Portraits of Assessment: Redesigning Geriatric Curriculum in a Practice Management Setting Presented by ADEA Sections on Gerontology and Geriatrics Education and Practice Management Program Presentation Moderator: Marcia M. Ditmyer, PhD, CHES Introduction Mildred McClain, PhD Presentation of Competencies: Connie Mobley, PhD, RD Global Picture: State of Geriatric Education Curriculum Georgia Dounis, DDS, MS Assessment Strategies and Redesigning Curriculum: Marcia M. Ditmyer, PhD, CHES Introduction Shift in patient demographics over the past decade bring about a need for changes in dental education curriculum “The life span of any civilization can be measured by the respect and care that is given to its elderly citizens, and those societies which treat the elderly with contempt have the seeds of their own destruction within them." Arnold Joseph Toynbee Introduction United States will rise to 438 million in 2050, from 296 million in 2005. According to US Census Bureau projections, the elderly population will more than double between 2000 and 2030, growing from 35 million to over 70 million. Much of this growth is attributed to the "baby boom“ generation which will enter their elderly years between 2010 and 2030. . Introduction Students need training to be able to support the elderly population which will more than double by the middle of the next century. Because of improved health of the elderly, this population is also more likely to retain their teeth than were their predecessors, so they will require increased and different future dental services. The Graying of America Percent of Total U.S. Population over 65 in 2000 Source of data: U.S. Census Bureau, State Interim Projections by Age and Sex: 2004-2030, 2005. Prepared by the UNC Institute on Aging The Graying of America Percent of Total U.S. Population over 65 in 2030 Source of data: U.S. Census Bureau, State Interim Projections by Age and Sex: 2004-2030, 2005. Prepared by the UNC Institute on Aging U.S. Population Pyramids 2000 2020 2040 Source of charts: U.S. Census Bureau, “65+ in the United States: 2005,” December 2005. Prepared by the UNC Institute on Aging The Oldest Old The "oldest old" – those aged 85 and over – are the most rapidly growing elderly age group. The oldest old represented 12.1% of the elderly population in 2000 and 1.5% of the total population. In 2050, they are projected to be 24% of elderly Americans and 5% of all Americans. Centenarians – those aged 100 or more – represent a small but growing number of elderly Americans. The 1990 census reported 37,000 centenarians, while Census 2000 reported 50,000 centenarians in the United States. Prepared by the UNC Institute on Aging Increases in the Oldest Old U.S. Population Aged 85+ (in millions) Source of data: U.S. Census Bureau, Americans with Disabilities: 2002, Current Population Reports, P70-107, May 2006. Older Adults More Likely to Have Disabilities Percent of Americans with Disabilities (2002) Source of data: U.S. Census Bureau, Americans with Disabilities: 2002, Current Population Reports, P70-107, May 2006. Dental Needs of the Elderly The dental needs of the elderly are changing. Patient management of older patients requires an understanding of both the medical and dental aspects of aging. Other factors also need to be considered: – Ambulation – Independent living – Socialization – Sensory function Dental Needs of the Elderly Many barriers interfere with providing older patients dental care – severe dental complexity – multiple medical conditions – diminished functional status – loss of independence – uninformed attitudes about dental care in old age – limited finances Need for Geriatric Education References Yellowitz J and Saunders MJ. The need for geriatric dental education. Dent Clin North Am 1989;1:11-15. Kress GD and Vidmar GC. Critical skills assessment for the treatment of geriatric patients. Spec Care Dent 1985;5(3):127-9. Ettinger RM. Geriatric dental curricula and the needs of the elderly. Presented at the symposium on clinical Geriatric Dentistry: Biomedical and Psychosocial Aspects, June 1983. World Health Organization Working Panel on Professional Training. The sociology of professional training and health manpower: summary report. Geneva: World Health Organization, 1972. Presentation of Competencies: Connie Mobley, PhD, RD Current core competencies in geriatrics and practice management Patient care: assessment diagnosis and treatment planning Competency 6.1 Manage the oral health care of the (Independent, dependent, and frail) older adults as well as the unique needs of women, geriatric and special needs patients. Elements of Core Competency 6.1 Manage the oral health care unique needs of geriatric patients. 6.2 Prevent, identify, and manage trauma, oral diseases, and other disorders. 6.3 ASSESSMENT 6.4 DIAGNOSIS 6.186.5 Recognize the manifestations of systemic disease and how the disease and its management may affect the delivery of dental care. 6.6 TREATMENT PLAN Psychological/sociological/behavioral principles Knowledge of: 1. Special needs associated with cognitive and physical changes in aging 2. Psychology of Aging 3. Art and Science of tailoring Communication and Counseling techniques to the needs of aging populations 4. Effect of the dynamics among social, environmental, and economic factors and changing behavior 5. Social, community and federal programs to assist aging individuals in achieving quality of life Psychological/sociological/behavioral skills Skills in: 1. Communication sensitive to patient cognitive, physical & sensory impairment; possible care provider relationships; home environment; social financial status; etc. 2. Behavior modification, counseling and tailored patient education 3. Interdisciplinary treatment planning and referral to address multifaceted needs of elderly patients Biomedical/ Applied Sciences Knowledge of: 1. Biology of aging 2. Physiological & systemic consequences of aging 3. Synergy between systemic conditions and oral health status 4. Oral