ADEA Commission on Change and Innovation CCI Liaisons Summer Meeting June 27-29, 2011 San Diego, California

inNOVAtions Leadership and Excellence in Dental Education for the 21st Century Diane Ede-Nichols, D.M.D., M.H.L., M.P.H. Nova Southeastern University College of Dental Medicine

inNOVAtions 1998: NSU Opens 2008: Dean’s Retreat Initiate a strategic planning process Review Vision and Mission SWOT analysis Strengths: Faculty, applicant pool, patient availability, location, growth potential Weaknesses: Micro-management; space, salaries, private tuition, IT, infrastructure Opportunities: expand research; expand physical plant; financial support via fundraising, endowments Threats: Affects of NSU policies upon professional program; economics; staff and faculty retention; legal imposition, education costs; Intramural affects of policies upon professional program; economics; staff and faculty retention; legal imposition, education costs; morals and ethics, poorly educated public health policy makers poorly educated public health policy makers.

inNOVAtions Subsequent to retreat SP subcommittee appointed Chair and 16 faculty representing all sections within the College. Charge: Draft a new SP to reflect vision, mission, values and essential planning priorities.

CDM Mission The College of Dental Medicine’s (CDM) mission is to educate students to become competent in all phases of the general practice of dental medicine and postdoctoral residents who are proficient in their respective specialty fields. The CDM is committed to ensuring the graduates’ excellence in the art and science of dental medicine and their commitment to independent life-long learning. The mission requires graduates to be knowledgeable in the biological sciences, clinically skilled, technologically proficient, compassionate, and sensitive to the needs of the public. The graduate will be competent to function as a member of, or in conjunction with an interdisciplinary primary health care team. The CDM fosters leadership and excellence in dental education through a commitment to: Recruit and retain the highest caliber, self-motivated students, residents and faculty; Innovative teaching methods, research, scholarship, professionalism and ethical principles; Continuing education, and Service to the local, state, national and international communities. The CDM has a special commitment to educate students and residents to provide culturally sensitive care to the underserved and special needs populations.

CDM Vision The vision of the CDM is to be the acknowledged leader in educating students for an enriched career in general and specialty practice, academia, and/or research with special emphasis on the underserved populations.

inNOVAtions Strategic Goals Develop a multi-interdisciplinary inter-professional education model that incorporates patient-centered comprehensive care including service learning experiences and/or community-based learning experiences for students. Provide a clinical training environment that promotes ethical, patient-centered care and that results in an independent critical thinker and life-long learner, who can function as an integral part of a healthcare team Matriculate and retain a diverse student body of high quality.

Identification of Critical Strategic Issues Curriculum revision and innovation Establishment and implementation of a clinical group leader model Space and equipment needs Cultural diversity Communications needs Post Graduate and continuing education needs Budgetary flexibility

inNOVAtions Strategic Areas: Workgroups or Task forces (7) Strategic Areas: Charges (8): 1. Identify all issues of the strategic category; 2. Breakdown issues into to action items; 3. Establish priorities; 4. Identify data to support development of each action item; 5. Establish objectives; 6. Relate action items to mission, vision and core values; 7. Establish short and long term goals; 8. Complete the following grid: Action Item Supporting Data Goals & Objectives Strategies & Tactics Correlates To Mission TimeLeaderBarriersResourcesOut Comes

inNOVAtions: Educational Continuum Public Health Prevention Health Promotion Cultural sensitivity Evidence-based Education & Practice Access Underserved and Special Population Extramural Programs Experiential Learning Inter & Intra disciplinary and Inter-professional programs Patient Centered Comprehensive Care Seamless Integration Facilitated by cutting edge technology and fueled by science and research Oral Health as Component of Overall Wellness Pre-dental Education Pre-doctoral Education Graduate-Post doctoralCELife-long Learning Areas of Emphasis throughout the Curriculum

inNOVAtions External Drivers New Strategic Plan New Mission and Vision New CODA standards Effective 2013 CODA site visit year benchmarks

inNOVAtions Strategy to meet SP Curriculum revision and innovation goal : Establish a curriculum innovation and development committee (CID). Co-Chairs: Dr. Audrey Galka Dr. Diane Ede-Nichols Other school curriculum 7 additional members (Establish a Team Leader Committee) October st meeting Projected implementation August 2010.

inNOVAtions Curriculum Innovation and Development Benefits: To create a better student “product” Efficiency Student buy into their education Alumni satisfaction Student understanding of interdisciplinary relationships Earlier clinic time = more clinical experience Providing care to the most vulnerable

inNOVAtions Curriculum Innovation and Development Challenges: Implementation. Paradigm shift/ philosophy / buy in/turf wars/power struggles. Concurrence as to what is the ideal curriculum. Convincing faculty and students that end results will be beneficial.

