OSU: Out in the Community, Sustainable, and United Resources by Paul Casamassimo

1. Out in the Community,
Sustainable, and
Uniting Resources
How educationally linked
community-based safety net
programs benefit patient, provider,
and communities

2. Predoctoral Accreditation Standards
• Will mandate community-based educational
experiences
• Will require exposure to a diverse patient
pool
• Will require students to be exposed to
differing patient care models
• Non-Ohio dental schools already targeting
Ohio for student placement (AT Still)

3. Patient Diversity In Outreach
Bean, CY et al. Comparing 4th Year Dental Student Production and Experiences in a Dental
School with Community Based Clinical Education. J Dent Ed 2007

4. OSU Division of Pediatric Dentistry
Johnstown
Nisonger
Nationwide OSU Clinic
Children’s
Hospital
Coshocton
Dental
Coach

5. Patient Care Productivity
Clinic Name Patient Visits, 2008-2009 Patient Visits, 2009-2010
College of Dentistry Pediatric Clinic 1,994 2,160
Nisonger Center Dental Clinic for Special Needs 4,220 3,268
Patients
Johnstown Clinic 2,968 3,010
Nationwide Children’s Hospital Clinic 34,389 35,647
The Dental Coach 2,232 1,950
Coshocton Children’s Dental Clinic 1,358 1, 463
Total Patient Visits for January-December 47,161 47,498

6. Comparative Patient Productivity
Division of Pediatric Dentistry and Community Oral Health

7. Beyond Pediatric Dentistry
What Our Students Do In The Community
Clinic Ohio Clinic Ohio Clinic Ohio Clinic Ohio Clinic Ohio
Clinic or Ohio Project Stats 05- Project Stats 06- Project Stats 07- Project Stats 08- Project Stats 09- Project
(School-based versus Outreach) 06 05-06 07 06-07 08 07-08 09 08-09 10 09-10
Students 102 102 85 85 94 94 100 100 98 98
Patients (Encounters) 14,955 12,236 12,173 10,261 14,249 10,235 14,518 13,757 14,965 10,397
Procedures 22,439 21,536 18,516 20,800 21,570 21,777 22,238 28,986 21,902 27,116
Patients/ Student 190 120 143 121 152 109 145 158 153 106
Procedures/ Student 281 211 218 245 229 232 222 349 223 277
Full Days Assigned/ Available in OHIO 93 46.4 92.5 53.6 93 50.4 92.5 50 93 49.5
Project vs Clinic (D4 Year)
Procedures Per Day 241.3 464.1 200.2 388.1 231.9 432.1 240.4 579.7 235.5 547.8
Procedures Per Student Per Day 2.36 4.55 2.35 4.56 2.46 4.59 2.4 5.79 2.4 5.59

8. Why Schools Want Community Partnerships
• Greater range of patient experiences (quality)
• More opportunities for required experiences
(quantity)
• Reduced cost for faculty, supplies,
maintenance
• Greater student satisfaction
• Public relations

9. Advantages of Linking with Education
• Sustainable workforce, low-cost already educated
• Inculcate awareness and values into provider generations
• Engagement of data management systems
• Sharing of resources, management, responsibilities
• Open web of referral and treatment resources
• Quality control
• Credentialing advantages
• Network enhancement
• Advocacy support

10. Disadvantages of Linking with Education
• Bureaucracy
• Never-maturing work force
• Limited goals
• Transient commitment/ownership
• Teaching-diminished care efficiency
• Documentation and compliance issues
• Changing educational priorities