Five Year Plan1987-1991

University of Pennsylvania

Schoolof

Dental Medicine

To the University Community:Theb/by jug document is the/i/i/i in a series (?I Sc/tool five-rear plans to he jtuh-

u.s/ted For Comment. T/,i.s drafi has been considered hr the Academic Planning and

Budget (ommiuee. as well as hr the Universiir administration, and it will he revised

perwdicallr hi the School. Reac/er.s are urged 10 bear in mind the (Iniversin tenetson lu/tire scale, which can he/inuid in "Choosing Penn .'v Future.

Comments concerning this draft should be sent to Dean Jan L,ndhe. The School

of I)enial Medicine. 4001 Spruce Sireet/6003.

Sheldon Ilacknet; President

-Tho,na.s Ehrlich. Provost

The School of Dental MedicineFive Year Plan: 1987-1991

Table of Contents

PagePreface

IIII. Introduction

IllII. Organization

IIIIII. Undergraduate Education of Dental Students-

The DMD Program

IVCurriculum

IVStudent Body

IV

Budget

IV

Faculty

IV

Major Issues for DMD Program-Enrollment and Cost

V

Major Issues for DMD Program-Faculty

VMajor Issues for DMD Program-Facilities

VIV. Graduate Education-The Division of

Advanced Dental Education (DADE)

VIMajor Issues Facing DADE-Enrollment

VIMajor Issues Facing DADE-Costs

VIMajor Issues Facing DADE Patient Pool

VIV. Research Programs

VIMajor Issues Facing Research Programs-Faculty

VIVI. Affiliated Institutions

VIVII. Initiatives in Undergraduate Education

VIIVIII. Future Activities

VIIAppendix A-Five Year Budget Plan

VII

II ALMANAC SUPPLEMENT December 2, /986

The School of Dental Medicine

Five Year Plan: 1987-1991

PrefaceThe School of Dental Medicine is presently in a phase of change. The

Strategic Long Range Plan, adopted by the faculty in 1978. called formajor revisions of many of the School's functions. In the fall of 1983 afour year transition process was initiated which involved:

" A reduction of the sue of the student both of more than 50." The introduction ofan integrated preclinical and clinical curriculum

for DM 1) students." The introduction ofa clinician educator track as an optional alterna-

tive to the traditional tenure track for clinical faculty." The reassessment of the contributions and capabilities of basic and

clinical science faculty in the areas of basic and applied research.In addition, the introduction in 1986 of a program of Master of

Science in Oral Biology is intended to complement existing specialty,certificate, programs for graduate dentists. It is anticipated that thisprogram will also substantially strengthen the school's efforts in clinicalresearch.

I. IntroductionThis document presents a status report on the important components

of the Strategic Long Range Plan as they relate to the School's ongoingactivities. Internal and external issues that relate to each individualcomponent will also be discussed.The School of Dental Medicine is now approaching a 5 year period

wherein the gains previously achieved (e.g. the Pennsylvania Experi-ment) will be consolidated to provide a basis for future new initiatives. Itis anticipated that the next 5 year period will involve:" a continuing review and modification ofboth undergraduate and gradu-

ate curricula:" a reassessment of enrollment levels within graduate and undergraduate

programs:" a review of the faculty resources:" a detailed definition of future facility needs:" a review of the affiliated extramural programs to make them consistent

with the dental student body sue:" a greater involvement of faculty in the undergraduate programs in the

College of Arts and Sciences:" the planning for and initiation of a major capital fund drive to provide

resources for facilities renewal, student aid, and faculty development.

II. OrganizationThe School is organized into 14 academic departments. 5 in the Basic

Sciences and 9 in the Clinical Sciences. These are listed belowBasic Sciences

BiochemistryPathologyHistology-EmbryologyPhysiology-Pharmacologys1 icrohiologv

Clinical SciencesDental (are SystemsOrthodonticsEndodonticsPedodonticsFFMSPeriodonticsOral MedicineRestorative DentistrOral Surgery

