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Out in the Community,
Sustainable, and
Uniting Resources
How educationally linked
community-based safety net
programs benefit patient, provider,
and communities
Predoctoral Accreditation Standards
• Will mandate community-based educational
  experiences
• Will require exposure to a diverse patient
  pool
• Will require students to be exposed to
  differing patient care models
• Non-Ohio dental schools already targeting
  Ohio for student placement (AT Still)
Patient Diversity In Outreach




Bean, CY et al. Comparing 4th Year Dental Student Production and Experiences in a Dental
School with Community Based Clinical Education. J Dent Ed 2007
OSU Division of Pediatric Dentistry

                    Johnstown

                            Nisonger


       Nationwide                OSU Clinic
       Children’s
       Hospital
                                 Coshocton


                        Dental
                        Coach
Patient Care Productivity
Clinic Name                                       Patient Visits, 2008-2009   Patient Visits, 2009-2010



College of Dentistry Pediatric Clinic                      1,994                       2,160

Nisonger Center Dental Clinic for Special Needs            4,220                       3,268
Patients

Johnstown Clinic                                           2,968                       3,010

Nationwide Children’s Hospital Clinic                      34,389                      35,647

The Dental Coach                                           2,232                       1,950

Coshocton Children’s Dental Clinic                         1,358                       1, 463

Total Patient Visits for January-December                  47,161                      47,498
Comparative Patient Productivity
Division of Pediatric Dentistry and Community Oral Health
Beyond Pediatric Dentistry
                            What Our Students Do In The Community

                                          Clinic     Ohio       Clinic     Ohio       Clinic     Ohio       Clinic     Ohio       Clinic     Ohio
Clinic or Ohio Project                  Stats 05-   Project   Stats 06-   Project   Stats 07-   Project   Stats 08-   Project   Stats 09-   Project
(School-based versus Outreach)             06        05-06       07        06-07       08        07-08       09        08-09       10        09-10



Students                                  102        102         85         85         94         94        100        100         98         98



Patients (Encounters)                    14,955     12,236     12,173     10,261     14,249     10,235     14,518     13,757     14,965     10,397



Procedures                               22,439     21,536     18,516     20,800     21,570     21,777     22,238     28,986     21,902     27,116


Patients/ Student                         190        120        143        121        152        109        145        158        153        106



Procedures/ Student                       281        211        218        245        229        232        222        349        223        277


Full Days Assigned/ Available in OHIO      93        46.4       92.5       53.6        93        50.4       92.5        50         93        49.5
Project vs Clinic (D4 Year)


Procedures Per Day                       241.3      464.1      200.2      388.1      231.9      432.1      240.4      579.7      235.5      547.8


Procedures Per Student Per Day            2.36       4.55       2.35       4.56       2.46       4.59       2.4        5.79       2.4        5.59
Why Schools Want Community Partnerships

• Greater range of patient experiences (quality)
• More opportunities for required experiences
  (quantity)
• Reduced cost for faculty, supplies,
  maintenance
• Greater student satisfaction
• Public relations
Advantages of Linking with Education
•   Sustainable workforce, low-cost already educated
•   Inculcate awareness and values into provider generations
•   Engagement of data management systems
•   Sharing of resources, management, responsibilities
•   Open web of referral and treatment resources
•   Quality control
•   Credentialing advantages
•   Network enhancement
•   Advocacy support
Disadvantages of Linking with Education

•   Bureaucracy
•   Never-maturing work force
•   Limited goals
•   Transient commitment/ownership
•   Teaching-diminished care efficiency
•   Documentation and compliance issues
•   Changing educational priorities

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OSU: Out in the Community, Sustainable, and United Resources

  • 1. Out in the Community, Sustainable, and Uniting Resources How educationally linked community-based safety net programs benefit patient, provider, and communities
  • 2. Predoctoral Accreditation Standards • Will mandate community-based educational experiences • Will require exposure to a diverse patient pool • Will require students to be exposed to differing patient care models • Non-Ohio dental schools already targeting Ohio for student placement (AT Still)
  • 3. Patient Diversity In Outreach Bean, CY et al. Comparing 4th Year Dental Student Production and Experiences in a Dental School with Community Based Clinical Education. J Dent Ed 2007
  • 4. OSU Division of Pediatric Dentistry Johnstown Nisonger Nationwide OSU Clinic Children’s Hospital Coshocton Dental Coach
  • 5. Patient Care Productivity Clinic Name Patient Visits, 2008-2009 Patient Visits, 2009-2010 College of Dentistry Pediatric Clinic 1,994 2,160 Nisonger Center Dental Clinic for Special Needs 4,220 3,268 Patients Johnstown Clinic 2,968 3,010 Nationwide Children’s Hospital Clinic 34,389 35,647 The Dental Coach 2,232 1,950 Coshocton Children’s Dental Clinic 1,358 1, 463 Total Patient Visits for January-December 47,161 47,498
  • 6. Comparative Patient Productivity Division of Pediatric Dentistry and Community Oral Health
  • 7. Beyond Pediatric Dentistry What Our Students Do In The Community Clinic Ohio Clinic Ohio Clinic Ohio Clinic Ohio Clinic Ohio Clinic or Ohio Project Stats 05- Project Stats 06- Project Stats 07- Project Stats 08- Project Stats 09- Project (School-based versus Outreach) 06 05-06 07 06-07 08 07-08 09 08-09 10 09-10 Students 102 102 85 85 94 94 100 100 98 98 Patients (Encounters) 14,955 12,236 12,173 10,261 14,249 10,235 14,518 13,757 14,965 10,397 Procedures 22,439 21,536 18,516 20,800 21,570 21,777 22,238 28,986 21,902 27,116 Patients/ Student 190 120 143 121 152 109 145 158 153 106 Procedures/ Student 281 211 218 245 229 232 222 349 223 277 Full Days Assigned/ Available in OHIO 93 46.4 92.5 53.6 93 50.4 92.5 50 93 49.5 Project vs Clinic (D4 Year) Procedures Per Day 241.3 464.1 200.2 388.1 231.9 432.1 240.4 579.7 235.5 547.8 Procedures Per Student Per Day 2.36 4.55 2.35 4.56 2.46 4.59 2.4 5.79 2.4 5.59
  • 8. Why Schools Want Community Partnerships • Greater range of patient experiences (quality) • More opportunities for required experiences (quantity) • Reduced cost for faculty, supplies, maintenance • Greater student satisfaction • Public relations
  • 9. Advantages of Linking with Education • Sustainable workforce, low-cost already educated • Inculcate awareness and values into provider generations • Engagement of data management systems • Sharing of resources, management, responsibilities • Open web of referral and treatment resources • Quality control • Credentialing advantages • Network enhancement • Advocacy support
  • 10. Disadvantages of Linking with Education • Bureaucracy • Never-maturing work force • Limited goals • Transient commitment/ownership • Teaching-diminished care efficiency • Documentation and compliance issues • Changing educational priorities