Interim report from Clinical Model Taskforce Anders Nattestad

Alan Budenz Richard Fredekind Marc Geissberger Alan Gluskin Foroud Hakim Peter Hansen Jeff Kirk Gene LaBarre Nader Nadershahi Anders Nattestad (chair) Members of the taskforceMembers of the taskforce

Helix curriculum philosophy of integration Clinic model must support evidence based care and critical thinking Students are driving the patient’s treatment per their needs Our clinic model is thus not patient centered Chair utilization is 60% at best Groups are very large – GPA’s role is challenging in keeping track of students work Clinic model does not resemble private practice Why this task force?Why this task force?

Taskforce established in Summer 2009 Previous taskforce report from last year reviewed SWOT analysis from that taskforce discussed SWOT analysis from Fall quarter completed and discussed Student’s SWOT analysis from Fall reviewed Six months of meetings in the current taskforce every week or every other week including review of experiences from other schools Overall features of the model agreed in December 2009 Implementation groups (7) established in January 2010 Process so farProcess so far

Department Chairs AA Associate Dean for Clinical Services Clinical Practice Strand Director Team I Leader Team II Leader Team III Leader Team IV Leader Team V Leader Team VI Leader Team VII Leader Team VIII Leader Patient Ombudsman Clinic Faculty Clinic Faculty Clinic Faculty Clinic Faculty Clinic Faculty Students Yrs 1-3 Students Yrs 1-3 Students Yrs 1-3 Students Yrs 1-3 Students Yrs 1-3 Students Yrs 1-3 Students Yrs 1-3 Students Yrs 1-3 Patients Axium QA New clinic model diagram*New clinic model diagram* *Budget approval pending

Key features of new modelKey features of new model Teams would perform emergency and screening along with general dental and simple endo, perio, removable, implants and oral surgery

Existing clinic modelExisting clinic model GP MODEL Oral Surgery Endo Perio Ortho Pros

Philosophy of new modelPhilosophy of new model GP MODEL Oral Surgery Endo Perio Ortho Pros

Each chair will decide what can be done within the model and what needs to be referred to specialty clinics Each chair will decide what training is required for GP faculty before supervising “simple” specialty procedures GP faculty interested in supervising these “simple” specialty procedures will be approved by individual chairs of that specialty Full general practice modelFull general practice model

Key features of new modelKey features of new model Focus on being truly patient centered comprehensive care and less driven by student’s needs by revisiting requirements and ultimately making appointments for the students

Key features of new modelKey features of new model 2 nd and 3 rd year students to work together in teams (share patient pool, 2 nd yr do simple + assist, 3 rd yr teach) Move ICS into the Summer quarter of 2 nd year Create a patient ombudsman position Create a faculty appointment for AxiUm + QA

Create a faculty appointment for “Clinical Practice Strand Director” that would work on communication between teams, cross training, scheduling Add some faculty members More “hands on” role of team leaders Stronger identity of the team (colors etc.) Faculty are responsible to team leaders during their clinical assignments, the appropriate portion of their annual evaluation will come from their team leader Key features of new modelKey features of new model

Final report of these groups due tomorrow Last meeting of the quarter is tomorrow Implementing begin with a few features July 2010 Implementation phased in during the year while hiring and cross training occur Full implementation pending funding begin July 2011 Timeline from hereTimeline from here

Questions?Questions?