DentaltownUK August 2017 - 6

mike gow

column

'To Stress a Point'
Stress management for dentists
Holmes and Rahe famously developed the social
readjustment rating scale (aka The Holmes and Rahe
Stress Scale) back in 1967 to help identify people who
may be more at risk of health issues related to stress.1,2
One common understanding of the word stress is that
it is a 'condition or feeling experienced when a person
perceives that demands exceed the personal and social
resources the individual is able to mobilise'.
This sense of 'demands exceeding resources' seems
to be more prevalent than ever in the profession now.
This was highlighted recently when an unofficial online
poll for dentists (with no quality assurance) revealed
that out of 964 registrants, 62 percent said either they
or someone they knew has suffered mental health issues
that required professional treatment due to an FTP case
at the GDC.
Ninety-five percent admitted to practicing 'defensive
dentistry' through fear of the GDC and a staggering
87 percent admitted to having considered leaving the
profession.3 These statistics certainly suggest that further
robust investigation is merited. New social media groups
for dentists/dentistry have arisen, dedicated to the topic
of supporting dentists in crisis.
Holmes and Rahe1 ask 43 questions about various
life events in the preceding year, ranging from the death
of a partner to the birth of a child. Each question's score
is weighted, as obviously certain life events are likely
to create more or less stress than others. The end score
reveals the likelihood of the respondent experiencing
health issues related to stress in the near future. The
obvious issues with such a scale are that it does not allow
for unusual sources of stress to be recorded, and that
not everyone will interpret 'stressful events' in the same
way. It would be hard to know where,
for example, difficulties conditions or
demands at work, a patient complaint
or a GDC FTP hearing would fit into
the scale when responding.
Nevertheless, importantly Holmes
and Rahe's scale recognises that
usually for the 'demands to exceed
the resources', there is more than one

stressful trigger/event. It is therefore extremely likely
that a dentist who scores highly on the scale is more at
risk should they then experience a patient complaint or
FTP hearing. I believe it would be a useful exercise for
dentists to take the test for themselves to help identify
if they're already perhaps at risk. An active complaint
or FTP hearing would obviously then add considerable
additional stress and increase the risk of health issues.
For those interested, an online version of the scale
can be found here.
As the discussion about stress in dentistry and
especially the impact of GDC FTP hearings increases,
the discussion about solutions and sources of support
increases as well. There have been several articles in
DentaltownUK recently which are particularly relevant
to these topics.
*
*
*
*
*
*
*
*

*

'Finding the Right Work/Life Balance'
by Niall Campbell: Part 1 and Part 2.
'Plan Z' by Stephen Hudson.
'Stress: What Exactly Is It and How Do We
Manage It?' by Aditi Goel.
'Regulating Dentists in the UK' by Stephen
Jacobs.
'Managing Systemic Disorder' by Stephen
Hudson.
'Overcoming Stress in Dentistry' by Mohammad
Moinuddin.
'Time Management Tips for Busy Dentists' by
Allun Rees.
'How Can Dentists and Dental Students Minimise the Level of Stress That They Experience?'
by Kishan Sheth.
'Tackling Stress and Burnout in Dentistry' by
Anish Patel and Balraj Sohal appears in this issue.

I think it is important that all dentists read these
articles. We're happy to talk to patients about the
importance of prevention in dental health, and we
should be taking a leaf out of our own book and really
understand the importance of prevention in our mental
health. Understand the triggers that make you stressed,

by Michael A. Gow BDS (Gla) MFDS RCPS (Gla) MSc Hyp (Lon) PGCert (Edin), editor, DentaltownUK magazine

6

AUGUST 2017 // dentaltownuk.com


https://www.mindtools.com/pages/article/newTCS_82.htm http://www.dentaltown.com/magazine/articles/6244/work-life-balance http://www.dentaltown.com/magazine/articles/6484/finding-the-right-work-life-balance http://www.dentaltown.com/magazine/articles/6351/plan-z http://www.dentaltown.%20com/magazine/articles/6354/student-section http://www.dentaltown.com/magazine/articles/6249/regulating-dentists-in-the-uk http://www.dentaltown.com/magazine/articles/6369/managing-systemic-disorder http://www.dentaltown.com/magazine/articles/6410/student-section http://www.dentaltown.com/magazine/articles/6476/time-management-tips-for-busy-dentists http://www.dentaltown.com/magazine/articles/6488/student-section http://www.dentaltownuk.com

