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Transcript of Caring and Quality
Caring and Quality
Preparing bright
minds to face
future challenges
in dental, oral
and craniofacial
sciences.
UCSF School
E X C E L L E N C E I NT E A C H I N G
World-renowned faculty lead
students through an advanced
curriculum.> > > page 6
We advance our core
For more information about the UCSF School of Dentistry, go to http://dentistry.ucsf.edu
of Dentistry
PROFESSIONALISM& SERVICE
Real-world clinical experience
guides students toward a variety
of careers, including private
practice, teaching and research.
Students also understand the
importance of providing care
for California’s underserved
communities.
S C I E N T I F I CA D VA N C E M E N T
Students have the opportunity
to actively participate in ground-
breaking research at the School,
unequalled by programs found
at any dental institution.
COMPREHENSIVEPROGRAMS
The UCSF School of Dentistry
offers a broad education and
many options for postgraduate
specialties, providing rich
alternatives for all students.
> > > page 8
> > > page 10 > > > page 12
values of Caring and Quality through:
2
Thank you for your interest in
the UCSF School of Dentistry.
We appreciate that you have a
wide variety of choices in dental
education, but feel that the UCSF School
of Dentistry’s unequalled combination of
teaching, world-class clinical programs,
leading-edge research and community
involvement will provide you with a
comprehensive experience you will not
find in any other dental institution. As
you explore options in dental education,
you will sense the unique nature and
opportunities of the School, the campus,
and the University of California.
We seek to promote a healthy and
humane society, doing so in all the ways
appropriate to a public dental school.
Specifically, to promote a healthy society
we seek to provide excellence in the
areas of teaching, research, patient care
and public service in the dental, oral, and
craniofacial arts and sciences. We seek to
do so at a reasonable cost, and endeavor
to deliver a level of academic quality
unsurpassed by any other dental
educational institution, public or private.
As you will see from this publication,
our programs are comprehensive — we
offer not only a predoctoral curriculum
Message from the
“The UCSF School of Dentistry’s unequalled
combination of teaching, world-class
clinical programs, leading-edge research
and community involvement will provide you
with a comprehensive experience you will
not find in any other dental institution.”
3
We, the faculty, students and staff of
the UCSF School of Dentistry, are
committed to fostering an environment
of mutual trust and respect. We believe
this goal requires clear communication,
compassion for others, and enthusiasm
for the dental profession. To this end,
we accept personal responsibility for
our interactions with patients and
colleagues and we encourage one
another through constructive
guidance. This team philosophy will
be the foundation of all our endeavors,
even in challenging times. In this way,
we will continue to achieve academic
and clinical excellence, create
life-long professional partnerships,
and provide lasting contributions to
the greater community.
U C S F S C H O O L O F D E N T I S T RY
Educational Philosophy Deanleading to the DDS degree (and the
baccalaureate degree in dental hygiene),
but also offer certification in most of the
dental specialties, including oral and
maxillofacial surgery, orthodontics,
endodontics, prosthodontics, periodontics,
pediatric dentistry, and public health
dentistry. These programs offer exposure
to some of the leading dental specialists in
the world. This exposure enhances one’s
education in general dentistry, and also
is important to anyone who aspires to
enter a specialty themselves. We feel that
attracting and retaining experts in a variety
of dental specialties is essential to our
effort in maintaining a reputation as one of
the nation’s top-rated dental schools.
We seek to preserve our core values
while stimulating progress and change,
believing that this is a formula that will
allow us to renew ourselves and to achieve
exceptional long-term performance as
an institution — more than that, it is a
strategy that will allow our graduates to
remain at the forefront.
Charles N. Bertolami, DDS, DMedSc
Dean, UCSF School of Dentistry
4
ORAL AND MAXILLOFACIAL RADIOLOGY — imaging of the teeth,facial bones and adjacent tissuesusing x-rays, digital technology andcomputer-enhanced imaging.
ORAL AND MAXILLOFACIALSURGERY*— surgical care for dentaldiseases, abnormalities, and injuries of the jaws and other facial bones.
ORTHODONTICS*— facial growth,modification and development, andthe movement of teeth to improve oral function and appearance.
