70% of Jewish HCPs report rise in antisemitism among healthcare colleagues

A staggering 95% of Jewish healthcare professionals (HCPs) in the UK have reported that the alarming rise in antisemitism since the attack by Hamas on Israel on 7th October has negatively affected their mental and emotional wellbeing. Additionally, 44% are either modifying or contemplating changes to their professional activities as a direct consequence of this surge in antisemitism. Disturbingly, the source of these antisemitic incidents for 70% of these professionals is within their own circles – their healthcare colleagues, indicating the problem exists within the very heart of the healthcare community.

That’s according to a nationwide survey of 293 Jewish healthcare practitioners (HCPs) in collaboration with Alpha Omega (the Jewish Dental Association) who are calling on healthcare organisations, including regulatory and licensing bodies, healthcare providers, professional associations/ trade unions and healthcare educational institutions to acknowledge the scale of  anti-Jewish racism and enforce a stringent zero-tolerance policy against antisemitism, ensuring rigorous investigation and decisive action against all reported incidents.

The findings of the survey show 73% of the 293 respondents had experienced at least one antisemitic episode since the Hamas terrorist attacks in Israel earlier this month. The average respondent experienced between two to three episodes of antisemitism including being required to remove a religious clothing item and having personal property damaged by medical colleagues. What’s more, 48% of those surveyed felt unsafe in clinical settings compared to 29% who felt safe around their colleagues. 

In 60% of episodes, respondents chose not to report the antisemitic incident. Only 15% of respondents who had reported an antisemitic incident at work felt it was appropriately managed. In addition, 68% of respondents lack confidence in regulatory / professional bodies to adequately address and act against rising antisemitism targeted at Jewish HCPs. 

Dr Joseph Greenwall-Cohen, who led the survey, says: “Whilst there are many supportive colleagues and environments, trust and collaboration within a healthcare team is paramount. To think that less than a third of us feel safe around our colleagues is a testament to the severity of anti-Jewish racism at this present time and highlights the need for this to be resolved urgently. It’s important to emphasise that this isn’t an isolated or minor issue but rather a widespread concern affecting a significant portion of Jewish HCPs and without acknowledging the scale, effective counter measures cannot be implemented. Now is the time for tolerance, kindness and professionalism across all work settings.”

Professor David Katz, Executive Chair the Jewish Medical Association UK, commented:

“Given the rise in anti-Jewish racism over the past few weeks, a key question to ask now is how does this affect the interaction of the UK Jewish community within the society in which they live and work and also when and how will the UK’s healthcare system devise strategies to combat this unacceptable form of harmful discrimination?”

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Filtek is a trademark of the 3M Company.

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About 3M
At 3M, we apply science in collaborative ways to improve lives daily. With $34.2 billion in sales, our 92,000 employees connect with customers all around the world.

The UK is home to one of the largest 3M subsidiaries outside the USA, employing around 1,900 people across 12 locations, including four manufacturing sites.

Products manufactured in the UK include coated abrasives, personal safety equipment and adhesive tapes.

As a strategic partner of the British Science Association and a sponsor of WeAreTheCity Rising Star Awards in Science and Engineering, 3M is a passionate advocate for diversity, equity and inclusion in STEM (Science, Technology, Engineering and Maths).

Learn more about 3M’s creative solutions to the world’s problems at 3M.co.uk or follow @3MUK on Twitter or 3m.uk on Instagram.

Over half of dental professionals say mental wellbeing is worse now than during the Covid pandemic

More than half of dental professionals in the UK (57%) who took part in a survey say their mental health is worse now than it was during the Covid-19 pandemic.

In the Dental Protection survey of over 1,300 dental professionals in the UK, one in two (50%) are also pessimistic about the future and more than half (56%) are considering their future in the dental profession due to mental wellbeing concerns.

Dr Yvonne Shaw, Deputy Dental Director at Dental Protection said: “The pandemic created an exceptionally tough time for dentistry, and we know that many practices are still grappling with the aftermath. It is hugely concerning that so many dental professionals who endured the challenges of the pandemic feel that their mental wellbeing is worse off today.

“We all have a part to play in supporting the dental team and looking to restore optimism and purpose in the profession. Many practices offered wellbeing support to dental teams during the pandemic. Wherever possible, this should continue.