manifestations of aging Biomedical/ Applied Sciences Skills in: 1. Assessment of physical status 2. Screening techniques used to identify comorbidities associated with oral health status 3. Discriminating oral manifestations of aging Preclinical Concepts/Techniques Knowledge of: 1. Diagnostic procedures for determining medical, mental, and physical status of elderly 2. Clinical indices for medical and extra and intraoral diseases/conditions 3. Risk Assessment/ Risk Reduction protocols for medical and dental diseases (medication, diet, oral hygiene behavior) 4. Pathology and intervention of dental caries in aging 5. Pathology and intervention of oral soft tissue diseases, including oral disease secondary to medical diseases/conditions 6. Publicly financed health care delivery for the elderly Preclinical Concepts/Techniques Skill in: 1. Comprehensively assessing medical and extra and intraoral health status of aging patients 2. Conducting Risk Assessment protocols and developing risk reduction treatment plans for the elderly that include diet and oral hygiene counseling and instruction 3. Identifying relevant pathology (medical and dental) associated with dental diseases 4. Providing dental treatment as appropriate and sensitive to the special needs of the elderly 5. Providing appropriate referral and follow-up to elderly patients to support their quality of life Global Picture: State of the Geriatric Education Curriculum Georgia Dounis, DDS, MS Pre-doctoral Geriatric Dentistry Curriculum Content – Assessment of Current Status Pan American—US, Brazil, Canada EU27 Australia China U.S. Dental Schools In 2001 All schools taught some aspect of geriatric dentistry 2% did not have curriculum that requires didactic material Mohammad AR, Preshaw PM, Ettinger RL. Current Status of Predoctoral Geriatric Education in US Dental Schools. J Dent Edu 2001; 67(5):509-14 US: Format used to teach geriatric dentistry Mohammad AR, Preshaw PM, Ettinger RL. Current Status of Predoctoral Geriatric Education in US Dental Schools. J Dent Edu 2001; 67(5):509-14 US: pre-doctoral education didactic content Medical conditions Barriers to dental care Oral and dental changes associated with aging Psychosocial problems Oral manifestations of systemic disease Socioeconomic problems Oral management of healthy elderly Diagnosis and management of oral conditions Demographic distributions of the elderly Aging and theories of aging Prosthetic management Oral management of frail elderly Nutritional problems Oral management of home/institutionalized/hospital Visual and auditory loss in the elderly Modifications of standard techniques Neurological considerations Adaptation/learning Home care Geriatric assessment Other topics Mohammad AR, Preshaw PM, Ettinger RL. Current Status of Predoctoral Geriatric Education in US Dental Schools. J Dent Edu 2001; 67(5):509-14 Mohammad AR, Preshaw PM, Ettinger RL. Current Status of Predoctoral Geriatric Education in US Dental Schools. J Dent Edu 2001; 67(5):509-14 US: Program Director Expertise 37% no particular person in charge 63% had a geriatric program director – 45% schools - teaching was directors sole responsibility – 18% schools - multidisciplinary team responsibility Program director’s training and/or specialty • 36% Formal geriatric training • 48% Prosthodontist • 2% Oral Medicine Departments responsible for teaching geriatric dentistry Brazil Demographics Population 195,423 thousands 14.5 million (8.6%) population are over the age of 60. By 2025 projected that this number will double to 33.2 million By 2050 the older population expected to triple Hebling E, Mugayar L, Vendriamini Dias P. Geriatric Dentistry: a new specialty in Brazil Gerodontology 2007;24:177-180 United Nations Population Division. World population prospects 2008: United Nations Population Division Department of Economic and Social Affairs Brazil 104 dental schools surveyed Survey of senior dental students Survey of course coordinator – 64 dental schools replied to the survey de Lima Saintrain MV, de Souza EH, de Franca Caldas Junior A. Geriatric dentistry in Brazilian universities. Gerodontology 2006;23:231-236. Brazil: Coordinators reply Yes Due to be implemented No Is Geriatric dentistry offered as a subject? 25 22 17 Is an extension course in geriatric dentistry offered ? 16 21 27 de Lima Saintrain MV, de Souza EH, de Franca Caldas Junior A. Geriatric dentistry in Brazilian universities. Gerodontology 2006;23:231-236. Brazil: School coordinators de Lima Saintrain MV, de Souza EH, de Franca Caldas Junior A. Geriatric dentistry in Brazilian universities. Gerodontology 2006;23:231-236. Dental students who responded Geriatric dentistry subject incorporated in curriculum 7.30% Prosthodontics 41% 29% Special care discipline Preventative/Social Dentistry 14% 14% Periodontics, Endodontics, Restorative Dentistry Individual geriatric dentistry de Lima Saintrain MV, de Souza EH, de Franca Caldas Junior A. Geriatric dentistry in Brazilian universities. Gerodontology 2006;23:231-236. Canada Demographics Current population 33,890 thousands – 14.1% of population is over 65 years of age – 3.9% of population is over 80years of age By 2025 population 38,659 thousands – 20.5% of population will be over 65years of age – 4.9% of population will be over 80 years of age By 2050 population 44,414 thousands – 25.5% will be over 65 years of age United Nations Population Division. World population prospects 2008: United Nations Population Division Department of Economic and Social Affairs Canada: 22% of Schools had specific course or series of courses 33% of Schools required didactic geriatric dentistry course Saunders RH, Yellowitz JA, Dolan TA, Smith BJ. Trends in Predoctoral Education in Geriatric Dentistry. J Dent Educ 1998: 62(4);314-18 EU27 Demographics By 2060 30% of Europeans will be over the age 65 61.4 million Europeans will be over 80 years of age Challenges EU: limited training of the pre-doctoral dental student regarding elderly oral care Preshaw PM, Mohammad