Curriculum Killing the Parrot: Living What You Know
Today it’s becoming increasinglyevident the information learned in our dental hygiene education was
more important than we thought to put into actual practice. Patient after patient, our chart notes
and care are pretty much the same: Brush and floss, brush and floss, brush and floss. Old
routines no longer serve the patients or the practice bottom line. This case-based course weaves its way
through caries management, periodontal disease manifestations, coding effectively, new diagnostics
and treatment options, and many other aspects of clinical practice to reconstitute clinician’s education
into relevant, productive and exhilarating day-to-day excellence.

After taking this course, participants will be able to

Identify red flags from the patient health history and select appropriate risk assessment and diagnostic
modalities

Explain the different types of periodontal and caries infections

        Select new language to accurately communicate dental risk, diagnosis and treatment
        Define new approach to helping oncology patients
        Distinguish the stages of dependence for multiple populations
        Redefine the 60 (or 30, 40, 45)minutes patient appointment time


Contents

Lesson 1: Introduction and Creating a Portfolio 2

Lesson 2: KTP Insurance Coding Made Simple         2

Lesson 3: Risk Assessment Realities       3

Lesson 4: Spit Is It and Other Diagnostics         3

Lesson 5: Treating Caries Infections      4

Lesson 6: Words Make a Difference         4

Lesson 7: Quality of Life Management for Dependent Adults          4

Lesson 8: New Reality for Cancer Patients          5

Lesson 9: More than Pocket Change         5

Lesson 10: Writing Proposals      6

Lesson 11: Capstone-TBD           6
Lesson 1: Introduction and Creating a Portfolio
This introductorycourse to KTP certificationbegins with learning the basics of creating a professional
portfolio. A professional portfolio is a tool judiciously and carefully crafted to appropriately showcase
work of a professional while providing evidence of career growth in a cohesive manner. It shows an
individual is worthy of special notice and gives an opportunity to view materials beyond a standard
application or resume. An individual’s portfolio design can showcase strengths and abilities in a way that
is both professional and uniquely their own.

Objectives: By the end of this lesson, the participant will

List the expectations of this program including

        curriculum
        discussion group participation
        quizzes
        projects
        Describe the fundamentals of creating a portfolio
        Select a goal for their professional portfolio
        Design first portion of their portfolio



Lesson 2: KTP Insurance Coding Made Simple
Description: We are moving beyond the drill into the threshold of a golden age of molecular diagnosis
and biotech-therapy. Your practice might not be embracing this brave new world but the insurance
industry will take us there whether we want to go or not. The heart of dental hygiene is prevention and
its value is shown by the evidence. The alliance between evidence-based (EB) decision making and the
insurance industry is already being established.

Objectives: By the end of this lesson, the participant will

        Identify the basic principles of evidence-based decision making
        Match correctly the CDT evaluation, dental hygiene and periodontal codes to care provided
        Identify do’s and don’ts related to codes D1110, D4910 and D4355
        Compose medical necessity narratives routinely
        Reconstruct previous case study demonstrate appropriate coding and narrative development
Lesson 3: Risk Assessment Realities
Description: Current examination standards record past and current disease activity and might include a
fuzzy assessment of risk. Risk assessment adds a another dimension to an understanding of
patient needs, and ways to differentiate between patients with the same current
health/disease state, but who are at varying potentials that this state will deteriorate.
Innovative easy risk assessment tools will be introducedto create a quantifiable process for improved
decision making, treatment and prevention.

Objectives: By the end of this lesson, the participant will

        Identify red flags from patient health history
        Interpret risk factors from patient prescription/OTC medication list
        Appraise results of ADA paper-based risk assessment tool
        Compare the variety of online electronic risk assessment systems
        Reconstruct previous case study identify red flags, medication connections, and risk assessment
        integration



Lesson 4: Spit Is It and Other Diagnostics
Description: As the role of the dental health professional continues to evolve, a unique opportunity
exists for dental hygienists to become leaders in the emerging field of oral–based diagnostics. The key to
both prevention and therapy is diagnostics.

