Associate of Applied Science Degree Dental Hygiene

Transcription

1 Associate of Applied Science Degree Dental Hygiene Please return all correspondence to the address listed below: State Fair Community College Attn: Admissions Student Services Office 3201 W 16 th Street Sedalia, MO Phone: (660) Fax (660) * Application deadline is February 15, 2016 (For the Dental Hygiene class beginning fall August 2016)

2 State Fair Community College Dental Hygiene Dear Prospective Dental Hygiene Applicant: Dental Hygiene is an exciting career opportunity that crosses many academic fields. The Dental Hygienist is a well-versed clinician able to administer diverse clinical care as well as be an educator, health advocate, administrator/manager and researcher. Thank you for your interest State Fair Community College s Dental Hygiene Program. At this time the next program is scheduled to begin the fall of There is one class entered each fall of the academic year. If you are applying before February 15, 2016 you will be considered for the fall 2016 class. Please note: you must have successfully completed all prerequisites for the Dental Hygiene program in order to be accepted. Please see the Course Sequence enclosed. Selection to the Dental Hygiene Program is based on program criteria which includes; Overall GPA of completed prerequisites of 2.7, acceptable references, a score of at least 50% on the Health Occupations Aptitude Exam (HOAE), dental assisting experience OR job shadowing, and the district/ service area you are a resident of. Please refer to Selection Criteria enclosed. This letter is accompanied by an application to the program and a scope and sequence of the prerequisites and program courses needed to become a Registered Dental Hygienist (RDH), essential qualifications information and selection policy. Upon completion of all prerequisites, general education requirements and dental hygiene courses, the student will receive an AAS degree and be eligible to sit for the written National Dental Hygiene Board exam and Central Regional clinical test. Successful completion of both of these exams, a state jurisprudence exam and graduation from an accredited program are necessary for dental hygiene licensure in any of the fifty states. The first step in becoming a candidate will be to apply to State Fair Community College and admission to the Dental Hygiene Program with necessary transcripts. Your dental hygiene application will not be considered if you are not accepted to State Fair Community College. Deadline for application to Dental Hygiene Program for the fall of 2016 is February 15, We further advise you to contact your Student Navigator, once you are enrolled to assure your career path is right for you. If you are not seeking your prerequisites from State Fair Community College, please contact us with your questions or clarifications you might have. Thank you for your interest in our program. If you have any questions about admissions, please contact the Admissions Office ( ) or the Administrative Assistant to Dental Hygiene, Susan Kelly ( ), Skelly@sfccmo.edu Sincerely, Caryn M. Tierney, RDH, BS, MTL Director Dental Hygiene ctierney@sfccmo.edu

3 Policy for Selection of State Fair Community College Dental Hygiene Students Please read the following carefully: Step 1: APPLY FOR ADMISSION TO SFCC You will not be considered for the dental hygiene program unless accepted at State Fair Community College. Meet State Fair Community College Admission Requirements: o Application by Submitting a SFCC application for admission form with application fee to: State o Fair Community College, Student Services, 3201 W. 16 th St, Sedalia, MO Submit Official College Transcripts for all college classes attended AND Official High School Transcripts or High School Equivalency Certificate (GED) Take a Placement Exam - ACT, ASSET, or COMPASS (See SFCC Catalog for more information) All developmental courses must be passed with a C or higher, based upon assessment tests scores. For International Students see admission procedures in SFCC catalog Step 2: PREREQUISITES Intermediate Algebra (3cr), Human Anatomy w/lab (4cr), Human Physiology w/lab (4cr), Microbiology w/lab (4cr), and Introduction to Chemistry (5cr) must be completed with a grade of C or higher, (a minimum GPA of 2.7 is required) prior to the spring semester before the fall semester you wish to enter. The classes with labs must be four or five credit hours. Please note: you must have successfully completed all prerequisites for the Dental Hygiene program by the end of the spring semester before the fall you wish to enter. However, priority admission will be given to those applicants who have completed the prerequisite courses prior to the application deadline See Sequence of Courses included. Step 3: Health Occupations Aptitude Exam (HOAE) Schedule an appointment to take the Health Occupations Aptitude Exam (HOAE): applicant must obtain a composite score or 50% or higher. Points will further be awarded for reading comprehension scores,). This test can be taken 3 times per entry period with forty five days between testing. Testing starts in August and ends early February. Costs of this test are $40.00/testing. To schedule aptitude test go to: or contact The following links may prove helpful on the test. and Step 4: APPLY FOR ADMISSION TO THE DENTAL HYGIENE PROGRAM Meet the Dental Hygiene Program Admission Requirements: o Submit a Dental Hygiene Application for Admission (in addition to the SFCC application for admission) (pg. 8) o Submit three reference forms with contact information; one of which is to be evaluated and signed by a DDS or RDH. Forms have been provided in the application packet. Letters of recommendation will not be considered. (pages 11to 22 provide you with 3 copies of this form) o Official Transcripts of all Prerequisites for the Dental Hygiene Program must be submitted prior to applying to the dental hygiene program. o Submit a photo copy of Driver s License or State issued ID o Submit either Verification of Job Related Observation form (pg. 9) or DA Verification of Employment form (pg.10 ) Include Certified Dental Assistant certificate or Basic Skills Exam if applicable. 3

