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D3 Summer Externship Information session Joseph Salamon, DDS Dental Services Director

D3 Summer Externship Information session Joseph Salamon, DDS Dental Services Director. Joseph Salamon, DDS UB Class of 2006 ( F eb 2007) Private practice: Cheektowaga NY, 2007 - 2008 Private Practice Lihue & Hanalei, HI 2008-2009 Seneca Nation Health Staff Dentist 2010

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D3 Summer Externship Information session Joseph Salamon, DDS Dental Services Director

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  1. D3 Summer Externship Information session Joseph Salamon, DDS Dental Services Director

  2. Joseph Salamon, DDS • UB Class of 2006 (Feb 2007) • Private practice: Cheektowaga NY, 2007 - 2008 • Private Practice Lihue& Hanalei, HI 2008-2009 • Seneca Nation Health Staff Dentist 2010 • Seneca Nation Chief Dental Officer, CIRHC Irving, NY 2011-2013 • Seneca Nation Dental Services Director 2013 - present • 2012 I.H.S. Most Improved Dental Program, Nashville Area Office • 2013 I.H.S. Overall Best Program, Nashville Area Office • 2012 I.H.S. Dental Provider of the Year, Nashville Area Office • 2013 I.H.S. N O H C, Clinical Excellence award junior-level • 2014 I.H.S. N O H C, Clinical Excellence award mid-level • 2015 I.H.S. Dental Provider of the Year, Nashville Area Office

  3. Goals of Today’s Presentation • Brief overview of I.H.S. & SNHS • Review past Summer Externship Program • Program Expectations • Participation Requirements • Q & A

  4. #1 Goal of Todays Presentation • Brief overview of I.H.S. & SNHS

  5. TheIndianHealthService(IHS)is anagencywithintheDepartmentof HealthandHumanServices. • Theprovisionofhealthservices tomembersoffederally-recognizedtribes grewoutofthespecialgovernment-to-governmentrelationshipbetween thefederalgovernmentand Indiantribes.Thisrelationship,establishedin 1787,isbased onArticleI,Section8 oftheConstitution,andhasbeen givenformandsubstancebynumeroustreaties,laws,SupremeCourt decisions,andExecutiveOrders. • TheIHSprovidesacomprehensivehealthservicedeliverysystemfor approximately2.1millionAmericanIndiansandAlaskaNativeswho belongto566federallyrecognizedtribesin35states. • “AboutUs,”fromwww.ihs.gov

  6. TheIHSprovidesacomprehensivehealthservices deliverysystemwithopportunityformaximum Tribalinvolvement • ThemissionoftheIHS,inpartnershipwithIndianpeople,istoraisetheir physical,mental,social,andspiritualhealthtothehighestlevel. • TheIHSgoalistoensurethatcomprehensive,culturallyacceptable personalandpublichealthservicesareavailableand accessibletoallIndian people. • TheIHSmissionandgoalarebasedonitsfoundationtoupholdthe Federal Government’sobligationtopromotehealthyAmericanIndianand AlaskaNativepeople,communities,and cultures,and tohonorand protecttheinherentsovereignrightsofTribes. • IHSFacts,2006,http://info.ihs.gov/Files/IHSFacts-June2006.pdf

  7. SNHS providescomprehensivehealthservices to members of the WNY Native American Community and Enrolled Seneca members • SNHS operates 2 Tribal healthcare facilities in Salamanca, & Irving, NY • Medical, Dental, Optical, Pharmacy, X-Ray, and Environmental • SNHS provides a full range of primary and preventive care for acute and chronic illness and injuries. SNHS has service agreements with local hospitals, professional groups and agencies for inpatient treatment and specialty care. • Seneca Nation Health System Mission • “To enhance the overall health of the Native American communities it serves by providing a comprehensive range of health services that addresses the holistic well-being of each individual.” • https://senecahealth.org/

  8. #2 Goal of Todays Presentation Review 2018 Summer Externship Program • 21 Participants (7 Louisville, 14 UB, • Round Trip mileage for UBSDM participants May – August 2018, Provider ‘Student Extern’: Preventive: 10 Diagnostic: 199 (Ltd exam 74, X-rays: Operative: 320 (AMAL=14, Resin 160) Fixed : 41 (PORC=5, Core=17) RCT: 6 Removable: 31 (5 full cases, 26 intermediate steps) Extractions: 74 (non-surgical 66, surgical 7)