Faculty are involsed with a number of research and education pro-grams with other University Schools, including for example. TheLeo-nardDavis Institute ofThe Wharton School and The Center for Bioen-

gineering at The School of Engineering and Applied Sciences.The School of Dental Medicine can be viewed as having four main

functions:" Undergraduate or predoctoral education ofdental students: The DMD

Program" Graduate or postdoctoral education of dentists: The DADE and Con-

tinuing Education Programs" Research in basic and clinical sciences" Dental health care deliver to the communit%A symbiotic relationship hasdeveloped among these functions and the

recognition of this fact provides a solid basis for our future planning.The DMD Program is four 'ears in length and it is the major

educational activity at the School of Dental Medicine. Enrollment hasbeen systematically reduced from more than 640 students in 1980 to 350this year. In addition to change in enrollment, there have been substan-tive changes in the curriculum since 1982 1983.The DADE Program (Division of Advanced Dental Education) is

involved in the education of graduate dentists. Students in this programare based both at the School of Dental Medicine and affiliated hospitals.All students in the DADE program receive certificates upon the success-ful completion of the requirements.The School is also actively involved with lifelong education of gradu-

ate dentists and auxiliaries through the Division of Continuing Educa-tion. Each year more than 2,000 individuals enroll in courses sponsoredby this division of the school.

ALMANAC SUPPLEMENT December 2, 1986 111

Ill. Undergraduate Education of Dental Students-The DMD Program

CurriculumThe DMD curriculum, which was reviewed and critically evaluated

after the Pennsylvania Experiment in 1982 and early 1983. was furthermodified to satisfy appropriate recommendations presented in theCommission on Dental Accreditation's Report in December 1983.

It should be realized that undergraduatedental education is a continu-ous process over a four year period and that there are few if anyopportunities, except at the start of the four year training period, tointroduce substantive changes in the content and sequence of theSchool's major preclinical and clinical courses. This wasa limiting factorin the Fall of 1983 when the implementation phase of the new DM1)curriculum wasbegun. In fact, the full impact of the new DMDcurricu-lumwasnot appreciated until the class entering in 1986 matriculated andall 1)MD students became part of the new educational program.The goal ofthe newDMDcurriculum is to develop "highly competent

general dentists" prepared to meet the challenges of the 21st century. Inorder to achieve this goal, major structural and sequencing revisions ofthe old curriculum were necessary. These changes involved both preclin-ical and clinical courses. In the new DMD curriculum the clinicaltraining component is preceded by a logical continuum of preclinicallaboratory courses. This approach has resulted in a reduction ofthe totalnumber ofhours spent on preclinical instruction and has allowed an earlyaccess to and an enhancement oftime allowed for clinical instruction andtraining. Traditionally, dental students began patient care at the begin-ning of the third year, now students deliver care already in the secondyear of their studies. In the clinical setting the patient's need for dentaltreatment is placed in focus.TheDMDstudents are consequently taughtcomprehensive rather than topic related dentistry, and in the clinics theyare supervised by both qualified general dentists and, when required.specialists in various fields of dentistry, e.g. periodontists, orthodontists.etc.

Student BodyIn 1978 the faculty of the School of Dental Medicine agreed to:i. reduce the DMD enrollment from 640 to 320 studentsii. introduce a new curriculum that emphasized the training of generalists

in an environment that more than pre iously attempted to replicatetheactual practice of dentistry.

Planning for and testing ofthe newcurriculum was completed in 1982.and full implementation occurred in the 1986-87 academic year. Thephased reduction ofthe entering class size began in September 1982 when125 first year students, in contrast to the previous first year class of 163students, matriculated. Presently the DMD program enrollment isalmost stabilized. Table I shows the first year continuing enrollments forthe classes entering September 1981 through September 1991.

Table 1DMD Enrollment

YearsSeptember Year 1 2,3,4 Total1981 163 467 6301982 125 466 5911983 112 394 5581984 88 377 4651985 90 296 3861986 88 262 3501987 80 252 3321988 80 250 3301989 80 250 3301990 80 250 3301991 80 250 330

BudgetAppendix A contains the School's five year budget plan. The reduc-

tions described in Table I concerning the size of the student body have

required and continue to require adjustments of the School's operatingbudget.Theplanned decreases in enrollment result not only in less tuitionreenue but also in substantially less clinic revenue. In planning for thesechanges, it became necessary to translate the clinical curriculum of theDM. 1) students into budget targets. Theapproach is the following: 1)MDstudents are expected to complete certain clinical requirements in eachdepartment. This makes it possible to determine the minimal expected"production" (expressed in dollars) b multiplying student enrollmentfigures with fee per clinical procedure times number of required proce-dures. This approach of quantifying clinical curriculum in budget termshas produced much greater confidence in the School's ability to predictclinic income.

