2010-11 Truckee Meadows Community College School of Sciences [DENTAL HYGIENE] PROGRAM/UNIT REVIEW SELF STUDY Dental Hygiene INTRODUCTION The dental hygiene program is a two-year associate degree program, which began in 2000 and celebrated its 10th year in May 2010. The program accepts 12 students each fall semester. Currently, there are three full-time faculty and eight part-time faculty. The program is accredited by the American Dental Association Commission on Dental Accreditation every seven years. In March 2008, the program received its current fully accredited status. Program curriculum is rigorous and focuses on evidence-based content related to the practice of dental hygiene. Mission Statement Mission: The purpose of the dental hygiene program is to educate students who will influence the total health of the community by positively impacting their oral health status. Truckee Meadows Community College promotes student success, academic excellence and access to lifelong learning by delivering high quality education and services to our diverse communities The relationship between the two mission statements is that of education, which will influence positive change in the community. Degrees, Certificates, and/or Non-Credit Courses offered Associate of Science Degree Primary Goals and Objectives To provide the highest quality of instruction and educational experiences culminating in a license to practice dental hygiene and the knowledge to provide preventive dental health services safely to the public, To prepare competent practitioners to provide educational, clinical and therapeutic services supporting total health through the promotion of optimal oral health, To encourage a philosophical appreciation for the highest standard of care, ethical and moral conduct, To provide an environment for the development of professional values consistent with the philosophy that the dental hygienist has an obligation for lifelong learning for self improvement, to maintain professional competence, and community standing, and To encourage thought, action and respect appropriate for diverse populations Factors Expected to Affect Future 1. Declining employment opportunities may affect interest in the career and application to the program 2. Lack of funding to add and improve technology, modeling that in dental practice, may affect the wellrounded knowledge of students in the application of such technology to patient care. This knowledge base includes digital radiography and practice management software. Truckee Meadows Community College | Introduction 1 [DENTAL HYGIENE] 2010-11 DEMOGRAPHICS AND ENROLLMENT General Student Demographics Demographics for dental hygiene students in the U.S. remains predominantly Caucasian and female. Generally, reflecting the diversity of the communities surrounding the program does not occur and may be a result of high admission criteria. AGE Entering Class 2006 23 and under 2007 4 24-29 2008 2009 2010 4 5 5 5 4 3 6 4 30-34 2 1 1 1 1 35-39 3 1 3 1 2 40 and over 2 1 2 Gender Entering Class 2006 2007 2008 2009 2010 Female 11 11 14 12 12 Male 1 1 0 1 0 Ethnicity Entering Class 2006 2007 Hispanic/Latino Caucasian African American 11 2008 2009 1 1 10 10 2010 1 12 9 1 American Indian 1 Asian 2 1 1 Pacific Islander Two or more races Student Status Educational Status There are 13 continuing students and 12 new students as of Fall 2010. The program is limited to 12 students per year due to clinic space. Fall 2010 2 1st year students 12 2nd year students 13 Demographics and Enrollment | Truckee Meadows Community College [SCHOOL OF SCIENCES] 2010-11 Enrollment Status Enrollment has remained fairly stable, with an average attrition rate of one student per class. TOTAL number of FT students 25 Student Recruitment Activities Recruitment activities include career days at local middle or high schools and UNRs Upward Bound Program. Fulltime faculty participates annually, or as invited and many events take place during spring semester. Career Day Participation: Dilworth Middle School, Sparks Middle School, Mendive Middle School, Galena High School and UNR Upward Bound, Operation Health Care Bound. Other recruitment activities include providing program brochures to McQueen, Reno, and Wooster High Schools. High school students cannot articulate directly into the program. Generally, an interest for dental hygiene by high school students does not occur until they experience college coursework and advisement. Articulation directly from high school cannot occur due to science pre-requisites and a strong recommendation to complete as many general education courses for the A.S. degree prior to program application. Prior college experience contributes to student success once accepted into dental hygiene. Underserved Student Populations Recruiting students from underserved populations is more