Table of Contents for the Digital Edition of DentaltownUK August 2017

Cover
On Dentaltown.com
Editorial with Mike Gow
Meet the Team
Howard Speaks: Drive-Thrus and Dentistry
Endodontic Reboot: Part One
Classified Listings
Brand Advertising
A United Voice
Adhesion in Primary Dentition Restorative Dentistry
Additive Dentistry
Zero Moment of Truth
Through the Keyhole
Message Boards: Re-treats question
Due Diligence—A Vendor's Perspective
Message Boards: Antibiotics after Surgical Extraction
Adding Value to the Patient Experience
Lifestyle
Poll: General Dentistry
CE Update
Students Section
Wishlist
DentaltownUK August 2017 - Cover
DentaltownUK August 2017 - Cover2
DentaltownUK August 2017 - 3
DentaltownUK August 2017 - 4
DentaltownUK August 2017 - On Dentaltown.com
DentaltownUK August 2017 - Editorial with Mike Gow
DentaltownUK August 2017 - 7
DentaltownUK August 2017 - Meet the Team
DentaltownUK August 2017 - 9
DentaltownUK August 2017 - Howard Speaks: Drive-Thrus and Dentistry
DentaltownUK August 2017 - 11
DentaltownUK August 2017 - Endodontic Reboot: Part One
DentaltownUK August 2017 - 13
DentaltownUK August 2017 - 14
DentaltownUK August 2017 - Classified Listings
DentaltownUK August 2017 - 16
DentaltownUK August 2017 - 17
DentaltownUK August 2017 - 18
DentaltownUK August 2017 - 19
DentaltownUK August 2017 - 20
DentaltownUK August 2017 - 21
DentaltownUK August 2017 - 22
DentaltownUK August 2017 - Brand Advertising
DentaltownUK August 2017 - 24
DentaltownUK August 2017 - A United Voice
DentaltownUK August 2017 - Adhesion in Primary Dentition Restorative Dentistry
DentaltownUK August 2017 - 27
DentaltownUK August 2017 - 28
DentaltownUK August 2017 - 29
DentaltownUK August 2017 - 30
DentaltownUK August 2017 - 31
DentaltownUK August 2017 - Additive Dentistry
DentaltownUK August 2017 - 33
DentaltownUK August 2017 - Zero Moment of Truth
DentaltownUK August 2017 - 35
DentaltownUK August 2017 - 36
DentaltownUK August 2017 - Through the Keyhole
DentaltownUK August 2017 - 38
DentaltownUK August 2017 - 39
DentaltownUK August 2017 - 40
DentaltownUK August 2017 - 41
DentaltownUK August 2017 - Message Boards: Re-treats question
DentaltownUK August 2017 - 43
DentaltownUK August 2017 - 44
DentaltownUK August 2017 - 45
DentaltownUK August 2017 - 46
DentaltownUK August 2017 - 47
DentaltownUK August 2017 - 48
DentaltownUK August 2017 - 49
DentaltownUK August 2017 - 50
DentaltownUK August 2017 - 51
DentaltownUK August 2017 - Due Diligence—A Vendor's Perspective
DentaltownUK August 2017 - 53
DentaltownUK August 2017 - 54
DentaltownUK August 2017 - 55
DentaltownUK August 2017 - Message Boards: Antibiotics after Surgical Extraction
DentaltownUK August 2017 - 57
DentaltownUK August 2017 - 58
DentaltownUK August 2017 - 59
DentaltownUK August 2017 - Adding Value to the Patient Experience
DentaltownUK August 2017 - 61
DentaltownUK August 2017 - Lifestyle
DentaltownUK August 2017 - 63
DentaltownUK August 2017 - 64
DentaltownUK August 2017 - 65
DentaltownUK August 2017 - 66
DentaltownUK August 2017 - 67
DentaltownUK August 2017 - 68
DentaltownUK August 2017 - 69
DentaltownUK August 2017 - 70
DentaltownUK August 2017 - 71
DentaltownUK August 2017 - 72
DentaltownUK August 2017 - 73
DentaltownUK August 2017 - Poll: General Dentistry
DentaltownUK August 2017 - 75
DentaltownUK August 2017 - CE Update