FacultyThe School's continuing ability to absorb revenue reductions is also

based on a rationalization of the faculty requirements for the 1)MDcurriculum. This has been accomplished by employing the followingassumptions:

I. Teaching requirements of basic science faculty are more a function ofcurriculum than enrollment. In other ssords, since basic science coursesare mainly taught in a large group instructional format the number offaculty contact hours is more determined by thecurriculum than by thesize of the student body.

ii. leaching responsibilities of clinical science facultyarea function of bothcurriculum and enrollment changes. Since both preclinical and clinicalcourses are taught in small groups, the enrollment changes result in areal decrease of the overall number of required faculty contact hours.

As a consequence ofthe above, the Basic Science faculty has changedonly marginally in total number. Clinical science faculty on the otherhand (both full time and part time) has been significantly reduced, mainlythrough attrition (see Table 2).

Table2Faculty Census: Standing Faculty

FYBasic Science Clinical Sciences Clinical Educators198123 76 4198223 68 5198324 58 4198422 58 4198521 43 3198620 38 41987 20 36 4198820 38 6198923 38 7199023 39 8199123 39 8

Faculty Census: Associated FacultyFY Clinical Sciences (FTE) Research

1981 86 131982 78 121983 72 111984 72 51985 68 91986 63 141987 60 111988 56 12198956 12199056 121991 56 12

During the past 3 years a reassessment has been made of the role ofresearch support as an integral component of faculty salaries. While thesize ofthe Basic Science faculty has been constant, the a eragesupport ofacademic base salaries from restricted funds has markedly increased. Thegoal is that each basic science department will have40('i ofthe academicbase salary budget ofits Standing Faculty provided by restricted sources.

ALMA NA ('SUPPLEMENT De(e,fl/wr2, /986

In FY83, the restricted base salary average support of Standing Facultyin the Basic Science departments was 19.6%: this support has graduallyincreased and was 32.2% in FY86.The School's full-time clinical faculty are now expected to spend 75('

of their time in student contact with the remaining time available forprofessional development. By Utilizing this standard, it is possible to useDMD curriculum requirements to determine departmental staffing lev-els. While there are some limitations to this approach due to the conflictbetween the critical mass of faculty in a single department and teachingand budget requirements,curriculum continues to play an important rolein resource allocation.

Major Issues for DMD Program-Enrollment And CostBecause of the decision made in 1978 to substantially reduce the

student body (more than 50%) Pennsylvania has been in a fortunateposition over the past few years. All dental schools in the United Stateshave been impacted by a continuing decline in the applicant pool (Table3). Some ofthe schools had no strategic plan which made it possible in anorderly way to reduce the sue of their student body and faculty.

Table 3Admissions Data

Ratio of Applicants to First Year Enrollment

Class EnteringSeptember All Dental Schools Pennsylvania1979 1.64 14.051980 1.60 12711981 1.55 10901982 1.44 11,001983 1.39 9381984 1.33 11451985 1.29 9721986 NA 805

The alterations made with respect to curriculum and sue of studentbody have enabled the School of Dental Medicine to maintain a highquality student body during this period of rapid applicant decline (Table4). However, in order to continue as a school of first choice, significantadditions to the financial aid budget will be necessary in the future. Inaddition, maintaining future tuition increases at a low level (i.e. 5( or lessper year) is of utmost importance.

Table 4

Grade Point Average of Matriculated Students

Class EnteringGradePoint AverageSeptember

1979 3301980 3351981 3.261982 3191983 3,161984 3.211985 3201986 311

Major Issues for DMD Program-FacultyOver the next five years, the sue ofthe Standing Faculty is expected to

remain at approximately 60 positions. There are several impendingretirements that will permit selective investments or reinvestments inareas of special importance. In an effort to determine if current depart-mental structure is adequate to meet both current and projected needs.two review committees were appointed: one to review Basic Sciencedepartments, the other for Clinical Sciences. The Basic Sciences report