Objectives: By the end of this lesson, the participant will

        Select appropriate saliva based risk assessment modality
        Match laboratory tests with patient risk profile
        Reconstruct decision making process on dental radiographs
        Contrast variety of oral cancer screening systems
        Defines the purpose and use of oral fluorescent technologies
        Reconstruct previous case study select appropriate diagnostics
Lesson 5: Treating Caries Infections
Description: Like any other infection caries can be treated with topical applications or with surgery.
Traditionally we’ve been treating caries as if it was a hole in a tooth, and that’s what dentistry has been
focusing on. In dental hygiene we’ve been just following along. It’s time for us to take charge of the
situation. By identifying the cause of the cavity - overwhelming bacterial infection, poor quality saliva,
medications or something else – we can help our patients regain control over their infection.

Objectives: By the end of this lesson, the participant will

        Explain the different types of caries infections
        Develop a working protocol of caries management that fits with the practice philosophy
        Create a case study on treatment of one type of caries infections to add to the Master Portfolio.


Lesson 6: Words Make a Difference
Description: Communication is an ongoing, changing, and dynamic process of sharing information
between a sender and a receiver using a set of common rules. The word watch used in many dental
offices is now considered obsolete per the2010 Dental Clinics of North America textbook. It is time for
dentistry to change its rules for communication and its language to convey up-to-date evidence based
findings.

Objectives: By the end of this lesson, the participant will

        Explain the purpose and goal of professional communication
        Describe what is meant by effective and ineffective communication
        Select new language to accurately communicate dental risk, diagnosis and treatment
        Create a case study with treatment planning using new language


Lesson 7: Quality of Life Management for Dependent Adults
Description: As people lose their independence because of illness or injury, certain aspects of daily living
must be delegated and taken over by another person or team of people. None of those people are
trained in oral care the way a dental hygienist is. Dental hygienists education on the management the
oral health in dependent adults is cursory. Brushing and flossing lessons or teaching use of an
interdental brush is NOT the answer. Learn what is.

Objectives: By the end of this lesson, the participant will

        Define the stages of dependence
        Describe the legal definition of neglect
        Develop protocols for three types of dependent adult situations
Lesson 8: New Reality for Cancer Patients
Description: Cancer treatments have taken a major turn since 2003. No longer is the patient’s life quality
relegated to the back of the room in favor of life saving treatments. On one hand people are living
longer and recovering from cancer, on the other the types of medications used to treat cancer are very
deadly.

Objectives: By the end of this lesson, the participant will

        Explain the best way to approach an oncologist and/or his/her team
        Be able to read lab reports
        Develop tools to communicate with the oncology team
        Create a case study on different management plan for oncology patient



Lesson 9: More than Pocket Change
Description: Despite the best efforts of dental health care professionals, oral infections are still
widespread. It’s hard to believe that periodontal infections can create so much trouble in the body.
Various components of the oral biofilm affect the immune system through a variety of ways with a
resulting systemic inflammatory response. Treatment of the biofilm is an integral aspect to decrease the
immune system responses, along with decreasing the host systemic inflammation.

Objectives: By the end of this lesson, the participant will

        Discuss the biology of biofilms
        List the host’s mechanisms for challenging biofilm infections and describe strategies for creating
        a healthy biofilm
        Reconstruct their view of periodontal disease as wound care
        Design new protocol for periodontal management for your practice
Lesson 10: Writing Proposals
Description: Providing your superior with a meaningful document that outlines your vision for the future
can quickly move you on your way to an increased level of respect, job security, and financial benefits.
Writing a proposal can elevate your personal level of job satisfaction and self-esteem. This module will
show you how to build a proposal for creating change in your own employment environment.

Objectives: By the end of this lesson, the participant will

        Explain how to find out who the decision maker is for the idea
        Chart the fiscal impact of the idea
        Decide on how to present the proposal, manage the feedback and redesignas necessary
        Write a proposal to sell this program curriculum to a dentist

Lesson 11: Capstone-TBD
Live and in person this Capstone to the course will be held in the Chicagoland area in September or
October. We’ve arranged for different companies to attend and show you products, how to use high end
technology and get to meet your class mates. Not a party, not a classroom, more like a classty! Or would
it be a parroom? Either way you’ll learn and show the most important work you’ve done up to then.
You’re not alone!