DentaltownUK August 2017 - 77
DentaltownUK August 2017 - Students Section
DentaltownUK August 2017 - 79
DentaltownUK August 2017 - 80
DentaltownUK August 2017 - 81
DentaltownUK August 2017 - 82
DentaltownUK August 2017 - 83
DentaltownUK August 2017 - 84
DentaltownUK August 2017 - 85
DentaltownUK August 2017 - 86
DentaltownUK August 2017 - 87
DentaltownUK August 2017 - Cover4
http://www.nxtbook.com/farran/dentaltown/2020February
http://www.nxtbook.com/farran/dentaltown/2020January
http://www.nxtbook.com/farran/dentaltown/2019December
http://www.nxtbook.com/farran/dentaltown/2019November
http://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
http://www.nxtbook.com/farran/dentaltown/2019October
http://www.nxtbook.com/farran/dentaltown/2019NewGrad
http://www.nxtbook.com/farran/dentaltown/2019September
http://www.nxtbook.com/farran/dentaltown/2019August
http://www.nxtbook.com/farran/dentaltown/2019July
http://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
http://www.nxtbook.com/farran/dentaltown/2019June
http://www.nxtbook.com/farran/dentaltown/2019May
http://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
http://www.nxtbook.com/farran/dentaltown/2019April
http://www.nxtbook.com/farran/dentaltown/2019March
http://www.nxtbook.com/farran/dentaltown/2019February
http://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
http://www.nxtbook.com/farran/dentaltown/2019January
http://www.nxtbook.com/farran/dentaltownuk/2018Winter
http://www.nxtbook.com/farran/dentaltown/2018December
http://www.nxtbook.com/farran/dentaltown/2018November
http://www.nxtbook.com/farran/dentaltownuk/2018November
http://www.nxtbook.com/farran/dentaltown/2018October
http://www.nxtbook.com/farran/dentaltownuk/2018October
http://www.nxtbook.com/farran/dentaltown/2018NewGrad
http://www.nxtbook.com/farran/dentaltown/2018September
http://www.nxtbook.com/farran/dentaltownuk/2018September
http://www.nxtbook.com/farran/dentaltown/2018August
http://www.nxtbook.com/farran/dentaltownuk/2018July
http://www.nxtbook.com/farran/dentaltown/2018July
http://www.nxtbook.com/farran/dentaltownuk/2018June
http://www.nxtbook.com/farran/dentaltown/2018June
http://www.nxtbook.com/farran/dentaltownuk/2018May
http://www.nxtbook.com/farran/dentaltown/2018May
http://www.nxtbook.com/farran/dentaltownuk/2018April
http://www.nxtbook.com/farran/dentaltown/2018April
http://www.nxtbook.com/farran/dentaltown/2018March
http://www.nxtbook.com/farran/dentaltownuk/2018March
http://www.nxtbook.com/farran/dentaltown/2018February
http://www.nxtbook.com/farran/dentaltownuk/2018February
http://www.nxtbook.com/farran/dentaltown/2018January
http://www.nxtbook.com/farran/dentaltown/2017December
http://www.nxtbook.com/farran/dentaltownuk/2017Winter
http://www.nxtbook.com/farran/dentaltown/2017November
http://www.nxtbook.com/farran/dentaltown/2017October
http://www.nxtbook.com/farran/dentaltownuk/2017october
http://www.nxtbook.com/farran/dentaltown/NewGrad2017
http://www.nxtbook.com/farran/dentaltown/2017September
http://www.nxtbook.com/farran/dentaltownuk/2017September
http://www.nxtbook.com/farran/dentaltownuk/2017August
http://www.nxtbook.com/farran/dentaltown/2017August
http://www.nxtbook.com/farran/dentaltown/2017July
http://www.nxtbook.com/farran/dentaltownuk/2017July
http://www.nxtbook.com/farran/dentaltown/2017June
