Practice Based

ResearchNetwork

Research for Oraland Craniofacial Health

TEXAS A&M UNIVERSITY BAYLOR COLLEGE OF DENTISTRY ANNUAL REPORT 2012 - 2013

RESEARCH FOR ORALAND CRANIOFACIAL HEALTH

Practice-based Research NetworkA dental practice-based research network (PBRN) is a group of dental practices that, although primarily devoted to providing oral health care services, has affiliated as a group -- typically with an academic health center -- to jointly conduct research projects. Conducting this research involves standardization of procedures, record keeping and measuring outcomes. The PBRN is particularly germane in dentistry as most oral health care in the U.S. is provided in the context of private dental practices; PBRNS can be ideal for determining which therapies perform the best under real world circumstances. (See page 23 for example.)

2012-2013 ANNUAL REPORT TEXAS A&M UNIVERSITY

BAYLOR COLLEGE OF DENTISTRY

September 1, 2012 through August 31, 2013

Prepared by Ann McCann, Ph.D., Director of Planning & Assessment

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TABLE OF CONTENTS 2012-2013 TEXAS A&M UNIVERSITY BAYLOR COLLEGE OF DENTISTRY ANNUAL REPORT

INTRODUCTION .................................................................................................................................................................................................... 5

MISSION ACCOMPLISHMENTS .......................................................................................................................................................................... 6

DEVELOPING EXEMPLARY CLINICIANS ........................................................................................................................................................................ 8 DEVELOPING EXEMPLARY EDUCATORS ................................................................................................................................................................... 12 DEVELOPING EXEMPLARY SCIENTISTS ..................................................................................................................................................................... 15 CARING FOR THE NEEDS OF A DIVERSE COMMUNITY ............................................................................................................................................ 18 SEEKING INNOVATIONS IN SCIENCE, EDUCATION AND HEALTH CARE DELIVERY .............................................................................................. 22 SERVING AS LEADERS IN HEALTH PROFESSIONS EDUCATION ............................................................................................................................. 25

DEPARTMENT/OFFICE ACCOMPLISHMENTS ................................................................................................................................................ 29

ACADEMIC AFFAIRS ...................................................................................................................................................................................................... 30 ADVANCEMENT, COMMUNICATIONS & ALUMNI AFFAIRS ........................................................................................................................................ 32 BIOMEDICAL SCIENCES ............................................................................................................................................................................................... 33 CLINICAL AFFAIRS ........................................................................................................................................................................................................ 33 CONTINUING EDUCATION ............................................................................................................................................................................................ 34 DENTAL HYGIENE ......................................................................................................................................................................................................... 34 DIAGNOSTIC SCIENCES ............................................................................................................................................................................................... 34 ENDODONTICS .............................................................................................................................................................................................................. 35 GENERAL DENTISTRY .................................................................................................................................................................................................. 35 LIBRARY ......................................................................................................................................................................................................................... 35 ORTHODONTICS ............................................................................................................................................................................................................ 36 PEDIATRIC DENTISTRY ................................................................................................................................................................................................ 37

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PERIODONTICS ............................................................................................................................................................................................................. 37 PUBLIC HEALTH SCIENCES ......................................................................................................................................................................................... 38 RECRUITMENT & ADMISSIONS .................................................................................................................................................................................... 38 RESEARCH & GRADUATE STUDIES ............................................................................................................................................................................ 38 RESTORATIVE SCIENCES ............................................................................................................................................................................................ 39 STUDENT AFFAIRS ........................................................................................................................................................................................................ 40

FACULTY, STAFF AND STUDENT ACCOMPLISHMENTS .............................................................................................................................. 41

KEY INDICATORS .............................................................................................................................................................................................. 45

PROGRAMS .................................................................................................................................................................................................................... 46 STUDENTS ..................................................................................................................................................................................................................... 47 FACULTY ........................................................................................................................................................................................................................ 49 PATIENT CARE ............................................................................................................................................................................................................... 50 COMMUNITY SERVICE .................................................................................................................................................................................................. 51 RESEARCH ..................................................................................................................................................................................................................... 52 GIVING ............................................................................................................................................................................................................................ 52

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INTRODUCTION

This is a reporting of accomplishments by the Texas A&M University Baylor College of Dentistry (TAMBCD) during the 2012-2013 academic year, September 1, 2012 to August 31, 2013. This is the first reporting for the 2013-2018 Strategic Plan. Each department/office has a hard copy of this annual report and there is also one in the Library. The documents also are posted on the College intranet under Strategic Plan/Annual Report. The following is a description of each section of this report. Mission Accomplishments This section describes accomplishments related to the mission and vision of the College. It is organized by the statements within the mission. The information was selected from the annual reports submitted by the leaders of the strategic plan and the department chairs/office managers. Department-Office Accomplishments This section highlights the accomplishments of academic departments and offices of the College. The information was prepared by department chairs/office managers. Faculty, Staff and Student Accomplishments This section reports the accomplishments of faculty, staff and students. It was compiled by the Office of Advancement, Communications & Alumni Relations from information published on NewsStand. Key Indicators This section presents data collected from departments/offices throughout the College. It focuses on the key indicators of quality at TAMBCD. Appendix to the 2012-2013 TAMBCD Annual Report This accompanying Appendix provides more detail about College accomplishments in 2012-2013. It includes an annual progress report for each objective in the 2013-2018 Strategic Plan, departmental annual assessment reports for 2012-2013 and the 2012 Faculty Publications Report.

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MISSION ACCOMPLISHMENTS

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MISSION ACCOMPLISHMENTS

This section of the 2012-2013 Texas A&M University Baylor College of Dentistry Annual Report highlights accomplishments that are related to the mission and vision of the College. The mission and vision statements are listed below, and the related 2012-2013 accomplishments are described on the subsequent pages.

MISSION

Baylor College of Dentistry shapes the future of dentistry by developing exemplary clinicians, educators and scientists. We improve oral health by caring for the needs of a diverse community; seeking innovations in science, education and health care delivery; and serving as leaders in health professions education.

VISION Following a century of excellence, TAMBCD will continue to be a leader in dental education by:

Educating exemplary clinicians who deliver evidence- based care.

Fostering translational and clinical research to improve patient care and delivery.

Providing high quality service to students, patients, faculty, staff, alumni, and the public.

Increasing access to dental care through cultural competence, diversity and community based care.

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DEVELOPING EXEMPLARY CLINICIANS Continuing Education- The Continuing Education office continues to provide numerous learning options for dental practitioners. For the 2012-2013 year, the office offered 44 courses on the TAMBCD campus. Continuing education credits were also offered to the faculty through the Faculty Development Programs. In addition, the American Dental Association (ADA) Continuing Education Recognition Program (CERP) credits were offered to a number of lectureships provided at the school. There were about 3,000 participants in all the courses offered. Cultural Competence- The College recognizes the important role that culture plays in the delivery of health care services to all segments of the population. The institution is committed to the development of culturally competent health professionals and, therefore, provides training to enhance cultural awareness, knowledge and skills among students, faculty and staff. To facilitate the elimination of health disparities for all patients, the college embraces a comprehensive program that includes seminars, workshops, classroom coursework and clinical experiences that enhance access to and the quality of oral healthcare. Cultural competency training includes coursework for D1, D2 and D3 pre-doctoral students; DH1 dental hygiene students; graduate students and pre-professional students who are involved in pipeline and pre-dental enrichment programs. These efforts are having a positive impact on student behavior and the College culture. In the Dental Student Graduation Survey conducted May 2013, the graduating D4 students reported: Their training had increased their awareness of the impact of race and ethnicity on access to oral health care (90 percent). They were confident in their ability to provide care for patients from diverse backgrounds (100 percent). They would treat patients from under-represented minority (URM) populations (98 percent), from poor backgrounds (94 percent) and medically underserved

areas (91 percent). Diversity Pipeline- A number of Bridge to Dentistry programs have evolved at TAMBCD to create a pipeline of potential dental students from culturally diverse and/or disadvantaged backgrounds. The following programs were very successful this year: In the K-12 Dental Career Awareness, more than 2,100 elementary school students and more than 450 junior high and high school students from Dallas area

school districts participated in dental awareness events and counseling activities. Six Future Dentists Clubs (FDC) were offered. Four were in elementary schools, one was a city-wide FDC for junior high students and one was a city-wide FDC

for high school students. Twenty-two 10th-graders, sixteen 11th-graders, twenty-three 12th-graders, twelve high school graduates and twenty-nine college students participated in and

completed summer pre-dental enrichment programs. Since 2000, 94 percent of the 12th-grade program completers have applied to college, and to date, 95 percent of the applicants have been accepted. Since 2008, 100 percent of the high school graduate program completers have entered college. Since 1997, 88 percent of the college program completers have applied to dental and other health professions schools, and 78 percent were accepted.