challenging, yet recruitment efforts are similar for all ethnicities. Historically, dental hygiene fails to be as diverse as other health professions. Underserved populations are not recruited any differently than other populations, since interest in the career drastically reduces in underserved populations. Lower interest may be a result of family values, economics, and a lack of or limited college education among parents. According to the 2007 Survey of Dental Hygienists in the United States by the American Dental Hygienists’ Association Dental hygienists were 99% female and 1% male. Most dental hygienists (91.2%) were non-Hispanic White. All other racial/ ethnic groups were underrepresented compared to the U.S. population. Enrollment Patterns Number of Sections Sections Student FTE Fall 2006 13 22 Fall 2007 13 24 Fall 2008 14 25 Fall 2009 14 25 Fall 2010 14 25 Truckee Meadows Community College | Demographics and Enrollment 3 [DENTAL HYGIENE] 2010-11 Full Time Equivalent Enrollment Total enrollment for the program consists of both classes and averages DH Program Full Time Equivalent / Spring - 23 Fall - 25 30 20 10 0 FA 08 SP 08 FA 09 SP 09 FA 10 Retention Rates Student retention averages from 92% to 100% in the first year of the program and 100% in the second year. Those opting out during the first year identify the program as “too difficult” or “not what they thought it would be”. Only one or two students leaving in the first year have withdrawn, or have been advised to withdraw, due to academic reasons or low manual dexterity and coordination. Withdrawal from the program is the student’s decision in its entirety. Retention Rate Fall 2006 96% Fall 2007 100% Fall 2008 99% Fall 2009 89% Fall 2010 100% Student to Faculty Ratios Current student-to-faculty ratios comply with mandates from the American Dental Association (ADA) Commission on Dental Accreditation (CODA): Classroom 12:1 Lab 5:1 for hands on or patient labs or as specified by the college Clinic 5:1 12:1 dry lab, no patients or hands on format Labs requiring the 5:1 ratios are identified as DH 112 Oral Radiology, DH 105 Introduction to Clinic, and DH 211 Dental Materials. These labs require student partners or patients to assist in meeting competencies. Number of Declared Degree/Emphasis Seekers All students accepted into the program are degree seeking and have declared dental hygiene as their major prior to, or upon acceptance to the program. Student Success Rates Graduation Rates 4 Year of Grad 2006 2007 2008 2009 2010 Graduates 11 9 11 10 13 # Student Accepted into class 12 12 12 12 14 Demographics and Enrollment | Truckee Meadows Community College [SCHOOL OF SCIENCES] 2010-11 The graduating class of 2010 lost one student between the first and second year. However, one student from the class of 2007 graduated with an AAS degree and applied for the AS degree in 2010, which misrepresented the true graduate count. Actual graduate count for the program in 2010 was 13. To date, the program has not had a full graduating class (number of students entering and matriculating to graduation). Every class entering in the fall semester since 2000 has had at least one student drop from the program for reasons previously identified. Currently, all 13 students accepted in the Fall of 2009 remain intact. Therefore, it is expected that the graduating class of 2011 will be the first class to graduate intact from the date of acceptance to the date of graduation. Enrollment Development Strategies Demographic Findings and Strategies Nevada’s workforce and employment opportunities have significantly decreased for Northern Nevada communities. Employment is not expected to improve until the national and state economy improves. The dental hygiene program at the College of Southern Nevada has dropped their enrollment from 30 students each Fall semester to 20 students, as a recommendation from their advisory committee. It is recommended that TMCCs dental hygiene program investigate and develop curriculum for alternate practice models such as the Registered Dental Hygienist in Alternative Practice program offered in California. It is recommended that TMCC administration investigate the feasibility of a Community Service Dental Practice that will also provide learning opportunities for students as well as another potential employment opportunity through public health. Student Status Findings and Strategies The statistics provided by the TMCC Institutional Research Department are included, yet not accurately indicative of program students and graduates. Students seeking or receiving financial aid are required to declare a major upon entering TMCC. Many have declared dental hygiene as their major, yet have not been accepted into the program. The IR statistics reflect all students declaring dental hygiene as their major. As a result, the program appears