http://www.nxtbook.com/farran/dentaltownuk/2017may
http://www.nxtbook.com/farran/dentaltown/2017May
http://www.nxtbook.com/farran/dentaltownuk/2017April
http://www.nxtbook.com/farran/dentaltown/2017April
http://www.nxtbook.com/farran/dentaltown/2017March
http://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
http://www.nxtbook.com/farran/dentaltown/February2017
http://www.nxtbook.com/farran/dentaltown/2017January
http://www.nxtbook.com/farran/dentaltown/2016December
http://www.nxtbook.com/farran/dentaltown/2016November
http://www.nxtbook.com/farran/dentaltown/2016October
http://www.nxtbook.com/farran/dentaltown/2016nge
http://www.nxtbook.com/farran/dentaltown/2016september
http://www.nxtbook.com/farran/dentaltown/2016august
http://www.nxtbook.com/farran/dentaltown/2016july
http://www.nxtbook.com/farran/dentaltown/2016june
http://www.nxtbook.com/farran/dentaltown/2016may
http://www.nxtbook.com/farran/dentaltown/2016april
http://www.nxtbook.com/farran/dentaltown/2016march
http://www.nxtbook.com/farran/dentaltown/2016february
http://www.nxtbook.com/farran/dentaltown/2016january
http://www.nxtbook.com/farran/dentaltown/2015december
http://www.nxtbook.com/farran/dentaltown/2015november
http://www.nxtbook.com/farran/dentaltown/2015october
http://www.nxtbook.com/farran/dentaltown/2015nge
http://www.nxtbook.com/farran/dentaltown/2015september
http://www.nxtbook.com/farran/dentaltown/2015august
http://www.nxtbook.com/farran/dentaltown/2015july
http://www.nxtbook.com/farran/dentaltown/2015june
http://www.nxtbook.com/farran/dentaltown/2015may
http://www.nxtbook.com/farran/dentaltown/2015april
http://www.nxtbook.com/farran/dentaltown/2015march
http://www.nxtbook.com/farran/dentaltown/2015february
http://www.nxtbook.com/farran/dentaltown/2015january
http://www.nxtbook.com/farran/dentaltown/2014december
http://www.nxtbook.com/farran/dentaltown/2014decemberb
http://www.nxtbook.com/farran/dentaltown/2014november
http://www.nxtbook.com/farran/dentaltown/2014october
http://www.nxtbook.com/farran/dentaltown/2014newgrad
http://www.nxtbook.com/farran/dentaltown/2014september
http://www.nxtbook.com/farran/dentaltown/2014august
http://www.nxtbook.com/farran/dentaltown/2014july
http://www.nxtbook.com/farran/dentaltown/2014june
http://www.nxtbook.com/farran/dentaltown/2014may
http://www.nxtbook.com/farran/dentaltown/2014april
http://www.nxtbook.com/farran/dentaltown/2014march
http://www.nxtbook.com/farran/dentaltown/2014february
http://www.nxtbook.com/farran/dentaltown/2014january
http://www.nxtbook.com/farran/dentaltown/2013december
http://www.nxtbook.com/farran/dentaltown/2013november
http://www.nxtbook.com/farran/dentaltown/2013october
http://www.nxtbook.com/farran/dentaltown/2013newgrad
http://www.nxtbook.com/farran/dentaltown/2013september
http://www.nxtbook.com/farran/dentaltown/2013august
http://www.nxtbook.com/farran/dentaltown/2013july
http://www.nxtbook.com/farran/dentaltown/2013june
http://www.nxtbook.com/farran/dentaltown/2013may
http://www.nxtbook.com/farran/dentaltown/2013april
http://www.nxtbook.com/farran/dentaltown/2013march
http://www.nxtbook.com/farran/dentaltown/2013february
http://www.nxtbook.com/farran/dentaltown/2013january
http://www.nxtbook.com/farran/dentaltown/2012december
http://www.nxtbook.com/farran/dentaltown/2012November
http://www.nxtbookMEDIA.com