4 o Residency must be verified by tax receipt or other information. Please check on your residency status with Financial Aid at State Fair CC. Step 5: Await written selection notification (4 to 6 weeks after the application deadline) Selection Criteria Final selection is based on the achievement of selection criteria and points awarded from total of 10 points. The total score is based on the following: a. Prerequisite courses completed before spring semester with a C or better. b. Overall GPA for 20 credit hours of prerequisites must be 2.7 or higher. c. Reference forms with contact (one contact must be a DDS or RDH) information and signature. d. Up to 3 points awarded based on HOAE exam scores e. Residency in State Fair Community College service district: 3 points for the two county districts (Pettis and Benton Counties) and the fourteen county service regions and 2 point for a Missouri State residence, 1 point for Out of State. Residency must be verified by tax receipt or other information. f. Dental Assisting Experience: Certified Dental Assistant or Basic Skills with >2 years experience= 4 points* Certified Dental Assistant with < 2 years experience= 3 points (provide copy of certificate for verification), Dental Assistant with experience over 2 years= 2 points Basic Skills Exam with less than 2 years experience=1 point Job shadowing experience= 0 points A minimum of twenty hours of Job Shadowing is mandatory for application. See Job Verification Forms in application packet to submit with application. *You must have had your CDA or Basic Skills certification for a minimum of two years and have been working as a dental assistant for at least two years to be awarded the higher points value. Ex: You cannot have worked for more two years as a dental assistant and then received your Basic Skills six months prior to your application. In the previous scenario you would receive 3 points for having the CDA or Basic Skills certification for less than 2 years. In the case of a point tie, GPA will be considered. All students are notified of their status accepted, alternate, or not accepted by letter. Nondiscrimination (SFCC Regulation 1210) State Fair Community College does not discriminate on the basis of race, color, national origin, sex, disability, religion, sexual orientation, veteran status, or age in its programs and activities or in employment. The following persons have been designated to handle inquiries regarding the nondiscrimination policy: Director of Human Resources, Hopkins Student Services Center, (660) , or Dean of Student and Academic Support Services, Hopkins Student Services Center, (660) The Hopkins Center is located on SFCC s Sedalia campus at 3201 W. 16th St., Sedalia, MO Inquiries also may be directed to the U.S. Department of Education, Office of Civil Rights at OCR.KansasCity@ed.gov. Interested persons may obtain information as to the existence and location of services, activities and facilities at State Fair Community College that are accessible to and usable by persons with disabilities by contacting the Access office, Student Services Office, Hopkins Student Services Center, Room 751, SFCC, 3201 W. 16th Street, Sedalia, MO 65301, (660)

5 State Fair Community College Dental Hygiene Program Sequence of Courses Prerequisite Courses These courses must be taken prior to applying to the Dental Hygiene Program. Note: Other non-dental hygiene courses (*general education requirements) may also be taken prior to enrollment in the program, but are not required as prerequisites. Intermediate Algebra 3 MATH 112 Human Anatomy/Lab 4 BIO 207 Human Physiology/Lab 4 BIO 208 Microbiology/Lab 4 BIO 121 Introduction to Chemistry/Lab or 5 CHEM 101 Total Hours 20 Check the current SFCC Catalog for course requirements for program prerequisites. Please note: Prerequisites taken elsewhere must have equivalent credit hours and labs with them. Introductory courses, such as Living Chemistry are not acceptable. * English Composition II, Medical Terminology I are recommended courses. These are not required, but strongly encouraged for student success. Year 1 Year 2 Fall Semester Credit Hours Fall Semester Credit Hours Intro to Dental Hygiene DH Clinical Dental Hygiene III DH Dental Radiography DH Community Dental Health DH Oral Anatomy & Histology DH Community Lab DH Dental Clinical Emergencies DH Pathology DH English Comp I* ENGL101 3 General Psychology* PSY Total Hours 13/16 Total Hours 13/16 Spring Semester Spring Semester Clinical Dental Hygiene I DH Clinical Dental Hygiene IV DH Principles of Periodontics DH Ethics & Legal Issues DH Dental Biomaterials DH Applied Nutrition & Oral Health DH Pharmacology DH Advanced Periodontics Practicum DH History or Government* HIST 101, Career Development HEOC POLS 101 Public Speaking* SPTH General Sociology* SOC Total Hours 12/18 Total Hours 13/16 Summer Semester Local Anesthesia DH AAS Degree and Dental Hygiene 92 Clinical Dental Hygiene II DH Total Hours 6 5

6 Fee Schedule for Dental Hygiene Program State Fair Community College Effective Fall 2015 through Spring 2016 (In-District/Out-of-District) FIRST SEMESTER (Fall) IN-DISTRICT $300 per credit hour OUT-DISTRICT $340 per credit hour 13/16 credit hours $3900/$4800 $4420/$5440 Program fee--$60/hr. $780/$960 $780/$960 Technology fee--$10/hr. $130/$160 $130/$160 Total for First Semester * $4810/ $5920 $5330 / $6560 SECOND SEMESTER (Spring) 12/18 credit hours $3600/$5400 $4080/$6120 Program fee--$60/hr. $780/$ 960 $780/$960 Technology fee--$10/hr. $130/$190 $130/$190 Total - Second Semester * $4440/$6660 $4920 / $7380 THIRD SEMESTER (Summer Session) 6 credit hours $1800 $2040 Program fee--60/hr. $360 $360 Technology fee--$10/hr. $60 $60 Total Summer Semester* $2220 $2,460 FOURTH SEMESTER (Fall) IN-DISTRICT OUT-DISTRICT 13/16credit hours $3900/$4800 $3900/$4800 Program fee--$60/hr. $780/$960 $780/$960 Technology fee--$10/hr. $130/$160 $130/$160 Online course fee $45/hr $90 $90 Total for Third Semester * $4900 / $6010 $5420 / $6650 FIFTH SEMESTER (Spring) 13/16 credit hours $3900/$4800 $3900/$4800 Program fee--$60/hr. $780/$960 $780/$960 Technology fee--$10/hr. $130/$160 $130/$160 Online course fee $45/hr $90 $90 Total - Fourth Semester * $4900 / $6010 $5420 / $6650 TOTAL $21270/$24600 $23550/$27240 *These fees and tuition are subject to change. 6

