Transcript Cheyenne 2002 - Santa Fe Group

The Necessity for Major
Reform in Dental Education
A Planning Conference
August 29-30, 2004
Innovative Partnerships
for Dental Education
Howard M. Landesman, DDS, MEd
Dean
University of Colorado School of Dentistry
Did you hear the
one about ....
REFERENCES
Dental Education
at the Crossroads:
Challenges and
Change
National Institute
of Medicine
Washington, DC
National Academy
Press, 1995.
Oral Health
in America:
A Report of
the Surgeon
General
May, 2000.
Future of
Dentistry
American
Dental
Association
Health Policy
Resources
Center, 2001
Improving the Oral
Health Status of All
Americans:
Roles and
Responsibilities of
Academic Dental
Institutions
The Report of the
ADEA President’s
Commission,
Haden, K., et. al.
March, 2003
The Contrarian’s
Guide to
Leadership
by
Steven B. Sample
You Can
Negotiate
Anything
by
Herb
Cohen
From Good
to Great
by
Jim Collins
Leading
Change
John P. Kotter
Inspiration
or Desperation:
Companies
Change When
People Care
by
Cherry McPherson
K. Joseph Wittemann
The World is
Changing
A Fear of Change
“Loving
Change is a
Pre-requisite
for Survival”
The time is ripe
for dental
educators as
well as the
profession to
think out of
the box!
“To preserve and
strengthen their
position within the
university, dental
schools must ensure
that their
contributions are
genuine and visible to
their parent
institutions.”
Colleges in Crisis
Business Week-Online
April 28, 2003
There is a crisis
in dental
education that
threatens to
destabilize the
underpinnings
of the entire
dental
profession.
The public
system of
education is
being
squeezed as
most state
governments
face the worst
budget crises
in 60 years
“College costs are rising
faster than any other
major sector of the
economy except health
care.”
Patrick Collan, President
National Center for
Public Policy and
Higher Education
“In the absence of
extraordinary
financial initiatives by
states or the federal
government, or a
massive outpouring
of private donations
from industry and
dentists there will be
a continual increase
in the cost of
education and
student debt”
Last year, most dental
schools were forced to
make drastic budget cuts.
Dental schools throughout
the nation had their state
budgets reduced by as
much as 30%. Tuition
increases were the norm,
with one state institution
reporting an increase of
50%.
“Universities have to recognize that
public funding for higher education
as the dominant source of support
has come to the end of it’s cycle.
Public universities will have to look
at fund-raising, entrepreneurial
ventures, partnership agreements,
and tuition fees to find the money
for their operating costs.”
C. D. Mote, President
University of Maryland
July 4, 2004
Links Between
Education, Business
and Government
are Common
Also, alliances between
business or government
and institutions of
higher education are
not uncommon
Those enrolled in the CVS
Pharmacy’s scholarship
program can receive
monies to assist with their
education in exchange for
working for CVS
full-time as a
registered
pharmacist
In business, it is not
unusual for a large
corporation to pay tuition
to a University so that their
employees can attend the
University’s
business school and
obtain an MBA while
the employees
continue to work
for the corporation
In dentistry, the National
Health Service Corps, the
Indian Health Service
and the U.S. Armed
Forces are examples of
partnerships between
education and
government in which
students receive
scholarships & stipends
in exchange for a
post-graduation
practice commitment
Special care must
be taken to
insure
accountability
and a hands-off
policy when any
institution or
association
accepts money
from private
enterprise
“Success will require
collaboration, a will to
break down barriers of
isolation and pooling of
resources for a common
good. Such coalitions
must cross all boundaries
and involve groups both
inside and outside the
profession.”
A New Business
Partnership for
the University of
Colorado School
of Dentistry
“A crisis looms. The number
of new orthodontists will
surely decline. Within 10
years we will experience a
shortfall in the availability of
orthodontists.”
James Gjerset
Past President of AAO
September 9, 2002
The University of Colorado
School of Dentistry has
received a $3 million gift
and a $92.7 million
commitment to establish a
long-term business
partnership with the
Orthodontic Education
Company (OEC)
The gift & partnership has enabled the
construction of a $30 million, 95,000 sq.ft.
building, the Lazzara Center for Oral Facial
Health on the Fitzsimons campus to house
the School of
Dentistry and
the new orthoprogram within
the School
without
taxpayer
burden.
The program will enroll 16
orthodontic residents each year in
a 27 month program. There will
be a seven-year post-graduate
commitment to work for OEC for
the 12 OEC scholarship
residents enrolled
in the program
each year.
The standards for accepting
students will be no different than
any other orthodontic program in
the nation. The curriculum will be
as rigorous as others. The school
will have total control of the
admissions standards and content
of the curriculum.
Demographic
changes will raise the
demands that the
dental workforce
become more racially
and ethnically diverse
and that dental care
be more culturally
responsive?
How will the partnership
help increase diversity of the
U.S. Health Care Workforce
in Orthodontics?
According to numbers from
the Survey Center of the
American Dental Association,
9,294 orthodontists in the
United States reported that:
 170
(1.8%) are Hispanic
 117 (1.25%) are African American
 7 (.07%) are Native American
In the Nation’s
Compelling
Interest- Ensuring
Diversity in the
Health-Care
Workforce
Institute of
Medicine
2004
Recommendation 3-4: Private
entities should be encouraged to
collaborate through business
partnerships and other
entrepreneurial relationships
with HPEIs to support the
common goal of developing
a more diverse health-care
workforce.
“One new model for education funding
is through a unique public-private
partnership. The University of
Colorado Health Sciences School of
Dentistry has partnered with the
Orthodontic Education Company (OEC)
to establish a new dental
center that they hope will
address the shortage of
orthodontists and provide low
cost care to children in
underserved areas.”
“As a result of scholarship
opportunities, a larger
number of qualified
graduating students
from diverse
and economically
disadvantaged backgrounds
will participate in
specialty training.”
ACCREDITATION
Yes
Initial Accreditation
Approved July 30,
2004
Final Site Visit
Fall 2006 for full
accreditation
The Partnership

School of Dentistry
– School’s part of the partnership


Train 12 orthodontists per year with OEC scholarships
Train 4 non-OEC scholarship orthodontists
– Student’s part of the bargain




A personal business agreement between OEC & student
Tuition, books, supplies paid by OEC scholarship
Stipend of approximately $30,000 per year
In return the orthodontist must work in OEC office
–
–
–
–
7-year commitment
$150,000 per year initial salary
+ % of practice profits
Vesting in practice after 7 years
Defining Dental Education for the 21st Century
“Scientific and Humanistic Compatibility, the Environment of Choice”
The Future
is Now,
Let’s Do
Something
about it!
As dental educators
we have to be willing
to face uncertainty
and go into the
future willing to
change direction or
we will never be
successful in a
competitive world.
Howard M. Landesman
303-315-8773
[email protected]
Getting Along
by
Sonda Thiederman