The Necessity for Major Reform in Dental Education A Planning Conference

1. The Necessity for Major Reform in Dental EducationA Planning Conference August 29-30, 2004

2. Innovative Partnerships for Dental EducationHoward M. Landesman, DDS, MEdDeanUniversity of Colorado School of Dentistry

3. Did you hear the one about ....

4. REFERENCES

5. Dental Education at the Crossroads: Challenges and ChangeNational Institute of Medicine Washington, DC National Academy Press, 1995.

6. Oral Health in America: A Report of the Surgeon GeneralMay, 2000.

7. Future of Dentistry American Dental Association Health Policy Resources Center, 2001

8. Improving the Oral Health Status of All Americans: Roles and Responsibilities of Academic Dental Institutions The Report of the ADEA President’s Commission, March, 2003 Haden, K., et. al.

9. The Contrarian’s Guide to Leadership by Steven B. Sample

10. You Can Negotiate AnythingbyHerb Cohen

11. From Good to GreatbyJim Collins

12. Leading ChangeJohn P. Kotter

13. Inspiration or Desperation:CompaniesChange WhenPeople CarebyCherry McPhersonK. Joseph Wittemann

14. The World is Changing

15. A Fear of Change “Loving Change is a Pre-requisite for Survival”

16. The time is ripe for dental educators as well as the profession to think out of the box!

17. “To preserve and strengthen their position within the university, dental schools must ensure that their contributions are genuine and visible to their parent institutions.”

18. 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

19. The public system of education is being squeezed as most state governments face the worst budget crises in 60 years

20. “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

21. “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”

22. 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%.

23. “Universities have to recognize that public funding for higher education as the dominant source of support has come to the end of it’s 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

24. Links Between Education, Business and Governmentare Common

25. Also, alliances between business or government and institutions of higher education are not uncommon

26. Those enrolled in the CVS Pharmacy’s scholarship program can receive monies to assist with their education in exchange for working for CVS full-time as a registered pharmacist

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

28. 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

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

30. “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.”

31. A New Business Partnership for the University of Colorado School of Dentistry

32. “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

33. 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)

34. 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. T

35. 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.

36. 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.

37. Demographic changes will raise the demands that the dental workforce become more racially and ethnically diverse and that dental care be more culturally responsive?

38. How will the partnership help increase diversity of the U.S. Health Care Workforce in Orthodontics?

39. 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

40. In the Nation’s Compelling Interest- Ensuring Diversity in the Health-Care WorkforceInstitute of Medicine2004

41. 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.

42. “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.”

43. “As a result of scholarship opportunities, a larger number of qualified graduating students from diverse and economically disadvantaged backgrounds will participate in specialty training.”

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

46. The Partnership • School of Dentistry • School’s part of the partnership • Train 12 orthodontists per year with OEC scholarships • Train 4 non-OEC scholarship orthodontists • Student’s 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

47. Defining Dental Education for the 21st Century “Scientific and Humanistic Compatibility, the Environment of Choice”

48. The Future is Now, Let’s Do Something about it!

49. 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@uchsc.edu

50. Getting Along by Sonda Thiederman