donald altman(co-chairs) ana karina mascarenhas (co-chairs) … · 2019-12-16 · dentaquest...
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DonaldAltman(Co-Chairs)
AnaKarinaMascarenhas(Co-Chairs)
UCSFDPHSeminars,November201611/29/16 1
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� AmericanBoardofDentalPublicHealth
� AmericanAssociaGonofPublicHealthDenGstry
Sponsor:
� DentaQuestFoundation
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Goal
Reviewandupdateasnecessarythedentalpublichealthspecialtycompetencies
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Developasetofcoredentalpublichealthcompetenciesforthespecialty
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� Competencystatementstypicallydescribetheknowledge,skills,andprofessionalvaluesofbeginning,orentry-level,practitioners
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� Abilitythatisessentialtobeginindependentandunsupervisedpracticeofaprofessionalroleinsociety
� Practitionercanself-monitorandself-regulateeffectivenessinperformanceofjobtasks,andhasthedispositiontodoso
� Competency-Intertwinedarrayofnumerouscomponents:capacitytoapplyknowledge,experience,criticalthinkingcapability,problemsolvingskills,ethicalvalues,andcapacitytoperformtasksinaccordancewithestablishedcriteria11/29/16 6
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� ProvideguidanceforthetypesofprofessionalexpertiseandcapabilitiesthatDPHSprovide
� Definethespecialtyforpotentialcollaboratorsandemployers
� Increasetheawarenessofthespecialtyamongcolleagueswithindentistryandotherhealthprofessions
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� GuidethedefinitionofthestandardsforeducationandcertificationofDPHS
� Usedbyresidencyprogramstoestablishcurriculaanddefineoutcomes
� BygraduatesofresidencyprogramstoprepareforthespecialtycertificationexaminationbytheABDPH
� BasisforthecurriculumcontentandeducationaloutcomesinCODA’sadvancededucationstandardsforDPH
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� PanelofExperts� Reviewofdocuments� SurveyofDiplomates� CommentfromAdvisoryPanel� CommentfromCommuniGesofInterest� Setofcoredentalpublichealthcompetencies
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� Expertpaneldevelopedsurvey � Workenvironment
� adescriptionofthespecialists’organization� numberofDPHspecialistsemployedbytheorganization� therolesspecialistsplayedintheirorganization
� Opiniononcompetencies� howessentialeachofthecurrent10competenciesisforDPHspecialistsin2015
� ifthereweremissingcompetencydomainsthatareessentialforDPHspecialistsin2015
� iftherewerecompetenciesthatneedtoberestated(revised)toenhanceclarity.
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� 109surveysreturned
� Responserate-77percent.
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AdditionalRolesnotListed:
� Communitypartnership,oralhealthcoalitionmember
� Communityservice
� Consultation
� EvaluatingprimarycareprogramsforclinicalstandardsrequiredbyHRSA
� Extramuraleducation/servicelearning
� Mentordualdegree(DMD–MPH)students
� Metricsandsurveillance
� Nodefinerole;notcurrentlyusingexpertiseofDPHspecialists
� Outreachplanning/evaluation,mentoringresidentsonresearchprojects
� School-basedprograms
� Surveillance;expertconsultationsonpopulationoralhealthissues
OtherMainRolesDescribed:
� ChiefofStaff,non-dental,publichealthleadership
� Utilityinfielder
� Liaison
� DeanofCollege
� Policy
� Advocacy,publicrelations,communication
� Mentoring;advisingstudents/studentadvisors
� FacultyadvisorsforAAPHDstudentchapter,Deans
� Research
� CollaborationbetweenCOD+SPH/IPE
� Mentoring;interprofessionalcounseling
� Militarycommand
� Advocacy&publicservice
� Assurance,assessment,&policydevelopment
� Fieldworkincommunitysetting
� RiskManagementissues
� Monitoringsystematicchronicdiseaseriskfactorsfortheparticipantsinourdentalpublichealth
� Protectionofhumansubjects
� Allaspectsofpublichealthtrainingforthepre-doctoralandpediatricresidentsareoverseenbytheDPH
� Dentalpopulationhealthmetrics,surveillance,andcommunityoutreach
� Workingwithresidentsonprojects,journalclubs,etc.
