Appendix A:

SAMPLE PASSAGES FROM STUDENT REFLECTIONS

Theme	Representative verbatim reflection quotations
Understanding of roles and responsibilities	R24: I did not realize how little I knew about dentistry until this rotation…Working so closely with the dental students increased my knowledge drastically and it was honestly one of my favorite parts about the rotation. R8: Working side by side with dentistry students made me more confident to interact with them and ask them questions about certain procedures that they were doing which was a great learning opportunity. R16: Getting to work alongside two dentists was such a wonderful experience and I loved getting the opportunity to see a different perspective in the dental world and to learn from them and their personal experiences. I found it so interesting to ask them questions and hear their opinions on different topics related to oral health and I feel like I grew a lot as a dental hygienist through this process. R25: Working alongside the dentistry students in this manner positively impacted my ability to read x-rays, notice intraoral findings and view caries. The dental students enhanced our clinical skills as dental hygienists as they were eager for us to present them with any intraoral findings and thoughts about the patient's treatment plans. R38: It gave the opportunity to understand how each member contributes and allowed for the expansion of perception of my own role and the roles of others. R35: I recognize just how interlinked the two professions are...Both professions have the same goal in mind for the patient, which is to help them achieve dental and oral health. R29: I learned a lot about the dental profession and how to encourage collaboration by offering insight and asking for advice...I would frequently ask questions about dental procedures the students were performing, and they would ask me for advice on how to communicate the importance of oral health to patients in a more effective manner.
Hierarchical perceptions and level of experience	R1: In society, we tend to put doctors and dentists on a pedestal and sometimes we forget about our mutual respect for each other. R26: At first, we noticed that dental hygiene was not as prioritized as dentistry, however dental hygiene should be prioritized… R41: The dental students and supervising dentist acted as partners while we treated patients…and that is the type of working relationship I want in the future. R40: At the start of my rotation, I was unsure of how the relationship between the two professions was to work, and spent most of the first week having the dentist let me know what they wanted done, and then I would just follow their recommendations. However, by the second week, due to conversations with my dentist, and overall practice throughout the week, I started to understand that that was not the way an actual practice operates, and was able to start making co-decisions with the dentist, or make my own decisions.
Team dynamics	R1: Getting to work and live alongside the dental students was very nerve-racking at first, until our first interaction with them when they explained that they were nervous as well. R18: Over the next two weeks we would become amazingly close with one another, sharing secrets, being ourselves and just having the best time we could in the confines of our northern home…This friendship extended well into the clinic setting every day, we worked as a team wherever we could. R6: By the end of the two weeks, we felt like a family; we lived and worked very well together. We made meals together, watched movies together, and went to the gym together. This allowed us to feel energized every day in clinic, which translated to our excellent patient care. R5: To work as a team in an interprofessional surrounding, it is important to help your co-workers as much as possible and to not be afraid to ask for help when I need it too. R30: I appreciated the comradery in the clinic, where everyone helped each other out and no one was left behind. R17: Everyone started the day together and everyone left the clinic together and through this a unity and bond was built interprofessionally. R3: The client's best care is the responsibility of everyone in the office and you cannot give best care without rapport and communication between professionals. R20: It is crucial to make sure you are working as a team and helping each other to then help the patients. R8: I think that getting to know the other students and being able to create genuine relationships in such a short period of time made the rotation not only survivable but also enjoyable...I will also take what I learned about building quality relationships with who I live and work with by working towards creating genuine connections with my colleagues in the future. R31: I am thankful for this incredible experience with the dental students and looking forward to continue working with them in [the university] clinic.
Instructor and staff involvement and support	R25: I would also like to say how amazing [the satellite staff] were throughout our rotation, they made me feel so confident each day and helped educate us on x-rays. R10: I did not have my [DH] clinic instructors to guide me, or my notes to review. I did feel overwhelmed. So at that moment I had to rely on my confidence and knowledge to deliver anaesthetic (thank god for [the DDS instructor] that stayed with me and supported me). R15: After talking to [the DDS instructor] about how to go about treatment, he was able to give me insight…which helped build my confidence and knowledge prior to the appointment.
Timing and structure of IPE activities	R35: I think [the satellite rotation is] as close as simulating private practice as it can get, and it's useful for me to have an idea of how it's like because I'd like to work at a private practice in the future. R41: Being able to work in close proximity with dental students, and our supervising dentist, gave good insight as to what private practice will be like. R36: In the university clinic we always discuss and practice interprofessional skills in a manner of diagnosis and treatment, but on satellite we helped each other more times than I could count. If someone didn't have a patient, they would develop your radiographs for you, help you clean your operatory or assist in treatment. R3: Many of the appointments I saw were people coming in for an exam and dental hygiene so I took lots of bitewing radiographs and had to work in a team with the dentist to examine them. R33: During my rotation, my operatory was in very close proximity to the dental students…I believe that I am better prepared for work after school, as I have a better understanding of what working with a dentist is going to be like. R24: This rotation was a steppingstone between our school clinic experiences and the world of private practice. I think this is exactly the rotation we need to become the best clinicians possible. It is a great way to prepare us for the real world and it gives us many hours of hands-on experience. R40: The routine and appointment lengths we experienced on rotation were more similar to how practices outside of school run, so having the confidence to excel in that type of environment will make it easier to adapt to being a dental hygienist after graduation.