to have a low completion rate. Table 1 of Appendix C is included to provide an accurate acceptance, retention, and graduation rate. It is recommended that students be advised to declare dental hygiene as their major only after acceptance into the program. Others may be advised to pursue the Certificate of Achievement–Pre-Health Science approved by TMCC Curriculum Assessment and Program Committee in Fall 2010. See Appendix C – Institutional Research Data Enrollment Patterns and Strategies Enrollment patterns for the dental hygiene program remain stable. An interest in the career field has not decreased. It is recommended to explore and develop continuing education curriculum through Workforce Development to increase diversity in dental hygiene education that address both undergraduates and licensed practitioners. Truckee Meadows Community College | Demographics and Enrollment 5 2010-11 [DENTAL HYGIENE] Student Success Rates and Strategies Student success rates remain high, and a program goal is to accept, matriculate, and graduate full and complete cohorts each two-year interval. One area that could increase student success is the development and implementation of a .5 or 1 credit Pre-Dental Hygiene course required by those preparing to apply to the program. This course would be designed to introduce students to the intricacies of dental hygiene instrumentation and direct patient care. As a result of taking the course, potential applicants may better realize appropriate career direction, have a better understanding of dental hygiene practice, patient care, and exposure to bloodborne pathogens. It is recommended that TMCCs Dental Hygiene program develop a 1 credit Pre-Dental Hygiene course for future addition to the program’s admission criteria, in which potential applicants would register and complete in the summer prior to submitting their application in February of each calendar year. 6 Demographics and Enrollment | Truckee Meadows Community College [SCHOOL OF SCIENCES] 2010-11 CURRICULUM Degree/Emphasis Assessment Reports Program outcomes are indicative of actual statistics and results of student success. Year Pass Rate National Written Exam 2006 100% First Attempt 2007 100% First Attempt 2008 100% First Attempt 2009 100% First Attempt 2010 100% First Attempt Pass Rate Nevada State Board or Western Regional Board Examination (WREB) Nevada WREB WREB Nevada WREB Nevada WREB Nevada 100% 99% 100% 100% 100% 100% 100% 100% First attempt First Attempt Second Attempt First Attempt First Attempt First Attempt First Attempt First Attempt WREB California 99% 100% First Attempt Second Attempt Results and standings of the National Dental Hygiene Board Examination keep TMCC in the top 5% of programs in the nation. As of 2009, employment within 4 months of graduation remains low and approximately 40% of graduates do not have full-time employment. This estimate includes graduates from 2009 and 2010. See Appendix D – Program Assessment Reports Course Assessment Report Summaries Formal course assessment was completed for the first time in Spring 2010 by both full-time and part-time faculty. Informal assessment has been taking place during the dental hygiene annual faculty retreat/curriculum review since 2006. Course goals are established as required by the TMCC curriculum committee as well as the standards set by the Commission on Dental Accreditation. Results of the Spring 2010 course assessment, indicate that goals are being established at an appropriate level for student competency and success. See Appendix E – Spring 2010 Course Assessment Reports Evaluating Relevancy of Curriculum Course Content Course content is reviewed annually by full/part time faculty, which includes textbooks, assignments, projects, and examinations. Changes, if applicable, are implemented each fall semester with the incoming cohort. See Appendix F - Curriculum Review/Faculty Retreat Agenda (2006-10) and Minutes (2010)) Truckee Meadows Community College | Curriculum 7 [DENTAL HYGIENE] 2010-11 Additionally, an annual report from the American Dental Association National Board Dental Hygiene Examination is provided to the program once second year students have completed the examination. This report breaks down course content based on accreditation standards. Based on the number of items in any one content area that were included in the examination, faculty is able to identify weaknesses and determine methods of improvement. This is discussed during the dental hygiene annual faculty retreat or curriculum review session. See Appendix G – Performance Summary Report National Dental Hygiene Board Examination Results Degree/Certificate Requirements In March 2008, the Commission on Dental Accreditation (CODA) site visit recommended that CHEM 220 and COM 113 be added to program pre-requisites due to the level of biochemistry