Portraits of Assessment: Redesigning Geriatric Curriculum ... · 3. Risk Assessment/ Risk Reduction...

Portraits of Assessment: Redesigning Geriatric Curriculum in a Practice Management Setting

Presented by ADEA Sections on Gerontology and Geriatrics Education

and Practice Management

http://www.adea.org/�

Program PresentationModerator:

Marcia M. Ditmyer, PhD, CHESIntroduction

Mildred McClain, PhDPresentation of Competencies:

Connie Mobley, PhD, RDGlobal Picture: State of Geriatric Education Curriculum

Georgia Dounis, DDS, MSAssessment Strategies and Redesigning Curriculum:

Marcia M. Ditmyer, PhD, CHES


IntroductionShift in patient demographics over the past decade bringabout a need for changes in dental education curriculum

“The life span of any civilization can be measured by therespect 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


IntroductionUnited 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..


IntroductionStudents 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.


Prepared by the UNC Institute on Aging

The Graying of AmericaPercent 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.


The Graying of AmericaPercent 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.

U.S. Population Pyramids

Source of charts: U.S. Census Bureau, “65+ in the United States: 2005,” December 2005.

2000 2020 2040




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.


Increases in the Oldest OldU.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 DisabilitiesPercent 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 ElderlyThe 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 ElderlyMany barriers interfere with providing olderpatients 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 EducationReferences 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 co-

morbidities 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 SchoolsIn 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



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


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 BrazilGerodontology 2007;24:177-180United 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



Brazil: School coordinators



Dental students who responded

41%

14%14%

29%

7.30%

Geriatric dentistry subject incorporated in curriculum

Prosthodontics

Special care discipline

Preventative/Social Dentistry

Periodontics, Endodontics, Restorative Dentistry

Individual geriatric dentistry



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 courses33% 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


EU27Demographics

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

Portugal Romania Russia Slovakia Spain Sweden Switzerland The Netherlands Turkey United Kingdom Yugoslavia

Completed by 82 schools in 27 countries

Greece Hungary Germany Iceland Ireland Italy Latvia Lithuania Malta Norway Poland

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



EU: Topics covered

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

Oral manifestations of systemicdisease

Diagnosis and management of oralconditions

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



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



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 AffairsChalmers 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


53

Steps for Retooling Existing Curriculum Rubric design to assess curriculum Survey and Focus groups Curriculum mapping Redesign curriculum Evaluate and follow-up


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 AssessmentCurriculum 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 Semester Taught

Current Credits

Awarded

Credit Change

Actual Contact Hours

Reported Contact Hours

Reported Lab Hours

Cariology Fall 2 3 28 28Oral and Systemic Manifestations of Disease Spring 4 56 56Pharmacological Concepts Spring 3 4 42 65Pathological Concepts Fall 4 6 62 62Clinically Oriented Anatomy Spring 2 3 70 58Oral Cancer Fall 2 28 28Principles of Endodontics Lecture Spring 1 14 24Applied Dental Materials I Fall 1 15 13Principles of Endodontics Lab Spring 2 42 32Introduction to Dental Implants Summer 2 82Oral Surgical Principles and Techniques Spring 2 14 18Pharmacotherapeutics I: Prescribing Medication Summer 1

14 14Panoramic Principles and Advanced Radiographic Anatomy

Fall 128 21

Orthodontics Summer 3 56 47.5Restorative Dentistry: Removable Prosthodontics

Spring 356 65

Pediatric Dentistry Principals & Techniques Summer 2 56 25Intro to Periodontal Diagnosis and Initial Therapy

Fall 360 49


UNLV School of Dental Medicine Assessment Alignment Matrix June 2008DS1 Course Alignment

DS2 Course Alignment



Standard No.