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Sixteen students participate annually in the Post-Baccalaureate Program (PBP). These students spend one year after college graduation in a rigorous curriculum focused on Dental Aptitude Test preparation and upper-division science courses. Students who meet detailed performance criteria are accepted at TAMBCD. Thirteen of sixteen 2012-2013 PBP students successfully completed the program and matriculated into TAMBCD in Fall 2013. As of August 31, 2013, 56 PBP students were distributed throughout the D1-D4 classes here at the College.

Entering Qualifications- The quality of incoming TAMBCD students remains high. The average cumulative GPA of the 2013 entering first-year dental class was 3.55 and 3.54 for first-year dental hygiene. The Dental Aptitude Test Academic Average score for first-year dental students was 20 (scale of 0-30). Evidence-Based Thinking- Although the National Institutes of Health R25 Oral Health Research Education Grant project ended in March 2013, we continue to pursue activities that will maintain and strengthen a culture of evidence-based practice (EBP) at our institution. Both TAMBCDs current strategic plan and Quality Enhancement Project (QEP) for the Southern Association of Colleges and Schools (SACS) have a stated vision for graduating students who deliver evidence-based care. Curriculum- There is now an EBP component in all four years of the dental curriculum.

In 6870 Introduction of Evidence Based Dentistry and Clinical Research, dental students learn the foundations, how to review research articles and develop a Critically-Appraised Topic (CAT). In 7400 Application of Evidence Based Dentistry I, dental students review more advanced articles and develop two CATS in small group learning sessions. In 8034C Comprehensive Care Program, they develop a CAT in the context of complex case studies. Finally, in 9030 Diagnosis and Treatment Planning Seminar, they develop a focused clinical research presentation.

Dental hygiene has also added EBP to two courses. In 4715 Research Methods, the students learn the foundations of EBP. In 4620 Theory of Dental Hygiene Practice II, the students develop and present a CAT.

Faculty Development- The 2013 Scholars Day program followed the traditional format of including basic and translational research presentations by two D2 students of their Critically-Assessed Topics (CATs) presentations from the course, Application of Evidence-Based Dentistry I (7400), and clinical case presentations by six D3 students and one D4 student. This multi-faceted event has now superseded our former Research Day, which emphasized mostly basic science research and was less well attended by clinical faculty and D3 and D4 students. The Faculty Development and Networking series featured four EBP series presented by faculty members on controversial treatment issues. They included the following topics: Sealants versus Preventive Resin Restorations versus Definitive Restorations, Amalgam versus Composite Restorations for Posterior Teeth,

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The Need for Survey Crowns With Removable Partial Dentures, Radiographs in Meningioma, 3rd Molar Extractions, Posts versus No Posts, Vital Pulp Therapy, Endodontics: Re-treat versus Implant, and All Ceramic Restorations for Posterior Teeth.

Summer Faculty Training Program- The summer course, Fundamentals of Evidence-Based Dentistry for Clinical Faculty, was attended by ten faculty in 2013

for a total of forty-four. Dental Scholars Track- A new cohort of four Dental Scholars was chosen in December 2012 from the class of 2016. This brings our total Dental Scholars cohort

to fourteen and represents all four years of the DDS curriculum. All four of the newly-chosen Scholars have prior teaching experience and are strongly interested in undertaking a full or part-time teaching role after they graduate. Our first class of Scholars, who are now in their D4 year, were able to give a lecture to students in the Dental Hygiene Program.

Outcomes- The outcomes of student and faculty EBP learning continue to be assessed. In the 2013 Graduation Survey of D4 students, 99 percent agreed that they were confident in their ability to seek out the best evidence to support clinical decisions. Also, 100 percent reported they planned to consult evidence if dental treatment was controversial. In the 2013 survey of Faculty EBD Practices, Experiences, Attitudes and Knowledge, 93 percent agreed that EBD should be an integral part of the dental school curriculum; 88 percent agreed that EBP improves the quality of care; 75 percent supported EBD principles more than a few years ago; and 64 percent agreed that the critical appraisal skills pertinent to EBD have changed the way they read clinical articles. They were also significantly more comfortable with reading peer-reviewed articles than they were when first assessed in 2009. For the faculty who participated in the summer EBP course, their knowledge of EBP and their comfort level with reading peer-reviewed articles were significantly higher than non-trained faculty. Also they read those journals more often.

Funding for Bridge to Dentistry- The Colleges Bridge to Dentistry program received a Center of Excellence (COE) grant from the Health Resources and Services Administration (HRSA). The project period is July 1, 2012 to June 30, 2017, and the total amount for the grant award is $3,418,964. The amount for year one was $699,175 and year two is $691,385. COE activities are designed to establish, strengthen and expand programs to enhance the academic performance of URM students attending TAMBCD; improve the Colleges capacity to recruit, train and retain URM faculty; enable the College to improve information resources, clinical education, the curriculum, and cultural competence as they relate to minority health issues; enhance the facilitation of faculty and student research in health issues particularly affecting URM groups; enhance programs that train TAMBCD students in providing health care services to a significant number of URMs at off-campus community-based facilities; and enhance the development of a large competitive applicant pool and establishment of an educational pathway for health professions careers. The COE will serve as a catalyst for TAMBCD to further institutionalize its commitment to URMs and will enhance the Colleges ability to serve as a national resource and educational center for diversity and minority health issues.

In year one, the COE sponsored and funded research by students in addition to those funded by the College and sponsored clinical externships for additional students. The first annual COE Oral Health Conference was held on March 28, 2013. This included a 3-hour continuing education course for TAMBCD faculty, staff and students, TAMBCD alumni, Dallas area dentists and dental auxiliaries, and Post-Baccalaureate Program students.

National & Regional Examinations- TAMBCD students continue to experience good first-time passing rates on their national and regional examinations. The dental students graduating in 2013 had an 87 percent pass rate on the licensing exam conducted by the Western Regional Examining Board (WREB). The graduating

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dental hygiene class of 2013 had a 100 percent pass rate on the WREB. For the National Board Examinations (NBE), the dental students had first-time pass rates of 89.6 percent for Part I and 89.1 percent for Part II. Dental hygiene students had a 100 percent pass rate on the NBE. Oral & Maxillofacial Radiology Program- This new graduate education program was approved by the Texas Higher Education Coordinating Board in July 2013. A site visit by the Commission on Dental Accreditation is scheduled for spring 2014, followed by initial accreditation in August 2014. Predoctoral Implant Curriculum- The College continues to expand the implant program for predoctoral students with the goal of every student having an implant experience. Almost all (99 percent) of the students in the D4 class of 2013 had some type of implant experience, and 89 percent restored an implant. Student Diversity- Efforts continue to maintain a high level of diversity in the student body. For the entering dental class of 2013, there were 15 African American entrants and 26 Hispanic entrants. Underrepresented minorities (African American, Hispanic and Native American) made up 41.4 percent (41/99) of the first-year dental class and 32.8 percent (195/594) of the entire student body (dental, dental hygiene and advanced education). TAMBCDs 2013 entering dental class led all traditional U.S. dental schools in diversity.

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DEVELOPING EXEMPLARY EDUCATORS