Curriculum Outline for Killing the Parrot

  • 1.
    Curriculum Killing theParrot: Living What You Know Today it’s becoming increasinglyevident the information learned in our dental hygiene education was more important than we thought to put into actual practice. Patient after patient, our chart notes and care are pretty much the same: Brush and floss, brush and floss, brush and floss. Old routines no longer serve the patients or the practice bottom line. This case-based course weaves its way through caries management, periodontal disease manifestations, coding effectively, new diagnostics and treatment options, and many other aspects of clinical practice to reconstitute clinician’s education into relevant, productive and exhilarating day-to-day excellence. After taking this course, participants will be able to Identify red flags from the patient health history and select appropriate risk assessment and diagnostic modalities Explain the different types of periodontal and caries infections Select new language to accurately communicate dental risk, diagnosis and treatment Define new approach to helping oncology patients Distinguish the stages of dependence for multiple populations Redefine the 60 (or 30, 40, 45)minutes patient appointment time Contents Lesson 1: Introduction and Creating a Portfolio 2 Lesson 2: KTP Insurance Coding Made Simple 2 Lesson 3: Risk Assessment Realities 3 Lesson 4: Spit Is It and Other Diagnostics 3 Lesson 5: Treating Caries Infections 4 Lesson 6: Words Make a Difference 4 Lesson 7: Quality of Life Management for Dependent Adults 4 Lesson 8: New Reality for Cancer Patients 5 Lesson 9: More than Pocket Change 5 Lesson 10: Writing Proposals 6 Lesson 11: Capstone-TBD 6
  • 2.
    Lesson 1: Introductionand Creating a Portfolio This introductorycourse to KTP certificationbegins with learning the basics of creating a professional portfolio. A professional portfolio is a tool judiciously and carefully crafted to appropriately showcase work of a professional while providing evidence of career growth in a cohesive manner. It shows an individual is worthy of special notice and gives an opportunity to view materials beyond a standard application or resume. An individual’s portfolio design can showcase strengths and abilities in a way that is both professional and uniquely their own. Objectives: By the end of this lesson, the participant will List the expectations of this program including curriculum discussion group participation quizzes projects Describe the fundamentals of creating a portfolio Select a goal for their professional portfolio Design first portion of their portfolio Lesson 2: KTP Insurance Coding Made Simple Description: We are moving beyond the drill into the threshold of a golden age of molecular diagnosis and biotech-therapy. Your practice might not be embracing this brave new world but the insurance industry will take us there whether we want to go or not. The heart of dental hygiene is prevention and its value is shown by the evidence. The alliance between evidence-based (EB) decision making and the insurance industry is already being established. Objectives: By the end of this lesson, the participant will Identify the basic principles of evidence-based decision making Match correctly the CDT evaluation, dental hygiene and periodontal codes to care provided Identify do’s and don’ts related to codes D1110, D4910 and D4355 Compose medical necessity narratives routinely Reconstruct previous case study demonstrate appropriate coding and narrative development
  • 3.
    Lesson 3: RiskAssessment Realities Description: Current examination standards record past and current disease activity and might include a fuzzy assessment of risk. Risk assessment adds a another dimension to an understanding of patient needs, and ways to differentiate between patients with the same current health/disease state, but who are at varying potentials that this state will deteriorate. Innovative easy risk assessment tools will be introducedto create a quantifiable process for improved decision making, treatment and prevention. Objectives: By the end of this lesson, the participant will Identify red flags from patient health history Interpret risk factors from patient prescription/OTC medication list Appraise results of ADA paper-based risk assessment tool Compare the variety of online electronic risk assessment systems Reconstruct previous case study identify red flags, medication connections, and risk assessment integration Lesson 4: Spit Is It and Other Diagnostics Description: As the role of the dental health professional continues to evolve, a unique opportunity exists for dental hygienists to become leaders in the emerging field of oral–based diagnostics. The key to both prevention and therapy is diagnostics. Objectives: By the end of this lesson, the participant will Select appropriate saliva based risk assessment modality Match laboratory tests with patient risk profile Reconstruct decision making process on dental radiographs Contrast variety of oral cancer screening systems Defines the purpose and use of oral fluorescent technologies Reconstruct previous case study select appropriate diagnostics
