Community Outreach Clinical Rotation (CD857)

Course Directors
Bill Piskorowski, DDS
wapdds@umich.edu

Stephen J. Stefanac, DDS, MS

Administrative Support
Paul M. Russeau
Community and Outreach Affairs
1011 N. University Avenue, Room 1309
Ann Arbor, Michigan 48109-1068

paulmr@umich.edu
734-615-1972

Purpose
The purpose of this course is to provide patient-centered care that is both comprehensive and compassionate for a culturally diverse population and to enhance the students’ awareness to the disproportionate oral health concerns that are present in Michigan and elsewhere. Through 11 community-based rotations located in Baldwin, White Cloud, Grant, Saginaw, Grand Rapids, Lansing, Muskegon, Aplena, Manistee, Gaylord, and Oscoda coupled with other collaborations including Plymount Dental Associates,Traverse City Migrant Program, and Bay Cliff (Marquette), pilot programs and international and national extramural experiences our students may develop a sense of civic responsibility which will enhance their future practices to include the underserved. Textbooks alone cannot teach these service learning experiences.

Course Description
Students will complete their assigned rotations at one of 12 community healthcare clinics, assigned specialized programs, extramural rotations or pilot programs.

The clinics are:
  • Alpena - Dental Clinics North
  • Baldwin/Grant/White Cloud - Baldwin Family Health Center
  • Brimley - Bay Mills Dental Clinic
  • Gaylord - Dental Clinics North
  • Grand Rapids – Cherry Street Health Services or Ferguson Dental Health Center
  • Lansing - Ingham County Health Center, Healty Smiles Dental Center
  • Manistee - Dental Clinics North
  • Muskegon – Hackley Community Care Center and Muskegon Family Care
  • Oscoda-Alcona Health Center Dental Services
  • Plymouth Dental Associates
  • Saginaw / Bay City - Health Delivery, Inc.
  • Traverse City Migrant Program  
  • Marquette - Bay Cliff Health Camp
The School of Dentistry provides housing and transportation for programs within the state of Michigan. Students must fill out a Completed Procedure Report to document the care provided to patients. At the end of each rotation the students evaluate the sites including the doctors and staff they worked with. In turn, the sites evaluate each student.
 
International/National Extramural Rotations/Pilot Programs
The University of Michigan School of Dentistry encourages students to seek these experiences. Post- rotation reflective assignments, PowerPoint presentations, concise travel documentation and contact information may allow participants to qualify for rotation credit with advanced notification.
 
 
School of Dentistry Policy on Predoctoral Extramural Externships
In the past, students have sought opportunities in external programs that would enhance their clinical and communal experiences. We consider these opportunities valuable for student education and clinical training, however it is not possible to accommodate all requests for external affiliation agreements. The School of Dentistry does not require and does not sign affiliation agreements with individual sites. If required by the site, the University of Michigan School of Dentistry will supply the following:
  • Verification SOD HIPAA training
  • Verification of infection control training
  • Verification of hepatitis immunization
  • Verification that the student is in good standing, their year of matriculation, and any questions regarding coursework completed
  • Verification of updated CPR and TB credentials
  • Liability documentation
Course Objectives
This course is an outreach rotation that is modeled on the format of academic service learning, and contains three essential elements:
  • Community Service
  • Enhanced Academic Learning
  • Education for Citizenship
Each of these essential elements contains its own set of objectives:
                        
Community Service Objectives
  • Provide access to oral healthcare to an underserved population
  • Appreciate the depth of unmet need in the underserved population
  • Work with practitioners who serve the underserved population
  • “Test Drive” community healthcare clinics as a possible future career
  • Get a “feel” for dental public health as a specialty
  
Academic Objectives
  • Work with and learn from trained chair-side assistants, front desk staff and hygienists
  • Learn to interact with members of the medical, nursing, physician assistants, and  social work professionals as they provide care for patients and their families as a coordinated team of healthcare providers 
  • Ehance the number and variety of clinical procedures
  • Enhance critical thinking and problem solving skills
  • Experience an efficient and productive schedule
  • Learn how to apply academic knowledge in the “real” world
  • Understand the principles and issues associated with practice management
  • Become familiar with clinical & administrative use of practice management software modules
  • Strengthening listening skills with patients 
Education for Citizenship Objectives
  •  Learning and ethic of caring for fellow citizens
  •  Learn about and experience other ethnic groups and cultures
  •  Increasing sensitivity to other ethnic groups and cultures
  •  Exploring personal values, ethics, and ideology
  •  Advancing students along a continuum toward social change
  • Appreciating the positive effects that can be achieved by active participation in organized dentistry via ADA, MDA, and the local district dental society.
Course Evaluation
This is a 3 credit hour course having a PASS/FAIL evaluation system. 
To earn a passing grade, students must:
  • Attend all assigned Outreach rotations
  • Perform satisfactorily on all rotations as evidenced by evaluation forms completed by the Outreach clinic at the end of each rotation session.  If a remediation program is developed based on unsatisfactory performace the student must successfully complete the program
  • Submit a Completed Procedure Report and site evaluations within one week of completing each rotation session.    
  • Complete evaluations on CoursEval within one week after rotation.
  • Participate in one of two bi-monthly post rotation conferences.
Reflective Paper
A reflective paper (500 words) is due within one week after your second rotation. Email the paper to Dr. Piskorowski as wapdds@umich.edu.
 
Post Rotation Meetings
After each rotation you are required to attend one bi-monthly meeting regarding your rotation experience.
 
Topic Ideas
  • Outline a case or event that had a significant impact upon your during your rotation
  • Discuss the greatest challenges an/or rewards you face while on rotation
  • Describe how meeting and working with a particular patient/outreach site has impacted your thinking about those patients needing services
  • Discuss or describe what would happen if your services were not available to the clinics
CODA competencies addressed during the Outreach Experience:
 
  • 2-25   At a minimum, graduates must be competent in providing oral health care within the scope of    general dentistry, as defined by the school, for the child, adolescent, adult, geriatric and medically compromised patient.
  • 2-21   Graduates must be competent in the application of the principles of ethical reasoning and professional responsibility as they pertain to patient care and practice management.
  • 2-22   Graduates must be competent in the use of critical thinking and problem solving related to the comprehensive care of patients.
  • 2-23   Graduates must be competent in the use of information technology resources in contemporary dental practice.
  • 2-17   Graduates must be competent in managing a diverse population and have the interpersonal and communication skills to function successfully in a multicultural work environment.
  • 2-18   Graduates must be competent in evaluating different models of oral health care management and delivery.
  • 2-19   Graduates must understand the basic principles and philosophies of practice management and have the skills to function successfully as the leader of the oral healthcare team.
References
           
            Jeffrey Howard 2001. A publication of the Edward Ginsberg Center for
            Community services and learning at the University of Michigan with support
            From Campus Compact-Jeffery Howard. Michigan Journal of Community
            Service Learning        
           
            Jeffery Howard 2006. Service-Learning Workshop.
            Judith Synch-Sauer 2006. Service-Learning Workshop.
            Richard W. Redman 206. Service –Learning Workshop..
            The University of Michigan School of Nursing 2001. N124 Syllabus. Growth
            and Development of Individual Families Across the Life Span.