7 DENTAL HYGIENE PROGRAM: Estimated Additional Expenses/semester Semester 1: Fall Books: $600 Uniforms and insignias (shoes not included) $200 Instruments & Equipment $3,000 SADHA dues $65 TOTAL $3,865 Semester 2: Spring Books/supplies $400 Nitrous course UMKC $500 TOTAL $900 Semester 3: Summer Books/supplies $250 TOTAL $250 Semester 4: Fall Books/supplies $600 Loupes (optional) $1,200 SADHA dues $65 TOTAL $1,865 Semester 5: Spring Books/supplies $400 Licensing Exams: NDHBE, CRDTS, MO Jurisprudence (due in January of Grad year) $1,800 Graduation Fees $200 TOTAL $2,400 Regional Conferences $300 Community Dental Hygiene Travel $100 TOTAL ESTIMATED ADDITIONAL EXPENSES $9,680 *All above costs are estimates and subject to change. Licensing Exam fees do not include travel or patient compensation Total Estimates In-District Costs: Total Estimated Out-District Costs: Without Gen-Eds Without Gen-Eds $30,950 $33,230 With Gen-Eds With Gen-Eds $34,280 $36,920 7

8 APPLICATION FOR ADMISSION TO THE DENTAL HYGIENE PROGRAM APPLICATION The following must be on file by February 15, 2016 for the program beginning in August 2016: Step One: Meet State Fair Community College Admission Requirements: SFCC Application for Admission for with Application Fee Official High School Transcripts or High School Equivalency Certificate (GED) Official College Transcripts Placement Test Scores (ACT, ASSET or COMPASS) Step Two: Complete Prerequisite courses, submit transcripts Take the Health Occupation Aptitude Exam (HOAE) Complete information below Submit with Verification of Employment or observation form and three reference forms STUDENT ID NUMBER SOCIAL SECURITY NUMBER LAST NAME FIRST NAME MIDDLE NAME PREFERRED NAME DATE OF BIRTH (AREA) HOME & CELL PHONE NUMBER (AREA) WORK PHONE NUMBER ADDRESS-STREET, ROUTE OR BOX NUMBER CITY STATE ZIP CODE Student and Permanent Addresses ATTN: STUDENT SERVICES OFFICE STATE FAIR COMMUNITY COLLEGE 3201 West 16 th Street Sedalia, MO Phone: (660) Fax: (660)

9 STATE FAIR COMMUNITY COLLEGE DENTAL HYGIENE PROGRAM VERIFICATION OF DENTAL RELATED OBSERVATION Dear Doctor and Dental Hygienist, The dental hygiene faculty would like to thank you for allowing a prospective dental hygiene student into your office. The applicant listed below has applied to the Dental Hygiene Program at State Fair Community College. We are requiring our pre-dental students to observe twenty hours to provide the potential students the opportunity to gain basic knowledge of the career that they have chosen. We appreciate your brief response to the following questions. Thank you again. Student name: Date of student observation: Number of hours: Please identify what the student was able to observe/participate in this rotation: Please identify any recommendation you have to improve this experience for the student: Additional information or comments: Dentist or Hygienist signature: Print name and address: 3201W 16th St Sedalia, MO

10 STATE FAIR COMMUNITY COLLEGE DENTAL HYGIENE PROGRAM Dental Assistant Verification of Employment Dear Employer and Applicant: The employment information you give must be accurate and verifiable. Fraudulent information is reason for the applicant to be denied consideration for entry in State Fair Community College s Dental Hygiene program. Please print legibly. Applicant s Name: Employer s Name: Phone: Address: Relationship: Best time to contact: Day time phone: Signature of employer: Exact dates of applicants employment as a dental assistant with you: Starting date of employment: Ending date of employment: Check one that applies to the applicant: Certified Dental Assistant or Basic Skills over 2 years experience (CDA): Dental Assistant over two years: Dental Assistant under two years: 3201W 16th St Sedalia, MO