� Consultingtoprofessionalorganizations
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� Respondentsaskedif:� ArethereanymissingcompetencydomainsthatareessentialforDPHspecialistsin2015� 41.3%Diplomates(45)feltmissingcompetencydomains
� communicationandcollaboration,riskassessment,financingofcare,programdevelopmentandevaluation
� interprofessionalcare,culturalcompetency,healthliteracy,andteachingDPHtopredoctoralstudents
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� Respondentsaskedif:� Needtoberestatedorrevisedtoenhanceclarity,andtoprovidesuggestionsforalternativewordingofthesecompetencies:� Thirty(27.5percent)Diplomatesfeltthatcompetenciesneededtoberestatedorrevised.
� Suggestionsofferedandcenteredaround:� longlists� twocompetenciesmergedintoonesuchas“communicateandcollaborate”
� overlapbetweencompetencies� “planninganddevelopingoralhealthprogramsforpopulations”and� “developresources,implementandmanageoralhealthprogramsfor
populations”� competencyshouldspecificallymentionresearch� Incorporateethicalstandardsshouldnotbeaseparatecompetency,butacrossallcompetenciesineverythingaDPHspecialistdoes.
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� Respondentsaskedif:� Employeddentistswithpublichealthtrainingorexperiencewhoarenotboard-certifiedDPHspecialists–53.2%
� Employeddentistswithoutpublichealthtrainingfordentalpublichealthfunctions-43.5%
� Professionalbackgrounds� PhD,MS,MD,MBA,� EngineeringandStatistics.
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� Protectthewelfareandsafetyofthepublic.� Focusonthecommunityversustheindividual.� Promoteequityinaccessto,andqualityof,healthservices.� Monitorandevaluateepidemiologicalfactorsandtrendsthataffectoral
health.� Promoteoralhealth.� Preventoraldiseasewithfocusonprimaryprevention.� Analyzeenvironmentalandsocialdeterminantsoforalhealth.� Provideleadershiptocreatevision,influencehealthpolicy,change
practice,andadvocateforaction.� MentorthenextgenerationofDPHS.� Practiceethically.� Practiceculturalsensitivity.� Developandpracticewithteamsacrossdifferentdisciplinestoimprove
health.� Recognizehealthimplicationsofglobalization.
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� CompetencydomainthatdescribesacoretaskorroleperformedbyDPHS
� Intentstatements:� describethecomponentsofeachcompetency,intermsof“jobresponsibilities”or“coreabilities”ofDPHSexplainthemeaningofeachcompetencydomain
� Identifymanyofthecoretasksandrolesperformed:� Notintendedtobecomprehensive;providerepresentativeexamplesoffunctionsthatDPHScanprovide,notdesignedtobeexhaustiveinscope.
Specialtywillcontinuetoevaluatethesecompetenciesfortimelinessandrelevanceintheevolvinghealthcareenvironment.11/29/16 21
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1. Manageoralhealthprogramsforpopulationhealth2. Evaluatesystemsofcarethatimpactoralhealth3. Demonstrateethicaldecision-makinginthe
practiceofdentalpublichealth4. Designsurveillancesystemstomeasureoralhealth
statusanditsdeterminants5. Communicateonoralandpublichealthissues6. Leadcollaborationsonoralandpublichealthissues
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7. Advocateforpublichealthpolicy,legislation,andregulationstoprotectandpromotethepublic'soralhealth,andoverallhealth
8. CriticallyappraiseevidencetoaddressoralhealthissuesforindividualsandpopulationsManageoralhealthprogramsforpopulationhealth
9. Conductresearchtoaddressoralandpublichealthproblems
10. Integratethesocialdeterminantsofhealthintodentalpublichealthpractice
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� AmericanBoardofDentalPublicHealth
� AmericanAssociationofDentalPublicHealth
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� CommissiononDentalAccreditation
� ABDPHExamination
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� ReviewCommittee
� Commission
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� 2018Examination
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� CODA� Supplement� Presentations:
� UCSFSeminars� ADEA� AAPHD
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