UDMSD Leadership Diversity Program Deirdre D Young DDS

UDMSD Leadership & Diversity Program Deirdre D. Young, DDS- PD

UDM Leadership and Diversity Program UDM program goals aim to address eliminating oral health disparities, increasing faculty diversity, and cultural competency.

UDM Leadership and Diversity Program Aided in development of Strategic Partnerships. Implemented through three different programs: URM Recruitment and Retention Programs. URM Faculty Development Program. School Based Sealant Program.

URM Recruitment Program Through active partnerships, UDM School of Dentistry actively recruits, trains and retains under-represented minority (URM) students to become allied dental health and dental professionals.

URM Recruitment and Retention Programs The majority of the funding was used to support the activities managed by Dr. Deirdre Young (Co-PD). Dental Imprint Program. Dental Hygiene Emphasis Workshop. Tour 4 Diversity. Annual Recruitment Activities.

URM Recruitment and Retention Programs Dental Imprint Program Through interactive enrichment experiences, we exposed underrepresented minority (URM) high school students to careers in allied dental health and dentistry.

URM Recruitment and Retention Programs Dental Hygiene Emphasis Workshop (DHEW) Through a 3 -day interactive workshop, we exposed underrepresented minority students to allied dental career opportunities.

Type of Question n tio ta m en ru st In on s si es Im pr ) (3 ) (2 ) (1 io n ) (2 ) (1 om y An at ay ec D ue / aq Pl at ic un om m C m y to na l. A en ta D DHEW 2012 - Pre/Post Test Results 120. 00% 100. 00% 80. 00% % Correct 60. 00% Pre Test 40. 00% Post Test 20. 00%

Pre/Post Survey- DHEW 2012 Pre-Course Average Post-Course Average Up Down Same On a scale of 1 to 5, what is your current level of interest in becoming a dental hygienist? 3. 8 4 4 2 12 On a scale of 1 to 5, (will) did this course help you decide if you want to become a dental hygienist? 4. 6 3 1 14 How familiar are you with dental terminology? 2. 6 4 16 0 2 How familiar are you with dental anatomy? 2. 8 4. 4 15 2 1 How familiar are you with taking impressions? 3. 3 4. 6 13 0 5 How familiar are you with dental hygiene instruments? 2. 9 4. 4 15 1 2 How familiar are you with career options available in dental hygiene? 2. 9 4. 8 14 0 4

Recruitment Cont. Tour for Diversity Program (Partnership with Aetna, AAMC, ADEA, and US ARMY): Aids to promote medicine and dentistry to undergraduate students of racial and ethnic underrepresented minorities. Introduced underrepresented minority undergraduate students at campuses across the US to premedical enrichment activities. Twenty-one students participated in dental simulation activities held at UDM School of Dentistry

Short Term and Long Term Outcomes Increase the number of URM students and faculty in allied dental professions. Strengthening the academic and service pipeline.

Pipeline Impact Dental Imprint Program: Two schools within the Detroit HPSA area participated in a dental career day, and over 100 students within the school district were exposed to careers in dental hygiene and dentistry. 40 students, 9 -12 th grade, participated in a tour of University of Detroit Mercy and University of Detroit Mercy School of Dentistry. 95% of participants expressed an interest in pursuing a career in allied and other health professions.

Pipeline Impact cont. Dental Hygiene Emphasis Workshop: One hundred percent increased their knowledge of careers in allied dental health professions, community outreach activities, oral hygiene health and research. About 250 students were targeted for recruitment to UDM Dental School (All Pipeline Programs).

URM Faculty Development Program will select and sponsor an URM faculty to attend the ADEA Leadership Institute. Dr. Melanie Mayberry, Director of Predoctoral Patient Care-UHC, has completed the ADEA Leadership Institute – March 2013. “… skills will assist me in my current position by encouraging me to view the bigger picture and confidence and motivation in pursuing "larger" leadership roles. ”

Outcomes/ Impact URM students and faculty on pathways and inline for University and Institutional leadership positions. A cadre of URM leaders emerging. Dean’s Perspective: Ability to influence the direction of the profession in critical areas of pipeline programs. Gain experience in framing oral health issues of national importance. Provided leadership for allied URM recruitment within the framework of the Dental Imprint Program.

Henry Ford Health System / UDMSD School. Based & Community Health Program In partnership with Henry Ford Health System and Michigan Department of Community Health, UDMSD works towards reducing oral health disparities among school aged children. Christiana Morton, RDH, is the PA 161 faculty at the dental school who manages the School based dental sealant program. UDMSD dental hygiene students provide preventive services to K – 7 students in Detroit Area Schools. 2012 -13 Schools Include : New Paradigm Loving Academy, Thirkell Elementary School, Stewart Elementary School, and Ross Hill Academy. This student based model not only delivers the preventive care needed in the Detroit area schools but also trains the next generation of dental hygiene providers - who are culturally competent and have the clinical skills and technical knowledge to plan and implement school based dental sealant programs as well as other community based oral health programs.

