portraits of assessment: redesigning geriatric curriculum ... · 3. risk assessment/ risk reduction...
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Portraits of Assessment: Redesigning Geriatric Curriculum in a Practice Management Setting
Presented by ADEA Sections on Gerontology and Geriatrics Education
and Practice Management
Program PresentationModerator:
Marcia M. Ditmyer, PhD, CHESIntroduction
Mildred McClain, PhDPresentation of Competencies:
Connie Mobley, PhD, RDGlobal Picture: State of Geriatric Education Curriculum
Georgia Dounis, DDS, MSAssessment Strategies and Redesigning Curriculum:
Marcia M. Ditmyer, PhD, CHES
IntroductionShift in patient demographics over the past decade bringabout a need for changes in dental education curriculum
“The life span of any civilization can be measured by therespect and care that is given to its elderly citizens, and those societies which treat the elderly with contempt have the seeds of their own destruction within them."
Arnold Joseph Toynbee
IntroductionUnited States will rise to 438 million in 2050, from 296 million in 2005.
According to US Census Bureau projections, the elderly population will more than double between 2000 and 2030, growing from 35 million to over 70 million.
Much of this growth is attributed to the "baby boom“generation which will enter their elderly years between 2010 and 2030..
IntroductionStudents need training to be able to support the elderly population which will more than double by the middle of the next century.
Because of improved health of the elderly, this population is also more likely to retain their teeth than were their predecessors, so they will require increased and different future dental services.
Prepared by the UNC Institute on Aging
The Graying of AmericaPercent of Total U.S. Population over 65 in 2000
Source of data: U.S. Census Bureau, State Interim Projections by Age and Sex: 2004-2030, 2005.
Prepared by the UNC Institute on Aging
The Graying of AmericaPercent of Total U.S. Population over 65 in 2030
Source of data: U.S. Census Bureau, State Interim Projections by Age and Sex: 2004-2030, 2005.
U.S. Population Pyramids
Source of charts: U.S. Census Bureau, “65+ in the United States: 2005,” December 2005.
2000 2020 2040
Prepared by the UNC Institute on Aging
Prepared by the UNC Institute on Aging
The Oldest Old The "oldest old" – those aged 85 and over – are the most rapidly
growing elderly age group.
The oldest old represented 12.1% of the elderly population in 2000 and 1.5% of the total population. In 2050, they are projected to be 24% of elderly Americans and 5% of all Americans.
Centenarians – those aged 100 or more – represent a small but growing number of elderly Americans. The 1990 census reported 37,000 centenarians, while Census 2000 reported 50,000 centenarians in the United States.
Increases in the Oldest OldU.S. Population Aged 85+ (in millions)
Source of data: U.S. Census Bureau, Americans with Disabilities: 2002, Current Population Reports, P70-107, May 2006.
Older Adults More Likely to Have DisabilitiesPercent of Americans with Disabilities (2002)
Source of data: U.S. Census Bureau, Americans with Disabilities: 2002, Current Population Reports, P70-107, May 2006.
Dental Needs of the ElderlyThe dental needs of the elderly are changing.
Patient management of older patients requires an understanding of both the medical and dental aspects of aging.
Other factors also need to be considered: – Ambulation– Independent living– Socialization– Sensory function
Dental Needs of the ElderlyMany barriers interfere with providing olderpatients dental care
– severe dental complexity– multiple medical conditions– diminished functional status– loss of independence– uninformed attitudes about dental care in old age – limited finances
Need for Geriatric EducationReferences Yellowitz J and Saunders MJ. The need for geriatric dental
education. Dent Clin North Am 1989;1:11-15. Kress GD and Vidmar GC. Critical skills assessment for the
treatment of geriatric patients. Spec Care Dent 1985;5(3):127-9. Ettinger RM. Geriatric dental curricula and the needs of the
elderly. Presented at the symposium on clinical Geriatric Dentistry: Biomedical and Psychosocial Aspects, June 1983.
World Health Organization Working Panel on Professional Training. The sociology of professional training and health manpower: summary report. Geneva: World Health Organization, 1972.
Presentation of Competencies:
Connie Mobley, PhD, RD
Current core competencies in geriatrics and practice management
Patient care: assessment diagnosis and treatment planning
Competency 6.1 Manage the oral health care of the (Independent, dependent, and frail) older adults as well as the unique needs of women, geriatric and special needs patients.
Elements of Core Competency 6.1 Manage the oral health care unique needs of geriatric
patients. 6.2 Prevent, identify, and manage trauma, oral diseases,
and other disorders.6.3 ASSESSMENT
6.4 DIAGNOSIS
6.186.5 Recognize the manifestations of systemic disease and how the disease and its management may affect the delivery of dental care.
6.6 TREATMENT PLAN
Psychological/sociological/behavioral principles Knowledge of: 1. Special needs associated with cognitive and physical
changes in aging 2. Psychology of Aging 3. Art and Science of tailoring Communication and
Counseling techniques to the needs of aging populations 4. Effect of the dynamics among social, environmental, and
economic factors and changing behavior 5. Social, community and federal programs to assist aging
individuals in achieving quality of life
Psychological/sociological/behavioral skills Skills in: 1. Communication sensitive to patient cognitive, physical &
sensory impairment; possible care provider relationships; home environment; social financial status; etc.
