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   INTERNSHIP REPORT

SHRIRAM DENTAL CLINIC

Submitted to : MISS KALAVATHI

    Name   : SEJAL DEWANGAN

   Roll No   : MA161571

   

DEPARTMENT OF SOCIOLOGY

MOUNT CARMEL COLLEGE

   

    

EXECUTIVE SUMMARY

My role in the clinic was to help the nurses with camp projects and how to creatively make students in school and masses in villages take interest in and fearlessly get the treatment done. I had one more intern along with me who was given the same work as me. Sometimes the work was divided amongst us but most of the time we worked as a team.

The main objectives of the internship :

• The main objective of the camp was to provide basic dental health education to the school children as well as the masses.

• To motivate dental hygiene maintenance and spread awareness about oral health.

• It enabled me to apply sociological theories and research in the community setting.

• To establish mutually beneficial cooperative arrangements with organization.

• This camp was carried out with the curiosity to find out the prevalence of dental diseases in people with deciduous dentition and early mixed dentition.

• To identify the method to motivate dental health among the people and cultivate dental hygiene for the future society.

• Grasps how sociology uniquely contributes an understanding of the social world and human experience.

• Understand how patterns of thought and knowledge are influenced by social, political, economic structures.

• It presents ideas from the camp projects with clarity and intelligence.

• Improves communication skills. It helps to communicate in clear, logical style.

• Improves critical thinking skills.

Over 70% of Indians live in Rural Villages. There is lack of practicing dentists in rural areas. The huge discrepancy in the doctor patient ratio makes the lives of rural masses miserable. Villages are primarily served by Public Healthcare System which is underfunded, overstretched and inadequate. Although Dental Care is part of primary healthcare, dental care services are unavailable at most primary health centers. Most rural people are daily wage workers. With lack of specialized screening and treatment facilities available to them in vicinity they often seek medical care in nearby city traveling long distances only when they suffer excessive pain. Men Women and Children remain undiagnosed because of lack of awareness of the most basic oral health issues. They often consult unqualified doctors practicing in their own villages. Treatments performed by them under unhygienic conditions often lead to other health issues.

The clinic has started recently due to which it does not have more number of clinic staff. And since it has made its place in the town of Champa recently, the doctor along with her small staff is also working on marketing dental ideas or spreading awareness about the clinic. Through regular camps this clinic is also expanding access to profitable social business model educating the community and empowering patients to take healthcare in their own hands. So, I also helped them in distributing pamphlets and sharing a word of mouth.

I should definitely mention that the place I interned has a friendly atmosphere. All the people there seem to gel along well with each other. There is always an understanding among the staff working in the clinic. The senior doctor and her clinic staff were very kind hearted and soft spoken.

My job involved a lot of creativity and brainstorming at the same time it was a very challenging task as field works are not easy. I had to work with the other intern as well and come up with various ideas and activities to make the camp project more interesting. While skill is certainly important as a dentist, it unfortunately isn't everything. Wide publicity of camp was done in advance in the nearby areas through distribution of pamphlets. The dentist along with the paramedical staff carried out a comprehensive dental check up of the students in school and villagers, giving consultation to each patient for their present dental condition and those identified with acute dental problems were advised for further investigation and treatment. This way, I realized how important it is for us to keep ourselves healthy and have knowledge about health related issues.

I even observed that In general, the children studying in government schools had lower awareness levels than those in private/aided schools. This difference can be attributed to the lower socioeconomic background of the children of government schools. Similarly, age-group comparisons show that, in general, the children studying in primary classes had lower awareness levels than those in higher primary classes. This difference is probably due to the lower comprehension levels of the younger children. Government schools as compared to private/aided schools, and primary classes as compared to higher classes should be targeted more often for Dental Health Education. Socioeconomic status of the parents is an important determinant of Dental health awareness among their children, and therefore the parents of children (especially those belonging to the lower social status) must be included in health education endeavors. Parent-Teacher Association Meeting is one forum that can be optimally exploited by the Dental team for the overall benefit of children in the long term.