inNOVAtions CID: Goal 1 To establish a vertically integrated, interdisciplinary education model that graduates dental professionals who are well-qualified to practice general dentistry in the 21st century. Objectives: Identify the essential academic and clinical knowledge, skills, and attitudes needed to be competent as a general dentist, including those inherent for success in conducting scientific research, employing critical thinking, and arriving at appropriate diagnoses. Develop interdisciplinary courses that integrate the essential basic and clinical sciences to be a competent general dentist assuring application of biological sciences to dentistry. Identify existing courses and program within NSU/HPD that can provide the academic and clinical foundation knowledge, skills, and attitudes needed to meet the evolving and expanding role of the dental practitioner as part of an integrated health care team. Develop a formal and ongoing outcome assessment process to measure student’s achievement

inNOVAtions CID: Goal 2 To develop an educational model that provides direct clinical patient care early in the curriculum. Objectives: Identify the essential academic and clinical knowledge and skills needed to begin direct clinical patient care. Sequence interdisciplinary and pre-clinical courses to assure students have the academic and clinical foundation knowledge, skills, and attitudes needed to Begin direct clinical patient care early in the curriculum.

inNOVAtions CID: Goal 3 To develop an educational model that graduates dental professionals who are culturally sensitive to the underserved and special needs populations, and recognizes the importance of community service. Objectives Assure all interdisciplinary courses include public health and underserved community issues and topics are vertically integrated in the curriculum. Establish and require clinical and volunteer experiences in underserved areas.

inNOVAtions Curriculum Innovation and Development

December 10, 2009 meeting recommendation was made to consider an outside consultant. Intent – ”jump start” the process Supported by Dean Robert Uchin Academy for Academic Leadership Mr. Bill Hendricson Timeline: February – April NSU workshops

inNOVAtions Curriculum Innovation and Development Consultant Role: Capture concepts Crystallize Communicate Clarify

inNOVAtions Curriculum Innovation and Development NSU CDM curriculum is competency-based. Requirements Comprehensive care and case completion Dr. Frank Licari presented to CDM Several organizational schemes attempted Curriculum themes : 4 Curricular Targets: What should students know at the end of each year.

inNOVAtions Curriculum Innovation and Development Organized around four curriculum themes Human Biology and Disease Primary Care and Public Health Patient Care Foundations Clinical Practice of Dentistry

inNOVAtions Curricular Targets By Year Exposed: The level of skill attained by observation or participation. Competent: The level of skill displaying special ability or knowledge derived from training and experience. Skilled: The level beyond competency. Stresses mastery when a particular activity is accomplished with precision, accuracy and time efficiency.

inNOVAtions Curricular Targets By Year YEAR I (Exposed) Ethnic and Cultural Diversity(All Departments) Communications Skills and Medical History Taking(Oral Med, Perio) Normal Head and Neck Anatomy, Oral Anatomy, (Basic Sciences, Oral Med, Dental Anatomy and Occlusion (Primary and Pros, Cariology, Endo) Secondary Dentition; Morphology of Pulp Spaces & Roots of Teeth; Form and Function; Dental Terminology; Dental Anomalies; Occlusal Disharmony) Basic Examination Techniques (Oral Med, Perio, Cariology) (Block Assignment Where Students Pair-Up And Examine Each Other For Normal Anatomy And Lymph Node Palpation)

inNOVAtions Curriculum Innovation and Development Five drafts Final curriculum plan was completed September 7, Curriculum theme groups continue to develop the courses. Clinical Practice of Dentistry 1 st to be implement

inNOVAtions Curriculum Innovation and Development Clinical Practice of Dentistry Fall Semester 2011 (August 8th) D-1 “Integrated Restorative Dentistry Science Course” Operative dentistry Dental anatomy Cariology Dental biomaterials

inNOVAtions Curriculum Innovation and Development Clinical Practice of Dentistry “Integrated Restorative Dentistry Science Course” Introduce all specialties and stress their interrelationship Series of lectures and laboratories to introduce the fundamentals of tooth preparation, provisionals and restoration. Lab sessions that integrate dental anatomy, occlusion, operative dentistry, endodontics, perio, etc. Students will have radiology instruction needed to recognize normal anatomy and abnormal Local anesthesia Nutrition, biomedical consideration, growth and developmental factors and nutrition. Emphasis on evidence-based treatment.

inNOVAtions Curriculum Innovation and Development Clinical Practice of Dentistry Goal is to adequately prepare our D1 students to transition from simulation lab to patient clinic experiences well within the D1 year.

inNOVAtions Curriculum Innovation and Development Human Biology and Disease College of Medical Sciences Pre-requisites: Biochemistry Microbiology Cell Biology “Boot Camp” 4-6 weeks summer prior to D1 Biochemistry Immunology Physiology Genetics, Microbiology Pathology Goals: Greater CDM role in basic sciences Implement Summer 2012

inNOVAtions Team Leader Program Implemented June 14, 2011 Previously clinical silos 4 groups 22 students Separate Treatment planning clinic Plus other critical changes Equal commitment from Pros & Rest 8 groups 11 students Tx Planning done on clinic floor with 4 faculty to assist

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inNOVAtions Curriculum Innovation and Development Questions???