2. Behavior modification, counseling and tailored patient education
3. Interdisciplinary treatment planning and referral to address multifaceted needs of elderly patients
Biomedical/ Applied Sciences
Knowledge of: 1. Biology of aging 2. Physiological & systemic consequences of
aging 3. Synergy between systemic conditions and
oral health status 4. Oral manifestations of aging
Biomedical/ Applied Sciences
Skills in: 1. Assessment of physical status 2. Screening techniques used to identify co-
morbidities associated with oral health status 3. Discriminating oral manifestations of aging
Preclinical Concepts/Techniques
Knowledge of: 1. Diagnostic procedures for determining medical, mental, and physical
status of elderly 2. Clinical indices for medical and extra and intraoral diseases/conditions 3. Risk Assessment/ Risk Reduction protocols for medical and dental
diseases (medication, diet, oral hygiene behavior) 4. Pathology and intervention of dental caries in aging 5. Pathology and intervention of oral soft tissue diseases, including oral
disease secondary to medical diseases/conditions 6. Publicly financed health care delivery for the elderly
Preclinical Concepts/Techniques
Skill in: 1. Comprehensively assessing medical and extra and intraoral health
status of aging patients 2. Conducting Risk Assessment protocols and developing risk reduction
treatment plans for the elderly that include diet and oral hygiene counseling and instruction
3. Identifying relevant pathology (medical and dental) associated with dental diseases
4. Providing dental treatment as appropriate and sensitive to the special needs of the elderly
5. Providing appropriate referral and follow-up to elderly patients to support their quality of life
Global Picture: State of the Geriatric Education Curriculum
Georgia Dounis, DDS, MS
Pre-doctoral Geriatric Dentistry Curriculum Content – Assessment of Current Status
Pan American—US, Brazil, Canada EU27 Australia China
U.S. Dental SchoolsIn 2001 All schools taught some aspect of geriatric
dentistry 2% did not have curriculum that requires
didactic material
Mohammad AR, Preshaw PM, Ettinger RL. Current Status of Predoctoral Geriatric Education in US Dental Schools. J Dent Edu 2001; 67(5):509-14
US: Format used to teach geriatric dentistry
Mohammad AR, Preshaw PM, Ettinger RL. Current Status of Predoctoral Geriatric Education in US Dental Schools. J Dent Edu 2001; 67(5):509-14
US: pre-doctoral education didactic content
Medical conditions Barriers to dental care Oral and dental changes associated
with aging Psychosocial problems Oral manifestations of systemic
disease Socioeconomic problems Oral management of healthy elderly Diagnosis and management of oral
conditions Demographic distributions of the
elderly Aging and theories of aging
Prosthetic management Oral management of frail elderly Nutritional problems Oral management of
home/institutionalized/hospital Visual and auditory loss in the elderly Modifications of standard techniques Neurological considerations Adaptation/learning Home care Geriatric assessment Other topics
Mohammad AR, Preshaw PM, Ettinger RL. Current Status of Predoctoral Geriatric Education in US Dental Schools. J Dent Edu 2001; 67(5):509-14
Mohammad AR, Preshaw PM, Ettinger RL. Current Status of Predoctoral Geriatric Education in US Dental Schools. J Dent Edu 2001; 67(5):509-14
US: Program Director Expertise 37% no particular person in charge 63% had a geriatric program director
– 45% schools - teaching was directors sole responsibility– 18% schools - multidisciplinary team responsibility
Program director’s training and/or specialty• 36% Formal geriatric training• 48% Prosthodontist• 2% Oral Medicine
Departments responsible for teaching geriatric dentistry
Brazil Demographics Population 195,423 thousands 14.5 million (8.6%) population are over the age of 60. By 2025 projected that this number will double to 33.2
million By 2050 the older population expected to triple
Hebling E, Mugayar L, Vendriamini Dias P. Geriatric Dentistry: a new specialty in BrazilGerodontology 2007;24:177-180United Nations Population Division. World population prospects 2008: United Nations Population Division Department of Economic and Social Affairs
Brazil
104 dental schools surveyed Survey of senior dental students Survey of course coordinator
– 64 dental schools replied to the survey
de Lima Saintrain MV, de Souza EH, de Franca Caldas Junior A. Geriatric dentistry in Brazilian universities. Gerodontology 2006;23:231-236.
Brazil: Coordinators reply
Yes Due to be implemented
No
Is Geriatric dentistry offered as a subject?
25 22 17
Is an extension course in geriatric dentistry offered ?
16 21 27
de Lima Saintrain MV, de Souza EH, de Franca Caldas Junior A. Geriatric dentistry in Brazilian universities. Gerodontology 2006;23:231-236.
Brazil: School coordinators
de Lima Saintrain MV, de Souza EH, de Franca Caldas Junior A. Geriatric dentistry in Brazilian universities. Gerodontology 2006;23:231-236.
Dental students who responded
41%
14%14%
29%
7.30%
Geriatric dentistry subject incorporated in curriculum
Prosthodontics
Special care discipline
Preventative/Social Dentistry
Periodontics, Endodontics, Restorative Dentistry
Individual geriatric dentistry
de Lima Saintrain MV, de Souza EH, de Franca Caldas Junior A. Geriatric dentistry in Brazilian universities. Gerodontology 2006;23:231-236.
Canada Demographics Current population 33,890 thousands
– 14.1% of population is over 65 years of age– 3.9% of population is over 80years of age
By 2025 population 38,659 thousands– 20.5% of population will be over 65years of age– 4.9% of population will be over 80 years of age
By 2050 population 44,414 thousands– 25.5% will be over 65 years of age
United Nations Population Division. World population prospects 2008: United Nations Population Division Department of Economic and Social Affairs
Canada:22% of Schools had specific course or series of courses33% of Schools required didactic geriatric dentistry course
Saunders RH, Yellowitz JA, Dolan TA, Smith BJ. Trends in Predoctoral Education in Geriatric Dentistry. J Dent Educ 1998: 62(4);314-18
EU27Demographics
By 2060 30% of Europeans will be over the age 65 61.4 million Europeans will be over 80 years of age Challenges EU: limited training of the pre-doctoral
dental student regarding elderly oral care
Preshaw PM, Mohammad AR. Geriatric dentistry education in European dental schools. Eur J Dent Educ 2005;9:73-77.
EU:194 Schools invited complete survey Albania Austria Belarus Belgium Croatia Czech
Republic Denmark Estonia Finland France
Portugal Romania Russia Slovakia Spain Sweden Switzerland The Netherlands Turkey United Kingdom Yugoslavia
Completed by 82 schools in 27 countries
Greece Hungary Germany Iceland Ireland Italy Latvia Lithuania Malta Norway Poland
Preshaw PM, Mohammad Geriatric dentistry education in European dental schools. Eur J Dent Educ 2005;9:73-77.
EU: Format of teaching
82% schools required geriatric dentistry 18% schools - geriatric dentistry was an elective
Preshaw PM, Mohammad AR. Geriatric dentistry education in European dental schools. Eur J Dent Educ 2005;9:73-77.