has been received and this document will serve as a basis for futureappointments to the faculty in the Departments of Biochemistry.Histology-Embryology, Microbiology. Pathology, and Physiology-Phar-macology.The School is also both intellectually and financially dependent on a

strong Associated Faculty in the research track. It is important for ourresearch efforts to have a critical mass of investigators ith expertise infields related not only to our curriculum but also to our research pro-grams. We plan to continue a policy of maximum flexibility relative tothe size of standing and research faculty in the basic sciences.The Clinical Science revie process was completed in April 1986. [his

report will serve as a guide for future departmental structure and facultyappointments in the clinical sciences, and it is presently being reiewedand discussed with the Clinical Science Faculty.

Major Issues for DMD Program-FacilitiesOne major concern during the planning for and transition to a ne

I)MD curriculum and a smaller school involved the iahilitv of theEans Building as a site for future clinical education. The building wasfirst occupied in 1915 and has undergone a number of renovations overthe past 70 years. The three questions on our planning agenda involved:

i. the suitability of the building for a smaller student hod.ii. the cost of operating and maintaining the building with a smaller

reenue base, andiii. the cost of needed programatic and infiastructural improvements.A program of facilities requirements for a new clinical education

building was developed in 1984 and further refined in 1986. One findingof these projects was that the future DM 1) and DAI)F (Division ofAd'.anced Dental Education) programs could he contained in a morespace efficient facility. In the Fall of 1985. a comprehensive assessment ofthe infrastructure of the Eans Building was completed under the direc-tion of the Office of Facilities I)eelopment. This report, which wasreceived in December 1985. pro\ ided cost data that, coupled with infor-mation on proposed program changes, proved helpful in facilitiesplanning.

In deciding whether the School ofDental Medicine should build a neclinical education building or remain in a renovated Eans building. thefuture ofboth the DM D and the DA[)E programs had to he considered.In order to maintain a critical mass of investigators and clinical facultythe School requires a critical mass of students, i.e. 350 to 400 DM 1) andI)ADF students. Demographic factors tend to indicate that during thenext 5 year period, it will be necessary to accept an increasing number oftransfer students to maintain this student base. There are reasons toassume, however, that in the 1990's more applicants from North Americawill he available for the DMD program. At that time the School maconsider the option to increase the student body. A renovated EvansBuilding that will function past year 2000 would provide this neededflexibility.An additional consideration in the decision process inolved the need

forexpanded facilities for clinical research. Presently the School's clinicalinvestigators are housed in both the 4019 Irving Street Building and theEans Building. The future availability of quality space in the EvansBuilding coupled with a renewed emphasis in and funding of clinicalresearch was also a determining factor in the decision to reno ate theEvans Building. These are the main reasons why a decision was made toretain the Evans Building asthe base for the clinical education programs.A comprehensive renovation plan was therefore developed during Julyarid August of 1986 and the first phase ofreconstruction is proposed to beinitiated in June 1987. It must be emphasized, however, that allocatedcosts for operating and maintaining this clinical facility must be keptunder proper control over the next several years when the student bodywill remain constant.

ALMA NA ('SUPPLEMENT December 2. 1986

IV. Graduate Education-The Division of Advanced Dental Education (DADE)

One reason forthe school's reputation as a leading dental institution isits advanced training programs in dental specialities such as Endodon-tics. Oral Surgery. Orthodontics and Periodontics. As part of the currentplanning process a committee as appointed in 1984 to review theexisting DADE curriculum and develop modifications that include amore substantive research component. The committees recommenda-tions resulted in the recently approved Master of Science program inOral Biology. This program which was implemented in September 1986.will be a vehicle to better integrate clinical teaching with ongoingclinicalresearch. It is anticipated that up to 2540C of I)ADE students willeventually be enrolled in the Master's program. At the present time grantfunding is being sought to support this new group of students. Table 5provides a breakdown of enrollment b program for 1986-87.

