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Resource Book Table of Contents

  1. 1. ACP Program Directors Meeting May 11-12, 2007 Chicago O’Hare Renaissance Hotel Sponsored by the ACP Education Foundation Resource Book Table of ContentsA. Attendee ListB. Travel reimbursement FormC. AgendaD. List of Programs and Program DirectorsE. Technology Summit InformationF. Summit Final ReportG. Prosthodontist Pay RankH. Reframing Prosthodontics EditorialI. Current CODA Standards for Prosthodontics 2006J. Competency at the Advance Program Level 1
  2. 2. K. Proposed Standard 4L. CODA Validity and Reliability Study ReportM. Wright Analysis of CODA Validity and Reliability StudyN. March 23, 2007 Schneid EmailO. March 28, 2007 Knoernschild ResponseP. ACP Task Force Progress ReportsQ. Advancing Prosthodontics – ACP and ACPEF Highlights 2006R. ACP May 2007 Technology SurveyS. ACP 2006 Program Directors SurveyT. ASDA 2007 Programs SurveyU. Dr. Sukotjo Student Survey Pt. 1V. Dr. Sukotjo Student Survey Pt. 2W. ACP Academic Alliance Membership InformationX. ACP Academic Alliance Membership ApplicationY. ACP Member Benefits UpdateZ. ACP Membership ApplicationAA. ACPEF Student Dues SponsorshipBB. ACP Student Membership ApplicationCC. ACP 2007 Annual Session Schedule of Events 2
  3. 3. May 11-12, 2007 Program Director Meeting Attendees, Chicago IowaAlabama Florida Dr. Dennis J. Weir University of IowaDr. Lillie Mitchell* Dr. Chiu-Jen Hsu* College of Dentistry University of Alabama NOVA Southeastern University 418 Dent. Science Bldg. South School of Dentistry College of Dental Medicine st Iowa City, IA 52242-1001 1001 31 St. South 3200 S. University Drive Phone: 319-335-7280 Birmingham, AL 35205 Ft. Lauderdale, FL 33328-2018 Fax: 319-353-4278 Phone: (205) 918-0034 Phone: (954) 262-7341 dennis-weir@uiowa.edu lmitchel@uab.edu chiujen@nsu.acast.nova.edu LouisianaCalifornia Dr. Edgar O’Neill University of Florida Dr. J. L. HochstedlerDr. Mathew Kattadiyil Louisiana State University College of Dentistry Interim Director School of Dentistry Department of Prosthodontics Loma Linda University 8000 GSRI Road Box 100435 School of Dentistry Rm 1165 Building, 3110 Gainesville, FL 32610-0435 11092 Anderson St Prince Hall Baton Rouge, LA 70820 Phone: 352-273-6901 Laverne, CA 91750 Phone: 504- 619-8528 Fax: 352-846-2889 Phone: 909-558-7692 Fax: 504-670-2721 eoneill@dental.ufl.edu mkattadiyil@llu.edu JHOCHS@lsuhsc.eduDr. Winston Chee Georgia Maryland University of Southern California School of Dentistry Dr. Steven K. Nelson Medical College of Georgia Dr. Capt. John A. VanDercreek University Park MC0641 School of Dentistry Naval Postgraduate Dental School Los Angeles, CA 90089-0641 th 1120 15 Street National Naval Dental Center Phone: 213-740-1529 Augusta, GA 30912-1250 Prosthodontic Deparment Fax: 213-740-6778 Phone: 706-721-2261 8901 Wisconsin Ave wchee@usc.edu Fax: 706-721-8349 Bethesda, MD 20889-1845 snelson@mail.mcg.edu Phone: 301-295-4001Dr. Frederick C. Finzen Fax: 301-295-5767 University of California, San Fransisco Col. Richard Windhorn* VanDercreekJA@nnd10.med.navy.mil School of Dentistry Department of Restorative Dentistry US Army DENTAC Bldg 320 Dr. Carl Driscoll 707 Pranassus Avenue TINGAY Dental Clinic University of Maryland Box 0758 Fort Gordon, GA 30905 College of Dental Surgery San Francisco, CA 94143 Phone: 706-787-5530 666 W. Baltimore Avenue Phone: 415-476-1982 richard.windhorn@us.army.mil Room 4-A11 Fax: 415-476-0858 Baltimore, MD 21201 fritz.finzen@ucsf.edu Phone: 410-706-7047 Illinois Fax: 410-706-3028Dr. Eleni Roumanas cfd001@dental.umaryland.edu University of California at Los Angeles Dr. Kent L. Knoernschild School of Dentistry University of Illinois Center for Health Science Chicago College of Dentistry Massachusetts Room 53-038 Dept. of Restorative Dentisty 10833 Le Conte Avenue (MC555) Suite 102 Dr. Steven M. Morgano Los Angeles, CA 90095-1668 801 S. Paulina Boston University Goldman Phone: 310-794-9858 Chicago, IL 60612-7212 School Of Dental Medicine eroumana@ucla.edu Phone: 312-413-1181 Division of Postdoctoral Prosthodontics Fax: 312-996-3535 100 E. Newton StreetDr. Frank Brajevic* kentk@uic.edu Room G219 Veteran Affairs Medical Center/West LA Boston, MA 02118 712 Via Del Monte Phone: 617-638-5429 Indiana Fax: 617-638-5434 Palos Verdes Estates, CA 90274 Phone: 310-268-3776 smorgano@bu.edu Dr. Carl J. Andres frankbrajevic@yahoo.com Indiana University Dr. Robert Wright School of Dentistry Harvard UniversityConnecticut 1121 West Michigan Street School of Dental Medicine Indianapolis, IN 46202 188 Longwood AvenueDr. John R. Agar Phone: 317-274-5569 Boston, MA 02115 University of Connecticut Health Center Fax: 317-274-9544 Phone: 617-432-4252 School of Dentistry candres@iupui.edu robert_wright@hsdm.harvard.edu Department of Prosthodontics and Operative Dentistry Dr. John Levon 263 Farmington Avenue Indiana University Minnesota Farmington, CT 06030-1615 School of Dentistry Phone: 860-679-2649 1121 West Michigan Street Dr. Steven Eckert Fax: 860-679-1370 Indianapolis, IN 46202 Mayo Graduate School of Medicine agar@nso2.uchc.edu jlevon@iupui.edu 200 1st Street SW Rochester, MN 55901 seeckert@mayo.eduProgram Directors *Program Representative
  4. 4. May 11-12, 2007 Program Director Meeting Attendees, ChicagoDr. James R. Holtan Dr. Edward A. Jr. Monaco University of Minnesota University of New York at Buffalo Dr. Chris M. Minke School of Dentistry School of Dental Medicine Michael E DeBakey VA Medical Center Room 15-209 Moos Tower Medical Squire Hall 222E Houston Dental Service Restorative Sciences 325 Squire Hall 2002 Holcombe Blvd 515 Delaware St., SE 3435 Main Street Houston, TX 77030-4298 Minneapolis, MN 55455 Buffalo, NY 14214 Phone: (713) 791-1414 ext 6161 Phone: 612-624-6644 Phone: 716-829-2862 Christopher.Minke@med.va.gov Fax: 612-626-2655 Fax: 716-829-2440 Holta001@umn.edu edwardjr@buffalo.edu Dr. Ronald Verrett* University of Texas Health Science Cntr North Carolina San Antonio Dental SchoolNew Jersey Dept. Of Prosthodontics Dr. Lyndon Cooper 7703 Floyd Curl DriveDr. Robert J. Flinton University of North Carolina San Antonio, TX 78229-3900 University of Medicine and Dentistry School of Dentistry Phone: 210-567-6460 New Jersey Dental School 404 Brauer Hall, CB #7450 Fax: 210-567-6376 110 Bergen Street, Chapel Hill, NC 27599-7540 verrett@uthscsa.edu Room B815 Phone: 919-966-2712 Newark, NJ 07103-2400 Fax: 919-966-3821 Phone: 973-972-4615 lyndon_cooper@dentistry.unc.edu Dr. Thomas R. Schneid Fax: 973-972-0370 USAF Medical Center flinton@umdnj.edu th Ohio 59 Dental Squadron/MRDP Air Force Prosthodontics ResidencyNew York Dr. Ernest Svensson Lackland AFB Ohio State University 2450 Pepperell StreetDr. Kenneth Schweitzer College of Dentistry Lackland AFB, TX 78236 Montefiore Medical Center Box 191 Postle Hall Phone: 210-292-3838 Dental Department P.O. Box 182357 Fax: 210-292-5193 th 500 East 77 Street Columbus, OH 43218-2357 thomas.schneid@lackland.af.mil New York, NY 10021 Phone: 614-292-0880 kdds@aol.com Svennson.1@osu.edu Dr. Rhonda F. Jacob The University of TexasDr. Farhad