1. UDMSD Leadership & Diversity Program Deirdre D. Young, DDS- PD

2. UDM Leadership and Diversity Program  UDM program goals aim to address eliminating oral health disparities, increasing faculty diversity, and cultural competency.

3. UDM Leadership and Diversity Program  Aided in development of Strategic Partnerships.  Implemented through three different programs:  URM Recruitment and Retention Programs.  URM Faculty Development Program.  School Based Sealant Program.

4. URM Recruitment Program  Through active partnerships, UDM School of Dentistry actively recruits, trains and retains under- represented minority (URM) students to become allied dental health and dental professionals.

6. URM Recruitment and Retention Programs  The majority of the funding was used to support the activities managed by Dr. Deirdre Young (Co-PD).  Dental Imprint Program.  Dental Hygiene Emphasis Workshop.  Tour 4 Diversity.  Annual Recruitment Activities.

7. URM Recruitment and Retention Programs  Dental Imprint Program  Through interactive enrichment experiences, we exposed underrepresented minority (URM) high school students to careers in allied dental health and dentistry.

8. URM Recruitment and Retention Programs  Dental Hygiene Emphasis Workshop (DHEW)  Through a 3-day interactive workshop, we exposed underrepresented minority students to allied dental career opportunities.

11. Pre/Post Survey- DHEW 2012 Pre-Course Average Post-Course AverageUpDownSame On a scale of 1 to 5, what is your current level of interest in becoming a dental hygienist? 3.844212 On a scale of 1 to 5, (will) did this course help you decide if you want to become a dental hygienist? 4.6 3114 How familiar are you with dental terminology? 2.641602 How familiar are you with dental anatomy? 2.84.41521 How familiar are you with taking impressions? 3.34.61305 How familiar are you with dental hygiene instruments? 2.94.41512 How familiar are you with career options available in dental hygiene? 2.94.81404

12. Recruitment Cont.  Tour for Diversity Program (Partnership with Aetna, AAMC, ADEA, and US ARMY):  Aids to promote medicine and dentistry to undergraduate students of racial and ethnic underrepresented minorities.  Introduced underrepresented minority undergraduate students at campuses across the US to premedical enrichment activities.  Twenty-one students participated in dental simulation activities held at UDM School of Dentistry

14. Short Term and Long Term Outcomes  Increase the number of URM students and faculty in allied dental professions.  Strengthening the academic and service pipeline.

15. Pipeline Impact  Dental Imprint Program:  Two schools within the Detroit HPSA area participated in a dental career day, and over 100 students within the school district were exposed to careers in dental hygiene and dentistry.  40 students, 9-12 th grade, participated in a tour of University of Detroit Mercy and University of Detroit Mercy School of Dentistry.  95% of participants expressed an interest in pursuing a career in allied and other health professions.

16. Pipeline Impact cont.  Dental Hygiene Emphasis Workshop:  One hundred percent increased their knowledge of careers in allied dental health professions, community outreach activities, oral hygiene health and research.  About 250 students were targeted for recruitment to UDM Dental School (All Pipeline Programs).

17. URM Faculty Development  URM Faculty Development Program will select and sponsor an URM faculty to attend the ADEA Leadership Institute.  Dr. Melanie Mayberry, Director of Predoctoral Patient Care- UHC, has completed the ADEA Leadership Institute – March 2013.  “… skills will assist me in my current position by encouraging me to view the bigger picture and confidence and motivation in pursuing "larger" leadership roles.”

18. Outcomes/ Impact  URM students and faculty on pathways and in-line for University and Institutional leadership positions.  A cadre of URM leaders emerging.  Dean’s Perspective:  Ability to influence the direction of the profession in critical areas of pipeline programs.  Gain experience in framing oral health issues of national importance.  Provided leadership for allied URM recruitment within the framework of the Dental Imprint Program.

19. Henry Ford Health System / UDMSD School-Based & Community Health Program  In partnership with Henry Ford Health System and Michigan Department of Community Health, UDMSD works towards reducing oral health disparities among school aged children.  Christiana Morton, RDH, is the PA 161 faculty at the dental school who manages the School based dental sealant program.  UDMSD dental hygiene students provide preventive services to K – 7 students in Detroit Area Schools.  2012-13 Schools Include : New Paradigm Loving Academy, Thirkell Elementary School, Stewart Elementary School, and Ross Hill Academy.  This student based model not only delivers the preventive care needed in the Detroit area schools but also trains the next generation of dental hygiene providers - who are culturally competent and have the clinical skills and technical knowledge to plan and implement school based dental sealant programs as well as other community based oral health programs.

20. Henry Ford Health System / UDMSD School-Based & Community Health Program The following services are provided through the UDMSD Dental Sealant Program at the school location: 1. Oral Health Screenings 2. Oral Prophylaxis 3. Fluoride Varnish Applications 4. Dental Sealant Applications 5. Oral Health Education

21. Objectives – UDMSD Dental Sealant Program  Placement of dental sealants on 100 percent of the population with positive parent consent.  Oral health education delivered to 100 percent of target population with 100 percent completing pre and post-tests.  Contact made with 100 percent of parents whose child was found to be in need of further restorative care outside the school program.  One hundred percent of sealant placements will be rechecked within six months and ensure a 90 percent retention rate.  One hundred percent of un-retained sealants will be replaced at no cost to the child.  Data entered into CDC SEALS database for 100 percent of children seen (includes number of sealants place and number retained, etc.)

