The Necessity for Major Reform in Dental Education A Planning Conference

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The Necessity for Major Reform in Dental
EducationA Planning Conference
August 29-30, 2004
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Innovative Partnerships for Dental
EducationHoward M. Landesman, DDS,
MEdDeanUniversity of Colorado School of
Dentistry
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Did you hear the one about ....
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REFERENCES
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Dental Education at the Crossroads
Challenges and Change National Institute of
Medicine Washington, DC National Academy Press,
1995.
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Oral Health in America A Report of the
Surgeon GeneralMay, 2000.
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Future of Dentistry American Dental Association
Health Policy Resources Center, 2001
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Improving the Oral Health Status of All
Americans Roles and Responsibilities of
Academic Dental Institutions The Report of the
ADEA Presidents Commission, March, 2003
Haden, K., et. al.
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The Contrarians Guide to Leadership by Steven
B. Sample
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You Can Negotiate AnythingbyHerb Cohen
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From Good to GreatbyJim Collins
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Leading ChangeJohn P. Kotter
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Inspiration or DesperationCompaniesChange
WhenPeople CarebyCherry McPhersonK. Joseph
Wittemann
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The World is Changing
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A Fear of Change
Loving Change is a Pre-requisite for Survival
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The time is ripe for dental educators as well as
the profession to think out of the box!
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To preserve and strengthen their position within
the university, dental schools must ensure that
their contributions are genuine and visible to
their parent institutions.
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Colleges in Crisis
There is a crisis in dental education that
threatens to destabilize the underpinnings of the
entire dental profession.
Business Week-OnlineApril 28, 2003
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• The public system of education is being
  squeezed as most state governments face the worst
  budget crises in 60 years

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• College costs are rising faster than any other
  major sector of the economy except health care.
• Patrick Collan, President
• National Center for
• Public Policy and
• Higher Education

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In the absence of extraordinary financial
initiatives by states or the federal government,
or a massive outpouring of private donations from
industry and dentists there will be a continual
increase in the cost of education and student
debt
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Last year, most dental schools were forced to
make drastic budget cuts. Dental schools
throughout the nation had their state budgets
reduced by as much as 30. Tuition increases were
the norm, with one state institution reporting an
increase of 50.
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Universities have to recognize that public
funding for higher education as the dominant
source of support has come to the end of its
cycle. Public universities will have to look at
fund-raising, entrepreneurial ventures,
partnership agreements, and tuition fees to find
the money for their operating costs. C. D.
Mote, President University of
Maryland July 4, 2004
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Links Between Education, Business and
Governmentare Common
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Also, alliances between business or government
and institutions of higher
education are not uncommon
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• Those enrolled in the CVS Pharmacys
  scholarship program can receive monies to assist
  with their education in exchange for working for
  CVS
• full-time as a
• registered
• pharmacist

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• In business, it is not unusual for a large
  corporation to pay tuition to a University so
  that their employees can attend the Universitys
  
  business school and obtain an MBA
  while the employees continue to
  work for the corporation

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• In dentistry, the National Health Service
  Corps, the Indian Health Service and the U.S.
  Armed Forces are examples of partnerships between
  education and government in which students
  receive scholarships stipends in exchange for a
  post-graduation practice commitment

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• Special care must be taken to insure
  accountability and a hands-off policy when any
  institution or association accepts money from
  private enterprise

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Success will require collaboration, a will to
break down barriers of isolation and pooling of
resources for a common good. Such coalitions
must cross all boundaries and involve groups both
inside and outside the profession.
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A New Business Partnership for the University of
Colorado School of Dentistry
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A crisis looms. The number of new orthodontists
will surely decline. Within 10 years we will
experience a shortfall in the availability of
orthodontists. James Gjerset Past
President of AAO September 9, 2002
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The University of Colorado School of Dentistry
has received a 3 million giftand a 92.7
million commitment to establish a long-term
business partnership with the Orthodontic
Education Company (OEC)
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T
The gift partnership has enabled
the construction of a 30 million, 95,000
sq.ft. building, the Lazzara Center for Oral
Facial Health on the Fitzsimons campus to
house the School of Dentistry and
the new ortho- program
within the School without
taxpayer burden.
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The program will enroll 16 orthodontic residents
each year in a 27 month program. There will be a
seven-year post-graduate commitment to work for
OEC for the 12 OEC scholarship residents
enrolled in the program each year.
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The standards for accepting students will be no
different than any other orthodontic program in
the nation. The curriculum will be as rigorous
as others. The school will have total control of
the admissions standards and content of the
curriculum.
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Demographic changes will raise the demands that
the dental workforce become more racially and
ethnically diverse and that dental care be more
culturally responsive?
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How will the partnership help increase diversity
of the U.S. Health Care Workforce in
Orthodontics?
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According to numbers from the Survey Center of
the American Dental Association, 9,294
orthodontists in the United States reported that

• 170 (1.8) are Hispanic
• 117 (1.25) are African American
• 7 (.07) are Native American

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In the Nations Compelling Interest- Ensuring
Diversity in the Health-Care WorkforceInstitute
of Medicine2004
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Recommendation 3-4 Private entities should be
encouraged to collaborate through business
partnerships and other entrepreneurial
relationships with HPEIs to support the
common goal of developing a more
diverse health-care workforce.
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One new model for education funding is through a
unique public-private partnership. The
University of Colorado Health Sciences School of
Dentistry has partnered with the Orthodontic
Education Company (OEC) to establish a new
dental center that they hope will address the
shortage of orthodontists and provide low
cost care to children in underserved areas.
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As a result of scholarship opportunities, a
larger number of qualified graduating students
from diverse and economically disadvantaged
backgrounds will participate in specialty
training.
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ACCREDITATION

• Yes
• Initial Accreditation
• Approved July 30, 2004
• Final Site Visit
• Fall 2006 for full accreditation

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(No Transcript)
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The Partnership

• School of Dentistry
• Schools part of the partnership
• Train 12 orthodontists per year with OEC
  scholarships
• Train 4 non-OEC scholarship orthodontists
• Students part of the bargain
• A personal business agreement between OEC
  student
• Tuition, books, supplies paid by OEC scholarship
• Stipend of approximately 30,000 per year
• In return the orthodontist must work in OEC
  office
• 7-year commitment
• 150,000 per year initial salary
• of practice profits
• Vesting in practice after 7 years

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Defining Dental Education for the 21st Century
Scientific and Humanistic Compatibility, the
Environment of Choice
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• The Future
• is Now,
• Lets Do Something
• about it!

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As dental educators we have to be willing to face
uncertainty and go into the future willing to
change direction or we will never be successful
in a competitive world.
Howard M. Landesman 303-315-8773 howard.landesman_at_
uchsc.edu
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Getting Along by Sonda Thiederman