The Necessity for Major The Necessity for Major Reform in Dental Reform in Dental

EducationEducationA Planning ConferenceA Planning Conference

August 29-30, August 29-30, 20042004

Innovative Partnerships Innovative Partnerships for Dental Educationfor Dental Education

Howard M. Landesman, DDS, MEdHoward M. Landesman, DDS, MEdDeanDean

University of Colorado School of University of Colorado School of DentistryDentistry

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

REFERENCEREFERENCESS

Dental Dental Education at Education at

the Crossroads: the Crossroads: Challenges and Challenges and

ChangeChange

National National Institute of Institute of Medicine Medicine

Washington, DC Washington, DC National National

Academy Press, Academy Press, 1995.1995.

Oral Oral Health in Health in America: A America: A Report of Report of the the Surgeon Surgeon GeneralGeneral

May, 2000. May, 2000.

Future of Future of DentistryDentistry

American American Dental Dental

AssociationAssociation

Health Health Policy Policy

Resources Resources Center, 2001Center, 2001

Improving the Oral Improving the Oral Health Status of Health Status of All Americans: All Americans:

Roles and Roles and Responsibilities of Responsibilities of Academic Dental Academic Dental

InstitutionsInstitutions

The Report of the The Report of the ADEA President’s ADEA President’s

Commission, Commission,

March, 2003March, 2003Haden, K., et. Haden, K., et. al.al.

The Contrarian’sThe Contrarian’sGuide to Guide to

LeadershipLeadership

bybySteven B. SampleSteven B. Sample

You Can You Can NegotiatNegotiat

e e AnythingAnything

bybyHerb Herb

CohenCohen

From From Good Good

to Greatto Great

bybyJim CollinsJim Collins

Leading Leading ChangeChange

John P. John P. KotterKotter

Inspiration Inspiration or Desperation:or Desperation:

CompaniesCompaniesChange WhenChange WhenPeople CarePeople Care

bybyCherry McPhersonCherry McPherson

K. Joseph WittemannK. Joseph Wittemann

The World is The World is ChangingChanging

A Fear of ChangeA Fear of Change

““Loving Loving Change is a Change is a Pre-requisite Pre-requisite for Survival”for Survival”

The time is The time is ripe for dental ripe for dental educators as educators as well as the well as the

profession to profession to think out ofthink out of

the box! the box!

““To preserve and To preserve and strengthen their strengthen their

position within the position within the university, dental university, dental

schools must schools must ensure that their ensure that their contributions are contributions are

genuine and visible genuine and visible to their parent to their parent institutions.”institutions.”

Colleges in CrisisColleges in CrisisThere is a There is a crisis in crisis in dental dental

education education that that

threatens to threatens to destabilize destabilize

the the underpinningunderpinning

s of the s of the entire dental entire dental profession. profession.

Business Week-Business Week-OnlineOnline

April 28, 2003April 28, 2003

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

““College costs are rising College costs are rising faster than any other faster than any other major sector of the major sector of the economy except health economy except health care.”care.”

Patrick Collan, Patrick Collan, PresidentPresident

National Center forNational Center for Public Policy andPublic Policy and Higher EducationHigher Education

““In the absence of In the absence of extraordinary extraordinary

financial initiatives financial initiatives by states or the by states or the

federal federal government, or a government, or a

massive massive outpouring of outpouring of

private donations private donations from industry and from industry and dentists there will dentists there will

be a continual be a continual increase in the cost increase in the cost

of education and of education and student debt”student debt”

Last year, most dental Last year, most dental schools were forced to schools were forced to make drastic budget make drastic budget cuts. Dental schools cuts. Dental schools throughout the nation throughout the nation had their state budgets had their state budgets reduced by as much as reduced by as much as 30%. T30%. Tuitionuition increases increases were the norm, with were the norm, with one state institution one state institution reporting an increase reporting an increase of 50%.of 50%.

““Universities have to recognize Universities have to recognize that public funding for higher that public funding for higher education as the dominant education as the dominant source of support has come to source of support has come to the end of it’s cycle. Public the end of it’s cycle. Public universities will have to look at universities will have to look at fund-raising, entrepreneurial fund-raising, entrepreneurial ventures, partnership ventures, partnership agreements, and tuition fees to agreements, and tuition fees to find the money for their find the money for their operating costs.”operating costs.”

C. D. Mote,C. D. Mote,PresidentPresident

University of MarylandUniversity of MarylandJuly 4, 2004July 4, 2004

Links Between Links Between Education, Business Education, Business

and Governmentand Governmentare Commonare Common

Also, Also, alliancesalliances between business or between business or

government and government and institutions of institutions of

higher education higher education are not uncommonare not uncommon

Those enrolled in the Those enrolled in the CVS Pharmacy’s CVS Pharmacy’s scholarship program can scholarship program can receive monies to assist receive monies to assist with their education in with their education in exchange for working for exchange for working for CVS CVS

full-time as a full-time as a registered registered pharmacistpharmacist

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

In dentistry, the In dentistry, the National Health Service National Health Service Corps, the Indian Corps, the Indian Health Service and the Health Service and the U.S. Armed Forces are U.S. Armed Forces are examples of examples of partnerships between partnerships between education and education and government in which government in which students receive students receive scholarships & stipends scholarships & stipends in exchange for a in exchange for a post-graduation post-graduation practice commitmentpractice commitment

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

““Success will require Success will require collaboration, a will to collaboration, a will to break down barriers of break down barriers of isolation and pooling of isolation and pooling of

resources for a resources for a common good. Such common good. Such coalitions must cross coalitions must cross

all boundaries and all boundaries and involve groups both involve groups both

inside and outside the inside and outside the profession.” profession.”

