�sponsored�to�attenduniversity�by�another�of�One-2-One’s�initiatives.

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AdventureAs�we�headed�into�the�countryside,�a�convoluted�river�of�mopeds,tuk-tuks�and�bicycles�flowed�alongside�us.�Lanes�marked�on�theroads�served�a�purely�decorative�purpose.�Instead,�motorists�andpedestrians�preferred�to�communicate�with�horns�and�bells�whileovertaking�and�turning�as�one�giant�mass.�The�side�of�the�roadswere�lined�with�electrical�shops,�sheltered�from�the�unrelentingheat�by�brightly�coloured�awnings.

Whenever�we�passed�a�restaurant�or�a�food�cart,�the�aroma�ofroast�beef�or�sweet�coconuts�would�assail�our�noses.�Thickbundles�of�power�lines�stretched�a�net�across�the�city�to�subtlyremind�us�that�we�were�in�a�country�still�trapped�by�the�economicburden�of�the�past.

The�asphalt�road�soon�gave�way�to�a�landscape�of�rice�paddies�andopen�fields.�We�arrived�at�the�village�school�around�midday�andimmediately�erected�the�clinic�in�a�classroom.

To workDr�Sarun,�the�dentist,�was�responsible�for�screening�patientsbecause�we�couldn’t�speak�Khmer�(Cambodia’s�national�language).He�would�write�down�the�treatment�plan�in�English�for�us.�Thedental�nurses�helped�us�with�instruments�and�materials�and�werealso�responsible�for�providing�oral�hygiene�instructions�in�Khmer�tothe�patients�whilst�they�waited�to�be�seen.

I�saw�my�first�live�extraction�on�day�one�and�I�imagined�what�mighthappen�if�I�had�been�the�operator.�Then,�some�30�seconds�later(that�was�all�it�took�for�the�dental�nurse�to�finish)�I�found�I�wasbeing�asked�to�do�the�next�extraction.�It�probably�would�havetaken�me�much�longer�had�the�nurse�not�helped�me�along�the�way.�

Work�started�9am�each�morning�and�after�a�non-stop�day�ofextractions,�restorations,�fissure�sealants�and�an�occasional�scaleand�polish,�we�finished�around�4pm.�Between�the�five�of�us,�wehad�treated�around�270�patients�before�the�drive�back�to�PhnomPenh.�Talk�about�patient�flow!

A weekend offWe�headed�for�Siem�Reap�on�an�overnight�bus�and�arrivedSaturday�morning�feeling�tired.�Nevertheless�we�powered�on�andvisited�the�magnificent�temples�at�Angkor,�Pub�Street�Markets�and�Tonle�Sap�before�bussing�back�to�Phnom�Penh�on�the�Sundayafternoon�to�prepare�for�the�second�week.

The�Happy�Clinic�consisted�of�four�units�complete�with�luxuriessuch�as�suction�and�an�adjustable�chair.�The�pace�was�slower�anda�group�of�around�10-15�orphanage�children�would�arrive�eachmorning.�We�planned�and�carried�out�their�treatments�with�thehelp�of�a�supervising�dentist.�Despite�the�better�living�conditions,many�of�the�city�children�had�both�a�higher�BMI�and�more�cariescompared�to�the�rural�children�we�treated�in�Prey�Veng.�

FriendshipThe�Cambodian�students�in�the�guest�house�prepared�deliciousKhmer�meals�for�us�every�day.�Groups�of�them�would�often�join�usfor�meals�and�slowly�we�got�to�know�everyone.�When�we�came�toleave�at�the�end�of�the�week,�I�felt�an�attachment�to�the�countryand�the�people�we�had�met.

Although�the�volunteering�had�finished,�we�couldn’t�leave�withoutseeing�some�of�Phnom�Penh’s�iconic�destinations.�These�includedthe�Central�and�Russian�markets,�as�well�as�the�Killing�Fields�andTuol�Sleng.�Visiting�these�places,�I�came�to�realise�just�how�mucheconomic�recovery�is�still�underway�and�this�was�reflected�in�thepoor�oral�health�of�its�population.�I�now�fully�appreciate�howvaluable�primary�prevention�can�be.

Cambodia�was�inspiring�and�I�am�sure�I�will�return�one�day.�I�haveconfidence�that�Cambodia’s�future�is�a�bright�one.