“I would also encourage members facing mental wellbeing concerns to make use of our 24/7 counselling service and other wellbeing support which is a benefit of membership with Dental Protection. The service is provided through a third-party partner and is completely confidential.”

Dental professionals who participated in the Dental Protection survey commented anonymously:

“I am considering retirement a little earlier than I would have done a few years ago. It is the pressure of conforming to so many ever-changing rules whilst trying to give the patients the best and most appropriate care. The pandemic was hard but the guidance when it came was clear.”

“I found the first part of the pandemic the most stressful time when I could only give telephone advice. But now, there are too many patients and not enough time, so it’s close.”

“During the pandemic there was a sense of everyone striving towards a common goal. Now it’s back to watching our backs and defensive dentistry.”

“Patients’ expectations are very high since the pandemic. Dentists are leaving the profession and patients do not appear grateful when they are seen.”

A matter of record

Digital record-keeping is reaching new levels

Dental professionals from dentists to oral surgeons need to take notes all day, keeping record of their patients’ oral health issues, treatment plans and payment schedules. Digital technology has revolutionised this process, allowing the dental team to work faster, smarter and more efficiently than ever before.[1]

The advent of electronic records including digital images and scans provide safer, quicker and more detailed information than traditional technologies. When data is digital, the dentist and patient can benefit from high quality clinical information, enhanced diagnostic capabilities and more efficient implementation of major treatment plans.

And, of course, the fundamental criteria used to manage risk in a dental practice is keeping good quality clinical records.[2]

These days, patients are demonstrating a greater interest in their dental care than ever before and demanding greater accountability from their dental practices.

Regardless of the dentist’s equipment, experience or capabilities, it is the in-depth, personal conversation between clinician and patient that has the greatest influence on the appropriate treatment plans being recommended, and what the patient ultimately decides. Being fully present and actively listening is essential to understanding the full diagnostic picture.[3] That’s where audio recording software can be a real boon to a practice. 

With dental professionals being required to record ‘complete, accurate and contemporaneous’ notes and with the GDC specifying that you must record ‘as much detail as possible’,[4] it doesn’t get more accurate than a live audio recording.

Using digital devices for note-taking enables dentists to capture what actually happens, not just what gets written up. While written notes are still important – audio recording should be considered as an adjunct, not a replacement –  it does comprehensively erase the dangers of inaccurate note taking. Should a dentist ever be challenged, they will have a complete record, giving them the confidence to respond to any challenge with wise, data-driven and considered actions moving forwards.

Aside from them being a verifiable record of the consultation, audio recordings take the stress away from the dentist or dental nurse of having to try and write everything down. Knowing the consultation is being recorded enables the dentist to fully focus on the patient, making the most of the limited, valuable time of an appointment. So patient care is positively impacted.

The accuracy of audio recordings can prove particularly useful in a busy practice where a patient needs follow-up or emergency care and isn’t able to see their usual dental practitioner.

While records are made in real-time, dental professionals under pressure can legitimately revisit their notes whenever they like. In addition, digital audio can be transcribed for a complete text that can be appended to any written or digital record too.

Audio recording can really help improve patient engagement as records can be easily shared. Patients always have the right to access their notes and may request a copy of their written, photographic, x-ray and audio records. Sharing in this way allows patients to review and fully consider their options when deciding and consenting to a course of treatment, engaging their wider carer and support network if appropriate. This gives them a greater involvement and understanding of their care which can only serve to improve the entire dental experience. 

Dentists should remember that generic recording software may not be suitable when deployed in the dental field. It needs to ensure you remain compliant with the requirements of the Information Commissioner’s Office,[5] the General Data Protection Regulation (GDPR)[6] and the NHS Data Security and Protection Toolkit[7] for handling highly sensitive personal data.

It must be remembered too that patients need to give their consent for any audio recording from the outset. This can be simplified when the software handles consent neatly for you, and by including audio in the practice privacy policy signed by your patients.

Another advantage of digital notes is that they can never be lost, and the right person can access the record at the right time. As part of the patient’s record, dentists need to archive the recordings for a minimum of 11 years and store them securely. The files need to be encrypted too. You need to ensure your audio recording software providers can manage the necessary storage, security and privacy issues for you if choosing to explore this route.

