The National Challenges Course is designed to be an orientation course for new dentists and DHATs - dentists and DHATs with less than 5 years of experience in an IHS, Tribal, or Urban dental program. This course is taught by the IHS National Dental Specialty Consultants and relays standards of care for IHS dental programs. Whether you're a new dental graduate or a seasoned private practice dentist but new to the IHS, this course has something to offer to all newer dentists and DHATs.

AGENDA

[Day 1]
8:00 - 8:30 Welcome
8:30 - 10:00 Overview of the IHS
10:00 - 10:15 Break
10:15 - 11:00 Principles in Dental Public Health
11:00 - 12:00 Oral Health Promotion/Disease Prevention
12:00 - 1:00 Lunch
1:00 - 3:00 Periodontal Disease Detection & Tx Plan
3:00 - 3:30 Break
3:30 - 5:00 Alternative Dental Workforce Models

[Day 2]
8:00 - 10:00 Oral & Maxillofacial Surgery, Part I
10:00 - 10:15 Break
10:15 - 12:00 Oral & Maxillofacial Surgery, Part II
12:00 - 1:00 Lunch
1:00 - 3:00 Pediatric Dentistry, Part I
3:00 - 3:30 Break
3:30 - 5:00 Pediatric Dentistry, Part II

[Day 3]
8:00 - 10:00 Endodontics
10:00 - 10:15 Break
10:15 - 12:00 Fixed & Removable Prosthodontics
12:00 - 1:00 Lunch
1:00 - 2:00 Operative Dentistry
2:00 - 3:00 Infection Control
3:00 - 3:30 Break
3:30 - 5:00 Interceptive Orthodontics

Last day to book rooms: July 5, 2024
https://www.marriott.com/event-reservations/reservation-link.mi?id=1710428443937&key=GRP&app=resvlink

Individual session learning objectives are available in the Challenges Program. Overall, upon completion of this meeting/course, participants should be able to:

1. Describe the organizational structure of the Indian Health Service;
2. List at least one standard of care for each dental discipline; and
3. Define at least two best practices to help prevent tort claims.

None

This course provides new dental directors basic principles in clinic management. As an introductory course it provides traditional and cutting-edge management theory and uses actual case examples as practice skills needed to direct a local dental program. It is the first of a three-course series.

Note: Course starts on TBD at 1:00 PM and will finish TBD, at 4:00 PM
Location: Native American Professional Parent Resources [NAPPR] , Albuquerque, NM, 2201 San Pedro NE , Blg. 3, Suite 210, Albuquerque , NM 87110


Monday, TBD, 1:00 PM
Introductions, Logistics, Course Overview

Clinical Efficiency and Effectiveness Intro- Champany,

Defining an IHS Dental Director’s Job- Champany & Group
As a result of attending this session, attendees will be able to:
•   List 7 different duties a dental director is responsible for
•   Identify 2 duties that you were unaware prior to this day you were responsible for
•   List 2 duties that you have credible strengths in

Transitioning from Clinician to Supervisor- Crafting Your Career and Personal Development [Second Curves]- Tetrev
As a result of attending this session, attendees will be able to:
•   Describe a sigmoid learning curve
•   List the 4 terms for the acronym VUCA
•   Identify 1-3 areas of management that you need to improve

Expectations, Issues-

Successful Indian Health Program- Group
As a result of attending this session, attendees will be able to:
•   List 4 oral health measures IHS dental programs should strive to improve
•   Identify 3 program management measures that dental clinics should accomplish
•   List 2 staff outcomes that reflect a successful dental program

Tuesday, TBD, 8:00 AM

Assessment of Your Clinic’s Efficiency and Effectiveness – Champany

Analysis/Improvement of Your Clinic’s Efficiency and Effectiveness – Participants
As a result of attending this session, attendees will be able to:
•   List 3 different indicators of clinical productivity
•   Analyze their clinic’s data for efficiency, effectiveness and productivity
•   Identify 1-3 areas their clinic needs to improve to approximate IHS standards

LUNCH
Presentations of Lessons Learned/Participants in Groups

Employee Engagement- Your Key to Productivity and Satisfaction- Tetrev
As a result of attending this session, attendees will be able to:
•   Define 2 different measures that indicate employee engagement
•   List 3 activities a supervisor can engage in to improve engagement in staff
•   Identify the engagement level of 10 different staff members in their program

Social Intelligence Part I- Tetrev
As a result of attending this session, attendees will be able to:
•   List 3 groups of stakeholders that are affected by poor social intelligence
•   Discuss the difference between social awareness and social facility
•   Define empathic accuracy and discuss its importance

Management Basics- Tetrev
As a result of attending this session, attendees will be able to:
•   Delineate the concept of considering staff to be more like chess or checkers.
•   Identify importance of discovering motivations in staff
•   Prioritize where their best return on investment will be in staff improvement
   

Wednesday, TBD17, 8:00 AM

Recruiting- Tetrev
As a result of attending this session, attendees will be able to:
•   List 4 things to prepare for a recruit’s site visit
•   Ask appropriate questions during a practice recruit interview
•   Given 3 choices, pick the candidate most appropriate for their clinic situation

Your Budget-Where the Money Comes From- Tetrev
Monitoring your Budget, Commitment Registers, Third Party Spending Plan- Champany
As a result of attending this session, attendees will be able to:
•   List 3 program costs that dental [Tribal or IHS] funds can be used for
•   Identify 2 costs that purchase referred care can used for other than a referral
•   Balance a dental budget that is projected to be in a deficit prior to year end

LUNCH
Employee Performance Management- Champany and Tetrev
   Performance Expectations, Plans, PMAPs- Rick
   Performance Appraisals w/ Exercise- Steve
As a result of attending this session, attendees will be able to:
•   List 3 important steps the supervisor is responsible for in managing an employee’s performance plan
•   Develop a performance standard that can be an “On/Off” measure
•   Identify 2 negative outcomes each for both too lenient and too stringent performance appraisals


Personnel Issues
Standards of Conduct [Conduct vs. Performance]- Tetrev,
As a result of attending this session, attendees will be able to:
•   Identify where they can locate their program’s standards of conduct
•   Discriminate between breaches of conduct and poor performance among 10 situations
•   List 3 conduct standards that are in both IHS and Tribal programs

Thursday, TBD 18, 8:00 AM

Personnel Issues Continued
Conducting an Investigation- Champany, Tetrev
Progressive Discipline- Tetrev
As a result of attending this session, attendees will be able to:
•   Describe what an “Opportunity to Provide Information” form is used for
•   Identify who should be interviewed in a complicated conduct situation
•   Identify 3 reasons to conduct an administrative investigation prior to discipline

Awards, [Criteria, Pay for Performance and Writing Exercise]- Champany
As a result of attending this session, attendees will be able to:
•   List 3 reasons to write more awards than they are writing at present
•   Identify how much cash an employee can be awarded for a project
•   Write an award for one of their employees that can be used upon return to clinic

LUNCH
Running a Staff Meeting- Champany
As a result of attending this session, attendees will be able to:
•   Discuss 3 ways to increase engagement of meeting attendees
•   Identify 4 different “housekeeping” activities that must be done for meetings
•   List 2 activities to improve their current staff meetings

Participant Meeting Presentations [Goals- Eff & Eff item]
•   START ANYWHERE! [Burkus- Thresholds & Goals]
•   Info sharing [Who and How]
•   What to Change/Improve [Dictatorial, Democratic, Work Group?]
•   Progress update [Who, When, How]
As a result of attending this session, attendees will be able to:
•   Advocate in a presentation for their E&E or Productivity improvement
•   Visually display a timeline for their improvement
•   Detail responsibilities and appropriate staff assignments

Your Network- Chiefs’ Listserve, Chiefs’ Conference Calls, Chiefs’ Web Site,
Area or Local Dental Directors’ Interactions, Finding a Mentor,
As a result of attending this session, attendees will be able to:
•   Draw their “ego-centric” network
•   Analyze their network for diversity
•   List 3 individuals they should add to their network

1.   Analyze their clinic’s production data and evaluate the efficiency, effectiveness and productivity of their clinic in comparison to IHS-wide benchmarks and standards.
2.   Demonstrate understanding of performance management and construct written awards, disciplinary actions, and performance standards.
3.   Display competence in interpersonal exchanges by successfully engaging in recruiting interviews, performance appraisals and verbal disciplinary warning scenarios.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site

To Albuquerque

Please Make Checks Payable to: Indian Health Service.

This highly interactive course will build on management principles from Concepts I and provide participants with knowledge and skills to solve more challenging and complex program problems. Technical, interpersonal and soft skills will be combined in most of the exercises and learning scenarios.

Course begins Monday, TBD at 1:00 p.m. and ends Thursday, TBD at 4:00 p.m.
Location: Native American Professional Parent Resources [NAPPR], Albuquerque, NM, 2201 San Pedro NE , Blg. 3, Suite 210, Albuquerque , NM 87110

Monday, TBD 1:00 PM

Introductions, Logistics, Course Overview, Champany & Tetrev

The Changing World/Learning How to Learn/Information Literacy- Tetrev
As a result of attending this session, attendees will be able to:
•   Identify what the acronym VUCA stands for
•   Name 3 items in their management that have changed in the past year
•   Commit to a practice to improve their information literacy

Attendee Intro- What’s Worked, What Hasn’t, What Haven’t You Tried from Concepts I?

