arizona school of dentistry & oral health · dentistry in the community (service learning...

Arizona School of Dentistry & Oral Health

Wayne W. Cottam DMD, MS

Associate Dean for Community Partnerships

A. T. Still University of Health Sciences

Kirksville College of

Osteopathic Medicine

(KCOM)

Arizona School of Dentistry and Oral Health

(ASDOH)

Arizona School of

Health Sciences

(ASHS)

School of Health

Management

(SHM)

School of Osteopathic

Medicine School in Arizona (SOMA)

ASDOH MISSIONThe mission of the Arizona School of Dentistry & Oral Health is to educate caring technologically adept dentists who become community and educational leaders, serving those in need.

ASDOH graduates will be culturally-competent, community-responsive general dentists who are able and willing to serve as a resource in their community

for dental public health issues.

Selection“Our profession IS who we accept.”“We can teach almost anyone to be a good dentist, what we cannot teach is HEART.”

Dr. Jack Dillenberg

EmphasisOut of sight, out of mind.

ExposureExperience is the best teacher.

How?SELECTIONUtilize a unique application process that places a premium on volunteerism and underserved experience as well as the community from which the applicant comes.

CURRICULUM DESIGN AROUND PUBLIC HEALTHEmphasize public health education and activities throughout dental school. Community Service Learning Requirements during last 3 years of Dental School.Require students to complete a Certificate in Public Health.

EXPOSURE TO COMMUNITY AND PUBLIC HEALTH EXPERIENCES AND OPPORTUNITIESGroup Practice model training during second and third year in on-site clinic.4th year clinical experience at least 50% in external community rotations.


CURRICULUM DESIGN AROUND PUBLIC HEALTHEmphasize public health education and activities throughout dental school. Require students to complete a Certificate in Public Health.Community Service Learning Requirements during last 3 years of Dental School.


Class of 2011 - StatisticsState

Arizona - 17California - 16Washington - 4Missouri, New Mexico, Oregon, Tennessee – 2 each state

Colorado, Florida, Hawaii, Illinois, Maryland, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, Texas, Utah, Washington DC – 1 each state

Gender/Minorities

Female - 27

Male – 27

Under Represented Minorities – 10

American Indian - 3

Applicants

Applications received – 3,396

Applicants interviewed - 377

Acceptance letters sent - 86

Class of 2012 - StatisticsState

Arizona - 22California - 12Utah - 3Washington - 3

Alabama, Idaho, Missouri, New Mexico, S. Dakota, Texas– 2 each stateAlaska, Colorado, Florida, Illinois, Maine, Michigan, Nebraska, New Jersey, New York, Oregon, Pennsylvania, Virginia, Wisconsin –1 each state

Gender/Minorities

Female - 39

Male – 29

Under Represented Minorities – 9

American Indian - 6

Applicants

Applications received – 2,929

Applicants interviewed - 422

Acceptance letters sent - 99

Hometown ApplicantStrategy

Hometown Applicant Strategy

CHC’s that identify community minded, service oriented applicant submit a Hometown letter of

recommendation.

Hometown applicants that meet basic academic requirements are automatically granted an interview.

Hometown Applicant Successes2003 3 Applicant recommendations from CHCs

1 Accepted2004 5 Applicant recommendations from CHCs



38 Interviewed (88%)14 Accepted (33%)

2008 46 Applicant recommendations from CHCs43 Interviewed (93%)16 Accepted (37%)

Hometown Applicant Success

Total Applicants

Interview rate - 17%

Acceptance rate - 3.3%

Matriculation rate - 2.3%

Hometown Applicants

Interview rate - 95%

Acceptance rate - 68%

Matriculation rate - 55%

Dentistry in the Community (Service Learning Requirement)Projects and Participation

Each student must participate in at least 3 Community Oral Health activities each year.

At least one of these activities must involve the student’s direct, active participation in planning AND carrying out the activity (Project).

Two of these activities may be observation or attendance only (Community Participation).

