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  1. 1. A New Community Dental Education Model Jack Dillenberg, DDS, MPH, Dean Arizona School of Dentistry & Oral Health
  2. 2. Why a New Dental School? <ul><li>IOM Dental Education at the Crossroads </li></ul><ul><li>ADA The Future of Dentistry </li></ul><ul><li>Oral Health in America: A Report of the Surgeon General </li></ul><ul><li>National Health Policy Forum: Improving Oral Health: Promise and Prospects </li></ul><ul><ul><li>ADEA President’s Commission: Improving the Oral Health Status of all Americans: Roles . . . Academic Dental Institutions </li></ul></ul>
  3. 3. Surgeon General’s Report on Oral Health <ul><li>Oral diseases common and consequential </li></ul><ul><li>Linked to overall health and well-being </li></ul><ul><li>Profound disparities in oral health status </li></ul><ul><li>Disparities </li></ul><ul><ul><li>SES </li></ul></ul><ul><ul><li>Rural areas </li></ul></ul><ul><ul><li>Minorities </li></ul></ul>www.nidcr.nih.gov/sgr/sgr.htm
  4. 4. Oral Health Facts <ul><li>Dental disease is the most common unmet health need in U.S. </li></ul><ul><li>General public more likely to lack dental insurance </li></ul><ul><li>Access to dental care limited under Medicaid </li></ul><ul><li>52 million school hours lost annually to dental issues </li></ul>www.nidcr.nih.gov/sgr/sgr.htm
  5. 5. Oral Health Facts <ul><li>31% of low-income children ages 2 to 5 have untreated cavities. </li></ul><ul><li>6% of high-income children ages 2 to 5 have untreated cavities. </li></ul><ul><li>Among children from poor families, untreated cavities were more common in those age 6 to 11 (37%) than children 12 to 17 (27%). </li></ul><ul><li>Among children from wealthy families, untreated cavities were more common among ages 6 to 11 (12%) than children 12 to 17 (7%). </li></ul><ul><li>Only 36% of poor children visited a dentist in the past year compared to 70% of wealthy children, according to a 2004 survey. </li></ul><ul><li>2007 National Healthcare Disparities Report http://www.ahrq.gov/qual/qrdr07.htm </li></ul>
  6. 6. Arizona School of Dentistry & Oral Health <ul><li>Our Purpose </li></ul><ul><li>To educate caring, technologically adept dentists who become community and educational leaders, serving those in need. </li></ul><ul><li>To be the leader in the lifelong education of community responsive general dentists. </li></ul>
  7. 7. Arizona School of Dentistry & Oral Health <ul><li>Our Purpose </li></ul><ul><li>To prepare graduates with a strong foundation of critical inquiry, evidence-based practice, research, cultural competency, and inter-disciplinary healthcare experiences. </li></ul><ul><li>To promote the delivery of optimal patient care and for the transfer of newly acquired knowledge, skills and technology to the profession and to the community </li></ul>
  8. 8. Arizona School of Dentistry & Oral Health <ul><li>Innovative Curriculum </li></ul><ul><ul><li>Integrating science, human systems, and clinical care </li></ul></ul><ul><li>Simulation Technology </li></ul><ul><ul><li>Accelerating skill development for clinical excellence </li></ul></ul><ul><li>State-of-the-Art Facility </li></ul><ul><ul><li>Utilizing a new facility and digital resources for the faculty and students of tomorrow </li></ul></ul>
  9. 9. <ul><li>Needs Focused </li></ul><ul><ul><li>Educating competent, compassionate dentists for underserved communities </li></ul></ul><ul><li>Service Education </li></ul><ul><ul><li>Coordinating student partnerships with communities of need </li></ul></ul><ul><li>Leadership Training </li></ul><ul><ul><li>Educating dentists to become community health leaders </li></ul></ul>Arizona School of Dentistry & Oral Health
  10. 10. <ul><li>We expect that our graduates will be: </li></ul><ul><ul><li>Community leaders </li></ul></ul><ul><ul><li>Managers of public, not-for-profit and private sector oral health organizations </li></ul></ul><ul><ul><li>Culturally-competent </li></ul></ul><ul><ul><li>Community-responsive </li></ul></ul><ul><ul><li>Able to serve as a resource in their community for dental public health issues </li></ul></ul>Community-Based Educational Model
  11. 11. <ul><li>Students will learn from, and be encouraged to become caring, community-minded health care providers </li></ul>Community-Based Educational Model
