Donald Altman(Co-Chairs) Ana Karina Mascarenhas (Co-Chairs) UCSF DPH Seminars, November 2016 11/29/16 1
American Board of Dental Public Health American AssociaGon of Public Health DenGstry Sponsor: DentaQuest Foundation 11/29/16 2
Goal Review and update as necessary the dental public health specialty competencies 11/29/16 3
Develop a set of core dental public health competencies for the specialty 11/29/16 4
Competency statements typically describe the knowledge, skills, and professional values of beginning, or entry-level, practitioners 11/29/16 5
Ability that is essential to begin independent and unsupervised practice of a professional role in society Practitioner can self-monitor and self-regulate effectiveness in performance of job tasks, and has the disposition to do so Competency - Intertwined array of numerous components: capacity to apply knowledge, experience, critical thinking capability, problem solving skills, ethical values, and capacity to perform tasks in accordance with established criteria 11/29/16 6
Provide guidance for the types of professional expertise and capabilities that DPHS provide Define the specialty for potential collaborators and employers Increase the awareness of the specialty among colleagues within dentistry and other health professions 11/29/16 7
Guide the definition of the standards for education and certification of DPHS Used by residency programs to establish curricula and define outcomes By graduates of residency programs to prepare for the specialty certification examination by the ABDPH Basis for the curriculum content and educational outcomes in CODA s advanced education standards 11/29/16 8 for DPH
Panel of Experts Review of documents Survey of Diplomates Comment from Advisory Panel Comment from CommuniGes of Interest Set of core dental public health competencies 11/29/16 9
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Expert panel developed survey Work environment a description of the specialists organization number of DPH specialists employed by the organization the roles specialists played in their organization Opinion on competencies how essential each of the current 10 competencies is for DPH specialists in 2015 if there were missing competency domains that are essential for DPH specialists in 2015 if there were competencies that need to be restated (revised) to enhance clarity. 11/29/16 11
109 surveys returned Response rate - 77 percent. 11/29/16 12
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Other Main Roles Described: Chief of Staff, non-dental, public health leadership Utility infielder Liaison Dean of College Policy Advocacy, public relations, communication Mentoring; advising students/student advisors Faculty advisors for AAPHD student chapter, Deans Research Collaboration between COD + SPH/IPE Mentoring; interprofessional counseling Military command Advocacy & public service Assurance, assessment, & policy development Field work in community setting Risk Management issues Monitoring systematic chronic disease risk factors for the participants in our dental public health Protection of human subjects All aspects of public health training for the pre-doctoral and pediatric residents are overseen by the DPH Dental population health metrics, surveillance, and community outreach Working with residents on projects, journal clubs, etc. Consulting to professional organizations Additional Roles not Listed: Community partnership, oral health coalition member Community service Consultation Evaluating primary care programs for clinical standards required by HRSA Extramural education/service learning Mentor dual degree (DMD MPH) students Metrics and surveillance No define role; not currently using expertise of DPH specialists Outreach planning/evaluation, mentoring residents on research projects School-based programs Surveillance; expert consultations on population oral health issues 11/29/16 14
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Respondents asked if: Are there any missing competency domains that are essential for DPH specialists in 2015 41.3% Diplomates (45) felt missing competency domains communication and collaboration, risk assessment, financing of care, program development and evaluation interprofessional care, cultural competency, health literacy, and teaching DPH to predoctoral students 11/29/16 16
Respondents asked if: Need to be restated or revised to enhance clarity, and to provide suggestions for alternative wording of these competencies: Thirty (27.5 percent) Diplomates felt that competencies needed to be restated or revised. Suggestions offered and centered around: long lists two competencies merged into one such as communicate and collaborate overlap between competencies planning and developing oral health programs for populations and develop resources, implement and manage oral health programs for populations competency should specifically mention research Incorporate ethical standards should not be a separate competency, but across all competencies in everything a DPH specialist does. 11/29/16 17
Respondents asked if: Employed dentists with public health training or experience who are not board-certified DPH specialists 53.2% Employed dentists without public health training for dental public health functions -43.5% Professional backgrounds PhD, MS, MD, MBA, Engineering and Statistics. 11/29/16 18
Protect the welfare and safety of the public. Focus on the community versus the individual. Promote equity in access to, and quality of, health services. Monitor and evaluate epidemiological factors and trends that affect oral health. Promote oral health. Prevent oral disease with focus on primary prevention. Analyze environmental and social determinants of oral health. Provide leadership to create vision, influence health policy, change practice, and advocate for action. Mentor the next generation of DPHS. Practice ethically. Practice cultural sensitivity. Develop and practice with teams across different disciplines to improve health. Recognize health implications of globalization. 11/29/16 19
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Competency domain that describes a core task or role performed by DPHS Intent statements: describe the components of each competency, in terms of job responsibilities or core abilities of DPHS explain the meaning of each competency domain Identify many of the core tasks and roles performed: Not intended to be comprehensive; provide representative examples of functions that DPHS can provide, not designed to be exhaustive in scope. Specialty will continue to evaluate these competencies for timeliness and 11/29/16 relevance in the evolving health care environment. 21
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1. Manage oral health programs for population health 2. Evaluate systems of care that impact oral health 3. Demonstrate ethical decision-making in the practice of dental public health 4. Design surveillance systems to measure oral health status and its determinants 5. Communicate on oral and public health issues 6. Lead collaborations on oral and public health issues 11/29/16 24
7. Advocate for public health policy, legislation, and regulations to protect and promote the public's oral health, and overall health 8. Critically appraise evidence to address oral health issues for individuals and populations Manage oral health programs for population health 9. Conduct research to address oral and public health problems 10. Integrate the social determinants of health into dental public health practice 11/29/16 25
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American Board of Dental Public Health American Association of Dental Public Health 11/29/16 27
Commission on Dental Accreditation ABDPH Examination 11/29/16 28
Review Committee Commission 11/29/16 29
2018 Examination 11/29/16 30
CODA Supplement Presentations: UCSF Seminars ADEA AAPHD 11/29/16 31