AR. Geriatric dentistry education in European dental schools. Eur J Dent Educ 2005;9:73-77. EU:194 Schools invited complete survey Albania Austria Belarus Belgium Croatia Czech Republic Denmark Estonia Finland France Greece Hungary Germany Iceland Ireland Italy Latvia Lithuania Malta Norway Poland Portugal Romania Russia Slovakia Spain Sweden Switzerland The Netherlands Turkey United Kingdom Yugoslavia Completed by 82 schools in 27 countries Preshaw PM, Mohammad Geriatric dentistry education in European dental schools. Eur J Dent Educ 2005;9:73-77. EU: Format of teaching 82% schools required geriatric dentistry 18% schools - geriatric dentistry was an elective Preshaw PM, Mohammad AR. Geriatric dentistry education in European dental schools. Eur J Dent Educ 2005;9:73-77. EU: Topics covered Oral manifestations of systemic disease Diagnosis and management of oral conditions Medical problems in the elderly Age changes in oral/dental tissues Oral management of the healthy elderly Psychosocial problems Demographic distribution of elderly Prosthetic management: adaptation and learning Theories of ageing Nutritional problems in elderly Prosthetic management – modification of techniques Oral management of frail elderly Socio-economic problems in elderly Prosthetic management: neurological considerations Barriers to dental care Prosthetic management: copy/replica denture technique Oral management of institutionalized elderly Visual/auditory loss in the elderly Home care and use of portable equipment Geriatric assessment scales Preshaw PM, Mohammad AR. Geriatric dentistry education in European dental schools. Eur J Dent Educ 2005;9:73-77. EU: Program directed 28% had a geriatric program director – 14% had formal training – 45% were Prosthodontists – 4% were Oral medicine Specialist – 37% had combination training 64% taught in Prosthodontic Department 23% taught content in Preventative Dentistry 13% taught content in Comprehensive Care Preshaw PM, Mohammad AR. Geriatric dentistry education in European dental schools. Eur J Dent Educ 2005;9:73-77. Geriatric Dental Curriculum in 3 Countries Ranking of Didactic Subject Matter 46 Australia demographics Population (millions) 21.5 Life expectancy(years) 82.2 By 2030 – Over 20% of the population will be 65+ years of age – (6%) of the population will be over the age of 80 United Nations Population Division. World population prospects 2008: United Nations Population Division Department of Economic and Social Affairs Chalmers JM. Geriatric oral health issues in Australia. International Dental Journal (2001) 51: 188-199. Australian geriatric dental education No registered specialty in geriatric dentistry in Australia Geriatric dental education in most states was limited to theoretical teaching with a strong Prosthodontic focus 1990’s University of Sydney, Melbourne, Queensland and Adelaide attempted to integrate a clinically oriented geriatric/specialty care dentistry curriculum No formal postdoctoral education in geriatric dentistry available in Australia Chalmers JM. Geriatric oral health issues in Australia. International Dental Journal (2001) 51: 188-199. Demographics China Population over 1.3 billion people – 8.2% is over the age of 65 – 1.4% is over the age of 80 By 2025 – 13.4% population will be over 65 years of age – Over 2% of population will be over 80 years of age By 2050 – 23.3% population will be over 65 years of age – 7.2% population will be over 80 years of age United Nations Population Division. World population prospects 2008: United Nations Population Division Department of Economic and Social Affairs Dental education in China No report of geriatric dentistry training in China Most dental education is didactic with limited improvement in clinical teaching methods. Fu Y, Ling J, Jang B, Yin H. Perspective on dental education in mainland China. Int Dent J 2006; 56: 265-71. Assessment Strategies and Redesigning Curriculum: Marcia M. Ditmyer, PhD, CHES Geriatric Dentistry in the Curriculum: Assessment Strategies and Curriculum Mapping Assessing curriculum…what areas of geriatric dentistry are missing or redundant in practice management curriculum. Strategies for retooling practice management curriculum to meet the challenges that face us in Geriatric Dentistry Steps for Retooling Existing Curriculum Rubric design to assess curriculum Survey and Focus groups Curriculum mapping Redesign curriculum Evaluate and follow-up 53 Curriculum Assessment Curriculum assessment is a process of gathering and analyzing information from multiple sources in order to improve student learning in sustainable ways. Why Conduct Curriculum Assessment Curriculum assessment can serve several major purposes: – – – – – To identify aspects that work and those that do not To demonstrate the effectiveness of the current program To asses effectiveness of changes To meet regular program review requirements To satisfy professional accreditations (CODA, Regional Accreditation, etc.) How should information be used? Curriculum/Course Design Curriculum/Course Delivery Assessment Learning Environment Information Sources Students (applicants, undergrads, grads, alumni) Faculty (Full and Part-time) Staff Employers (Dental Community) Professional Associations (certification/accrediting bodies) Colleagues from similar programs elsewhere Feedback Methods Opinion Gathering (Surveys, Focus Groups, Interviews, Departmental Meetings/Retreats, etc.) Testing (Written, demonstration, pre-post, etc.) Content (journals, concept mapping, assignments, exams Experts (tours, external reviewers, etc.) Archives (course outlines, evaluations, grades, reports, etc.) Replacement Model Curriculum mapping is not something you add to what you already do. It is a replacement model that means learning a new way of conducting the professional business of teachers improving student learning by designing rigorous, vertically aligned curriculum. Curriculum Mapping An ongoing, calendar-based process involving teacher-designed operational and planned-learning