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Provider Compliance And Competence With Oral Cancer Screenings In The U.S. Army
Uniformed Services University of the Health Sciences Ft. Hood United States
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Purpose The purpose of this study was to evaluate the level of provider compliance with oral cancer screenings as mandated by the DoD Dental Procedure codes D0120, D0150, and D0180,and to make a basic assessment of provider training and comfort in performing oral cancer screenings. Methods This study employed a one-tailed online survey that provided descriptive information about the presence or absence of compliance with oral cancer screenings as well as the feeling of competence to complete an oral cancer screening among the providers who responded. It also attempted to identify barriers to provider compliance so that we may understand and create more effective teaching and subsequently improved dental care quality. A link to the survey was emailed to active duty military 63A and 63B providers worldwide 217 providers responded, and 206 responses were valid. All responses were anonymous. Results Hypothesis 1 states that army providers perform oral cancer screenings for all new patients, recall, and periodontal exams according to DoD guidelines. This hypothesis is rejected due to as many as 13.7 of providers not complying with these guidelines. Hypothesis 2 states that army dental providers feel competent and confident in their ability to perform proper oral cancer screenings. This hypothesis is also rejected due to the data results corresponding to this hypothesis. 17.1 of respondents reported receiving inadequate training in dental school for oral cancer screening, 50.7 of respondents feel uncomfortable performing oral cancer biopsies, and 78.8 of respondents feel that more training would improve their oral cancer screenings. Hypothesis 3 states that practices and habits of oral cancer screenings in the Army is optimal.
APPROVED FOR PUBLIC RELEASE