Vahidi Puerto Rico M.D. Anderson Cancer Center New York University Dept. of Head & Neck Surgery College of Dentistry Dr. Maria A. Loza Herrero 1515 Holcombe Blvd, Unit 441, Department of Prosthodontics University of Puerto Rico Houston, TX 77030 Clinic 5 W Department of Restorative Sciences Phone: (713) 792-6917 th 345 East 24 Street Office B-142 rjacob@mdanderson.org New York, NY 10010 P.O. Box 365067 Phone: (212) 998-9964 San Juan, PR 00936-5067 fv1@nyu.edu Phone: (787) 758-2525, 1150 mloza@rcm.upr.edu Washington DCDr. Edward A. Jr. Monaco University of New York at Buffalo School of Dental Medicine Dr. Richard J Leupold Medical Squire Hall 222E Texas Assistant Chief, Dental Service 325 Squire Hall Prosthodontics Residency Program Dr. William A. Nagy Director 3435 Main Street Baylor College of Dentistry VAMC Washington (Dental 160) Buffalo, NY 14214 Texas A&M Health Science Center 50 Irving St., NW Phone: 716-829-2862 3302 Gaston Ave Washington, DC 20422 Fax: 716-829-2440 Dallas, TX 75246 Phone: 202- 745-8000 ext 5720 edwardjr@buffalo.edu Phone: (214) 828-8298 Fax: 202- 745-8402 Fax: (214) 874-4544 Richard.Leupold@med.va.govDr. Charles Oster* wnagy@bcd.tamhsc.edu University of Rochester Eastman Dental Department 625 Elmwood Avenue Wisconsin Dr. Robert L. Engelmeier Rochester, NY 14620 UTHSC - Houston Dental Branch Phone: 585-275-1129 Dental School Dr. Gerald J. Ziebert charlie_oster@URMC.Rochester.edu Graduate Prosthodontics Marquette University 6516 M.D. Anderson Avenue School of DentistryDr. David Silken P.O. Box 20068 PO Box 1881 New York Medical Center of Queens Houston, TX 77030 Milwaukee, WI 53201-1881 Deaprtment of Post-Graduate Phone: 713-500-4165 Phone: (414) 288-5555 Prosthodontics Fax: 713-500-4353 Fax: (414) 288-5752 Department of Dental Medicine Robert.L.Engelmeier@uth.tmc.edu gerald.ziebert@marquette.edu 174-11 Horace Harding Expressway Fresh Meadows, NY 11365 Phone: 718-670-1701 drsilken@msn.comProgram Directors *Program Representative
  5. 5. American College of Prosthodontists 211 E Chicago Ave, Ste.1000 Chicago, Illinois 60611 312-573-1260 312-573-1257 fax REIMBURSEMENT/EXPENSE VOUCHERName:Title:Date: May 10-12, 2007Committee/Activity: Program Director Meeting Item Date Amount DescriptionAirfareAirfareHotelMealsMileageTransportationParkingOtherTotalSignature DatePlease attach all receipts and return with this form within 2 weeks of the meeting/event.
  6. 6. AGENDA ACP Program Directors Meeting May 11-12, 2007 Chicago O’Hare Renaissance Hotel Sponsored by the ACP Education FoundationThursday, May 10, 2007 Arrival and Dinner on Your OwnFriday, May 11, 20077:00-8:00 AM Breakfast, Registration, and Voting EligibilityConfirmation8:00-8:30 AM Welcome and Program Goals Dr. Stephen Campbell, ACP President, and ACPEF Director8:30-8:45 AM Standards Review Objectives, Discussion and VotingGround Rules, and Resource Materials Overview Dr. Kent Knoernschild, Moderator8:45-10:00 AM Round I Standards Discussion and Official Voting Dr. Kent Knoernschild, Moderator10:00-10:15 AM Break 1
  7. 7. 10:15 AM 12:00 PM Round II Standards Discussion and OfficialVoting12:00-1:30 PM Lunch1:30-3:15 PM Round III Standards Discussion and Official Voting3:15-3:30 PM Break3:30-5:00 PM Round IV Standards Discussion and Official Voting5:00-5:30 PM –Next StepsAdjourn (Note: If more time is needed to complete the discussionsand voting, we will continue on May 12 as necessary.)6:00-6:30 PM Reception6:30-8:30 PM DinnerSaturday, May 12, 20077:30-8:00 AM Breakfast8:00-8:05 AM Today’s Agenda and Goals Dr. Knoernschild, Moderator8:05-9:00 AM ACP and ACPEF Strategic Initiatives and Future PlansUpdate Dr. Campbell9:00-9:30 AM Small Group Discussions-Where should we go with ourprograms? (Each group appoints a recorder and a reporter; discusstopics such as the Technology Survey results, support from ACP,increasing enrollment, increasing the quality of students, educationalresources including online image library and other online resources, 2
  8. 8. faculty and program director mentoring and recruitment, othercommon issues and concerns from the floor.)9:30-10:00 AM Group Reports-Participants select 5 topics (chose 5because we will have 5 tables of 8) for next discussion10:00-10:15 AM Break10:15-11:00 AM Small Group Discussions-Each group is assigned oneof the 5 topics and identify the barriers and how they can beovercome.11:00-11:30 AM Group Reports11:30 AM-12:00 PM Wrap Up12:00 Noon Adjourn 3
  9. 9. PROGRAM DIRECTORSAlabama Florida Louisiana Dr. J. L. HochstedlerDr. Michael S. McCracken Dr. R. Bruce Miller Louisiana State University University of Alabama NOVA Southeastern University School of Dentistry School of Dentistry SDB 537 College of Dental Medicine 8000 GSRI Road 1919 7th Ave South 3200 S. University Drive Building, 3110 Birmingham, AL 35294-0007 Ft. Lauderdale, FL 33328-2018 Baton Rouge, LA 70820 Phone: (205) 934-4540 Phone: (954) 262-4345 Phone: 504- 619-8528 mikemc@uab.edu Fax: (954) 262-1782 Fax: 504-670-2721 millrich@nova.edu JHOCHS@lsuhsc.eduCalifornia Dr. Edgar O’Neill University of Florida MarylandDr. Mathew Kattadiyil College of Dentistry Interim Director Dr. Capt. John A. VanDercreek Department of Prosthodontics Loma Linda University Naval Postgraduate Dental School Box 100435 School of Dentistry Rm 1165 National Naval Dental Center Gainesville, FL 32610-0435 11092 Anderson St Prince Hall Prosthodontic Deparment Phone: 352-273-6901 Laverne, CA 91750 8901 Wisconsin Ave Fax: 352-846-2889 Phone: 909-558-7692 Bethesda, MD 20889-1845 eoneill@dental.ufl.edu mkattadiyil@llu.edu Phone: 301-295-4001 Fax: 301-295-5767Dr. Winston Chee Georgia VanDercreekJA@nnd10.med.navy.mil University of Southern California School of Dentistry Dr. Steven K. Nelson Dr. Carl Driscoll University Park MC0641 Medical College of Georgia University of Maryland Los Angeles, CA 90089-0641 School of Dentistry th College of Dental Surgery Phone: 213-740-1529 1120 15 Street 666 W. Baltimore Avenue Fax: 213-740-6778 Augusta, GA 30912-1250 Room 4-A11 tdonovan@hsc.usc.edu Phone: 706-721-2261 Baltimore, MD 21201 Fax: 706-721-8349 Phone: 410-706-7047Dr. Frederick C. Finzen snelson@mail.mcg.edu Fax: 410-706-3028 University of California, San Fransisco cfd001@dental.umaryland.edu School of Dentistry Dr. Peter Gronet Department of Restorative Dentistry US Army DENTAC Bldg 320 Massachusetts 707 Pranassus Avenue Box 0758 TINGAY Dental Clinic Fort Gordon, GA 30905 Dr. Steven M. Morgano San Francisco, CA 94143 Phone: 706-787-5134 Boston University Goldman Phone: 415-476-1982 Fax: 706-787-5519 School Of Dental Medicine Fax: 415-476-0858 peter.gronet@se.amedd.army.mil Division of Postdoctoral Prosthodontics finzen@itsa.ucsf.edu 100 E. Newton Street Room G219Dr. Eleni Roumanas Illinois Boston, MA 02118 University of California at Los Angeles Phone: 617-638-5429 School of Dentistry Dr. Kent L. Knoernschild Fax: 617-638-5434 Center for Health Science University of Illinois smorgano@bu.edu Room 53-038 Chicago College of Dentistry 10833 Le Conte Avenue Dept. of Restorative Dentisty Dr. Robert Wright Los Angeles, CA 90095-1668 (MC555) Suite 102 Harvard University Phone: 310-794-9858 801 S. Paulina School of Dental Medicine eroumana@ucla.edu Chicago, IL 60612-7212 188 Longwood Avenue Phone: 312-413-1181 Boston, MA 02115Dr. Stephen J. Ancowitz Fax: 312-996-3535 Phone: 617-432-4252 Veteran Affairs Medical Center/West LA kentk@uic.edu robert_wright@hsdm.harvard.edu W-160 11301 Wilshire & Sawtelle Blvds. Indiana Dr. Hiroshi Hirayama West Los Angeles, CA 90073 Tufts University Phone: 310-478-3711 Dr. Carl J. Andres School Of Dental Medicine Fax: 310-268-3941 Indiana University One Kneeland Street sancowit@ucla.edu School of Dentistry Boston, MA 02111 1121 West Michigan Street Phone: 617-636-6598Connecticut Indianapolis, IN 46202 Fax: 617-636-0469 Phone: 317-274-5569 hiroshi.hirayama@tufts.eduDr. John R. Agar Fax: 317-274-9544 University of Connecticut Health Center candres@iupui.edu Michigan School of Dentistry Department of Prosthodontics and Iowa Dr. Michael Razzoog Operative Dentistry University of Michigan 263 Farmington Avenue Dr. Dennis J. Weir School of Dentistry Farmington, CT 06030-1615 University of Iowa 1011 North University Avenue Phone: 860-679-2649 College of Dentistry Ann Arbor, MI 48109 Fax: 860-679-1370 418 Dent. Science Bldg. South Phone: 734-763-5280 agar@nso2.uchc.edu Iowa City, IA 52242-1001 Fax: 734-763-3453 Phone: 319-335-7280 merim@umich.edu Fax: 319-353-4278 dennis-weir@uiowa.edu
  10. 10. Dr. Rami Jandali Veterans Affairs Medical Cntr – Detroit John D. Dingell Centr Dr. Farhad Vahidi Puerto Rico 4646 John R. Street New York University Detroit, MI 48201 College of Dentistry Dr. Maria A. Loza Herrero Phone: 313-576-4747 Department of Prosthodontics Associate Professor Fax: 313-576-1025 Clinic 5 W University of Puerto Rico rami.jandali@med.va.gov th 345 East 24 Street Department of Restorative Sciences New York, NY 10010 Office B-142 Phone: (212) 998-9964 P.O. Box 365067Minnesota fv1@nyu.edu San Juan, PR 00936-5067 Phone: (787) 758-2525, 1150Dr. James R. Holtan mloza@rcm.upr.edu Dr. Edward A. Jr. Monaco University of Minnesota University of New York at Buffalo School of Dentistry Room 15-209 Moos Tower School of Dental Medicine Tennessee Medical Squire Hall 222E Restorative Sciences 325 Squire Hall Dr. David Cagna 515 Delaware St., SE 3435 Main Street University of Tennessee, Memphis Minneapolis, MN 55455 Buffalo, NY 14214 875 Union Avenue Phone: 612-624-6644 Phone: 716-829-2862 Memphis, TN 38163 Fax: 612-626-2655 Fax: 716-829-2440 Phone: 901-448-6930 Holta001@umn.edu edwardjr@buffalo.edu Fax: 901-448-7104Dr. Steven Eckert dcagna@utmem.edu Dr. Carlo Ercoli Mayo Graduate School of Medicine University of Rochester 200 1st Street SW Eastman Dental Department Texas Rochester, MN 55901 625 Elmwood Avenue seeckert@mayo.edu Dr. William A. Nagy Rochester, NY 14620 Baylor College of Dentistry Phone: 716-275-5043 Texas A&M Health Science CenterNew Jersey Fax: 716- 244-8772 3302 Gaston Ave Carlo_Ercoli@urmc.rochester.edu Dallas, TX 75246Dr. Robert J. Flinton Phone: (214) 828-8298 University of Medicine and Dentistry Dr. Robert Schulman Fax: (214) 874-4544 New Jersey Dental School Veterans Affairs Medical Center wnagy@bcd.tamhsc.edu 110 Bergen Street, New York rd Room B815 423 East 23 Street Dr. Chris M. Minke Newark, NJ 07103-2400 New York, NY 10010 Michael E DeBakey VA Medical Center Phone: 973-972-4615 Phone: (914) 948-7177 Houston Dental Service Fax: 973-972-0370 Fax: (914) 289-1731 2002 Holcombe Blvd flinton@umdnj.edu robert_schulman@yahoo.com Houston, TX 77030-4298 Phone: (713) 791-1414 ext 6161New York North Carolina Christopher.Minke@med.va.govDr. Kunal Lal Dr. Lyndon Cooper Dr. Robert L. Engelmeier Columbia University University of North Carolina UTHSC - Houston Dental Branch School of Dentistry School of Dentistry Dental School 630 West 168th Street 404 Brauer Hall, CB #7450 Graduate Prosthodontics PH 7-E Room 119 Chapel Hill, NC 27599-7540 6516 M.D. Anderson Avenue New York, NY 10032 Phone: 919-966-2712 P.O. Box 20068 Phone: 212-305-5679 Fax: 919-966-3821 Houston, TX 77030 Fax: 212-305-8493 lyndon_cooper@dentistry.unc.edu Phone: 713-500-4165 kl341@columbia.edu Fax: 713-500-4353 Ohio Robert.L.Engelmeier@uth.tmc.eduDr. Alan B. Sheiner Montefiore Medical Center Dr. Ernest Svensson Dr. Robert J. Cronin Dental Department Ohio State University University of Texas Health Science Cntr 111 East 210th Street College of Dentistry San Antonio Dental School Bronx, NY 10467 Box 191 Postle Hall Dept. Of Prosthodontics Phone: 718-920-5996 P.O. Box 182357 7703 Floyd Curl Drive Fax: 718-515-5419 Columbus, OH 43218-2357 San Antonio, TX 78284 asheiner@montefiore.org Phone: 614-292-0880 Phone: 210-567-6460 Fax: 614-292-9422 Fax: 210-567-6376Dr. David Silken cronin@uthscsa.edu New York Medical Center of Queens Deaprtment of Post-Graduate Pennsylvania Dr. Thomas R. Schneid Prosthodontics USAF Medical Center Department of Dental Medicine Dr. Donald J. Pipko th 59 Dental Squadron/MRDP 174-11 Horace Harding Expressway University of Pittsburgh Air Force Prosthodontics Residency Fresh Meadows, NY 11365 School of Dental Medicine Lackland AFB Phone: 718-670-1701 3500 5th Ave Ste 308 2450 Pepperell Street drsilken@msn.com Pittsburgh, PA 15213-3316 Lackland AFB, TX 78236 Phone: (412) 682-1100 Phone: 210-292-3838 Fax: (412) 648-8850 Fax: 210-292-5193 djp4@pitt.edu thomas.schneid@lackland.af.mil
  11. 11. WashingtonDr. Ariel J. Raigrodski University of Washington School of Dentistry Dept. of Restorative Dentistry Box 357456, D-780 HSB Seattle, WA 98195 Phone: 206-543-5948 Fax: 206-543-5923 araigrod@u.washington.eduWashington DCDr. Richard J Leupold Assistant Chief, Dental Service Prosthodontics Residency Program Director VAMC Washington (Dental 160) 50 Irving St., NW Washington, DC 20422 Phone: 202- 745-8000 ext 5720 Fax: 202- 745-8402 Richard.Leupold@med.va.govWest VirginiaDr. Mark Richards West Virginia University School of Dentistry Dept. of Restorative Dentistry Box 9495 Morgantown, WV 26506-9495 Phone: 304-293-3549 Fax: 304-293-2859 Mrichards@hsc.wvu.eduWisconsinDr. Gerald J. Ziebert Marquette University School of Dentistry PO Box 1881 Milwaukee, WI 53201-1881 Phone: (414) 288-5555 Fax: (414) 288-5752 gerald.ziebert@marquette.edu