CODA Standards ADEA Domain

ADEA Proposed Competencies

SDM Comp Domain & No. SDM Competencies DS1

FallDS1

SpringDS1 Sum

DS2 Fall

DS2 Spring

DS2 Sum

DS3 Fall

DS3 Spring

DS3 Sum

DS4 Fall

DS4 Spring

BIOMEDICAL SCIENCES2-12 Biomedical science

instruction in dental 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

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

4.02. Establish differential, provisional and/or definitive diagnoses

DEN 7101; DEN 7102; DEN 7109; DEN 7112; DEN 7120; DEN 7123; DEN 7124; DEN 7125; DEN 7140;DEN 7154; DEN 7510

DEN 7101; DEN 7108; DEN 7109; DEN 7110; DEN 7502; DEN 7121; DEN 7133; DEN 7136; DEN 7140

DEN 7111; DEN 7122; DEN 7129; DEN 7130; DEN 7137; DEN 7138; DEN 7139; DEN 7140; DEN 7152;DEN 7159

DEN 7200; DEN 7204; DEN 7208; DEN 7220; DEN 7223; DEN 7240; DEN 7241; DEN 7242; DEN 7251; DEN 7512

DEN 7201; DEN 7203; DEN 7205; DEN 7233; DEN 7236; DEN 7240; DEN 7241; DEN 7242;DEN 7512

DEN 7226; DEN 7228; DEN 7229; DEN 7230; DEN 7235; DEN 7240; DEN 7241; DEN 7242

DEN 7320; DEN 7321; DEN 7324; DEN 7326; DEN 7340; DEN 7514

DEN 7327; DEN 7328; DEN 7329; DEN 7340; DEN 7355

DEN 7506;DEN 7325; DEN 7333; DEN 7340

DEN 7425; DEN 7440;DEN 7455

DEN 7740; DEN 7455

2-13 The biomedical knowledge base must emphasize the oro-facial complex as an important anatomical area existing in a complex biological interrelationship with the entire body.

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 ages9. 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 diagnoses9.01. Identify the clinical features of oral mucosal diseases and disorders.10.04. Recognize complex conditions requiring surgical intervention(s) and explain their management.









DEN 7506;DEN 7325; DEN 7333; DEN 7340

DEN 7425; DEN 7440;DEN 7455

DEN 7740; DEN 7455

2-14 In-depth information on 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.

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 abnormalities6.14. Prevent, idenitfy, and manage pulpal and periradicular diseases.

4. Evaluate, diagnose and perform treatment planning for individual patients of all ages9. 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 diagnoses9.01. 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 7108; DEN 7109; DEN 7110; DEN 7502;DEN 7121; DEN 7133; DEN 7136; DEN 7140







DEN 7506;DEN 7325; DEN 7333; DEN 7340

DEN 7425; DEN 7440;DEN 7455

DEN 7740; DEN 7455





Standard No.

CODA Standards ADEA Domain

ADEA Proposed Competencies


FallDS1

SpringDS1 Sum

DS2 Fall

DS2 Spring

DS2 Sum

DS3 Fall

DS3 Spring

DS3 Sum

DS4 Fall

DS4 Spring

Behavioral and Practice Management2-16Graduates 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. Communication and Interpersonal Skills4. Health Promotion

3.2 Apply psychosocial and behavioral principles in patient-centered health care. 4.1 Provide appropriate prevention, intervention, and educational strategies. 4.2 Participate with other health care professionals in the management and health promotion for all patients.

3. Promote oral and systemic health in individual patients and the community

3.01 Identify services available to promote oral health and assess the individual and community access to these services3.02 Demonstrate methods of educating and motivating patients in the etiology and prevention of oral diseases

DEN 7157; DEN 7160; DEN 7140

DEN 7509;DEN 7161; DEN 7136; DEN 7140

DEN 7140 DEN 7200; DEN 7204; DEN 7208;DEN 7223; DEN 7240;DEN 7512; DEN 7252

DEN 7203; DEN 7223; DEN 7236; DEN 7240;DEN 7512

DEN 7235; DEN 7240

DEN 7340 DEN 7340 DEN 7506; DEN 7340; DEN 7354

DEN 7440; DEN 7452; DEN 7454; DEN 7455

DEN 7440; DEN 7450

2-17Graduates must be competent in managing a diverse patient population and have the interpersonal and communications skills to function successfully in a multicultural work environment.

3. Communication and Interpersonal Skills4. Health Promotion6. Patient 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.


3.03 Communicate with diverse and special populations.

DEN 7157; DEN 7160; DEN 7140

DEN 7509;DEN 7161; DEN 7136; DEN 7140

DEN 7140 DEN 7200; DEN 7204; DEN 7208;DEN 7223; DEN 7240;DEN 7512; DEN 7252

DEN 7203; DEN 7223; DEN 7236; DEN 7240;DEN 7512

DEN 7235; DEN 7240


DEN 7440; DEN 7452; DEN 7454; DEN 7455

DEN 7440; DEN 7450

2-18 Graduates must be competent in evaluating different models of oral health care management and delivery.