Your Career & Personal Development, Tetrev
As a result of attending this session, attendees will be able to:
•   Identify 1-3 management skills they need to improve
•   Locate a source to acquire those deficient management skills
•   List 3 positive outcomes of improving those management skills

Expectations, Issues

Clinical Efficiency and Effectiveness Intro– Champany,

Tuesday, TBD 8:00 AM

Analysis of Your Clinic’s Efficiency and Effectiveness– Champany
As a result of attending this session, attendees will be able to:
•   Analyze the data from their clinic [s] for a 12 month period
•   Prioritize 2-3 areas that need improvement from their clinic data
•   Create a plan to improve 1-2 of the improvement areas to include resources, individuals to assist and timeline


Group Projects- Participants with Similar Improvement Areas

Improvement Plan for Your Clinic [How to improve and what you’ll need] – Participants

LUNCH

Public Presentations/Your E&E Plans [Why this change]- Tetrev & Champany
As a result of attending this session, attendees will be able to:
•   Relate the concept of “Why vs. What” in lectures they’ve attended
•   Provide 2 ways to determine the knowledge levels of their audience
•   Determine a significant “why” their staff should buy-in to their clinic change

Managing Change and Transition [and Staff Challenges]- Tetrev
As a result of attending this session, attendees will be able to:
•   Define the difference between a change and a transition
•   List 3 barriers to the transition the change from the identified efficiency and effectiveness improvement
•   List 2 effective ways to overcome the staff or resource barriers

Digital Social Intelligence- Tetrev
As a result of attending this session, attendees will be able to:
•   Prioritize in order, the quality of various communication methods
•   List 3 best practices for improved digital communication
•   Identify a personal area for improvement for digital communication

Wednesday TBD 8:00 AM

Building Relationships Tetrev
As a result of attending this session, attendees will be able to:
•   List 2 methods to listen better
•   List 4 potential questions to build relationships
•   Identify 1 new relationship to build and 1 existing relationship to improve

Facilitating/Mediating Staff Conflicts- Champany
As a result of attending this session, attendees will be able to:
•   Delineate the difference between mediation and conflict resolution
•   Identify a staff conflict in their clinic that needs mediation
•   List 2 skills needed to mediate staff conflict

Tort Claims- Champany
As a result of attending this session, attendees will be able to:
•   Define a tort
•   Discuss what who is covered by the Federal Tort Claims Act
•   Identify why proper privileging is important in reducing torts


Your Budget
Increasing Third Party Revenues [And Your Budget]- Tetrev
As a result of attending this session, attendees will be able to:
•   Analyze their clinic’s data and demographics to determine potential 3rd Party revenues
•   Define different eligibilities for 3rd party reimbursements
•   List two areas of their clinic’s coding and billing practices that need improvement
LUNCH
Your Budget
Business Case Analysis [BCA Exercise]- Tetrev,
   Hiring Pat Registration/Receptionist
   Changing your staffing pattern [DA’s vs RDH’s vs DDS]
   Third Pty $ to hire contractor/team
   BCA for your efficiency change issue
As a result of attending this session, attendees will be able to:
•   Calculate resources that will be needed for their efficiency improvement
•   List 3 reasons why health and financial improvements are important in BCAs
•   Build a business case for one of the provided situations or their own efficiency improvement project


Personnel Issues- Champany
   Leave Restriction- Champany
   Employees with Performance Issues- Champany,
As a result of attending this session, attendees will be able to:
•   List the components of leave restriction
•   Provide 3 positive outcomes of improving time and attendance in the clinic
•   Discuss the timelines for a performance improvement plan


Thursday TBD 8:00 AM

Credentialing and Privileging- Champany
As a result of attending this session, attendees will be able to:
•   Describe the difference between credentialing and privileging
•   Identify the credentialing process at their facilities
•   Describe the difference between initial privileging and re-privileging

P.I. For Privileging- Champany
As a result of attending this session, attendees will be able to:
•   List 3 reasons performance improvement is used for privileging
•   List 2 automated methods to collect clinical data for privileging
•   Identify 1 area where their facility’s privileging process should be improved


Patient Complaints [Written and in-person response]- Champany
As a result of attending this session, attendees will be able to:
•   Identify who should be questioned before responding to a formal patient complaint
•   Write a response to a patient complaint
•   Respond in person to a patient complaint


LUNCH

Negotiation Basics- Tetrev
As a result of attending this session, attendees will be able to:
•   Delineate the differences between position vs. interest-based negotiation
•   List 3 best practices for improved negotiations
•   Identify a clinical situation that needs to be negotiated to improve their program

Networking, Garnering Support and Marketing Your Program- Tetrev
As a result of attending this session, attendees will be able to:
•   List 4 reasons their dental program adds to the overall IHS or Tribal Health Program
•   List 2 ways to build credibility with their administration
•   Identify an area [Community, Med Staff, Administration, etc.] that dental should market to

Managing Up- Tetrev
As a result of attending this session, attendees will be able to:
•   Identify an individual or group that doesn’t respond adequately to their requests
•   List 3 best practices for managing up
•   Identify a personal area for improvement for managing up and improving relationships

Upon completion of this course, participants will be able to:
1.   Evaluate the efficiency, effectiveness and productivity of their clinic and design an improvement plan based on priorities and the assessment results.
2.   Develop an intervention to engage staff in improving clinic function using relationships, influence and change management strategies.
3.   Calculate their clinic’s potential revenue generation and utilize those figures to craft a business case analysis to justify new services, equipment and/or staff.

Participants must have completed Concepts I prior to registering for this course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site

Please Make Checks Payable to: Indian Health Service.

This course will include a didactic overview of stainless steel crown techniques and behavior management techniques, followed by hands-on clinical training. This course is available to dentists and dental health aide therapists only.

Upon completion of this course, participants should be able to:

Travel to the host site is required.

Please Make Checks Payable to: Indian Health Service.

A pre-course reading assignment will introduce reading vs. listening modalities for learning. The attendees will break into 3-5 to discuss their approach to different management principles.

Upon completion of this course, participants will be able to:
1.   Identify their preferred modality [reading or listening] for management topics.
2.   List 3 examples of recent learning experiences that changed their practice of managing a clinic.
3.   Cite 2 opportunities in their dental program to implement the management principles.

Please Make Checks Payable to: Indian Health Service.

Dental Hygiene Updates presents the best of recent technology, clinical, and administrative practices available to dental hygienists who work in I/T/U dental programs. Below is the final agenda for travel authorization purposes only.

Upon completion of this meeting, participants will be able to:
1. Describe unique characteristics associated with public health dental hygiene practice in an IHS or tribal setting;
2. Explain the steps in placement of interim therapeutic restorations and silver diamine fluoride; and
3. List at least three reports that can be run in the Dentrix DXOne Reports.

None

pay.gov
IHS DIvision of Oral Health, ATTN: CDE Coordinator
5600 Fishers Lane, Mail Stop 08N34 A
Rockville, MD 20857

Self-care is vital in everyday life to maintain a balanced lifestyle. One should adopt a self-care regimen that is conducive to their lifestyle and interest. This webinar will provide tools that foster self-care.

Upon completion of this course, participants will be able to:
1.   Define self-love from an RDH perspective
2.   Identify self-care techniques
3.   Describe signs of self-care deprivations

None

None

Please Make Checks Payable to: Indian Health Service.

NOTE: YOU MUST BE MARKED AS "COMPLETED" IN ORDER TO REGISTER FOR A PERIODONTAL EFDA COURSE!

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course. The basic knowledge includes: what makes oral hygiene instruction effective; how to modify patient behavior to improve compliance with oral hygiene regimens; predisposing factors that relate to motivation to act or change; how antimicrobials work, and their use in preventing and treating periodontal diseases.

This online course, created in 2016 and updated annually, consists of pre-tests, learning activities, and post-tests in the two modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test. Dental assistants must successfully complete these two modules prior to attending the Periodontal Expanded Functions-Basic course.

At the end of this course, participants will be able to:
• Distinguish between effective and ineffective oral hygiene instruction.
• Discuss methods about how to modify patient behavior to improve compliance with oral hygiene regimens.
• Clarify how antimicrobials work and their use in preventing and treating periodontal diseases.

None.

None

No tuition required.

Following completion of the IHS Periodontal Expanded Function Course, dental assistants have ONE YEAR to complete the post-course requirements of completing 20 dental cleanings which are checked and scored by the hygienist/dentist at their home clinic using the evaluation form that was given out after the EFDA Course.

Once this requirement is met, the DENTAL DIRECTOR/CHIEF [the dentist whose license the EFDA will work under] must send the following message to IHSCDECoordinator@ihs.gov:

_______________________ [name of EFDA] has satisfactorily completed the post-course requirements as a [periodontal, basic restorative, advanced restorative, composite-only restorative – choose one] EFDA. He/she [choose one] took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her [choose one] evaluation form is being maintained in this office. Please issue instructions for certification.”

The IHS CDE Coordinator will then provide a completion code to this course to the EFDA for certification. The dental assistant will then log into this course, enter the completion code, and print his/her Periodontal Expanded Function Dental Assistant Certificate, proudly hanging it in the dental clinic so patients can be assured of the high quality care that is being provided.

