Interim report from Clinical

Model Taskforce

Anders Nattestad

• Alan Budenz• Richard Fredekind• Marc Geissberger• Alan Gluskin• Foroud Hakim• Peter Hansen• Jeff Kirk• Gene LaBarre• Nader Nadershahi• Anders Nattestad (chair)

Members of the taskforce

• Helix curriculum philosophy of integration

• Clinic model must support evidence based care and critical thinking

• Students are driving the patient’s treatment per their needs

• Our clinic model is thus not patient centered• Chair utilization is 60% at best• Groups are very large – GPA’s role is challenging

in keeping track of students work• Clinic model does not resemble private practice

Why this task force?

• Taskforce established in Summer 2009• Previous taskforce report from last year reviewed• SWOT analysis from that taskforce discussed• SWOT analysis from Fall quarter completed and

discussed• Student’s SWOT analysis from Fall reviewed • Six months of meetings in the current taskforce every

week or every other week including review of experiences from other schools

• Overall features of the model agreed in December 2009

• Implementation groups (7) established in January 2010

Process so far

Department Chairs

AA AAAAAAAAAAAA AA

Associate Dean for Clinical Services

Clinical Practice Strand Director

Team I Leader

Team II Leader

Team III Leader

Team IV Leader

Team V Leader

Team VI Leader

Team VII Leader

Team VIII Leader

Patient Ombudsman

ClinicFaculty

Clinic Faculty

Clinic Faculty

Clinic Faculty

Clinic Faculty

ClinicFaculty

ClinicFaculty

Clinic Faculty

StudentsYrs 1-3

StudentsYrs 1-3

StudentsYrs 1-3

StudentsYrs 1-3

StudentsYrs 1-3

StudentsYrs 1-3

StudentsYrs 1-3

StudentsYrs 1-3

PatientsPatientsPatientsPatientsPatientsPatientsPatientsPatients

Axium QA

New clinic model diagram*

*Budget approval pending

Key features of new model

• Teams would perform emergency and screening along with general dental and simple endo, perio, removable, implants and oral surgery

Existing clinic model

GP MODEL

Oral Surgery

Endo

Perio

OrthoPros

Philosophy of new model

GP MODEL

Oral SurgeryEndo

Perio OrthoPros

• Each chair will decide what can be done within the model and what needs to be referred to specialty clinics

• Each chair will decide what training is required for GP faculty before supervising “simple” specialty procedures

• GP faculty interested in supervising these “simple” specialty procedures will be approved by individual chairs of that specialty

Full general practice model

Key features of new model

• Focus on being truly patient centered comprehensive care and less driven by student’s needs by revisiting requirements and ultimately making appointments for the students

Key features of new model

• 2nd and 3rd year students to work together in teams (share patient pool, 2nd yr do simple + assist, 3rd yr teach)

• Move ICS into the Summer quarter of 2nd year• Create a patient ombudsman position• Create a faculty appointment for AxiUm + QA

• Create a faculty appointment for “Clinical Practice Strand Director” that would work on communication between teams, cross training, scheduling

• Add some faculty members• More “hands on” role of team leaders• Stronger identity of the team (colors etc.)• Faculty are responsible to team leaders during

their clinical assignments, the appropriate portion of their annual evaluation will come from their team leader

Key features of new model

• Final report of these groups due tomorrow• Last meeting of the quarter is tomorrow• Implementing begin with a few features July

2010• Implementation phased in during the year

while hiring and cross training occur• Full implementation pending funding begin

July 2011

Timeline from here

Questions?