One such dental-specific audio recording software provider is Dental Audio Notes (DAN). Members of the Association for Dental Implantology (ADI) can currently benefit from a 20% discount on a monthly subscription to DAN. Becoming a member offers a range of benefits that can greatly enhance a dental professional’s career and the quality of care they provide to their patients. On top of providing an excellent networking community, numerous events and conferences and access to a wide range of educational resources, the ADI also collaborates with industry partners to offer exclusive member-only discounts which can significantly reduce practice overheads and boost the profitability of member dentists.

Dental professionals who have access to more and better quality information, in regard to their patients’ records, will enjoy the benefits of improving both patient care[8] and the running of their practice.

For more information, please visit www.adi.org.uk

Amit Patel – President of The Association of Dental Implantology (ADI) is registered with the General Dental Council as a specialist in periodontics.

His special interests are dental implants, regenerative and

aesthetic periodontics.

Amit graduated from the University of Liverpool and completed a four year specialist training programme in Periodontics at Guy’s, King’s & St   Thomas’ Dental Institute.

[1] Delrose DC, Steinberg RW, The clinical significance of the digital patient record, The Journal of the American Dental Association, Volume 131, supplement 1, 2000, Pages 57S-60S, ISSN 0002-8177, https://doi.org/10.14219/jada.archive.2000.0404

[2] Care Quality Commission https://www.cqc.org.uk/guidance-providers/dentists/dental-mythbuster-8-dental-care-records [Accessed August 2023]

[3] Kelleher, M. The legal fallacies about ‘if it was not written down it did not happen’, coupled with a warning for ‘GDC experts’. Br Dent J 229, 225–229 (2020). https://doi.org/10.1038/s41415-020-1995-7L

[4] General Dental Council https://standards.gdc-uk.org/pages/principle4/principle4.aspx [Accessed August 2023]

[5] Information Commissioner’s Office, Information Governance in Dental Practices http://www.ico.org.uk/information-governance-in-dental-practices.pdf [Accessed August 2023]

[6]Information Commissioner’s Office, UK GDPR guidance and resources https://ico.org.uk/for-organisations/uk-gdpr-guidance-and-resources/[Accessed August 2023]

[7] Digital Social Care https://www.digitalsocialcare.co.uk/data-security-protecting-my-information/data-security-and-protection-toolkit[Accessed August 2023]

[8] Mathioudakis A, Rousalova I, Gagnat AA, Saad N, Hardavella G. How to keep good clinical records. Breathe (Sheff). 2016 Dec;12(4):369-373. doi: 10.1183/20734735.018016. PMID: 28210323; PMCID: PMC5297955.

‘When prevention works, nothing happens’

Alongside many of the recent advancements made within dentistry – the finessing of materials, the development of technologies – there has also been a shift in mindset to preventative practises. More and more we are hearing about patients living in pain, unable to seek care. It is crucial that, before patients get to this stage, they are supported with information and advice that can reduce the risk of oral diseases. It is a gargantuan task – with an aging population, along with the caveats to modern life such as poor diet and nutrition, all individuals are at risk of developing oral health issues if the steps are not taken to mitigate them.

What your mouth says about you

 A person’s oral health is a good indicator of their overall wellbeing – as a clinician, much can be ascertained from plaque build-up, inflamed gums, and tooth loss. Incidences of poor mineralisation and caries might represent a poor diet and nutrition;[i] while halitosis and bleeding gums represent poor oral hygiene habits. All of these complications can have numerous and bi-directional causes, and patients may express frustration at the condition of their teeth. There are many reasons why some patients are unable to properly maintain their oral cavity, whether due to their oral health literacy, poor childhood oral health, dental anxiety, past trauma or financial constraints.

As you know, the literature explains how oral health and systemic health are intrinsically linked.[ii]Periodontitis, in particular, has been linked with Alzheimer’s disease, obesity, eating disorders, diabetes, liver disease, cardiovascular disease and cancer.ii Oral health is just one part of the bigger picture, but it is a part that patients may not realise is so fundamental. When patients are empowered, with relevant advice and guidance that they understand clearly, they can take the steps to ensure their oral health will not impact their general wellbeing. But one of the hardest aspects of care is communicating to patients and ensuring ongoing, rigorous compliance.