  12. 12. Technology and ProsthodonticsDr. Thomas McGarryDr. Stephen CampbellIn a book by Christensen called the Innovators Dilemma, he describes two type of technologies-disruptive or sustaining. Disruptive technologies can completely reorder the environment. Sustainingtechnologies enhance current procedures or environment. This is a great framework with which toconsider the future technological changes as well as any type of change. An example of a sustainingtechnology would be the change to PVS impression materials or a new type of porcelain powder.These changes enhance the existing environment.Disruptive technologies change the environment. Simple examples would be the difference betweendigital cameras and film based cameras. Though the user needs very little difference in procedures andtheir expected outcome is the same, digital is a disruptive technology as it has completely reordered thebusiness environment for camera companies. Another example would be the difference betweenmanual typewriters and computers/word processing. These disruptive types of technologies have andwill continue at an even faster pace than before.This type of rapid change environment is perfect for a nimble fast moving change of direction for thosepeople able to release prior commitments and ideas. It allows the small groups to overcome theinherent advantages of the “established” companies or organizations. The playing field is flat or evenin favor of the “new” player since it is much easier to change direction and the cost of change is muchless.Prosthodontics can capitalize on a perceived weakness of being small and change our small size into ahuge market advantage as we can institute change much quicker. One of the issues is that traditionallyProsthodontics has been the biggest “stick in the mud” about change. We have consistently held to theidea that what we have done previously is the best. Certainly a gold crown has many advantagescompared to an all porcelain type restoration. However, the market/patients do not accept this valueproposition. Clinging to old technology can relegate s group to obsolescence.Remember the fate of the mechanical watchmakers or typewriter manufacturers. This sametechnological shift in dentistry is introducing similar pressures on Prosthodontics and the other dentalspecialties. The dilemma for clinicians is that the earliest iterations of new technologies are usuallyflawed so adoption can be slow with the idea of protecting the patient. Timing is everything and thekey piece is to know when to make the move.Prosthodontics can no longer afford the luxury of sitting back and just trying to improve technologiesonce they are “widely” accepted. Prosthodontics must get in the game sooner and on a routine basisbecome the “beta” testers so our value to the corporate community is much greater and our visibility inthe profession is much higher. Being the best with old technology is not a winning position.In the past several years Prosthodontics has begun to establish itself as a “knowledge-based” specialtyand not just a “skill” based specialty. This change will be the key foundation in our ability to prosper.It will require everyone in the specialty to be on board. As a knowledge-based specialty, adoption ofnew technology is a natural extension of our commitment to patient care and not to skill-basedbravado. Our commitment to diagnosis first and then to procedural proficiency will enable us to beearly adopters of technology without fear of clinical failures being associated with lack of skill.
  13. 13. The increasing rapidity of technological advances is being fueled by the tremendous corporateinvestments in the dental field. Most of these new technologies are just transfers of information fromother fields. The external forces being applied by corporate investment is tremendous. Nobelbiocareis a great example. Large holding companies are acquiring dental companies not because of aninherent interest in patient care but as a business opportunity to be exploited. A return on investment isthe bottom line.The marketing push will be on sales with the patient outcome a secondary goal. These pressures willbe difficult for the profession to manage but to ignore the potential will be fatal. These companies willmarshal every possible resource to be successful financially. The drive to make dentists“procedurally” competent to increase sales is well demonstrated in the implant field. Very littleinvestment has been made to make the dentist “diagnostically” competent since this can not becorrelated to sales other than long term. The drive for “procedural competence” has now spread to thespecialty community with Endodontists beginning to place implants based on the theory of “proceduresubstitution” rather than being part of their diagnostic skill set.Both Periodontists and Oral Surgeons are constructing and placing temporary fixed and removablerestorations without diagnostic knowledge but only a procedural competency at best. Implant dentistryhas stimulated an “anarchy of procedural competence” with the only qualification being proceduralcompetence. Dentistry is becoming a free for all procedurally. General dentists with the increase inelective procedures are being driven by dental manufacturers to expand their clinical portfolio based onprocedure competence and not diagnostic competence or proficiency.The key to all these changes is that TECHONOLOGY enables everyone to achieve clinical proceduralcompetence far quicker than ever before. Technology is narrowing the “skills” gap between thegeneral dentist and the specialist but is NOT reducing the diagnosis/knowledge/education gap. Theproficiency of the specialist is the marriage of procedural competence and diagnostic knowledge.If this is the environment in dentistry today, then what are the technologies that Prosthodontists canutilize to maintain identity and separation from the other specialties, as well as general dentists?Which of these technologies are disruptive or sustaining? Is there a difference in perspective betweenGP’s and Prosthodontists on what is a disruptive or a sustaining technology? Will technology cause acollapse of the traditional specialty structure of dentistry because of procedural overlap? Willtechnology create the opportunity for different clinical delivery models for dental care? Can thespecialty of Prosthodontics be the leader in both clinical delivery models and technology adoption?ChallengeHow do we position Prosthodontics as the group to lead the use and innovation of new technologies inthe educational, practice and research environments?How do we promote the integration of new technologies into the educational and patient careprograms.VisionProsthodontics will lead the use and innovation of new technologies to improve the quality of lifeProsthodontics will promote the integration of new technologies into the educational and patient careprograms.
  14. 14. TECHNOLOGIESCAD-CAM - office applications - Cerec, D4D, etc - laboratory applications – Lava, etc - personnel issues - education levels of staff - material choicesClinical Microscopy and MagnificationRobotics Educational Patient care LaboratoryImaging Radiography -in office volumetric radiography -interactive computer software – Simplant, etc Clinical Dentistry - intraoral impressions - cast duplication - restoration fabricaion - custom dental implants, abutments and restorations - guided implant surgeryOcclusion Analysis e.g., T-Scan, CadiaxElectronic Shade MatchingLasers - Soft and Hard TissueSame Day Implant Placement and RestorationBioactive Materials for Bone ReplacementNano TechnologyGeneticsInformation Management SystemsParticipant Charges1. Evaluate each of the technologies and categorize them as disruptive or sustaining and consider why.2. Which if any could Prosthodontics use to “leap-frog” into leadership positions3. Will there be a specialty of Periodontics as we know it in 10 years? Will Endodontics survive as a specialty?