EU: Topics covered
Oral management of frail elderly Socio-economic problems in
elderly Prosthetic management:
neurological considerations Barriers to dental care Prosthetic management:
copy/replica denture technique Oral management of
institutionalized elderly Visual/auditory loss in the elderly Home care and use of portable
equipment Geriatric assessment scales
Oral manifestations of systemicdisease
Diagnosis and management of oralconditions
Medical problems in the elderly Age changes in oral/dental tissues Oral management of the healthy
elderly Psychosocial problems Demographic distribution of elderly Prosthetic management:
adaptation and learning Theories of ageing Nutritional problems in elderly Prosthetic management –
modification of techniques
Preshaw PM, Mohammad AR. Geriatric dentistry education in European dental schools. Eur J Dent Educ 2005;9:73-77.
EU: Program directed
28% had a geriatric program director– 14% had formal training– 45% were Prosthodontists– 4% were Oral medicine Specialist– 37% had combination training
64% taught in Prosthodontic Department 23% taught content in Preventative Dentistry 13% taught content in Comprehensive Care
Preshaw PM, Mohammad AR. Geriatric dentistry education in European dental schools. Eur J Dent Educ 2005;9:73-77.
Geriatric Dental Curriculum in 3 Countries
Australia demographics Population (millions) 21.5 Life expectancy(years) 82.2 By 2030
– Over 20% of the population will be 65+ years of age– (6%) of the population will be over the age of 80
United Nations Population Division. World population prospects 2008: United Nations Population Division Department of Economic and Social AffairsChalmers JM. Geriatric oral health issues in Australia. International Dental Journal (2001) 51: 188-199.
Australian geriatric dental education No registered specialty in geriatric dentistry in Australia Geriatric dental education in most states was limited to
theoretical teaching with a strong Prosthodontic focus 1990’s University of Sydney, Melbourne, Queensland and
Adelaide attempted to integrate a clinically oriented geriatric/specialty care dentistry curriculum
No formal postdoctoral education in geriatric dentistry available in Australia
Chalmers JM. Geriatric oral health issues in Australia. International Dental Journal (2001) 51: 188-199.
Demographics China Population over 1.3 billion people
– 8.2% is over the age of 65– 1.4% is over the age of 80
By 2025– 13.4% population will be over 65 years of age – Over 2% of population will be over 80 years of age
By 2050– 23.3% population will be over 65 years of age– 7.2% population will be over 80 years of age
United Nations Population Division. World population prospects 2008: United Nations Population Division Department of Economic and Social Affairs
Dental education in China
No report of geriatric dentistry training in China
Most dental education is didactic with limited improvement in clinical teaching methods.
Fu Y, Ling J, Jang B, Yin H. Perspective on dental education in mainland China. Int Dent J 2006; 56: 265-71.
Assessment Strategies and Redesigning Curriculum:
Marcia M. Ditmyer, PhD, CHES
Geriatric Dentistry in the Curriculum: Assessment Strategies and Curriculum Mapping
Assessing curriculum…what areas of geriatric dentistry are missing or redundant in practice management curriculum.
Strategies for retooling practice management curriculum to meet the challenges that face us in Geriatric Dentistry
53
Steps for Retooling Existing Curriculum Rubric design to assess curriculum Survey and Focus groups Curriculum mapping Redesign curriculum Evaluate and follow-up
Curriculum Assessment
Curriculum assessment is a process of gathering and analyzing information from multiple sources in order to improve student learning in sustainable ways.
Why Conduct Curriculum AssessmentCurriculum assessment can serve several major purposes:
– To identify aspects that work and those that do not– To demonstrate the effectiveness of the current program– To asses effectiveness of changes– To meet regular program review requirements– To satisfy professional accreditations (CODA, Regional
Accreditation, etc.)
How should information be used?
Curriculum/Course Design Curriculum/Course Delivery Assessment Learning Environment
Information Sources
Students (applicants, undergrads, grads, alumni) Faculty (Full and Part-time) Staff Employers (Dental Community) Professional Associations (certification/accrediting
bodies) Colleagues from similar programs elsewhere
Feedback Methods
Opinion Gathering (Surveys, Focus Groups, Interviews, Departmental Meetings/Retreats, etc.)
Testing (Written, demonstration, pre-post, etc.) Content (journals, concept mapping, assignments,
exams Experts (tours, external reviewers, etc.) Archives (course outlines, evaluations, grades,
reports, etc.)
Replacement Model
Curriculum mapping is not something you add to what you already do. It is a replacement model that means learning a new way of conducting the professional business of teachers improving student learning by designing rigorous, vertically aligned curriculum.
Curriculum Mapping
An ongoing, calendar-based process involving teacher-designed operational and planned-learning curriculum, collaborative inquiry, and data-driven decision making
A technique for exploring the primary elements of curriculum:– What is taught– How instruction occurs– When instruction is delivered
First Steps…Getting Started Formulate an Assessment/Mapping Committee Does the school you want to undertake this? Why?, To what
extent?, What are the goals?, What are the costs? Create a mapping tool or investigate purchasing a mapping
tools - select one. Who design, make the decisions, complete data entry, monitor
and update? What is a reasonable timeline? What professional development
is needed?
Curriculum Review
Should be conducted annually for ever discipline and every grade
Course Name Semester Taught
Current Credits
Awarded
Credit Change
Actual Contact Hours
Reported Contact Hours
Reported Lab Hours
Cariology Fall 2 3 28 28Oral and Systemic Manifestations of Disease Spring 4 56 56Pharmacological Concepts Spring 3 4 42 65Pathological Concepts Fall 4 6 62 62Clinically Oriented Anatomy Spring 2 3 70 58Oral Cancer Fall 2 28 28Principles of Endodontics Lecture Spring 1 14 24Applied Dental Materials I Fall 1 15 13Principles of Endodontics Lab Spring 2 42 32Introduction to Dental Implants Summer 2 82Oral Surgical Principles and Techniques Spring 2 14 18Pharmacotherapeutics I: Prescribing Medication Summer 1
14 14Panoramic Principles and Advanced Radiographic Anatomy
Fall 128 21
Orthodontics Summer 3 56 47.5Restorative Dentistry: Removable Prosthodontics
Spring 356 65
Pediatric Dentistry Principals & Techniques Summer 2 56 25Intro to Periodontal Diagnosis and Initial Therapy
Fall 360 49
UNLV School of Dental Medicine Assessment Alignment Matrix June 2008DS1 Course Alignment
DS2 Course Alignment
DS3 Course Alignment
DS4 Course Alignment
Standard No.