PEDIATRIC DENTISTRY*— advanced education and training forthe treatment of children.
PERIODONTOLOGY*— prevention and treatment of inflammatory diseases of the soft and hard tissuessupporting the teeth.
PROSTHODONTICS*— the replace-ment of multiple missing teeth in complex cases in order to restore oral function.
Other AdvancedProgramsGENERAL PRACTICE RESIDENCY*—hospital-based education and generalpractice experience for hospitalizedand medically compromised patients.
ADVANCED EDUCATION INGENERAL DENTISTRY — outpatienteducation and experience in treatingpatients with special needs or requiring complex procedures.
Dentistry is a licensed health profession that focuses on maintainingthe health of the teeth, the tissues ofthe mouth and jaws, and treating oral diseases. The profession offersmany career opportunities in a vibrantfield that joins biological and materialssciences with high level technical skills in caring for patients.
General Dental PracticeYou can begin the practice of generaldentistry immediately following graduation and provide all aspects ofdental care.
Specialty ProgramsAdvanced education and training programs in these nine specialties, recognized by the American DentalAssociation (ADA), are generally two or three years long.
DENTAL PUBLIC HEALTH*— teachesthe prevention of dental disease and the promotion of dental health in the community.
ENDODONTICS*— the preservation of teeth through treatment of nerve tissue and placement of internal fillings in teeth.
ORAL AND MAXILLOFACIALPATHOLOGY — includes microscopicdiagnosis of diseases in oral soft tis-sues, jaws, teeth and salivary glands.
What is Dentistry?
* The UCSF School of Dentistry offers this ADA-recognized specialty field.
WIDE VARIETY OF PRACTICE
© Private practice optionsinclude solo ownership of a practice, or as part of apartnership or group.
© Institutional practices are located in a variety of community clinics, hospitals, and the publichealth service.
© Military service provides dentists with opportunities to become commissionedofficers in all branches of the armed forces.
© Academic careers focuson clinical and classroomteaching, clinical and laboratory research, andacademic administration.
For more informationabout the field of dentistry,dental professions andoral health career trends,go to the ADA website:www.ada.org
OUTSTANDING STUDENTS
© More than 15 students apply foreach position in the DDS program.
© Mean GPA of entering dental students is 3.50 on a 4.00 scale.
© Students’ dental board scores areamong the highest in the nation.
RESEARCH EXCELLENCE© School of Dentistry research funding
is #1 in the country, a position maintained for more than a decade.
© A world leader in both biomedicaland clinical research.
REAL-WORLD EXPERIENCE© Clinical productivity of UCSF
students ranks second among the 36 U.S. public dental schools, and third among all 55 U.S. dentalschools.
© Students experience what clinicalpractice is like beginning in the first year.
AFFORDABLE© Tuition and fees to attend the
School of Dentistry rank 38th amongthe 55 U.S. dental schools.
DIVERSITY © UCSF has one of the most diverse
student bodies in the nation.
© Approximately 50% of students are women and 12% are under-represented minorities.
5
For more facts about theSchool of Dentistry, go to: http://dentistry.ucsf.edu/about/about_fact.html
COMMUNITY SERVICE© The School of Dentistry operates 14
clinics and is responsible for 140,000 patient visits per year, generatingapproximately $13 million annually.
COMPREHENSIVE LEARNINGENVIRONMENT© Graduate, advanced and specialty
programs in more than a dozen areas provide a tremendous range of opportunities.
LEADING FACULTY © Faculty members lecture worldwide
and contribute to universal advancement of knowledge in thehealth sciences.
© Members of the faculty have servedas President of the AmericanAssociation for Dental Research and the International Association for Dental Research.
DEDICATION© Student to faculty ratio is the best
in the state of California.
Achieving ExcellenceUCSF School of Dentistry
PreparingLead
As teachers, our faculty aims to prepare students for leadership roles in oral
health care through:
© SCIENCE-BASED EDUCATION
Students receive concentrated experience in basic biomedical and clinical sciences and may pursue mentored research projects in a wide variety of disciplines.