22. Objectives – ADEA MDFD II  Dental sealants will be placed on the molar teeth of about 80% of the low income children screened in the program. (Objective met 100%)

23. School & Student Eligibility CountyHealthy Kids Dental County*?* Y= Yes N= No HPSA* Y=Yes N=No Name of School**Free & Reduced School Lunch Program % per School*** Total # of 1 st Grade Students Total # of 2 nd Grade Students Total # of 6th Grade Students Total # of 7 th Grade Students If in Wayne County, Total # of K- 7 th Grade Students WayneNYNew Paradigm Loving Academy 100%453826-245 WayneNYStewart Elementary School 85% (100% - reported by school) 4256 45388 WayneNYThirkell Elementary School 86%10377--427 WayneNYRoss Hill Academy100%18121112

24. Data Summary for Procedure Completed by UDMSD Dental Hygiene Students in HFHS School-Based Dental & Community Health Program between 10/1/2011 - 9/30/2012 ‡ SchoolOral ProphylaxisFluoride VarnishSealants# of Children Hutchins/McMichael † 1101 Loving70 10270 Stewart Academy185 256186 Thirkell Elementary165179150176 White Elementary127128139128 TOTAL548563647561 ‡ Data obtained from UDMSD AXIUM® database and is restricted to only those children who were Medicaid enrolled and for procedures that were billed to Medicaid. This table does not include data for all children that were served in the program and for all billable procedures provided. † Most of the services at this school were provide after the cutoff date of 9/30/2011.

25. Data Summary for Procedure Completed by UDMSD Dental Hygiene Students in HFHS School-Based Dental & Community Health Program between 10/1/2012 - 9/30/2013 ‡ SchoolOral ProphylaxisFluoride VarnishSealants# of Children Loving63627763 Stewart Academy92 13592 Thirkell Elementary177178197178 Murphy Elementary909113591 Ross Hill Academy767514675 Mumford High School838426184 TOTAL581582951583 ‡ Data obtained from UDMSD AXIUM® database and is restricted to only those children who were Medicaid enrolled and for procedures that were billed to Medicaid. This table does not include data for all children that were served in the program and for all billable procedures provided.

26. Henry Ford Health System / UDMSD School-Based & Community Health Program Dental Hygiene Student Evaluations 2011-2012 #Questions PercentagesFrequencyResponse YesNoYesNoN Q1Understand the role of a PA161 Collaborative RDH in a school based setting. 96%4%24125 Q2Apply basic principles of pediatric dentistry.96%4%24125 Q3Perform a complete oral assessment on pediatric patients and accurately record the information. 96%4%24125 Q4Provide oral hygiene instructions and nutritional counseling to patients and, when appropriate, recommend and provide "OTC" preventive products. 96%4%24125 Q5Competently perform an oral prophylaxis and fluoride treatment on pediatric patients ranging from cooperative to mildly uncooperative. 100%-25- Q6Recognize the indications and contraindications of dental sealants and be competent in the placement of dental sealants. 96%4%24125 Q7Apply basic appropriate pediatric patient management techniques. 96%4%24125 Q8Understand when and how to appropriately refer pediatric dental patients. 96%4%24125 Q9Communicate with members of the interdisciplinary health care team and school personnel. 96%4%24125 Q10Recognize the extent of the dental needs of pediatric patients in the Detroit school-based populations. 96%4%24125 Q11Utilize mobile dental equipment and modify dental hygiene skills to meet the oral health needs of pediatric patients. 96%4%24125 Q12Improve time management skills and increase efficiency.96%4%24125

27. Short and Long Term Outcomes  Establishing best practices for community-based and academic partnerships.  Strengthening school-based oral health care.  Supporting best practice guidelines that result in preventative oral care for children and reduce dental carries of children K-6.  Increasing the proportion of low-income children who received any preventive dental service during the past year (objective 21-12).

28. Impact  Established community-based and academic partnerships to eliminate oral health disparities in children.

29. Elements Contributing to Success  Urban location  Commitment to community service based on our Jesuit traditions  Support from leadership at dental school  URM alumni support  Long standing partnership with community organizations

30. Acknowledgements  Principal Investigator - Dr. Mert N. Aksu, Dean  Grant Program Administration/PD: Dr. Divesh Byrappagari – URM Faculty Development and School Based Sealant Programs  PD - Dr. Deirdre Young - URM Recruitment and Retention Programs  URM Recruitment and Retention Program- Ms. Barbara Purifoy-Seldon, RDH, MS  URM Faculty Development – Dr. Melanie Mayberry  School Based Sealant Programs – Ms. Christiana Morton, RDH