The first few years after graduation are difficult. Here are some suggestions to help you.


Not long ago I was giving a talk to a practice and a recent graduate asked me for some advice on what they should be doing at the start of their career.

A very good and important question.

That got me thinking, so here goes…

  1. Get out of your comfort zone
    At university you may have done only a handful of major procedures such as root fillings, crowns and onlays. If you are to be successful these “advanced” procedures need to become a central part of your practice. Don’t get stuck in the rut of just doing routine dentistry all day long. Push yourself to do several crowns and endodontic treatments per week even though initially it will make you uncomfortable.

  2. Do lots of CPD
    You should regard what you learnt at university as being the bare minimum that you need to know in order to be a dentist. If you want to be good at dentistry then you need to add lots of knowledge and skills. We are mandated to take 20 hours a year of CPD but new graduates should take 30 to 40 hours, in my opinion.

  3. Try different ways of doing things
    At university you learnt one way of doing things. Think about what you learnt and don’t be afraid to try new methods. I’ll bet you can find better, more efficient ways of doing every procedure you were taught, if you keep an open mind.

  4. Ask for help
    Never be embarrassed to ask more senior colleagues in the practice for help and advice. In my experience, senior dentists love to help younger dentists. Patients even appreciate it, if you frame it correctly: “This is a tricky problem. I’d like to get a colleague in so we can discuss it.”

  5. Use magnification always
    If you want to do the best quality dentistry magnification is mandatory, not optional. Get into the habit of using it 100% of the time, no exceptions. Personally, I even used magnification for extractions and to take impressions.

  6. Find a support group
    We all need friends to talk to who we can be completely honest with. People who you can tell about your failures and difficulties. Special friends who you can trust completely. See if you can find 2 or 3 such people. BTW, under no circumstances mention your problems online or at an ADA group meeting. That can be disastrous.

I hope you find the list useful. Good luck.

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