curriculum, collaborative inquiry, and data-driven decision making A technique for exploring the primary elements of curriculum: – What is taught – How instruction occurs – When instruction is delivered First Steps…Getting Started Formulate an Assessment/Mapping Committee Does the school you want to undertake this? Why?, To what extent?, What are the goals?, What are the costs? Create a mapping tool or investigate purchasing a mapping tools - select one. Who design, make the decisions, complete data entry, monitor and update? What is a reasonable timeline? What professional development is needed? Curriculum Review Should be conducted annually for ever discipline and every grade Course Name Cariology Semester Current Credits Taught Awarded Fall 2 Oral and Systemic Manifestations of Disease Spring 4 Pharmacological Concepts Spring 3 Fall 4 Spring 2 Fall 2 Spring 1 Fall 1 Spring 2 Summer 2 Spring 2 Summer 1 Fall 1 Summer 3 Spring 3 Summer 2 Fall 3 Pathological Concepts Clinically Oriented Anatomy Oral Cancer Principles of Endodontics Lecture Applied Dental Materials I Principles of Endodontics Lab Introduction to Dental Implants Oral Surgical Principles and Techniques Pharmacotherapeutics I: Prescribing Medication Panoramic Principles and Advanced Radiographic Anatomy Orthodontics Restorative Dentistry: Removable Prosthodontics Pediatric Dentistry Principals & Techniques Intro to Periodontal Diagnosis and Initial Therapy Credit Change 3 Actual Reported Reporte Contact Contact d Lab Hours Hours Hours 28 28 56 56 4 42 65 6 62 62 3 70 58 28 28 14 24 15 13 42 32 82 14 18 14 14 28 21 56 47.5 56 65 56 25 60 49 UNLV School of Dental Medicine Assessment Alignment Matrix June 2008 DS1 Course Alignment Stan dard CODA Standards No. ADEA Domain ADEA Proposed Competencies SDM Comp SDM Competencies Domain & No. DS1 Fall DS1 Spring DS1 Sum DS2 Course Alignment DS2 Fall DS2 Spring DS2 Sum DS3 Course Alignment DS3 Fall DS3 Spring DS3 Sum DS4 Course Alignment DS4 Fall DS4 Spring BIOMEDICAL SCIENCES science 2-12 Biomedical instruction in dental 6. Patient Care 6.3. Recognize the manifestations of systemic disease and how the disease and its management may affect the delivery of dental care. 6.14. Prevent, idenitfy, and manage pulpal and periradicular diseases. 4. Evaluate, 4.02. Establish differential, diagnose and provisional and/or definitive perform treatment diagnoses planning for individual patients of all ages DEN 7101; DEN 7101; DEN 7111; DEN 7200; DEN 7201; DEN 7226; DEN 7320; DEN 7327; DEN 7506; DEN 7425; DEN 7740; DEN 7102; DEN 7108; DEN 7122; DEN 7204; DEN 7203; DEN 7228; DEN 7321; DEN 7328; DEN 7325; DEN 7440; DEN 7455 DEN 7109; DEN 7109; DEN 7129; DEN 7208; DEN 7205; DEN 7229; DEN 7324; DEN 7329; DEN 7333; DEN 7455 DEN 7112; DEN 7110; DEN 7130; DEN 7220; DEN 7233; DEN 7230; DEN 7326; DEN 7340; DEN 7340 DEN 7120; DEN 7502; DEN 7137; DEN 7223; DEN 7236; DEN 7235; DEN 7340; DEN 7355 DEN 7123; DEN 7121; DEN 7138; DEN 7240; DEN 7240; DEN 7240; DEN 7514 DEN 7124; DEN 7133; DEN 7139; DEN 7241; DEN 7241; DEN 7241; DEN 7125; DEN 7136; DEN 7140; DEN 7242; DEN 7242; DEN 7242 DEN 7140; DEN 7140 DEN 7152; DEN 7251; DEN 7512 DEN 7154; DEN 7159 DEN 7512 DEN 7510 6. Patient Care 6.3. Recognize the manifestations of systemic disease and how the disease and its management may affect the delivery of dental care. 6.14. Prevent, idenitfy, and manage pulpal and periradicular diseases. 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages 9. Treat or manage oral mucosal. Bone, and temporomandibular disorders. 10. Perform uncompliated oral hard and soft tissue surgical procedures. 4.02. Establish differential, provisional and/or definitive diagnoses 9.01. Identify the clinical features of oral mucosal diseases and disorders. 10.04. Recognize complex conditions requiring surgical intervention(s) and explain their management. DEN 7101; DEN 7101; DEN 7111; DEN 7200; DEN 7201; DEN 7226; DEN 7320; DEN 7327; DEN 7506; DEN 7425; DEN 7740; DEN 7102; DEN 7108; DEN 7122; DEN 7204; DEN 7203; DEN 7228; DEN 7321; DEN 7328; DEN 7325; DEN 7440; DEN 7455 DEN 7109; DEN 7109; DEN 7129; DEN 7208; DEN 7205; DEN 7229; DEN 7324; DEN 7329; DEN 7333; DEN 7455 DEN 7112; DEN 7110; DEN 7130; DEN 7220; DEN 7233; DEN 7230; DEN 7326; DEN 7340; DEN 7340 DEN 7120; DEN 7502; DEN 7137; DEN 7223; DEN 7236; DEN 7235; DEN 7340; DEN 7355 DEN 7123; DEN 7121; DEN 7138; DEN 7240; DEN 7240; DEN 7240; DEN 7514 DEN 7124; DEN 7133; DEN 7139; DEN 7241; DEN 7241; DEN 7241; DEN 7125; DEN 7136; DEN 7140; DEN 7242; DEN 7242; DEN 7242 DEN 7140; DEN 7140 DEN 7152; DEN 7251; DEN 7512 DEN 7154; DEN 7159 DEN 7512 DEN 7510 6. Patient Care 6.3. Recognize the manifestations of systemic disease and how the disease and its management may affect the delivery of dental care. 6.12. Recognize and manage developmental or acquired occusal abnormalities 6.14. Prevent, idenitfy, and manage pulpal and periradicular diseases. 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages 9. Treat or manage oral mucosal. Bone, and temporomandibular disorders. 10. Perform uncompliated oral hard and soft tissue surgical procedures. 4.02. Establish differential, provisional and/or definitive diagnoses 9.01. Identify the clinical features of oral mucosal diseases and disorders. 