CODA Standards ADEA Domain
ADEA Proposed Competencies
SDM Comp Domain & No. SDM Competencies DS1
FallDS1
SpringDS1 Sum
DS2 Fall
DS2 Spring
DS2 Sum
DS3 Fall
DS3 Spring
DS3 Sum
DS4 Fall
DS4 Spring
BIOMEDICAL SCIENCES2-12 Biomedical science
instruction in dental education must ensure an in-depth understanding of basic biological principles, consisting of a core of information on the fundamental structures, functions and interrelationships of the body system
6. Patient Care
6.3. Recognize the manifestations of systemic disease and how the disease and its management may affect the delivery of dental care.6.14. Prevent, idenitfy, and manage pulpal and periradicular diseases.
4. Evaluate, diagnose and perform treatment planning for individual patients of all ages
4.02. Establish differential, provisional and/or definitive diagnoses
DEN 7101; DEN 7102; DEN 7109; DEN 7112; DEN 7120; DEN 7123; DEN 7124; DEN 7125; DEN 7140;DEN 7154; DEN 7510
DEN 7101; DEN 7108; DEN 7109; DEN 7110; DEN 7502; DEN 7121; DEN 7133; DEN 7136; DEN 7140
DEN 7111; DEN 7122; DEN 7129; DEN 7130; DEN 7137; DEN 7138; DEN 7139; DEN 7140; DEN 7152;DEN 7159
DEN 7200; DEN 7204; DEN 7208; DEN 7220; DEN 7223; DEN 7240; DEN 7241; DEN 7242; DEN 7251; DEN 7512
DEN 7201; DEN 7203; DEN 7205; DEN 7233; DEN 7236; DEN 7240; DEN 7241; DEN 7242;DEN 7512
DEN 7226; DEN 7228; DEN 7229; DEN 7230; DEN 7235; DEN 7240; DEN 7241; DEN 7242
DEN 7320; DEN 7321; DEN 7324; DEN 7326; DEN 7340; DEN 7514
DEN 7327; DEN 7328; DEN 7329; DEN 7340; DEN 7355
DEN 7506;DEN 7325; DEN 7333; DEN 7340
DEN 7425; DEN 7440;DEN 7455
DEN 7740; DEN 7455
2-13 The biomedical knowledge base must emphasize the oro-facial complex as an important anatomical area existing in a complex biological interrelationship with the entire body.
6. Patient Care
6.3. Recognize the manifestations of systemic disease and how the disease and its management may affect the delivery of dental care.6.14. Prevent, idenitfy, and manage pulpal and periradicular diseases.
4. Evaluate, diagnose and perform treatment planning for individual patients of all ages9. Treat or manage oral mucosal. Bone, and temporomandibular disorders.10. Perform uncompliated oral hard and soft tissue surgical procedures.
4.02. Establish differential, provisional and/or definitive diagnoses9.01. Identify the clinical features of oral mucosal diseases and disorders.10.04. Recognize complex conditions requiring surgical intervention(s) and explain their management.
DEN 7101; DEN 7102; DEN 7109; DEN 7112; DEN 7120; DEN 7123; DEN 7124; DEN 7125; DEN 7140;DEN 7154; DEN 7510
DEN 7101; DEN 7108; DEN 7109; DEN 7110; DEN 7502; DEN 7121; DEN 7133; DEN 7136; DEN 7140
DEN 7111; DEN 7122; DEN 7129; DEN 7130; DEN 7137; DEN 7138; DEN 7139; DEN 7140; DEN 7152;DEN 7159
DEN 7200; DEN 7204; DEN 7208; DEN 7220; DEN 7223; DEN 7240; DEN 7241; DEN 7242; DEN 7251; DEN 7512
DEN 7201; DEN 7203; DEN 7205; DEN 7233; DEN 7236; DEN 7240; DEN 7241; DEN 7242;DEN 7512
DEN 7226; DEN 7228; DEN 7229; DEN 7230; DEN 7235; DEN 7240; DEN 7241; DEN 7242
DEN 7320; DEN 7321; DEN 7324; DEN 7326; DEN 7340; DEN 7514
DEN 7327; DEN 7328; DEN 7329; DEN 7340; DEN 7355
DEN 7506;DEN 7325; DEN 7333; DEN 7340
DEN 7425; DEN 7440;DEN 7455
DEN 7740; DEN 7455
2-14 In-depth information on abnormal biological conditions must be provided to support a high level of undestanding of the etiology, epidemiology, differential diagnosis, pathogenesis, prevention, treatment, and prognosis or oral and oral-related disorders.
6. Patient Care
6.3. Recognize the manifestations of systemic disease and how the disease and its management may affect the delivery of dental care.6.12. Recognize and manage developmental or acquired occusal abnormalities6.14. Prevent, idenitfy, and manage pulpal and periradicular diseases.
4. Evaluate, diagnose and perform treatment planning for individual patients of all ages9. Treat or manage oral mucosal. Bone, and temporomandibular disorders.10. Perform uncompliated oral hard and soft tissue surgical procedures.
4.02. Establish differential, provisional and/or definitive diagnoses9.01. Identify the clinical features of oral mucosal diseases and disorders.10.04. Recognize complex conditions requiring surgical intervention(s) and explain their management.
DEN 7101; DEN 7102; DEN 7109; DEN 7112; DEN 7120; DEN 7123; DEN 7124; DEN 7125; DEN 7140;DEN 7154; DEN 7510
DEN 7101; DEN 7108; DEN 7109; DEN 7110; DEN 7502;DEN 7121; DEN 7133; DEN 7136; DEN 7140
DEN 7111; DEN 7122; DEN 7129; DEN 7130; DEN 7137; DEN 7138; DEN 7139; DEN 7140; DEN 7152;DEN 7159
DEN 7200; DEN 7204; DEN 7208; DEN 7220; DEN 7223; DEN 7240; DEN 7241; DEN 7242; DEN 7251; DEN 7512
DEN 7201; DEN 7203; DEN 7205; DEN 7233; DEN 7236; DEN 7240; DEN 7241; DEN 7242;DEN 7512
DEN 7226; DEN 7228; DEN 7229; DEN 7230; DEN 7235; DEN 7240; DEN 7241; DEN 7242
DEN 7320; DEN 7321; DEN 7324; DEN 7326; DEN 7340; DEN 7514
DEN 7327; DEN 7328; DEN 7329; DEN 7340; DEN 7355
DEN 7506;DEN 7325; DEN 7333; DEN 7340
DEN 7425; DEN 7440;DEN 7455
DEN 7740; DEN 7455
UNLV School of Dental Medicine Assessment Alignment Matrix June 2008DS1 Course Alignment
DS2 Course Alignment
DS3 Course Alignment
DS4 Course Alignment
Standard No.