11 3201 W. 16 th St. Sedalia, MO Reference Form Part 1 DENTAL HYGIENE PROGRAM All Reference Forms are the express and sole property of the State Fair Community College Dental Hygiene Program. Student waives rights to view this reference form. Student signature required to be considered complete. Incomplete forms will not be accepted. Applicant s Name Referring Person s Name Employer (Past, Present, Paid, or Volunteer) Applicant s Signature Phone Supervisor or Co-Worker (Past, Present, Paid, or Volunteer) Instructor Vocational Counselor Other (please specify) Below you will find descriptions of the essential qualifications that are necessary to competently enter practice as a dental hygienist. Please rate the candidate s abilities as they relate to the specified areas. Use the comment area to elaborate as needed. MOTOR SKILLS: Candidates should have sufficient motor function so that they are able to execute movements required to provide general care and treatment to patients in all health care settings. [For example: for the safety and protection of the patients, the candidate must be able to perform basic life support, including CPR, and function in an emergency situation. The candidate must have the ability, within reasonable limits, to safely assist a patient in moving, for example, from a dental chair to or from a wheelchair.] The dental hygienist must have sufficient dexterity to securely operate delicate instruments and dental materials in a small environment such as a child s oral cavity. Comments: BEHAVIORAL/EMOTIONAL A candidate must possess the emotional health required for the full utilization of his or her intellectual abilities, the exercise of good judgment, the prompt completion of all responsibilities attendant to the diagnosis and care of patients and families. In addition, he/she must be able to maintain mature, sensitive, and effective relationships with patients, students, faculty, staff, and other professionals under all circumstances including highly stressful situations. The candidate must have the emotional stability to function effectively under stress and to adapt to an environment that may change rapidly without warning and/or in unpredictable ways. The candidate must be able to experience empathy for the situations and circumstances of others and effectively communicate that empathy. The candidate must know that his or her values, attitudes, beliefs, emotions, and experiences affect his or her perceptions and relationships with others. The candidate must be able and willing to examine and change his or her behavior when it interferes with productive individual or team relationships. The candidate must possess skills and experience necessary for effective and harmonious relationships in diverse academic and working environments. Comments: 11

12 SENSORY A candidate must be able to acquire the information presented through demonstrations and experiences in the basic and dental sciences. He or she must be able to observe a patient accurately, at a distance and close at hand, and observe and appreciate non-verbal communications when performing dental hygiene assessment, intervention, instrumentation, or administering local anesthesia. The candidate must be capable of perceiving the signs of disease and infection as manifested through physical examination. Such information is derived from images of tooth structure, palpable changes in various organs and tissues, and auditory information (patient voice, blood pressure). Comments: COMMUNICATION The candidate must communicate effectively and sensitively with other students, faculty, staff, patients, family, and other professionals. He or she must express his or her ideas and feelings clearly and demonstrate a willingness and ability to give and receive feedback. A candidate must be able to: convey or exchange information at a level allowing development of a health history; identify problems presented; explain alternative solutions; and give directions during treatment and post-treatment. The candidate must be able to communicate effectively in oral and written forms. The candidate must be able to process and communicate information on the patient s status with accuracy in a timely manner to members of the health care team. The appropriate communication may also rely on the candidate s ability to make a correct judgment in seeking supervision and consultation in a timely manner Comments: COGNITIVE A candidate must be able to measure, calculate reason, analyze, integrate, and synthesize in the context of dental hygiene study. The candidate must be able to quickly read and comprehend extensive written material. He or she must also be able to evaluate and apply information and engage in critical thinking in the classroom and clinical setting. Comments: PROFESSIONAL CONDUCT Candidates must possess the ability to reason morally and practice dental hygiene in an ethical manner. Candidates must be willing to learn and abide by professional standards of practice. He/she must possess the attributes that include compassion, empathy, altruism, integrity, honesty, responsibility, and tolerance. Candidates must be able to engage in patient care delivery in all settings and be able to deliver care to all patient populations including but not limited to children, adolescents, adults, developmentally disabled persons, medically compromised patients, and vulnerable adults. Comments: 12

13 3201 W. 16 th St. Sedalia, MO Reference Form Part 2 DENTAL HYGIENE PROGRAM Applicant s Name Date Place an (X) in each category where it best describes this applicant. It is important to rate the student in each category. If you feel that you do not know the applicant well enough to evaluate each category, please return the forms to the applicant, so they may select a different evaluator. All information will be kept in confidence. 1. Industry: Willingness to work; work habits; zeal; perseverance Lazy; little or no effort Seldom completes work Ordinarily completes work Occasionally does extra work Does extra work gladly 2. Thoroughness: Accuracy; carefulness; definiteness; exactness Careless; work is always incomplete Expresses ideas carelessly; inaccurately Work generally completed and reasonably accurate Careful work; accurate Very careful and thorough 3. Initiative: Intellectual curiosity; originality; willingness to attempt new ideas; asks questions; show interest Never tries anything new Seldom originates any work; follower Sometimes attempts new ideas Often initiates undertakings 4. Reliability: Dependability; good judgment; honesty; ability to get along without supervision Dishonest; neglects obligations Often needs supervision Has to be prompted; sometimes reliable Usually assumes obligations Marked ability to think independently; carries out ideas Thoroughly dependable 5. Cooperation: Ability to get along with others; adaptable; tactful; agreeable; cheerful Disagreeable; neglects obligations Slow to respond; not willing to help Tends to be agreeable and willing to help Does well in team work; agreeable Always willing to help others 6. Emotional Control: Poise; ability to handle stress Very poor control of emotions Occasionally loses self-control Fairly well-balanced Well-balanced; demonstrates selfcontrol Unusual poise 7. Intellectual Capacity: Intelligence; natural ability to succeed in academic effort Very slow to learn; lowest fifth Needs to make extra effort to keep up Average intelligence Quick to grasp subject 8. Recommendation: Based on the ratings on this form, this applicant is: Not recommended Recommended with reservations Recommended Recommended with confidence Gifted; highest fifth Very highly recommended (over) 13