ADEA/AAL Institute for Teaching & Learning- Dental and dental hygiene faculty attended a six day program given by the American Dental Education Association /Academy for Academic Leadership Institute for Teaching & Learning. This involved over 50 hours of training to develop/expand their teaching skills using tools that improve learning. Attendees from TAMBCD since 2006 include: Drs. Howard Payne, Steve Karbowski, Jordan Schweitzer, Christine Beninger, Beverly York, Paula Ortiz, Grace Snuggs, Takashi Kombayashi, Lorenzo Prats, and Karl Woodmansey. EBD Training for Faculty- For the last five summers, Drs. Robert Hinton, Emet Schneiderman, and Bob Hutchins have offered a workshop called Fundamentals of Evidence-Based Dentistry for the purpose of familiarizing interested clinical faculty with important elements of evidence-based dentistry and research design. Over the five-year span, 44 faculty members met three hours a week for seven to eight weeks learning why research design and statistics are important, how to construct a focused clinical question (PICO), how to search PubMed, how to read a paper, and how to construct a Critically-Appraised Topic (CAT). Didactic instruction is liberally mixed with more interactive components (e.g., hands-on-practice in searching the web, group discussion of articles exemplifying each type of research design). The capstone experience is the presentation of a CAT on a topic of interest to each participant. External Teaching Award- Dr. Terry Rees, professor and director of the Stomatology Center, received the 2013 Award for Outstanding Periodontal Educator, a lifetime achievement award created to recognize periodontal faculty who teach with distinction and inspire with ease. Ms. Kathy Muzzin, associate professor in dental hygiene, received the Texas Dental Hygiene Directors Association/Procter & Gamble Teacher Excellence Award for 2012-2013. Faculty Awards- Awards are presented annually to faculty members at the faculty retreat in January to recognize excellence in each of the Colleges mission areas: teaching, research in basic science, research in clinical science and service. Faculty members are awarded funds to improve their efforts in these areas. The following awards were presented during the Annual Faculty Retreat on Thursday, January 3, 2013: Dr. Susan Roshan, Clinical Teaching Dr. Ann McCann, Institutional Service Dr. Carolyn Kerins, Clinical Science Research Dr. Phillip Kramer, Basic Science Research Faculty Development- The Office of Faculty Development was created in 2005 to address a growing national shortage of dental professionals who choose academic careers. Numerous development opportunities were provided to faculty during the 2012-2013 year, including the following sessions: Clinical Colloquium- Sleep Disorders in Dentistry (September 9, 2012) and Current Concepts in Restorative Materials (February 13, 2013) Faculty Mini-Retreat- For Goodness Sake: Challenges, Changes and Opportunities at BCD (November 20, 2012) Faculty Networking Series- Evidence-Based Dentistry Series 1 (December 5, 2012), Cultural Competency for Dental Educators (December 14, 2012),

Evidence-Based Dentistry Series 2 (January 9, 2013), Evidence-Based Dentistry Series 3 (February 20, 2013), Evidence-Based Dentistry Series 4 (February 22,

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2013), How Nanoscience and Nanotechnology Can Help with Patient Care (March 14, 2013), The Role of Inflammation in the Oral/Systemic Connection (March 27, 2013), and Promoting Student Centered Learning (April 17, 2013)

Faculty Calibration Workshop- EBD Summary: Closing the Loop (July 16, 2013) Faculty Retreat- Transformation and Innovation: Strategies for Advancement (January 3, 2013) Teaching Grand Rounds- To Be or Not to Be There (June 20, 2013) Faculty Peer Review- To help faculty members improve their teaching and document their teaching efforts, a peer review process was developed. A task force developed materials to assist faculty members in evaluating their faculty peers. The task force designed evaluation instruments with criteria for clinical, classroom and laboratory teaching. Video vignettes were recorded for calibrating task force members, as well as for demonstrating good teaching practices to all faculty members. The plan was presented to faculty members for their review at the Faculty Retreat on January 4, 2006, and it was revised based on the feedback received. Since the program began in January 2006, 26 faculty members have completed the peer review process. New Faculty Orientation- To introduce new faculty members to the resources and policies of the College, a task force was convened in 2005 to plan a TAMBCD faculty orientation process. The committee identified and collected documents for an electronic faculty manual that was posted on the College intranet site. New Faculty Orientation Seminars were held twice in 2005-2006. Since then the orientation has been held once or twice a year, depending on need. As of December 7, 2012, 65 faculty members have participated in these sessions. Preparing Educators- Four TAMBCD programs prepare students for an academic career. The Education for Health Professionals program (EDHP),

started in spring 2013, offers both a certificate and a masters degree for health professionals seeking credentials in education. This is an interprofessional program sponsored by the College of Medicine. In 2012-2013, three dental hygiene students, seven dental students and three faculty members were enrolled.

The Master of Science in Dental Hygiene program, started in 1996, prepares dental hygienists for careers in teaching or administration. Fourteen students have graduated from the program, with four enrolled in 2012-2013. Of these graduates, nine have taught/are teaching in dental hygiene programs, and five are administrators of health care organizations in the Dallas area. This program has now been merged into the EDHP.

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The Dental Scholars is an alternative track within the predoctoral dental program that began in 2008. The program focuses on broadening the exposure of a small group of trainees with a strong interest in dental academics. Three or four students are selected each year, and they are provided additional experiences and instruction in teaching, mentoring, and research during their four years of dental school. Admission to the Dental Scholar program is based on research background, interests, career goals, and academic record. Each Dental Scholar is partnered with a TAMBCD faculty member in a preceptorship relationship, including mentoring, lab visits, and other enrichment activities. All Dental Scholars are required to complete a teaching skills course and a teaching internship. In the D4 year, each scholar undertakes a teaching internship in which he/she participates in the teaching of a course in the D2 year or in the dental hygiene integrated Biomedical Sciences I (3250) and II (3340) courses.

The Ph.D. in Biomedical Sciences program was instituted in 1993. The ultimate goal of the program is to train future leaders in dental research and education. The graduates have the ability to critically evaluate research problems, as well as to maintain the inquiring attitude necessary to pursue the advancement and innovation in research related to the practice and teaching of specialized oral health care. They take a specific course entitled 5225 Teaching Skills for Health Professions Educators to develop and enhance their ability to teach. Previous trainees (n=56 Ph.D.s) of the HSC-BCD program are in academic positions (40), continuing their training (9) or in private practice (7).

Salary increases- On May 1, 2013, TAMBCD provided equity salary increases to full-time faculty (70 percent effort or greater). Equity adjustments were awarded so that faculty who had been in their current rank 5-6 years would be compensated to at least the national American Dental Education Association (ADEA) median. After the adjustments, 63 percent of full-time faculty were above the national ADEA median.

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DEVELOPING EXEMPLARY SCIENTISTS

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Clinical Researchers- There are eleven faculty members with D.D.S./Ph.D. degrees, two with D.D.S./M.D., three with M.D./Ph.D., and one with a R.D.H./Ph.D. in ten of the eleven College departments that are teaching students.

Clinical Research Projects- The College has fifteen clinical research projects in nine of the ten dental departments. The administration has worked to reinvigorate the Center for Craniofacial Research and Diagnosis. Considerable funding was secured from the HSC administration to reestablish the Center as the focal point for clinical research at the TAMBCD. A search committee was formed, and the candidates for director were interviewed. College Support for Faculty Research- In 2012-2013, the College internally supported research with $2,174,400. In addition, the College returned $690,130 of salary savings from grant activity back to departments. Graduate Program in Biomedical Sciences- Academic Ph.D. and M.S. degrees in biomedical science are granted by the Texas A&M University Baylor College of Dentistry. The TAMBCD campus has a Graduate Program Director for Biomedical Sciences and an institution-wide Graduate Program in Biomedical Sciences Committee that oversee these graduate students. The program is also overseen by the Office of the Associate Dean for Research and Graduate Education. This program trains advanced students for positions in academic dentistry with an emphasis on modern dental and craniofacial research, including basic, translational and clinical areas of investigation. During the 2012-2013 academic year, 15 students participated, including six M.S. students and nine Ph.D. students. Three of the Ph.D. students were participating in a joint D.D.S./Ph.D. program National/Regional Meetings- One student presented at the American Dental Association meeting in New Orleans, Louisiana and six presented at the fall Hinman Dental Meeting in Memphis, Tennessee. NIDCR Training Program- A comprehensive training program was funded in July 2008 by a $1.6 million National Research Service Award Institutional Research Training (T32) Grant from the NIDCR. This four-year project, the largest T32 grant awarded in Texas A&M Health Science Center history, provides research training and career development for dentist-scientists. The program is named B-STARS and offers three tracks: a dual degree program (D.D.S./Ph.D.) for predoctoral students, a Ph.D. program for students holding a D.D.S. and a fellowship for postdoctoral students. Participants are mentored by faculty from TAMBCD, HSC-Institute of Bioscience and Technology, UT Southwestern and Rice University in Houston. The T32 program is currently in its sixth year and supports seven trainees. Pathway to Excellence Seminar Series- Since the program started in 2007, TAMBCD has hosted 45 speakers. In 2012-2013, eleven speakers were hosted. Faculty members established five, new collaborative relationships with these speakers. Presentations at AADR/IADR- TAMBCD students and faculty were highly visible at the 2013 American Association of Dental Research meeting in Seattle, March 20-23, 2013. Twenty-five students presented posters, and six gave oral presentations. There were also ten presentations by TAMBCD faculty and seven presentations given by postdoctoral fellows. Presentations at ADEA- TAMBCD faculty members were also visible at the annual meeting of the American Dental Education Association in Seattle, Washington, March 16-19, 2013. There were four seminars (by eight faculty members) and two posters (one by a student and one by two faculty members). Research Awards- At the 2013 American Association of Dental Research meeting in Seattle, March 20-23, D1 student John Bonds (mentored by Dr. Rena DSouza) was selected as a finalist in the prestigious Hatton competition. D1 student Jonathan Havener was awarded a Travel grant. TAMBCD also had two D2 students, Armin Aliefendic and Rachel Zimmerer, mentored by Dr. Ibtisam Al-Hashimi, that were awarded First Place in the Salivary Research Group Award.

