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Background:  Community-based dental education is increasingly integrated in dental school curricula to promote educational enrichment, to accommodate larger class sizes and to expose students to a broader patient demographic. This review examined community clinic rotations and their impact on dental students’ level of competence in Australia and the United States. Methods:  A systematic review identified pertinent literature between 2005 and 2021 from databases including PubMed, SCOPUS and the Cochrane Library. It was limited to studies involving dental student placement at community-based dental clinics and the impact of the community-based dental rotation on clinical competency. Two case studies present data from identical surveys addressing final-year dental students. Results:  Nineteen articles met the inclusion criteria out of an initial 51 titles identified. Eleven articles addressed community-based dental education (CBDE) in the U.S and five related to Australia. Overall, there was a positive effect following students’ rotation across all outcomes, including treatment planning, diagnosis, time management, clinical skills, productivity and communication/interpersonal skills. In addition, students were found to be more likely to consider employment in rural/underserved areas following these clinic outplacements. These findings were in line with feelings and observation by the selected cohorts of students in Australia and the U.S. Conclusion:  Community clinic rotations resulted in evident gains in competency for students across multiple competencies. The current literature suggests that a longer outplacement program with more patient encounters offers increased benefits. Moreover, placement to clinics in underserved regions may encourage students to practice in these locations, mitigating the maldistribution of the dental workforce in rural areas.

Dental Student Community Clinic Placement in Australia and the United States: Systematic Review and Case Study