  15. 15. ACP Leadership Summit Consensus Statements and Recommendations Top Priorities June 12, 2006Core Consensus Statements#A. There is an urgent need to transform and grow the field of prosthodontics within the next ten years.#B. The numbers of prosthodontists and advanced training programs need to grow.#C Technology, science, and research will be driving forces in this transformational growth.#D The culture of prosthodontics needs to change to leading the specialties in restorative, esthetic, and reconstructive dentistry.#E. Increase patient advocacy efforts.RecommendationsWorkforce: The expanded prosthodontic workforce will support growth and innovation in practice,education, and research.Recommendation #1 -Increase numbers of trained prosthodontists14 votesIncrease the number of trained prosthodontists to more than 4000 in next five years; 550 total enrollment -(first year enrollment of 200, graduate 175) - Need case statement and value add as to why to growprograms for Deans • Get six of schools to offer new programs • Increase size of existing programs; start with 2-6 programs • Create pathways for other specialties and international graduates • Increase the number and quality of applicants • Increase number of program directors and faculty • Use educational technologies in training • Explore potential alliances and collaborations with other specialties.Recommendation #2 -Grow ACP membership7 votes • Create academic/non-prosthodontist membership category • Offer all trained prosthodontists and student membership in ACP immediately • Offer Pre-Doc memberships/category • Convert 200+ ABP certified non-members to members; convert the 800+ prosthodontists non- members to members • Collaborate and partner with FORUM organization and members in advocacy efforts to increase public and professional recognition of the specialty. • Broaden customer base-i.e. general dentists.
  16. 16. Science &Technology: Prosthodontics will lead the use and innovation of new science & technologies toimprove the quality of life and the position of the specialty, promote the integration of new technologiesinto educational, research, and patient care programs, and lead the generation of new knowledge.Recommendation # 4 -Be at the forefront of technology as inventors, beta testers, and early adopters.8 votes • Anticipate disruptive and embrace sustaining technologies, ie, anti-caries, bioengineered tooth replacement, rapid prototyping, diagnostic engineering, master diagnostician and treatment plans, etc • Step outside the model of conservatism • Create a S&T section on ACP web site and ACP Messenger • Lead the field in application and education on care and practice • Convene new technology conferences • Increase collaboration with industry partnersRecommendations #5 -Increase prosthodontic competency in science and technology through Centers ofExcellence6 votes • Create Centers for Excellence to train future investigators and to share • Foster collaboration among Centers of Excellence • Expand the scope of possible prosthodontic investigation beyond beta testing, i.e. oral cancer, aging • Learn and perfect translational science and develop clinical network • Use experts to answer questions through CentersRecommendation # 6 -Integrate new science and technologies to the UG and PG dental school curricula.5 votes • Advanced technologies will be a driving force in curricula change. • Introduce CODA Standard changes to promote introduction of S&T into the educational ProgramsRecommendation #7 -Leverage new technologies for educational advances5 votes • Create a database for UG and PG education-collaborate to build a clearinghouse on ACP Web site • Teach faculty and students to develop electronic programs of instruction-partner with corporate sponsors and educational expertsPatient Care, Treatment Standards, and Education: Prosthodontists will be creators and purveyors ofthe prosthodontic knowledge base for patient care.Recommendation #13 -Be involved in dental school curriculum reform8 votes • Address knowledge gap about the basic fundamentals of prosthodontics—i.e. what is learned vs. what is practiced • Introduce CODA Standard changes to promote curriculum reform at the predoc and Advanced Program level, e.g., Oral Cancer Screening and Technologies, Science and Technology, Evidence Based Dental Practice, etc.
  17. 17. • Single teaching comprehensive care provider model-fixed vs. implant prosthodontics (implants biologically superior treatment) • Create leadership and practice management for prosthodontistsRecommendation #14 -Continue efforts to increase the public and professional awareness of thespecialty of prosthodontics7 votes
  18. 18. Americas Highest-Paying JobsBy Laura Morsch, CareerBuilder.com writerSource – MSN.com Career BuilderComb through the U.S. governments salary data, and one thing is clear: It pays to be a doctor. Accordingto the most recent information available from the Department of Labors Bureau of Labor Statistics,medical occupations account for nine of the 10 highest-paying jobs in the nation.Look down to the next 10 highest-income jobs, and youll find... more doctors. In all, 14 of Americas 20best-paying jobs are held by people who make careers out of fixing our minds, bodies and teeth: 1. Surgeon 2. Anesthesiologist 3. OB/GYN 4. Oral and maxillofacial surgeon 5. Internist 6. Prosthodontist 7. Orthodontist 8. Psychiatrist 9. Pediatrician 10. Family or general practitioner 11. Physician/surgeon, all other 12. Dentist 13. Podiatrist 14. Dentist, any other specialistOnce you look beyond the doctors, dentists and surgeons, however, the nations other best-salaried jobsare fairly diverse. Although all of these jobs require a college education, the types of work necessaryexperience and training vary widely.http://msn.careerbuilder.com/custom/msn/careeradvice/viewarticle.aspx?articleid=740&SiteId=cbmsnhp4740&sc_extcmp=JS_740_home1;&GT1=8132&cbRecursionCnt=1&cbsid=b7b9eaf672d74c3e8651839e0fafb8fe-199975876-W6-2
  19. 19. GUEST EDITORIALReframing the Future of ProsthodonticsP ROSTHODONTICS has made great strides in recent years, demonstrated by a long litany of accomplishments: the opening of new The knowledge base was enlightening for those who participated in the summit. For example, there are approximately 90 graduates from ourprograms, an improved applicant pool, an ex- Prosthodontic Programs staying in the Unitedpanded scope of Prosthodontics, the launch of States each year. This is inadequate by any mea-the ACP’s new website, public relations successes, sure. It is less than one-half of the other corea revitalized central office, the development of specialties, and inadequate to meet the demandsa more nimble governance structure, the ACP for care. We need to act now.Education Foundation, and much more. As re- A formal summary for the summit is in devel-cently reported on MSN.com, we are sixth in the opment. This will be shared with all communitiesranking of America’s highest paying jobs (U.S. of interest as soon as it is available. The coregovernment’s salary data, Department of Labor’s conclusions include:Bureau of Labor Statistics). This is ahead of allbusiness careers and almost all other medical and • There is an urgent need to transform and growdental careers. the field of prosthodontics within the next ten While things have dramatically improved, we years.need to continue to make things better to attract • The numbers of prosthodontists and advancedthe best and brightest. We are poised to continue training programs need to grow.the successes for Prosthodontics and our patients; • Science and Technology will be the drivinghowever, this requires careful planning. forces in this transformational growth. On June 11–12, 2006 a group of 20 dental • The culture of prosthodontics needs to changeand prosthodontic leaders gathered to consider to leading the specialties and educational envi-the future of Prosthodontics. The intent was for ronment in restorative, implant, esthetic, andkey leaders to collaborate and identify the criti- reconstructive dentistry.cal strategic issues facing prosthodontics and our • Patient advocacy efforts must be increased.graduate educational programs. An external facilitator was used as part of a There was overwhelming recognition of thestructured brainstorming session to develop a se- need to grow prosthodontics. This growth needsries of propositions and strategic goals and plans. to encompass: (1) the number of prosthodontists,This involved the assimilation of a large amount of (2) the size and number of our specialty educa-background information. Some of this was avail- tional programs, (3) our presence in the academicable from previous surveys or the dental literature. environment, (4) continuing education offerings,Much of it was newly developed information from (5) the organization and membership, and (6) oursurveys and contact with the other specialties. The resources. In addition, there is a need to focusmaterials included: on establishing prosthodontics as the science and technology leader.• Need for Care and Patient Demographics The participants developed a series of visions• Private Practice and prioritized strategies to address the key issues.• Educational Programs and Environment The list of recommendations was long. The top• Science and Technology eight were:• Information on the Other Dental Specialties Workforce: The expanded prosthodontic work- force will support growth and innovation in prac- tice, education, and research. A series of core questions was used to directthe discussions. For example, “Do Prosthodonticsand our Advanced Prosthodontic Programs need • Recommendation 1 – Increase the number ofto grow? What role does developing science and trained prosthodontiststechnology play in the future of Prosthodontics?’’ • Recommendation 2 – Grow ACP membership Journal of Prosthodontics, Vol 15, No 6 (November-December), 2006: pp 1-2 1