Ensuring compliance – a true team effort

Promoting preventative dentistry takes the effort of every team member, from the dentist to the dental nurses, dental hygienists/therapists and receptionists. With this united front, no matter who patients approach with a query or concern, they will be given consistent information. As a means of communicating effectively, much emphasis is placed on simply listening and understanding each patient as an individual – this is at the core of patient-centred and holistic care. In today’s busy and demanding field, this is easier said than done. But if it marks the difference between a compliant and non-compliant patient, then it is absolutely worth taking the time to connect with them. Through this, you are able to enhance every appointment that your patient attends, reinforcing advice or offering new information.

According to a study, patients do not actually recall as much information and advice that clinicians believe that they do.[iii] Further research also suggests that auditory information is not as easily digested as visual information.[iv]As such, it is important to determine the method of communication depending on your patient. Young patients may prefer visual aids, or even dental resources tailored to children, like YouTube videos or books. Some adult patients may even appreciate visual aids too, although ones tailored to a more mature audience, no doubt. Getting to the root cause of a patient’s non-compliance, through a careful ear and accessible information, is the first step in preventative care.

Alongside appropriate communicative methods, you need high-quality dental materials to ensure you can supplement patients’ own prevention methods. 3M Oral Care offers clinicians a range of preventative dental materials, to help you support your patients’ oral health. The portfolio includes the Ketac Universal Aplicap Glass Ionomer Restorative by 3M, designed to simplify handling and save time.* With this solution, you can appreciate easier placement due to lower stickiness, in addition to self-adhesion and self-curing capabilities.* To help protect patients against the formation of caries, fluoride is continuously released for 24 months after placement.* Ketac Universal Aplicap Glass Ionomer Restorative from 3M is robust and easy to use, a perfect addition to your dental repertoire.

Going forward

 ‘Prevention is better than cure’ has become the ethos of modern dentistry. Only through the vigorous efforts of the dental team and patients can the burden of oral diseases be alleviated. With tailored communicative efforts and high-quality preventative dental materials, you can ensure that your patients have the tools they need to protect their oral health in the years to come.

For more information, call 08705 360 036 or visit go.3M.com/ocsdpr

 3M, and Ketac are trademarks of the 3M Company. Please scan for the:

 

Latest news on education, webinars and events

FREE clinical samples – try before you buy

Save with current sales promotions

 

About 3M
At 3M, we apply science in collaborative ways to improve lives daily. With $34.2 billion in sales, our 92,000 employees connect with customers all around the world.

The UK is home to one of the largest 3M subsidiaries outside the USA, employing around 1,900 people across 12 locations, including four manufacturing sites.

Products manufactured in the UK include coated abrasives, personal safety equipment and adhesive tapes.

As a strategic partner of the British Science Association and a sponsor of WeAreTheCity Rising Star Awards in Science and Engineering, 3M is a passionate advocate for diversity, equity and inclusion in STEM (Science, Technology, Engineering and Maths).

Learn more about 3M’s creative solutions to the world’s problems at 3M.co.uk or follow @3MUK on Twitter or 3m.uk on Instagram.

[i] Pflipsen, M. and Zenchenko, Y. (2017). Nutrition for oral health and oral manifestations of poor nutrition and unhealthy habits. General Dentistry, [online] 65(6), pp.36–43. Available at: https://pubmed.ncbi.nlm.nih.gov/29099364/ [Accessed 26 May 2023].

[ii] Kapila, Y.L. (2021). Oral health’s inextricable connection to systemic health: Special populations bring to bear multimodal relationships and factors connecting periodontal disease to systemic diseases and conditions. Periodontology 2000, [online] 87(1), pp.11–16. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457130/ [Accessed 26 May 2023].

[iii] Asimakopoulou, K., Daly, Dunne, Packer, Millar and Sara Misra (2013). Dentist–patient communication: what do patients and dentists remember following a consultation? Implications for patient compliance. Patient Preference and Adherence, [online] p.543. Available at: https://www.tandfonline.com/doi/full/10.2147/PPA.S43255 [Accessed 26 May 2023].

[iv] Cohen, M.A., Horowitz, T.S. and Wolfe, J.M. (2009b). Auditory recognition memory is inferior to visual recognition memory. Proceedings of the National Academy of Sciences, [online] 106(14), pp.6008–6010. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2667065/ [Accessed 26 May 2023].