10.04. Recognize complex conditions requiring surgical intervention(s) and explain their management. DEN 7101; DEN 7101; DEN 7111; DEN 7200; DEN 7201; DEN 7226; DEN 7320; DEN 7327; DEN 7506; DEN 7425; DEN 7740; DEN 7102; DEN 7108; DEN 7122; DEN 7204; DEN 7203; DEN 7228; DEN 7321; DEN 7328; DEN 7325; DEN 7440; DEN 7455 DEN 7109; DEN 7109; DEN 7129; DEN 7208; DEN 7205; DEN 7229; DEN 7324; DEN 7329; DEN 7333; DEN 7455 DEN 7112; DEN 7110; DEN 7130; DEN 7220; DEN 7233; DEN 7230; DEN 7326; DEN 7340; DEN 7340 DEN 7120; DEN 7502; DEN 7137; DEN 7223; DEN 7236; DEN 7235; DEN 7340; DEN 7355 DEN 7123; DEN 7121; DEN 7138; DEN 7240; DEN 7240; DEN 7240; DEN 7514 DEN 7124; DEN 7133; DEN 7139; DEN 7241; DEN 7241; DEN 7241; DEN 7125; DEN 7136; DEN 7140; DEN 7242; DEN 7242; DEN 7242 DEN 7140; DEN 7140 DEN 7152; DEN 7251; DEN 7512 DEN 7154; DEN 7159 DEN 7512 DEN 7510 education must ensure an in-depth understanding of basic biological principles, consisting of a core of information on the fundamental structures, functions and interrelationships of the body system biomedical knowledge 2-13 The base must emphasize the oro-facial complex as an important anatomical area existing in a complex biological interrelationship with the entire body. information on 2-14 In-depth abnormal biological conditions must be provided to support a high level of undestanding of the etiology, epidemiology, differential diagnosis, pathogenesis, prevention, treatment, and prognosis or oral and oral-related disorders. UNLV School of Dental Medicine Assessment Alignment Matrix June 2008 DS1 Course Alignment Stan dard CODA Standards No. ADEA Domain ADEA Proposed Competencies SDM Comp SDM Competencies Domain & No. DS1 Fall DS1 Spring DS1 Sum DS2 Course Alignment DS2 Fall DS2 Spring DS2 Sum DS3 Course Alignment DS3 Fall DS3 Spring DS3 Sum DS4 Course Alignment DS4 Fall DS4 Spring Behavioral and Practice Management 2-16 Graduates must be competent in the application of the fundamental principles of behavioral sciences as they pertain to patient-centered approaches for promoting, improving and maintaining oral health. 3. Communicati on and Interpersonal Skills 4. Health Promotion DEN 7157; DEN 7509; DEN 7140 3.2 Apply psychosocial and 3. Promote oral 3.01 Identify services behavioral principles in patient- and systemic available to promote oral DEN 7160; DEN 7161; centered health care. health in health and assess the DEN 7140 DEN 7136; DEN 7140 4.1 Provide appropriate individual patients individual and prevention, intervention, and and the community access to educational strategies. community these services 4.2 Participate with other health 3.02 Demonstrate care professionals in the methods of educating management and health and motivating patients promotion for all patients. in the etiology and prevention of oral diseases DEN 7200; DEN 7203; DEN 7235; DEN 7340 DEN 7340 DEN 7506; DEN 7440; DEN 7440; DEN 7204; DEN 7223; DEN 7240 DEN 7340; DEN 7452; DEN 7450 DEN 7208; DEN 7236; DEN 7354 DEN 7454; DEN 7223; DEN 7240; DEN 7455 DEN 7240; DEN 7512 DEN 7512; DEN 7252 DEN 7200; DEN 7203; DEN 7235; DEN 7340 DEN 7340 DEN 7506; DEN 7440; DEN 7440; DEN 7204; DEN 7223; DEN 7240 DEN 7340; DEN 7452; DEN 7450 DEN 7208; DEN 7236; DEN 7354 DEN 7454; DEN 7223; DEN 7240; DEN 7455 DEN 7240; DEN 7512 DEN 7512; DEN 7252 2-17 Graduates must be 3. competent in managing Communicati a diverse patient on and population and have the Interpersonal interpersonal and Skills communications skills to 4. Health function successfully in Promotion a multicultural work 6. Patient environment. Care 3.1 Apply appropriate interpersonal and communication skills. 3.3 Communicate effectively with patients from diverse populations. 4.3. Recognize and appreciate the need to contribute to the improvement of oral health beyond those served in traditional practice settings. 6.7. Manage the pediatric, adolescent, adult, geriatric and the special needs patient and prevent, identify, and manage trauma, oral diseases, and disorders in these patients. 3. Promote oral 3.03 Communicate with DEN 7157; DEN 7509; DEN 7140 DEN 7160; DEN 7161; and systemic diverse and special DEN 7140 DEN 7136; health in populations. DEN 7140 individual patients and the community 2-18 Graduates must be 5. Practice competent in Manageme evaluating different nt and models of oral health Informatics care management and delivery. 5.2. Evaluate and manage different models of oral health care management and delivery 3. Promote oral 3.01. Identify sercies and systemic available to promote health in oral health and individual assess the individual patients and and community the community access to these services. DEN 7340 DEN 7340 DEN 7506; DEN 7440; DEN 7440; DEN 7340 DEN 7340 DEN 7506; DEN 7440; DEN 7440; DEN 7340 DEN 7340; DEN 7452; DEN 7450 DEN 7340; DEN 7452; DEN 7450 DEN 7354 DEN 7454; DEN 7354 DEN 7454; DEN 7455 DEN 7455 UNLV School of Dental Medicine Assessment Alignment Matrix June 2008 Cli ni DS1 Course Alignment Stan dard CODA Standards ADEA Domain No. ADEA Proposed Competencies SDM Comp SDM Competencies Domain & No. DS1 Fall DS1 Spring DS1 Sum DS2 Course Alignment DS2 Fall DS2 Spring DS2 Sum DS3 Course Alignment DS3 Fall DS3 Spring DS3 Sum DS4 Course Alignment DS4 Fall DS4 Spring Clinical Sciences 2patient 25(a) 1. Critical 1.1 Evaluate and 4. Evaluate, 4.01. assessment Thinking assess emerging diagnose Obtain/perform and diagnosis; 5. Practice trends in health care. and perform and record a Management 1.2 Utilize critical treatment comprehensive and thinking and problem planning for history, Informatics solving skills in individual examination of patient care. 6. Patient patients of orofacial 5.2 Evaluate and Care all ages. structures and manage different 11. appropriate models of oral health Diagnose diagnostic tests. care management and manage 4.02. Establish malocculusi differential, and delivery. 5.3 Apply principles on and provisional of risk management, occlusal and/or definitive including informed disorders. diagnoses. 