14 How long have you known this applicant? In what capacity have you been associated with this applicant? Comments: I believe the information provided above and on previous pages is true and accurate. Referring Person s Signature Date Referring Person s Printed Name: Title: Referring Person s Mailing Address: Phone: PLEASE FOLD REFERENCE FORM PART - 1 and PART - 2 (a total of 4 pages) TOGETHER AND SEAL THEM IN AN ENVELOPE. Please be sure to SIGN YOUR NAME ACROSS THE SEAL OF THE ENVELOPE. This insures the confidentiality of your evaluation. Please return these forms to the applicant. The applicant will include your reference as part of his/her application packet. For the applicant to be considered for admission this form MUST be received by February 15 th. Thank you! 14

15 3201 W. 16 th St. Sedalia, MO Reference Form Part 1 DENTAL HYGIENE PROGRAM All Reference Forms are the express and sole property of the State Fair Community College Dental Hygiene Program. Student waives rights to view this reference form. Student signature required to be considered complete. Incomplete forms will not be accepted. Applicant s Name Referring Person s Name Employer (Past, Present, Paid, or Volunteer) Applicant s Signature Phone Supervisor or Co-Worker (Past, Present, Paid, or Volunteer) Instructor Vocational Counselor Other (please specify) Below you will find descriptions of the essential qualifications that are necessary to competently enter practice as a dental hygienist. Please rate the candidate s abilities as they relate to the specified areas. Use the comment area to elaborate as needed. MOTOR SKILLS: Candidates should have sufficient motor function so that they are able to execute movements required to provide general care and treatment to patients in all health care settings. [For example: for the safety and protection of the patients, the candidate must be able to perform basic life support, including CPR, and function in an emergency situation. The candidate must have the ability, within reasonable limits, to safely assist a patient in moving, for example, from a dental chair to or from a wheelchair.] The dental hygienist must have sufficient dexterity to securely operate delicate instruments and dental materials in a small environment such as a child s oral cavity. Comments: BEHAVIORAL/EMOTIONAL A candidate must possess the emotional health required for the full utilization of his or her intellectual abilities, the exercise of good judgment, the prompt completion of all responsibilities attendant to the diagnosis and care of patients and families. In addition, he/she must be able to maintain mature, sensitive, and effective relationships with patients, students, faculty, staff, and other professionals under all circumstances including highly stressful situations. The candidate must have the emotional stability to function effectively under stress and to adapt to an environment that may change rapidly without warning and/or in unpredictable ways. The candidate must be able to experience empathy for the situations and circumstances of others and effectively communicate that empathy. The candidate must know that his or her values, attitudes, beliefs, emotions, and experiences affect his or her perceptions and relationships with others. The candidate must be able and willing to examine and change his or her behavior when it interferes with productive individual or team relationships. The candidate must possess skills and experience necessary for effective and harmonious relationships in diverse academic and working environments. Comments: 15

16 SENSORY A candidate must be able to acquire the information presented through demonstrations and experiences in the basic and dental sciences. He or she must be able to observe a patient accurately, at a distance and close at hand, and observe and appreciate non-verbal communications when performing dental hygiene assessment, intervention, instrumentation, or administering local anesthesia. The candidate must be capable of perceiving the signs of disease and infection as manifested through physical examination. Such information is derived from images of tooth structure, palpable changes in various organs and tissues, and auditory information (patient voice, blood pressure). Comments: COMMUNICATION The candidate must communicate effectively and sensitively with other students, faculty, staff, patients, family, and other professionals. He or she must express his or her ideas and feelings clearly and demonstrate a willingness and ability to give and receive feedback. A candidate must be able to: convey or exchange information at a level allowing development of a health history; identify problems presented; explain alternative solutions; and give directions during treatment and post-treatment. The candidate must be able to communicate effectively in oral and written forms. The candidate must be able to process and communicate information on the patient s status with accuracy in a timely manner to members of the health care team. The appropriate communication may also rely on the candidate s ability to make a correct judgment in seeking supervision and consultation in a timely manner Comments: COGNITIVE A candidate must be able to measure, calculate reason, analyze, integrate, and synthesize in the context of dental hygiene study. The candidate must be able to quickly read and comprehend extensive written material. He or she must also be able to evaluate and apply information and engage in critical thinking in the classroom and clinical setting. Comments: PROFESSIONAL CONDUCT Candidates must possess the ability to reason morally and practice dental hygiene in an ethical manner. Candidates must be willing to learn and abide by professional standards of practice. He/she must possess the attributes that include compassion, empathy, altruism, integrity, honesty, responsibility, and tolerance. Candidates must be able to engage in patient care delivery in all settings and be able to deliver care to all patient populations including but not limited to children, adolescents, adults, developmentally disabled persons, medically compromised patients, and vulnerable adults. Comments: 16

