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Survey on Dental Care for Individuals with Developmental Disabilities - (2009)
Individuals with Mental Retardation, Downs Syndrome, Cerebral Palsy, Autism, and Traumatic Brain Injury
About this Survey: The New York State Task Force on Special Dentistry would greatly appreciate your assistance by completing the following short survey. You are aware of the shortage of Special Needs dentists in New York State and it is apparent that even fewer dentists are entering this field placing a greater responsibility on dentists in local communities to treat individuals with developmental disabilities. The results of this survey will help facilitate strategies to offset the consequences of these shortages.
Please note that in order to complete this survey, you must be a dentist currently practicing in New York State.
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- Your gender:*
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- Your age:*
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- Year graduated from dental school:*
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- Which county in New York State do you practice?*
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- Do you practice any of the following ADA recognized dental specialties? If so, please check all that apply.*
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- Are any members of your immediate family considered developmentally disabled?*
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- Are any members of your extended family considered developmentally disabled? *
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- As you grew up, how would you rate your exposure to persons with developmental disabilities?*
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- How often do you treat individuals with developmental disabilities?*
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- How comfortable are you treating special needs patients with mild developmental disabilities? Use the following Table as a reference to answer Questions 10, 11 and 12 on Developmental Disabilities.
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- How comfortable are you treating special needs patients with moderate developmental disabilities?
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- How comfortable are you treating special needs patients with severe developmental disabilities?
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- How much training have you had treating patients with developmental disabilities? Check all that apply.*
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- Have you attended any CE courses relating to dental treatment of individuals with developmental disabilities over the past 10 years?*
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- If free courses for CE credit were offered locally on treatment of persons with developmental disabilities, how likely would it be that you would attend?*
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- If you treat individuals with developmental disabilities only sometimes, rarely or never, which of the following would make it more likely for you to increase the number of patients with developmental disabilities that you treat?
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- Are you aware of your professional responsibilities under the Americans with Disabilities Act and the New York State Humans Rights Law? *
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- Do you accept Medicaid? *
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- If you accept Medicaid, are there certain procedure reimbursements that make it difficult to meet your overhead?
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- If you practice in an Article 16 or Article 28 clinic, are there covered services that when performed do not meet your clinic's overhead?
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- If you do not participate in Medicaid, which of the following would make it more likely for you to participate? Check all that apply.
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- Are you aware of the ADA Principle of Ethics and Code of Professional Conduct Preamble that states, “Qualities of compassion, kindness, integrity, fairness and charity complement the ethical practice of dentistry and help to define the true professional.” *
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- Are you aware that in the ADA Principle of Ethics and Code of Professional Conduct under the Principle of Justice that dentists “should actively seek allies throughout society on specific activities that will help improve access to care for all?” *
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- Are you aware that in the ADA Principles of Ethics and Code of Professional Conduct under the Principle of Beneficence “that professionals have a duty to act for the benefit of others. Under this Principle, the dentist’s primary obligation is service to the patient and the public at large.” *
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- Do you provide voluntary dental Community Service? *
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- To which Voluntary Programs or community activities have you participated? Check all that apply:
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- If you answered "other" in question 26, please specify which volunter programs you participate in that were not listed in question 27 as a choice.
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