CODA Standards ADEA Domain
ADEA Proposed Competencies
SDM Comp Domain & No. SDM Competencies DS1
FallDS1
SpringDS1 Sum
DS2 Fall
DS2 Spring
DS2 Sum
DS3 Fall
DS3 Spring
DS3 Sum
DS4 Fall
DS4 Spring
Behavioral and Practice Management2-16Graduates must be
competent in the application of the fundamental principles of behavioral sciences as they pertain to patient-centered approaches for promoting, improving and maintaining oral health.
3. Communication and Interpersonal Skills4. Health Promotion
3.2 Apply psychosocial and behavioral principles in patient-centered health care. 4.1 Provide appropriate prevention, intervention, and educational strategies. 4.2 Participate with other health care professionals in the management and health promotion for all patients.
3. Promote oral and systemic health in individual patients and the community
3.01 Identify services available to promote oral health and assess the individual and community access to these services3.02 Demonstrate methods of educating and motivating patients in the etiology and prevention of oral diseases
DEN 7157; DEN 7160; DEN 7140
DEN 7509;DEN 7161; DEN 7136; DEN 7140
DEN 7140 DEN 7200; DEN 7204; DEN 7208;DEN 7223; DEN 7240;DEN 7512; DEN 7252
DEN 7203; DEN 7223; DEN 7236; DEN 7240;DEN 7512
DEN 7235; DEN 7240
DEN 7340 DEN 7340 DEN 7506; DEN 7340; DEN 7354
DEN 7440; DEN 7452; DEN 7454; DEN 7455
DEN 7440; DEN 7450
2-17Graduates must be competent in managing a diverse patient population and have the interpersonal and communications skills to function successfully in a multicultural work environment.
3. Communication and Interpersonal Skills4. Health Promotion6. Patient Care
3.1 Apply appropriate interpersonal and communication skills. 3.3 Communicate effectively with patients from diverse populations.4.3. Recognize and appreciate the need to contribute to the improvement of oral health beyond those served in traditional practice settings.6.7. Manage the pediatric, adolescent, adult, geriatric and the special needs patient and prevent, identify, and manage trauma, oral diseases, and disorders in these patients.
3. Promote oral and systemic health in individual patients and the community
3.03 Communicate with diverse and special populations.
DEN 7157; DEN 7160; DEN 7140
DEN 7509;DEN 7161; DEN 7136; DEN 7140
DEN 7140 DEN 7200; DEN 7204; DEN 7208;DEN 7223; DEN 7240;DEN 7512; DEN 7252
DEN 7203; DEN 7223; DEN 7236; DEN 7240;DEN 7512
DEN 7235; DEN 7240
DEN 7340 DEN 7340 DEN 7506; DEN 7340; DEN 7354
DEN 7440; DEN 7452; DEN 7454; DEN 7455
DEN 7440; DEN 7450
2-18 Graduates must be competent in evaluating different models of oral health care management and delivery.
5. Practice Management and Informatics
5.2. Evaluate and manage different models of oral health care management and delivery
3. Promote oral and systemic health in individual patients and the community
3.01. Identify serciesavailable to promote oral health and assess the individual and community access to these services.
DEN 7340 DEN 7340 DEN 7506; DEN 7340; DEN 7354
DEN 7440; DEN 7452; DEN 7454; DEN 7455
DEN 7440; DEN 7450
DEN 7340 DEN 7340 DEN 7506; DEN 7340; DEN 7354
DEN 7440; DEN 7452; DEN 7454; DEN 7455
DEN 7440; DEN 7450
DEN 7340
UNLV School of Dental Medicine Assessment Alignment Matrix June 2008DS1 Course Alignment
DS2 Course Alignment
DS3 Course Alignment
DS4 Course Alignment
Standard No.
CODA Standards ADEA Domain ADEA Proposed Competencies
SDM Comp Domain & No. SDM Competencies DS1
FallDS1
SpringDS1 Sum
DS2 Fall
DS2 Spring
DS2 Sum
DS3 Fall
DS3 Spring
DS3 Sum
DS4 Fall
DS4 Spring
Clini Clinical Sciences2-25(a)
patient assessment and diagnosis;
1. Critical Thinking5. Practice Management and Informatics6. Patient Care
1.1 Evaluate and assess emerging trends in health care. 1.2 Utilize critical thinking and problem solving skills in patient care. 5.2 Evaluate and manage different models of oral health care management and delivery. 5.3 Apply principles of risk management, including informed consent and appropriate record keeping in patient care.6.1. Obtain and interpret patient data and use these findings to accurately assess and manage patients.6.10. Develop and implement stratagiesfor the clinical assessment and management of caries.
4. Evaluate, diagnose and perform treatment planning for individual patients of all ages.11. Diagnose and manage malocculusion and occlusaldisorders.15. Evaluate the outcomes of treatment provided by themselves and others.
4.01. Obtain/perform and record a comprehensive history, examination of orofacialstructures and appropriate diagnostic tests.4.02. Establish differential, provisional and/or definitive diagnoses. 11.01. Assesssthe function of the masticatorysystem.11.02. Evaluate and maintain the oral health of patients undergoing orthodontic treatment.15.00. Evaluate the outcomes of treatment provided by themselves and others.