ANNUAL COMPETENCY: The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the periodontal EFDA to ensure high quality care is being delivered. The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

None - this is a certificate as a result of post-course work

To obtain certification, the dental assistant must:
1. Complete pre-requisite courses prior to attending the periodontal EFDA course - for this course, the DA must have completed DA0001, the Basic Periodontal Prerequisites;
2. Complete the in-person periodontal EFDA course;
3. BE MARKED AS "COMPLETE" for the periodontal EFDA course [enter the completion code given by the instructor at the end of the course and complete the short post-course survey]. An EFDA may not be certified if there is not evidence of COMPLETING an EFDA course within the past year.
4. Have his/her Dental Director/Dental Chief notify the IHS CDE Coordinator of completion of post-course requirements using the specific language above.

None

No tuition

Following completion of the IHS Restorative Composite-Only Expanded Function Course, dental assistants have ONE YEAR to complete the post-course requirements of completing dental restorations which are checked and scored by the dentist at their home clinic using the evaluation form that was given out after the EFDA Course.

Once this requirement is met, the DENTAL DIRECTOR/CHIEF [the dentist whose license the EFDA will work under] must send the following message to IHSCDECoordinator@ihs.gov:

_______________________ [name of EFDA] has satisfactorily completed the post-course requirements as a [periodontal, basic restorative, advanced restorative, composite-only restorative – choose one] EFDA. He/she [choose one] took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her [choose one] evaluation form is being maintained in this office. Please issue instructions for certification.”

The IHS CDE Coordinator will then provide a completion code to this course to the EFDA for certification. The dental assistant will then log into this course, enter the completion code, and print his/her Restorative COMPOSITE-ONLY Expanded Function Dental Assistant Certificate, proudly hanging it in the dental clinic so patients can be assured of the high quality care that is being provided.

ANNUAL COMPETENCY: The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the restorative EFDA to ensure high quality care is being delivered. The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

None - this is a certificate as a result of post-course work

To obtain certification, the dental assistant must:
1. Complete pre-requisite courses prior to attending the restorative EFDA course - for this course, the EFDA must have completed both DA0004, the Basic Prerequisites Course, and a Restorative BASIC Expanded Function Dental Assistant Course;
2. Complete the in-person restorative EFDA course;
3. BE MARKED AS "COMPLETE" for the restorative EFDA course [enter the completion code given by the instructor at the end of the course and complete the short post-course survey]. An EFDA may not be certified if there is not evidence of COMPLETING an EFDA course within the past year.
4. Have his/her Dental Director/Dental Chief notify the IHS CDE Coordinator of completion of post-course requirements using the specific language above.

None

No tuition

NOTE: YOU MUST BE MARKED AS "COMPLETED" IN ORDER TO REGISTER FOR A RESTORATIVE EFDA COURSE!

Dental assistants must have a core set of knowledge and skills before registering for the Expanded Functions-Basic Restorative course. The core set of knowledge and skills include: dental terminology; placing and removing a Tofflemire matrix band and wedge, preparing, placing and removing a dental dam; and setting up for Class I, Class II, and Class V amalgams, and Class III and Class V composite restorations.

This online course consists of pre-tests, learning activities, post-tests and demonstrations for each lesson in the four modules. To complete this course, dental assistants must earn a score of 80 percent or better on each post-test, and certify competency by demonstrating skills and knowledge to their supervisor. Upon successful completion of all four modules in this course, dental assistants will be able to register for the EF-Basic Restorative Course.

Upon completion of this course, the participants will be able to:
•Identify parts and surfaces of teeth.
•Use universal numbering system.
•Define tooth anatomy terms.
•Describe the caries process and identify cavity classifications.
•Place and remove Tofflemire retainer, matrix band, and wedge.
•Place and remove a dental dam.
•Set up instruments and materials for amalgam restorations.
•Set up instruments and materials for composite restorations.

None

None

No tuition required

Following completion of the IHS Restorative Basic Expanded Function Course, dental assistants have ONE YEAR to complete the post-course requirements of completing 40 dental restorations which are checked and scored by the dentist at their home clinic using the evaluation form that was given out after the EFDA Course.

Once this requirement is met, the DENTAL DIRECTOR/CHIEF [the dentist whose license the EFDA will work under] must send the following message to IHSCDECoordinator@ihs.gov:

_______________________ [name of EFDA] has satisfactorily completed the post-course requirements as a [periodontal, basic restorative, advanced restorative, composite-only restorative – choose one] EFDA. He/she [choose one] took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her [choose one] evaluation form is being maintained in this office. Please issue instructions for certification.”

The IHS CDE Coordinator will then provide a completion code to the EFDA for certification. The dental assistant will then log into this course, enter the completion code, and print his/her Restorative BASIC Expanded Function Dental Assistant Certificate, proudly hanging it in the dental clinic so patients can be assured of the high quality care that is being provided.

ANNUAL COMPETENCY: The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the restorative EFDA to ensure high quality care is being delivered. The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

None - this is a certificate as a result of post-course work

To obtain certification, the dental assistant must:
1. Complete pre-requisite courses prior to attending the restorative EFDA course - for this course, the DA must have completed DA0004, the Basic Prerequisite Course;
2. Complete the in-person restorative EFDA course;
3. BE MARKED AS "COMPLETE" for the restorative EFDA course [enter the completion code given by the instructor at the end of the course and complete the short post-course survey]. An EFDA may not be certified if there is not evidence of COMPLETING an EFDA course within the past year.
4. Have his/her Dental Director/Dental Chief notify the IHS CDE Coordinator of completion of post-course requirements using the specific language above.

None

No tuition

Following completion of the IHS Restorative Expanded Function Course, dental assistants have ONE YEAR to complete the post-course requirements of completing dental restorations which are checked and scored by the dentist at their home clinic using the evaluation form that was given out after the EFDA Course.

Once this requirement is met, the DENTAL DIRECTOR/CHIEF [the dentist whose license the EFDA will work under] must send the following message to IHSCDECoordinator@ihs.gov:

_______________________ [name of EFDA] has satisfactorily completed the post-course requirements as a [periodontal, basic restorative, advanced restorative, composite-only restorative – choose one] EFDA. He/she [choose one] took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her [choose one] evaluation form is being maintained in this office. Please issue instructions for certification.”

The IHS CDE Coordinator will then provide a completion code to the EFDA for certification. The dental assistant will then log into this course, enter the completion code, and print his/her Restorative Expanded Function Dental Assistant Certificate, proudly hanging it in the dental clinic so patients can be assured of the high quality care that is being provided.

ANNUAL COMPETENCY: The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the restorative EFDA to ensure high quality care is being delivered. The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

None - this is a certificate as a result of post-course work

To obtain certification, the dental assistant must:
1. Complete pre-requisite courses prior to attending the restorative EFDA course - for this course, the DA must have completed both DA0004, the Basic Prerequisite Course, and a Restorative BASIC EFDA course;
2. Complete the in-person restorative EFDA course;
3. BE MARKED AS "COMPLETE" for the restorative EFDA course [enter the completion code given by the instructor at the end of the course and complete the short post-course survey]. An EFDA may not be certified if there is not evidence of COMPLETING an EFDA course within the past year.
4. Have his/her Dental Director/Dental Chief notify the IHS CDE Coordinator of completion of post-course requirements using the specific language above.

None

No tuition

Assistant's Survival Course will provide assistants with the knowledge and skills to perform a supplemental Oral Surgery procedures and understand why and how Oral Surgery procedures are performed.

AGENDA
Day 1
8:00-9:00 Introduction/Get Acquainted/Scope of Practice MORAN
9:00-10:30 Common Medical Conditions MORAN
10:30-12:00 Vital Signs and Patient Monitoring SUHR
LAB- Vital Signs/Monitor Use/
12:00-1:30 Lunch
1:30-3:30 Medical Emergencies SUHR
3:30-3:45 Break
3:45-5:15 Meds/ Analgesics/ Antibiotics SUHR

Day 2
8:00-9:00 Aseptic Technique MORAN
9:00-10:00 Biopsy Techniques MORAN
10:00-11:30 Post-op Complications SUHR
11:30-1:00 Lunch
1:00-2:00 Suturing/Miscellaneous materials MORAN/SUHR
2:00-4:00 Case Scenarios/Conclusion MORAN/SUHR
      

1. Display a broad knowledge of oral surgery procedures.
2. Describe how to assist in a medical emergency during oral surgery.
3. Explain why adjunctive measures are done in the oral surgery practice.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

U.S. DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
BLM NATIONAL TRAINING CENTER

9828 N. 31st Ave.
Phoenix, AZ 85051

Please Make Checks Payable to: Indian Health Service.