© PRECLINICAL PREPARATION
The School’s recently renovated preclinical lab permits simulated learning exercises, allowing students to master techniques required forsuccessful clinical practice.
© STUDENT DENTAL PRACTICE
Students experience a structured clinical education with increasingindependence and responsibility for dental care, including specialty care and treatment of patients with complex needs.
John Featherstone, PhD, a world-renowned expert in the fieldof dental caries, heads the School’s Department of Preventiveand Restorative Dental Sciences (PRDS). PRDS classes teachstudents groundbreaking concepts in minimally invasive dentistry (microdentistry), in which the maximum preservationof healthy tooth structures is paramount. Minimally invasivedentistry focuses on caries risk assessment, as well as theprevention or reversal of decay before cavities form andrestorations are required. When necessary, it also entails theremoval of the smallest possible amount of tooth structure,while still maintaining function and appearance. This philoso-phy of tooth conservation complements and augments
For more informationon our programs, degreesand departments, go toour School Bulletin at:http://dentistry.ucsf.edu/bulletin
Progressive Curriculum — The UCSF School of Dentistry is investing $1.6 million into the development and implementation of an innovative newcurriculum. Coursework emphasizes the integration of basic and clinical science in dental education, enabling students to apply evidence-based analysis to patient care. Graduates will be even better prepared to providehigh-quality care for patients, embrace change and growth in practice, and move into a variety of career paths.
MINIMALLY INVASIVE DENTISTRY
Advanced Oral Health Education
6BEFORE AFTER
erstraditional restorative dentistry techniques aimed at repairing moreextensively damaged teeth and preventing tooth loss.
Minimally invasive dentistry is agroundbreaking approach that is gaining popularity nationwide. Patientrisk assessments and interviews are
conducted in a structured format,with the clinician prescribing antimicrobial therapies, such as therapeutic mouth rinses, and monitoring disease susceptibility.UCSF students perform diagnosticprocedures and preventive interven-tions at the patient’s initial visit, andthis analysis becomes the under-pinning of all follow-up treatment.
“At UCSF, we’re still teaching allthe traditional dental techniques
required to be successful in the field,but we’re also exposing students tomore innovative methods that theywouldn’t find at other dental schools,”said Featherstone, who was recentlypresented with a Lifetime AchievementAward from the World Congress onMicrodentistry, and has also beenawarded the prestigious Ericsson Prize in Preventive Dentistry from theSwedish Fund for Research inPreventive Dentistry.
E X C E L L E N C E I N T E A C H I N G
7
Flowable composite is an alternative to silver fillings when the patient desires a tooth-coloredrestoration. Composite is placed in the preparedgrooves, and flowable composite seals the fissures.
Patient care experiences in dental education start early in the second year,
with students perfecting techniques at one of 14 dental clinics at two sites in San Francisco. In their fourth year, studentsengage in extended externships in under-served communities throughout California.
Under the guidance of clinical faculty, students offer comprehensivedental care services, including complex oral and maxillofacial surgery,as well as care for special-needs patients. Students have the benefitof a large, diverse patient population, many of whom have soughttreatment from the School over many years, and demonstrate a variety of needs. The rich patient pool gives students at UCSF Schoolof Dentistry an essential tool for clinical studies.
UCSF’s dental clinics host 140,000 patient visits per year, allowingstudents to address both common and rare disorders, assuring them of a broad clinical education. Students may also be the first torecognize diseases like diabetes or AIDS in the patient population, and guide patients to appropriate medical treatment.
As our patients are largely comprised of peopleon public assistance and/or fixed incomes, andthe working poor, fees in our student clinics are set at 50%-75% of those of communitypractitioners. In 2001, UCSF performed 33% ofthe Denti-Cal procedures done at all Californiadental schools. This makes the UCSF School of Dentistry the most active in the State ofCalifornia in serving needy populations.
One of the most popular elective courses inthe school is one that allows students to take
part in a clinic for the city’s homeless; roughly 100 dental and dental hygiene studentsparticipate each year. Visiting citywide shelters,students have the opportunity to conductscreenings and interviews for approximately 80-100 patients per month. Following thescreenings, patients are transported to campusone night a week for dental care. Students provide these services free of charge, as supervising faculty are volunteers and studentsraise money for supplies.