DEN 7101; DEN 7102; DEN 7109; DEN 7112; DEN 7123; DEN 7124; DEN 7125; DEN 7140;DEN 7154; DEN 7510
DEN 7101; DEN 7108; DEN 7109; DEN 7110; DEN 7501; DEN 7121; DEN 7133; DEN 7136; DEN 7140
DEN 7111; DEN 7502; DEN 7122; DEN 7129; DEN 7130; DEN 7137; DEN 7138; DEN 7139; DEN 7140; DEN 7152;DEN 7159
DEN 7200; DEN 7201; DEN 7240; DEN 7241; DEN 7242; DEN 7512
DEN 7204; DEN 7205; DEN 7240; DEN 7241; DEN 7242;DEN 7252; DEN 7512
DEN 7235; DEN 7240; DEN 7241; DEN 7242
DEN 7320; DEN 7340; DEN 7514
DEN 7327; DEN 7340; DEN 7350;DEN 7355
DEN 7506;DEN 7325; DEN 7340
DEN 7425; DEN 7440; DEN 7442;DEN 7455
DEN 7740; DEN 7455
67
CODA Standard
ADEA Domain SDM Competency Measures How to Measure When to Measure Who Will
Measure Data Analysis Results/Outcome Distribution Status
Biomedical Sciences2-12 6. Patient Care 4. Evaluate, diagnose and
perform treatment planning for individual patients of all ages
1. Questions embedded in classroom exams and assessments 2. Course projects, papers and presentations and/or3. Course examinations
1. Course grades: classroom examination scores and grades from classroom asignments2. Review by Student Progress Committee
1. Course Grades are reviewed at the end of each semester2. Progress committee meets at the end of each semester
1. Course Director 2. Progress Committee
Descriptive Statistics; Trend Analyses; Kappa Statistics for calibration of examiners
1. Reports submitted to executive committee of SDM2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum 2-13 6. Patient Care 4. Evaluate, diagnose and
perform treatment planning for individual patients of all ages9. Treat or manage oral mucosal. Bone, and temporomandibular disorders.10. Perform uncompliated oral hard and soft tissue surgical procedures.
1. External tests with national norms (National Board, Part 1 and Part 2)2. Successful completion of clinical competencies3. Skill simulations4. Questions embedded in classroom exams and assignments
1. National Board Review Scores: Part 1 and Part 22. Course grades: skill simulation course completion grades, competency grades, and classroom exams and assignments3. Group evaluation of Faculty within Team; Review by Student Progress Committee
1. When students take the National Boards, Part 1 is taken in summer between DS2 and DS3. Part 2 is taken in the Spring of DS4 year. 2. Scores of simulations and types of exams and assignments3. Team Leader submission of student evaluations at middle and end of each semester
1. Scores received from Nevada State Board2. Course Directors3. Team Leaders
2-14 6. Patient Care 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages9. Treat or manage oral mucosal, bone, and temporomandibular disorders.10. Perform uncompliated oral hard and soft tissue surgical procedures.
1. External tests with national norms (National Board, Part 1 and Part 2)2. Successful completion of clinical competencies3. Skill simulations4. Questions embedded in classroom exams and assignments
1. National Board Review Scores: Part 1 and Part 22. Course grades: skill simulation course completion grades, competency grades, and classroom exams and assignments3. Group evaluation of Faculty within Team; Review by Student Progress Committee
1. When students take the National Boards, Part 1 is taken in summer between DS2 and DS3. Part 2 is taken in the Spring of DS4 year. 2. Scores of simulations and types of exams and assignments3. Team Leader submission of student evaluations at middle and end of each semester
1. Scores received from Nevada State Board2. Course Directors3. Team Leaders
2-15 1. Critical Thinking5. Practice Mgt and Informatics
2. Access, evaluate, and incorporate into practice new knowledge, techniques, and materials
1. Questions embedded in classroom exams and assessments 2. Course projects, papers and presentations and/or3. Course examinations
1. Course grades: classroom examination scores and grades from classroom asignments2. Review by Student Progress Committee
1. Course Grades are reviewed at the end of each semester2. Progress committee meets at the end of each semester
1. Course Director 2. Progress Committee
Practice Management2-18 5. Practice Mgt
and Informatics
3. Promote oral and systemic health in individual patients and the community
1. Questions embedded in classroom exams and assignments2. Portfolios3. Evaluations from community members on presentations and program implementation
1. Course grades: classroom examination scores and grades from classroom asignments2. Review by Student Progress Committee
1. Course Grades are reviewed at the end of each semester2. Progress committee meets at the end of each semester
1. Course Director 2. Progress Committee
Descriptive Statistics; Trend Analyses; Kappa Statistics for calibration of examiners
1. Reports submitted to executive committee of SDM2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum
2-19 4. Health Promotion5. Practice Mgt and Informatics
3. Promote oral and systemic health in individual patients and the community
1. Questions embedded in classroom exams and assignments2. Portfolios3. Evaluations from community members on presentations and program implementation
1. Course grades: classroom examination scores and grades from classroom asignments2. Review by Student Progress Committee
1. Course Grades are reviewed at the end of each semester2. Progress committee meets at the end of each semester
1. Course Director 2. Progress Committee
Ethics & Professionalism2-20 2.
Professionalism
1. Understand and apply ethical codes and laws and regulations governing dentistry.
1. Questions embedded in classroom exams and assessments 2. Course projects, papers and presentations and/or3. Course examinations
1. Course grades: classroom examination scores and grades from classroom asignments2. Review by Student Progress Committee
1. Course Grades are reviewed at the end of each semester2. Progress committee meets at the end of each semester
1. Course Director 2. Progress Committee
Descriptive Statistics; Trend Analyses; Kappa Statistics for calibration of examiners
1. Reports submitted to executive committee of SDM2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum
2-21 2. Professionalism
1. Understand and apply ethical codes and laws and regulations governing dentistry.
1. Questions embedded in classroom exams and assessments 2. Course projects, papers and presentations and/or3. Course examinations
1. Course grades: classroom examination scores and grades from classroom asignments2. Review by Student Progress Committee
1. Course Grades are reviewed at the end of each semester2. Progress committee meets at the end of each semester
1. Course Director 2. Progress Committee
2-22 1. Critical Thinking5. Practice Mgt and Informatics
2. Access, evaluate, and incorporate into practice new knowledge, techniques, and materials4. Evaluate, diagnose and perform treatment planning for individual patients of all ages.
