November 2021 Volume LVI Number 6

 
 
 
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Education and CE News

November 2021 Volume LVI Number 6

Title VII FY 2020 Grant for Postdoctoral Training in Pediatric, General, and Public Health Dentistry Spotlight
 
Grantee Profile: Nova Southeastern University & Variety Children’s Hospital d/b/a Nicklaus Children’s Hospital
 
The Health Resources and Services Administration (HRSA) awarded 27 Title VII FY 2020 grants for postdoctoral training in pediat- ric, general, and public health dentistry. Six awards were directed solely to pediatric dentistry programs, and another ten include pediatric dentistry in collaboration with general dentistry and dental public health.
 
In each issue, we would like to highlight programs that received this grant. Today, we spotlight Nova Southeastern University and Nicklaus Children’s Hospital Pediatric Residency Program.
 
(From Grant Application Abstract)
 
Postdoctoral Training in Pediatric Dentistry for Vulnerable and Underserved Children and Adolescents
 
Overview: Focus Area 1 (Underserved and Vulnerable Populations) The proj- ect Postdoctoral Training in Pediatric Dentistry for Vulnerable and Under- served Children and Adolescents aims to enhance and expand upon an innova- tive oral health training program at the Nova Southeastern University, College of Dental Medicine. The program is focused on vulnerable and underserved children and adolescents, including those with special health care needs (SHCN). Those enrolled in the NSU-CDM Department of Pediatric Dentistry and the Department of Restorative Sciences and Public Health Dentistry’s AEGD programs participate in didactic and clinical training addressing children with SHCN, cultural competence and oral health literacy, childhood obe- sity, and the opioid crisis. Education and training are provided to each class annu- ally over the five-year project period. This project addresses the following HHS and HRSA Priorities: Childhood Obesity and Combatting the Opioid Crisis. Commu- nity-based clinical sites include Mail- man Segal Center (MSC), South Florida Autism Charter Schools (SFACS), and the Caridad Center.
 
Specific Measurable Objectives: The project addresses vulnerable and underserved children and adolescents, including those with SHCN through increasing the workforce of postdoctoral trained dentists who practice in rural and/or underserved areas or with vulner- able populations. The training addresses cultural competency and oral health literacy, as well as childhood obesity and the opioid crisis.
 
Objectives include: 1) Improve the oral health of uninsured, vulnerable, and underserved children and adolescents, including those with SHCN, via providing high quality, comprehensive oral health care visits; 2) Develop and implement an enhanced curriculum to address vulnerable, underserved, and uninsured children and adolescents, including those with SHCN via training in primary care diseases and conditions of children and adolescents with SHCN, as well as cultural competence and oral health literacy, childhood obesity, and the opioid crisis; 3) Implement clinical train- ing in the oral health and primary care diseases and conditions of children and adolescents, including those with SHCN at community-based clinics; 4) Evaluate project performance and impact.
 
Ocanto, R., Levi-Minzi, M, Chung, J., Sheehan, T., Padilla, O., Brimlow, D. The development and implementation of a training program for pediatric residents working with patients diagnosed with ASD in a special needs dental clinic. Journal of Dental Education. 2020:1-12. https://doi. org/10.1002/jdd.12049
 
Further details of these specific awards can be found at https://data.hrsa.gov/tools/find-grants. Click on Program Name, scroll down and select, Postdoctoral Training in General, Pediatric and Public Health Dentistry and Dental Hygiene (D88). Then click on Year and select 2020 and hit the Submit button.
 
For more information about AAPD’s Title VII advocacy, contact Chief Operating Officer and General Counsel C. Scott Litch at slitch@ aapd.org.
 
For more information about HRSA Title VII dental grant opportunities, contact Education Development and Academic Support Manager Leola Royston at lroyston@aapd.org.
 
Nicklaus Children’s Hospital Pediatric Dental Department
Pediatric Dentistry 2.0: Curricular Re-engineering and Safety Net Capacity Building to Enhance Outcomes
 
Nicklaus Children’s Hospital’s (NCH) grant program addresses HRSA’s focus area on caring for underserved and vulnerable populations. Over the five-year grant period, NCH and its partners will improve pediatric dental outcomes by revising its pediatric dental curriculum, developing new and enhanced inter-professional education and care coordination programs to better train the existing dental workforce, and improve oral health outcomes for vulnerable populations. NCH will accomplish these goals through the following objectives:
 
  • Reengineer its pediatric dental residency program curriculum. NCH will modify the traditional surgical approach by revising their residency program curriculum to focus on Chronic Disease Manage- ment, Minimally Invasive Dentistry (MID) and Motivational Interviewing (MI), and by revising their clinical protocols to include the Internation- al Caries Detection and Assessment System (ICDAS) and Lesion Activity Assessment (LAA) concepts. The goal of this approach is to conserve healthy tooth structure by focusing on prevention, re-mineralization, and minimal surgical intervention. NCH attendings and residents will receive annual training in ICDAS, LAA and MI.
  • Enhance the oral health knowl- edge of NCH medical residents and nurses through the develop- ment of an inter-professional education program. NCH pediatric medical residents and nurses will be immersed in a balanced curriculum of clinical and didactic material to increase their oral health knowledge on early risk assessments, anticipa- tory guidance, early intervention,and the management of high-risk pediatric patient populations. Medi- cal residents and nurses will work directly with NCH dental residents and the Community Dental Health Coordinator (CDHC) while they are both on rotation at the NCH Pediat- ric Care Center, providing hands-on training to medical residents and nurses.
  • Increase access to care for the highest risk children through a community dental health coor- dination program. NCH Pediatric Dental Department has partnered with NCH’s Pediatric Care Center, NCH’s Mobile Dental Unit, NCH’s School-Based Health Programs, and NCH’s Emergency Department to integrate their CDHC at each site, with the goal of increasing access to care for high-risk patients. The CDHC is responsible for assisting patients with any access to care barriers, facilitating insurance enroll- ment, ensuring continuity of care and treatment completion, and providing culturally-appropriate oral health education to patients and their families.
  • Augment the pediatric dentistry knowledge and skills of General Practice and Advanced Education in General Dentistry residents. Didactic and clinical training is being provided to two community-based academic partners to enhance their pediatric dentistry knowledge and skillset, with the objective of strengthening the oral health care provided to their vulnerable pediat- ric patient population. Primary train- ees are General Practice Residents and Advanced Education in General Dentistry Residents.
  • Enhance outcomes through the implementation of a chronic disease management value-based care program. NCH has partnered with the CareQuest Institute, for- merly the DentaQuest Partnership for Oral Health Advancement, to pilot a population health manage- ment model within the dental clinic that will focus on improving patient outcomes via the implementation of new reimbursement models. Quality measures will be tracked over the pilot period to assess patient out- comes and provide further support for a long-term value-based pay- ment program.
The target population for this programmatic initiative includes South Florida’s poorest and neediest children, primarily migrant farmworkers’ children, Hispanics, Haitians, African Americans, and those supported by Medicaid. Formative and summative evalua- tions will be performed annually to ensure the intended outcomes are being achieved for each objective.
 

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