5. Practice Management and Informatics

5.2. Evaluate and manage different models of oral health care management and delivery


3.01. Identify serciesavailable to promote oral health and assess the individual and community access to these services.


DEN 7440; DEN 7452; DEN 7454; DEN 7455

DEN 7440; DEN 7450


DEN 7440; DEN 7452; DEN 7454; DEN 7455

DEN 7440; DEN 7450

DEN 7340





Standard No.

CODA Standards ADEA Domain ADEA Proposed Competencies


FallDS1

SpringDS1 Sum

DS2 Fall

DS2 Spring

DS2 Sum

DS3 Fall

DS3 Spring

DS3 Sum

DS4 Fall

DS4 Spring

Clini Clinical Sciences2-25(a)

patient assessment and diagnosis;

1. Critical Thinking5. Practice Management and Informatics6. Patient Care

1.1 Evaluate and assess emerging trends in health care. 1.2 Utilize critical thinking and problem solving skills in patient care. 5.2 Evaluate and manage different models of oral health care management and delivery. 5.3 Apply principles of risk management, including informed consent and appropriate record keeping in patient care.6.1. Obtain and interpret patient data and use these findings to accurately assess and manage patients.6.10. Develop and implement stratagiesfor the clinical assessment and management of caries.

4. Evaluate, diagnose and perform treatment planning for individual patients of all ages.11. Diagnose and manage malocculusion and occlusaldisorders.15. Evaluate the outcomes of treatment provided by themselves and others.

4.01. Obtain/perform and record a comprehensive history, examination of orofacialstructures and appropriate diagnostic tests.4.02. Establish differential, provisional and/or definitive diagnoses. 11.01. Assesssthe function of the masticatorysystem.11.02. Evaluate and maintain the oral health of patients undergoing orthodontic treatment.15.00. Evaluate the outcomes of treatment provided by themselves and others.

DEN 7101; DEN 7102; DEN 7109; DEN 7112; DEN 7123; DEN 7124; DEN 7125; DEN 7140;DEN 7154; DEN 7510


DEN 7111; DEN 7502; DEN 7122; DEN 7129; DEN 7130; DEN 7137; DEN 7138; DEN 7139; DEN 7140; DEN 7152;DEN 7159


DEN 7204; DEN 7205; DEN 7240; DEN 7241; DEN 7242;DEN 7252; DEN 7512

DEN 7235; DEN 7240; DEN 7241; DEN 7242

DEN 7320; DEN 7340; DEN 7514

DEN 7327; DEN 7340; DEN 7350;DEN 7355

DEN 7506;DEN 7325; DEN 7340

DEN 7425; DEN 7440; DEN 7442;DEN 7455

DEN 7740; DEN 7455

67

CODA Standard

ADEA Domain SDM Competency Measures How to Measure When to Measure Who Will

Measure Data Analysis Results/Outcome Distribution Status

Biomedical Sciences2-12 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/or3. Course examinations

1. Course grades: classroom examination scores and grades from classroom asignments2. Review by Student Progress Committee

1. Course Grades are reviewed at the end of each semester2. Progress committee meets at the end of each semester

1. Course Director 2. Progress Committee

Descriptive Statistics; Trend Analyses; Kappa Statistics for calibration of examiners

1. Reports submitted to executive committee of SDM2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum 2-13 6. Patient Care 4. Evaluate, diagnose and

perform treatment planning for individual patients of all ages9. 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 competencies3. Skill simulations4. Questions embedded in classroom exams and assignments

1. National Board Review Scores: Part 1 and Part 22. Course grades: skill simulation course completion grades, competency grades, and classroom exams and assignments3. 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 assignments3. Team Leader submission of student evaluations at middle and end of each semester

1. Scores received from Nevada State Board2. Course Directors3. Team Leaders

2-14 6. Patient Care 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages9. 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 competencies3. Skill simulations4. Questions embedded in classroom exams and assignments

1. National Board Review Scores: Part 1 and Part 22. Course grades: skill simulation course completion grades, competency grades, and classroom exams and assignments3. 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 assignments3. Team Leader submission of student evaluations at middle and end of each semester

1. Scores received from Nevada State Board2. Course Directors3. Team Leaders

2-15 1. Critical Thinking5. Practice Mgt and Informatics

2. Access, evaluate, and incorporate into practice new knowledge, techniques, and materials





Practice Management2-18 5. Practice Mgt

and Informatics


1. Questions embedded in classroom exams and assignments2. Portfolios3. Evaluations from community members on presentations and program implementation





1. Reports submitted to executive committee of SDM2. Summary reports submitted to curriculum committee as a means to review and improve curriculum. 3. Aggregate data reported to faculty during faculty forum

2-19 4. Health Promotion5. Practice Mgt and Informatics


1. Questions embedded in classroom exams and assignments2. Portfolios3. Evaluations from community members on presentations and program implementation




Ethics & Professionalism2-20 2.