Sometimes it were all a tedious task as it requires a detailed analysis of observations but was interesting at the same time. I learned a great deal from this internship. It helped me in networking and establishing mentors and references, career exploration, enhanced my skills. Earlier I had the notion that work in clinics/hospitals was very tiring and boring but this internship changed it. There is so much that a doctor along with the clinic/hospital staff has to prepare beforehand and carefully perform the treatment along with maintaining good communication with the patients. Workshops, seminars are held for the teachers to prepare them for the new academic year. I along with my fellow mates contributed in making the workshop successful. It was a delightful experience.  

   

ACKNOWLEDGEMENT

Internship provides extremely valuable experience. Many people have contributed directly or indirectly for this internship. There is so much that I learnt from this internship. There are so many people to thank individually.  It enlightened me about the different levels of stress that the employees/participants in an organization go through, nature of organization, the functioning of  a clinic, how the doctors handle the critical situations, how awareness camp planning is done, which all places the awareness camps are to be held and so on.

Firstly, I would like to thank Miss Kalavathi for giving this interesting project. Due to this I gained a lot of experience, exposure and immense knowledge. I learnt a lot about the organization and its culture and various job roles. It helped me develop skills and new connections that very well might provide professional references for me some day. Along with training and the feedback on my performance I got career advice from the doctors and the nurses. It was a great opportunity for me to build communication skills, manage tasks at hand, gain insight about various small towns and villages and be creative. It made me responsible and enhanced my confidence.

Secondly, I would like to thank Dr. Archana Dewangan, senior doctor of Shriram Dental Clinic for giving me the opportunity of working as an intern and also for mentoring me. Her breadth of knowledge and the varied tasks the clinic manages provided an environment that was both exciting and challenging. Then I would to thank the other doctors and nurses for all forms of help that they provided me with. Their immense support, training and the amount of information they provided with regard to different types of treatments and medicines like ayurvedic, homeopathic and allopathic as well helped me gain a lot of knowledge. Apart from these, there were various other people from the town and villages who shared their stories and told about the village life. I would also like to thank the school staff and students of the schools I visited during the awareness camps for sharing their opinions,  perceptions, stories and informations.

Lastly, I would like to thank my friends and family for supporting me and encouraging me throughout the whole project.

   

    Table of Content

SL.NO

   INDEX

1

Title Page

2

Permission letter and certificate

3

Executive summary

4

Acknowledgment

5

Introduction

6

Project Methodology

7

Key Results

8

Recommendations

9

Conclusion

10

Bibliography

   

   

INTRODUCTION

SHRIRAM DENTAL CLINIC

Shriram Dental Clinic was established in the year 2017. It has been continuously working towards it's growth by approaching several villages as well as schools around the town of Champa, Chhattisgarh and holding proud position in the medical field.

The senior doctor here aims at establishing a unique healthcare delivery network that offers complete oral healthcare services to underserved population in Rural Chhattisgarh. Their mission is to be a professionally managed organisation, equipped with a well-designed system which motivates dental hygiene maintenance. They focus on creating a friendly as well as healthy environment, having innovative practices that draws out the best smile in every patient and they vision to be a premier professionally managed organisation. This clinic is working on spreading awareness about Oral Diseases and importance of timely treatment. Many private organizations do have adequate and appropriate Dental Care services but their aim is to prevent need for complex dental procedures and to offer timely intervention to prevent oral health from degrading further.

Health is multifactorial and multidimensional influenced by factors such as genetics, lifestyle, environment, socio-economic status, and many others.  All these factors have a direct or indirect bearing on the incidence, course, and outcome of a wide variety of communicable and non communicable diseases as well as many other health problems besetting the world today.

Oral health is always an inseparable part of general health. Oral hygiene behaviour and seeking oral health care depend on a number of factors. Patients comply better with oral health care regimens when informed and positively reinforced. Lack of information is among the reasons for non adherence to oral hygiene practices. Further, oral health attitudes and beliefs are significant for oral health behaviour. A higher likelihood of seeking preventive dental care is found to be associated with dental health knowledge. The motives prompting people to seek preventive dental care include the beliefs that one is susceptible to dental disease, that dental problems are serious, and that dental treatment is beneficial. Those who believe that they are highly susceptible to dental disease make more preventive dental visits.

