ADEA Commission on Change and Innovation
CCI Liaisons
Summer Meeting
June 27-29, 2011
San Diego, California
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Leadership and Excellence in Dental Education for
the 21st Century
Diane Ede-Nichols, D.M.D., M.H.L., M.P.H.
Nova Southeastern University
College of Dental Medicine
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1998: NSU Opens
2008: Dean’s Retreat
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Initiate a strategic planning process
Review Vision and Mission
SWOT analysis
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Strengths:
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Weaknesses:
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Micro-management; space, salaries, private tuition, IT, infrastructure
Opportunities:
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Faculty, applicant pool, patient availability, location, growth potential
expand research; expand physical plant; financial support via fundraising,
endowments
Threats:
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Affects of NSU policies upon professional program; economics; staff and
faculty retention; legal imposition, education costs; Intramural affects of
policies upon professional program; economics; staff and faculty retention;
legal imposition, education costs; morals and ethics, poorly educated
public health policy makers poorly educated public health policy makers.
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Subsequent to retreat SP subcommittee
appointed
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Chair and 16 faculty representing all
sections within the College.
Charge:
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Draft a new SP to reflect vision, mission,
values and essential planning priorities.
CDM Mission
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The College of Dental Medicine’s (CDM) mission is to educate students to
become competent in all phases of the general practice of dental medicine and
postdoctoral residents who are proficient in their respective specialty fields. The
CDM is committed to ensuring the graduates’ excellence in the art and science
of dental medicine and their commitment to independent life-long learning. The
mission requires graduates to be knowledgeable in the biological sciences,
clinically skilled, technologically proficient, compassionate, and sensitive to the
needs of the public. The graduate will be competent to function as a member
of, or in conjunction with an interdisciplinary primary health care team.
The CDM fosters leadership and excellence in dental education through a
commitment to:
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Recruit and retain the highest caliber, self-motivated students, residents
and faculty;
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Innovative teaching methods, research, scholarship, professionalism and
ethical principles;
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Continuing education, and
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Service to the local, state, national and international communities.
The CDM has a special commitment to educate students and residents
to provide culturally sensitive care to the underserved and special
needs populations.
CDM Vision

The vision of the CDM is to be the
acknowledged leader in educating
students for an enriched career in
general and specialty practice,
academia, and/or research with special
emphasis on the underserved
populations.
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Strategic Goals
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Develop a multi-interdisciplinary inter-professional education
model that incorporates patient-centered
comprehensive care including service learning
experiences and/or community-based learning
experiences for students.
Provide a clinical training environment that promotes ethical,
patient-centered care and that results in an independent
critical thinker and life-long learner, who can function as
an integral part of a healthcare team
Matriculate and retain a diverse student body of high
quality.
Identification of Critical Strategic
Issues
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Curriculum revision and innovation
Establishment and implementation of a
clinical group leader model
Space and equipment needs
Cultural diversity
Communications needs
Post Graduate and continuing education
needs
Budgetary flexibility
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Strategic Areas:
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Workgroups or Task forces (7)
Strategic Areas:
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Charges (8):
1.
2.
3.
4.
5.
6.
7.
8.
Action
Item
Supporting
Data
Identify all issues of the strategic category;
Breakdown issues into to action items;
Establish priorities;
Identify data to support development of each action
item;
Establish objectives;
Relate action items to mission, vision and core values;
Establish short and long term goals;
Complete the following grid:
Goals
&
Objectives
Strategies
&
Tactics
Correlates
To
Mission
Time
Leader
Barriers
Resources
Out
Comes
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Educational Continuum
Pre-dental
Education
Pre-doctoral
Education
Graduate-Post doctoral
CE
Oral Health as Component
of Overall Wellness
•Access
•Underserved and
Special Population
•Extramural
Programs
Inter & Intra
disciplinary and
Inter-professional
programs
Experiential
Learning
Seamless Integration
Facilitated by cutting edge technology and
fueled by science and research
Areas of Emphasis throughout the Curriculum
Patient Centered
Comprehensive Care
Life-long Learning
Public Health
Prevention
Health Promotion
Cultural sensitivity
Evidence-based
Education & Practice
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External Drivers
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New Strategic Plan
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New Mission and Vision
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New CODA standards
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Effective 2013
CODA site visit 2014
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2 year benchmarks
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Strategy to meet SP Curriculum revision and
innovation goal :
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Establish a curriculum innovation and
development committee (CID).
Co-Chairs:
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Dr. Audrey Galka
Dr. Diane Ede-Nichols
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Other school curriculum
7 additional members
(Establish a Team Leader Committee)
October 2009 - 1st meeting
Projected implementation
August 2010.
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Curriculum Innovation and Development
Benefits:
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To create a better student “product”
Efficiency
Student buy into their education
Alumni satisfaction
Student understanding of interdisciplinary
relationships
Earlier clinic time = more clinical experience
Providing care to the most vulnerable
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Curriculum Innovation and Development
Challenges:
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Implementation.
Paradigm shift/ philosophy / buy in/turf
wars/power struggles.
Concurrence as to what is the ideal
curriculum.
Convincing faculty and students that end
results will be beneficial.
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CID: Goal 1
To establish a vertically integrated, interdisciplinary education
model that graduates dental professionals who are well-qualified to
practice general dentistry in the 21st century.
