Preparing To Be a Registered Dental Hygienist: Instructor and Student Perspectives

    • Prince George
  • January 27, 2021
Republished with permission from Canadian Dental Hygienists Association, Fall/Winter Oh Canada! magazine. Written by CNC Dental Hygiene Instructor, Leslie Battersby, CDA, BDSc, PID, MHS and CNC Dental Hygiene Aluma, Aria Kensley, RDH.
Leslie and Aria Dental Hygiene Story

The College of New Caledonia’s (CNC) dental hygiene program, located in Prince George, British Columbia (BC), began its first intake in 1987. Since then it has been graduating safe, competent, entry-level dental hygienists who have been well sought after by many employers throughout BC. This article offers both an instructor’s perspective on teaching and preparing students for graduation, and a new graduate’s perspective on her journey from student to registered dental hygienist working in private practice.

Instructor Perspective 

As a faculty member in CNC’s dental hygiene program, I have educated and prepared students for a career as registered dental hygienists for many years. Sometimes I find myself wondering how the students will adjust once working in the real world. What type of dental hygienists will they become? It seems some students can hardly wait to graduate, while others are apprehensive to leave and start working. Some students are very confident in their newly acquired knowledge and kinetic skills, while others need constant reminding of their proven capabilities. On the first day of orientation week in September each year, I meet all the new students and wonder what will become of their incoming class. I contemplate who will stand out as the top clinician, the top academic, the critical thinker, the problem solver, the “mother hen,” the outspoken one, the quiet one or the one who may have various challenges along the way. Overall, though, as an educator, I want to help each student succeed and become the best dental hygienist they can be. To accomplish this, I spend many extra hours preparing new lesson plans, finding updated evidence-based articles, preparing assignments and exams, and providing clinical remediation teaching times for various students when required.

At times, I have wondered if all of the extra work is worth it. Then graduation day comes and I see all of those beaming faces, huge smiles, and skilled students. Suddenly, I forget about all the extra time I spent teaching and preparing them and I remember why I love teaching and the journey each academic year brings. When students later share some of their “real life” experiences in private practice and how much they love providing client care, it really makes me feel like I made a difference in their education and their life. It solidifies all the hard decisions faculty sometimes need to make each year in order for students to succeed in the program, such as assigning unsuccessful grades even when you know it will bring about student tears, or adding extra requirements to a struggling student’s clinical term in order for him or her to demonstrate competency. It all becomes so relevant and worthwhile when a new graduate displays confidence in their clinical skills. One such student was Aria Kensley, a student from the 2019 graduating class. She emailed me four months after graduating from the CNC dental hygiene program with her narrative on completing a very difficult debridement requiring local anesthetic. The following is her perspective on her journey through the program and how she was able to confidently apply her knowledge and skills in a private practice as a newly registered dental hygienist.

Student Perspective: Starting the Program 

The news of my acceptance into the CNC dental hygiene program was one of the most exciting and terrifying moments of my adult life. As a single mother, I had already been faced with some unique and trying hurdles when I began my postsecondary education. However, it was during this time that I adopted a mantra I believed would help me to attain my educational goals. It’s a quote from the philosopher Friedrich Nietzsche, which you are likely familiar with: “That which doesn’t kill us makes us stronger.” As cliché as it sounds, those words helped me a lot.

My first semester in the dental hygiene program was a blur. I found it to be a huge challenge to balance being a single parent with the intense demands of the program. At one point, I remember having a cassette placed before me with a large assortment of dental hygiene instruments. Our instructor described each instrument in detail, highlighting all of the minor differences that made each one unique and specific. Afterwards my instructor continued her lecture by explaining the curves of working ends and pointed out all of the different angles and cutting edges. As you can guess, the information was flowing in one ear and gushing right out the other. We were then informed that we would be expected to identify the names and specific uses of every one of our instruments in a clinical examination. The labels of our instruments would be covered in tape for this exam. When I heard this piece of news, I almost fell off my chair right then and there.

Looking back on it now I can see I had nothing to worry about since CNC does an exceptional job of preparing their students for the working world. Participating in interactive lectures for several hours each week built a strong academic foundation for my career. I recognized the value of attending these lectures in person as did the program instructors. Faculty were also accommodating on multiple occasions, allowing me to attend two- and three-hour lectures with my daughter when child care was unavailable to me.

As a hands-on learner, I would have to say the most valuable time I spent in the program was in the dental clinic. I recognize that not all dental hygiene learning institutions are fortunate enough to be able to provide students with an abundance of clients to work with. Having to be responsible for recruiting your own clients can add stress to an already stressful time. CNC has worked hard over the years to build a large and diverse client population, giving students many opportunities to learn from and work with clients who have challenging and unique needs. I currently live in Terrace, BC, where my office provides dental care to several small villages in the surrounding area where access to dental care is limited. The population is such that I see very complex clients daily. During my time in school I had plenty of exposure to complex clients with varying levels of periodontal disease, extensive health histories, and unique client management needs, so I was well prepared to begin my chosen career.

Student Perspective: Graduation Day 

Graduation day was another monumental day for me as I looked back on the challenges I had both faced and overcome. One of those challenges happened during my year completing the prerequisites. I was shocked and devastated to discover that I wouldn’t be able to complete all the courses within a year due to a scheduling overlap. Chemistry and biology were in the same time block and I needed both for the dental hygiene program. After some meetings with the college dean and relevant faculty members, I was given permission to take my biology course without ever attending the lectures. It was agreed that I could borrow equipment from the college’s library to record these lectures to later review and make notes. Before each biology class I would run to set up and record the lecture and then rush back down the hall to attend my chemistry lecture. I would later collect my equipment, sign it out for the night, review the lecture at home, take notes, and return the equipment the following day.

Not all challenges are faced externally either. Something else that I learned in my time at CNC was the importance of positive self-talk and not giving up. I am a student who failed a mid-term exam. I am a student who failed a final exam. However, more importantly, I am a student who graduated from an accredited dental hygiene program with a diploma with honours! It can be easy to lose sight of your end goals in the hysteria of failure and disappointment. Having some special faculty there to get your head back in the game with love and support can help clear the fog. When you feel like you are losing, fight harder because as long as you’re still standing you can still win. On graduation day I was elated at my ability to handle adversity and felt a sense of accomplishment as I prepared myself to take on the working world. I was excited but nervous to leave the program. The thought of no longer having an experienced dental hygiene instructor to double-check all of my work and review all of my debridement was scary. I had just been given a licence-to-scale and it felt both empowering and terrifying. With great power comes great responsibility they say. So, I did my best to stride with confidence into my new full-time position as a registered dental hygienist in my hometown of Terrace, BC.

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