Saving the world from oral cavities is a difficult undertaking. It is understandable though. People think that they are already taking care of their teeth properly and they don't need dentists anymore. Indeed, it has become more difficult for dentists to not only make an impact in their industry, but also to drive in more patients for dental services. The awareness on the causative factors for dental diseases, the attitude, oral health-related habits, and behaviours play a vital role in determining the oral health status of individuals. Health education attempts to change behaviours by altering an individual's knowledge, attitudes, and beliefs about health matters.

This clinic has an objective to increase overall Oral health and hygiene awareness amongst rural population. The senior doctor/founder of this clinic believes in  preventing Oral disease is more cost effective and brings better health outcomes than treating it. If treatment is necessary the earlier it commences the more effective it will be. Her preventive dental visits help in the early detection and treatment of oral diseases. Early detection of oral cancer helps reduce morbidity risks in patients with minimum medical requirements.

Treatments are performed on the spot. Recommended oral healthcare products are available for purchase. The doctor also makes sure that the products are affordable to rural population with low disposable income earned on a daily basis. She offers complete one step Oral Healthcare Solution to the rural population in their village itself.

   

Project Methodology and Steps of  Execution - Nature of work

My contribution to the camp project making was to help the doctor and her team for the various awareness camps and help her collect materials that were required for the camps. I am thankful to the senior doctor for allowing me to interact with her patients and even observe a few treatments. I was expected to go through the manuals to understand the working of the camps to be held. The first few days of the internship was spent in that along with doing other tasks as well. Every day either the doctor or her assistant would brief me about various aspects of the clinic and gave me instructions in order to gather more people for the awareness camps and would gladly help me in difficulty.

While project/camp planning, I had to refer to the manuals that were provided and keeping the content of the manuals I had to plan and come up with various forms of activities or ideas that would make my work seem fun and easier for myself and for the masses as well. I had to make sure that there was no repetition of certain activities as the doctor wanted me to work actively and creatively. I had to work with another intern too. We had to make charts and get hold of various other materials.

As the camp project was held in schools and villages we had to carry on the work in slightly different manners.

>In school: School children are considered to be an important target group for various health education activities with the underlying objective of inculcating healthy lifestyle practices to last for a lifetime. Schools were selected on the criteria of proximity (urban location) and co-education (male and female representation). A 15 min single lecture schedule was prepared on a range of topics, that is, brief introduction to dental anatomy, common oral diseases, oral hygiene instructions, dietary instructions, and importance of regular visits to the dentist. The local language (i.e., Hindi) was used for the presentation because it was frequently spoken at home and understood by most children. Also several visual aids (e.g., charts and models) were prepared and demonstrated during the presentation to keep the children interested. In addition to the lecture technique, hands-on training in the form of brushing, flossing and mouth-rinsing drills was also organized in to serve as motivational tools for the people/children.

We rehearsed the presentations before visiting each school. Prior appointments for the presentation were obtained from the school authorities. Students were allocated into groups (usually class wise), not exceeding 30 - 40 children in a group. After the presentations/demonstrations the children had to go to the dentists for check up.

>In village: Adequate access to oral healthcare is a persistent rural health issue. Travelling to villages was not easy but after going there and interacting with the masses gave me immense pleasure. Firstly, we showed them the charts and models in order to brief them about what is going to take place ahead. Then the people were asked to come one by one to meet the dentists and get the check up done. I and the other intern were noting down their personal data as to how do they take care of their health. The nurses were doing the same task and we were basically helping them with it. The charts and models prepared by us was very useful as people actually took interest and paid attention to it. And almost the same procedure was followed like in visits to schools. The observation clearly showed that health conditions in rural areas is not good at all as the people are ignorant and idle. But the overall response was good as the patients visited the clinics much later after the camps were held.

So this constitutes the nature of work that was followed through my internship.

Key Results/Learnings

▪ It made me showcase my current skills and also develop new ones

▪ It helped me build new relationships with the doctors, co-workers and localites.

▪ It improved my communication skills, made me gain experience and develop skills and in many ways enhanced my confidence.

▪ Juggling between various tasks made me realize the importance of time management.

▪ From career point of view, I learned all about the career field from the inside. I got the opportunity to work alongside a professional in the organization.

▪ It was a sense of achievement for me by contributing to an organization and also I gained a lot of information about the organization as well as rural life.