  20. 20. 2 Editorial Science and Technology: Prosthodontics will lead the summit recommendations, where strategiesthe use and innovation of new science and tech- for collaboration with stakeholder groups can benologies to improve the quality of life and the po- developed.sition of the specialty; promote the integration of Through the lens of the summit, I see the mostnew technologies into educational, research, and incredible future for prosthodontics! The vision ispatient care programs; and lead the generation of so clear. . .I see the future of a growing prosthodon-new knowledge. tic community. I see an organization and foun- dation that embrace our core value of improving • Recommendation 3 – Be at the forefront of sci- the quality of life through prosthodontics. I see ence and technology as inventors, beta testers, a future of an active and strong membership, an and early adopters organization of 4,000 members, a Central Office • Recommendation 4 – Increase prosthodontic equaled by none. I see a future of widespread pub- competency in science and technology through lic awareness and the best continuing education Centers of Excellence programs. I see a new organizational structure • Recommendation 5 – Integrate new science that will position us to be nimble and respon- and technologies to the UG and PG dental sive to our membership and the demands of the school curricula environment—a structure that will help us realize • Recommendation 6 – Leverage new technolo- our future. gies for educational advances I see a future of the top students from every dental school pursuing prosthodontics, a future Patient Care, Treatment Standards, and Education: of more and larger Prosthodontic Programs, pro-Prosthodontists will be creators and purveyors of viding leadership in the educational and patientthe prosthodontic knowledge base for patient care. care environments. I see a future of 200 new prosthodontists graduating every year. Not just numbers, but the best and brightest the specialty • Recommendation 7 – Be involved in dental has ever seen. I see a future of patients in need school curriculum reform seeking the expertise we offer, a public that ben- • Recommendation 8 – Continue efforts to in- efits from the best of care and the growth of our crease the public and professional awareness of specialty. the specialty of prosthodontics A series of task forces will be established in the coming months to further develop and realize the The summit outcomes will be the driving force series of visions and actions defined by the summit.behind two subsequent invitational meetings with Please become involved. . .It will take each andkey stakeholders in the field of prosthodontics to everyone of us.be convened by the ACP in early 2007. The twoinvitational follow-up meetings—one for corpo- Stephen D. Campbell, DDS, MMScrate partners and one for the Prosthodontic Forum President Electorganizations—will serve as venues for review of American College of Prosthodontists
  21. 21. Commission on Dental AccreditationAccreditation Standards forAdvanced SpecialtyEducation Programs inProsthodontics
  22. 22. Accreditation Standards for Advanced Specialty Education Programs in Prosthodontics Commission on Dental Accreditation American Dental Association 211 East Chicago Avenue Chicago, Illinois 60611-2678 (312) 440-4653 www.ada.orgProsthodontics is the dental specialty pertaining to the diagnosis, treatment planning,rehabilitation and maintenance of the oral function, comfort, appearance and health of patientswith clinical conditions associated with missing or deficient teeth and/or oral and maxillofacialtissues using biocompatible substitutes. (Adopted April 2003) Copyright©1998 Commission on Dental Accreditation American Dental Association All rights reserved. Reproduction is strictly prohibited without prior written permission.
  23. 23. Accreditation Standards for Advanced Specialty Education Programs in Prosthodontics Document Revision HistoryDate Item Action July 30, 1998 Accreditation Standards for Advanced Specialty Adopted Education Programs in Prosthodontics January 1, 2000 Accreditation Standards for Advanced Specialty Implemented Education Programs in ProsthodonticsJanuary 29, 1999 Accreditation Status Definitions Revised and Adopted July 1, 1999 Accreditation Status Definitions ImplementedJanuary 29, 1999 Standards on Clinical Program (Standards 4- Revised and Adopted 21, 4-22, 4-23, 4-24, 4-25, and 4-26) January 1, 2000 Standards on Clinical Program (Standards 4- Implemented 21, 4-22, 4-23, 4-24, 4-25, and 4-26) July 28, 2000 Intent Statements added to Selected Standards Adopted and ImplementedJanuary 30, 2001 Mission Statement Revised and AdoptedJanuary 30, 2001 Policy on Advanced Standing Revised and Adopted July 27, 2001 Standard on Advanced Standing Revised and Adopted July 1, 2002 Standard on Advanced Standing ImplementedFebruary 2, 2002 Initial Accreditation Status Definition Adopted January 1, 2003 Initial Accreditation Status Definition Implemented August 1, 2003 Intent Statement deleted from Standard 1, Revised and Adopted Program Administrator August 1, 2003 Policy on Enrollment Increases in Dental Adopted Specialty ProgramsJanuary 30, 2004 Policy on Enrollment Increases in Dental Implemented Specialty ProgramsJanuary 30, 2004 Intent Statement to Standard 1 on Major Revised and Adopted Change (“student enrollment” deleted)January 30, 2004 Intent Statement and Examples of Evidence to Adopted and Standard 2 Implemented July 30, 2004 Standards on Didactic and Clinical Program Revised and Adopted (Standards 4-5 through 4-24) January 1, 2005 Standards on Didactic and Clinical Program Implemented (Standards 4-5 through 4-24)January 28, 2005 Examples of Evidence to Standard 2 (for non- Revised, Adopted and board certified directors) Implemented July 29, 2005 Term and Definition Student/Resident Adopted and Implemented July 29, 2005 Standards to Ensure Program Integrity Adopted (Standards 1, 2, and 5) Prosthodontics Standards --
  24. 24. Document Revision History (continued) January 1, 2006 Standards to Ensure Program Integrity Implemented (Standards 1, 2, and 5)January 27, 2006 Intent Statement to Standard 2 Adopted and Implemented July 28, 2006 Examples of Evidence for Standard 1 Adopted and Intent Statement for Standard 5 Implemented Prosthodontics Standards --
  25. 25. Table Of Contents PAGEMission Statement of the Commission on Dental Accreditation 4Accreditation Status Definitions 5Preface 6Policy on Enrollment Increases in Dental Specialty Programs 7Definition of Terms Used in Prosthodontics Accreditation Standards 8Standards1- INSTITUTIONAL COMMITMENT/PROGRAM EFFECTIVENESS 11 AFFILIATIONS 122- PROGRAM DIRECTOR AND TEACHING STAFF 143- FACILITIES AND RESOURCES 154- CURRICULUM AND PROGRAM DURATION 17 DIDACTIC PROGRAM: BIOMEDICAL SCIENCES 18 DIDACTIC PROGRAM: PROSTHODONTICS AND RELATED DISCIPLINES 18 CLINICAL PROGRAM 19 MAXILLOFACIAL PROSTHETICS: 20 PROGRAM DURATION 20 DIDACTIC PROGRAM 20 CLINICAL PROGRAM 215- ADVANCED EDUCATION STUDENTS/RESIDENTS 22 ELIGIBILITY AND SELECTION 22 EVALUATION 23 DUE PROCESS 23 RIGHTS AND RESPONSIBILITIES 236- RESEARCH 24 Prosthodontics Standards --
  26. 26. Mission Statement of the Commission on Dental AccreditationThe Commission on Dental Accreditation serves the public by establishing, maintaining andapplying standards that ensure the quality and continuous improvement of dental and dental-related education and reflect the evolving practice of dentistry. The scope of the Commission onDental Accreditation encompasses dental, advanced dental and allied dental education programs. Commission on Dental Accreditation Revised: January 30, 2001 Prosthodontics Standards -5-
  27. 27. Accreditation Status Definitions Programs Which Are Fully OperationalAPPROVAL (without reporting requirements): An accreditation classification granted to aneducational program indicating that the program achieves or exceeds the basic requirements foraccreditation.APPROVAL (with reporting requirements): An accreditation classification granted to aneducational program indicating that specific deficiencies or weaknesses exist in one or more areas ofthe program. Evidence of compliance with the cited standards must be demonstrated within 18months if the program is between one and two years in length or two years if the program is at leasttwo years in length. If the deficiencies are not corrected within the specified time period,accreditation will be withdrawn, unless the Commission extends the period for achieving compliancefor good cause. Programs Which Are Not Fully OperationalINITIAL ACCREDITATION: Initial Accreditation is the accreditation classification granted toany dental, advanced dental or allied dental education program which is in the planning and earlystages of development or an intermediate stage of program implementation and not yet fullyoperational. This accreditation classification provides evidence to educational institutions, licensingbodies, government or other granting agencies that, at the time of initial evaluation(s), thedeveloping education program has the potential for meeting the standards set forth in therequirements for an accredited educational program for the specific occupational area. Theclassification "initial accreditation" is granted based upon one or more site evaluation visit(s) anduntil the program is fully operational. Prosthodontics Standards -6 -