A New A New Business Business

Partnership for Partnership for the University the University

of Colorado of Colorado School of School of DentistryDentistry

““A crisis looms. The A crisis looms. The number of new number of new orthodontists will surely orthodontists will surely decline. Within 10 years decline. Within 10 years we will experience a we will experience a shortfall in the shortfall in the availability of availability of orthodontists.” orthodontists.”

James GjersetJames GjersetPast President of Past President of

AAOAAO

September 9, 2002September 9, 2002

The University of Colorado The University of Colorado School of Dentistry hasSchool of Dentistry has

received a $3 million gift received a $3 million giftand a $92.7 million and a $92.7 million

commitment to establish acommitment to establish a long-term business long-term business

partnership with the partnership with the Orthodontic Education Orthodontic Education

Company (OEC)Company (OEC)

TT

The gift & partnership has enabled theconstruction of a $30 million, 95,000 sq.ft.building, the Lazzara Center for Oral FacialHealth on the Fitzsimons campus to house

the School of Dentistry and the new

ortho-program

withinthe School without

taxpayerburden.

The program will enroll 16 The program will enroll 16 orthodontic residents each orthodontic residents each

year in a 27 month program. year in a 27 month program. There will be a seven-year There will be a seven-year

post-graduate commitment to post-graduate commitment to work for OEC for the 12 OEC work for OEC for the 12 OEC

scholarshipscholarship residents enrolled residents enrolled

in the program in the program each year.each year.

The standards for accepting The standards for accepting students will be no different students will be no different than any other orthodontic than any other orthodontic program in the nation. The program in the nation. The

curriculum will be as rigorous curriculum will be as rigorous as others. The school will as others. The school will have total control of the have total control of the

admissions standards and admissions standards and content of the curriculum. content of the curriculum.

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

How will the partnership How will the partnership help increase diversity of help increase diversity of

the U.S. Health Care the U.S. Health Care Workforce Workforce

in Orthodontics?in Orthodontics?

According to numbers fromAccording to numbers from the Survey Center of the the Survey Center of the

American Dental American Dental Association,Association,

9,294 orthodontists in the 9,294 orthodontists in the United States reported United States reported

that:that: 170 (1.8%) are Hispanic170 (1.8%) are Hispanic 117 (1.25%) are African American117 (1.25%) are African American 7 (.07%) are Native American7 (.07%) are Native American

In the Nation’s In the Nation’s Compelling Compelling

Interest- Interest- Ensuring Ensuring

Diversity in the Diversity in the Health-Care Health-Care WorkforceWorkforce

Institute of Institute of MedicineMedicine

20042004

Recommendation 3-4: Recommendation 3-4: Private entities should be Private entities should be encouraged to collaborate encouraged to collaborate

through business through business partnerships and other partnerships and other

entrepreneurial relationshipsentrepreneurial relationships with HPEIs to support the with HPEIs to support the

common goal of common goal of developingdeveloping

a more diverse health- a more diverse health-care workforce.care workforce.

““One new model for education One new model for education funding is through a unique funding is through a unique

public-private partnership. The public-private partnership. The University of Colorado Health University of Colorado Health

Sciences School of DentistrySciences School of Dentistry has has partnered with the partnered with the Orthodontic Orthodontic

Education Company (OEC)Education Company (OEC) to establish a new dental to establish a new dental

center that they hope will center that they hope will address the shortage of address the shortage of orthodontists and provide orthodontists and provide

lowlow cost care to children in cost care to children in

underserved areas.”underserved areas.”

““As a result of As a result of scholarship scholarship

opportunities, a larger opportunities, a larger number of qualified number of qualified

graduating students graduating students from diversefrom diverse

and economically and economically disadvantaged disadvantaged backgrounds backgrounds

will participate in will participate in specialty training.”specialty training.”

ACCREDITATIONACCREDITATION

YesYes

Initial Accreditation Initial Accreditation Approved July 30, Approved July 30,

20042004

Final Site Visit Final Site Visit Fall 2006 for full Fall 2006 for full

accreditationaccreditation

The PartnershipThe Partnership School of DentistrySchool of Dentistry

– School’s part of the partnershipSchool’s part of the partnership Train 12 orthodontists per year with OEC scholarshipsTrain 12 orthodontists per year with OEC scholarships Train 4 non-OEC scholarship orthodontistsTrain 4 non-OEC scholarship orthodontists

– Student’s part of the bargainStudent’s part of the bargain A personal business agreement between OEC & A personal business agreement between OEC &

studentstudent Tuition, books, supplies paid by OEC scholarshipTuition, books, supplies paid by OEC scholarship Stipend of approximately $30,000 per yearStipend of approximately $30,000 per year In return the orthodontist must work in OEC officeIn return the orthodontist must work in OEC office

– 7-year commitment7-year commitment– $150,000 per year initial salary$150,000 per year initial salary– + % of practice profits+ % of practice profits– Vesting in practice after 7 yearsVesting in practice after 7 years

““Scientific and Humanistic Compatibility, the Environment of Choice”Scientific and Humanistic Compatibility, the Environment of Choice”

Defining Dental Education for the 21st Century

The Future The Future

is Now,is Now,

Let’s Do Let’s Do Something Something

about it!about it!

Howard M. LandesmanHoward M. Landesman303-315-8773303-315-8773

howard.landesman@uchsc.eduhoward.landesman@uchsc.edu

As dental As dental educators we have educators we have

to be willing to to be willing to face uncertainty face uncertainty and go into the and go into the future willing to future willing to change direction change direction

or we will never be or we will never be successful in a successful in a

competitive world.competitive world.

Getting AlongGetting Along

bybySonda ThiedermanSonda Thiederman