A New Community Dental Education

ModelJack Dillenberg, DDS, MPH, Dean

Arizona School of Dentistry & Oral Health

A New Community Dental Education

ModelJack Dillenberg, DDS, MPH, Dean

Arizona School of Dentistry & Oral Health

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 President’s Commission: Improving the Oral Health Status

of all Americans: Roles . . . Academic Dental Institutions

Surgeon General’s Report on Oral Health

• Oral diseases common and consequential

• Linked to overall health and well-being

• Profound disparities in oral health status

• DisparitiesSESRural areasMinorities

www.nidcr.nih.gov/sgr/sgr.htm

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

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

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.

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

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

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

Arizona School of Dentistry & Oral Health

• 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

Community-Based Educational Model

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

Community-Based Educational Model

Special Care Clinic

Meeting the needs of Arizona’s most fragile population

Dentistry In the Community

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

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

Bethel, Alaska

External Rotations

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.”

Sage Memorial Hospital Ganado, AZ

Hopi Health Care Clinic, Polaca, 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. “

Certificate in Core Concepts of Public Health

Online coursework begun 2nd year• Biostatistics

• Epidemiology

• Health Policy & Administration

• Health Behavior & Health Education

• Environmental Health Sciences

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

Future Healthcare Leader

ASDOH Dental Clinic

Electric hand pieces

Digital Imaging

Electronic Records

Dental Care West

ICE Dental Systems

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

ICE Dental Systems

Leadership is Required

Leadership Style & Success• “Servant leaders”

– Compassionate, humble, reverent, open, teachable, respectful, caring

• They model authority through:

– Service, humility, contribution

The Future is What We Make It

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

Confidence Builds Effective Leaders