Table5DADE Enrollment 1986-87

1986-87 EnrollmentProgram Minimum Certificate only M.S. Oral Biology

ProgramLength

Endodontics 2 years 11 2Orthodontics 2 years 14 -Periodontics 2 years 18 1Oral Surgery 3 years 9 --PeriodontalProsthesis 3 years 2 -Oral Medicine 2 years 1 -General PracticeFellow 1 year 14 --General PracticeResidents 1 year 2 -

V. Research ProgramsThe School of Dental Medicine's research program is unique in

dentistry. Penn has one of fise federally funded Centers for Oral HealthResearch. the only NI H sponsored General Clinical Research ('enter at adental school, and one of five federally funded Periodontal DiseasesResearch ('enters. Each of these ('enters is complementary and charac-teri,ed by the integration of efforts of both basic and clinical scienceresearchers.The School's future plans are based on further strengthening and

expanding its research programs. These plans are justified b' datadescribing the growth of research income between 1983 and 1987 asshown in Table 6.

Table 6Grantand Contract Income By Source

($ in thousands)

FY Federal Other Total

19834,429 793 5,22219844.822 962 5,78419855.244 1,047 6,29119866,110 1.129 7,2391987 (est) 6.750 950 7,700

Major Issues Facing Research Programs-FacultyThe School's major challenge is to enhance existing programs within

the constraint offaculty and space resources. Prudent investments in newfaculty are necessary in the immediate future and anticipated retirementsof senior faculty will provide this funding base. There is also need toprovide funding for new and replacement equipment. The School's fiveyear Budget Plan (Appendix A) makes allowance for new funds for thispurpose.

Major Issues Facing DADE-EnrollmentThe School's present plan projects a constant DAI)F enrollment.

There are reasonsto believe that certain ofthe existing DADE programswill expand while others will contract or be eliminated. Applicant pooldata lead us to expect that the endodontic program may decrease in suebut that there will be increases in the orthodontic and periodonticprograms. It is also anticipated that some combined programs such asthose in period ontics-endodontics and period ontics-orthodontics will beterminated while new programs in implantologv, prosthetic dentistry andpedodontics may be initiated. Provided new specialty programs aredeveloped the school may increase the sue ofthe student body in DAI)F.

Major Issues Facing DADE-CostsA major goal in 1984 was to make each I)ADF program a separate

fiscal responsibility center with each unit expected to coer. within athreeyear period, its direct and allocated expenses with a combination oftuition and clinic income. In FY84. I)ADE required a subsidy of$400,000. This was reduced to $280,000 in FY85 and $140,000 in FY86.In FY87. there should be no need for subsidization of' DADF.

Major Issues Facing DADE-Patient PoolThe school based DADE programs, i.e. Endodontics, Orthodontics.

Periodontics, and General Practice Fellows, are dependent on a suitablepatient base to provide meaningful clinical experiences for the students.The School is presently looking at affiliated extramural facilities as ameans of insuring adequate numbers ofappropriate patients for gradu-ate dentists enrolled in I)ADE. One such site is the already existingDental ('are Center at 40th and Locust Streets and another plannedfacility will he at Graduate Hospital where students in Periodontics.Orthodontics, and Periodontal Prostheses as well as General PracticeResidents will receive a significant portion of their clinical education.

VI. Affiliated InstitutionsTheSchool of Dental Medicine has a tradition ofutiliiing extramural

facilities in the education of both DMD and DADE students. Each1)M I) student in the fourth 'ear is required to spend up to six weeks inone or more of our affiliated hospitals where experiences are gained inmeeting the oral health care needs of medically compromised patients.Oral Surgery residents in the I)ADE program have presently their entireclinical training and education in hospitals. In addition, the School has aGeneral Practice Residency Program at Graduate Hospital.The importance of hospital programs as an integral component of

dental education is recognized by the faculty. The questions on ourplanning agenda address the scope, scale and cost of these extramuralprograms. Some of these affiliated institutions provide extraordinaryopportunities for future investments in the School's educational pro-grams. At Graduate Hospital, plans have been developed fora significantexpansion of the dental facilities so that a Dental Implantology ('entercan he established. It is anticipated that this new ('enter will serve as anintegral component of the clinical education forgraduate students in the

planned certificate program in Prosthodontics and the existingprogramsill Oral Surgery and Periodontics.The Dental Department at The Medical College of Pennsylvania

(MCP) has unique strengths in Periodontics and Oral Surgery. Futureactivities at this particular institution may include education of graduatestudents in not only Oral Surgery but also in Periodonticsand Prostheticdentistry. A newsix year program that combines Oral Surgery trainingwith a medical education was started in collaboration with MCP inSeptember 1986 with the first three dental graduated enrolled in the MD

component of the program.The programs at the Hospital of the University of Pennsylvania