content in dental hygiene curriculum and the amount of public speaking done by students during community service projects. Program pre-requisites have been updated accordingly. Potential students are informed of program changes through the dental hygiene webpage, information sessions held each semester, and printed materials. Changes affecting admission processes are given a two-year lead time so that potential students have ample notice. See Appendix B - TMCC DH Program Worksheet Methods of Instruction Since Fall 2008, select dental hygiene courses have gone to a hybrid, online or web –assist format. This has been the only change to instruction methods. The use of technology for dental hygiene instruction continues to grow through the development of instructional videos that are posted through WEB College for student access. Faculty Qualifications CODA now requires that all faculty members have a minimum of a baccalaureate degree if teaching didactic/lecture courses. Lab/clinic instructors can hold a minimum of an associate’s degree, and the program director is required to have a master’s degree. Degree Type Full-time Faculty Part-time Faculty Expected Completion Doctoral 1 in progress 2 – DDS Fall of 2011 or Spring 2012 Masters 3 2 in progress Spring 2011 and 2012 Baccalaureate 3, and 2 in progress Spring 2012 Associate’s 1 Post Completion Objectives (transfer, job placement, etc.) An articulation agreement is in place for the baccalaureate degree in dental hygiene through the College of Southern Nevada Any TMCC dental hygiene graduate applying to CSN’s B.S. degree completion program, will have all dental hygiene courses accepted for transfer. Job placement is not offered or conducted by the program. Dental hygiene positions offered to graduates has seen a steady decline since 2008. Depending on the size of the dental hygiene program small communities tend to reach a 8 Curriculum | Truckee Meadows Community College [SCHOOL OF SCIENCES] 2010-11 saturation point in the job market within 10 years. In the current economic climate, approximately 40% of TMCC graduates from 2009 and 2010 remain unemployed. Employment opportunities become available as a result of relocation and maternity leaves. Temporary positions occur due to vacations and illnesses. See Appendix H – CSN/TMCC Articulation Agreement Secondary Student Preparation Efforts Higher education is continuously promoted in the program by faculty. Enrolled dental hygiene students may elect to continue on toward the BS degree through the CSN program. An articulation agreement indicates that any TMCC dental hygiene graduate qualifies to enter the CSN program. The dental hygiene curriculum is designed to prepare them for most degree completion programs in dental hygiene offered by any 4-year institution. External Review An advisory committee has been in place since the inception of the program. Committee members consist of dentists, dental hygienists, full-time faculty, current, and previous students. The advisory committee meets with faculty three times each academic year. The general purpose of the committee is to assist in the program’s outreach for providing services to consumers from the community in a learning environment as well as monitor enrollment, graduation, and employment trends. See Appendix I – Advisory Committee Members, Agenda, Minutes (2009-10) Non-credit Training Offered In 2010 the program began to offer two continuing education courses through Workforce Development: DHCE 101 Clinical Skills Assessment and DHCE 102 Local Anesthesia for the Dental Professional. These courses are offered to licensed or previously licensed dental hygienists. The courses are also offered by CSN, and the two programs use identical course content. The Nevada Board of Dental Examiners has approved both courses offered by TMCC. The impact to the program consists of additional online and lab instructional load for the program director and lab hours for a dentist. A supervising dentist is required for the lab portion of the DHCE 102 course because students or dental hygienists are administering local anesthesia. The increased workload is compensated at a flat rate on a separate LOA contract from that of the part-time dentist, and the program director. The instructional load is managed by holding labs or lectures after regular working/contract hours. Both courses are conducted on an as needed basis or as requested by dental hygiene professionals. Each course has been offered only once in the 2010 calendar year. See Appendix J- DHCE Course Syllabi Curriculum Development Strategies Assessment Findings and Strategies Program, course, and curriculum review assessment is accomplished by using results from the National Dental Hygiene Board Examination, program assessments, course assessments, at reviewed the dental hygiene annual Truckee Meadows