▪ Helped in networking and establishing new mentors and references. I met a lot of professionals and mentors who advised me about my career path.

▪ It was a great opportunity to gain an unforgettable life experience, exposure and gain valuable experiences and accomplishments in order to enhance my resume.

▪ It made me realize no work is easy. Every work requires huge amount of hard work, dedication and time.

▪  It made me convert academic knowledge into organizational skills.

▪ Application of classroom learning in organizational and field settings.

▪ The relationship between the employers and employees or doctors and patients(here) is very important for the smooth running of an organization or clinic/hospital(here).

   

RECOMMENDATIONS

My overall experience working for this clinic was very good. I would like to work their again and be a part of it so that I can contribute to the development of this clinic. It would be a great deal for me and would provide me immense pleasure to do so.

There are no major recommendations that I would like to give as my work experience with them was very pleasant. One thing I would like to recommend is to hire or take in more interns as it will help them know more about field work, gain insight about rural life and it will also help the organization grow. This way it would make the interns or the students more responsible and provide them tasks that involve working along with doctors, nurses and among the rural masses. These are some of the recommendations that I would like to make.

   

CONCLUSION

The Internship played a very crucial role as it helped me to understand how an organization/institution works. The ample amount of hard work and effort it takes to run an organization or an institution. It enlightened me about the day to day activities that take place in the organisation.

The attainment by all people of the world, a level of health that enables them to lead a socially and economically productive life, is the social target of World Health Organization. Health cannot be isolated from its social context, and the last few decades have shown that social and economic factors have as much influence on health as the medical interventions.

The last two decades have witnessed an improvement in oral health among the children and adolescents in many industrialized countries, especially with respect to dental caries. Conversely, the oral diseases are on the rise in many developing and underdeveloped countries. The factors attributed to this dramatic change in the trend may be modification in the dietary habits, improved oral hygiene practices, effective use of fluorides, and establishment of school-based preventive programs.

Health education attempts to change behaviours by altering an individual's knowledge, attitudes, and beliefs about health matters. However, educational oral health programs in India have been mainly conveyed to the public on a narrow scale by certain formal medical/dental institutes in the country. These efforts are limited and insufficient nationwide. There is a need for comprehensive national educational programs to improve the oral health practice, knowledge, and attitudes of the general population in the country as a whole. Literature in the past has found the dental disease levels to be associated with cultural differences, low-income families, lower educational levels, low levels of oral health knowledge, inadequate oral hygiene and fewer dental visits. And I clearly witnessed the above issues during the term of my internship. I expected my job to be easy and ‘go with the flow' task but it was not, it was a very challenging one. The Dental Health Awareness Camp program was effective in improving the knowledge levels of most people.

The firm has a very friendly environment and all of the co workers welcomed me warmheartedly and treated me as one among them. I would like to work in such a firm where there is this friendly environment that makes working is interesting. I would also like to work in a place where I feel satisfied and contented and this place provided me with it.  The head and the coordinator were like my mentors. Every day we had one hour talk session where we could talk about anything and everything. Both of them advised me about a lot of things in life and also took my suggestions into considerations. This way the work didn't feel boring and monotonous. They even provided us with lunch and the last day of the internship they had organized a small afternoon party for us.

Overall it was a wonderful experience working for Shriram Dental Clinic. It helped me become acquainted with the program and facilities of the organization. It enhanced my personal development, it helped me gain valuable experience and accomplishments to add to resume and/or enhance application to graduate. It helped me in networking and establishing mentors and references, career exploration, enhanced my skills. Earlier I used to think that only the process of becoming a doctor is extremely difficult but this internship changed my way of thinking. There is so much that a doctor along with the staff has to prepare so that the patients trust them and they help as many people as they can in order to make our society healthy. I along with the other intern contributed in making the dental awareness camps successful. It was a delightful experience.  

   

Bibliography

https://www.nature.com/articles/4800192

https://academic.oup.com/ejo/article-abstract/26/5/507/492293

https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1752-7325.2009.00127.x

https://scholar.google.co.in/scholar?q=dental+health+awareness&hl=en&as_sdt=0&as_vis=1&oi=scholart

   

   

   

   

   

     

 My role in the clinic was to help the nurses with camp projects and how to creatively make students in school and masses in villages take interest in and fearlessly get the treatment done. I had one more intern along with me who was given the same work as me. Sometimes the work was divided amongst us but most of the time we worked as a team.

