a new approach to p in education: r veterans y d school
TRANSCRIPT
A NEW APPROACH
TO PARTNERSHIP IN
EDUCATION: RESERVES,
VETERANS, AND
YOUR DENTAL SCHOOL
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PRESENTERS:
2nd LT John Ferrin, Founder, DS4
1st LT Jeremy Manuele, President, DS3
Todd Davis, Vice President, DS2
Rick Thiriot, DDS
Co-associate Dean of Clinical Affairs
Andrew Ingel, DMD, FAGD
Team 1 Leader, Assistant Professor
CPT. Christina Ancajas, DDS
Director of Admissions
Wendy Woodall, DDS, MAGD
Co-associate Dean of Clinical Affairs
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DISCLOSURE:
All patients, students, faculty, and staff have
given express permission to allow use of their
names, images, medical/dental information,
histories, testimonials, military information.
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VIDEO
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JOHN FERRIN
Introduction
Many Veterans are like Clint
“Mission First, Myself Last”
Combat veterans’ high stress =
change in priorities
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HISTORY
First Clinic was held in February of 2008
16 clinics in total have been held
~$206,730 in dental treatment
394 patients
Majority seen multiple times
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WHO QUALIFIES
THREE MAIN QUALIFICATIONS
All veterans
Priority to those who served in war zone
Show DD214 or other military ID
Have no dental insurance
Not eligible for VA dental care
Income less than $25K/yr
Show pay stubs or tax return
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HOW IT WORKS
Clinics held at UNLV-SDM
Patient treatment runs from 8:00am to 12:00pm.
Complete as much dental work as possible
Chief complaint addressed first
If approved for further treatment, pt will be seen
at subsequent Saturday clinics or at UNLV-SDM
during regular hours.
Roughly 5 patients per clinic
Depends on funding
Committee case review
Mostly removable prosthodontics
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CURRENTLY
One clinic, the third Saturday of every month
(optimal)
About 30 patients per clinic
Based on number of volunteers
Students
Faculty
Based on clinic size
ER can hold about 16
Regular clinic can hold about 25
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HOW IT WORKS
Treatments are performed by dental students
who volunteer their time
Treatments are supervised by faculty dentists
who volunteer their time
If patient needs to be seen during regular clinic
hours, treatment is paid for by donations
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FUNDING
Grants
Bud Tarrson Grant through the American Dental
Association
Materials
Donations
Monetary
Lab work
Support from Community
UNLV SDM—National Guard screening contract
UNLV Main Campus
State funding
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STAFF & FACILITY
One dispensary open
Staff are paid to work by the school
NOTE: This clinic is run
in conjunction with other
volunteer clinics on the
same weekend:
Saturday Children’s Clinic
Smiles for Success
Huntridge Homeless
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FUNDING
National Guard Contract
PHA / SRP
Pre-deployment
Yearly exams
Contact your State Deputy Surgeon
Faculty Dentists
Student Assistants
Gain Experience
Fulfill didactic community service requirements
Refer soldiers
To Sgt. Clint Ferrin Dental Clinic
For Boards/ Competencies
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FACULTY PLUS
Military Support
Civilian Support
General Dentists
Oral Surgeons
Prosthodontists
Endodontists
Periodontists
Pathologists
Radiologists
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BREADTH OF TREATMENTS:
Diagnostics:
Exams
Radiographs
CBCT
Oral Cancer exam
Restorative:
Amalgam
Composite
Sedative fill
Temporary fills
Pre-fab posts & B/U
Endodontics
Pulp testing
Pulpectomy
RCT (limited)
Fixed Prosthodontics
Crowns
Bridges (start)
Removable Prosthodontics
Dentures
RPD
Flippers
Periodontics
Prophy
SRP
Debridement
Oral Surgery
Extractions
Alveoloplasty
Tori removal
Biopsy
Most procedure
that can be done
in UNLVs regular
clinics can be
completed at the
Sgt. Clint Ferrin
Dental Clinic
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FACULTY
In order to supervise, faculty must have access to
approve treatments in Axium dental program
Goes on student’s record as experience
Same approval processes as in regular team clinic
Full Time Faculty and Southern Nevada Dentists
Assure educational standards are upheld
Oversee competencies PRN
Recent graduates of UNLV-SDM
We have some students who recently graduated who
come back and supervise students at the clinics
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FACULTY
Constant faculty: Dr. Ingel, Dr. Hamilton
Volunteer faculty: various general practitioners
and/or specialists
Volunteers: Southern Nevada Dental Association
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STUDENTS
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BENEFIT FOR STUDENTS
Advantages
Procedures performed on Saturday clinics count
toward competencies
Gain additional clinical experience
Get straight to work
Alternate means of providing care
Helping those in need in our community
Something positive for CV
Patient appreciation and gratitude
Exposure to a unique veteran population
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STUDENTS
DS1 students
Most have limited dental
experience when they arrive at
dental school
Allows students to assist actual
dental treatments their first
semester of school
• Gives them a better idea of what
to expect in their upcoming
clinical course
• Allows them to share in the
excitement of providing dental
care!!!