15. Evaluate 11.01. Assesss consent and appropriate record the the function of outcomes of the masticatory keeping in patient treatment system. care. provided by 11.02. Evaluate 6.1. Obtain and interpret patient data themselves and maintain the and others. oral health of and use these findings to accurately patients assess and manage undergoing patients. orthodontic 6.10. Develop and treatment. implement stratagies 15.00. Evaluate for the clinical the outcomes of assessment and treatment management of provided by caries. themselves and others. DEN 7101; DEN 7101; DEN 7111; DEN 7200; DEN 7204; DEN 7235; DEN 7320; DEN 7327; DEN 7506; DEN 7425; DEN 7740; DEN 7102; DEN 7108; DEN 7502; DEN 7201; DEN 7205; DEN 7240; DEN 7340; DEN 7340; DEN 7325; DEN 7440; DEN 7455 DEN 7109; DEN 7109; DEN 7122; DEN 7240; DEN 7240; DEN 7241; DEN 7514 DEN 7350; DEN 7340 DEN 7442; DEN 7112; DEN 7110; DEN 7129; DEN 7241; DEN 7241; DEN 7242 DEN 7355 DEN 7455 DEN 7123; DEN 7501; DEN 7130; DEN 7242; DEN 7242; DEN 7124; DEN 7121; DEN 7137; DEN 7512 DEN 7252; DEN 7125; DEN 7133; DEN 7138; DEN 7512 DEN 7140; DEN 7136; DEN 7139; DEN 7154; DEN 7140 DEN 7140; DEN 7152; DEN 7510 DEN 7159 CODA ADEA Standard Domain SDM Competency Measures How to Measure When to Measure Who Will Measure Data Analysis Results/ Outcome Distribution Biomedical Sciences 2-12 6. Patient Care 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages 1. Questions embedded in classroom exams and assessments 2. Course projects, papers and presentations and/or 3. Course examinations 1. Course grades: classroom examination scores and grades from classroom asignments 2. Review by Student Progress Committee 1. Course Grades are reviewed 1. Course Director at the end of each semester 2. Progress 2. Progress committee meets at Committee the end of each semester 2-13 6. Patient Care 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages 9. Treat or manage oral mucosal. Bone, and temporomandibular disorders. 10. Perform uncompliated oral hard and soft tissue surgical procedures. 1. External tests with national norms (National Board, Part 1 and Part 2) 2. Successful completion of clinical competencies 3. Skill simulations 4. Questions embedded in classroom exams and assignments 1. National Board Review Scores: Part 1 and Part 2 2. Course grades: skill simulation course completion grades, competency grades, and classroom exams and assignments 3. Group evaluation of Faculty within Team; Review by Student Progress Committee 1. When students take the National Boards, Part 1 is taken in summer between DS2 and DS3. Part 2 is taken in the Spring of DS4 year. 2. Scores of simulations and types of exams and assignments 3. Team Leader submission of student evaluations at middle and end of each semester 1. External tests with national norms (National Board, Part 1 and Part 2) individual all ages 2. Questions Successfulembedded completioninofclassroom clinical 5. Practice Mgt 3. Promotepatients oral andofsystemic 1. 9. Treat or manage oral mucosal, competencies and health in individual patients and exams and assignments bone, and temporomandibular 3. Skill simulations Informatics the community 2. Portfolios disorders. 4. Evaluations Questions embedded in classroom 3. from community 10. Perform uncompliated oral exams andonassignments members presentations and hard and soft tissue surgical program implementation procedures. 1. National Board Review Scores: Part 1 and Part 2 2. Course Course grades: grades: classroom skill simulation 1. course completion competency examination scoresgrades, and grades from grades, and classroom classroom asignments exams and assignments 2. Review by Student Progress 3. Group evaluation of Faculty within Committee Team; Review by Student Progress Committee 4. Health 3. Promote oral and systemic Promotion health in individual patients and 5. community 1. Practice Critical Mgt the 2. Access, evaluate, and and Thinking incorporate into practice new Informatics 5. Practice Mgt knowledge, techniques, and 1. Course grades: classroom examination scores and grades from classroom 1. Course asignments grades: classroom 2. Review byscores Student Progress examination and grades from Committee classroom asignments 1. When students take the 1. Scores received National Boards, Part 1 is taken from Nevada State in summer betweenare DS2 and Board 1. Course Grades reviewed 1. Course Director 2. Progress Course DS3. taken in the at thePart end 2ofiseach semester 2. Spring of DS4 year. Directors 2. Progress committee meets at Committee 2. Scores of simulations 3. Team Leaders the end of each semesterand types of exams and assignments 3. Team Leader submission of student evaluations at middle and end of each semester 1. Course Grades are reviewed 1. Course Director at the end of each semester 2. Progress 2. committee meets at Committee 1. Progress Course Grades are reviewed 1. Course Director the end of each semester at the end of each semester 2. Progress 6. Patient Care 4. Evaluate, diagnose and Practice Management 2-14 perform treatment planning for 2-18 2-19 2-15 and Informatics materials 1. Questions embedded in classroom exams and assignments 2. 1. Portfolios Questions embedded in classroom 3. Evaluations from community exams and assessments members presentations and 2. Course on projects, papers and program implementation presentations and/or 3. Course examinations 2. Review by Student Progress Committee Descriptive Statistics; Trend Analyses; Kappa Statistics for calibration of examiners 1. Reports submitted to executive committee of SDM 2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum Descriptive Statistics; Trend Analyses; Kappa Statistics for calibration of examiners 1. Reports submitted to executive committee of SDM 2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum Descriptive Statistics; Trend Analyses; Kappa Statistics for calibration of examiners 1. Reports submitted to executive committee of SDM 2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum 1. Scores received from Nevada State Board 2. Course Directors 3. Team Leaders 2. Progress committee meets at Committee the end of each semester Ethics & Professionalism 2-20 2. 1. Understand and apply ethical 1. Questions embedded in classroom Professionalis codes and laws and regulations exams and assessments m governing dentistry. 2. Course projects, papers and presentations and/or 3. Course examinations 1. Course grades: classroom examination scores and grades from classroom asignments 2. Review by Student Progress Committee 1. Course Grades are reviewed 1. Course Director at the end of each semester 2. Progress 2. Progress committee meets at Committee the end of each semester 2-21 2. 1. Understand and apply ethical 1. Questions embedded in classroom Professionalis codes and laws and regulations exams and assessments m governing dentistry. 