What, when and who determines foundation dentists' views about a future career in NHS general dental practice: a post-pandemic qualitative study by peers

Introduction Retention of dentists in the NHS sector is recognised as challenging, and especially so since the COVID-19 pandemic. Young dental graduates embarking on practice are an important part of the dental practice system.Aims To describe how foundation dentists (FDs) view working in NHS dental practice, when these ideas are formed, and who may have influenced this.Design Eight focus groups involving 57 FDs were led by three FD peers. These captured perceptions of working in NHS dental practice. Audiotapes were transcribed and thematically analysed.Results Key themes identified were that working in NHS practice risked 'deskilling'; ethical dilemmas arising from financial constraints; and emotional toll associated with patient volumes and public dissatisfaction. Role models such as clinical tutors influenced views both directly and through their behaviours at university and during training.Discussion Many FDs expressed preferences for private practice or alternative career paths, citing better opportunities for skills development, improved work-life balance, and enhanced financial incentives. Treading a line between pragmatic and safe practice was challenging for this Generation-Z cohort who were motivated by personal growth and wellbeing support.Conclusion Workforce recruitment and retention initiatives should address wider issues which are priorities for this generation.