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To Whom It May Concern, 

My name is Veronica Brandley and I am a first-year NYU Langone pediatric dental resident. I am currently training at the Southern California site in San Diego, CA at the San Ysidro Health Children’s Dental Clinic at Rady Children’s Hospital. I am conducting a research project with the help of my faculty mentor, Dr. Jacy Stauffer, DMD. This research project is a prospective study for pediatricians to assess if current oral health services provided by pediatricians are adequate enough to provide optimal dental health care for pediatric patients outside of a dental setting. 

You are being invited to participate in a research project, “A Pediatrician’s Role in Oral Health,” because you are a current pediatrician and active member of the American Academy of Pediatrics. This survey asks questions to learn more about your training in oral health care, the dental services you provide in your office, and the demographics of your practice and patients. The survey has been approved by the NYU Langone IRB. The survey is completely anonymous and will take no more than 10 minutes to complete. Your participation is voluntary and there is no penalty for choosing not to participate. There are no major risks associated with completing the survey nor is there compensation for participating. Should you choose not to participate in the study, you will not be contacted again. The results of this study will be used for scholarly purposes only. 

I would like to thank you for your contribution to the health of children. I hope you will consider taking my survey to help bridge the gap between pediatricians and pediatric dentists. If you have any questions or concerns about completing the survey, please contact me at (619)205- 1950 or at veronica.brandley@nyulangone.org. 

If you would like to participate, please click the following link: (insert hyperlink when available) 

Sincerely,
Veronica Brandley, DMD
Jacy Stauffer, DMD 

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* 1. Gender

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* 2. How many years have you been practicing?

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* 3. Are you board certified?

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Please use the following image for the next two questions:

Please use the following image for the next two questions:

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* 4.  In what AAP District are currently practicing? 

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* 5. In what AAP District did you do your residency training? 

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* 6. How would you describe the location of your current practice?

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* 7. How would you describe the practice at which you work? (check all that apply)

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* 8. How many patients do you see a day?

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* 9. How important do you think it is for a physician/pediatrician to participate in patient’s dental care?

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* 10. How many hours of dental training have you received?

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* 11. Where did you receive dental training? (check all that apply) 

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* 12. How much appointment time is spent on oral health?

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* 13. Do you receive compensation for dental services provided? 

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* 14. When do you perform an oral exam?

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* 15. When do you apply fluoride varnish? 

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* 16. How often do you see early childhood caries (ECC)? The AAPD defines ECC as “the presence of one or more decayed (noncavitated or cavitated lesions), missing (due to caries), or filled tooth surfaces in any primary tooth in a child under the age of six. The definition of severe early childhood caries (S-ECC) is any sign of smooth-surface caries in a child younger than three years of age, and from ages three through five, one or more cavitated, missing (due to caries), or filled smooth surfaces in primary maxillary anterior teeth or a decayed, missing, or filled score of greater than or equal to four (age 3), greater than or equal to five (age 4), or greater than or equal to six (age 5).”2 

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* 17. For anticipatory guidance, which of the following do you review? (check all that apply)

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* 18. When do you recommend patients to see a dentist?

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* 19. What is your primary reason for referral of patients to dentist?

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* 20. What barriers do you face when discussing dental care during appointments?

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* 21. What barriers do you face when referring patients for dental care?

References:
1. https://www.aap.org/en-us/about-the-aap/chapters-and-districts/Pages/District-Map.aspx
2. American Academy of Pediatric Dentistry, Policy on Early Childhood Caries (ECC):
Classifications, Consequences, and Preventive Strategies. Reference Manual 2016; 40(6):18-19
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