DonaldAltman(Co-Chairs)

AnaKarinaMascarenhas(Co-Chairs)

UCSFDPHSeminars,November201611/29/16 1

�  AmericanBoardofDentalPublicHealth

�  AmericanAssociaGonofPublicHealthDenGstry

Sponsor:

�  DentaQuestFoundation

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Goal

Reviewandupdateasnecessarythedentalpublichealthspecialtycompetencies

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Developasetofcoredentalpublichealthcompetenciesforthespecialty

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� Competencystatementstypicallydescribetheknowledge,skills,andprofessionalvaluesofbeginning,orentry-level,practitioners

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�  Abilitythatisessentialtobeginindependentandunsupervisedpracticeofaprofessionalroleinsociety

�  Practitionercanself-monitorandself-regulateeffectivenessinperformanceofjobtasks,andhasthedispositiontodoso

�  Competency-Intertwinedarrayofnumerouscomponents:capacitytoapplyknowledge,experience,criticalthinkingcapability,problemsolvingskills,ethicalvalues,andcapacitytoperformtasksinaccordancewithestablishedcriteria11/29/16 6

�  ProvideguidanceforthetypesofprofessionalexpertiseandcapabilitiesthatDPHSprovide

�  Definethespecialtyforpotentialcollaboratorsandemployers

�  Increasetheawarenessofthespecialtyamongcolleagueswithindentistryandotherhealthprofessions

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�  GuidethedefinitionofthestandardsforeducationandcertificationofDPHS

�  Usedbyresidencyprogramstoestablishcurriculaanddefineoutcomes

�  BygraduatesofresidencyprogramstoprepareforthespecialtycertificationexaminationbytheABDPH

�  BasisforthecurriculumcontentandeducationaloutcomesinCODA’sadvancededucationstandardsforDPH

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�  PanelofExperts�  Reviewofdocuments�  SurveyofDiplomates�  CommentfromAdvisoryPanel�  CommentfromCommuniGesofInterest�  Setofcoredentalpublichealthcompetencies

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�  Expertpaneldevelopedsurvey �  Workenvironment

�  adescriptionofthespecialists’organization�  numberofDPHspecialistsemployedbytheorganization�  therolesspecialistsplayedintheirorganization

�  Opiniononcompetencies�  howessentialeachofthecurrent10competenciesisforDPHspecialistsin2015

�  ifthereweremissingcompetencydomainsthatareessentialforDPHspecialistsin2015

�  iftherewerecompetenciesthatneedtoberestated(revised)toenhanceclarity.

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�  109surveysreturned

�  Responserate-77percent.

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AdditionalRolesnotListed:

�  Communitypartnership,oralhealthcoalitionmember

�  Communityservice

�  Consultation

�  EvaluatingprimarycareprogramsforclinicalstandardsrequiredbyHRSA

�  Extramuraleducation/servicelearning

�  Mentordualdegree(DMD–MPH)students

�  Metricsandsurveillance

�  Nodefinerole;notcurrentlyusingexpertiseofDPHspecialists

�  Outreachplanning/evaluation,mentoringresidentsonresearchprojects

�  School-basedprograms

�  Surveillance;expertconsultationsonpopulationoralhealthissues

OtherMainRolesDescribed:

�  ChiefofStaff,non-dental,publichealthleadership

�  Utilityinfielder

�  Liaison

�  DeanofCollege

�  Policy

�  Advocacy,publicrelations,communication

�  Mentoring;advisingstudents/studentadvisors

�  FacultyadvisorsforAAPHDstudentchapter,Deans

�  Research

�  CollaborationbetweenCOD+SPH/IPE

�  Mentoring;interprofessionalcounseling

�  Militarycommand

�  Advocacy&publicservice

�  Assurance,assessment,&policydevelopment

�  Fieldworkincommunitysetting

�  RiskManagementissues

�  Monitoringsystematicchronicdiseaseriskfactorsfortheparticipantsinourdentalpublichealth

�  Protectionofhumansubjects

�  Allaspectsofpublichealthtrainingforthepre-doctoralandpediatricresidentsareoverseenbytheDPH

�  Dentalpopulationhealthmetrics,surveillance,andcommunityoutreach

�  Workingwithresidentsonprojects,journalclubs,etc.