Real-WorldLearning
SERVING THE COMMUNITY
Meeting the Needs of California’s Population
8
PROFESSIONALISM & SERVICE
Community ExternshipsStudents’ clinical experience is not limited to the city of San Francisco. They also experiencea three-week rotation outside of the city at arural clinic — such as the Big Valley MedicalCenter in rural, northern California — aimed attreating underserved communities. This givesstudents even greater exposure to a variety ofpatients in different communities.
9
One of the core goals of the School is to bring together
cell and molecular biologists, materials scientists, epidemiologistsand clinicians to better understandthe underlying causes of oral and craniofacial diseases and disorders,and to develop new treatments andstrategies for prevention and earlyintervention. UCSF faculty engagein cutting-edge research that leads to scientific breakthroughsthat drive the future development of dental education.
The School of Dentistry ranks firstamong all U.S. dental schools inresearch funding from the NationalInstitutes of Health. This amountedto $17.6 million for fiscal year 2002. The school has held thisfirst-place ranking for the past 12 years. Student exposure to revolutionary research creates anunparalleled academic and scientific learning environment.
One in 700 children is born with a cleft lip and/or cleft palate, making it the fourth most common birthdefect and most common facial birth defect. TheSchool responds to this reality in two important ways.The Center for Craniofacial Anomalies, directed byKarin Vargervik, DDS, a professor in the Departmentof Growth and Development, treats affected childrenand adults throughout California. Since 1963, the center has been providing care for those withcongenital or acquired craniofacial conditions, and
MULTIDISCIPLINARY APPROACH
Treatment and Prevention of Craniofacial Anomalies
The UCSF School of
Dentistry has many centers
for creativity and research,
including:
© Comprehensive Oral Health ResearchCenter of Discovery (one of only three centers hosted by U.S. dental schools and the only one in California);
© Center for the Health Professions;
© UC San Francisco AIDS Specimen Bank;
© Oral AIDS Center;
© Oral Cancer Research Program;
© Center to Address Disparities in Children’s Oral Health; and
© SICCA, an international registry researchnetwork dedicated to the study ofSjögren’s Syndrome.
Revolutionary
10
For a more comprehensive listing of research initiatives at the UCSF School of Dentistry, go to: http://dentistry.ucsf.edu/research/research_activities.html
S C I E N T I F I C A D VA N C E M E N T
has a multidisciplinary team of surgeons, an orthodontist, pediatricdentist, prosthodontist, speech pathologist, social worker, geneticist,genetic councilor and others.
To understand the genetic and biological causes of craniofacialdefects, the School recently launcheda program in Craniofacial andMesenchymal Biology (CMB), which
conducts basic research on tissue formation and developmental anomalies. CMB researchers studyhow cells are programmed to differentiate into tissues of the cranio-facial complex, with emphasis onmesenchymal tissues. Rik Derynck,PhD, CMB program director, leads research into the signaling pathwaysthat determine whether mesenchymal stem cells will become fat, muscle orbone. And work led by Caroline
Damsky, PhD, a professor in theDepartment of Stomatology, focuses on how adhesion receptors on cellscommunicate with the extracellularmatrix and other cells to form tissues.
It is anticipated that future and current center research will generatenew treatments, new cures and diagnostic methods, as well as a greater understanding of the biological foundations of the oral and craniofacial sciences.
Research
11From left: Rik Derynck, Caroline Damskyand Karin Vargervik
The UCSF School ofDentistry is uniquely
structured so that entering first-year students have a wide range of career opportunities.
UCSF’s comprehensive curriculum in general dentistry,oral health specialties andresearch gives students enormous opportunities, both during their pursuit of the DDS degree and beyond.Graduates relate that thisapproach has had profoundeffects on their professional life.
One of the School of Dentistry’sadvanced education programs, the oral and maxillofacial surgery(OMFS) residency, an ADA-recognized specialty, is designed to provide a comprehensive background for clinical practice, and to open doors to academic and research-oriented careers.School of Dentistry faculty practicethe full spectrum of OMFS,
including orthognathic, craniofacial,TMJ, oncologic, dentoalveolar, and implant surgery and trauma, and also conduct clinical and basicscience research.
