Out in the Community,Sustainable, andUniting Resources

How educationally linked community-based safety net programs benefit patient, provider, and communities

Predoctoral Accreditation Standards

• Will mandate community-based educational experiences

• Will require exposure to a diverse patient pool

• Will require students to be exposed to differing patient care models

• Non-Ohio dental schools already targeting Ohio for student placement (AT Still)

Patient Diversity In Outreach

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

OSU Division of Pediatric Dentistry

Nationwide Children’s Hospital

Johnstown

Nisonger

Dental Coach

OSU Clinic

Coshocton

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

College of Dentistry Pediatric Clinic 1,994 2,160

Nisonger Center Dental Clinic for Special Needs Patients

4,220 3,268

Johnstown Clinic 2,968 3,010

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

The Dental Coach 2,232 1,950

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

Total Patient Visits for January-December 47,161 47,498

Comparative Patient ProductivityDivision of Pediatric Dentistry and Community Oral Health

Beyond Pediatric DentistryWhat Our Students Do In The Community

Clinic or Ohio Project(School-based versus Outreach)

Clinic Stats 05-

06

Ohio Project 05-06

Clinic Stats 06-

07

Ohio Project 06-07

Clinic Stats 07-

08

Ohio Project 07-08

Clinic Stats 08-

09

Ohio Project 08-09

Clinic Stats 09-

10

Ohio Project 09-10

Students 102 102 85 85 94 94 100 100 98 98

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

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

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

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

Full Days Assigned/ Available in OHIO Project vs Clinic (D4 Year)

93 46.4 92.5 53.6 93 50.4 92.5 50 93 49.5

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

Procedures Per Student Per Day 2.36 4.55 2.35 4.56 2.46 4.59 2.4 5.79 2.4 5.59

Why Schools Want Community Partnerships

• Greater range of patient experiences (quality)• More opportunities for required experiences

(quantity)• Reduced cost for faculty, supplies,

maintenance• Greater student satisfaction• Public relations

Advantages of Linking with Education

• Sustainable workforce, low-cost already educated• Inculcate awareness and values into provider generations• Engagement of data management systems• Sharing of resources, management, responsibilities• Open web of referral and treatment resources• Quality control • Credentialing advantages• Network enhancement• Advocacy support

Disadvantages of Linking with Education

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