dr chris sanzaro, ada (tas) president. dental workforce in tasmania and australia dental & oral...
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How many dentists does it take to…?
Dr Chris Sanzaro, ADA (Tas) President.
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Dental workforce in Tasmania and Australia
• Dental & oral diseases – what do we do?
• Scope of practice – who does what for whom?
• Dental education – who trains whom?
• Workforce predictions – how many do we need?
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Dental & oral diseases
• Dental caries and tooth loss
• Periodontal disease and tooth loss
• Oral mucosal lesions and neoplasias
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Dental caries and tooth loss
• Despite water fluoridation, & other preventive measures caries is still prevalent.
• Tooth loss
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Periodontal diseases• “Gum disease”• Tooth loss
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Oral mucosal lesions and neoplasias
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Scope of practiceWhat do we have in Tasmania?
• Dentist– Specialists in Tasmania
• Endodontists• Periodontists• Orthodontists• Paedodontists• Oral & Maxillofacial Surgeons
– Specialists not in Tasmania• Prosthodontists• Oral Pathologists• Dento-maxillofacial radiologists• Forensic odontologists• Oral Medicine specialists• Special Needs Dentists
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Dental AuxilliariesWhat do we have in Tasmania?
• Dental Hygienist• Dental Therapist• Oral Health Therapist• Dental Prosthetist
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Dental Education Universities
• Role of universities
• Businesses?• Knowledge transfer?• Education & Research?
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Dental Education Universities
• Demand driven places• Increase in graduates
2007
2008
2009
2010
2011
2012
2013
2014
193 349 469 428 428 478 581*
>620*
Award Course Completions, Department of Innovation 2007–2012. *Data from 2013 provided by Australasian Council of Dental Schools
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Dental Education Overseas - ADC
• ADC examination• Immigration
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 201351 52 37 48 61 110 158 156 171 204 242 215 263 230
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Dental Auxilliaries
Registration category 2006 2009 2012 Dec 2013*
Dental hygienist 784 1067 1216 1258
Dental therapist 1380 1412 1162 1095
Dental hygienist and dental therapist
N/A N/A 514 487
Oral health therapist 410 663 614 920
Total 2574 3142 3506 3760
Allied dental practitioners registration dataSource: AIHW Dental Workforce 2012 and *DBA
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The basic numbers
• Need 510 new dentists per year– Retirement– Population growth
• Graduates and migrants 930 per year
• Already have an oversupply– New grads unemployed &
underemployed– Practical experience is lost
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Workforce projections
• Health Workforce Australia– Report – not yet published
• Calls it “Underutilisation”• Lost in the change of government and
disbanding of HWA
• Oversupply until at least 2025– No-one has looked beyond 2025
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Previous undersupply or a maldistribution?
• Metropolitan vs regional / rural• Elective / cosmetic treatment vs
basic health• Changed spending patterns• Tasmanian experience
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Recent Changes
• Australia Wide– Less job vacancies– Size of town vs sustainability of practice
• Tasmania– Anecdotal evidence of significant changes– Less job vacancies– Most surgeries are fully staffed– Emergency appointment availability– Several new specialists, better availability
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Who pays for dentistry?
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Access
• Surveys show 1/3 of Australians don’t access dental care due to cost
• Public dental scheme:– HCC / PCC holders
• Private Dentists– Increased access to appointments over
last 5 years in Tas.
• ADA’s “Dental Access”
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Action required
• Funding – Dental Access• Limit dental student places at
Universities• Remove dentistry from TTMR• Remove Dentists from the Skilled
Occupation List
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Where are our dental students heading?