• Didactic courses can be
discouraging 25
STUDENTS
STUDENTS
DS2 students
The majority of these
students assist
At least 5 patients are
scheduled under these
students for cleanings and
simple restorative
DS2’s are able to complete
the following procedures
Exams
Radiographs
Prophy
Limited SRP
Simple restorations (class I-VI)
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STUDENTS
DS3 students
Comprise the majority of
operators
Perform more complex
procedures
Oral surgery
Prosthodontics
Periodontics
Gain experience toward
competencies
Earn community service
credit hours
Didactic requirement
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STUDENTS
DS4 students
Get to gain experience
with new technology (i.e.
E4-d, soft and hard
tissue lasers, CBCT,
biopsy)
Improve hand skills and
speed
Perform the most
complex treatments
Sometimes assist
younger students with
procedures that are new
to them
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STUDENTS
MANDY
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PATIENTS All are US Veterans
Currently we receive approximately 100 applications per
month
Veterans from every war since World War II
Veterans from more recent wars tend to be in need of
restorative procedures and preventative treatments
Veterans from older wars tend to be in great need of
removable prosthodontics
Vietnam, agent orange, severe periodontal problems
11/20/10 clinic: 23 units of removable prosth were needed
Earlier treatment and patient education will help
mitigate the need for so many dentures.
32
PATIENTS
How do we decide who to treat????
Tough decision!
Due to overwhelming need and limited supply, not all
veterans can be treated
Veterans who experienced combat in their military
careers are put to the top of the list
Patients in pain are also considered to be a priority
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PATIENTS
Maximizing patient care
Most veterans show up
early for their appointments
Sometimes treatment is
completed before the 4 hour
treatment block is over.
5 reserve patients are
scheduled to fill empty
chairs that may become
available
If they are not seen as a
reserve patient, they have
priority for treatment at the
next clinic. 34
RECOMMENDED SURVEYS
Patient Satisfaction--46
100% addressed chief complaint in timely manner
98% discussed future dental needs
100% clinic displayed considerate understanding
Educational Experience—90% student answers
98% considered it valuable-4 attended only once
Reasons: value of giving back, variety of care and
community service to unique population
Reason not valuable: 1--already used to this
population
Level of awareness: 87%community, 20% state,
12% national level
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BENEFITS UNDER CODA
Community based clinic
Humanistic environment—
underserved population
Diversity experience
Collaborative alternate delivery
of care model
Use of private practice principles
Self-assessment/assessment
36
PROTOTYPE FOR ON OR OFF SITE CARE
Shows unmet needs of Veterans
Future government funding?
Can be on or off site clinic
Volunteer dentists from community
Standard of Care
Quality Assurance
37
DENTAL PROFESSIONALS IN THE
COMMUNITY
One of the main goals of the Sgt Clint Ferrin
Dental Clinic is to incorporate interprofessional
communication.
Many general dentists and specialists have
helped with treatments for complex patients.
Many more are needed!!!
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DENTAL PROFESSIONALS IN THE
COMMUNITY
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SSG Brandon Kitts
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43
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DENTAL PROFESSIONALS IN THE
COMMUNITY
Dr. DeAndrade (Anthem Periodontics)
Local Periodontist and part time faculty of UNLV-
SDM
Placed 4 implants for Brandon Kitts
2 UNLV students were able to watch these surgeries in his
office
Brought patient to UNLV SDM afterwards for
fabrication of temporaries
Implants and abutments were donated by Astratech
Crowns will be fabricated (donated) by Performance
Dental Lab.
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LOCAL BUSINESSES IN THE COMMUNITY
www.performancedentallab.com
CloudPeak Dental Lab
300 S 21st ST
Worland WY 82401
(307-347-4245/307-431-0987 [email protected] 46
LOCAL BUSINESSES IN THE COMMUNITY
Pro bono Legal services provided by:
Ballard Spahr (Las Vegas, NV)
Non-Profit Status has been filed with the Nevada
Secretary of State
Federal tax-exempt 501(c)(3) status
Paperwork filed, pending
Non-profit status will allow for tax deductable
monetary, service, and material donations.
Two labs that donate services for the Saturday
clinic have now become involved with regular
dental clinic (UNLV SDM) contracted lab work.
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HOW TO RUN A SGT CLINT FERRIN CLINIC
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HOW TO RUN A SGT CLINT FERRIN CLINIC
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All information is entered into master patient spread sheet
Easily tracks procedures, patients, students, $ numbers, etc.
HOW TO RUN A SGT CLINT FERRIN CLINIC
•Easily searchable fields
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HOW TO GET STARTED AT YOUR SCHOOL
Access Sgt. Clint Ferrin Dental Clinic website:
www.veteransdentistry.org
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HOW TO GET STARTED AT YOUR SCHOOL
Available by request:
Affiliation with parent non-profit LLC/tax entity
Veterans organization contacts
VA contacts
National guard contacts
Access to patient spreadsheet (generic)
Website application access (state dropdown)
Fliers
Donated lab work (Dental lab sponsors)
Veterans Clinic Alumni
Many are attending residencies at other schools.
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UNLV ALUMNI
John Ferrin (Perio)
University of Kentucky
Jesse Falk (OS)
Loyola university
medical center (Chicago)
702-606-4954
Nadim Guirguis (Ortho)
University of the Pacific
(California)
(702)285-2263
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Eric Wilbur (Endo)
University of Nebraska
Medical Center
Jarom Maurer (OS)
University of Oklahoma
Jarom_maurer@hotmail.
com
Ryan Bullen (Ortho)
A.T Still University
(Arizona)
801-787-6883