�  Consultingtoprofessionalorganizations

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�  Respondentsaskedif:�  ArethereanymissingcompetencydomainsthatareessentialforDPHspecialistsin2015�  41.3%Diplomates(45)feltmissingcompetencydomains

�  communicationandcollaboration,riskassessment,financingofcare,programdevelopmentandevaluation

�  interprofessionalcare,culturalcompetency,healthliteracy,andteachingDPHtopredoctoralstudents

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�  Respondentsaskedif:�  Needtoberestatedorrevisedtoenhanceclarity,andtoprovidesuggestionsforalternativewordingofthesecompetencies:�  Thirty(27.5percent)Diplomatesfeltthatcompetenciesneededtoberestatedorrevised.

�  Suggestionsofferedandcenteredaround:�  longlists�  twocompetenciesmergedintoonesuchas“communicateandcollaborate”

�  overlapbetweencompetencies�  “planninganddevelopingoralhealthprogramsforpopulations”and�  “developresources,implementandmanageoralhealthprogramsfor

populations”�  competencyshouldspecificallymentionresearch�  Incorporateethicalstandardsshouldnotbeaseparatecompetency,butacrossallcompetenciesineverythingaDPHspecialistdoes.

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�  Respondentsaskedif:�  Employeddentistswithpublichealthtrainingorexperiencewhoarenotboard-certifiedDPHspecialists–53.2%

�  Employeddentistswithoutpublichealthtrainingfordentalpublichealthfunctions-43.5%

�  Professionalbackgrounds�  PhD,MS,MD,MBA,�  EngineeringandStatistics.

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�  Protectthewelfareandsafetyofthepublic.�  Focusonthecommunityversustheindividual.�  Promoteequityinaccessto,andqualityof,healthservices.�  Monitorandevaluateepidemiologicalfactorsandtrendsthataffectoral

health.�  Promoteoralhealth.�  Preventoraldiseasewithfocusonprimaryprevention.�  Analyzeenvironmentalandsocialdeterminantsoforalhealth.�  Provideleadershiptocreatevision,influencehealthpolicy,change

practice,andadvocateforaction.�  MentorthenextgenerationofDPHS.�  Practiceethically.�  Practiceculturalsensitivity.�  Developandpracticewithteamsacrossdifferentdisciplinestoimprove

health.�  Recognizehealthimplicationsofglobalization.

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�  CompetencydomainthatdescribesacoretaskorroleperformedbyDPHS

�  Intentstatements:�  describethecomponentsofeachcompetency,intermsof“jobresponsibilities”or“coreabilities”ofDPHSexplainthemeaningofeachcompetencydomain

�  Identifymanyofthecoretasksandrolesperformed:�  Notintendedtobecomprehensive;providerepresentativeexamplesoffunctionsthatDPHScanprovide,notdesignedtobeexhaustiveinscope.

Specialtywillcontinuetoevaluatethesecompetenciesfortimelinessandrelevanceintheevolvinghealthcareenvironment.11/29/16 21

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1.  Manageoralhealthprogramsforpopulationhealth2.  Evaluatesystemsofcarethatimpactoralhealth3.  Demonstrateethicaldecision-makinginthe

practiceofdentalpublichealth4.  Designsurveillancesystemstomeasureoralhealth

statusanditsdeterminants5.  Communicateonoralandpublichealthissues6.  Leadcollaborationsonoralandpublichealthissues

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7.  Advocateforpublichealthpolicy,legislation,andregulationstoprotectandpromotethepublic'soralhealth,andoverallhealth

8.  CriticallyappraiseevidencetoaddressoralhealthissuesforindividualsandpopulationsManageoralhealthprogramsforpopulationhealth

9.  Conductresearchtoaddressoralandpublichealthproblems

10.  Integratethesocialdeterminantsofhealthintodentalpublichealthpractice

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�  AmericanBoardofDentalPublicHealth

�  AmericanAssociationofDentalPublicHealth

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�  CommissiononDentalAccreditation

�  ABDPHExamination

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�  ReviewCommittee

�  Commission

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�  2018Examination

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�  CODA�  Supplement�  Presentations:

�  UCSFSeminars�  ADEA�  AAPHD

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