This program provides myriadcareer opportunities for young faculty. Janice Lee, DDS, MD, is an assistant professor in thedepartment of OMFS. Her diverseprofessional background includes
CLINICIAN/RESEARCHER
Oral and Maxillofacial Surgery
UCSF has programs leading to different degrees for dental professionals:© Doctor of Dental Surgery (DDS)
© Doctor of Philosophy (PhD)
© Master of Science in Oral and CraniofacialSciences (MS)
© Bachelor of Science in Dental Hygiene (BS)
© Bachelor of Science in Dental Sciences (BS)
© ...and combined degrees.
Advanced education programsinclude: © Dental Public Health
© Endodontics
© General Practice Residency
© Orthodontics
© Pediatric Dentistry
© Periodontology
© Prosthodontics
© Oral and Maxillofacial Surgery
© Oral Medicine
12
Breadth of Opportunity
For a full list of programs, go to: http://dentistry.ucsf.edu/admissions
completion of residency atMassachusetts General Hospital/Harvard University and a fellowshipat the National Institutes of Health.Lee treats patients with fibrous dysplasia (or a related illness,McCune Albright syndrome) and congenital craniofacial or dentofacial deformities at locationssuch as UCSF’s Moffitt Hospital orSan Francisco General Hospital.
She feels that the OMFS departmentprovides students and residents with tremendous opportunities totreat a wide range of unusual andchallenging cases. “Apart from the excellence of the oral andmaxillofacial team at UCSF, I camehere because I knew I could doeverything that I was trained to do,”Lee said. “At UCSF, I can be both a clinician and a researcher.” 13
COMPREHENSIVE PROGRAMS
StudentSchool of Dentistry students
work hard...but they also
play hard. Living in one of the
most exciting cities in the
world, why shouldn’t they?
The UCSF School of Dentistry
is conveniently located in
the center of San Francisco
on the Parnassus Heights
campus, providing students
easy access to scenic
Golden Gate Park, the
Pacific Ocean, the bustle of
downtown and diverse
cuisines of many different
ethnic neighborhoods.
continued
International Dental ProgramUCSF’s International Dentist Program (IDP) is minimallya two-year (eight quarter) program designed for graduates of foreign dental schools. The programadmits up to 24 foreign-trained dentists yearly. Theprogram begins in June and culminates in a Doctor ofDental Science (DDS) degree.
These students enter a modified DDS program thatfocuses on the development of clinical skills. They arethen fully integrated into the Comprehensive Care clini-cal programs. Additionally, IDP students complementtheir clinical education with selected science courses.
Many graduates of the IDP program continue theireducation in graduate specialty programs at UCSF orother institutions, and others go into private practice.
For more information about the International Dentist Program, including application requirements,deadlines, financial aid and costs, go to:http://www.ucsf.edu/dent/ad_idp.htm
Lifelong Learning The UCSF School of Dentistry’s educational missiondoes not end when its students graduate. TheDepartment of Community Relations and ContinuingEducation, established to promote dental education as an ongoing, energizing enterprise, offers lectures,symposia and clinical short courses throughout theyear, providing learning opportunities for nearly 7,000dental professionals annually.
For more information on Continuing Education, go to:http://dentistry.ucsf.edu/continuing/cont_main.html
Outreach ProgramsThe UCSF School of Dentistry also offers a variety ofpredental educational programs for students interestedin careers in dentistry/oral health.