Community College | Curriculum 9 [DENTAL HYGIENE] 2010-11 faculty retreat/curriculum review meeting. Reviews of these reports are completed by all FT and PT faculty. Findings that indicate weaknesses in course content based on student performance, outdated course content, or content that unnecessarily increases student workload are discussed among faculty resulting in change. All changes are implemented in the Fall semester with the incoming cohort. This review process occurs annually. External Resource Recommendations and Implementation Plans Other than accreditation recommendations, external recommendations to the program come by way of the advisory committee. They have been limited to patients accessing the dental clinic for dental hygiene services while students progress through their education. The dental hygiene clinic is open to the public and promotes this opportunity throughout the year using the PIO office at TMCC and the dental community. Anticipated Factors Affecting Curriculum and Strategies Labor Statistics Nevada Short-Term: The growth rate for employment for dental hygiene between 2007 and 2009 decreased by -.4%. This is reflected in the unemployment rate of 40% of program graduates from 2009-10. The current economic climate for dental hygiene positions is not expected to see immediate or short-term improvement. Nevada Long-Term: The growth rate for dental hygienists from 2008 to 2018 is projected at 3.1% Source: DETR Nevada Workforce National Growth Rate: According to the U.S. Department of Labor Bureau of Labor Statistics the growth rate for dental hygienists at the national level is: Employment In thousands 2008 174.1 2018 237.0 Employment Change 2008-2018 # in thousands 62.9 Percent self-employed Job openings due to growth and replacement needs, 2008-2018 in thousands 0.1 98.4 2008 median annual wages (dollars) Most significant source of postsecondary education and training Percent 36.1 66,570 Associate degree Despite the drop in employment rate for Nevada, the purpose of the dental hygiene program is education of dental hygienists. Most programs are housed in community colleges and offer entry-level associate’s degrees. The program does not anticipate a decreased interest in the career field, yet students seeking to remain in Nevada after graduation may have difficulty finding employment. Future consideration and recommendation: Many states are modifying or changing legislation to allow dental hygienists to practice independently or in an alternative setting. Limited universities in the nation offer curriculum addressing these alternative certificates or licensed practice categories. Currently, the University of the Pacific, in San Francisco and West Los Angeles Community College offer the Registered Dental Hygienist in Alternative Practice (RDHAP) Program. The 10 Curriculum | Truckee Meadows Community College [SCHOOL OF SCIENCES] 2010-11 University of Minnesota and Normandale Community College with Minnesota State University offer a dental therapist or advanced dental therapist program. These alternative oral health practice mechanisms are designed to address geographic areas designated as areas of need for oral health care. It is recommended that TMCC’s dental hygiene program develop curriculum and offer a program focused on alternative practice that will follow changing trends in legislation and the dental hygiene scope of practice. This will entail seeking legislative changes and approval for unsupervised dental hygiene practice. Truckee Meadows Community College | Curriculum 11 2010-11 [DENTAL HYGIENE] RESOURCES Faculty and Staff Required Faculty Credentials The ADA Commission on Dental Accreditation now requires that all faculty members have a minimum of a baccalaureate degree if teaching didactic/lecture courses. Lab/clinic instructors can hold a minimum of an associate’s degree, and the program director is required to have a master’s degree. Degree Type Full-time Faculty Part-time Faculty Doctoral 1 in progress 2 – DDS Masters 3 Baccalaureate 2 in progress 3 2 in progress Associate’s 1 The Nevada Dental Practice Act / NRS and NAC require a licensed dentist physically present when students are administering local anesthetic or nitrous oxide sedation, along with consumers having a dental examination within 18 months of dental hygiene treatment. The program has two supervising dentists as part-time faculty fulfilling this requirement. Continuing Education: All licensed dental personnel must attend 30 hours of continuing education courses for each 2-year license renewal cycle in order to maintain an active license to practice. This applies to all faculty members. Full-Time to Part-Time Faculty Ratio Term Fall 06 Spr 07 Fall 07 Spr 08 Fall 08 Spr 09 Fall 09 Spr 10 FT Credits 23 18.5 17.5 15.5 15.5 16.5 19 16.5 78% 66% 66% 74% 74% 70% 63% 70% PT Credits 5 6 11.5 