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Student Summer Research Program- Student research has been a strength at TAMBCD since the 1970s. At that time, the Short-Term Training Program was implemented to encourage predoctoral students to conduct research, as was the Student Research Day, which provided a venue for presenting research findings. Over the years, support for student research has grown to include greatly increased funding, faculty mentoring and student travel to research conferences. The program is currently supported by TAMBCDs intramural research funds and the Baylor Oral Health Foundation. Dental students have the opportunity to work on a research project with a faculty member in the summer prior to entering the first year of the dental program or after their first year. In summer 2013, forty-three D2 dental students participated in the program. Additionally, a student from University of Pennsylvania School of Dentistry did a project with the College.

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CARING FOR THE NEEDS OF A DIVERSE COMMUNITY Center for Maxillofacial Prosthodontics- This is the only interdisciplinary center in North Texas that provides treatment for patients with both oral and facial disfigurements. This clinic specializes in restoring normal appearance and function to patients with acquired or congenital defects of the dental, oral and facial structures, as a result of disease, trauma, cancer treatment, or birth defects. This is accomplished by placement of implant-supported devices (artificial noses, ears, eyes, teeth) or other procedures. The life-like prostheses that replace the missing or disfigured anatomical structures play an important role in the rehabilitation of the physical and psychological well-being of patients. The Center team is composed of a prosthodontist, an implant fellow and a clinical anaplastologist. In 2013, the team treated a patient with a full face implant retained prosthesis. A video about this patient and his procedure can be viewed at this link http://bcd.tamhsc.edu/oral-surgery/cmp/anaplastology.html. Not only was this patients treatment extraordinary from a clinical and technological standpoint, but his journey and perseverance has been an inspiration to all the team members. Charity- The total amount of uncompensated care provided by all TAMBCD providers was $2,058,050. Faculty professional services provided $689,580 toward that total amount. Adult Cleft Lip & Palate Clinic- A needs assessment survey is being planned for fall 2013 to identify the dental needs of adult cleft lip and palate individuals in Texas and throughout the US. This information will be used to create a TAMBCD clinic in conjunction with Childrens Medical Center. Clinics- Within the various clinics at TAMBCD, 12,979 patients were seen last year in 103,598 visits. The total net income for patient care by students was $8,412,700 and $1,656,300 for faculty professional services. Community Clinics- The total net income for patient care generated in the various community clinics was $2,513,300. Community Service- TAMBCD provided community service for about 41,000 individuals last year. This included: treatment in various community clinics, hospitals, nursing homes and jails; oral health education at local schools; and oral screenings at health fairs. This number is smaller than in the past, because the students are providing more comprehensive dental treatment in the community and less education and screenings at health fairs. The average number of days that students rendered care at external clinics increased from nine to eleven. Two new clinics were added in 2012-2013, the Healing Hands and North Dallas Shared Ministries. Cultural Competency Training for Faculty- At the faculty mini-retreat on November 20, 2012, Drs. Lavern Holyfield and Barbara Miller provided a mandatory training workshop on cultural competency that was attended by 90 faculty members. At a second make-up presentation on December 14, 42 additional faculty members attended for a total of 132.

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Dental Students in the Community- Dental students spent ten to twelve days providing dental care in the community. In the D3 year, dental students are required to plan and conduct two educational presentations at such sites as elementary schools, community colleges, nursing homes and senior citizen centers. Last year, D3 students provided education to 7,558 people at 75 different events. In the D4 year, students are required to provide oral health screenings and/or treatment at two community sites. Last year, D4 students treated 18,175 people at 274 events, 2,070 patients at community dental clinics, 10,280 people at 34 health fairs, 1,035 students at two schools and 4,790 people in special projects. As part of Community Dentistry Externship (9080), D4 students rotate through the Juvenile Detention Center, Community Dental Cares Vickery Meadow dental clinic and the Dallas County Sealant Initiative. At the Juvenile Detention Center, students provide emergency and restorative care to children ages 5-18. At Vickery Meadow, students treat both adults and children. In the Sealant Initiative, they screen and place sealants on DISD elementary students at no charge. In the academic year 2012-2013, students treated 1,641 patients at the Juvenile Detention Center, 1,948 at the Southeast Dental, Vickery Meadow and other Community Dental Care clinics and 3,291 as part of the Dallas County Sealant Initiative. Dental Hygiene Students in the Community- As part of Public Health/Community Health (4530), second-year dental hygiene students educate the public on oral health through various outlets in the community including health fairs, elementary schools, PTA functions, Dallas Dental Hygienists Society events and TAMBCD Sealant Days. The students are required to make two school site visits and participate in at least three dental health-related community service activities. They also are asked to identify an at risk community, assess its needs and provide education as part of a final project for the course. This final project encourages the students to provide services in diverse areas such as nursing homes, teen pregnancy centers, juvenile detention centers and diabetes outpatient clinics. In the academic year 2012-2013, dental hygiene students provided oral health education outreach to approximately 1,600 individuals in the community setting. Dental Preceptor Experience- In this elective experience, dental students spend one or two weeks during the summer in the office of a dentist or a public health clinic in Texas, New Mexico, Colorado, Arkansas or Utah. Ninety-eight students in the D4 class selected a Community Preceptor Program course in summer 2013; 41 of these students did dual preceptor programs. Under the guidance of 110 preceptor dentists at 84 sites, students treated patients in various public health clinics including the Indian Health Service, the Public Health Services Community-Oriented Primary Care clinics and Federally Qualified Health Centers. They also observed treatment management in various group and solo practices.

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Geriatric Outreach Program- As a pilot study, 135 senior elders from three different settings in Dallas, Texas (retirement/assisted living facilities, senior centers and patients at TAMBCD) were screened and interviewed to assess their oral health status. The study identified and compared the oral health status among the various settings. The first Linda Niessen Geriatric Symposium, entitled New Treatment, Improved Outcomes, was held May 31, 2013 and attended by 104 participants. Expert researchers and clinicians specializing in the care of the elderly presented their vision for this growing segment of our population and the challenges and rewards for treating them in a contemporary dental practice. Irving ISD Supplies for Success- Irvings Annual Back to School event, sponsored by the Irving Independent School District, was held on August 17, 2013. Dental students, faculty and staff members provided flashlight exams, fluoride varnish and sealants to 63 K-6th grade children. Referral for further treatment was provided if needed. Each student received a toothbrush and toothpaste donated by Colgate. Kwanzaa Fest- Kwanzaa Fest was held December 10-11, 2012. This year the Department of Public Health Sciences helped to coordinate the event. Students and faculty members volunteered to provide quick flashlight exams, fluoride varnish and referrals for further treatment if needed for 780 K-6th grade children. Each student received a toothbrush and toothpaste donated by Colgate. Mayors Back to School Fair- The Mayors Back to School Fair was held August 2, 2013, at Fair Park in Dallas. The fair is free for Dallas school children from low-income families. By visiting four categories of service providers during the event, the children receive free school supplies. Fifty-two students, faculty, and staff volunteers from TAMBCD were involved in treating 1,062 K-6th-grade children. Clinicians provided quick flashlight exams, fluoride varnish and referrals for further treatment if needed. Spanish translators were available to convey to parents what was seen during the mini screenings. Each student received a toothbrush and toothpaste donated by Colgate. Former Dallas Mayor, Laura Miller, originally invited TAMBCD to participate, and the Colleges services have become an integral and valued part of the event under successive mayors. Other than immunizations, the TAMBCD booth is the only one that performs a service that immediately benefits the children. Mobile Dental Bus- The renovation of the mobile dental bus was completed in April 2013. As a pilot test, the bus was used to treat 47 students in the TAMBCD sealant program at a Dallas ISD elementary school. Quality Assurance- Clinical staff, faculty, resident and dental/dental hygiene students attended the Annual Quality Assurance/Risk Management meeting on June 4, 2013. Presentations included infection control, clinic reminders, informed consent, bloodborne exposures, clinical safety, quality assurance data review, security, safety issues, radiation safety, HIPAA, and the complaint/investigation process of the Texas State Board of Dental Examiners. The total number of attendees was 457. Stomatology Center- The Stomatology Center specializes in a team approach for the diagnosis and management of rare and severe diseases and disorders of the oral mucosal tissues that are difficult to diagnose and manage. It is internationally recognized as a unique referral site for patients seeking medical help for rare conditions and provides access to sophisticated diagnostics not normally available in dental offices. The conditions treated include: mucocutaneous disorders, oral