17 3201 W. 16 th St. Sedalia, MO Reference Form Part 2 DENTAL HYGIENE PROGRAM Applicant s Name Date Place an (X) in each category where it best describes this applicant. It is important to rate the student in each category. If you feel that you do not know the applicant well enough to evaluate each category, please return the forms to the applicant, so they may select a different evaluator. All information will be kept in confidence. 1. Industry: Willingness to work; work habits; zeal; perseverance Lazy; little or no effort Seldom completes work Ordinarily completes work Occasionally does extra work Does extra work gladly 2. Thoroughness: Accuracy; carefulness; definiteness; exactness Careless; work is always incomplete Expresses ideas carelessly; inaccurately Work generally completed and reasonably accurate Careful work; accurate Very careful and thorough 3. Initiative: Intellectual curiosity; originality; willingness to attempt new ideas; asks questions; show interest Never tries anything new Seldom originates any work; follower Sometimes attempts new ideas Often initiates undertakings 4. Reliability: Dependability; good judgment; honesty; ability to get along without supervision Dishonest; neglects obligations Often needs supervision Has to be prompted; sometimes reliable Usually assumes obligations Marked ability to think independently; carries out ideas Thoroughly dependable 5. Cooperation: Ability to get along with others; adaptable; tactful; agreeable; cheerful Disagreeable; neglects obligations Slow to respond; not willing to help Tends to be agreeable and willing to help Does well in team work; agreeable Always willing to help others 6. Emotional Control: Poise; ability to handle stress Very poor control of emotions Occasionally loses self-control Fairly well-balanced Well-balanced; demonstrates selfcontrol Unusual poise 7. Intellectual Capacity: Intelligence; natural ability to succeed in academic effort Very slow to learn; lowest fifth Needs to make extra effort to keep up Average intelligence Quick to grasp subject 8. Recommendation: Based on the ratings on this form, this applicant is: Not recommended Recommended with reservations Recommended Recommended with confidence Gifted; highest fifth Very highly recommended (over) 17

18 How long have you known this applicant? In what capacity have you been associated with this applicant? Comments: I believe the information provided above and on previous pages is true and accurate. Referring Person s Signature Date Referring Person s Printed Name: Title: Referring Person s Mailing Address: Phone: PLEASE FOLD REFERENCE FORM PART - 1 and PART - 2 (a total of 4 pages) TOGETHER AND SEAL THEM IN AN ENVELOPE. Please be sure to SIGN YOUR NAME ACROSS THE SEAL OF THE ENVELOPE. This insures the confidentiality of your evaluation. Please return these forms to the applicant. The applicant will include your reference as part of his/her application packet. For the applicant to be considered for admission this form MUST be received by February 15 th. Thank you! 18

19 3201 W. 16 th St. Sedalia, MO Reference Form Part 1 DENTAL HYGIENE PROGRAM All Reference Forms are the express and sole property of the State Fair Community College Dental Hygiene Program. Student waives rights to view this reference form. Student signature required to be considered complete. Incomplete forms will not be accepted. Applicant s Name Referring Person s Name Employer (Past, Present, Paid, or Volunteer) Applicant s Signature Phone Supervisor or Co-Worker (Past, Present, Paid, or Volunteer) Instructor Vocational Counselor Other (please specify) Below you will find descriptions of the essential qualifications that are necessary to competently enter practice as a dental hygienist. Please rate the candidate s abilities as they relate to the specified areas. Use the comment area to elaborate as needed. MOTOR SKILLS: Candidates should have sufficient motor function so that they are able to execute movements required to provide general care and treatment to patients in all health care settings. [For example: for the safety and protection of the patients, the candidate must be able to perform basic life support, including CPR, and function in an emergency situation. The candidate must have the ability, within reasonable limits, to safely assist a patient in moving, for example, from a dental chair to or from a wheelchair.] The dental hygienist must have sufficient dexterity to securely operate delicate instruments and dental materials in a small environment such as a child s oral cavity. Comments: BEHAVIORAL/EMOTIONAL A candidate must possess the emotional health required for the full utilization of his or her intellectual abilities, the exercise of good judgment, the prompt completion of all responsibilities attendant to the diagnosis and care of patients and families. In addition, he/she must be able to maintain mature, sensitive, and effective relationships with patients, students, faculty, staff, and other professionals under all circumstances including highly stressful situations. The candidate must have the emotional stability to function effectively under stress and to adapt to an environment that may change rapidly without warning and/or in unpredictable ways. The candidate must be able to experience empathy for the situations and circumstances of others and effectively communicate that empathy. The candidate must know that his or her values, attitudes, beliefs, emotions, and experiences affect his or her perceptions and relationships with others. The candidate must be able and willing to examine and change his or her behavior when it interferes with productive individual or team relationships. The candidate must possess skills and experience necessary for effective and harmonious relationships in diverse academic and working environments. Comments: 19

20 SENSORY A candidate must be able to acquire the information presented through demonstrations and experiences in the basic and dental sciences. He or she must be able to observe a patient accurately, at a distance and close at hand, and observe and appreciate non-verbal communications when performing dental hygiene assessment, intervention, instrumentation, or administering local anesthesia. The candidate must be capable of perceiving the signs of disease and infection as manifested through physical examination. Such information is derived from images of tooth structure, palpable changes in various organs and tissues, and auditory information (patient voice, blood pressure). Comments: COMMUNICATION The candidate must communicate effectively and sensitively with other students, faculty, staff, patients, family, and other professionals. He or she must express his or her ideas and feelings clearly and demonstrate a willingness and ability to give and receive feedback. A candidate must be able to: convey or exchange information at a level allowing development of a health history; identify problems presented; explain alternative solutions; and give directions during treatment and posttreatment. The candidate must be able to communicate effectively in oral and written forms. The candidate must be able to process and communicate information on the patient s status with accuracy in a timely manner to members of the health care team. The appropriate communication may also rely on the candidate s ability to make a correct judgment in seeking supervision and consultation in a timely manner Comments: COGNITIVE A candidate must be able to measure, calculate reason, analyze, integrate, and synthesize in the context of dental hygiene study. The candidate must be able to quickly read and comprehend extensive written material. He or she must also be able to evaluate and apply information and engage in critical thinking in the classroom and clinical setting. Comments: PROFESSIONAL CONDUCT Candidates must possess the ability to reason morally and practice dental hygiene in an ethical manner. Candidates must be willing to learn and abide by professional standards of practice. He/she must possess the attributes that include compassion, empathy, altruism, integrity, honesty, responsibility, and tolerance. Candidates must be able to engage in patient care delivery in all settings and be able to deliver care to all patient populations including but not limited to children, adolescents, adults, developmentally disabled persons, medically compromised patients, and vulnerable adults. Comments: 20