The main objectives of the internship :

• The main objective of the camp was to provide basic dental health education to the school children as well as the masses.

• To motivate dental hygiene maintenance and spread awareness about oral health.

• It enabled me to apply sociological theories and research in the community setting.

• To establish mutually beneficial cooperative arrangements with organization.

• This camp was carried out with the curiosity to find out the prevalence of dental diseases in people with deciduous dentition and early mixed dentition.

• To identify the method to motivate dental health among the people and cultivate dental hygiene for the future society.

• Grasps how sociology uniquely contributes an understanding of the social world and human experience.

• Understand how patterns of thought and knowledge are influenced by social, political, economic structures.

• It presents ideas from the camp projects with clarity and intelligence.

• Improves communication skills. It helps to communicate in clear, logical style.

• Improves critical thinking skills.

Over 70% of Indians live in Rural Villages. There is lack of practicing dentists in rural areas. The huge discrepancy in the doctor patient ratio makes the lives of rural masses miserable. Villages are primarily served by Public Healthcare System which is underfunded, overstretched and inadequate. Although Dental Care is part of primary healthcare, dental care services are unavailable at most primary health centers. Most rural people are daily wage workers. With lack of specialized screening and treatment facilities available to them in vicinity they often seek medical care in nearby city traveling long distances only when they suffer excessive pain. Men Women and Children remain undiagnosed because of lack of awareness of the most basic oral health issues. They often consult unqualified doctors practicing in their own villages. Treatments performed by them under unhygienic conditions often lead to other health issues.

The clinic has started recently due to which it does not have more number of clinic staff. And since it has made its place in the town of Champa recently, the doctor along with her small staff is also working on marketing dental ideas or spreading awareness about the clinic. Through regular camps this clinic is also expanding access to profitable social business model educating the community and empowering patients to take healthcare in their own hands. So, I also helped them in distributing pamphlets and sharing a word of mouth.

I should definitely mention that the place I interned has a friendly atmosphere. All the people there seem to gel along well with each other. There is always an understanding among the staff working in the clinic. The senior doctor and her clinic staff were very kind hearted and soft spoken.

My job involved a lot of creativity and brainstorming at the same time it was a very challenging task as field works are not easy. I had to work with the other intern as well and come up with various ideas and activities to make the camp project more interesting. While skill is certainly important as a dentist, it unfortunately isn't everything. Wide publicity of camp was done in advance in the nearby areas through distribution of pamphlets. The dentist along with the paramedical staff carried out a comprehensive dental check up of the students in school and villagers, giving consultation to each patient for their present dental condition and those identified with acute dental problems were advised for further investigation and treatment. This way, I realized how important it is for us to keep ourselves healthy and have knowledge about health related issues.

I even observed that In general, the children studying in government schools had lower awareness levels than those in private/aided schools. This difference can be attributed to the lower socioeconomic background of the children of government schools. Similarly, age-group comparisons show that, in general, the children studying in primary classes had lower awareness levels than those in higher primary classes. This difference is probably due to the lower comprehension levels of the younger children. Government schools as compared to private/aided schools, and primary classes as compared to higher classes should be targeted more often for Dental Health Education. Socioeconomic status of the parents is an important determinant of Dental health awareness among their children, and therefore the parents of children (especially those belonging to the lower social status) must be included in health education endeavors. Parent-Teacher Association Meeting is one forum that can be optimally exploited by the Dental team for the overall benefit of children in the long term.

Sometimes it were all a tedious task as it requires a detailed analysis of observations but was interesting at the same time. I learned a great deal from this internship. It helped me in networking and establishing mentors and references, career exploration, enhanced my skills. Earlier I had the notion that work in clinics/hospitals was very tiring and boring but this internship changed it. There is so much that a doctor along with the clinic/hospital staff has to prepare beforehand and carefully perform the treatment along with maintaining good communication with the patients. Workshops, seminars are held for the teachers to prepare them for the new academic year. I along with my fellow mates contributed in making the workshop successful. It was a delightful experience.  

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