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hypersensitivity reactions, candidiasis, AIDS, burning mouth and tongues syndromes, and problems related to chemotherapy, radiation therapy and drug and alcohol use. The most common conditions seen are: lichen planus, xerostomia, candidiasis, aphthous ulcerations, Sjgrens Syndrome, pemphigoid, contact allergy and benign migratory glossitis. The Center also includes the Salivary Dysfunction clinic which specializes in the treatment of Sjogrens Syndrome. Since the inception of the Center inception in 1984, 8,148 patients have been treated. About 200-250 patients are seen each year, as well as sixteen to twenty recall patients each week. Tarrant County Back to School Roundup- The Tarrant County Back to School Roundup was held August 7, 2013. Dental students, faculty members and staff volunteers, in association with the Greater Ft. Worth Dental Hygienists Society, provided quick flashlight exams, fluoride varnish and referrals for further treatment if needed for 900 K-6th grade children. Spanish translators were available to convey to parents what was seen during the mini screenings. Oral Health America donated the fluoride varnish. Each child received a toothbrush and toothpaste donated by Colgate. Volunteerism- Students, faculty and staff at the TAMBCD volunteered their time to help meet the needs of the local community. Some of the fund raising activities included: Community Dental Cares Annual SMILE Walk, the Miles for Smiles runathon benefiting the TAMBCDs Social Services Dental Care Fund, the Student National Dental Associations Oral Cancer Walk and the Texas Association of Women Dentists participation in the Komen Dallas Race for the Cure. Below is a list of other volunteer activities. The Asian-American Student Dental Association provided a

free dental and oral cancer screening and sealant event and collected for the Austin Street Shelter.

Student National Dental Association sponsored a food drive for the East Dallas Food Pantry and participated in Give Kids a Smile.

The Hispanic Student Dental Association provided dental education to over 150 students at the Bishops Camp, provided a Hands-On Tooth Talk with the Future Dentist Club, participated in Give Kids a Smile day and participated in Bi-National Health Week at the Mexican Consulate.

The Texas Association of Women Dentists sponsored a coat drive for the Genesis Center.

The Christian Medical Dental Association participated in Operation Care.

The Muslim Student Dental Association participated in a health fair serving refugees from several war-torn countries.

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SEEKING INNOVATIONS IN SCIENCE, EDUCATION AND HEALTH CARE DELIVERY Advanced Technology Clinic- The Department of General Dentistry developed the Advanced Technology Clinic, an innovative clinic-within-a-clinic, that opened at the start of the 2007 fall semester. The purposes of this clinic are to provide fourth-year dental students with experience in a contemporary dental clinic setting prior to transitioning into private practice, expose them to advanced technologies they may encounter immediately upon graduation, and aid in the development of their own personal practice philosophy. All fourth-year students have multiple opportunities to utilize the clinic. The Baylor Oral Health Foundation provided a $250,000 grant in 2005 to create the clinic. Located within the third-floor main clinic, the Advanced Technology Clinic has five operatories equipped with the latest instruments and equipment. Recently, the clinic acquired an Isolite System for each of the five operatories. Each operatory features two monitors, an intraoral camera, digital radiography, an integrated electronic patient management system, electric handpieces, a state-of-the-art chair providing multiple access points to the patient, and patient education programs. Also available in the clinic are radiosurgery units, soft tissue lasers, an optical impression system for digital capture of preparations that provides an alternative method to traditional impression-taking, milling units that can create a CAD-CAM restoration within an hour, and a dental operating microscope to assist with dental treatment and restorations. To ensure that the Advanced Technology Clinic stays current with technology, the contributing companies upgrade or replace their equipment at least every 18 months. Biomarkers for Oral Cancer- Oral squamous cell carcinoma (OSCC) is a devastating form of cancer, with one of the lowest survival rates, mostly attributed to delay of diagnosis until an advanced stage. Thus, early detection, ideally using a noninvasive method, is of paramount importance. Towards this end, Dr. Lisa Cheng in Diagnostics Sciences and her team are evaluating potential biomarkers in the saliva for the early detection of OSCC. Many of the more than 100 potential salivary biomarkers identified to date are also involved in other inflammatory conditions of the oral cavity, e.g., trauma, dental plaque, periodontitis, or other, non-malignant diseases. A useful biomarker must therefore be specific for OSCC and not confounded by these other inflammatory conditions. The team is currently looking at differential expression of candidate biomarkers in populations with OSCC, chronic periodontitis and active and inactive oral lichen planus. They have identified a few reliable candidate salivary-biomarkers from their previous NIH-funded grant and submitted proposals for further, large-scale investigations of these promising biomarkers. A successful outcome of their research has the potential to reduce suffering, save lives, reduce medical costs, and perhaps point the way to further research procedures to establish reliability of salivary biomarkers for other cancers. Future Treatment for Missing Teeth- Researchers in the Department of Biomedical Sciences are studying the genetic basis of inborn missing teeth (called tooth agenesis or hypodontia) for an NIH-supported project. Through studying the genetic make-up of individuals and families with hypodontia, they hope to identify all the genes that cause this condition. So far six different tooth agenesis genes (Wnt10a, PAX9, MSX1, AXIN2, EDA & EDAR) are known and have been analyzed. TAMBCD results show that these six genes together cause about 40-60% of all tooth agenesis. TAMBCD and other groups are busy trying to find the other agenesis genes. TAMBCD researchers are examining more than twenty tooth development genes for differences between people with missing teeth compared to people without missing teeth.

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Identifying the causative genes could point the way for treatment of hypodontia and the bioengineering of dental tissues. For example, the treatment of EDA-deficient dogs and mice with recombinant EDA protein injections at an early age can prevent tooth agenesis and other symptoms in these animals. Recombinant EDA protein for treatment of humans with ectodermal dysplasia or EDA-caused hypodontia is now under development. It is possible that a few simple postnatal injections might be sufficient to prevent the absence of any permanent teeth. Grant Support- In 2012-2013, there were 25 continuation awards, 60 new grants submitted and nine new grants funded for a 15% funding rate, which is higher than the average for NIH. The total research expenditures for the year were $3,446,087 (direct and indirect funds), and this does not include the $779,727 for the HRSA Centers of Excellence grant. These grants are from the following sources: National Institutes of Health, Health Resources and Services Administration, National Science Foundation, Weizmann Institute, the Cancer Prevention Research Institute of Texas, the National Natural Science Foundation of China and various other foundations and agencies. Office of Technology Development- The goal of the Office of Technology Development is to increase the development of intellectual properties within the College and increase the amount of sponsored research done with industry. This program is in line with the Texas A&M University System Board of Regents adding patent application and research commercialization to the criteria for tenure. For 2012-14, the College has a research project with Primus Consulting of Florida that has been funded by NIHs small business innovation research (SBIR) program for $214,000. The purpose of this grant is to test the biocompatibility of a product for various endodontic procedures. Practice-Based Research Network- The department of orthodontics has completed its first study using a Practice Based Research Network (PBRN). This is a mechanism in which a consortium of private practitioners collect data in a standardized fashion, and it is collated and analyzed by an academic research center. This approach has been championed by the National Institutes of Health / National Institute of Dental and Craniofacial Research as a mechanism for conducting oral health research with high external validity, that is, it mirrors the way most dental care is provided in the United States, in private practice. As part of his orthodontics masters degree research, Dr. Matthew Brown, under the supervision of Drs. Peter Buschang and Phil Campbell, created the orthodontic alumni PBRN of TAMBCD orthodontic alumni from 116 practices to investigate white spot lesions related to orthodontic therapy. Dr. Brown firmly identified an interest and commitment to participating in such a PBRN (47 percent) and was able to answer specific questions about how white spot lesions are managed within this network of orthodontists. Dr. John Feusier has recently initiated another study using the orthodontic alumni PBRN, prospectively evaluating the effects that orthodontic treatment has on the patients quality of life. A total of 55 orthodontists are currently participating, and the goal is to enroll over 600 patients.