Amy CaoYear�4�Griffith�University

Some�30�seconds�later�I�found�I�was�being�asked�to�do�the�next�one

‘‘ ’’

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14

GuatemalaGregory�Fine�(Year�5�University�of�Queensland)�describes�his�visit�toa�unique�clinic�in�Central�America

It�was�wonderful�to�see�that�minimally�interventive�treatment�was�a�priority.�Composite�and�amalgam�restorations,�root�canaltherapy�and�exodontia�(when�absolutely�necessary)�were�allperformed�in�house,�whilst�removable/fixed�prosthodontic�caseswere�referred�to�the�dental�school.�

With�the�supervisor’s�assistance�and�guidance�I�was�able�toperform�a�wide�variety�of�treatment�ranging�from�fissure�sealantsthrough�to�a�full�arch�extraction.�One�of�the�most�memorableprocedures�was�the�root�treatment�of�a�permanent�central�incisorfor�an�eight-year-old�child.�

During�my�time�in�the�clinic�I�was�able�to�consolidate�a�lot�of�theprocedures�that�I�had�learnt�at�the�dental�school�and�build�uponmy�existing�skill�set�with�the�valuable�techniques�that�I�learnt�fromthe�Guatemalan�dentists�and�other�volunteers.�

As�I�can�only�speak�basic�Spanish,�communication�was�alwaysgoing�to�be�a�barrier.�I�devised�a�‘‘cheat�sheet’’�for�the�mostcommon�instructions�and�procedures.�Whenever�detailedinstructions�were�necessary�eg.�oral�hygiene�advice�or�post-operative�instructions,�the�local�dentists�and�clinic�employees�were�more�than�happy�to�assist�me�with�a�suitable�translation.�

Spear Education's Open Wide Foundation has been strivingto improve the oral health status of the developing worldsince 2011. Their clinic in Peronia, Guatemala has areputation for providing an assortment of care that attractslocal residents and citizens who lived much further out

The�clinic’s�working�environment�is�truly�unique.�Guatemalandentists,�local�dental�students�and�volunteers�work�side-by-side�in�a�fluid�operation�where�up�to�15�patients�can�be�seen�a�day�byeach�practitioner.

My experienceIn�December�2014�I�had�the�privilege�to�practise�dentistry�inPeronia's�five�chair�clinic.�Even�though�I�was�only�there�for�a�shorttime,�the�experience�was�truly�invaluable.�

For�a�developing�country,�it�was�a�treat�to�find�that�the�dentalequipment�in�the�clinic�was�“state�of�the�art”.�The�increased�rangeof�treatment�options�enabled�the�dental�team�to�developtreatment�plans�that�were�in�the�patients’�best�interests.�

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15Dental�Protection Dental�student�Australia�14

Night lifeOne�of�the�many�perks�of�volunteering�here�was�theaccommodation�in�the�heart�of�Guatemala’s�cobble-stoned�city,Antigua.�Nightly,�after�the�clinic�had�closed,�we�explored�everynook�and�cranny�of�the�city.�It�was�not�difficult�to�find�entertainingactivities�since�quirky�restaurants�and�bars�could�be�found�onalmost�every�street�corner.�Our�favourite�venue�was�TerraceHostel’s�rooftop�restaurant�and�bar�due�to�its�tasty�affordablefood,�cheap�drinks�and�nightly�activities.�

If�you�were�to�visit�here,�I�would�recommend�allowing�a�few�daysto�travel�around�once�you�have�completed�your�duties�as�avolunteer.�By�then�you�will�have�accumulated�multiple�new�friendsand�received�tips�and�ideas�for�discovering�surrounding�area.�

I�headed�straight�to�the�beautiful�Lake�Atitlan�and�foundaffordable�accommodation�right�on�the�lake.�I�spent�the�majorityof�the�time�lounging�around�at�the�bar�and�diving�straight�into�thewater�below!

I�would�not�swap�the�time�that�I�spent�with�the�Open�WideFoundation�for�anything�and�I�would�recommend�volunteering�to�everyone.�It�is�very�satisfying�to�use�your�skill�set�to�truly�helppeople�in�need�and�experience�new�situations�that�will�help�youto�become�a�more�skilled,�better-rounded�practitioner.�

TipsLook�around�-�I�learnt�about�the�Open�Wide�Foundation�froma�wide�Google�search.Be�honest�about�your�ability.�Work�within�your�competenciesand�show�the�supervisors�that�you�are�keento�learn.�This�will�truly�make�the�most�of�your�experience.Look�for�funding�-�volunteering�can�be�an�expensive�activity�forstudents.�A�lot�of�grants�are�available�which�can�help�with�theoutlay�that�is�required.�Ask�your�university�(eg.�The�UQ�Advantagegrant).�Inform�DPL�about�your�plans�as�they�can�greatly�assist�withadvice�and�organise�indemnity.

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After�the�clinic�closed,�weexplored�every�nook�and�crannyof�the�city�

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For membership enquiresDPL�Australia�Pty�LtdPo�Box�1013,�Milton�BC,�QLD�4064

Email�[email protected]+61�(07)�3831�6800Facsimile�+61�(07)�3831�7255�Freecall1800�444�542

Kara�Stokes,�Marketing�[email protected]

Ken�Parker,�Operations�Manager�[email protected]

Michael�Pears,�Membership�[email protected]

Opinions�expressed�by�any�named�external�authors�hereinremain�those�of�the�author�and�do�not�necessarily�represent�the,views�of�Dental�Protection.�Pictures�should�not�be�relied�upon�asaccurate�representations�of�clinical�situations

Editor�[email protected]©�Dental�Protection�Limited�December�2015

ContactsYou�can�contact�Dental�Protection�via�the�website�dentalprotection.orgby�using�the�contacts�below