For more information on the Undergraduate Mentorship Program, Postbaccalaureate program and others, go to: http://dentistry.ucsf.edu/admissions/admiss_program5.html
COMPREHENSIVE PROGRAMS
15
“The staff and faculty at UCSF create such a caring and positiveenvironment for their students thatSan Francisco feels like a homeaway from home.” Arminda Robles, first-year DDS student
“As much as San Francisco is a confluence of diverse cultures, UCSF is where the interplay of basic science research, clinicalexpertise, and community outreachfind a nurturing common ground.” Stanley Liu, second-year DDS student
“The prestige and reputation of UCSF attracts the most talented applicants year after year. This provides a unique opportunity to interact with elite individuals beforegraduating and becoming part of the legacy of excellence.”Christopher Chung, third-year DDS student
Life “At UCSF, you are offered the opportunity to learn and be trainedby the best faculty in the countryand, at the same time, become part of a tradition of excellence indentistry that began back in 1881.”Benjamin Lee, first-year DDS student
“It’s an amazing feeling to be sharing our fantastic campus withsuch premier health professionals and biological scientists who all share the pride of being part of the world-famous UCSF team.”Mark Graham, second-year DDS student
“San Francisco’s diverse patient base allows students to have a profound and unique impact on their surroundings.”Bassam Michiel, first-year DDS student
Home to more than 2,500 students and 17,000 faculty and staff, UCSF is the only University of California campus dedicated exclusively to the health sciences, with graduate professionals in dentistry, medicine, nursing and pharmacy. By virtue of the quality of its faculty,
the excellence of its patient care, the scope of its many outreach programsand the many discoveries of its scientists, UCSF — part of the University of California since 1873 — is considered one of the nation’s premier health sciences teaching, training and research centers.
© Three members of the UCSF faculty have won the Nobel Prize in Physiologyor Medicine. Stanley Prusiner, MD, won in 1997 for discovery of prions (PREE-ons), infectious agents responsible for a variety of neurodegenerativediseases. Current Chancellor J. Michael Bishop, MD, and Harold Varmus, MD,were honored in 1989 for their discovery that normal cellular genes can beconverted to cancer genes.
© Faculty in the School of Dentistry have made numerous discoveries thathelped advance the field of oral health. In 2003, an investigative team led bySusan Fisher, PhD, discovered what may be the first step in human embryoimplantation. The mechanism involves selectin-mediated protein-carbohydrateinteractions that also function as an important part of the body’s ability to fight infections.
© Beginning in 1993, the lab of Rik Derynck, PhD, discovered the key elements of the signaling pathway activated by TGF-ß, a member of a super-family comprised, in humans, of at least 30 proteins. His lab subsequentlyuncovered how, in response to TGF-ß, genes are activated or repressed.These mechanisms explain how signaling by the many members of the TGF-ß family regulate development and are important to understanding therole of TGF-ß in cancer.
© In 1984, Deborah Greenspan, BDS, DSc and John Greenspan, BDS, PhD,discovered a previously unknown AIDS-related oral lesion, oral hairy leukoplakia [HL]. Their work showed that HL and certain other oral lesions are useful predictors of progression to AIDS. This work paved the way for anumber of advances in the understanding and management of oral mucosal diseases.
A Community of Caring
Above, from top: J. Michael Bishop, MD (left),and Harold Varmus, MD; Stanley Prusiner, MD;Susan Fisher, PhD; Rik Derynck, PhD; John Greenspan, BDS, PhD and DeborahGreenspan, BDS, DSc
Below, from left: map of UCSF locations throughout San Francisco; Parnassus Heights, the site of UCSF’s original campus, includes two teachinghospitals, the UCSF Children’s Hospital, Langley Porter Psychiatric Institute and the UCSF Dental Clinic; and Genentech Hall at UCSF Mission Bay, a new 43-acre biomedical research campus.
T H E U N I V E R S I T Y O F C A L I F O R N I A , S A N F R A N C I S C O
The UCSF School
of Dentistry is
part of a larger
citywide campus
that is among
the leading
health sciences
institutions in
the world.
Produced by UCSF School of Dentistry Communications
EDITOR/WRITER: Cameron Heffernan FACULTY EDITOR: Dorothy Perry DESIGN: Laura Myers Design
PHOTOGRAPHY: Mikkel Aaland, Majed Abolfazli, Chris T. Anderson, Bill Bird, Phil Coblentz, Rik Derynck Laboratory, Robert Foothorap, Getty Images, Margot Hartford, Cameron Heffernan, San Francisco Convention and Visitors Bureau
© 2004 University of California Regents