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From Foundation to core: bridging the gap in dental training

Post date: 30/04/2026 | Time to read article: 2 mins

The information within this article was correct at the time of publishing. Last updated 30/04/2026

The transition from dental school to Foundation training is a well-discussed topic. However, once that milestone year ends, the conversation about the next job often becomes quieter. For many young dentists, myself included, the opportunity to pursue dental core training is the next step.

Dental core training (DCT) is an opportunity to head back to secondary care, and for many the start of their training towards becoming a specialist or consultant in their chosen field.

Becoming a core trainee poses new challenges and responsibilities. DCT posts cover a range of specialities and vary in setting from hospital to community to dental hospital. Each core trainee’s experience is likely to vary based on location and population and I would argue that the main transition comes from transferring the skills you’ve solidified in primary care into a secondary care setting. Adapting to working in larger teams within NHS constraints can also be challenging after a year spent developing independence in general practice.

As a core trainee, and often the most junior member of the team, you are expected to adapt quickly to established ways of working. This can be challenging, especially if you have limited experience in your speciality. My main advice would be to seek a mentor to help you familiarise with the new environment, a point of contact for those quick questions and clarifications. Working successfully in secondary care relies on good teamwork, and establishing yourself as a team player will allow for efficient and effective patient care.

An opportunity to learn from your colleagues

DCT will also present you with many clinical challenges, as the nature of the work is typically more complex. You are likely to undertake more technically demanding clinical procedures, which can be nerve-wracking to undertake, particularly for the first time. Seek advice from colleagues, and when possible, take the opportunity to shadow senior staff completing a similar procedure. Prepare the best you can by familiarising yourself with newer procedures that you are likely to undertake. There are excellent resources available, including CPD courses, to support learning and understanding. Ultimately, it’s a year to enhance your repertoire of clinical skills. Soak in as much knowledge and experience but don’t forget it takes years to hone your craft, and your experienced colleagues make it look easy.

You may also be faced with new responsibilities such as being ‘on-call’ or teaching undergraduate students. While initially daunting, the opportunity to develop as a clinical teacher or mentor is worthwhile and a good chance to reflect on the learning you have completed beyond qualification. Overall, your DCT year provides your grounding in secondary care and a chance to find your niche. 

Throughout training, dentists are encouraged to become ‘independent clinicians’. Dental core training offers a complementary experience – offering the opportunity to build a strong professional network and a foundation of knowledge that can be carried forward into any chosen career path. The opportunity to collaborate with a range of clinicians as a young dentist, in my opinion, is invaluable and a stepping stone into a rewarding career in dentistry. 

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