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Objectives:
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Identify the essential academic and clinical knowledge, skills, and
attitudes needed to be competent as a general dentist, including those
inherent for success in conducting scientific research, employing critical
thinking, and arriving at appropriate diagnoses.
Develop interdisciplinary courses that integrate the essential basic and
clinical sciences to be a competent general dentist assuring application of
biological sciences to dentistry.
Identify existing courses and program within NSU/HPD that can provide
the academic and clinical foundation knowledge, skills, and attitudes
needed to meet the evolving and expanding role of the dental
practitioner as part of an integrated health care team.
Develop a formal and ongoing outcome assessment process to measure
student’s achievement
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CID: Goal 2
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To develop an educational model that provides
direct clinical patient care early in the
curriculum.
Objectives:
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Identify the essential academic and clinical knowledge and
skills needed to begin direct clinical patient care.
Sequence interdisciplinary and pre-clinical courses to assure
students have the academic and clinical foundation
knowledge, skills, and attitudes needed to Begin direct
clinical patient care early in the curriculum.
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CID: Goal 3
To develop an educational model that
graduates dental professionals who are
culturally sensitive to the underserved and
special needs populations, and recognizes
the importance of community service.
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Objectives
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Assure all interdisciplinary courses include public health
and underserved community issues and topics are
vertically integrated in the curriculum.
Establish and require clinical and volunteer experiences in
underserved areas.
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Curriculum Innovation and Development
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Curriculum Innovation and Development
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December 10, 2009 meeting
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recommendation was made to consider an outside
consultant.
Intent – ”jump start” the process
Supported by Dean Robert Uchin
Academy for Academic Leadership
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Mr. Bill Hendricson
Timeline:
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February – April 2010
2 NSU workshops
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Curriculum Innovation and Development
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Consultant Role:
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Capture concepts
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Crystallize
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Communicate
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Clarify
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Curriculum Innovation and Development
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NSU CDM curriculum is competency-based.
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Requirements
Comprehensive care and case
completion
Dr. Frank Licari presented to CDM
Several organizational schemes attempted
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Curriculum themes : 4
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Curricular Targets:
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What should students know at the end of each year.
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Curriculum Innovation and Development
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Organized around four curriculum themes
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Human Biology and Disease
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Primary Care and Public Health
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Patient Care Foundations
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Clinical Practice of Dentistry
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Curricular Targets By Year
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Exposed:
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Competent:
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The level of skill attained by observation or
participation.
The level of skill displaying special ability or
knowledge derived from training and experience.
Skilled:
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The level beyond competency. Stresses mastery
when a particular activity is accomplished with
precision, accuracy and time efficiency.
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Curricular Targets By Year
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YEAR I (Exposed)
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Ethnic and Cultural Diversity
(All Departments)
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Communications Skills and Medical History Taking
(Oral Med, Perio)
Normal Head and Neck Anatomy, Oral Anatomy,
Dental Anatomy and Occlusion (Primary and
Secondary Dentition; Morphology of Pulp Spaces
& Roots of Teeth; Form and Function; Dental
Terminology; Dental Anomalies; Occlusal
Disharmony)
(Basic Sciences, Oral Med,
Pros, Cariology, Endo)
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Basic Examination Techniques
(Block Assignment Where Students Pair-Up And
Examine Each Other For Normal Anatomy And
Lymph Node Palpation)
(Oral Med, Perio, Cariology)
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Curriculum Innovation and Development
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Five drafts
Final curriculum plan was completed
September 7, 2010.
4 Curriculum theme groups continue to
develop the courses.
Clinical Practice of Dentistry
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1st to be implement
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Curriculum Innovation and Development
Clinical Practice of Dentistry
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Fall Semester 2011 (August 8th)
D-1
“Integrated Restorative Dentistry
Science Course”
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Operative dentistry
Dental anatomy
Cariology
Dental biomaterials
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Curriculum Innovation and Development
Clinical Practice of Dentistry
“Integrated Restorative Dentistry Science Course”
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Introduce all specialties and stress their interrelationship
Series of lectures and laboratories to introduce the
fundamentals of tooth preparation, provisionals and restoration.
Lab sessions that integrate dental anatomy, occlusion, operative
dentistry, endodontics, perio, etc.
Students will have radiology instruction needed to recognize
normal anatomy and abnormal
Local anesthesia
Nutrition, biomedical consideration, growth and developmental
factors and nutrition.
Emphasis on evidence-based treatment.
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Curriculum Innovation and Development
Clinical Practice of Dentistry
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Goal is to adequately prepare our D1
students to transition from simulation
lab to patient clinic experiences well
within the D1 year.
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Curriculum Innovation and Development
Human Biology and Disease
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College of Medical Sciences
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Pre-requisites:
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Biochemistry
Microbiology
Cell Biology “Boot Camp”
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4-6 weeks summer prior to D1
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Goals:
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Biochemistry
Immunology
Physiology
Genetics,
Microbiology
Pathology
Greater CDM role in basic sciences
Implement Summer 2012
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Team Leader Program
Implemented June 14, 2011
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Previously clinical
silos
4 groups
22 students
Separate Treatment
planning clinic
Plus other critical
changes
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Equal commitment
from Pros & Rest
8 groups
11 students
Tx Planning done on
clinic floor with 4
faculty to assist
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Curriculum Innovation and Development
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Curriculum Innovation and Development
Questions???