(H LIP) have unique strengths in Oral Medicine. Oral Surgery and the

17 AI.MA NA (' SUPPLEMENT December 2. /986

training offuture hospital-based general dentists. New curriculum initia-tives are being developed at this site as well as at the MCP, so thatpredoctoral dental students can have more opportunities for an earlierintroduction to hospital dentistry.A new program in hospital dentistry for third and fourth year students

began in the 1985-86 academic year. The program is conducted under theauspices of the Oral Medicine Department of the School of DentalMedicineand the dental departments of the Medical College of Pennsyl-vania and the Hospital of the University of Pennsylvania.

VII. Initiatives in Undergraduate EducationThe School's faculty continues to be actively involved in and commit-

ted to undergraduate education. A special six-year bio-dental programwas started in 1983-84 that enables students in the College of Arts &Sciences to submatriculate at the dental and receive their bachelor's anddental degrees in six years. The first two students who entered this specialprogram are now in the first year of dental school. New initiaties areplanned with both the College of Engineering & Applied Sciences andthe Wharton School so that undergraduates can also simultaneouslypursue undergraduate and professional studies in specially designedprograms.The School's Basic Science faculty have a longstanding tradition of

serving as preceptors for undergraduates in independent study andresearch courses. More recently, the Department of Biochemistry devel-oped a special course. Biological Basis for Nutrition, for the FreshmanSeminar Program. Similar initiatives are planned by our other basicscience departments with the Department of Microbiology planning tooffer a course entitled Microbiology of Oral Disease.

The involvement of our faculty and student in all aspects of under-

graduate education is a major priority as we plan for the future, especiallin the recruitment of new faculty.

VIII. Future ActivitiesAs a result of its ongoing planning process, the School is now ready to

initiate a majorcapital fund drive. The prioritiesof this hind-raising driveare currently being codified into a case statement defining fundingopportunities and needs that will be presented in December 1986 forBoard of Overseers' review.

It is anticipated that the School will seek a total of nearly $26 millionover 1987-1992 for facilities renovation and improvements, financial aidand faculty support. The period ofthe campaign will encompass the 75thanniversary of the groundbreaking for the Evans Building (September24,1987). and the 250th anniversary of the founding of the University ofPennsylania.The top funding priority is facilities renovation and development. This

includes a four-year phased renovation of the Evans Building, includingpartial re-roofing. repointing of exterior brickwork, renovation of inte-rior utilities, and a revised floor plan. An additional $2 million will heraised forthe refurbishment and upgrading ofclinics in orthodontics andoral surgery.

Endowed scholarship support is among the most urgent priorities ofthe school: a total of $4 million is sought to endow financial aid for DM Dand DADE students. A significant need is the establishment ofendoedchairs to support full professorship in five academic departments as wellas the funding of the Dean's ('hair. Endowed chairs are sought in theareas of Imptantology; Restorative Dentistry: Dental Care Systems:Periodontics; and Dental Materials. An additional $.5 million will beraised to establish a Junior Faculty Research Fund to support travel,proposal development and research by junior faculty members.

Appendix AFive Year Budget Plan

FY88-92

Assumptions1. DMD Enrollment will stabili,e in FY88 with 80 first year students and 252 continuing

students

DADE enrollment will be set at 50 students.2. Tuition Increases will continue to be minimi,ed so that the school can become more cost

competitive with peer institutions.3. Unrestricted Gift Income will increase to offset incremental costs offund raising and to

fund new scholarships program.4. Clinic Income will increase to offset incremental operating costs. No productivity

increases.5. Externally Funded Research will grow resulting in real growth in Overhead Recovery

Income.6. Subvention Support will increase consistent with tuition increases.7. Commonwealth Support for clinical services will increase at a rate consistent with

General University increases.8. Compensation Expense will be adjusted for changes in enrollment. The average basic

science faculty salary covered by external sources will continue to approach target of

4.9. Current Expense will be increased to cover only incremental operating costs. Adjust-

ments will be made to clinic current expense to reflect enrollment and program changes.10. Equipment Expense will be substantially increased in FY88and this increase maintained

in subsequent years.11. Student Aid will be increased consistent with tuition increases. The new scholarship

program will be funded from incremental unrestricted gift income.12. Allocated Costs will increase at a rate less than the University average for general

administration and general expense in FY88. Facilities and library increases will beconsistent with University averages.