Summary:

PLEASE READ THIS ENTIRE SECTION CAREFULLY!
1.   Course Purpose: The purpose of this course is to introduce the dental assistant to the placement and finishing of composite, glass ionomer, and amalgam restorative materials in IHS, tribal, and IHS-funded urban dental programs. This course replaces the previous restorative EFDA courses of restorative basic, advanced, and composite-only, effective October 1, 2024.
2.   Waitlisted: If you are waitlisted for this course, you are encouraged to register for another course in addition to this one, as you may be able to get into one of the courses..
3.   Class Size: 7 students total, _5_ from host site, _2_ from outside host site
4.   Logistics [host site location, nearby accommodations, etc.]: will be provided to course participants 2-4 weeks prior to the course. However, if you need information prior to that time, you may contact the course director listed above.
Course Overview:
This course will focus on composite resin restorations, with limited amalgam information. Background information will be provided in cavity classification and dental anatomy. Anterior composites will include both Class III and Class IV restorations taught in didactic and laboratory settings. Posterior composites will include Class I, Class II, and Class V restorations taught in didactic and laboratory settings. Glass ionomer Class V restorations and amalgam Class II restorations will also be taught. This one-week, 32-hour course is designed to provide basic skills to perform these restorations.
Pre-Course Requirements:
1.   All DAs registered in this course must have completed DA0004, Restorative Expanded Functions – Basic Prerequisites, at least two weeks prior to the beginning of the course. Failure to document completion of this course will result in automatic disenrollment from the Restorative EFDA Course.
2.   All DAs registered in this course should be prepared to take the course. If you feel that you need additional preparation prior to the course, please work with your dental director.
Course Agenda:
1.   Monday morning – travel
2.   Monday afternoon – course overview, didactic lectures on composite basics [polymerization, materials basics, curing light, cavity liners, anatomy, adhesives]
3.   Tuesday morning – Class I and V posterior composite didactic presentations, practice on typodonts
4.   Tuesday afternoon – practice on typodonts, clinical and didactic test
5.   Wednesday morning – Class III and IV anterior composite didactic presentations, practice on typodonts
6.   Wednesday afternoon – practice on typodonts, clinical and didactic test
7.   Thursday morning – Class II composite and amalgam didactic presentations, practice both on typodonts
8.   Thursday afternoon – practice on typodonts, clinical test on Class II composites and didactic test to include both
9.   Friday morning – remediation testing, final didactic examination
10.   Friday afternoon – travel

During the Course:
1.   Participants are expected to pass a series of didactic [lecture] and clinical examinations to show proficiency in course content. The clinical examinations do not include clinical work with real patients.
2.   At the conclusion of the weeklong course, the course director will provide participants with a completion code. The DA will then have 3 days to complete the online post-course evaluation and get CDE credit. Failure to get CDE credit will result in non-certification down the road, so it is important to do this right away!
Post-Course Requirements:
1.   DAs must complete 40 restorations [5 of which may be Class II amalgam or composite] as specified in the Progress Record provided to you by the course director.
2.   The restorations are checked and scored by the dentist at their home dental clinic. These should be done under direct supervision of the dentist [dentist in the room while the DA is performing the restoration, able to provide tips and recommendations as needed]. Grading is documented on the Follow-Up Training Progress Record provided by the course director, which is then maintained at the local program.
3.   Post-course requirements must be completed within 6 months of the EFDA training.
4.   When the DA has satisfactorily completed the post-course restorations, the dental chief/director under whose license the DA will be working should then e-mail the IHS CDE Coordinator [IHSCDECoordinator@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. This should be done using this format only:

"_______________________ [name of DA] has satisfactorily completed the post-course requirements as a Restorative EFDA. He/she took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her evaluation form is being maintained in this office. Please issue instructions for certification.”
5.   Once this is done, the IHS CDE Coordinator will provide the student with instructions on how to receive their CDE certificate and their EFDA certificate.
6.   After the 40 restorations are done under direct supervision by the dentist, the DA should NOT perform any further composite restorations taught in this course unless CERTIFIED by the IHS CDE Coordinator.
7.   Following certification, the new Composite-Only Restorative EFDA may perform advanced composite and amalgam restorations under indirect supervision [dentist in the facility but not directly overseeing the work until a final check is needed].
Annual Competency:
1.   The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the Restorative EFDA to ensure high quality care is being delivered.
2.   The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

Upon completion of this course, participants will be able to:
1. Have an understanding of the basic concepts of occlusion as they apply to restorative dentistry.
2. Be able to place and finish complex Class II amalgam restorations and composite restorations involving the incisal angle.
3. Have an understanding of the current state-of-the-art in dentinal bonding agents.
4. Have the ability to discriminate between acceptable and unacceptable restorations

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Travel to the host site is required. For more information on the exact start and ending times of the course, location of the training, and nearby lodging/accommodations, please contact the course director.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

Summary:

PLEASE READ THIS ENTIRE SECTION CAREFULLY!
1.   Course Purpose: The purpose of this course is to introduce the dental assistant to the placement and finishing of composite, glass ionomer, and amalgam restorative materials in IHS, tribal, and IHS-funded urban dental programs. This course replaces the previous restorative EFDA courses of restorative basic, advanced, and composite-only, effective October 1, 2024.
2.   Waitlisted: If you are waitlisted for this course, you are encouraged to register for another course in addition to this one, as you may be able to get into one of the courses..
3.   Class Size: 6 students total, 4 from host site, 2 from outside host site
4.   Logistics [host site location, nearby accommodations, etc.]: will be provided to course participants 2-4 weeks prior to the course. However, if you need information prior to that time, you may contact the course director listed above.
Course Overview:
This course will focus on composite resin restorations, with limited amalgam information. Background information will be provided in cavity classification and dental anatomy. Anterior composites will include both Class III and Class IV restorations taught in didactic and laboratory settings. Posterior composites will include Class I, Class II, and Class V restorations taught in didactic and laboratory settings. Glass ionomer Class V restorations and amalgam Class II restorations will also be taught. This one-week, 32-hour course is designed to provide basic skills to perform these restorations.
Pre-Course Requirements:
1.   All DAs registered in this course must have completed DA0004, Restorative Expanded Functions – Basic Prerequisites, at least two weeks prior to the beginning of the course. Failure to document completion of this course will result in automatic disenrollment from the Restorative EFDA Course.
2.   All DAs registered in this course should be prepared to take the course. If you feel that you need additional preparation prior to the course, please work with your dental director.
Course Agenda:
1.   Monday morning – travel
2.   Monday afternoon – course overview, didactic lectures on composite basics [polymerization, materials basics, curing light, cavity liners, anatomy, adhesives]
3.   Tuesday morning – Class I and V posterior composite didactic presentations, practice on typodonts
4.   Tuesday afternoon – practice on typodonts, clinical and didactic test
5.   Wednesday morning – Class III and IV anterior composite didactic presentations, practice on typodonts
6.   Wednesday afternoon – practice on typodonts, clinical and didactic test
7.   Thursday morning – Class II composite and amalgam didactic presentations, practice both on typodonts
8.   Thursday afternoon – practice on typodonts, clinical test on Class II composites and didactic test to include both
9.   Friday morning – remediation testing, final didactic examination
10.   Friday afternoon – travel

During the Course:
1.   Participants are expected to pass a series of didactic [lecture] and clinical examinations to show proficiency in course content. The clinical examinations do not include clinical work with real patients.
2.   At the conclusion of the weeklong course, the course director will provide participants with a completion code. The DA will then have 3 days to complete the online post-course evaluation and get CDE credit. Failure to get CDE credit will result in non-certification down the road, so it is important to do this right away!
Post-Course Requirements:
1.   DAs must complete 40 restorations [5 of which may be Class II amalgam or composite] as specified in the Progress Record provided to you by the course director.
2.   The restorations are checked and scored by the dentist at their home dental clinic. These should be done under direct supervision of the dentist [dentist in the room while the DA is performing the restoration, able to provide tips and recommendations as needed]. Grading is documented on the Follow-Up Training Progress Record provided by the course director, which is then maintained at the local program.
3.   Post-course requirements must be completed within 6 months of the EFDA training.
4.   When the DA has satisfactorily completed the post-course restorations, the dental chief/director under whose license the DA will be working should then e-mail the IHS CDE Coordinator [IHSCDECoordinator@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. This should be done using this format only:

"_______________________ [name of DA] has satisfactorily completed the post-course requirements as a Restorative EFDA. He/she took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her evaluation form is being maintained in this office. Please issue instructions for certification.”
5.   Once this is done, the IHS CDE Coordinator will provide the student with instructions on how to receive their CDE certificate and their EFDA certificate.
6.   After the 40 restorations are done under direct supervision by the dentist, the DA should NOT perform any further composite restorations taught in this course unless CERTIFIED by the IHS CDE Coordinator.
7.   Following certification, the new Composite-Only Restorative EFDA may perform advanced composite and amalgam restorations under indirect supervision [dentist in the facility but not directly overseeing the work until a final check is needed].
Annual Competency:
1.   The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the Restorative EFDA to ensure high quality care is being delivered.
2.   The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

Upon completion of this course, participants will be able to:
1.   Have an understanding of the basic concepts of occlusion as they apply to restorative dentistry.
2.   Be able to place and finish composite, glass ionomer, and amalgam restorations.
3.   Have an understanding of the current state-of-the-art in dentinal bonding agents.
4.   Have the ability to discriminate between acceptable and unacceptable restorations

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Travel to the host site is required. For more information on the exact start and ending times of the course, location of the training, and nearby lodging/accommodations, please contact the course director.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

Summary:

PLEASE READ THIS ENTIRE SECTION CAREFULLY!
1.   Course Purpose: The purpose of this course is to introduce the dental assistant to the placement and finishing of composite, glass ionomer, and amalgam restorative materials in IHS, tribal, and IHS-funded urban dental programs. This course replaces the previous restorative EFDA courses of restorative basic, advanced, and composite-only, effective October 1, 2024.
2.   Waitlisted: If you are waitlisted for this course, you are encouraged to register for another course in addition to this one, as you may be able to get into one of the courses..
3.   Class Size: 7 students total, 3 from host site, 4 from outside host site
4.   Logistics [host site location, nearby accommodations, etc.]: will be provided to course participants 2-4 weeks prior to the course. However, if you need information prior to that time, you may contact the course director listed above.
Course Overview:
This course will focus on composite resin restorations, with limited amalgam information. Background information will be provided in cavity classification and dental anatomy. Anterior composites will include both Class III and Class IV restorations taught in didactic and laboratory settings. Posterior composites will include Class I, Class II, and Class V restorations taught in didactic and laboratory settings. Glass ionomer Class V restorations and amalgam Class II restorations will also be taught. This one-week, 32-hour course is designed to provide basic skills to perform these restorations.
Pre-Course Requirements:
1.   All DAs registered in this course must have completed DA0004, Restorative Expanded Functions – Basic Prerequisites, at least two weeks prior to the beginning of the course. Failure to document completion of this course will result in automatic disenrollment from the Restorative EFDA Course.
2.   All DAs registered in this course should be prepared to take the course. If you feel that you need additional preparation prior to the course, please work with your dental director.
Course Agenda:
1.   Monday morning – travel
2.   Monday afternoon – course overview, didactic lectures on composite basics [polymerization, materials basics, curing light, cavity liners, anatomy, adhesives]
3.   Tuesday morning – Class I and V posterior composite didactic presentations, practice on typodonts
4.   Tuesday afternoon – practice on typodonts, clinical and didactic test
5.   Wednesday morning – Class III and IV anterior composite didactic presentations, practice on typodonts
6.   Wednesday afternoon – practice on typodonts, clinical and didactic test
7.   Thursday morning – Class II composite and amalgam didactic presentations, practice both on typodonts
8.   Thursday afternoon – practice on typodonts, clinical test on Class II composites and didactic test to include both
9.   Friday morning – remediation testing, final didactic examination
10.   Friday afternoon – travel

During the Course:
1.   Participants are expected to pass a series of didactic [lecture] and clinical examinations to show proficiency in course content. The clinical examinations do not include clinical work with real patients.
2.   At the conclusion of the weeklong course, the course director will provide participants with a completion code. The DA will then have 3 days to complete the online post-course evaluation and get CDE credit. Failure to get CDE credit will result in non-certification down the road, so it is important to do this right away!
Post-Course Requirements:
1.   DAs must complete 40 restorations [5 of which may be Class II amalgam or composite] as specified in the Progress Record provided to you by the course director.
2.   The restorations are checked and scored by the dentist at their home dental clinic. These should be done under direct supervision of the dentist [dentist in the room while the DA is performing the restoration, able to provide tips and recommendations as needed]. Grading is documented on the Follow-Up Training Progress Record provided by the course director, which is then maintained at the local program.
3.   Post-course requirements must be completed within 6 months of the EFDA training.
4.   When the DA has satisfactorily completed the post-course restorations, the dental chief/director under whose license the DA will be working should then e-mail the IHS CDE Coordinator [IHSCDECoordinator@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. This should be done using this format only:

"_______________________ [name of DA] has satisfactorily completed the post-course requirements as a Restorative EFDA. He/she took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her evaluation form is being maintained in this office. Please issue instructions for certification.”
5.   Once this is done, the IHS CDE Coordinator will provide the student with instructions on how to receive their CDE certificate and their EFDA certificate.
6.   After the 40 restorations are done under direct supervision by the dentist, the DA should NOT perform any further composite restorations taught in this course unless CERTIFIED by the IHS CDE Coordinator.
7.   Following certification, the new Composite-Only Restorative EFDA may perform advanced composite and amalgam restorations under indirect supervision [dentist in the facility but not directly overseeing the work until a final check is needed].
Annual Competency:
1.   The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the Restorative EFDA to ensure high quality care is being delivered.
2.   The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

Upon completion of this course, participants will be able to:
1.   Have an understanding of the basic concepts of occlusion as they apply to restorative dentistry.
2.   Be able to place and finish composite, glass ionomer, and amalgam restorations.
3.   Have an understanding of the current state-of-the-art in dentinal bonding agents.
4.   Have the ability to discriminate between acceptable and unacceptable restorations

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Travel to the host site is required. For more information on the exact start and ending times of the course, location of the training, and nearby lodging/accommodations, please contact the course director.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

Please read this section carefully! If you are waitlisted for this course, you are encouraged to register for another course in addition to this one.


The periodontal EFDA course is
8 students total, 4 from outside Parker. designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers. Hand scaling is no longer a part of the periodontal EFDA curriculum.

Pre-Course Requirements:

1. All DAs registered in this course must complete the prerequisite course, DA0001, at least 2 weeks prior to the start of the course. Failure to do so may result in removal from the course by the course director.
2. All DAs registered in this course should be prepared to take the course. If you feel that you need additional preparation prior to the course, please work with your dental director.


During the Course:
1. Participants are expected to pass a series of didactic [lecture] and clinical examinations to show proficiency in course content. This includes clinical work with typodonts and with real patients.
2. At the conclusion of the weeklong course, the course director will provide participants with a completion code. The DA will then have 3 days to complete the online post-course evaluation and get CDE credit. Failure to get CDE credit will result in non-certification down the road, so it is important to do this right away!

Post-Course Requirements:
1. DAs must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. These should be done under direct supervision of the dentist or hygienist [dentist/hygienist in the room while the DA is performing the cleaning, able to provide tips and recommendations as needed]. Grading is documented on the Follow-Up Training Progress Record provided by the course director, which is then maintained at the local program.
2. Post-course requirements must be completed within 6 months of the EFDA training.
3. When the DA has satisfactorily completed the post-course cleanings, the dental chief/director under whose license the DA will be working should then e-mail the IHS EFDA Coordinator [IHSEFDA@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. This should be done using this format only: "_______________________ [name of DA] has satisfactorily completed the post-course requirements as a periodontal EFDA. He/she took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her evaluation form is being maintained in this office. Please issue instructions for certification.”
4. Once this is done, the IHS EFDA Coordinator will provide the student with instructions on how to receive their CDE certificate and their EFDA certificate.
5. After the 20 cleanings done under direct supervision by the dentist/hygienist, the DA should NOT perform any further cleanings unless CERTIFIED by the IHS EFDA Coordinator. Following certification, the new EFDA may perform cleanings under indirect supervision [dentist/hygienist in the facility but not directly overseeing the work until a final check is needed].

Annual Competency:
1. The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the periodontal EFDA to ensure high quality care is being delivered.
2. The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

Upon completion of this course, participants will be able to:
1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course and must successfully complete the Prerequisite Course at least 2 weeks prior to attending the course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Travel to the host site is required.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

Summary:

PLEASE READ THIS ENTIRE SECTION CAREFULLY!
1.   Course Purpose: The purpose of this course is to introduce the dental assistant to the placement and finishing of composite, glass ionomer, and amalgam restorative materials in IHS, tribal, and IHS-funded urban dental programs. This course replaces the previous restorative EFDA courses of restorative basic, advanced, and composite-only, effective October 1, 2024.
2.   Waitlisted: If you are waitlisted for this course, you are encouraged to register for another course in addition to this one, as you may be able to get into one of the courses..
3.   Class Size: 8 students total, 6 from host site, 2 from outside host site
4.   Logistics [host site location, nearby accommodations, etc.]: will be provided to course participants 2-4 weeks prior to the course. However, if you need information prior to that time, you may contact the course director listed above.
Course Overview:
This course will focus on composite resin restorations, with limited amalgam information. Background information will be provided in cavity classification and dental anatomy. Anterior composites will include both Class III and Class IV restorations taught in didactic and laboratory settings. Posterior composites will include Class I, Class II, and Class V restorations taught in didactic and laboratory settings. Glass ionomer Class V restorations and amalgam Class II restorations will also be taught. This one-week, 32-hour course is designed to provide basic skills to perform these restorations.
Pre-Course Requirements:
1.   All DAs registered in this course must have completed DA0004, Restorative Expanded Functions – Basic Prerequisites, at least two weeks prior to the beginning of the course. Failure to document completion of this course will result in automatic disenrollment from the Restorative EFDA Course.
2.   All DAs registered in this course should be prepared to take the course. If you feel that you need additional preparation prior to the course, please work with your dental director.
Course Agenda:
1.   Monday morning – travel
2.   Monday afternoon – course overview, didactic lectures on composite basics [polymerization, materials basics, curing light, cavity liners, anatomy, adhesives]
3.   Tuesday morning – Class I and V posterior composite didactic presentations, practice on typodonts
4.   Tuesday afternoon – practice on typodonts, clinical and didactic test
5.   Wednesday morning – Class III and IV anterior composite didactic presentations, practice on typodonts
6.   Wednesday afternoon – practice on typodonts, clinical and didactic test
7.   Thursday morning – Class II composite and amalgam didactic presentations, practice both on typodonts
8.   Thursday afternoon – practice on typodonts, clinical test on Class II composites and didactic test to include both
9.   Friday morning – remediation testing, final didactic examination
10.   Friday afternoon – travel