11.5 11.5 11.5 12 11.5 22% 33% 33% 26% 26% 30% 27% 30% DH FT Contact Hrs per year = 101 = 44.4 % DH PT Contact Hrs per year =181.75 = 56.7 % DH FT: PT ratio = 55.6% College FT : PT Ratio = 48.9% (FT = 172 PT =352) 12 Resources | Truckee Meadows Community College [SCHOOL OF SCIENCES] 2010-11 Three (3) Full-time faculty including the program director with a release of 12 credits each semester and eight (8) part-time faculty (37% are part-time instructors) Required Classified Credentials Minimum requirements for classified staff: Knowledge of dental/medical office operations, dental equipment maintenance, budget revenue and expenses, inventory control, and operating office equipment. The current administrative assistant has attended workshops and seminars focused on maintaining and troubleshooting clinic equipment, and using dental practice management software. Classified staff is encouraged to participate in professional development that leads to position advancement and/or degrees. Classified FTE NA Facilities Unique to the program is a fully operational dental clinic, sterilization equipment, dental lab, and traditional and digital radiographic equipment In summer of 2010 remodeling of the x-ray darkroom and the addition of two new x-ray rooms was completed. Requirements include establishing and maintaining dental chairs and sterilization equipment in working order, OSHA standards, and material safety and data sheets (MSDS). These procedures are addressed and outlined in the Dental Hygiene Program Policy, Exposure Control, and Clinic Manuals. Program faculty and the administrative assistant collectively participate in maintaining all dental equipment. Annual workshops with faculty are held to review and train on the use and operations of equipment. See Appendix K - Program Manuals Truckee Meadows Community College | Resources 13 [DENTAL HYGIENE] 2010-11 Technology Technology in the program consists of several types: Curriculum: ANGEL for hybrid, online, and web assist courses/ faculty posted training videos/ linked training videos from internet sources Textbooks w/ DVD, CD-ROM, or student interactive websites Patient / Office Mgmt Software: Dentrix Patient / Student Education: SOPRO Intraoral Camera / Dexis Digital Radiography System / Digital photography Classroom: The dental hygiene clinic is a smart classroom Funding Sources FUND TYPE AVG AMOUNT USE HF 33 State Operating $15,000 / Annual Clinic supplies for patient care procedures HF 53 Lab Fees $3,500 / Semester Offset clinic supplies, lab supplies, and community service projects HF 40 Sales / Revenue $ 20,000 / Annual Clinic supplies, equipment repair, equipment purchase, office supplies & equipment, travel, phone, printing, professional development, instructional supplies EK53 Student Club $3,600 Student fundraisers, community events, clinical board costs HF 38 Gift $ 24,000 Emergency funds for equipment repair and replacement GRANTS: SOURCE Annual Average TMCC Foundation $ 2,000 Perkins $1,000 14 Description Toothbrushes, oral hygiene care supplies for the elderly, sealant materials for Give Kids a Smile Event, Intra Oral Camera, Caries ID, Pelton Crane Magna Clave Steam Sterilizer, Statim Sterilizer, pole mounts for dental chairs, replacement parts for lab equipment Funding for dental hygiene services – Golden Smiles Program Resources | Truckee Meadows Community College [SCHOOL OF SCIENCES] 2010-11 Non-Credit Training Income DHCE 101 Clinical Skills Assessment ($800 per person) and DHCE102 Pain Control for the Dental Professional ($1,050 per person) are offered through Workforce Development and Continuing Education has generated a total of $2,100 in Fall of 2010. Fees are transferred into the HF40 account by WDCE. Donations Amount $500 Source G. Hartzell & Sons Various dental offices Description Annual Gift x-ray mounts, clinic supplies Non-cash contributions come in the form of equipment or supplies from the dental community and are accepted upon approval of the director based on the condition of equipment, need, and storage space. Resource Development Strategies Staffing Issues and Strategies Within the next five years, the program would benefit by adding one full-time tenure-track faculty position. Currently, there are three FT faculty. However this count includes the program director with 12 credits of release time. The 12 credit release becomes instructional load among part-time faculty. Workload for part-time faculty is maximized and limited to 19 contact hours per week and also responsible for core foundational courses and preclinic/clinic coordination of first year students. Additionally, overload continues to occur for the other two full-time instructors each semester. Over the past 4 years, the program director has been team teaching, training, and mentoring part-time faculty on the responsibilities of student