2. Course projects, papers and presentations and/or 3. Course examinations 1. Course grades: classroom examination scores and grades from classroom asignments 2. Review by Student Progress Committee 1. Course Grades are reviewed 1. Course Director at the end of each semester 2. Progress 2. Progress committee meets at Committee the end of each semester 2-22 1. Critical 2. Access, evaluate, and Thinking incorporate into practice new 5. Practice Mgt knowledge, techniques, and materials and Informatics 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages. 1. Course grades: classroom examination scores and grades from classroom asignments 2. Review by Student Progress Committee 1. Course Grades are reviewed 1. Course Director at the end of each semester 2. Progress 2. Progress committee meets at Committee the end of each semester 1. Course projects, papers and presentations 2. Course examinations 3. Skill simulations 4. Successful completion of clinical competencies 5. External tests with national norms (National Board, Part 1 and Part 2) 67 Status CODA Standard ADEA Domain SDM Competency Measures How to Measure When to Measure Data Results/Outcomes Analysis Distribution Biomedical Sciences 2-12 6. Patient Care 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages 2-13 6. Patient Care 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages 9. Treat or manage oral mucosal. Bone, and temporomandibular disorders. 10. Perform uncompliated oral hard and soft tissue surgical procedures. 6. Patient Care 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages 9. Treat or manage oral mucosal. Bone, and temporomandibular disorders. 10. Perform uncompliated oral hard and soft tissue surgical procedures. 1. Critical 2. Access, evaluate, and incorporate Thinking into practice new knowledge, 5. Practice Mgt techniques, and materials and Informatics 2-14 2-15 1. End of Course Student evaluations 2. Faculty evaluations of courses 3. Mid-program interviews (DS2/DS3) 4. Exit interview 5. Alumni Survey 6. Employer survey 7. Surveys of Supervisors of Community-based educational sites 8. Patient Satisfaction Surveys Descriptive 1. Online Surveys 1. End of each 2. Faculty/Course Statistics; course Surveys Trend 2. Each 3. Face-to-face course/faculty once Analyses; interviews Kappa year 4. Face-to-face 3. Summer between Statistics for interviews DS2 and DS3 calibration of 5. Phone interviews 4. May of DS4 year examiners 6. Mail or internet 5. One year and surveys Five years after 7. Mail surveys graduation 8. Face-to-face 6. Every 2 years interviews and surveys 7. After each activity where a student participates 8. Annually, but never the same time each year 1. Reports submitted to executive committee of SDM 2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum Practice Management 2-18 5. Practice Mgt and Informatics 3. Promote oral and systemic health in individual patients and the community 2-19 4. Health Promotion 5. Practice Mgt and Informatics 3. Promote oral and systemic health in individual patients and the community 1. Online Surveys 1. End of Course Student evaluations 2. Faculty/Course 2. Faculty Surveys 3. Face-to-face evaluations of courses interviews 4. Face-to-face 3. Mid-program interviews interviews 5. Phone interviews (DS2/DS3) 4. Exit interview 6. Mail or internet 5. Alumni Survey surveys 6. Employer survey 7. Mail surveys 8. Face-to-face 7. Surveys of Supervisors of interviews and Community-based surveys educational sites 8. Patient Satisfaction Surveys 1. End of each course 2. Each course/faculty once year 3. Summer between DS2 and DS3 4. May of DS4 year 5. One year and Five years after graduation 6. Every 2 years 7. After each activity where a student participates 8. Annually, but never the same time each year Descriptive Statistics; Trend Analyses; Kappa Statistics for calibration of examiners 1. Reports submitted to executive committee of SDM 2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum 68 Status Clinical Sciences - Courses and Instructors Class Course # DS I 7120 Introduction to Infection Control Simmons Fall DS I 7140 General Clinic Streamline I Webberson Fall DS I 7101 Cellular & Molecular Concepts Davenport Fall DS I 7123 Diagnosis and Treatment Planning I Simmons Fall DS I 7154 Health Care Delivery: Patient Record and HIPPA Regulations Webberson Fall DS I 7101 Cellular & Molecular Concepts Davenport Fall DS I 7124 Dental Anatomy and Occlusion Lab Nelson Fall DS I 7157 Patient Communications and Cultural Compatability McClain Fall DS I 7102 Microbiological & Immunological Concepts Galbraith Fall DS I 7125 Dental Anatomy and Occlusion Lecture Nelson Fall DS I 7160 Biostatistics in Oral Health Ditmyer Fall DS I 7108 HIV/AIDS & Oral Disease Galbraith Fall DS I 7140 DSI General Dentistry Clinic Webberson Fall DS I 7510 Critical Thinking in Contemporary Health Care Ditmyer, Mobley, Zoller Fall DS I 7109 Head and Neck Anatomy Zoller Fall DS I 7121 Principles of Clinical Dentistry: Operative Dentistry Woodall Spring DS I 7140 General Clinic Streamline II Webberson Spring DS I 7109 Head and Neck Anatomy Zoller Spring DS I 7133 Principles of Clinical Dentistry Lab Woodall Spring DS I 7151 Healthcare Financing and Public Health Sandoval Spring DS I 7110 Oral Pathogens & Oral Immunology Galbraith Spring DS I 7136 Basics of Periodontal Instrumentation and Preventive Intervention Lockhart Spring DS I 7156 Community Outreach: Pediatric Education McClain Spring DS I 7111 Oral Developmental Anatomy and Histology (Oral Histology) Davenport DS I 7140 DSI General Dentistry Clinic Webberson Spring DS I 7161 Epidemiology in Oral Health Ditmyer Spring DS I 7112 Introduction to Human Development Davenport Spring DS I 7122 Applied Clinical Dentistry: Restorative Richards Summer DS I 7509 Professional Studies Integration Seminar McClain Spring DSI 7501 Integration Seminar I Kingsley Spring DS I 7126 Local Anesthesia and Nitrous Oxide Sedation Nattestad Summer DS I 7140 