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“New Dental Schools” What Are They Doing Out There? (And Do We Really Need Them?)

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Presentation on theme: "“New Dental Schools” What Are They Doing Out There? (And Do We Really Need Them?)"— Presentation transcript:

1 “New Dental Schools” What Are They Doing Out There? (And Do We Really Need Them?)

2 Overview 1986 – 2001: 7 Dental Schools Closed 1997 – 2009: 5 Dental Schools Opened 2011-2014: 7 new schools Future: 8 new schools being considered There are still many in the profession who remember the last time the system was expanded Influence of practicing profession on applicant pool

3 Perspective 1980 – 6,000 graduates; 227 million = 1:38,000 1990 – 4,000 graduates; 250 million = 1:62,500 2000 – 4,200 graduates: 281 million = 1:67,000 2010 – 4,800 graduates: 308 million = 1:64,000 2020 – 5,600 graduates: 335 million = 1:60,000

4 Why Connected to Osteopathic Medicine? The Osteopathic Philosophy Health is more than the absence of disease Health involves the whole person (body, mind and spirit) and the person’s relationship to others and the world Oral Health is essential to Overall Health

5 Framing the Debate “Do We Need New Dental Schools? Vs “If We Are Going to Have New Schools, How Can We Take Advantage of the Opportunity?”

6 Opportunities for New Dental Schools Many reports/articles/discussions about the need to reinvent dental education Similar documentation of the slowness of real change Dozens of presentations over the years about new ways of doing things but progress seems slow Don’t new schools have an obligation to help move the profession forward? Are these really “New Models?” Or, is it that the new schools have a better chance?

7 Opportunities for New Dental Schools A “Blank Slate” Responsibility to the Profession to Lead Change Innovative Curriculum models Efficient/Effective Patient Care models Community-Based Education models Inter-Professional Education Oral – Systemic Connection

8 UNE - Mission University The University of New England provides students with a highly integrated learning experience that promotes excellence through interdisciplinary collaboration and innovation in education, research and service. College of Dental Medicine The mission of the University of New England College of Dental Medicine is to improve the health of northern New England and shape the future of dentistry through excellence in education, discovery and service.

9 Hallmarks Holistic Admissions Criteria Humanistic Environment: student and patient friendly Strong Foundation in Science Curriculum built around patient care Integrated teaching and learning model that is innovative and evidence-based (use of varied methods) Appropriate use of modern technology and Realistic Simulation Early and Extensive Clinical Experiences Comprehensive Care in Group Practice Model

10 Hallmarks Prevention-Oriented Teaching and Practice Promotion of community and dental public health Significant community-based education experience Development of strategic partnerships to help achieve mission and goals Research and critical inquiry, inter-professional practice, life- long learning Professionalism, Ethics, Leadership, Communication, Business Management Skills

11 UNE CDM Graduates Will be ethical, caring people; Will be life-long learners; Will be capable clinical practitioners who will have the ability to provide complex, high-quality care in an inter- professional health care delivery system; Will embrace scientific and technological advances ; Will understand the connections between oral health and general health;

12 UNE CDM Graduates Will be partners in the inter-professional health care delivery systems of the future; Will be leaders of their own oral health care teams, as they enhance and extend the quality of life in their communities. Will collectively engage in clinical oral health care, public health practice, biomedical and health services research, education and administration; Will fulfill their professional obligation to improve the oral health of all members of society;

13 CDMI Behaviorally oriented Whole File Admissions Reviews Use of Multiple Mini Interview (MMI) protocol “Single Pillar” Organizational Structure No departments or divisions Generalist model of education and practice Competency based Integration of Pre-Clinical Curriculum Hi-tech Simulation based on clinical case scenarios Integrated Oral Health Science Curriculum General Dentistry based supported by specialists Patient Centered, Group Practice, Grand Rounds Approach

14 CDMI (Continued) Use of varied teaching learning methodologies Small groups Case-based Problem based Biomedical Sciences integrated and system based Connected to Oral Health Sciences where facilitated by timing and scheduling Spiral model of curriculum progression in which basic concepts are revisited throughout curriculum Capstone, team-taught course in Yr. 2, 2 nd Sem Review and reinforce prior learning in B.S. Motivate critical thinking through use of cases Provide better preparation for NBDE

15 CDMI (continued) Interprofessional Learning and Practice Core inter-professional course attended by all first year students from nine professional programs Second year course in Head and Neck Diagnosis co- directed by Osteopathic Medicine and Dental Medicine Inter-professional health care facility with dentistry as “anchor tenant” but with all other professional programs included

16 USN Educational Model – Mastery Education ContemporaryClassroomComplex Block System Block System Active and Collaborative CollaborativeLearning Assessment/ Outcomes- Based Education

17 USN Block system for didactic courses 36 hr course = six 6 hr. days Supported by contiguous breakout room configuration to allow for small group, PBL, and active collaboration Immediate exploration and clarification of core concepts with faculty

18 USN Mastery Education Model Criterion Referenced and Competency Based Pass/No Pass 90% passing grade Assessments occur within block on Friday with remediation the following Monday Additional remediation opportunity in summer for those with three or more “no pass” General Dentistry Group Practice Teams Community-based education for most of 4 th year Focused approach to research

