A New Community Dental Education Model Jack Dillenberg, DDS, MPH, Dean Arizona School of Dentistry

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A New Community Dental Education ModelJack
Dillenberg, DDS, MPH, DeanArizona School of
Dentistry Oral Health
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Why a New Dental School?

• IOM Dental Education at the Crossroads
• ADA The Future of Dentistry
• Oral Health in America A Report of the Surgeon
  General
• National Health Policy Forum Improving Oral
  Health Promise and Prospects
• ADEA Presidents Commission Improving the Oral
  Health Status of all Americans Roles . . .
  Academic Dental Institutions

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Surgeon Generals Report on Oral Health

• Oral diseases common and consequential
• Linked to overall health and well-being
• Profound disparities in oral health status
• Disparities
• SES
• Rural areas
• Minorities

www.nidcr.nih.gov/sgr/sgr.htm
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Oral Health Facts

• Dental disease is the most common unmet health
  need in U.S.
• General public more likely to lack dental
  insurance
• Access to dental care limited under Medicaid
• 52 million school hours lost annually to dental
  issues

www.nidcr.nih.gov/sgr/sgr.htm
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Oral Health Facts

• 31 of low-income children ages 2 to 5 have
  untreated cavities.
• 6 of high-income children ages 2 to 5 have
  untreated cavities.
• Among children from poor families, untreated
  cavities were more common in those age 6 to 11
  (37) than children 12 to 17 (27).
• Among children from wealthy families, untreated
  cavities were more common among ages 6 to 11
  (12) than children 12 to 17 (7).
• Only 36 of poor children visited a dentist in
  the past year compared to 70 of wealthy
  children, according to a 2004 survey.
• 2007 National Healthcare Disparities Report
  http//www.ahrq.gov/qual/qrdr07.htm

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Arizona School of Dentistry Oral Health

• Our Purpose
• To educate caring, technologically adept dentists
  who become community and educational leaders,
  serving those in need.
• To be the leader in the lifelong education of
  community responsive general dentists.

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Arizona School of Dentistry Oral Health

• Our Purpose
• To prepare graduates with a strong foundation of
  critical inquiry, evidence-based practice,
  research, cultural competency, and
  inter-disciplinary healthcare experiences.
• 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

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Arizona School of Dentistry Oral Health

• Innovative Curriculum
• Integrating science, human systems, and clinical
  care
• Simulation Technology
• Accelerating skill development for clinical
  excellence
• State-of-the-Art Facility
• Utilizing a new facility and digital resources
  for the faculty and students of tomorrow

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Arizona School of Dentistry Oral Health

• Needs Focused
• Educating competent, compassionate dentists for
  underserved communities
• Service Education
• Coordinating student partnerships with
  communities of need
• Leadership Training
• Educating dentists to become community health
  leaders

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Community-Based Educational Model

• We expect that our graduates will be
• Community leaders
• Managers of public, not-for-profit and private
  sector oral health organizations
• Culturally-competent
• Community-responsive
• Able to serve as a resource in their community
  for dental public health issues

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Community-Based Educational Model

• Students will learn from, and be encouraged to
  become caring, community-minded health care
  providers

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Special Care Clinic

• Meeting the needs of Arizonas most fragile
  population

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Dentistry In the Community

• Participation
• Participation in at least 2 activities each year
  as a D2, D3, D4 student
• Examples
• AZ Coalition for Tomorrow Health Fair
• Catholic Healthcare West Fluoride Program
• Golden Gate Community Health Fair
• Red Bird Elementary Information Night
• Scottsdale Healthcare Womens Expo
• Special Olympics/Special Smiles

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Dentistry In the Community

• Projects
• Plan, implement and evaluate a community project
  each year as a D2 and D3 student
• Examples
• Nursing home OHI
• Head Start screenings
• Teen Meth Mouth education
• Mentoring careers in dentistry

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4th Year External Rotations

• Goals
• To make a difference in the oral health of those
  we serve
• To change the face of dental education, and in
  the process, improve access to oral health care
  across the nation
• Students are provided with the following
• Exposure to a variety of community and public
  health based clinical environments
• An opportunity to be taught and mentored by
  excellent clinicians
• A deeper understanding of the unique oral health
  challenges faced by many communities

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External Rotations
Bethel, Alaska
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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.
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Hopi Health Care Clinic, Polaca, AZ
Sage Memorial Hospital Ganado, 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.
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Certificate in Core Concepts of Public Health

• Online coursework begun 2nd year
• Biostatistics
• Epidemiology
• Health Policy Administration
• Health Behavior Health Education
• Environmental Health Sciences

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Selection Factors

• Applicants are evaluated on the following
• Demonstrated community service through
  volunteerism or service-oriented employment
• Academic coursework
• Performance on the DAT
• Letters of recommendation
• Interviews

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Future Healthcare Leader
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ASDOH Dental Clinic

• Electric hand pieces
• Digital Imaging
• Electronic Records

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Dental Care West
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ICE Dental Systems
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ICE Dental Systems is...

• Online anytime/anywhere access
• Information security and encryption
• Personalized patient information and health
  history forms
• Integrated practice management software
• Charting, Billing, Patient Reminders, Scheduling,
  Practice analysis, Letters
• Innovative patient education
• Image management, storage, and manipulation
• Interdisciplinary collaboration
• Professional referral capabilities
• 3D Animations

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ICE Dental Systems
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Leadership is Required

• Leadership Style Success
• Servant leaders
• Compassionate, humble, reverent, open,
  teachable, respectful, caring
• They model authority through
• Service, humility, contribution

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The Future is What We Make It
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Oral Health as a Part of Overall Health

• Pregnancy
• Coronary heart disease
• Stroke
• Diabetes
• Pneumonia
• Self esteem

Oral Health Competencies for Physician Assistants
Nurse Practitioners, Danielsen, Dillenberg
Bay, J of P.A. Education, In Press
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Decreased Dental Insurance
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Confidence Builds Effective Leaders
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Thanks for your attention your great work!