During the Course:
1.   Participants are expected to pass a series of didactic [lecture] and clinical examinations to show proficiency in course content. The clinical examinations do not include clinical work with real patients.
2.   At the conclusion of the weeklong course, the course director will provide participants with a completion code. The DA will then have 3 days to complete the online post-course evaluation and get CDE credit. Failure to get CDE credit will result in non-certification down the road, so it is important to do this right away!
Post-Course Requirements:
1.   DAs must complete 40 restorations [5 of which may be Class II amalgam or composite] as specified in the Progress Record provided to you by the course director.
2.   The restorations are checked and scored by the dentist at their home dental clinic. These should be done under direct supervision of the dentist [dentist in the room while the DA is performing the restoration, able to provide tips and recommendations as needed]. Grading is documented on the Follow-Up Training Progress Record provided by the course director, which is then maintained at the local program.
3.   Post-course requirements must be completed within 6 months of the EFDA training.
4.   When the DA has satisfactorily completed the post-course restorations, the dental chief/director under whose license the DA will be working should then e-mail the IHS CDE Coordinator [IHSCDECoordinator@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. This should be done using this format only:

"_______________________ [name of DA] has satisfactorily completed the post-course requirements as a Restorative EFDA. He/she took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her evaluation form is being maintained in this office. Please issue instructions for certification.”
5.   Once this is done, the IHS CDE Coordinator will provide the student with instructions on how to receive their CDE certificate and their EFDA certificate.
6.   After the 40 restorations are done under direct supervision by the dentist, the DA should NOT perform any further composite restorations taught in this course unless CERTIFIED by the IHS CDE Coordinator.
7.   Following certification, the new Composite-Only Restorative EFDA may perform advanced composite and amalgam restorations under indirect supervision [dentist in the facility but not directly overseeing the work until a final check is needed].
Annual Competency:
1.   The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the Restorative EFDA to ensure high quality care is being delivered.
2.   The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

Upon completion of this course, participants will be able to:
1.    Have an understanding of the basic concepts of occlusion as they apply to restorative dentistry.
2.    Be able to place and finish composite, glass ionomer, and amalgam restorations.
3.    Have an understanding of the current state-of-the-art in dentinal bonding agents.
4.    Have the ability to discriminate between acceptable and unacceptable restorations

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Travel to the host site is required. For more information on the exact start and ending times of the course, location of the training, and nearby lodging/accommodations, please contact the course director.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

Summary:

PLEASE READ THIS ENTIRE SECTION CAREFULLY!
1.   Course Purpose: The purpose of this course is to introduce the dental assistant to the placement and finishing of composite, glass ionomer, and amalgam restorative materials in IHS, tribal, and IHS-funded urban dental programs. This course replaces the previous restorative EFDA courses of restorative basic, advanced, and composite-only, effective October 1, 2024.
2.   Waitlisted: If you are waitlisted for this course, you are encouraged to register for another course in addition to this one, as you may be able to get into one of the courses..
3.   Class Size: 8 students total, _6_ from host site, _2_ from outside host site
4.   Logistics [host site location, nearby accommodations, etc.]: will be provided to course participants 2-4 weeks prior to the course. However, if you need information prior to that time, you may contact the course director listed above.
Course Overview:
This course will focus on composite resin restorations, with limited amalgam information. Background information will be provided in cavity classification and dental anatomy. Anterior composites will include both Class III and Class IV restorations taught in didactic and laboratory settings. Posterior composites will include Class I, Class II, and Class V restorations taught in didactic and laboratory settings. Glass ionomer Class V restorations and amalgam Class II restorations will also be taught. This one-week, 32-hour course is designed to provide basic skills to perform these restorations.
Pre-Course Requirements:
1.   All DAs registered in this course must have completed DA0004, Restorative Expanded Functions – Basic Prerequisites, at least two weeks prior to the beginning of the course. Failure to document completion of this course will result in automatic disenrollment from the Restorative EFDA Course.
2.   All DAs registered in this course should be prepared to take the course. If you feel that you need additional preparation prior to the course, please work with your dental director.
Course Agenda:
1.   Monday morning – travel
2.   Monday afternoon – course overview, didactic lectures on composite basics [polymerization, materials basics, curing light, cavity liners, anatomy, adhesives]
3.   Tuesday morning – Class I and V posterior composite didactic presentations, practice on typodonts
4.   Tuesday afternoon – practice on typodonts, clinical and didactic test
5.   Wednesday morning – Class III and IV anterior composite didactic presentations, practice on typodonts
6.   Wednesday afternoon – practice on typodonts, clinical and didactic test
7.   Thursday morning – Class II composite and amalgam didactic presentations, practice both on typodonts
8.   Thursday afternoon – practice on typodonts, clinical test on Class II composites and didactic test to include both
9.   Friday morning – remediation testing, final didactic examination
10.   Friday afternoon – travel

During the Course:
1.   Participants are expected to pass a series of didactic [lecture] and clinical examinations to show proficiency in course content. The clinical examinations do not include clinical work with real patients.
2.   At the conclusion of the weeklong course, the course director will provide participants with a completion code. The DA will then have 3 days to complete the online post-course evaluation and get CDE credit. Failure to get CDE credit will result in non-certification down the road, so it is important to do this right away!
Post-Course Requirements:
1.   DAs must complete 40 restorations [5 of which may be Class II amalgam or composite] as specified in the Progress Record provided to you by the course director.
2.   The restorations are checked and scored by the dentist at their home dental clinic. These should be done under direct supervision of the dentist [dentist in the room while the DA is performing the restoration, able to provide tips and recommendations as needed]. Grading is documented on the Follow-Up Training Progress Record provided by the course director, which is then maintained at the local program.
3.   Post-course requirements must be completed within 6 months of the EFDA training.
4.   When the DA has satisfactorily completed the post-course restorations, the dental chief/director under whose license the DA will be working should then e-mail the IHS CDE Coordinator [IHSCDECoordinator@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. This should be done using this format only:

"_______________________ [name of DA] has satisfactorily completed the post-course requirements as a Restorative EFDA. He/she took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her evaluation form is being maintained in this office. Please issue instructions for certification.”
5.   Once this is done, the IHS CDE Coordinator will provide the student with instructions on how to receive their CDE certificate and their EFDA certificate.
6.   After the 40 restorations are done under direct supervision by the dentist, the DA should NOT perform any further composite restorations taught in this course unless CERTIFIED by the IHS CDE Coordinator.
7.   Following certification, the new Composite-Only Restorative EFDA may perform advanced composite and amalgam restorations under indirect supervision [dentist in the facility but not directly overseeing the work until a final check is needed].
Annual Competency:
1.   The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the Restorative EFDA to ensure high quality care is being delivered.
2.   The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

Upon completion of this course, participants will be able to:
1. Have an understanding of the basic concepts of occlusion as they apply to restorative dentistry.
2. Be able to place and finish complex Class II amalgam restorations and composite restorations involving the incisal angle.
3. Have an understanding of the current state-of-the-art in dentinal bonding agents.
4. Have the ability to discriminate between acceptable and unacceptable restorations

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Travel to the host site is required. For more information on the exact start and ending times of the course, location of the training, and nearby lodging/accommodations, please contact the course director.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

Please read this section carefully! If you are waitlisted for this course, you are encouraged to register for another course in addition to this one.


The periodontal EFDA course is
8 students total, 2 from outside Parker. designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers. Hand scaling is no longer a part of the periodontal EFDA curriculum.

Pre-Course Requirements:

1. All DAs registered in this course must complete the prerequisite course, DA0001, at least 2 weeks prior to the start of the course. Failure to do so may result in removal from the course by the course director.
2. All DAs registered in this course should be prepared to take the course. If you feel that you need additional preparation prior to the course, please work with your dental director.


During the Course:
1. Participants are expected to pass a series of didactic [lecture] and clinical examinations to show proficiency in course content. This includes clinical work with typodonts and with real patients.
2. At the conclusion of the weeklong course, the course director will provide participants with a completion code. The DA will then have 3 days to complete the online post-course evaluation and get CDE credit. Failure to get CDE credit will result in non-certification down the road, so it is important to do this right away!

Post-Course Requirements:
1. DAs must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. These should be done under direct supervision of the dentist or hygienist [dentist/hygienist in the room while the DA is performing the cleaning, able to provide tips and recommendations as needed]. Grading is documented on the Follow-Up Training Progress Record provided by the course director, which is then maintained at the local program.
2. Post-course requirements must be completed within 6 months of the EFDA training.
3. When the DA has satisfactorily completed the post-course cleanings, the dental chief/director under whose license the DA will be working should then e-mail the IHS EFDA Coordinator [IHSEFDA@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. This should be done using this format only: "_______________________ [name of DA] has satisfactorily completed the post-course requirements as a periodontal EFDA. He/she took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her evaluation form is being maintained in this office. Please issue instructions for certification.”
4. Once this is done, the IHS EFDA Coordinator will provide the student with instructions on how to receive their CDE certificate and their EFDA certificate.
5. After the 20 cleanings done under direct supervision by the dentist/hygienist, the DA should NOT perform any further cleanings unless CERTIFIED by the IHS EFDA Coordinator. Following certification, the new EFDA may perform cleanings under indirect supervision [dentist/hygienist in the facility but not directly overseeing the work until a final check is needed].

Annual Competency:
1. The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the periodontal EFDA to ensure high quality care is being delivered.
2. The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

Upon completion of this course, participants will be able to:
1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course and must successfully complete the Prerequisite Course at least 2 weeks prior to attending the course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Travel to the host site is required.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

Please read this section carefully! If you are waitlisted for this course, you are encouraged to register for another course in addition to this one.


The periodontal EFDA course is
8 students total, 8 from outside Albuquerque. designed to teach dental assistants to provide dental cleanings to remove visible calculus by using state-of-the art Piezoelectric scalers or Magnetostrictive ultrasonic scalers. Hand scaling is no longer a part of the periodontal EFDA curriculum.