19 1 Individual Course

20 Focused Learning / 1 Topic Mastery of Topic Increase Active Learning Rapid Instructor Assessment/Feedback Peer Teaching Remediation Block System: Advantages

21 Classroom “in the round”; No one more than 4 rows away from teacher; 5 Breakout rooms – small-group teaching/discussion; Contemporary Classroom Complex USN’s Classroom Complex

22 8-9 am: Formative Assessment / Prior Day 9-10 am: New Material (lecture) 10-11 am: Team Activities + Feedback 11-Noon: Lunch 12 – 1 pm: New Material 1-2:30 pm: Team Activities 2:30-3:00 pm: Feedback, Wrap-up, Loose Ends Typical Teaching Day

23 Western University of Health Sciences College of Dental Medicine Vision Western University College of Dental Medicine will be a premier center for integrative educational innovation; basic and translational research; and high quality, patient-centered, interprofessional health care, all conducted in a setting that utilizes advanced technology and promotes individual dignity and potential for personal and professional growth. The WesternU College of Dental Medicine will realize this vision by educating and training highly competent, diverse groups of clinical practitioners who have the ability to provide complex, integrative, high-quality, evidence-based care for patients, families and communities.

24 Western University of Health Sciences College of Dental Medicine Mission WesternU College of Dental Medicine will produce graduates who will be ethical, caring life-long learners; who will collectively engage in clinical oral health care, public health practice, biomedical and health services research, education and administration; and who will fulfill their professional obligation to improve the oral health of all members of society, especially those most in need. They will embrace scientific and technological advances and understand the connections between oral health and general health. They will be partners in the interprofessional health care delivery systems of the future, as well as leaders of their own oral health care teams, as they enhance and extend the quality of life in their communities.

25 Guiding Principles Critical Thinking Self Assessment Lifelong Learning Science Based Curriculum Integration of basic/behavioral/clinical sciences Focus on Overall Health/Oral Health Connections Early entry into clinic Use of appropriate technology Professionalism/Ethics/Values Leadership/Communication/Management Skills

26 Curriculum Highlights Basic/Behavioral Sciences Systems based approached to basic sciences Challenges with simply taking med school curriculum Evolving into dental school ownership of biomedical sciences with integrated case based approach Interprofessional Experiences Case-base instruction, didactic coursework, community education as well as clinical training and rotations Integrated Dental Sciences Essentials of Clinical Dentistry “Bucket approach” based upon patient care Close juxtaposition of didactic material with simulated exercises and patient care Learn procedure, practice to competency, apply in patient care

27 Curriculum Highlights Comprehensive Patient Care Group Practice Model Evidence-Based Patient Centered Competency Driven Community-Based Education Real Life Experiences Practice Management Service to Community Faculty Coming from private practice or directly from residency programs Possibly contributing to a net gain in faculty? Will require well planned faculty development programs

28 Inter-Professional Patient Care Center

29 Interprofessional Clinic

30 Western University Evidence-Based Decision Making and Clinical Research – First Year Course Course Topics and Objectives: Introduction to Epidemiology Introduction to Clinical Trials Introduction to Biostatistics Ethical and Regulatory Issues in Clinical Investigation Introduction to evidence-based practice Developing a precise question

31 Western University Introduce students to clinical research methods as well as basic and advanced concepts of evidence-based practice in the health professions. Train students to appropriately utilize and evaluate the biomedical literature across health professions. Prepare students to engage in evidence-based decision making, providing the skills needed to locate relevant online scientific/medical information as well as to evaluate the quality of the research methodologies and statistical analyses reported in the clinical research literature. Focus is from a clinical practitioner/researcher standpoint rather than that of a basic sciences researcher. This is an introduction to several key concepts, and students are not expected to have a deep mastery of statistics, research methodology, or online bibliographic databases prior to taking the course.

32 Western University Develop and utilize effective evidence-based practice search strategies Critically appraise the evidence for its validity and importance regarding diagnosis and screening, prognosis, therapy and etiology/harm Apply the results to practice Instill in the student an approach to health care that requires the judicious integration of systematic assessments of clinically relevant scientific evidence in the context of patient treatment needs and preferences.

33 Other Initiatives University owned remote clinics Community Service Learning Centers Located in Rural, Underserved areas Faculty, residents, dental students, staff practicing together Expose students to patients with more complex medical and oral health needs One goal is to have the dental graduates go back to those rural areas to practice

34 General Thoughts The more I learn, the less I’m sure of This is simply an overview CCI principles do form the basis for much of what is happening “New” schools, like existing schools, are unique, with individual missions and goals Doing “new” things or doing “old” things differently will require paradigm shifts, risk taking, extreme flexibility, and willingness to “fail” Possible to create a different culture, but can it be maintained? When the going gets tough, will we revert back to what we know?

35 Special Thanks To: Dr. Lex MacNeil, Midwestern University-Illinois Dr. Rick Buchanan, University of Southern Nevada Dr. Steve Friedrichsen, Western University of Health Sciences Dr. Rick Valachovic, ADEA The thousands of people who have taught me over the years, both formally and informally

36 Questions? Discussion

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