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Federal Funding for Oral Health The Financial
Model for Federally Qualified Health Centers
(FQHCs).

• Successful Models of Partnership Between
• Schools and Health Centers
• 54th Annual ADEA Deans Conference
• November 12, 2012
• Rick Mumford, DMD, MPH
• Clinical Associate Professor
• Director of DISC Program
• UNC-School of Dentistry
• Department of Dental Ecology

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Extramural Clinical Rotations Role in
Community Based Clinical Dental Education
UNC - SOD and Community Health Centers
Our primary partners NC AHECs NCCHCA
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Dentistry In Service to Community (DISC)
Program Extramural Clinical Rotations Role
in Community Based Clinical Dental Education
UNC - SOD and Community Health Centers How
we make the program work - How the parts work
together to achieve our respective missions
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UNC SOD DISC Community-based Extramural
Clinical ProgramsAn Educational Mission
       

• Dentistry In Service To Communities
• DDS Students Summer 3rd Year clinical rotations
  required (8 weeks)
• DDS Students All other clinical additional
  rotations
• Student Health Action Coalition (SHAC) -
  Volunteer student clinic entering its fourth
  decade.
• DH Student practicums required (3 weeks) many
  NC communities
• International Projects Students learn a global
  perspective of service
• ENNEAD Student Volunteers NC Public Schools,
  NCDS-MOM clinics and community health fairs
• Student Organizations such as Sealant
  Saturdays Greene County
• Notes A full-time faculty or adjunct is required
  onsite as attending and preceptor for clinical
  activities. These are volunteer, non-paid
  adjuncts.
• UNC-CH partners with NC AHEC to provide AHEC
  housing during required clinical rotations

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UNC - SOD Extramural rotations - 4th Year
Students Dentistry in Service to Communities
DISC Program

• DISC PROGRAM GOALS
•  
• The DISC IV extramural program has two primary
  goals
• To give students an opportunity to observe and
  participate in a variety of oral health care
  delivery systems public dental practices while
  providing clinical care
• To expose students to a diverse patient
  population, including those with special needs
  which students would be unlikely to encounter in
  the dental school clinic - but which are
  represented in communities where dentistry is
  practiced (two 4-week rotations required one - a
  public dental practice and one a hospital
  rotation)
• Note With course director permission, two
  general practice rotations are permitted

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UNC-SOD DISC Students Clinical
Credit Received

• Currently four departments allow clinical credit
  for some procedures completed on extramural
  rotations
• OMFS allows up to 20 extractions
• Prosthodontics allows 2 full sets of dentures
• Pediatric Dentistry allows credit for child
  patients seen in pre-approved sites with boarded
  pedodontists
• Diagnostic Sciences General Dentistry
• Allows credit for biopsy submission

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Extramural Clinical Rotations Role in
Community Based Clinical Dental Education -
UNC - SOD and NC AHEC A training mission
Our primary partners NC AHECs NCCHCA
http//www.ncahec.net/
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NC AHEC Regions
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DISC Sites by AHEC Region
       
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Extramural Clinical Rotations Role in
Community Based Clinical Dental Education
UNC - SOD and NC CHC A healthcare access
mission
Our primary partners NC AHECs NCCHCA
http//www.ncchca.org/
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Dentistry In Service to Community (DISC)
Program
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NC Counties served Summer 2011 Total students
78Alamance Chatham Cumberland Durham
Forsyth BurkeGaston Buncombe Greene Catawba
Granville Robeson Guilford Wayne
Orange Wilkes New Hanover JonesMecklenburg Edg
ecombeOrange MoorePerson HaywoodPitt Lincoln
Sampson StanleyRowan WakeWayne (Represents
66 active sites)
DISC Rotations 2011 Total (156) 115 Student
Rotations in NC - 74 41 Student Rotations U.S.
other or international 26
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DISC Rotation Sites in North Carolina by County
Alleghany
Ashe
Gates
Camden
Northampton
Surry
Currituck
Stokes
Rockingham
Caswell
Person
Vance
Warren

Hertford
Granville
Pasquotank
Halifax
Watauga
Wilkes
Yadkin
Forsyth
Guilford
Avery
Bertie
Franklin
Mitchell
Alamance
Orange
Durham

Caldwell
Nash
Alexander
Davie
Edgecombe
Yancey
Madison
Martin
Tyrrell
Davidson
Washington
Wake
Dare
Iredell
Burke
Randolph
Chatham
Wilson
McDowell
Catawba
Rowan
Buncombe

Pitt
Beaufort
Haywood
Hyde
Johnston
Lincoln
Greene
Swain
Lee
Wayne
Cabarrus
Rutherford
Henderson
Harnett
Graham
Stanly
Moore
Gaston
Cleveland
Montgomery
Jackson
Polk
Lenoir
Transylvania

Mecklenburg
Craven
Macon
Cherokee
Pamlico
Clay
Jones
Cumberland
Richmond
Hoke
Sampson
Union
Anson
Duplin
Scotland
Carteret
Onslow
Robeson
Bladen
Pender
New Hanover
Columbus
42 Blue Counties indicate presence of DISC
Sites 66 Active NC DISC Sites
Brunswick
10/19/12
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Dentistry In Service to Community (DISC)
Program Community Health Centers -
2012 Outside NC Colorado - Peak Vista
CHC Georgia - Good Samaritan - Atlanta Maine
- Penobscot CHS (some others less often)

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Key Program Costs

• Staffing 2 FTEs (1-Faculty, 1- Staff)
• Student Stipend (Inside NC ? 35 miles)
• Housing (Inside NC ? 35 miles)
• Preceptor Annual C.E. Event
• Travel (New sites, Troubleshooting)
• Misc.

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Cost Estimates

• Staffing 250,000
• Student Stipend 18,000
• Housing 6,000 (5.00/night)
• Preceptor Annual C.E. Event 5,000
• Travel 3,000
• Misc. 5,000
• Approx. 287,000 to 290,000/yr

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Funding Sources

• Staffing 2 FTEs AHEC (state funds)
• Student Stipend - AHEC (state funds)
• Housing - SoD (state funds/Deans Acct.)
• Preceptor Annual C.E. Event (Deans Acct.)
• Travel - AHEC (state funds) or Dent Foundation
• Misc. - Dent Foundation
• In-Kind Cost of Preceptors Clinics

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Find Partners with state funding and solid
network of advocates an inter-professional
missionMaximize use of in-kind resources
(Existing clinics and dental staffs)Incentives
to partners Community service reports to
AHEC Waive fee to post job openings Reduced
rate or free C.E. to preceptors Adjunct faculty
appointments (CV help) Electronic use of health
sciences libraries Student stores
discount Grant letters of support Reciprocate
Funding Sources Free Advice
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UNC SOD DISC Program Highlight
       

AHEC Annual ReportSchool of Dentistry
2010-2011 1 October 2011 Using the UNC School of
Dentistry's Dental Faculty Practice fee schedule,
as it more closely reflects the cost assumed by
patients at private practices, the students
provided 1,302,938 in dental services to
underserved populations in North Carolina.

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UNC SOD Dentistry In Service to Communities
Program DISC CHCs AHECs a successful
partnership Serving North Carolina safety net
dental clinics and helping to expand access to
oral health care across the the state for over 20
years!
       
Rick Mumford, DMD, MPH Director, DISC Program UNC
at Chapel Hill - School of Dentistry Campus Box
7450 Chapel Hill, NC 27599-7450 rick_mumford_at_dent
istry.unc.edu T - 919.966.2787 F - 919.843.1170
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