Dental Therapy Employer Workshop

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1 Dental Therapy Employer Workshop Dental Therapy Program Introduction (Excerpts) Karl Self, DDS, MBA Director, Division of Dental Therapy

2 School of Dentistry

3 Site Visits To Recognized Dental Therapy Programs First Nations University Prince Albert, Saskatchewan, Canada 32 years in operation University of Otago, School of Dentistry Dunedin, New Zealand 70+ years in operation University of Sheffield, Faculty of Dentistry Sheffield, England 25+ years in operation

4 SOD Curriculum Steering Committee Chair, Judith Buchanan, Associate Dean for Academic Affairs Darryl Hamamoto, Assistant Dean for Academic Affairs Gary Hildebrandt, Director, Division of Operative Dentistry Chris Blue, Director, Division of Dental Hygiene Peter Berthold, Director, Division of Community Oral Health Ron Grothe, Director, Advanced Training Program Pediatric Dentistry

5 U of M School of Dentistry: Curriculum Goals for Dental Therapy The standard of care taught to dental therapists will be identical to that taught to dental students; Within the defined scope of practice, competency requirements for dental therapists will be identical to those which apply to dental students; Health promotion & disease prevention will be core elements of the educational program; Program will be structured to complement, rather than compete with, other dental professionals;

6 U of M School of Dentistry: Curriculum Goals for Dental Therapy Graduates will contribute to reducing the cost of care and to improving access for underserved populations; Education will occur in a professional environment which includes dental hygienists & dentists, to ensure graduates are prepared to work in a team setting; Program will provide a foundation for professional advancement and career growth; Graduates will find viable career opportunities in the dental marketplace; and Program could be replicable by other dental schools.

7 Team Approach to Oral Health Care Dentist Team Leader Dental Hygienist Patient Dental Therapist Dental Assistant Dental Lab Tech

8 Dental Therapy Tracks Bachelors of Science in Dental Therapy for high school graduates Confers undergraduate degree 12 month prerequisites; 28 months in program Master in Dental Therapy for adult learners Confers professional degree 2 o emphasis public health, leadership and education 28 months in program

9 DT Admissions Process Dental Therapy Admissions Committee composed of the Director of the Division of Dental Therapy, one DDS or DT from the practicing community and one representative from the following divisions: Comprehensive Care Community Oral Health Dental Hygiene Operative Dentistry Pediatric Dentistry

10 DT Admissions Process Admissions Considerations Academic record (GPA, courses taken, ) History of volunteering/community involvement Participation in an interview process which includes: A structured interview by trained team of two Completion of an impromptu essay Completion of a critical thinking evaluation Evaluation on Advanced Simulation Criteria Potential for meeting the mission of the program

11 Programs in Dental Therapy Prerequisites or part of program Compositional Writing 4 credits General Biology 4 credits Principles of General Chemistry 4 credits Human Physiology 4 credits Biochemistry 3 credits Statistics 4 credits Psychology 4 credits Intensive Writing 4 credits Human Anatomy 3 credits Microbiology 3 credits

12 Dental Therapy: Curriculum Map DT1 DT2 DT3 DT1 DT2 DT3 Fall Sp Su Fall Sp Su Fall Prerequisite courses Dental courses Pre-clinical courses Clinical courses Moos Tower Outreach experiences

13 Competencies for the Dental Therapist Domain 1. Patient Care Part A. Assessment and evaluation of Patients Part B. Establishment and Maintenance of Oral Health Domain 2. Communication and Interpersonal Skills Domain 3. Professionalism Domain 4. Practice Management Domain 5. Informatics and Critical Thinking Domain 6. Health Promotion

14 DT Program Curriculum Fall 2009 Head and Neck Anatomy (DT, DH) DT Care Process: Clinical Application I (DT, DH) Oral Anatomy Lecture and Lab (DT, DDS) Introduction to Psychomotor Skills (DT, DDS) Liberal Ed courses or Prerequisite courses in: Education Public Health Leadership

15 DT Program Curriculum Spring 2010 Local Anesthesia and Pain Management (DT, DDS) Oral and Maxillofacial Radiology (DT, DDS, DH) Oral Histology and Embryology (DT, DDS, DH) Provider Patient Relationship (DT, DH) Cariology and Applied Nutrition in Dental Therapy Care (DT, DH) Pathology for Allied Health Students (DT)

16 DT Program Curriculum Summer 2010 Periodontology I (DT, DDS) Preclinical Pediatric Dentistry (DT, DDS, DH) Pharmacology (DT, DH) Oral and Maxillofacial Radiology Lab (DT, DDS, DH) Applied Biomaterials (DT, DDS) Operative I Lecture & Lab (DT, DDS) FIPCC Foundations of Interprofessional Communication & Collaboration (DT, DDS, DH)