21 3201 W. 16 th St. Sedalia, MO Reference Form Part 2 DENTAL HYGIENE PROGRAM Applicant s Name Date Place an (X) in each category where it best describes this applicant. It is important to rate the student in each category. If you feel that you do not know the applicant well enough to evaluate each category, please return the forms to the applicant, so they may select a different evaluator. All information will be kept in confidence. 1. Industry: Willingness to work; work habits; zeal; perseverance Lazy; little or no effort Seldom completes work Ordinarily completes work Occasionally does extra work Does extra work gladly 2. Thoroughness: Accuracy; carefulness; definiteness; exactness Careless; work is always incomplete Expresses ideas carelessly; inaccurately Work generally completed and reasonably accurate Careful work; accurate Very careful and thorough 3. Initiative: Intellectual curiosity; originality; willingness to attempt new ideas; asks questions; show interest Never tries anything new Seldom originates any work; follower Sometimes attempts new ideas Often initiates undertakings 4. Reliability: Dependability; good judgment; honesty; ability to get along without supervision Dishonest; neglects obligations Often needs supervision Has to be prompted; sometimes reliable Usually assumes obligations Marked ability to think independently; carries out ideas Thoroughly dependable 5. Cooperation: Ability to get along with others; adaptable; tactful; agreeable; cheerful Disagreeable; neglects obligations Slow to respond; not willing to help Tends to be agreeable and willing to help Does well in team work; agreeable Always willing to help others 6. Emotional Control: Poise; ability to handle stress Very poor control of emotions Occasionally loses self-control Fairly well-balanced Well-balanced; demonstrates selfcontrol Unusual poise 7. Intellectual Capacity: Intelligence; natural ability to succeed in academic effort Very slow to learn; lowest fifth Needs to make extra effort to keep up Average intelligence Quick to grasp subject 8. Recommendation: Based on the ratings on this form, this applicant is: Not recommended Recommended with reservations Recommended Recommended with confidence Gifted; highest fifth Very highly recommended (over) 21

22 How long have you known this applicant? In what capacity have you been associated with this applicant? Comments: I believe the information provided above and on previous pages is true and accurate. Referring Person s Signature Date Referring Person s Printed Name: Title: Referring Person s Mailing Address: Phone: PLEASE FOLD REFERENCE FORM PART - 1 and PART - 2 (a total of 4 pages) TOGETHER AND SEAL THEM IN AN ENVELOPE. Please be sure to SIGN YOUR NAME ACROSS THE SEAL OF THE ENVELOPE. This insures the confidentiality of your evaluation. Please return these forms to the applicant. The applicant will include your reference as part of his/her application packet. For the applicant to be considered for admission this form MUST be received by February 15 th. Thank you! 22

23 (IF SELECTED FOR ADMISSION, THIS FORM MUST BE COMPLETED AND SUBMITTED PRIOR TO BEGINNING THE PROGRAM) Allied Health Immunization Documentation Student s Name: Date: In addition to completing the following table, students are required to provide proof of immunizations. Proof includes: evidence of vaccination on an official record, school records, or positive titer results. Measles, Mumps & Rubella Positive Titer for Measles, Mumps & Rubella OR Documentation of having received an MMR twice since the age of 15 months o One vaccine must be after 1980 Varicella (Chickenpox) Positive Titer for Varicella OR 2 vaccines one month apart Vaccination #1 Date Vaccination #1 Date Titer Date & Results Vaccination #2 Date (must be after 1980) Vaccination #2 Date (must be one month apart) Titer Date & Results Influenza Verification of annual flu vaccine Hepatitis B Post series Titer for Hepatitis B OR Series of 3 injections over a 6-month period (Series needs to be started prior to beginning the program of study and the remainder can be completed after program entry) Diphtheria, Tetanus & Pertussis Vaccine Documentation of having received a booster within the last 10 years Tuberculosis Must have 2 step Tuberculin Skin Test within three months of the beginning of the program TB skin tests are required annually Positive TB skin test must have a documented negative chest x-ray annually Vaccination #1 Date Vaccination Date (required annually) Year 1 Year 2 Vaccination #2 Date Titer Date & Results Vaccination #3 Date Vaccination Date (must be within last 10 yrs) Year 1 Step 1 Date & Results (required annually) Year 2 TB Test Date & Results Year 1 Step 2 Date & Results Chest X-ray Date & Results (required annually) (only required for positive TB skin test) Year 1 Year 2 Attach proof of immunizations/titers and return to representative for program of study. 23