Budget Implications and Parameters

I. Loss of 20 DMD and 3 DADE tuition in

FY88.

2. FY88-9 I increases initially set at 5%.

3. Base increment of 5% plus $25,000 per year.

4. Base increase of 5(' per yearadjusted for enroll-

ment and phaseout of DADE Perio Prosthesis

in FY88.

5. Base increase of5° for steady state plus for

growth. FY88 adjusted for 62° rate.

6. 5% per year increase.

7. FY88 increase 9%, subsequent 5°.

8. FY88 compensation expense adjusted for lossof 23 students, salary recovery of basic sciencesalaries increased 2% to 3401, rates increased

5.5% FY88-9 I recovery increased 1.5% year, rateincreased 5%.

9. Base increased 3% per year. Phaseout of PerioProsthesis reflected by $100,000 decrease inFY88.

10. Base increased by $100,000 in FY88: 3%increase FY89-91.

II. Base increased by 5% plus $25,000 per year.

12. Base increase of 5% per year.

ALMA NAC SUPPLEMENT December 2. 1986 ii

Schoolof

Dent

alMedicineFi

veYearBudget

Analysis

1982

19

83

1984

1985

1986

Income

(from)

Total

Tuition

6,512

7,070

7,30

96,483

5,708

Guarantee

--

--

(27]

DM

D/DA

DE

(6,5

12]

[7,0

70]

(7,3

09]

[6,483]

[5,6811

Special

Fees

48

39

35

34

32

Investment

Income

85

99

102

205

248

Gift

s

244

261

234

266

259

Indirect

Cost

Recoveries

1,101

1,292

1,275

1,34

91,691

Grantsand

Contracts

11,0

39]

(1,1

66]

[1,209]

[1,324)

[1,654]

Other-S/L

6[6

2]

[126]

[661

[251

[371

Salesand

Serv

ices

4,516

4,801

4,724

4,578

4,564

Clin

icSa

les

(2,6

60]

(2,671]

12,5421

(2,451]

[2,277]

Dent

alCare

Center

(943]

11,207]

(1,408]

(1,454]

[1,6471

Student

Equi

pmen

t

(913]

(923]

(774

](6

73]

[640

]Miscellaneous

Income

456

448

414

375

415

TotalDirect

Inco

me

12,9

62

14,0

10

14,093

13,2

9012

,917

From

General

Univ

ersi

ty3,50&

3,95

63,507

3,691

3,85

2Financial

Aid*

[9

11

(238]

[76]

[8

3][87

]St

ate

Appr

opri

atio

n

[683]

(724]

[752]

(805]

(849

]Program

[2,734]

[2.9

94]

[2,679]

[2.8

03]

[2,916]

Bank

Tran

saction(31

[5

7]

[511

[4

4][39]

TotalIncome

16,467

17,909

17,549

16,9

3716

,730

Expense

(for

)Sa

lari

es

Acad

emic

Salaries

[4.5441

[4,725]

[4,603]

(4,4

431

[4,000]

Administra

tion

Sala

ries

[7861

[807]

[813

][729]

[607

1Cl

eric

alSa

lari

es

[1.1261

[1,174]

(1,2

90]

(1,3

08]

[1.1761

Total

Sala

ries

6,456

6,

706

6,706

6,480

5,78

3Employee

Bene

fits

1,367

1,477

1,673

1,639

1,528

TotalCo

mpen

sati

on7,823

8,

183

8,379

8,119

7,311

Current

Expense

4,318

4,

764

4,771

4,566

4,569

SDM

Depts.

