a new approach to p in education: r veterans y d school

A NEW APPROACH

TO PARTNERSHIP IN

EDUCATION: RESERVES,

VETERANS, AND

YOUR DENTAL SCHOOL

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www.veteransdentistry.org

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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.

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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

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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

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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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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 -CloudPeakDL@bresnan.net 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

Email

info@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

perioferrin@gmail.com

Jesse Falk (OS)

Loyola university

medical center (Chicago)

702-606-4954

Nadim Guirguis (Ortho)

University of the Pacific

(California)

Nadim_guirguis@cox.net

(702)285-2263

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Eric Wilbur (Endo)

University of Nebraska

Medical Center

wilbure@gmail.com

Jarom Maurer (OS)

University of Oklahoma

Jarom_maurer@hotmail.

com

Ryan Bullen (Ortho)

A.T Still University

(Arizona)

801-787-6883

QUESTIONS?

www.veteransdentistry.org

info@veteransdentistry.org