17 DT Program Curriculum Fall 2010 Preventive Pediatric Dentistry Clinic (DT) Oral and Maxillofacial Radiology II (DT, DDS, DH) Dental Public Health and Academic Service Learning I (DT, DH) DT Care Process: Clinical Application II (DT, DH) Ethics and Jurisprudence for the Dental Therapist (DT, DH) Applied Biomaterials (DT, DDS) Operative Dentistry I & II (DT, DDS) Prosthodontic Topics in Dental Therapy

18 DT Program Curriculum Spring 2011 Comprehensive Care Clinic (DT, DDS, DH) Operative Clinic (DT,DDS) Oral Radiology Clinic (DT, DDS, DH) Clinical Pediatric Dentistry (DT, DDS) Dental Public Health and Academic Service Learning II (DT, DH) Management and Supervision of a Dental Practice (DT, DDS, DH) Oral Pathology Prosthodontic Topics in Dental Therapy

19 DT Program Curriculum Summer 2011 Team Building Course (DT, DDS, DH) Essentials of Clinical Care (DT, DDS, DH) [Comprehensive Care Clinic, Operative, Radiology, Pediatric Clinics] Outreach Experiences (DT, DDS, DH) Fall 2011 Comprehensive Care Clinic (DT, DDS, DH) Operative/Radiology/Pediatric Clinics (DT, DDS) Outreach Experiences (DT, DDS, DH) Graduation December 2011

20 Outreach Education Outreach experiences provide an opportunity for dental therapy students to: Develop a broad understanding of the community and social responsibilities they will have as dental professionals Treat a diversity of patients with a variety of oral health care needs Enhance their clinical skills Participate in inter-professional learning experiences. Dental Therapy students will spend about 8 weeks in a rural clinic and/or an urban clinic. A 3 rd outreach site is being developed which will be oriented toward treating children

21 Community-based Education in Greater Minnesota

22 Native American Community Dental Clinic FQHC Newest

23 Program Costs* Tuition & Fees BSDT (Degree Completion) Tuition = ~$44,500 (Resident), $61,000 (NR) Fees = ~$21,000 Total = ~$65,500 (Resident), $82,000 (NR) MDT Tuition = ~$42,000 (Resident), $69,000 (NR) Fees = ~$20,000 Total = ~$62,000 (Resident), $89,000 (NR) * Estimated costs for class graduating in Dec 2011

24 University of Minnesota School of Dentistry Profile of the Dental Therapy Fall 2009 Class Number of Students in the Class Men 9 1 (%) Women 8 %) Ethnically Diverse 2 (%) Overall GPA Masters Level Students Prerequisite GPA Bachelors Level Student In State 8 (25 %) 1Out of State (%) Experience in Health Care 6 (25 %) 25 Total Completed Applications Updated 08/04/09 JK

25 Dental Therapy Students (2009) Program Bachelor Background dental hygienist Master dental assistant (4) dental technician new college grads (2) biotech junior scientist

26 University of Minnesota School of Dentistry Profile of the Dental Therapy Fall 2010 Class Number of Students in the Class Men Women Ethnically Diverse In State Out of State Experience in Health Care 10 3 (%) 7 %) 3 (%) Overall GPA Masters Level Students Prerequisite GPA Bachelors Level Student 9 (25 %) 33 Total Completed Applications 1 (%) 5 (25 %) Updated 07/07/10 JK

27 Dental Therapy Students (2010) Program Bachelor Master Background dental assistant direct care giver server small business owner dental hygienist dental office manager cytologist engineering tech lab assistant teacher

28 Potential Benefits of a New Team Member Benefits of Dental Therapists as part of dental team: Increase the capacity of established providers to provide more care Increase the efficiency of dentists Allows dentist to improve skills needed to focus on providing more complex care Extend dental care to rural and low-income patients Resource to improve community health Improves the working lives for the whole dental team

29 Evaluating Impact of Dental Therapists RESEARCH Teams organized around specific topics Experts from dentistry, public health, health policy measuring Attitudes of current students, staff and faculty Attitudes of practicing dentists Attitudes of patients Placement of graduates Impact on access to care

30 Evaluating Impact of Dental Therapists RESEARCH Economic Modeling incorporating dental therapists as a part of the general practice dental team Collaboration with HealthPartners Urban vs. Rural vs. MHCP focused

31 Benefits of Dental Therapists T - Together E - Everyone A - Achieves M - More

32 THANK YOU Karl Self, DDS, MBA

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