[1,9731

(2,1511

(2,0

79]

[1,9

34]

(1,879]

Dental

Care

Cent

er

[982)

(1.1

83]

(1,3

59]

(1,4

55]

(1,641]

StudentEq

uipm

ent

[908]

[955]

[773

)(673]

(617

]University

Services

[455]

[475]

[560

][504]

(432]

Equipment62

89

103

9898

Expense

Credits-SD

M[49]

(6

7]

(89]

(55]

(35]

Student

Aid347

447

519

441

449

Undergraduate

[1

1]

[13]

(39]

(29]

(13]

Graduate

[336]

[434]

[480

][412)

[436]

Di

rect

Expe

nse

12,5

01

13,4

16

13,683

13,1

6912,

392

Allocated

Costs*

3,96

64,

493

3,866

4,063

4,330

TotalExpenses

16,4

67

17,909

17,5

4917

,232

16,722

Variance0

0

0(295]

8

changes

inUniversitybudgetproceduresfo

rsubventionand

allo

cate

dcoststhatwere

initiated

inFY87are

notre

flec

ted

inFY82thruFY86

School

ofDental

MedicineFive

YearBudget

Plan

1987

1988

1989

1990

1991

Income

(from)

Budget

Total

Tuit

ion

5,

594

5,47

65,750

6,03

66,337

Guarantee(51)

(54)

(57)

(60)

(63)

DMD/DADE (5,543)

(5

.422)

(5,6

93)

(597

6)

(6,2

74)

Spec

ial

Fees

57

57

57

57

57Investment

Income

306

321

337

354

372

Gifts

30

1341

384

431

482

Indi

rect

Cost

Reco

veri

es

1,45

31,806

1,931

2,06

42,206

Grants

and

Cont

ract

s(1,378)

(1

,727

)(1

,848

)(1

,977

)(2,115)

Othe

r-S/L

6 (75)

(79)

(83)

(87)

(91)

Salesan

dSe

rvic

es

4,75

34,244

4,28

04,427

4,530

Clinic

Sales (2,141)

(1

,882

)(1

,918

)(2

,065

)(2,168)

Dent

alCare

Cent

er (1,812)

(1,8

12)

(1,8

12)

(1,8

12)

(1,812)

Stud

entEquipment(800)

(550)

(550)

(550)

(550)

Misc

ella

neou

sIncome

475

475

475

475

475

Tota

lDi

rect

Income

12,9

39

12,7

2013

,214

13,8

44

14,4

59Fr

omGe

nera

lUn

iver

sity

4,008

4,20

94,401

4,602

4,810

Financial

Aid (180)

(189)

(198)

(208)

(218

)StateAp

prop

riat

ion(900)

(981)

(1,030)

(1,0

82)

(1,136)

Prog

ram(2,928)

(3

,039

)(3

,173

)(3

,312

)(3

,456

)Ba

nkTr

ansa

ctio

n

(100)

(85)

(78)

(70)

(60

)To

talIncome

16

,847

16,8

4417,537

18,3

76

19,2

09

Expense

(for

)Sa

lari

es

Academic

Salaries (3,741)

(3,7

46)

(3,923)

(4,113)

(4,310)

Admi

nist

rati

onSa

laries

(558)

(532)

(559)

(587

)(6

16)

Cler

ical

Sala

ries (1,164)

(1

,190

)(1

,250

)(1,312)

(1,3

78)

Total

Salaries

5,46

35,

468

5,73

26,

012

6,30

4

Employee

Benefits

1,35

01,367

1,433

1,503

1,576

TotalCompensation

6,81

36,

835

7,16

57,

515

7,88

0Cu

rren

tEx

pens

e

5,01

74,737

4,80

84,

882

4,957

SDM

Depts.

(1,720)

(1

,669

)(1,719)

(1,771)

(1,824)

Dent

alCare

Cent

er (1,812)

(1,8

12)

(1,812)

(1,812)

(1,812)

Stud

ent

Equipment(800)

(550)

(550)

(550)

(550

)University

Services (685)

(706)

(727)

(749)

(771)

Equipment

66

168

173

182

187

Expe

nseCr

edit

s-SDM

(59)

(61)

(63)

(65)

(67)

Stud

ent

Aid

461

508

559

614

673

Unde

rgra

duat

e(16)

(16)

(16)

(16)

(16)

Grad

uate (445)

(492)

(543)

(598)

(657)

Direct

Expe

nse

12,298

12,1

8712,642

13,128

13,630

Allo

cate

dCo

sts

4,54

94,

776

5,015

5,266

5,52

9To

talExpenses

16,847

16,9

6317,657

18,3

94

19,1

59Variance

[119]

[120)

(18]

50