advising, coordination of pre-clinic and clinical requirements, delivery of course content. Commitment issues with part-time faculty are that they can be transient employees due to private practice opportunities and responsibilities. Three part-time faculty members have been trained and mentored over a 4-year period of time to coordinate, assimilate, and follow first year students through the program. Only one part-time faculty member has remained consistent to the program over the past 3 years. Part time faculty can do well in these positions, yet the overall responsibility is great and placed more appropriately with full-time positions. Part-time faculty with weekly contact hours of 19 or more, do not have an office for student consultation or conferences. It is recognized that similar sized dental hygiene programs have 3 FT and up to 20 part-time faculty (Fresno City College), yet their program directors are only given a 20% release from instructional duties. This allotment does not allow adequate time to address administrative duties for directing and managing the program, which is now mandated in the CODA Standards. Should the program seek to develop curriculum for alternate workforce models and offer more WDCE courses overall, student instruction and assessment will require the addition of one FT position. Truckee Meadows Community College | Resources 15 2010-11 [DENTAL HYGIENE] It is recommended that TMCC administration consider one full-time tenure-track position for dental hygiene. By doing so, the program director can better focus on educational trends for dental hygiene and develop appropriate materials/curriculum to address needs of students and practicing professionals. Facilities and Desired Capital Improvements Improvements in facilities will require space. The dental hygiene program cannot expand in student numbers unless more chairs are added to the clinic. Extensive remodeling would be required affecting current storage and instructor facilities within the dental clinic. RDMT 416 has been identified as a possible resource for storage and student locker room. Should this be realized, the dental clinic can be reconfigured to add two more dental chairs. The program and student knowledge is trailing in the use of technology. The addition of dental software and computers for patient documentation, record-keeping, and chairside education is the norm in countless dental hygiene programs throughout the U.S. and in all dental practices. Computers at each dental chair with practice management software would bring the program up to date, matching technology used in practice once graduates are employed. It is recommended that funding resources be identified and used to purchase and implement technology appropriate for the management of patient care. Funding Allocations and Development Strategies At this time grants are being sought through Health Resources and Services Administration (HRSA), and other agencies targeting dental education. Grants funds can assist in updating technology and equipment. Perkins grant funds will be targeted in FY2012. The Sales and Revenue account (HF40) assists with faculty professional development; travel for professional development; and new equipment purchases. It is also used for clinic supplies and equipment repair in the absence of a budget line item for repair and maintenance. The majority of dental equipment could range from $1000, to $20,000 for repair or replacement. Course instruction and student learning will be compromised if, and when, the compressors fail to operate correctly. The HF38 Gift Account is set aside to assist with funding when this occurs. It is recommended that TMCC administration identify or create a budget line item for the replacement of major equipment costing $10,000 or more. 16 | Truckee Meadows Community College [SCHOOL OF SCIENCES] 2010-11 APPENDIX A. Dean’s Analysis of Funding Resources School of Sciences - Dental Hygiene Fund Agency ORG Description OBJ EXPENSE/BALANCE Last yr - FY 10 Current - FY 11 Dental Hygiene, Director Kimbrough-Walls State Operating 7104 708 HF33 Operating 20 $ $ 30 $ 15,000.00 $ 15,000.00 708 HF53 DENTAL HYGIENE LAB FEES $ 3,200.00 $ 753.54 705 708 EK55 HF44 DENTAL HYGIENE SADHA CLUB DH Student club $ $ 3,102.21 $ $ 35,689.91 - 708 703 HF23 CF01 Headstart Dental Clinic Perkins DH $ 21,292.00 $ $ 78,060.55 $ 4,421.16 Lab 7266 Special Fees 7276 7276 Grants 7331 7333 Non-credit training Donations 7361 708 HF38 Gifts for DH $ 19,164.02 $ 19,164.02 708 HF40 DENTAL HYGIENE SALES $ 39,648.64 $ 34,183.55 Other 7262 Truckee Meadows Community College | Appendix 17 [SCHOOL OF SCIENCES] 2010-11 APPENDIX B. Degree and Certificate Worksheets Truckee Meadows Community College | Appendix 19 [SCHOOL OF SCIENCES] 2010-11 APPENDIX C. Institutional Research Data Truckee Meadows Community College | Appendix 21