Certificate in Dental Public Health

5 coursesIntroduction to Dental Public HealthDental Research Planning and DesignDental EpidemiologyDental Health Care Policy and ManagementBehavior Sciences and Educational Concepts

Completed with ATSU School of Health Management

All Online – D2-D3

Required for Graduation

ICSP

ICSP = Integrated Community Service Partnership

Students will complete a Summer Rotation at the end of their 3rd year

At least 50% of the 4th year clinical education is done at external sites

Starting in the 4th year student completes 4 rotations of 4 – 6 weeks in duration

Each external rotation is followed by an equal amount of time in the ASDOH clinic

Participation in all assigned rotations is required but the student must complete a minimum of two (2) rotations for their graduation requirement

ICSP sites to which students are assigned for 2008-2009

Alaska 1 Maine 4 Arizona 18 Missouri 1California 7 Montana 4Colorado 3 Texas 2Florida 1 Utah 1Louisiana 2 Washington 4 Maryland 1 New York 1

Penobscot CHC – Bangor, Maine

ICSP Rotation Benefits For Student

Exposure to a variety of community and public health based clinical environments and situations.

An opportunity to be taught and mentored by excellent clinicians.

Student competence and confidence dramaticallyincreased.

A deeper understanding of the unique oral health challenges faced by many communities, and the opportunity to learn first hand how to address those challenges.

ICSP Rotation Benefits For Student

Students and sites report ability for students to see 8 – 12 patients per day at their 2ndrotation. Some students report these patient numbers during their 1st rotation.

Sites report that students can produce as much as $10,000 -$16,000 in a 4 – 6 week rotation.

Hopi Health Care – Polaca, AZ

Class of 2007Average number of Operative procedures per rotation –

35 (and as high as 85)

Average number of Oral Surgery procedures per rotation –19 (and as high as 54)

Highest number of Operative procedures at a site for one rotation – 175

Highest number of Oral Surgery procedures at a site for one rotation – 122

Procedure numbers

Class of 2008Average number of Operative procedures per rotation -

59 (and as high as 101)

Average number of Oral Surgery procedures per rotation –20 (and as high as 38)

Highest number of Operative procedures at a site for one rotation – 138

Highest number of Oral Surgery procedures at a site for one rotation – 73

Procedure numbers

Mariposa CHC – Nogales, Arizona

ICSP Rotation Benefits For Site

The dental staff has the opportunity to share their expertise and experience.

The experience that the student receives at the site can be a very effective recruiting tool.

All revenue produced by the student is retained by the site.

The organization has the opportunity to be a partner with us in educating future dental professionals about cultural, societal and health issues unique to the community they serve.

Valley-Wide Health Systems – Alamosa, Colorado

ICSP Rotation Site Feedback Survey

ASDOH students contribute to our overallclinical operation.

Strongly Agree 54%Agree 16%Disagree 3%

ASDOH student are valued by our providers.Strongly Agree 71%Agree 29%

ASDOH student are valued by our staffand our administration.

Strongly Agree 61%Agree 34%Disagree 2%

ASDOH students are valued by thepatients and the community we serve.

Strongly Agree 50%Agree 50%

ASDOH students contribute to meeting ourorganizations mission and goals.


ASDOH and its students are seen as a potential source of providers.


Participation with ASDOH and its studentsis seen as a positive retention tool.

Strongly Agree 46%Agree 44%Disagree 2%Strongly Disagree 5%

Describe the fiscal impact of studentparticipation with your organization

Positive 39%Neutral 49%Negative 12%

Feedback Comments from CHC Sites

“By the way, the ASDOH student was FANTASTIC!!! My staff and patients fell in love with him. If he is any indication of the potential of the other students, this program will fulfill all the goals that were set out when the dental school was originally conceptualized. My experience with this student has been the most professionally fulfilling experience of my career so far.”

Partnership Health Center – Missoula, MT

“You really have done a great job of training these dental students!! Pass my compliments on to the faculty and the support staff at ASDOH. The two students we had both accepted information readily and went right to work seeing 8-15 patients a day without a problem.The first student was very fun to have “on board”, was very efficient and communicated well with all age groups. All the DA’s spoke to me and said, “We want this guy (as a provider).” He accepted a contract from us and will start this year. We will also send him to ortho training. We are very excited to have him join us!!!The second student was filled with plenty of great information – lots of biomaterials information, research data and had great clinical skills – our patients also loved it that he spoke Spanish!!! Incidentally, the endo crew at ASDOH will be proud of him. He did two RCT (start to finish) in just about one hour and 20 minutes…Rockin’ baby rockin” –such beautiful fills too!!!Thank you for having us as part of your faculty. We are proud to be associated with your University. Please feel free to share my words with anyone you choose. “