  28. 28. PrefaceMaintaining and improving the quality of advanced education in the nationally recognized specialty areas ofdentistry is a primary aim of the Commission on Dental Accreditation. The Commission is recognized by thepublic, the profession, and the United States Department of Education as the specialized accrediting agency indentistry.Accreditation of advanced specialty education programs is a voluntary effort of all parties involved. Theprocess of accreditation assures students/residents, specialty boards and the public that accredited trainingprograms are in compliance with published standards.Accreditation is extended to institutions offering acceptable programs in the following recognized specialtyareas of dental practice: dental public health, endodontics, oral and maxillofacial pathology, oral andmaxillofacial radiology, oral and maxillofacial surgery, orthodontics and dentofacial orthopedics, pediatricdentistry, periodontics and prosthodontics. Program accreditation will be withdrawn when the trainingprogram no longer conforms to the standards as specified in this document, when all first-year positionsremain vacant for a period of two years or when a program fails to respond to requests for programinformation. Exceptions for non-enrollment may be made by the Commission for programs with “approvalwithout reporting requirements” status upon receipt of a formal request from an institution stating reasonswhy the status of the program should not be withdrawn.Advanced education in a recognized specialty area of dentistry may be offered on either a graduate orpostgraduate basis.Accreditation actions by the Commission on Dental Accreditation are based upon information gained throughwritten submissions by program directors and evaluations made on site by assigned consultants. TheCommission has established review committees in each of the recognized specialties to review site visit andprogress reports and make recommendations to the Commission. Review committees are composed ofrepresentatives selected by the specialties and their certifying boards. The Commission has the ultimateresponsibility for determining a program’s accreditation status. The Commission is also responsible foradjudication of appeals of adverse decisions and has established policies and procedures for appeal. A copyof policies and procedures may be obtained form the Director, Commission on Dental Accreditation, 211 EastChicago Avenue, Chicago, Illinois 60611.This document constitutes the standards by which the Commission on Dental Accreditation and itsconsultants will evaluate advanced programs in each specialty for accreditation purposes. The Commissionon Dental Accreditation establishes general standards which are common to all dental specialties, institutionand programs regardless of specialty. Each specialty develops specialty-specific standards for educationprograms in its specialty. The general and specialty-specific standards, subsequent to approval by theCommission on Dental Accreditation, set forth the standards for the education content, instructional activities,patient care responsibilities, supervision and facilities that should be provided by programs in the particularspecialty.General standards are identified by the use of a single numerical listing (e.g., 1). Specialty-specific standardsare identified by the use of multiple numerical listings (e.g. 1-1, 1-1.2, 1-2). Prosthodontics Standards -7-
  29. 29. Policy on Enrollment Increases In Dental Specialty ProgramsThe Commission on Dental Accreditation monitors increases in enrollment. The purpose formonitoring increases in enrollment through review of existing and projected program resources(faculty, patient availability, and variety of procedures, physical/clinical facilities, and allied supportservices) is to ensure that program resources exist to support the intended enrollment increase. Anincrease in enrollment must be reported to and approved by the Commission prior to itsimplementation. Failure to comply with the policy will jeopardize the program’s accreditationstatus. (CDA: 08/03:22) Prosthodontics Standards -8-
  30. 30. Definitions of Terms Used in Prosthodontics Accreditation StandardsThe terms used in this document (i.e. shall, must, should, can and may) were selected carefully andindicate the relative weight that the Commission attaches to each statement. The definitions of thesewords used in the Standards are as follows:Must or Shall: Indicates an imperative need and/or duty; an essential or indispensable item;mandatory.Intent: Intent statements are presented to provide clarification to the advanced specialty educationprograms in prosthodontics in the application of and in connection with compliance with theAccreditation Standards for Advanced Specialty Education Programs in Prosthodontics. Thestatements of intent set forth some of the reasons and purposes for the particular Standards. As such,these statements are not exclusive or exhaustive. Other purposes may apply.Examples of evidence to demonstrate compliance include: Desirable condition, practice ordocumentation indicating the freedom or liberty to follow a suggested alternative.Should: Indicates a method to achieve the standards.May or Could: Indicates freedom or liberty to follow a suggested alternative.Levels of Knowledge: In-depth: A thorough knowledge of concepts and theories for the purpose of critical analysis and the synthesis of more complete understanding. Understanding: Adequate knowledge with the ability to apply. Familiarity: A simplified knowledge for the purpose of orientation and recognition of general principles.Levels of Skills: Proficient: The level of skill beyond competency. It is that level of skill acquired through advanced training or the level of skill attained when a particular activity is accomplished with repeated quality and a more efficient utilization of time. Competent: The level of skill displaying special ability or knowledge derived from training and experience. Exposed: The level of skill attained by observation of or participation in a particular activity. Prosthodontics Standards -9-
  31. 31. Other Terms:Institution (or organizational unit of an institution): a dental, medical or public health school, patientcare facility, or other entity that engages in advanced specialty education.Sponsoring institution: primary responsibility for advanced specialty education programs.Affiliated institution: support responsibility for advanced specialty education programs.Advanced specialty education student/resident: a student/resident enrolled in an accreditedadvanced specialty education program.A graduate program is a planned sequence of advanced courses leading to a masters or doctoraldegree granted by a recognized and accredited educational institution.A postgraduate program is a planned sequence of advanced courses that leads to a certificate ofcompletion in a specialty recognized by the American Dental Association.Student/Resident: The individual enrolled in an accredited advanced education program.Postdoctoral: Can be equated with Advanced.Residency Program: A planned sequence of advanced courses integrated into a hospital setting thatleads to a certificate of completion in a specialty recognized by the American Dental Association.Prosthodontic Specific TermsRemovable Prosthodontics – is that branch of prosthodontics concerned with the replacement ofteeth and contiguous structures for edentulous or partially edentulous patients by artificial substitutesthat are removable from the mouth.Fixed Prosthodontics – is that branch of prosthodontics concerned with the replacement and/orrestoration of teeth by artificial substitutes that are not removable from the mouth.Implant Prosthodontics – is that branch of prosthodontics concerned with the replacement of teethand contiguous structures by artificial substitutes partially or completely supported and/or retainedby alloplastic implants.Maxillofacial Prosthetics – is that branch of prosthodontics concerned with the restoration and/orreplacement of stomatognathic and associated craniofacial structures by artificial substitutes. Prosthodontics Standards -10-
  32. 32. Educationally Qualified: An individual is considered Educationally Qualified after the successfulcompletion of an advanced educational prosthodontics program, which is accredited by theCommission on Dental Accreditation .Board Eligible: An individual is Board Eligible when his/her application has been submitted to andapproved by the Board and his/her eligibility has not expired.Diplomate: Any dentist who has successfully met the requirements of the Board for certification andremains in good standing. Prosthodontics Standards -11-