1. Course projects, papers and presentations2. Course examinations3. Skill simulations4. Successful completion of clinical competencies5. External tests with national norms (National Board, Part 1 and Part 2)
1. Course grades: classroom examination scores and grades from classroom asignments2. Review by Student Progress Committee
1. Course Grades are reviewed at the end of each semester2. Progress committee meets at the end of each semester
1. Course Director 2. Progress Committee
68
CODA Standard
ADEA Domain SDM Competency Measures How to Measure When to Measure Data
Analysis Results/Outcomes Distribution Status
Biomedical Sciences2-12 6. Patient Care 4. Evaluate, diagnose and perform
treatment planning for individual patients of all ages
1. End of Course Student evaluations2. Faculty evaluations of courses3. Mid-program interviews (DS2/DS3)4. Exit interview5. Alumni Survey6. Employer survey7. Surveys of Supervisors of Community-based educational sites 8. Patient Satisfaction Surveys
1. Online Surveys2. Faculty/Course Surveys3. Face-to-face interviews4. Face-to-face interviews5. Phone interviews6. Mail or internet surveys7. Mail surveys8. Face-to-face interviews and surveys
1. End of each course2. Each course/faculty once year3. Summer between DS2 and DS34. May of DS4 year5. One year and Five years after graduation6. Every 2 years7. After each activity where a student participates8. Annually, but never the same time each year
Descriptive Statistics; Trend Analyses; Kappa Statistics for calibration of examiners
1. Reports submitted to executive committee of SDM2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum
2-13 6. Patient Care 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages9. Treat or manage oral mucosal. Bone, and temporomandibular disorders.10. Perform uncompliated oral hard and soft tissue surgical procedures.
2-14 6. Patient Care 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages9. Treat or manage oral mucosal. Bone, and temporomandibular disorders.10. Perform uncompliated oral hard and soft tissue surgical procedures.
2-15 1. Critical Thinking5. Practice Mgt and Informatics
2. Access, evaluate, and incorporate into practice new knowledge, techniques, and materials
Practice Management2-18 5. Practice
Mgt and Informatics
3. Promote oral and systemic health in individual patients and the community
1. End of Course Student evaluations2. Faculty evaluations of courses3. Mid-program interviews (DS2/DS3)4. Exit interview5. Alumni Survey6. Employer survey7. Surveys of Supervisors of Community-based educational sites 8. Patient Satisfaction Surveys
1. Online Surveys2. Faculty/Course Surveys3. Face-to-face interviews4. Face-to-face interviews5. Phone interviews6. Mail or internet surveys7. Mail surveys8. Face-to-face interviews and surveys
1. End of each course2. Each course/faculty once year3. Summer between DS2 and DS34. May of DS4 year5. One year and Five years after graduation6. Every 2 years7. After each activity where a student participates8. Annually, but never the same time each year
Descriptive Statistics; Trend Analyses; Kappa Statistics for calibration of examiners
1. Reports submitted to executive committee of SDM2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum
2-19 4. Health Promotion5. Practice Mgt and Informatics
3. Promote oral and systemic health in individual patients and the community
69
Clinical Sciences - Courses and Instructors Professional Studies - Courses and Instructors BioMedical Sciences - Courses and Instructors
Class Course # Course Name ProfessorSemester Class Course
# Course Name Professor Semester Class Course # Course Name Professor Semester
DS I 7120 Introduction to Infection Control Simmons Fall DS I 7140 General Clinic Streamline I Webberson Fall DS I 7101 Cellular & Molecular Concepts Davenport Fall
DS I 7123 Diagnosis and Treatment Planning I Simmons Fall DS I 7154 Health Care Delivery: Patient Record and HIPPA Regulations Webberson Fall DS I 7101 Cellular & Molecular Concepts Davenport Fall
DS I 7124 Dental Anatomy and Occlusion Lab Nelson Fall DS I 7157 Patient Communications and Cultural Compatability McClain Fall DS I 7102 Microbiological & Immunological Concepts Galbraith Fall
DS I 7125 Dental Anatomy and Occlusion Lecture Nelson Fall DS I 7160 Biostatistics in Oral Health Ditmyer Fall DS I 7108 HIV/AIDS & Oral Disease Galbraith Fall
DS I 7140 DSI General Dentistry Clinic Webberson Fall DS I 7510 Critical Thinking in Contemporary Health Care Ditmyer, Mobley, Zoller Fall DS I 7109 Head and Neck Anatomy Zoller Fall
DS I 7121 Principles of Clinical Dentistry: Operative Dentistry Woodall Spring DS I 7140 General Clinic Streamline II Webberson Spring DS I 7109 Head and Neck Anatomy Zoller Spring
DS I 7133 Principles of Clinical Dentistry Lab Woodall Spring DS I 7151 Healthcare Financing and Public Health Sandoval Spring DS I 7110 Oral Pathogens & Oral Immunology Galbraith Spring
DS I 7136 Basics of Periodontal Instrumentation and Preventive Intervention Lockhart Spring DS I 7156 Community Outreach: Pediatric Education McClain Spring DS I 7111 Oral Developmental Anatomy and Histology (Oral Histology) Davenport SpringDS I 7140 DSI General Dentistry Clinic Webberson Spring DS I 7161 Epidemiology in Oral Health Ditmyer Spring DS I 7112 Introduction to Human Development Davenport Spring
DS I 7122 Applied Clinical Dentistry: Restorative Richards Summer DS I 7509 Professional Studies Integration Seminar McClain Spring DSI 7501 Integration Seminar I Kingsley Spring
DS I 7126 Local Anesthesia and Nitrous Oxide Sedation Nattestad Summer DS I 7140 General Clinic Streamline III Webberson Summer DSI 7502 Integration Seminar II Kingsley Summer