  • 4.
    Lesson 5: TreatingCaries Infections Description: Like any other infection caries can be treated with topical applications or with surgery. Traditionally we’ve been treating caries as if it was a hole in a tooth, and that’s what dentistry has been focusing on. In dental hygiene we’ve been just following along. It’s time for us to take charge of the situation. By identifying the cause of the cavity - overwhelming bacterial infection, poor quality saliva, medications or something else – we can help our patients regain control over their infection. Objectives: By the end of this lesson, the participant will Explain the different types of caries infections Develop a working protocol of caries management that fits with the practice philosophy Create a case study on treatment of one type of caries infections to add to the Master Portfolio. Lesson 6: Words Make a Difference Description: Communication is an ongoing, changing, and dynamic process of sharing information between a sender and a receiver using a set of common rules. The word watch used in many dental offices is now considered obsolete per the2010 Dental Clinics of North America textbook. It is time for dentistry to change its rules for communication and its language to convey up-to-date evidence based findings. Objectives: By the end of this lesson, the participant will Explain the purpose and goal of professional communication Describe what is meant by effective and ineffective communication Select new language to accurately communicate dental risk, diagnosis and treatment Create a case study with treatment planning using new language Lesson 7: Quality of Life Management for Dependent Adults Description: As people lose their independence because of illness or injury, certain aspects of daily living must be delegated and taken over by another person or team of people. None of those people are trained in oral care the way a dental hygienist is. Dental hygienists education on the management the oral health in dependent adults is cursory. Brushing and flossing lessons or teaching use of an interdental brush is NOT the answer. Learn what is. Objectives: By the end of this lesson, the participant will Define the stages of dependence Describe the legal definition of neglect Develop protocols for three types of dependent adult situations
  • 5.
    Lesson 8: NewReality for Cancer Patients Description: Cancer treatments have taken a major turn since 2003. No longer is the patient’s life quality relegated to the back of the room in favor of life saving treatments. On one hand people are living longer and recovering from cancer, on the other the types of medications used to treat cancer are very deadly. Objectives: By the end of this lesson, the participant will Explain the best way to approach an oncologist and/or his/her team Be able to read lab reports Develop tools to communicate with the oncology team Create a case study on different management plan for oncology patient Lesson 9: More than Pocket Change Description: Despite the best efforts of dental health care professionals, oral infections are still widespread. It’s hard to believe that periodontal infections can create so much trouble in the body. Various components of the oral biofilm affect the immune system through a variety of ways with a resulting systemic inflammatory response. Treatment of the biofilm is an integral aspect to decrease the immune system responses, along with decreasing the host systemic inflammation. Objectives: By the end of this lesson, the participant will Discuss the biology of biofilms List the host’s mechanisms for challenging biofilm infections and describe strategies for creating a healthy biofilm Reconstruct their view of periodontal disease as wound care Design new protocol for periodontal management for your practice
  • 6.
    Lesson 10: WritingProposals Description: Providing your superior with a meaningful document that outlines your vision for the future can quickly move you on your way to an increased level of respect, job security, and financial benefits. Writing a proposal can elevate your personal level of job satisfaction and self-esteem. This module will show you how to build a proposal for creating change in your own employment environment. Objectives: By the end of this lesson, the participant will Explain how to find out who the decision maker is for the idea Chart the fiscal impact of the idea Decide on how to present the proposal, manage the feedback and redesignas necessary Write a proposal to sell this program curriculum to a dentist Lesson 11: Capstone-TBD Live and in person this Capstone to the course will be held in the Chicagoland area in September or October. We’ve arranged for different companies to attend and show you products, how to use high end technology and get to meet your class mates. Not a party, not a classroom, more like a classty! Or would it be a parroom? Either way you’ll learn and show the most important work you’ve done up to then. You’re not alone!