The future of the dental technologist.
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During the last decades, patients have acquired a wide range of legal rights. Judicial courts are administering these rights to actual situations leading to new obligations for health carers. In this article, the patient's right of autonomy and the dentist's care delivering obligations are examined. Sometimes these rights and obligations are clashing, requiring a decision which comes first. Disciplinary councils are expected to determine in actual situations primarily the dentist's obligations or the patient's rights mentioned in the complaint. Subsequently, they are asked to assess possible interferences with other obligations and patient's rights. Finally, they have to indicate how rights and obligations have to be weighed up.
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Dr. Guaccio was the only general dentist invited to present material on dental implants at the 3rd Annual Dentistry and the Law Conference held in conjunction with the Loyola School of Law and Randall K. Berning & Associates on November 9, 1990, in Chicago. The presentation was made before a group composed mainly of persons with degrees in both law and dentistry as well as individuals from dental schools and department chairpersons. Representatives from the various specialty organizations were also in attendance. The presentation made by Dr. Guaccio brings to light several of the problems facing the dental profession as it attempts to come to grips with legal issues surrounding dental implant care.
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An upgraded course (program) in Law, Ethics, and Risk Management has been taught at the School of Dental Medicine, State University of New York at Stony Brook, since 1977 and was revised effective 1988. It brings together didactic instruction and an extensive clinical component beginning immediately before students enter the school's dental clinic and ending when clinical instruction is completed before graduation. The program is designed to (1) prepare students for the management of patients in the clinic; (2) ensure that student management of patients in the clinic does not place the supervising faculty and university administration at legal risk; (3) provide the student with knowledge about the law and legal system; (4) provide students with information about the regulation of dental practice; (5) identify areas of legal vulnerability in the practice of the profession, and risk management office principles designed to control or eliminate the risks; and (6) instruct the student about professional codes regulating ethical behavior and ethical standards of conduct.
In an attempt to better prepare students for dental practice in a litigious environment with cost-containment pressures, quality assurance requirements, and increased patient expectations, the New Jersey Dental School has begun planning and implementing various programs to teach students and faculty ethics, jurisprudence, and risk management. In addition to formal course work, the New Jersey Dental School is implementing a quality assurance and risk management clinical program.
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