  12. 12. Special Care Clinic <ul><li>Meeting the needs of Arizona’s most fragile population </li></ul>
  13. 13. Dentistry In the Community
  14. 14. Dentistry In the Community <ul><li>Projects </li></ul><ul><li>Plan, implement and evaluate a community project each year as a D2 and D3 student </li></ul><ul><li>Examples </li></ul><ul><ul><li>Nursing home OHI </li></ul></ul><ul><ul><li>Head Start screenings </li></ul></ul><ul><ul><li>Teen Meth Mouth education </li></ul></ul><ul><ul><li>Mentoring careers in dentistry </li></ul></ul>
  15. 15. 4 th Year External Rotations <ul><li>Goals: </li></ul><ul><ul><li>To make a difference in the oral health of those we serve </li></ul></ul><ul><ul><li>To change the face of dental education, and in the process, improve access to oral health care across the nation </li></ul></ul><ul><li>Students are provided with the following: </li></ul><ul><ul><li>Exposure to a variety of community and public health based clinical environments </li></ul></ul><ul><ul><li>An opportunity to be taught and mentored by excellent clinicians </li></ul></ul><ul><ul><li>A deeper understanding of the unique oral health challenges faced by many communities </li></ul></ul>
  16. 16. Bethel, Alaska External Rotations
  17. 17. Inscription House Clinic Shonto, AZ “ Being someone that has always lived near a city I always wondered if I would feel right at home in a place that is more than 40-50 miles from the nearest town. I found that working in a community like this is an actual possibility for me.”
  18. 18. Sage Memorial Hospital Ganado, AZ Hopi Health Care Clinic, Polaca, AZ “ So many things I had learned over the last 3 years finally congealed when I was up there. Never lose that rotation site. Culturally and professionally it provides a powerful meaningful place to work. “
  19. 19. Certificate in Core Concepts of Public Health <ul><li>Online coursework begun 2 nd year </li></ul><ul><ul><li>Biostatistics </li></ul></ul><ul><ul><li>Epidemiology </li></ul></ul><ul><ul><li>Health Policy & Administration </li></ul></ul><ul><ul><li>Health Behavior & Health Education </li></ul></ul><ul><ul><li>Environmental Health Sciences </li></ul></ul>
  20. 20. Selection Factors <ul><li>Applicants are evaluated on the following: </li></ul><ul><ul><li>Demonstrated community service through volunteerism or service-oriented employment </li></ul></ul><ul><ul><li>Academic coursework </li></ul></ul><ul><ul><li>Performance on the DAT </li></ul></ul><ul><ul><li>Letters of recommendation </li></ul></ul><ul><ul><li>Interviews </li></ul></ul>
  21. 21. Future Healthcare Leader
  22. 22. ASDOH Dental Clinic <ul><li>Electric hand pieces </li></ul><ul><li>Digital Imaging </li></ul><ul><li>Electronic Records </li></ul>
  23. 23. Dental Care West
  24. 24. ICE Dental Systems
  25. 25. ICE Dental Systems is... <ul><li>Online anytime/anywhere access </li></ul><ul><li>Information security and encryption </li></ul><ul><li>Personalized patient information and health history forms </li></ul><ul><li>Integrated practice management software: </li></ul><ul><ul><li>Charting, Billing, Patient Reminders, Scheduling, Practice analysis, Letters </li></ul></ul><ul><li>Innovative patient education </li></ul><ul><li>Image management, storage, and manipulation </li></ul><ul><li>Interdisciplinary collaboration </li></ul><ul><li>Professional referral capabilities </li></ul><ul><li>3D Animations </li></ul>
  26. 26. ICE Dental Systems
  27. 27. Leadership is Required <ul><li>Leadership Style & Success </li></ul><ul><ul><li>“ Servant leaders” </li></ul></ul><ul><ul><ul><li>Compassionate, humble, reverent, open, teachable, respectful, caring </li></ul></ul></ul><ul><ul><li>They model authority through: </li></ul></ul><ul><ul><ul><li>Service, humility, contribution </li></ul></ul></ul>
  28. 28. The Future is What We Make It
  29. 29. Oral Health as a Part of Overall Health <ul><li>Pregnancy </li></ul><ul><li>Coronary heart disease </li></ul><ul><li>Stroke </li></ul><ul><li>Diabetes </li></ul><ul><li>Pneumonia </li></ul><ul><li>Self esteem </li></ul>Oral Health Competencies for Physician Assistants & Nurse Practitioners, Danielsen, Dillenberg & Bay, J of P.A. Education, In Press
  30. 34. Decreased Dental Insurance
  31. 35. Confidence Builds Effective Leaders
  32. 36. Thanks for your attention & your great work!