DS I 7129 Diagnosis and Treatment Planning II Simmons Summer DS I 7152 Patient Communication (Spanish for Health Professional) McClain Summer
DS I 7130 Principles of Dental Materials Nelson Summer DS I 7159 Practice Management Technology Davenport Summer
DS I 7135 Periodonal Anatomy and Pathogenesis of Periodontal Disease Lockhart Summer DS I 7358 Applied Human Nutrition Mobley Summer
DS I 7137 Foundations in Fixed Prosthodontics Lab Richards Summer DS I ?? Dummer Enrichment Sandoval Summer
DS I 7138 Preclinical Dentistry Lab Tozzi Summer DS I 7153 Specialty Practices I [INACTIVE]
DS I 7139 Clinical Occlusion Nelson Summer
DS I 7140 DSI General Dentistry Clinic Webberson Summer
DS I 7127 Introduction to Intraoral and Panoramic Radiology [INACTIVE]
DS I 7128 Clinical Dentistry Seminar [INACTIVE]
DS I 7131 Introduction to Clinical Dentistry I [INACTIVE]
DS I 7132 Introduction to Clinical Dentistry II [INACTIVE]
DS I 7134 Introduction to Digital Radiology [INACTIVE]
DS II 7220 Principles of Endodontics Lecture ? Fall DS II 7251 Specialty Practices Webberson Fall DS II 7200 Cariology Davenport Fall
DS II 7223 Principles of Endodontics Lab ? Fall DS II 7252 Community Outreach: Geriatric Population McClain Fall DS II 7201 Oral and Systemic Manifestations of Disease Herschaft Fall
DS II 7240 DSII General Dentistry Clinic Ord Fall DS II 7512 Dental Research and Methodology I Mobley Fall DS II 7203 Pharmacological Concepts Hillyard Fall
DS II 7241 Simulated Comprehensive Care Lecure Hill Fall DS II 7512 Dental Research and Methodology II Mobley Spring DS II 7204 Pathological Concepts Herschaft Spring
DS II 7242 Simulated Comprehensive Care Lab Hill Fall DS II ?? Summer Enrichment Sandoval Summer DS II 7205 Clinically Oriented Anatomy Zoller Spring
DS II 7221 Applied Dental Materials I Nelson Spring DS II 7254 Health Care Administration: Regulation and Finance [INACTIVE] DS II 7208 Oral Cancer Herschaft Spring
DS II 7227 Oral Surgical Principles and Techniques Nattestad Spring
DS II 7233 Restorative Dentistry: Removable Prosthodontics Dounis Spring
DS II 7236 Intro to Periodontal Diagnosis and Initial Therapy Lockhart Spring
DS II 7240 DSII General Dentistry Clinic Ord Spring
DS II 7241 Simulated Comprehensive Care Lecure Hill Spring
DS II 7242 Simulated Comprehensive Care Lab Hill Spring
DS II 7226 Introduction to Dental Implants Kirit Summer
DS II 7228 Pharmacotherapeutics I: Prescribing Medication Simmons Summer
DS II 7229 Panoramic Principles and Advanced Radiographic Anatomy Danforth Summer
DS II 7230 Orthodontics ? Summer
DS II 7235 Pediatric Dentistry Principals & Techniques Hackmyer Summer
DS II 7237 DSII Digital Radiology ?? Danforth Summer
DS II 7240 DSII General Dentistry Clinic Ord Summer
DS II 7241 Simulated Comprehensive Care Lecure Hill Summer
DS II 7242Simulated Comprehensive Care Lab
Hill Summer
DS II 7222 Patient Care II: Fixed Prosthodontics [INACTIVE]
DS II 7225 Advanced General Dentistry: Surgical and Restorative Techniques [INACTIVE]DS II 7232 Patient Care IV: Clinic [INACTIVE]
DS II 7238 Diagnosis and Treatment Planning Seminar [INACTIVE]
DS III 7320 Clinical Medicine I Simmons Fall DS III 7514 Professional Ethics I Sandoval Fall DS III 7506 Growth and Developmental Abnormalitites (DS3) Davenport Fall
DS III 7321 Principles of Periodonatal & 3rd Molar Surgery Lockhart Fall DS III 7350 Practice Administration I Sandoval/Devore Spring
DS III 7324 Esthetic Dentistry: Principles and Techniques Nelson Fall DS III 7355 Hospital Dentistry Nattestad ?? Spring
DS III 7326 Oral and Maxillofacial Pathology I Herschaft Fall DS III 7514 Professional Ethics II Sandoval Spring
DS III 7340 DSIII General Dentistry Clinic Ord Fall DS III 7354 Contemporary Issues in Behavioral Science Sandoval/Mobley/Cappelli
Summer
DS III 7326 Oral and Maxillofacial Pathology I Herschaft Fall DS III ?? Summer Enrichment Sandoval Summer
DS III 7327 Oral and Maxillofacial Pathology II Herschaft Spring
DS III 7328 Clinical Medicine II Simmons Spring
DS III 7332 Temporomandibular Disorders Nelson Spring
DS III 7333 Principles of Removable Parital Dentures Dounis Spring
DS III 7340 DSIII General Dentistry Clinic Ord Spring
DS III 7325 DS III Advanced General Dentistry Seminar Nelson Summer
DS III 7329 Advanced Techiques in Dental Radiology Danforth Summer
DS III7333 Principles of Removable Partial Dentures Dounis
Summer
DS III7340 DSIII General Clinic Ord
Summer
DS III 7323 Digital and Convention Xray Production [INACTIVE}
DS IV 7425 DSIV Advanced General Dentistry Seminar Nelson Fall DS IV 7452Practice Administration II Sandoval/Devore Fall
DS IV 7440 DSIV General Clinic Ord Fall DS IV 7454Community Outreach: Disabled and Special Needs Population McClain Fall
DS IV 7441 Oral Histopathology (Elective) Herschaft Fall DS IV 7455Clinical Diagnostic Conference: Grand Rounds Sandoval/Herschaft/Franco
Fall
DS IV 7442 Periodontal Regeneration and Case Management Lockhart Fall DS IV 7453Dental Jurisprudence Sandoval/Havins Spring DS IV 7453Clin. Diagnostic Conference: Forensics Sandoval/Ord Spring
Outcomes Reduces meeting time focused on details once completed Provides real information for the analysis of topics like
assessment and skills Assist new teachers with planning and understanding the
curriculum Reinforce the value of what is being taught Provide a tool for communication with the larger community
(faculty, students, decision-makers, grant providers, accreditation agencies)
Barriers It is a time - arduous task Lack of clearly defined goals Lack of agreement about the mapping form
itself Lack of a consistent vocabulary Is it as valuable to users as it was to
creators?
QUESTIONS!
72