Henry Ford Health System / UDMSD School. Based & Community Health Program The following services are provided through the UDMSD Dental Sealant Program at the school location: 1. Oral Health Screenings 2. Oral Prophylaxis 3. Fluoride Varnish Applications 4. Dental Sealant Applications 5. Oral Health Education

Objectives – UDMSD Dental Sealant Program Placement of dental sealants on 100 percent of the population with positive parent consent. Oral health education delivered to 100 percent of target population with 100 percent completing pre and post-tests. Contact made with 100 percent of parents whose child was found to be in need of further restorative care outside the school program. One hundred percent of sealant placements will be rechecked within six months and ensure a 90 percent retention rate. One hundred percent of un-retained sealants will be replaced at no cost to the child. Data entered into CDC SEALS database for 100 percent of children seen (includes number of sealants place and number retained, etc. )

Objectives – ADEA MDFD II Dental sealants will be placed on the molar teeth of about 80% of the low income children screened in the program. (Objective met 100%)

School & Student Eligibility County Healthy Kids Dental County*? * Y= Yes N= No HPSA* Y=Yes N=No Wayne N Y Name of School** Free & Total # of Reduced 1 st Grade School Lunch Students Program % per School*** New Paradigm Loving 100% 45 Academy Stewart Elementary 85% 42 School (100% - reported by school) Thirkell Elementary 86% 103 School Ross Hill Academy 100% 18 Total # of 2 nd Grade 6 th Students Grade Students Total # of If in Wayne 7 th Grade County, Students Total # of K-7 th Grade Students 38 26 - 245 56 56 45 388 77 - - 427 12 11 12

Data Summary for Procedure Completed by UDMSD Dental Hygiene Students in HFHS School-Based Dental & Community Health Program between 10/1/2011 - 9/30/2012 ‡ School Hutchins/Mc. Michael† Oral Prophylaxis Fluoride Varnish Sealants # of Children 1 1 0 1 70 70 102 70 Stewart Academy 185 256 186 Thirkell Elementary 165 179 150 176 White Elementary 127 128 139 128 TOTAL 548 563 647 561 Loving ‡ Data obtained from UDMSD AXIUM® database and is restricted to only those children who were Medicaid enrolled and for procedures that were billed to Medicaid. This table does not include data for all children that were served in the program and for all billable procedures provided. † Most of the services at this school were provide after the cutoff date of 9/30/2011.

Data Summary for Procedure Completed by UDMSD Dental Hygiene Students in HFHS School-Based Dental & Community Health Program between 10/1/2012 - 9/30/2013 ‡ School Oral Prophylaxis Fluoride Varnish Sealants # of Children Loving 63 62 77 63 Stewart Academy 92 92 135 92 Thirkell Elementary 177 178 197 178 Murphy Elementary 90 91 135 91 Ross Hill Academy 76 75 146 75 Mumford High School 83 84 261 84 581 582 951 583 TOTAL ‡ Data obtained from UDMSD AXIUM® database and is restricted to only those children who were Medicaid enrolled and for procedures that were billed to Medicaid. This table does not include data for all children that were served in the program and for all billable procedures provided.

Henry Ford Health System / UDMSD School-Based & Community Health Program Dental Hygiene Student Evaluations 2011 -2012 # Q 1 Q 2 Q 3 Q 4 Q 5 Q 6 Q 7 Q 8 Q 9 Q 10 Q 11 Q 12 Questions Percentages Yes No 96% 4% Understand the role of a PA 161 Collaborative RDH in a school based setting. Apply basic principles of pediatric dentistry. 96% Perform a complete oral assessment on pediatric 96% patients and accurately record the information. Provide oral hygiene instructions and nutritional 96% counseling to patients and, when appropriate, recommend and provide "OTC" preventive products. Competently perform an oral prophylaxis and fluoride 100% treatment on pediatric patients ranging from cooperative to mildly uncooperative. Recognize the indications and contraindications of dental 96% sealants and be competent in the placement of dental sealants. Apply basic appropriate pediatric patient management 96% techniques. Understand when and how to appropriately refer 96% pediatric dental patients. Communicate with members of the interdisciplinary 96% health care team and school personnel. Recognize the extent of the dental needs of pediatric 96% patients in the Detroit school-based populations. Utilize mobile dental equipment and modify dental 96% hygiene skills to meet the oral health needs of pediatric patients. Improve time management skills and increase efficiency. 96% Frequency Yes No 24 1 Response N 25 4% 4% 24 24 1 1 25 25 4% 24 1 25 - 25 4% 24 1 25 4% 24 1 25

Short and Long Term Outcomes Establishing best practices for communitybased and academic partnerships. Strengthening school-based oral health care. Supporting best practice guidelines that result in preventative oral care for children and reduce dental carries of children K-6. Increasing the proportion of low-income children who received any preventive dental service during the past year (objective 21 -12).

Impact Established community-based and academic partnerships to eliminate oral health disparities in children.

Elements Contributing to Success Urban location Commitment to community service based on our Jesuit traditions Support from leadership at dental school URM alumni support Long standing partnership with community organizations

Acknowledgements Principal Investigator - Dr. Mert N. Aksu, Dean Grant Program Administration/PD: Dr. Divesh Byrappagari – URM Faculty Development and School Based Sealant Programs PD - Dr. Deirdre Young - URM Recruitment and Retention Programs URM Recruitment and Retention Program- Ms. Barbara Purifoy-Seldon, RDH, MS URM Faculty Development – Dr. Melanie Mayberry School Based Sealant Programs – Ms. Christiana Morton, RDH