General Clinic Streamline III Webberson Summer DSI 7502 Integration Seminar II Kingsley Summer DS I 7129 Diagnosis and Treatment Planning II Simmons Summer DS I 7152 Patient Communication (Spanish for Health Professional) McClain Summer DS I 7130 Principles of Dental Materials Nelson Summer DS I 7159 Practice Management Technology Davenport Summer DS I 7135 Periodonal Anatomy and Pathogenesis of Periodontal Disease Lockhart Summer DS I 7358 Applied Human Nutrition Mobley Summer DS I 7137 Foundations in Fixed Prosthodontics Lab Richards Summer DS I ?? Dummer Enrichment Sandoval Summer DS I 7138 Preclinical Dentistry Lab Tozzi Summer DS I 7153 Specialty Practices I [INACTIVE] DS I 7139 Clinical Occlusion Nelson Summer DS I 7140 DSI General Dentistry Clinic Webberson Summer DS I 7127 Introduction to Intraoral and Panoramic Radiology [INACTIVE] DS I 7128 Clinical Dentistry Seminar [INACTIVE] DS I 7131 Introduction to Clinical Dentistry I [INACTIVE] DS I 7132 Introduction to Clinical Dentistry II [INACTIVE] DS I 7134 Introduction to Digital Radiology [INACTIVE] DS II 7220 Principles of Endodontics Lecture ? Fall DS II 7251 Specialty Practices Webberson Fall DS II 7200 Cariology Davenport Fall DS II 7223 Principles of Endodontics Lab ? Fall DS II 7252 Community Outreach: Geriatric Population McClain Fall DS II 7201 Oral and Systemic Manifestations of Disease Herschaft Fall DS II 7240 DSII General Dentistry Clinic Ord Fall DS II 7512 Dental Research and Methodology I Mobley Fall DS II 7203 Pharmacological Concepts Hillyard Fall DS II 7241 Simulated Comprehensive Care Lecure Hill Fall DS II 7512 Dental Research and Methodology II Mobley Spring DS II 7204 Pathological Concepts Herschaft Spring DS II 7242 Simulated Comprehensive Care Lab Hill Fall DS II ?? Summer Enrichment Sandoval Summer DS II 7205 Clinically Oriented Anatomy Zoller Spring DS II 7221 Applied Dental Materials I Nelson Spring DS II 7254 Health Care Administration: Regulation and Finance [INACTIVE] DS II 7208 Oral Cancer Herschaft Spring DS II 7227 Oral Surgical Principles and Techniques Nattestad Spring DS II 7233 Restorative Dentistry: Removable Prosthodontics Dounis Spring DS II 7236 Intro to Periodontal Diagnosis and Initial Therapy Lockhart Spring DS II 7240 DSII General Dentistry Clinic Ord Spring DS II 7241 Simulated Comprehensive Care Lecure Hill Spring DS II 7242 Simulated Comprehensive Care Lab Hill Spring DS II 7226 Introduction to Dental Implants Kirit Summer DS II 7228 Pharmacotherapeutics I: Prescribing Medication Simmons Summer DS II 7229 Panoramic Principles and Advanced Radiographic Anatomy Danforth Summer DS II 7230 Orthodontics ? Summer DS II 7235 Pediatric Dentistry Principals & Techniques Hackmyer Summer DS II 7237 DSII Digital Radiology ?? Danforth Summer DS II 7240 DSII General Dentistry Clinic Ord Summer DS II 7241 Simulated Comprehensive Care Lecure Hill Summer DS II 7242 Summer DS II 7222 Simulated Comprehensive Care Lab Patient Care II: Fixed Prosthodontics Hill DS II DS II 7225 7232 Advanced General Dentistry: Surgical and Restorative Techniques Patient Care IV: Clinic [INACTIVE] [INACTIVE] DS II 7238 Diagnosis and Treatment Planning Seminar [INACTIVE] DS III 7320 Clinical Medicine I Simmons Fall DS III 7514 Professional Ethics I Sandoval Fall DS III 7506 Growth and Developmental Abnormalitites (DS3) Davenport Fall DS III 7321 Principles of Periodonatal & 3rd Molar Surgery Lockhart Fall DS III 7350 Practice Administration I Sandoval/Devore Spring DS III 7324 Esthetic Dentistry: Principles and Techniques Nelson Fall DS III 7355 Hospital Dentistry Nattestad ?? Spring DS III 7326 Oral and Maxillofacial Pathology I Herschaft Fall DS III 7514 Professional Ethics II Sandoval Spring DS III 7340 DSIII General Dentistry Clinic Ord Fall DS III 7354 Contemporary Issues in Behavioral Science DS III 7326 Oral and Maxillofacial Pathology I Herschaft Fall DS III ?? Sandoval/Mobley/Capp Summer elli Sandoval Summer DS III 7327 Oral and Maxillofacial Pathology II Herschaft Spring DS III 7328 Clinical Medicine II Simmons Spring DS III 7332 Temporomandibular Disorders Nelson Spring DS III 7333 Principles of Removable Parital Dentures Dounis Spring DS III 7340 DSIII General Dentistry Clinic Ord Spring DS III 7325 DS III Advanced General Dentistry Seminar Nelson Summer DS III 7329 Advanced Techiques in Dental Radiology Danforth Summer 7333 Principles of Removable Partial Dentures Dounis DS III 7340 7323 DSIII General Clinic Digital and Convention Xray Production Ord [INACTIVE} DS IV 7425 DSIV Advanced General Dentistry Seminar Nelson Fall DS IV 7452Practice Administration II Sandoval/Devore Fall DS IV 7440 DSIV General Clinic Ord Fall DS IV 7454Community Outreach: Disabled and Special Needs Population McClain Fall DS IV 7441 Oral Histopathology (Elective) Herschaft Fall DS IV 7455Clinical Diagnostic Conference: Grand Rounds Sandoval/Herschaft/Fra Fall nco DS IV 7442 Periodontal Regeneration and Case Management Lockhart Fall DS IV DS IV 7453Dental Jurisprudence 7453Clin. Diagnostic Conference: Forensics Sandoval/Havins Sandoval/Ord Class DS III DS III Course # BioMedical Sciences - Courses and Instructors Professional Studies - Courses and Instructors Course Name Professor Semester Class Course # Course Name Professor Semester Course Name Professor Semester Spring [INACTIVE] Summer Enrichment Summer Summer Spring Spring 69 Outcomes Reduces meeting time focused on details once completed Provides real information for the analysis of topics like assessment and skills Assist new teachers with planning and understanding the curriculum Reinforce the value of what is being taught Provide a tool for communication with the larger community (faculty, students, decision-makers, grant providers, accreditation agencies) Barriers It is a time - arduous task Lack of clearly defined goals Lack of agreement about the mapping form itself Lack of a consistent vocabulary Is it as valuable to users as it was to creators? QUESTIONS! 72
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