A national survey of foundation dentists’ and educational supervisors’ experiences: part 1 – motivations, achievements, and challenges

INTRODUCTION: Completing Dental Foundation Training (DFT), guided by Educational Supervisors (ESs), is the route that almost every new UK dental graduate takes to work as independent NHS primary care performers. However, little is known about their achievements, motivations, and challenges. Few studies have included ESs. AIMS: This study assessed reasons why Foundation Dentists (FDs) pursued DFT and the motivations of ESs. It examined their perceived achievements and challenges during DFT. METHODS: An anonymous online survey was sent to FDs and ESs in England, Northern Ireland and Wales in February - April 2024 about their motivations, achievements, and challenges. RESULTS: 469 FDs (52% response rate) and 640 (71% response rate) ESs participated. Most (91%) FDs wanted to build their clinical confidence, and ESs (98%) wanted to explore career opportunities and share knowledge (94%). While 96% of FDs felt that DFT had enhanced their clinical skills, 62% faced challenges providing complex care. ESs (37%) had difficulty managing trainees' performances. Six percent and 4% of FDs had experienced bullying and harassment from patients, and ESs or the dental team respectively. CONCLUSIONS: DFT provided opportunities for new graduates to develop clinical skills and confidence. Actions should address challenges in DFT related to providing complex clinical care and bullying and harassment.