  33. 33. STANDARD 1 - INSTITUTIONAL COMMITMENT/PROGRAM EFFECTIVENESSThe program must develop clearly stated goals and objectives appropriate to advanced specialtyeducation, addressing education, patient care, research and service. Planning for, evaluation of andimprovement of educational quality for the program must be broad-based, systematic, continuousand designed to promote achievement of program goals related to education, patient care, researchand service.The program must document its effectiveness using a formal and ongoing outcomes assessmentprocess to include measures of advanced education student/resident achievement.Intent: The Commission on Dental Accreditation expects each program to define its own goals andobjectives for preparing individuals for the practice of prosthodontics and that one of the programgoals is to comprehensively prepare competent individuals to initially practice prosthodontics. Theoutcomes process includes steps to: (a) develop clear, measurable goals and objectives consistentwith the program’s purpose/mission; (b) develop procedures for evaluating the extent to which thegoals and objectives are met; (c) collect and maintain data in an ongoing and systematic manner;(d) analyze the data collected and share the results with appropriate audiences; (e) identify andimplement corrective actions to strengthen the program; and (f )review the assessment plan, reviseas appropriate, and continue the cyclical process.The financial resources must be sufficient to support the program’s stated goals and objectives.Intent: The institution should have the financial resources required to develop and sustain theprogram on a continuing basis. The program should have the ability to employ an adequate numberof full-time faculty, purchase and maintain equipment, procure supplies, reference material andteaching aids as reflected in annual budget appropriations. Financial allocations should ensure thatthe program will be in a competitive position to recruit and retain qualified faculty. Annualappropriations should provide for innovations and changes necessary to reflect current concepts ofeducation in the advanced specialty discipline. The Commission will assess the adequacy offinancial support on the basis of current appropriations and the stability of sources of funding forthe program.The sponsoring institution must ensure that support from entities outside of the institution does notcompromise the teaching, clinical and research components of the program.Examples of evidence to demonstrate compliance may include: • Written agreement(s) • Contracts between the institution/program and sponsor(s) (For example: contract(s)/agreement(s) related to facilities, funding, faculty allocations, etc.)Major changes as defined by the Commission must be reported promptly to the Commission onDental Accreditation. (Guidelines for Reporting Major Changes are available from the CommissionOffice.) Prosthodontics Standards -12-
  34. 34. Intent: Major changes have a direct and significant impact on the program’s potential ability tocomply with the accreditation standards. Examples of major changes that must be reported include(but are not limited to) changes in program director, clinical facilities, program sponsorship orcurriculum length. The program must report such major changes in writing to theCommission within thirty (30) daysAdvanced specialty education programs must be sponsored by institutions, which are properlychartered, and licensed to operate and offer instruction leading to degrees, diplomas or certificateswith recognized education validity. Hospitals that sponsor advanced specialty education programsmust be accredited by the Joint Commission on Accreditation of Healthcare Organizations or itsequivalent. Educational institutions that sponsor advanced specialty education programs must beaccredited by an agency recognized by the United States Department of Education. The bylaws,rules and regulations of hospitals that sponsor or provide a substantial portion of advanced specialtyeducation programs must assure that dentists are eligible for medical staff membership andprivileges including the right to vote, hold office, serve on medical staff committees and admit,manage and discharge patients.The authority and final responsibility for curriculum development and approval, student/residentselection, faculty selection and administrative matters must rest within the sponsoring institution.The position of the program in the administrative structure must be consistent with that of otherparallel programs within the institution and the program director must have the authorityresponsibility, and privileges necessary to manage the program. AFFILIATIONSThe primary sponsor of the educational program must accept full responsibility for the quality ofeducation provided in all affiliated institutions.Documentary evidence of agreements, approved by the sponsoring and relevant affiliatedinstitutions, must be available. The following items must be covered in such inter-institutionalagreements:a. Designation of a single program director;b. The teaching staff;c. The educational objectives of the program;d. The period of assignment of students/residents; ande. Each institution’s financial commitment.Intent: The items that must be covered in inter-institutional agreements do not have to be containedin a single document. They may be included in multiple agreements, both formal and informal (e.g.,addenda and letters of mutual understanding). Prosthodontics Standards -13-
  35. 35. Policy Statement on Accreditation of Off-Campus SitesWhen an institution, which has a program accredited by the Commission on Dental Accreditation,plans to initiate a similar program in which all or the majority of the instruction occurs at anotherlocation, the Commission must be informed. In accordance with the Policy on Reporting MajorChanges in Accredited Programs, the Commission must be informed in writing within thirty (30)days.The Commission on Dental Accreditation must ensure that the necessary education as defined by thestandards is available, and appropriate supervision by faculty is provided to all students/residentsenrolled in an accredited program. When an institution has received approval to offer its accreditedprogram at more than one site, the Commission will conduct site visits to the off-campus locationswhere 20% or more of the students’/residents’ clinical instruction occurs or if other cause exists forsuch a visit.The Commission recognizes that dental assisting and dental laboratory technology programs utilizenumerous extramural dental offices and laboratories to provide students/residents withclinical/laboratory practice experience. In this instance, the Commission will randomly select andvisit several facilities during the site visit to a program.All programs accredited by the Commission pay an annual fee. There are variations in fees fordifferent disciplines, based on actual accreditation costs, including the utilization of on- and off-campus locations. The Commission office should be contacted for current information on fees. Commission on Dental Accreditation Policy, July 1998 Prosthodontics Standards -14-
  36. 36. STANDARD 2 - PROGRAM DIRECTOR AND TEACHING STAFFThe program must be administered by a director who is board certified in the respective specialty ofthe program. (All program directors appointed after January 1, 1997, who have not previouslyserved as program directors, must be board certified.)Intent: The director of an advanced specialty education program is to be certified by an ADA-recognized certifying board in the specialty. Board certification is to be active. The boardcertification requirement of Standard 2 is also applicable to an interim/acting program director. Aprogram with a director who is not board certified, but who has previous experience as aninterim/acting program director in a Commission-accredited program prior to 1997 is notconsidered in compliance with Standard 2.Examples of evidence to demonstrate compliance include: For board certified directors: Copy of board certification certificate; letter from board attesting to active/current board certification. (For non-board certified directors who served prior to January 1, 1997: Current CV identifying previous directorship in a Commission on Dental Accreditation- or Commission on Dental Accreditation of Canada-accredited advanced specialty program in the respective discipline; letter from the previous employing institution verifying service.)The program director must be appointed to the sponsoring institution and have sufficient authorityand time to achieve the educational goals of the program and assess the program’s effectiveness inmeeting its goals.2-1 The program director must have primary responsibility for the organization and execution of the educational and administrative components to the program. 2-1.1 The program director must devote sufficient time to: a. Participate in the student/resident selection process, unless the program is sponsored by federal services utilizing a centralized student/resident selection process; b. Develop and implement the curriculum plan to provide a diverse educational experience in biomedical and clinical sciences; c. Maintain a current copy of the curriculum’s goals, objectives, and content outlines; d. Maintain a record of the number and variety of clinical experiences accomplished by each student/resident; e. Ensure that the majority of faculty assigned to the program are educationally qualified prosthodontists; f. Provide written faculty evaluations at least annually to determine the effectiveness of the faculty in the educational program; Prosthodontics Standards -15-
  37. 37. g. Conduct periodic staff meetings for the proper administration of the educational program; and h. Maintain adequate records of clinical supervision.2-2 The program director must encourage students/residents to seek certification by the American Board of Prosthodontics.2-3 The number and time commitment of the teaching staff must be sufficient to a. Provide didactic and clinical instruction to meet curriculum goals and objectives; and b. Provide supervision of all treatment provided by students/residents through specific and regularly scheduled clinic assignments. Prosthodontics Standards -16-

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