Pre-Course Requirements:

1. All DAs registered in this course must complete the prerequisite course, DA0001, at least 2 weeks prior to the start of the course. Failure to do so may result in removal from the course by the course director.
2. All DAs registered in this course should be prepared to take the course. If you feel that you need additional preparation prior to the course, please work with your dental director.


During the Course:
1. Participants are expected to pass a series of didactic [lecture] and clinical examinations to show proficiency in course content. This includes clinical work with typodonts and with real patients.
2. At the conclusion of the weeklong course, the course director will provide participants with a completion code. The DA will then have 3 days to complete the online post-course evaluation and get CDE credit. Failure to get CDE credit will result in non-certification down the road, so it is important to do this right away!

Post-Course Requirements:
1. DAs must complete 20 dental cleanings which are checked and scored by the hygienist/dentist at their home dental clinic. These should be done under direct supervision of the dentist or hygienist [dentist/hygienist in the room while the DA is performing the cleaning, able to provide tips and recommendations as needed]. Grading is documented on the Follow-Up Training Progress Record provided by the course director, which is then maintained at the local program.
2. Post-course requirements must be completed within 6 months of the EFDA training.
3. When the DA has satisfactorily completed the post-course cleanings, the dental chief/director under whose license the DA will be working should then e-mail the IHS EFDA Coordinator [IHSEFDA@ihs.gov] to inform them that post-course requirements have been met and that the record is on file at the local clinic. This should be done using this format only: "_______________________ [name of DA] has satisfactorily completed the post-course requirements as a periodontal EFDA. He/she took course ____ [course number] on ______ [date] at ______________ [location]. A copy of his/her evaluation form is being maintained in this office. Please issue instructions for certification.”
4. Once this is done, the IHS EFDA Coordinator will provide the student with instructions on how to receive their CDE certificate and their EFDA certificate.
5. After the 20 cleanings done under direct supervision by the dentist/hygienist, the DA should NOT perform any further cleanings unless CERTIFIED by the IHS EFDA Coordinator. Following certification, the new EFDA may perform cleanings under indirect supervision [dentist/hygienist in the facility but not directly overseeing the work until a final check is needed].

Annual Competency:
1. The Dental Director/Dental Chief is encouraged to complete an annual competency evaluation on the periodontal EFDA to ensure high quality care is being delivered.
2. The annual competency evaluation can be found on the IHS Dental Portal under the Clinic Tab - Competencies.

Upon completion of this course, participants will be able to:
1. Relate Community Periodontal Index of Treatment Needs [CPITN] scores to a need for potential periodontal treatment.
2. Detect disease, supra and subgingival calculus.
3. Provide thorough ultrasonic scaling of teeth..
4. Accurately code for periodontal and hygiene procedures with IHS/ADA coding. .
5. Recommend effective toothpastes, mouth rinses and oral hygiene aids to patients.
6. Motivate patients to improve plaque removal and periodontal health.
7. Identify who is at risk for periodontal breakdown.

Dental assistants must have basic knowledge about periodontal disease before attending the Periodontal Expanded Functions-Basic course and must successfully complete the Prerequisite Course at least 2 weeks prior to attending the course.

Tuition is due only from staff from tribal programs that have taken their HQ dental shares. Tuition Payment is due at least 30 days prior to the start of the course. Please submit tuition payment to the address on the Tuition Payment Form [obtain the form by contacting IHSCDECoordinator@ihs.gov] or downloading from this site.

Travel to the host site is required.

As of January 1, 2017, dental staff from Title V Tribal Compact Programs are required to pay tuition for courses. For this course, Title V compacted programs should send a check or money order made out to the

Tuition is required only for staff from Title V Tribal Compacts who have taken their dental shares. Tuition must be paid in full 8 weeks prior to the start of the course – please see the tuition policy below.

There is no need to "Register" for this course. Simply login to the CDE and use the link provided on the Course Page - "Take the exam" in the "Instructions" section on the Course Detail page to receive credit.

According to PL 97-35, the initial certification of competency in Dental Radiology involves two components:
1. Written Evaluation: "A criterion-reference test designed to measure knowledge and functional capability essential for making diagnostically acceptable radiographic surveys with minimal risk to the patient and the operator."
2. Clinical Evaluation: "The written examination is supplemented as necessary with a clinical examination." Demonstration of clinical proficiency means meeting the minimum standards in Infection control, radiology protection, quality of radiographs and presentation of radiographs.

The radiology certification process is intended to be accomplished at the dental auxiliarys facility under the guidance of the supervising dentist.

This course is the online version of the written exam.
Upon successful completion [a grade of 75 percent or higher] on the online exam and the completion of the clinical portion of the radiology certification process, the dental auxiliary will receive a certificate of competency in radiology.

To complete the online clinical portion of the radiology exam process, the supervisor must enter the clinical evaluations online in the dental directory. Go to the Assistants listing in the directory and use the drop down menu under their name to select "Add Radiology Clinical Eval" which will present the evaluation entering screen.

There is no need to "Register" for this course. Simply login to the CDE and use course DA2001 to prepare for the exam, if necessary, and then Click on "Take the exam" in the "Instructions" section on the Course Detail page to receive credit.

According to PL 97-35, the initial certification of competency in Dental Radiology involves two components:
1. Written Evaluation: "A criterion-reference test designed to measure knowledge and functional capability essential for making diagnostically acceptable radiographic surveys with minimal risk to the patient and the operator."
2. Clinical Evaluation: "The written examination is supplemented as necessary with a clinical examination." Demonstration of clinical proficiency means meeting the minimum standards in Infection control, radiology protection, quality of radiographs and presentation of radiographs.

The radiology certification process is intended to be accomplished at the dental auxiliarys facility under the guidance of the supervising dentist.

This course is the online version of the written exam.
Upon successful completion [a grade of 75 percent or higher] on the online exam and the completion of the clinical portion of the radiology certification process, the dental auxiliary will receive a certificate of competency in radiology.

To complete the online clinical portion of the radiology exam process, the supervisor must enter the clinical evaluations online in the dental directory. Go to the Assistants listing in the directory and use the drop down menu under their name to select "Add Radiology Clinical Eval" which will present the evaluation entering screen.

It is recommended that dental auxiliaries study for the exam using Digital Imaging course DA2001.

The Consumer-Patient Radiation Health and Safety Act of 1981 [PL 97-35] requires dental personnel be trained and certified in dental radiology. The intent of radiology certification is to eliminate unnecessary radiation exposure to the patient, operator, and other staff while assuring quality, diagnostic radiographs. The certification process involves successfully passing a written examination, and demonstrating clinical competency while adhering to accepted radiological practices.

After completing this course, dental auxiliaries will be prepared to take the written exam, and demonstrate competency in the following areas:



Infection Control

None

None

No tuition

The Consumer-Patient Radiation Health and Safety Act of 1981 [PL 97-35] requires dental personnel be trained and certified in dental radiology. The purpose of the certification program is to eliminate unnecessary radiation exposure to the patient, operator, and other staff while assuring quality, diagnostic dental images.

Learning resources [video demonstrations, practice quizzes, skill competency checklists] are accessible after registering for this course. The learning resources also include the Dental Digital Imaging Study Guide which presents information about: 1] Radiation Safety and Protection; 2] Digital Dental Equipment; 3] Dental Digital Imaging Techniques; 4] Infection Control; and 5] Special Dental Imaging Techniques.

After studying the information in the Dental Digital Imaging Study Guide, watching the video demonstrations, completing the quizzes and skill competencies, dental auxiliaries will be prepared to take the written exam, and demonstrate competency in digital imaging in the following areas:

Infection Control
• Place barriers or disinfect operatory and X-ray equipment.
• Wear appropriate PPE.
• Select appropriate receptor and exposure settings.
• Assemble the XCP.
• Disinfection of the protective devices [apron and thyroid collar].
• Limit contamination when taking dental images.

Patient Protection
• Place protective devices on each patient during all exposures.
• Store protective devices to reduce creasing and damage.
• Stabilize the PID or cone and position it in close proximity to the XCP when the image is taken.

Operator Protection
• Stand at least six feet from the patient and not in the path of the primary beam or behind protective barrier during exposure.
• Allow only necessary persons in radiographic area during exposures.
• Give a warning prior to pushing the X-ray activator button.
• Position receptor and cone correctly without being held by staff or patient during exposures.
• Wear dosimeter.

Take, Process, and Upload into Proper Template/ Store Diagnostic Dental Digital Images
• Place receptor appropriately for the area of the mouth under study.
• Take images with correct density and contrast such that anatomical hard and soft tissue landmarks can be differentiated.
• Take images with no distortion in the area of the mouth under study.
• Take images with no overlapping in the area of mouth under study, except where tooth alignment does not permit open contacts.
• Take images with no cone-cutting.
• Take bitewing images that show the distal surface of the erupted canine and distal surface of the second molar.
• Use appropriate template to assure dental images are dated, identified with patient’s name and chart number, and contained in the patient’s electronic dental record.

None

None

No tuition required

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This is an introduction to the Dentrix Enterprise [DXE] software and EDR interface [if applicable]. Course topics include general navigation of DXE and the type of data transmitted, and common workflows. DXE user setup is reviewed in this session as a precursor to assigning user security access.