Hidalgo Medical Clinic – Lordsburg, NM

Interested sites submit a Site Application describing:

Organization and Clinical OperationPolicies, Procedures and Standards of CareRange of Services ProvidedPopulation ServedClinical Experience for the studentPlan for Housing

ICSP Site Selection

Most sites undergo a site visit to verify and document:

Organizational CommitmentPolicies, Procedures and Standards of CareAppropriateness of Facilities and Clinical Support Training and Calibration

ICSP Site Selection

Students are provided a description of all sites from the site applications

Students indicate their top 10 preferences

Assignments:Some pre-assignment is done based on individual needs or circumstancesRemaining assignments completed randomly by computer

ICPS Student Assignment to Sites

All External Faculty are credentialed as Adjunct Clinical Faculty via the same credentialing process as internal faculty

Re-credentialing occurs every 2 years

ICSP Faculty Credentialing

Elements of a Successful ICSP Site

Hosting the studentBeing prepared for the student when they arriveHousingOrganizational commitment

Keeping the student busyProviding a student scheduleProviding an assistantVaried procedures

Quality feedbackCommitment to teach and mentorTime for quality feedbackConcern for student progress

Feedback Comments from Students

“One of the areas in which I believe I improved the most was control of the high-speed hand piece. Being able to see over 150 patients and perform over 50 restorations gave me the repetitions needed to begin to feel comfortable controlling an instrument with so much power. After only a couple of weeks, I found myself not needing to think about where I needed to place my fulcrum for comfort and control, my hand just went where it needed to be. Additionally, my confidence rose to where I was not hesitant to remove structure, I knew I had control and just did what I needed to do.

Overall, I believe that I learned more in one month during my rotation than I would have learned during one whole semester. The beautiful thing about it is that I have 4 more rotations this year. I can’t wait.”

Inscription House – Shonto, AZ

“Being at the Inscription House, which is located about an hour from Kayenta, I am surprised at how this health center has built its own community. 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. Could I as a dentist choose to live and work in a place like this? I found that working in a community like this is an actual possibility for me.I discovered this when I went for a walk with the IHHC dental clinic director, Dr. Samaddar. Talking with her I learned that there is so much beauty in places like Inscription House. What makes the clinic work and makes your home comfortable are the people in these small communities, people that are there because they want to be there to serve and to enjoy learning about others and the environment. “

Yukon-Kushkokwim Health Corp. – Bethel, AK

National and Licensing Board Pass RatesNBDE Part II Exam

Class First Time Pass Rate Percent Passed ASDOH Average

National Average

2008 93% 100% (Passed by 7.08) 84.5 80.92007 91% 100% (Passed by 3.08) 82.8 80.9Western Regional Examining Board (WREB) Exam

2008 96%* n/a n/a n/a

2007 94% 100% n/a n/a

*100 % pass on all clinical portions of WREB. The two failures were in written and bench top portions of exam.

Class of 2007 Graduation Survey

Plans after graduation:Did not know 21%Specialty or Residency Training 20%Directly into practice/ employment 62%

Directly into practice/ employmentPrivate or group practice 21%Military 8%Community/ Public Health 33%

FQHC 19%FQHC P.T. 4%Other Pub Health 2%IHS 8%

Class of 2007 1 year post-graduate Survey

20 07 Graduates (38%) responded to phone survey.

Specialty or Residency Training 6 (30%)

Dental Practice or Employment 14 (70%)Private Practice 5 (36%)

Public or Community Health 9 (64%)Local Government 2 (22%)CHC/ FQHC 3 (33%)Other Non-Profit 2 (22%)IHS 2 (22%)

Class of 2008 Graduation SurveyPlans after graduation:

Did not know 6%Specialty or Residency Training 32%Directly into practice/ employment 62%

Directly into practice/ employmentPrivate or group practice 38%Hospital 15%University 4%Military 11%Other 2%Community/ Public Health 30%

FQHC 24%IHS 4%Local govmt 2%

There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in it success, than to take the lead in the introduction of a new order of things –because the innovator has for enemies all those who have done well under the old conditions …. but only lukewarm defenders in those who may do well under the new .

Niccolo Machiavelli

Wayne W. Cottam DMD, MSAssociate Dean for Community PartnershipsArizona School of Dentistry & Oral Health

[email protected]

arizona school of dentistry & oral health · dentistry in the community (service learning...

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