UCSF DPH Presentation February 21, 2012 Timothy S. Martinez, DMD

1. The Integration of Community BasedPartnerships into Dental EducationWestern University of Health Sciences UCSF DPH Presentation February 21, 2012 Timothy S. Martinez, DMD

2. Western University of Health Sciences Graduate Health Sciences • Medicine • Pharmacy • Veterinary Medicine • Physical Therapy • Physician Assistant • Graduate Nursing • Optometry • Podiatric Medicine • Dental Medicine • Biomedical Sciences

3. College of Dental Medicine • Inaugural Class Fall of 2009 • Integrated Approaches • Biomedical Sciences • Dental Sciences • Clinical Education Program • Community Based Dental Education • Interprofessional Education

4. 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

5. Community Based Partners

6. A Site: AIDS Project of Los Angeles Population Type: HIV/AIDS B Site: Alta-Med Health Services Population Type: General Dentistry C Site: Assistance League of Pomona Valley Dental Center Population Type: Children D Site: C.A.R.E. Program Population Type: HIV/AIDS Physical Address 2: Ste. C E Site: Children's Dental Practice of Menifee Population Type: Children F Site: Community Health Network of San Francisco Population Type: Low Income G Site: Community Health Systems, Inc. Population Type: Low Income H Site: Desert Friends of the Developmentally Disabled Population Type: Special Needs I Site: Dr. Bertha Alarcon Population Type: General Dentistry Physical Address 2: Ste. #7 J Site: East Valley Community Dental Center Population Type: Low Income K Site: Glenn Dental Population Type: General Dentistry L Site: Hani Nasr, DDS Population Type: General Dentistry M Site: Hurtt Family Health Clinic Population Type: Low Income N Site: Los Angeles Christian Health Center Population Type: Low Income O Site: Pacific Dental Services Population Type: General Dentistry P Site: San Gabriel Pomona Regional Center 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

7. Array of Affiliations (WUHS) • 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

8. 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).

9. D1 Year • Service Learning Course • Communication skills, Data gathering, Patient Education, Chairside assisting and Dental Terminology

10. D2 Year • Clinical Service Learning Course • Review of medical history, prophylaxis, sealants, fluoride application, preventive resin restorations + D1 expectations

11. D3 Year • Clinical Service Learning -> CBDN • Basic restorations, non-surgical periodontal therapy, simple extractions, D1 and D2 expectations

12. Example of D3 Procedures Performed • January 2012 • Data Gathered in E*Value System

13. 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

14. 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)

15. Evaluation Continued

16. Our Approach • Master the 10 week experience • D1 1 week (intermittent) • D2 2 weeks (intermittent) • D3 3 weeks (intermittent) • D4 4 week (block rotation)

17. 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

18. 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

19. 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

20. Education Viewpoint • Communication • Patient and Procedure mix, • Site capacity (critical for dental rotations) • Commitment and advocates at all levels

21. 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

22. Thank You