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Randomized Controlled Trials- Dr. Buschangs team has led the way in the initiation of a number of high-quality randomized clinical trials (RCTs). RCTs are widely regarded as the gold standard for finding definitive answers regarding whether new therapies work or not, or whether they are superior to other therapies. Using RCTs, Drs. Patricia Parks and Lauren Rennick, orthodontic residents, recently demonstrated that a new oral medicament (2DeNT powder) is an effective treatment for aphthous and traumatic oral ulcers. Dr. Brad Buchwald completed a RCT showing that external applied low level laser therapy was not effective in reducing the pain associated with orthodontic separator placement. In another recently completed RCT, Dr. Kim Fretty showed that Nupro 1.23% APF fluoride gel is not effective for reducing the white spot lesions that often develop during orthodontic therapy. Currently, there are two ongoing RCTs being conducted by the orthodontic department. One is comparing Invisalign to conventional orthodontic therapy; the other is comparing molar distalization to Herbst functional appliance therapy. Sim Man in Oral Surgery- Sim Man, a full-size, lifelike simulator is used in the teaching program in Oral and Maxillofacial Surgery. High-fidelity simulations allow students to develop a process of decision making in real time scenarios over a wide variety of clinical conditions. Sim Man is used for very realistic instruction of dental and dental hygiene students in the Medical Emergencies courses, 8500 and 4110. Graduate oral surgery residents use the Sim Man operatory for anesthesia-related emergency simulation exercises. The Baylor Oral Health Foundation purchased the $50,000 manikin, and facilities services personnel created a true-to-life operatory setup.

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SERVING AS LEADERS IN HEALTH PROFESSIONS EDUCATION AAPD Leadership Institute- Dr. Caroline Kerins successfully completed the 3-year training program of the American Academy of Pediatric Dentistrys Leadership Institute at the Northwestern University Kellogg School of Management. ADEA Leadership Institute- Each year fifteen to twenty dental or dental hygiene faculty members are chosen to become fellows of the Leadership Institute of the American Dental Education Association. The ADEA Leadership Institute is a year-long program designed to develop the nations most promising individuals at dental institutions to become future leaders in dental and higher education. During this program, fellows experience an intensive assessment of their leadership potential, enhance their leadership skills and conduct a group project with national scope. TAMBCD has sent eight fellows to the Leadership Institute since 2002: Drs. Ann McCann, Gary Coleman, Robert Cederberg, Miles Beach, Steve Griffin, Ernestine Lacy, Lavern Holyfield, and Robert Spears. ADEA Gies Award- Dr. Ernestine Lacy won the GIES award for Outstanding Achievement for a Dental Educator during the 2013 Annual Session of the American Dental Education Association in Seattle. Leadership Positions- Dr. Rena DSouza served as President of the American Association of Dental Research, and Dr. Gerald Glickman served as President of the American Dental Education Association. This is the first time that this College has had the current Presidents of both organizations at the same time. Other faculty holding leadership positions included: Dr. Thomas Crump, President-Elect of the Southwest Society of Periodontists Dr. Paul Dechow, President of the Texas Association of Biological Anthropologists Dr. Danette McNew, President of the Dallas County Dental Society Dr. Alton McWhorter, Executive Director of the Paul P Taylor Association of Pediatric Dentists Dr. Lynne Opperman, President of the American Association of Anatomists Dr. Jeffrey Rossman, Director of the American Board of Periodontology Dr. Suzie Seale, Editor-in-Chief of Pediatric Dentistry Leadership Roles- A survey of TAMBCD faculty members confirmed that they were leading their professions during the 2012-2013 academic year (84 responses). Faculty members were actively contributing to the knowledge bases of dentistry/dental hygiene and providing future direction for dental education, research and professional service.

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Committee/Council Members of Professional Organizations- At least 39 faculty members served on the committees and councils of professional organizations.

Consultants to the Commission on Dental Accreditation- At least ten faculty members performed work for the Commission on Dental Accreditation. All ten served as site visitors to dental schools, evaluating whether or not the programs met accreditation standards. Two also served on peer review committees and one on the Commission.

Editors and Reviewers of Journals- At least 47 faculty members served either as editors or reviewers of professional journals. The average number of journals on which they served was three, with a range of one to twenty.

Grant Reviewers- At least six faculty members served as grant reviewers for the National Institutes of Health (3) or other agencies (3).

National Board Test Construction- At least two faculty members served on the National Board Dental Examination Test Construction Committee.

Officers of Professional Organizations- At least 26 faculty members served as officers of professional organizations at the local, state or national levels.

Specialty Board Certification Examinations- At least seven faculty members served as examiners on specialty board certification examinations.

Using Assessment for Institutional Effectiveness & Improvement- TAMBCD has established itself as a leader in institutional effectiveness, a process of improving an organization based on evidence collected through assessment. Planning and assessment occurs on two levels at the college, at the institutional level with annual progress reports for each strategic plan initiative, and at the departmental-office level with annual assessment reports. These detailed reports are found in the Appendix. The following section highlights some ways that assessment was used at the College last year. Cultural Climate- In the Cultural Climate Survey conducted in December 2012/January 2013, the majority of the dental and dental hygiene students reported

that TAMBCD provides an environment for free and open expression of ideas, opinions and beliefs (75 percent) and they feel as though they belong at the dental school (91 percent) They also reported that they:

o were treated fairly (91 percent).

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o were comfortable interacting with other cultures (89 percent). o experienced very little racial tension (88 percent). o did not have difficulty getting the support they needed (74 percent).

Educational Research Needs Assessment- In an effort to improve teaching and learning at TAMBCD, a faculty taskforce is preparing a survey to assess

faculty needs for conducting educational research. They defined educational research as investigations that seek to answer questions about teaching, learning and curriculum effectiveness and use evidence to improve them." This assessment should identify ways to facilitate/increase educational research efforts at the College.

Student Satisfaction- All dental and dental hygiene students

annually complete the Student Satisfaction Survey to assess their satisfaction with how they were treated by personnel in the various departments/offices at the college. In May 2013, the dental and dental hygiene students were satisfied or very satisfied with 97 percent of the College departments/offices. Their level of dissatisfaction was very low, with 94 percent of the departments/offices having less than five percent of the students dissatisfied with them.

Another measure of student satisfaction is derived from the dental and dental hygiene graduation surveys administered to graduating students in May 2013. Ninety-three percent of the graduating dental students and 100 percent of the dental hygiene students were satisfied or very satisfied with their education at TAMBCD.

US News and World Report- The TAMBCD Biomedical Sciences graduate program was ranked 106 by the US News and World Report. This is up from 115 last year. Over 270 biological programs in the U.S. were included in this ranking, and many institutions in the surrounding area ranked lower. For a very small department, this is an impressive ranking. Merger with A&M- The merger of the Texas A&M Health Science Center with the Texas A&M University was complete as of July 2013 with the final approval from the Southern Association of Colleges and Schools. This merger will increase the opportunity for educational and research collaborations across the University.

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DEPARTMENT/OFFICE ACCOMPLISHMENTS

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DEPARTMENT/OFFICE ACCOMPLISHMENTS This section describes significant accomplishments by TAMBCD departments and offices.

ACADEMIC AFFAIRS

APT Decisions- During the 2012-2013 academic year, the TAMBCD Appointment, Promotion and Tenure (APT) Committee made eighteen decisions about faculty members. Seven decisions were for promotion and tenure, nine for post-tenure review and two for appointments. This office initiated the APT process, prepared the faculty dossiers and facilitated the reviews by external evaluators, department review committees, department chairs and College and HSC APT Committees.

Curriculum Committee- The Curriculum Committee and its subcommittees initiated plans for upcoming reviews in the biomedical sciences, preclinical and clinical aspects of the dental curriculum by creating four subcommittees. Review of the competency document was completed and its adoption was approved by the Administrative Council. A number of curriculum issues were reviewed and processed via numerous Curriculum Action Forms (CAFs). The following CAFs were reviewed and approved: 9040 Advanced Technologies In General Dentistry Added lab experiences covering CadCam systems, radiosurgery, and the dental operating microscope. 6090 General Pathology Moved to the D1 spring semester. 6740 Immunology Made as a separate one hour course in the D1 fall semester. 7090 Microbiology Stand-alone course now offered in the newly created D2 summer semester. 7410 National Board Review Course Converted the previous Integrative Sciences course into a NBDE Part I review course in the newly created D2 summer

semester. 9220 Enteral Sedation New course in the D4 spring so students do not have to take it after graduation. S053 Secrets of Practice Success D4 selective to discuss aspects of doctor/patient and doctor/staff communication. S015 Interdisciplinary Collaboration Opportunity for D3 and D4 students to become more proficient at evaluating and integrating emerging trends in clinical care

and identifying factors that differentiate one case from another.

The items below are other curriculum management activities conducted by the Curriculum Committee: The revision of the Competency Document was completed and adopted. Four task forces were created for examination of the curriculum. The NBDE Task Force was created to address failures rates on Part I and II. A Preclinical

Curriculum Review Task Force, Clinical Curriculum Review Task Force, and Basic Science Curriculum Task Force were also created. Curriculum Committee potential student projects were created to get the student representatives more involved. The amount of lab work performed by D3 and D4 students was reduced.