  9. July 2013 Memo of Understanding • Alliance • Of regional public health and medical institutions • To serve the priority needs of Native American communities • All 5 health sciences schools • Medicine, Public Health, Nursing, Pharmacy and Dental Medicine • Build on existing outreach to WNY Native American communities “The relationship will allow UB and IHS to work effectively together to improve the health of Native Americans in Western New York and throughout the state, as well as in Southern Ontario.” Michael Cain, vice president for health sciences

  10. Reduce Routine and Urgent Wait Times Objective: reduce routine wait from 11 weeks to 5 weeks Objective: reduce urgent care wait from 4 weeks to 2 weeks

  11. Increase routine and preventive care Objective: Increase restorative care by 25% Spring ’16 cohort placed 115% more anterior resins (28) and 37% more posterior resins (77) compared to spring ’15 Cohort Summer ’16 cohort placed 288% more anterior resins (105) and 206% more posterior resins (153) compared to summer ’15 cohort

  12. Increase routine and preventive care Objective: Increase preventive care by 25% Spring ’16 cohort placed 67% less sealants (4) and 100% more interim therapeutic restorations (2) compared to spring ’15 cohort Summer ’16 cohort placed 483% more sealants (35) and 25% more interim therapeutic restorations (5) compared to summer ’15 cohort

  13. 2018 Program Expectations • Arrive 15-30 minutes early to review treatment plans, histories, etc. • Abide by the Volunteer Intern Agreement of the Seneca Nation of Indians. • Adhere to the Polices and Procedures of the Seneca Nation Health System. • Room patients and maintain designated treatment room for the shift. • Follow acceptable Infection Control safeguards and standards. • Obtain vitals necessitated by procedure in accordance with SNHS policy. • Check in with and brief the attending clinician prior to initiation. • Check in with attending clinician as necessitated by procedure complexity. • Check out with attending clinician / complete UBSDM grading sheets

  14. 2019 Program Expectations • Complete treatment note for review note procedures on EDR chart. • Treat all patients in a : Professional… Courteous… Compassionate manner. • Refrain from cell phones or mobile devices in treatment areas. • Utilize the designated intern workstation and daily end-of-day checklist. • One-hour Cultural Awareness presentation TBD at UBSDM. • Arrange a substitute participant if cannot attend a scheduled shift.

  15. 2018 Participation Requirements • Compete I.H.S. online Externship application by 2/28/19 • 3 Clinical recommendation letters by 2/28/19 • Faculty must give to Matt Blum Squire 326 • Commitment letter, CV, Personal Statement by 2/28/19 • Email to Dr. Salamon • View Documentaries: • (optional for applicants, mandatory for participants Materials are available at: http://dental.buffalo.edu/community-outreach/ihs-application.html

  16. Unseen Tears https://www.youtube.com/watch?v=ioAzggmes8c&list=PLBKAYDq5dhv69hSe0CZWvQBwjsGBGiZTo Unseen Tears Native American boarding school documentary. Residential schools / boarding schools in the U.S. and Canada have had a lasting impact on Native communities. Remembering the Removal https://www.youtube.com/watch?v=O4f3L2NScX0 Remember the Removal explores the 1960's forced relocation of the Allegany Senecas as a result of the construction of the Kinzua Dam along the Allegheny River near Warren, PA.

  17. #5 Goal of Today’s Presentation Q & A SNHS clinic email (tip, send to both): jsalamon@senecahealth.org shenhawk@senecahealth.org SUNY - UB faculty email: jsalamon@buffalo.edu 716-532-0165 (CIRHC, Irving, NY) Program Manager: Sharri Henhawk 716-945-2818 (LRJHC, Salamanca, NY) Administrative Assistant: Michelle Pacini

  18. Lastly… Make sure you all thank Matt Blum for creating: http://dental.buffalo.edu/community-outreach/ihs-application.html & https://ubsdm.formstack.com/forms/externalevaluationform

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