Professionalism

1. Understand and apply ethical codes and laws and regulations governing dentistry.







2-21 2. Professionalism

1. Understand and apply ethical codes and laws and regulations governing dentistry.






2. Access, evaluate, and incorporate into practice new knowledge, techniques, and materials4. Evaluate, diagnose and perform treatment planning for individual patients of all ages.

1. Course projects, papers and presentations2. Course examinations3. Skill simulations4. Successful completion of clinical competencies5. External tests with national norms (National Board, Part 1 and Part 2)




68

CODA Standard

ADEA Domain SDM Competency Measures How to Measure When to Measure Data

Analysis Results/Outcomes Distribution Status

Biomedical Sciences2-12 6. Patient Care 4. Evaluate, diagnose and perform

treatment planning for individual patients of all ages

1. End of Course Student evaluations2. Faculty evaluations of courses3. Mid-program interviews (DS2/DS3)4. Exit interview5. Alumni Survey6. Employer survey7. Surveys of Supervisors of Community-based educational sites 8. Patient Satisfaction Surveys

1. Online Surveys2. Faculty/Course Surveys3. Face-to-face interviews4. Face-to-face interviews5. Phone interviews6. Mail or internet surveys7. Mail surveys8. Face-to-face interviews and surveys

1. End of each course2. Each course/faculty once year3. Summer between DS2 and DS34. May of DS4 year5. One year and Five years after graduation6. Every 2 years7. After each activity where a student participates8. Annually, but never the same time each year



2-13 6. Patient Care 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages9. Treat or manage oral mucosal. Bone, and temporomandibular disorders.10. Perform uncompliated oral hard and soft tissue surgical procedures.

2-14 6. Patient Care 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages9. Treat or manage oral mucosal. Bone, and temporomandibular disorders.10. Perform uncompliated oral hard and soft tissue surgical procedures.


2. Access, evaluate, and incorporate into practice new knowledge, techniques, and materials

Practice Management2-18 5. Practice

Mgt and Informatics


1. End of Course Student evaluations2. Faculty evaluations of courses3. Mid-program interviews (DS2/DS3)4. Exit interview5. Alumni Survey6. Employer survey7. Surveys of Supervisors of Community-based educational sites 8. Patient Satisfaction Surveys

1. Online Surveys2. Faculty/Course Surveys3. Face-to-face interviews4. Face-to-face interviews5. Phone interviews6. Mail or internet surveys7. Mail surveys8. Face-to-face interviews and surveys

1. End of each course2. Each course/faculty once year3. Summer between DS2 and DS34. May of DS4 year5. One year and Five years after graduation6. Every 2 years7. After each activity where a student participates8. Annually, but never the same time each year



2-19 4. Health Promotion5. Practice Mgt and Informatics


69

Clinical Sciences - Courses and Instructors Professional Studies - Courses and Instructors BioMedical Sciences - Courses and Instructors

Class Course # Course Name ProfessorSemester Class Course

# Course Name Professor Semester Class Course # Course Name Professor Semester

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 SpringDS 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 7242Simulated Comprehensive Care Lab

Hill Summer

DS II 7222 Patient Care II: Fixed Prosthodontics [INACTIVE]

DS II 7225 Advanced General Dentistry: Surgical and Restorative Techniques [INACTIVE]DS II 7232 Patient Care IV: Clinic [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 Sandoval/Mobley/Cappelli

Summer

DS III 7326 Oral and Maxillofacial Pathology I Herschaft Fall DS III ?? Summer Enrichment 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

DS III7333 Principles of Removable Partial Dentures Dounis

Summer

DS III7340 DSIII General Clinic Ord

Summer

DS III 7323 Digital and Convention Xray Production [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/Franco

Fall

DS IV 7442 Periodontal Regeneration and Case Management Lockhart Fall DS IV 7453Dental Jurisprudence Sandoval/Havins Spring DS IV 7453Clin. Diagnostic Conference: Forensics Sandoval/Ord Spring

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

Portraits of Assessment: Redesigning Geriatric Curriculum ... · 3. Risk Assessment/ Risk Reduction...

Documents

Transcript of Portraits of Assessment: Redesigning Geriatric Curriculum ... · 3. Risk Assessment/ Risk Reduction...