24 INFECTION AND HAZARD CONTROL POLICIES Introduction Dental hygienists must recognize that a health risk exists as a result of occupational exposure to blood and other potentially infectious materials, such as saliva, in the dental environment. Blood-borne pathogens, including the Hepatitis B virus, are serious threats to the health and well-being of health care workers and patients. The manual provided to admitted students outlines policies and procedures which are designed to protect the clinicians and the patients from exposure to pathogenic organisms. Strict compliance with these guidelines will assure that treatment in the clinic will not jeopardize the health of patients or clinicians. Students and faculty members are classified as Category I according to the Centers for Disease Control classification system. In this category, personnel perform tasks which routinely involve the potential for exposure to blood, body fluids, tissue or other potentially infectious materials. The Program uses Universal Precautions as an approach to infection control. This approach treats all blood and body fluids, such as saliva, as if they are known to be infected with blood-borne pathogens. Universal Precautions are used for every patient and with every procedure to reduce risks to patients and clinicians. The Program is committed to ensuring that all students and faculty are working in a safe and healthy working/learning environment. Therefore, the policies are based on guidelines consistent with those issued by the Centers for Disease Control, OSHA and other related state and national health organizations. Since scientific information is prone to frequent change, the Program will update this policy annually, or as necessary, as new information on infectious diseases becomes available. It is the policy of the Program to review, evaluate, and respond on an individual basis to any instances of HIV/HBV or other infectious disease among faculty or students engaged in patient care activities. Applicants with Infectious Diseases Applicants who believe they are at an increased risk of contracting an infectious disease should seek testing and counseling prior to making application to the Dental Hygiene Program. Persons who are seropositive for HBV/HIV or other infectious diseases will not be excluded from application and admissions. However, applicants who are HBV/HIV positive may want to consider carefully their career goals. Points to keep in mind when considering dental hygiene as a career include: 1) As a person with a known debilitating disease, the individual may become disabled during the educational program or early in the career. 2.) Aspects of practice expose the person to infectious diseases. 3) Barriers to learning may have to be imposed due to certain invasive clinical activities. 4) Financial costs of the program given the personal health and career uncertainties. Faculty/Students with Infectious Diseases Persons who are seropositive for HBV/HIV or other infectious diseases will not be excluded from employment or restricted in their access to the institution s services or facilities because of their health status. They will be provided with all reasonable accommodations unless an individualized, medically-based evaluation determines that exclusion or restriction is necessary for the welfare of the individual or other members of the institution or patients. Patients with Infectious Diseases Persons who are seropositive for HBV/HIV or other infectious diseases will not be excluded from treatment in the dental hygiene clinic. The same Universal Precautions will be used in treatment of these patients. As with any complex medical condition, the patient s physician may be contacted to coordinate the correct dental hygiene treatment with the patient s other conditions. Confidentiality of Information The medical history of faculty, students and patients is kept confidential. Discussion of the history is limited to that information which needs to be conveyed to another professional to determine the correct course of dental hygiene treatment. All patient telephone consults are to be made from a quiet location such as the student desk area. Voice modification should be kept at a minimum. Training in Infection Control Procedures No student will be allowed to deliver patient care in any setting until he/she has been instructed in infection control and has mastered the material by successful completion of written exam and process evaluation. 24

25 2012 Facts about Missouri Dental Hygienists Registered Dental Hygienists (RDHs) are licensed oral health professionals who use preventive, educational and therapeutic methods to prevent oral diseases in an effort to achieve oral health. A state license and the RDH designation assure patients that the person providing preventive oral health care has graduated from an accredited college or university and has completed national and regional board examinations. MDHA strongly opposes any lessoning of educational standards or requirements for oral health care providers. Education: Dental hygienists must be educated in a post-secondary dental hygiene program that is accredited by the American Dental Association (ADA) Commission on Dental Accreditation. The minimum length of most programs is three years due to required pre-requisite coursework; however, the average credit hours received for a dental hygiene program is eighty-six (86) hours. 1 This is only thirty (30) hours away from the number of credit hours needed to obtain a baccalaureate degree. There are baccalaureate and master degree programs for dental hygienists in Missouri. Dental hygiene education includes an average of 2794 clock hours with over six hundred (654) clock hours of supervised pre-clinical and clinical dental hygiene instruction.2 In Missouri, there are eight dental hygiene programs that can potentially graduate over 203 dental hygienists per year.* Missouri Southern State University has a main campus in Joplin and two additional distance-learning sites in Rolla and Sikeston. The distance sites opened in 2007 and extended dental hygiene education to rural areas around the state. The first distance education students graduated in May Since then, there have been three more dental hygiene programs added in the St. Joseph, Kansas City and St. Louis areas. The schools include: -Missouri Southern State University in Joplin-30 students -Two distance education sites -Rolla-10 students -Sikeston-10 students -Ozark Technical College in Springfield-18 students -University of Missouri - Kansas City in Kansas City-30 students -St. Louis Community College at Forest Park-32 students -State Fair Community College in Sedalia-10 students -Missouri College in St. Louis (opened in fall 2009)-30 students (graduate 30 every 18 months)* -Hillyard Technical College (associated with North Central Missouri College in Trenton, MO; opened in fall 2009)-12 students -Concorde Career College in Kansas City (opened March 2010); 21 students (graduate 21 every 18 months)* *In addition, there are twenty-six (26) more potential students who graduate in the interim six-month period in the two 18-month programs. *Note that the potential number of dental hygiene graduates has doubled in the last ten years. 25