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axiUm use was altered to include accessibility off campus. All grades are now posted on Blackboard. A new D2 didactic Summer Session was created. Seating Charts and Multiple Versions of Exams were made available for use in all courses, and course directors were encouraged to use them. Electronic portfolios were introduced into the D1 Curriculum. More external community clinic usage was implemented. Media Resources Classroom Technology- The Simulation Lab was upgraded in August 2013. The upgrades included the transition of the integrated AV system to an all high

definition environment. Virtual Desktops were added to each station, giving students access to axiUm and the internet. axiUm is the patient management system the students use when they start their clinical training. Demand for lecture capture remains strong and steady. Approximately 914 hours of lectures were processed and delivered through Camtasia and Blackboard.

Print Shop- The print shop had a successful year creating 57 custom course manuals and other materials to support lectures and labs. Yearbook- Buzzzzzzzz was the theme for the 2013 BCD Burr. There were 120 pages of exciting and emotional memories from the 2012 2013 school year. Video- Most videos are now delivered online to faculty, staff and students. Publicly viewable videos are available at http://vimeo.com/user2335290. Dr. Robert V.

Walkers A Perspective on the Kennedys Death has been a popular pick. Commencement services were webcast live again from the Morton H. Meyerson Symphony Center on May 24, 2013.

Posters and Table Clinics- Faculty and students created 105 research posters and table clinics with the assistance of Media Resources personnel. Photography- Steven Doll provided photography services for all college events. His work is seen on the TAMBCD and HSC web pages, in newsletters and in

the yearbook.

Planning & Assessment Committee- The Planning & Assessment Committee conducted the last review of the 2005-2012 strategic plan. This report is available on the intranet site at: http://exchange.bcd.tamhsc.edu/intranet/Documents/ReviewOfThe2011_2012AnnualReports.pdf. The committee also wrote a summary of the outcomes of this strategic plan which can be viewed at http://exchange.bcd.tamhsc.edu/intranet/Documents/Closeout_Report_for_2005_2012.pdf. The committee, in conjunction with the Office of Academic Affairs, administered the following surveys: Fall 2012 and Spring 2013 course evaluations (for dental hygiene, predoctoral and graduate) 2012 Cultural Climate Survey (report available at:

http://exchange.bcd.tamhsc.edu/intranet/Departments/AcademicAffairs/Surveys/TAMBCD_Cultural_Climate_Survey_Results_graphs.pdf) 2013 Dental Hygiene Graduation Survey

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2013 Dental Student Graduation Survey (report available at: http://exchange.bcd.tamhsc.edu/intranet/Departments/AcademicAffairs/Surveys/DentGradSurvey/GradSurvey2013.pdf )

2013 Faculty EBD Survey 2013 Faculty Leadership Survey 2013 Student Quality Survey SACS- The HSCs Quality Enhancement Project (QEP) entitled Critically Appraise Relevant Evidence (CARE) was approved by the Southern Association of Colleges and Schools (SACS) in December 2012. With the merger of the Texas A&M HSC and Texas A&M University in July 2013, the two Quality Enhancement Plan projects (QEP) also merged. The HSCs QEP, focused on critical thinking and evidence-based practice (EBP), is now a part of A&Ms QEP for Lifelong Learning. TAMBCDs CARE committee was led by the Director of Planning and Assessment. EBP has now been fully integrated into the dental curriculum. There are year-long courses in D1 and D2. In D3 and D4, EBP activities are embedded into clinical courses and taught by clinical faculty.

2013-2018 Strategic Plan- From September to December 2012, the subcommittee members of the Strategic Planning Task Force created implementation plans for each objective (initiative) in the plan. In January 2013, the new strategic plan was reviewed by the faculty at the Annual Retreat. In February 2013, the 2013-2018 Strategic Plan was approved by the Administrative Council. Hard copies were distributed to all departments/offices, and it was also posted on the Intranet at http://exchange.bcd.tamhsc.edu/intranet/Documents/Strategicplan.htm.

ADVANCEMENT, COMMUNICATIONS & ALUMNI AFFAIRS Alumni Relations- A $50,000 scholarship from Dr. Don Le (dental class of 1998) came in as a result of a regional alumni event in Houston, Texas. Also, an Annual Dental Hygiene Luncheon was created to increase dental hygiene alumnus engagement. Marketing/Media Relations- Dental Health Check launched in an hour-long, online interactive format on July 29, 2013. Hosted by Dr. Linda Niessen, Dr. Jon Wright presented HPV and Oral Cancer. Web Communications- The number of website page views increased by 177.26% from 2012 to 2013. Publications/Communications- The launch of TAMBCDs NewsStand website brought fresh, accessible and frequent news in a highly engaging format.

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BIOMEDICAL SCIENCES Bioengineering Program- The bioengineering program is growing as faculty have obtained additional grant funding. Grants- Thirty-two grants were submitted. New funded awards included R01s and R03s from the National Institutes of Health. Publications- Fifty-nine papers and sixty-eight abstracts were published. Teaching- Department faculty delivered over 1,000 hours of lecture and over 675 hours of laboratories.

CLINICAL AFFAIRS Moves- The Office of Clinical Affairs worked diligently to refine and support the first year of transition for predoctoral Periodontics to the 3rd floor clinic and the return of Dental Hygiene to the 1st floor Caruth Clinic, including facility enhancement and staff support. New Clinic Computers- The office completed the installation of VM Ware chairside computers at the clinic operatories (virtual thin clients). New Nurse- A new college health nurse was hired. Online Training- College wide HIPAA training was conducted online. Online Badge Request- An ID badge request process was created. Simulation Lab- The office participated in an upgrade of the Simulation Lab to include high definition presentation media and computers at each student bench for advanced preclinical simulation experience.

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CONTINUING EDUCATION Inter-Professional Programs- Inter-professional programs were offered that brought various disciplines together to problem solve. Dental Auxiliary Courses- The office offered three auxiliary programs. Partnership- The office partnered with College departments internally to develop additional courses.

DENTAL HYGIENE

EDHP- Dental hygiene graduate students enrolled in the new online Masters program, Education for Health Professionals. Curriculum Review- Alumni and employer surveys were developed and administered for program improvement. With those results, the Dental Hygiene Competency Document was revised ahead of schedule and was in place for 2013-2014 year and the planned 2014 curriculum review. Licensing Exams- All students passed both the WREB and National Board examinations taken in spring 2013.

DIAGNOSTIC SCIENCES Clinic Renovation- The renovations to the department clinics, labs, reception areas and faculty offices have resulted in improved clinic efficiency, utilization, clinic income and educational benefit to the students. We have also added new microscopic equipment and a high definition monitor for our graduate program. Community Service- The College provides a vitally important service to alumni and the practicing community through the biopsy service and Imaging Center. External Teaching- Faculty in Diagnostic Sciences participated in 60 invited lectures and continuing education programs. Student Satisfaction- Oral & Maxillofacial Pathology, Oral Radiology and Oral Diagnosis were ranked by the dental students as the first, second and fifth best academic units in the College (in terms of satisfaction with how they were treated).

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ENDODONTICS National Board Examination- Dental students performed above the national average on the National Board Examination Part II in endodontics. Board Certification- All endodontic residents passed Part I, the written examination, of the American Board of Endodontics. Presentation- Dr. Gerald Glickman was invited to present on the future of endodontic education at the Annual Meeting of the American Association of Endodontics.

GENERAL DENTISTRY Didactic Courses- The Diagnosis and Treatment Planning Seminar (9030) was expanded six weeks into the fall semester. Approval was received for a new didactic course (9040 Advanced Technologies in General Dentistry) for the D4 students, and it was implemented in the summer session of 2013. Implants- Advanced Education in General Dentistry (AEGD) with Graduate Prosthodontics has developed an implant surgery clinic and course within the AEGD clinic/program. The implant instructor is at TAMBCD two days a week for didactic and clinical teaching of implant surgery. WREB- The class of 2013 had a 99% passing rate for the Patient Assessment and Treatment Planning (PATP) and Operative sections of the Western Regional Board Examination.

LIBRARY Collection- The History of Dentistry Collection is now on permanent display. Hours- Library hours have increased by 10 percent. Renovation- The Library renovation was completed. Upgrades included: New HVAC system, fourteen new TAMU BCD computers, Zeta scanner, strong Wi-Fi throughout, outlets in every table, comfortable lounge seating, study carrels, new overhead lighting and rotating local art exhibitions.

