The Integration of Community Based
Partnerships into Dental Education
Western University of Health
Sciences
UCSF DPH Presentation
February 21, 2012
Timothy S. Martinez, DMD
Western University of Health Sciences
Graduate Health Sciences
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Medicine
Pharmacy
Veterinary Medicine
Physical Therapy
Physician Assistant
Graduate Nursing
Optometry
Podiatric Medicine
Dental Medicine
Biomedical Sciences
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College of Dental Medicine
• Inaugural Class Fall of
2009
• Integrated Approaches
– Biomedical Sciences
– Dental Sciences
– Clinical Education
Program
– Community Based Dental
Education
– Interprofessional
Education
3
Today’s Topics
• CDM Partnerships
– Sites
– Array of Affiliations
• CDM Community-Based Curriculum
– Activities by Class Year
– Example of Procedures Performed
• Other College Partnerships
• Keys for Successful Dental Partnerships
– Primary Care Viewpoint
– Education Viewpoint
– The Details
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Community Based Partners
A
I
Site: AIDS Project of Los Angeles
Site: Dr. Bertha Alarcon
Population Type: HIV/AIDS
Population Type: General Dentistry
B
Physical Address 2: Ste. #7
Site: Alta-Med Health Services
J
Population Type: General Dentistry
Site: East Valley Community Dental
C
Center
Site: Assistance League of Pomona
Population Type: Low Income
Valley Dental Center
K
Population Type: Children
Site: Glenn Dental
D
Population Type: General Dentistry
Site: C.A.R.E. Program
L
Population Type: HIV/AIDS
Site: Hani Nasr, DDS
Physical Address 2: Ste. C
Population Type: General Dentistry
E
M
Site: Children's Dental Practice of
Site: Hurtt Family Health Clinic
Menifee
Population Type: Low Income
Population Type: Children
N
F
Site: Los Angeles Christian Health
Site: Community Health Network of San Center
Francisco
Population Type: Low Income
Population Type: Low Income
O
G
Site: Pacific Dental Services
Site: Community Health Systems, Inc. Population Type: General Dentistry
Population Type: Low Income
P
H
Site: San Gabriel Pomona Regional
Site: Desert Friends of the
Center
Developmentally Disabled
Population Type: Special Needs
Population Type: Special Needs
Q
Site: San Gabriel Valley Foundation for
Health
Population Type: Low Income
R
Site: Simjee Periodontics
Population Type: Periodontics
Physical Address 2: Ave #205
S
Site: Student Run Health Center Riverside
Population Type: Low Income
Physical Address 2: 3504 Mission Inn
Ave.
T
Site: Toiyabe Indian Health Project
Population Type: Indian Communities
U
Site: UCSD Student-Run Free Clinic
Project
Population Type: Low Income
V
Site: Victor Valley Community Dental
Population Type: Low Income
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Array of Affiliations (WUHS)
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FQHC
CHC Look-alike’s
School Districts
Homeless Shelters
Assistance League Clinics
Focused assistance organizations (Angels for
Sight, Lions Club)
• Indian Health Services Sites (tribal affiliations)
• Military (USAF, USN)
• VA
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CDM Model
• Belief: Students can learn to provide quality
care in a variety of clinical settings
• Goal: Students will participate in patient care
experiences in a number of community-based
settings over the course of their four years.
The experiences will be progressive
(increasing complexity) and integrated (part of
curriculum).
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D1 Year
• Service Learning Course
– Communication skills, Data gathering, Patient
Education, Chairside assisting and Dental Terminology
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D2 Year
• Clinical Service Learning Course
– Review of medical history, prophylaxis, sealants,
fluoride application, preventive resin restorations
+ D1 expectations
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D3 Year
• Clinical Service Learning -> CBDN
– Basic restorations, non-surgical periodontal therapy,
simple extractions, D1 and D2 expectations
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Example of D3 Procedures Performed
• January 2012
• Data Gathered in E*Value System
Procedure Group
2.25%
1.50%
11.99%
3.90%
31.64%
2.55%
1.95%
22.94%
21.29%
Diagnostic
211
Preventative
142
Restorative
153
Endodontics
13
Periodontics
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Removable Prosthodontics
26
Fixed Prosthodontics
10
Oral Surgery
80
Miscellaneous
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N = 667
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D4 Year
• Community Based Dental Network
– Restoration and Replacement of teeth, basic and
moderate oral surgery, endodontic treatment,
minor periodontal surgery and D1-D3
expectations
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Evaluation of Student/Rotation Day
• Students and Clinical Faculty on site have
access to evaluations through online portals
• Grading Criteria listed under each value
(Exceeds, Meets, and Below Expectations)
Preparation and Processes
Criteria related to preparation and processes involved with the encounter. Includes the student’s
including understanding of relevant foundational material, communication with faculty, organization of
instruments, materials and supplies, maintenance of work environment and required authorizations and
approvals
Exceeds Expectations (E)
Meets Expectation (M)
Below Expectations (B)
Technical Performance Skills
Criteria for technical performance skills throughout the encounter include infection control and isolation,
application of pain / anxiety control measures, established procedural requirements and clinical standards
of care.
Exceeds Expectations (E)
Meets Expectation (M)
Below Expectations (B)
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Evaluation Continued
Clinical Judgment, Ethics and Professionalism
Criteria areas clinical judgment (applied critical thinking) the level of balance between independence / guidance
as well as demonstrated ethics and professionalism throughout the encounter. Integration of knowledge, skills
and values; understanding self-limitations; ability to gather and utilize information; evidence-based decisions;
purposeful and reflective judgment. Application of foundational knowledge, critical thinking, appropriate
balance of seeking guidance with independence, ethics and professionalism.
Exceeds Expectations (E)
Appraisal of Patient Care Outcome
Meets Expectation (M)
Below Expectations (B)
Criteria for evaluating the outcome of the patient care encounter. Includes reviewing the quality of the patient
experience, adequacy of patient communications and overall outcomes demonstrating quality care for the
patient.
Exceeds Expectations (E)
Meets Expectation (M)
Below Expectations (B)
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Our Approach
• Master the 10
week experience
– D1
1 week
(intermittent)
– D2
2 weeks
(intermittent)
– D3
3 weeks
(intermittent)
– D4
4 week
(block rotation)
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Other College Involvements
• Optometry
– School Districts, Angels for Sight, Homeless
shelters, Casa Colina, Torrence Center for Partially
Sighted, VA, IHS
• Physician Assistant
– Private Practices, FQHC’s, Community Centers,
Free clinics and Hospitals
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Keys for Successful Dental Partnerships
• Goal is to merge the primary care mission of
patient care with the educational goals of the
various students
• All parties from all sides indicated that open
communication was the most critical element
for success
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Primary Care Viewpoint
• Dr. Carolyn Brown
– Native American Health Center – San Francisco
• Communication
– Rotation Goals, Student capabilities, Procedures,
Assessment Input, Institutional follow-through
• Incentives
– Training with CE credit, Library access, Students
with necessary skills to be efficient providers
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Education Viewpoint
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Communication
Patient and Procedure mix,
Site capacity (critical for dental rotations)
Commitment and advocates at all levels
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The devil is in the details
Faculty appointment
Site selection
Calibration of clinicians
Continuity of care for students who are away and
for patients of the practice
Protocols and policies
-attendance
-post-exposure protocols for off-site locations
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Thank You
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