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ORTHODONTICS Continuing Education- Faculty members taught the following continuing education courses: Evidence Based Dentistry in Orlando, Florida and Medellin, Columbia; Back to Basics at TAMBCD; the Alexander Symposium; Willliam H. Bell Lectureship; Dutch Association of Orthodontists; American Academy of Restorative Dentists; Northwest Angle Society; Alton W. Moore Lectureship; and the Invisalign Orthodontic Summit Grant Projects- The department has National Institutes of Health /National Institute of Dental and Craniofacial Research grants on Invisalign ($23,776) and on temporomandibular joint disorders, entitled an Implementation and Biobehavioral Study of TMJ/TMD (subcontract- $278,557).

Mentors- Eighteen of our alumni serve as mentors to orthodontic residents. Publications-The department had the following publications in national and international journals: one book, thirteen peer-reviewed publications and six abstracts in the Journal of Dental Research. Residents- All residents successfully completed the clinical, didactic and research advanced education requirements. All six members of the Class of 2012 are fully American Board of Orthodontics (ABO) Certified and will not need to re-certify for ten years. At least three members of the Class of 2013 are scheduled to take the clinical ABO exam in November, and we anticipate that the others will do so within the year using cases treated at TAMBCD. Resident Awards- Two members of the Class of 2012 presented their award winning research at the 2013 American Association of Orthodontics Annual Session. Collin Kraus won the Sicher Award, and Cecilia Cuairan won the Graber Award. The BOO Award (Baylor Orthodontic Oscar) was presented to a member of the Class of 2013 (Dr. Bryan Hsu) as well as the supervising faculty member (Dr. Maryam Mojdehi Barnes). This coveted award is

presented by external examiners for the best treated case for the year and stimulates enthusiasm and competition for excellence. Student Research Projects- One Masters thesis evaluated the interest of previous graduates to participate in a Practice Based Research Network (PBRN) and experienced significant success opening this avenue for viable future investigations. Two other Masters theses utilized a medication (gifted by a member of the faculty) to demonstrate its effectiveness in treating recurrent aphthous ulcers as well as traumatic ulcers related to orthodontic appliances. Royalties from this medicament could potentially generate much needed research funds for the department.

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PEDIATRIC DENTISTRY Cleft Lip/Cleft Palate and Other Craniofacial Disorders- The pediatric dentistry department was able to secure $150,000 in funding for dental implants and restorative costs involved in treating patients with cleft lip/cleft palate and other craniofacial disorders. This is in collaboration with Childrens Medical Center (CMC) and University of Texas Southwestern Medical Center. The department involvement with the CMC craniofacial team was increased one-half day per week. Now each resident participates in two half-days in the baby clinic learning to make nasoalveolar molding (NAM) appliances during their cleft lip/cleft palate rotation. Marketing- The department began a marketing campaign and lowered the fees for the predoctoral dental clinic to bring more patients into the College. Translation- The department hired bilingual receptionists, and patient paperwork has been translated into Spanish.

PERIODONTICS Clinic Revenues- Clinical revenues in the graduate clinic have exceeded the goal for FY 2013. More patient care was provided without an increase in the number of supervising faculty (paid) or residents in the department. Additional volunteer faculty have met the increased demand for supervision (currently three in post-graduate clinic). More Consultations- The predoctoral clinic has completed significantly more periodontal consultations since moving to the third floor clinic in 2012. The department has managed faculty supervision of this increased demand through volunteer faculty (currently three in predoctoral clinic) without an increase in budget. Scholarship- The faculty has remained active with scholarly activity, giving seventeen presentations at national or international conferences and having 22 publications during this academic year for nine full-time faculty members. Board Certification- Two recent graduates and one part-time faculty member have obtained Board certification by the American Board of Periodontology in 2013.

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PUBLIC HEALTH SCIENCES

Back-to-School Fairs- The department staffed Back-to-School Fairs in Dallas, Fort Worth, Cedar Hill, Irving, Lancaster and Richardson. Health Fairs- The department staffed health fairs in Richardson, Carrollton and Irving as well as two health fairs with University of Texas Southwestern medical students. Exodus Project- The Exodus Project helps women parolees transition back into normal life. The department participated in three of these events where dental care was provided to the women. Operation Lone Star- The Department of Public Health Sciences, in collaboration with the Texas National Guard, participated in this federally sponsored event with 20 dental and dental hygiene students and two faculty. They treated patients for five days in Hidalgo County. Preceptorships- Dental students participated in 139 Preceptorship placements in 62 private offices and 22 public health clinic sites. Public Health Clinics- Dental students treated patients in 207 visits at seven public health dental clinics through the Social Services office.

RECRUITMENT & ADMISSIONS Quality & Diversity- The 2012 entering class with 104 new students had 32 individuals (approximately 1/3 of the class) who performed at or above a 3.7 grade point average (GPA) at the end of the Fall Semester (17 students earned 4.0 GPA). Twelve of these students are from minority groups, with seven of the twelve from the underrepresented minority (URM) groups. At the end of the 2013 Spring Semester, 29 of the D1 students had earned at or above a 3.7 Cumulative GPA. Eleven of these high-performing students are from the minority groups, with six of the eleven from URM groups.

RESEARCH & GRADUATE STUDIES Facilitating Clinical Research- The College has updated its clinical axiUm patient management system so that it can now be used for clinical research studies as part of the national Consortium for Oral Health Related Informatics. Online Research Compliance- All research compliance procedures (Animal Care and Use Committee, Environmental Health and Safety, Institutional Biosafety Committee and Institutional Review Board) have been moved to the on-line TAMU Integrated Research Information System (iRIS). Masters and Ph.D. Programs All forms, theses and dissertations are now being submitted on-line through the TAMU Office of Graduate and Professional Services. The Ph.D. program that was under the oversight of the HSC School of Graduate Studies is being moved under the direct administration of TAMBCD.

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RESTORATIVE SCIENCES

Clinic Revenue- The clinical disciplines of Removable Prosthodontics, Fixed Prosthodontics, Operative Dentistry and Graduate Prosthodontics all exceeded their projected revenue goals for 2012/2013. Fixed Prosthodontic Course- In response to student course evaluations and in keeping with current curriculum reform efforts, Dr. Millers D2 Fixed Prosthodontics-C (7044) course has undergone some major modifications. Laboratory procedures such as casting and soldering along with other exercises related to producing gold work have been replaced by clinical simulations emphasizing posterior all-ceramic and metal-ceramic preparations, multiple all-ceramic anterior crown preparations and multiple bonded ceramic veneer preparations. Preclinical experiences with tissue level implants have been broadened to include bone-level implants. Soft tissue management exercises that simulate cord packing for impression making have also been added. New critical thinking exercises have been created which allow students to remove simulated caries from typodont teeth, determine an appropriate treatment plan and then self-assess in a debriefing session with an instructor.

Implant Program- The undergraduate Implant program has made significant progress during 2013. With the Deans consent, all implant teaching and clinical supervision became the responsibility of the Implant Clinic faculty. A new director, Dr. Kontogiorgos, was appointed as Director of Implant Dentistry. The number of Implant faculty was increased to five and includes three full time and two part-time prosthodontists. The Implant clinic is open continuously and faculty are available throughout the morning and afternoon third floor restorative clinic sessions. All students experience some phase of implant treatment and many are able to follow a case from the treatment planning stage to final restoration. Some students are restoring multiple implants on a single patient. During the period of 9-1-2012 to 8-31-2013, 119 students restored at least one implant. The total production revenue for the implant clinic was $176,063. Plans are being finalized to incorporate the Astra Tech Implant system into the undergraduate program. New CODA guidelines requiring that implant procedures be considered a competency are being addressed by establishing a

protocol that will insure all students treat at least one implant case during their two year clinical experience and demonstrate measurable competency in their knowledge about clinical implant procedures.

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STUDENT AFFAIRS

International Students- The College hosted the first international students from Tecnolgico De Monterrey dental school in Monterrey, Mexico.

New Student Groups- The office assisted in the initiation of two new student groups, the Student Chapter of the American Dental Education Association and the Student Chapter of Student Professionalism and Ethics Association in Dentistry.

Scholarships- The office initiated the Delta Student Leadership Scholarship and reorganized five fund accounts to add $54,000 for new scholarship offerings

Wellness- The office negotiated a new YMCA Fitness Center agreement for students.

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FACULTY, STAFF AND STUDENT ACCOMPLISHMENTS

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FACULTY, STAFF AND STUDENT ACCOMPLISHMENTS

American Academy of Fixed Prosthodontics: Dr. William Nagy, director of the graduate prosthodontic program, received the 2013 Garver Staffanou

Prosthodontic Program Directors Award for Excellence.

American Academy of Implant Dentistry: Dylan Patrick, then a second-year dental student, received a $2,500 award for his research on the stimulator