1. Understand what type of data is transmitted from Dentrix Enterprise [DXE] to EMR.
2. Review provider and hygienist setup and data transition issues.
3. Understand user/staff setup in Dentrix.

Course is available only while undergoing EDR implementation.

None

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course reviews the setup and maintenance of Dentrix Enterprise [DXE] Passwords; security rights; CDT, ICD-10 and other code systems. Procedure Button templates are reviewed and customized to the dental clinics needs.

1. Understand how to set up security groups in Dentrix Enterprise [DXE] and assign personnel into security groups based on clinic roles.
2. Understand how to link ICD-10 codes to CDT codes.
3. Learn the process for setting up Definitions, Conditions and other coding parameters in Dentrix Enterprise [DXE].

This course is available only to sites during EDR implementation.

None

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course introduces the Dentrix [DXE] Appointment Book through a review of provider and operatory setup to support patient scheduling. This session also instructs the setup, sharing and maintenance of Appointment Book Views.

1. Learn the process to setup the provider in the Dentrix Enterprise [DXE] appointment book.
2. Identify how to set up time blocks to allow reporting the Third-Next-Available-Appointment [TNAA].
3. Understand the process to setup and share appointment views to users.

Available during EDR implementation

None

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course reviews the setup and workflows for clinical records within Dentrix Enterprise [DXE]. Modules/processes to be reviewed includes, but is not limited to: Patient Health Assessment Review, Patient Consent Forms, Clinical Notes Templates and the Oral Health Status Measure.

1. Identify the difference between “Checkbox” and “One Response from List” prompt options.
2. Demonstrate how to edit an existing prompt.
3. Explain the purpose of using “Grouped Prompts” setting for templates.

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course reviews the process for efficient scheduling and management of patient appointments in the Dentrix Enterprise [DXE] Appointment Book; intended for any clinic personnel involved with scheduling patients.

1. Identify how to show confirmed appointments in the patient Dentrix Enterprise [DXE] appointment view.
2. List three [3] parameters to find an open appointment time in the Appointment Book.
3. Learn how to create an appointment in the Dentrix Enterprise [DXE] Appointment Book.

Available during EDR implementation.

None

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course is an introduction and overview of the basic functions of Dentrix Enterprise [DXE]. Course topics include More Information window, Family File, Patient registration, Primary Provider and medical s. This course will also include a review of essential functions in the Document Center and Office Journal.

1. Understand the overall basic features of Dentrix Enterprise [DXE] Family File and Document Center.
2. Demonstrate how to open the patient chart Family File.
3. Learn the key components of the Document Center and how to save patient electronic documents.

Available during EDR implementation.

None

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course will cover Clinical Records Management for comprehensive documentation of patient care. Modules reviewed in this course include: Dental Patient Medical History Assessment, Patient Chart, Treatment Planner and Perio Chart.

1. Define Clinical Records Management for an IHS dental clinic.
2. Identify two [2] tools for entering procedures into the Dentrix Enterprise [DXE] Patient Chart.
3. Identify two [2] areas to store patient notes within the Dentrix Enterprise [DXE] Patient Chart.

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course is a review of patient scheduling for the clinician, progress notes for clinical chart validation, use of [provider] Clinical Note Templates, and the IHS Oral Health Status [OHS] Measure data entry.

1. Demonstrate how to view the Dentrix Progress Notes.
2. Explain how "Grouped Prompts" benefits the Clinical Note entry.
3. Name four [4] oral health conditions factored in the IHS Oral Health Status [OHS] Measure classification.

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course introduces the IHS Dental Clinic Manager's Handbook through a review of the daily reports checklist. Learn the daily should be run to keep the Dentrix Enterprise [DXE] system functioning properly, final checks in preparation for patient registration "push" to DXE; and finalize the DXE software setup prior to Go Live.

1. List three [3] Dentrix Enterprise [DXE] reports that should be run on a daily basis.
2. List four [4] advantages of running the Month End closeout.
3. Identify two [2] sections of the IHS Dental Clinic Manager's Handbook.

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course covers the complete lifecycle of a patient visit. From the initial patient contact through appointment completion. The course will test the clinic's patient workflow process and give team members the opportunity to role play through hands-on experience with the Dentrix Enterprise [DXE] software.

1. Identify two [2] types of patient information displayed in the More Information window.
2. Demonstrate how to change patient "status" in the Appointment Book .
3. Identify two [2] areas to store patient notes within Dentrix Enterprise [DXE].

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course is a hands-on training for "Go-Live" with practice and preparation for scheduling patients, entering treatment in the Patient Chart, and use of [provider] Clinical Note Templates.

1. List three [3] ways to locate/select a 'patient chart' in Dentrix Enterprise [DXE].
2. Demonstrate how to use [procedure code] buttons to enter CDT and Conditions codes.
3. Demonstrate how to acquire electronic documents in the Dentrix Enterprise [DXE] Document Center.

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course will review the clinic's coding/billing workflow processes. This includes: fee schedule setup, management of completed procedures. patient ledger/transaction management, claim preparation, and submission [if used] within Dentrix Enterprise [DXE].

1. Demonstrate how to set up a fee schedule in Dentrix Enterprise [DXE].
2. Explain the steps to correct procedures entered in error.
3. Learn to run the daily patient ledger report.

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course includes an introduction, overview of benefits, and workflow of the digital imaging environment. Training is conducted by the 3rd party dental imaging vendor [not the Dentrix Enterprise trainer].

1. Identify three [3] main benefits to having the digital imaging in the EDR environment.
2. Describe the functionality of the most commonly used tools within the digital imaging viewer.
3. Describe the process to convert from another image management system to the new digital imaging software.

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This follow-up training course consists of reviewing scheduling and patient records workflows in Dentrix Enterprise [DXE]. Within the course time, attendees will have the opportunity to validate workflow processes, identify challenges and resolve process gaps.

1. Describe the difference between break, wait/will call and deleting appointments.
2. List two [2] ways to acquire a document in the Document Center.
3. Demonstrate the workflow to find an appointment time in Dentrix Enterprise [DXE].

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This follow-up training course consists of reviewing clinical records and daily reporting workflows in Dentrix Enterprise [DXE]. Within the course time, attendees will have the opportunity to validate workflow processes, identify challenges and resolve process gaps.

1. Identify two [2] ways to view Progress Notes.
2. Understand how to sign a consent form.
3. List two [2] pieces of information on the Day Sheet report.

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This follow-up training courses consists of an in-depth review of IHS daily and weekly reports in Dentrix Enterprise [DXE]. Learn the management processes to support best practice review of DXE data as reported within the guidance of the IHS Dental Clinic Manager's Handbook.

1. Identify the four [4] types of checklists available in the Clinic Manager's Handbook.
2. Identify two [2] daily reports to run in Dentrix.
3. Demonstrate how to set a report template in DXOne.

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This follow-up training courses consists of an in-depth review of the monthly and administrative reports in Dentrix Enterprise [DXE]. Learn the management processes to support best practice review of DXE data and administrative tasks as reported within the guidance of the IHS Dental Clinic Manager's Handbook.

1. Demonstrate how to edit a clinical note from the Signature Manager.
2. List four [4] benefits of Month End in Dentrix Enterprise [DXE].
3. Identify three [3] monthly reports to run in Dentrix Enterprise [DXE].

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course reviews the essential billing setup pre-requisites to support Dentrix Enterprise [DXE] revenue cycle management processes.

1. List three [3] definitions that can be customized to support billing processes in Dentrix Enterprise [DXE].
2. Demonstrate the process to enter a fee schedule into Dentrix Enterprise [DXE].
3. Explain the difference between insurance tags, patient tags and billing types.

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course incorporates the essential billing setup to introduce insurance workflows. Attendees will learn how to attach dental insurance plans, fee schedules, insurance plan notes and track insurance eligibility.

1. List the two [2] fields required to populate patient insurance eligibility.
2. Identify the hierarchy [priority] of fee schedules in Dentrix Enterprise [DXE].
3. Demonstrate the steps to attach an insurance plan to a dental patient in Dentrix Enterprise [DXE].

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course reviews the Dentrix Enterprise Ledger workflows, from general navigation to management of patient balances. Learn how Line Item Accounting effects the allocation of credits to charges, while working through the Dentrix Enterprise billing application.

1. Identify the window which displays the guarantor estimate for all open charges in an account.
2. List two [2] ways to enter a payment into the Dentrix Enterprise [DXE] Ledger.
3. Explain what a Suspended Credit is and it's significance in Dentrix Enterprise [DXE] Ledger.

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This course is designed to provide attendees with a general understanding of Dentrix Enterprise setup and use for dental practice management. The course is divided into role-based modules which focus on each step of the practice management life cycle and provide attendees with in depth training of daily activities.

This course highlights the workflows for insurance payment entry, claim management and system maintenance to support revenue cycle management in Dentrix Enterprise [DXE].

1. Explain the purpose of the Dentrix Enterprise [DXE] Month End Update.
2. List two [2] daily insurance claims reports.
3. List one [1] feature found in the Insurance Plan Maintenance window to reduce instances of duplicate insurance plans in Dentrix Enterprise [DXE].

Available during EDR implementation.

None.

Please Make Checks Payable to: Indian Health Service.

This is an introduction to the Dentrix Enterprise [DXE] software upgrade, new features and setup requirements. Course topics include general navigation and configuration of DXE new features, and review of common workflows. DXE user security setup is reviewed in this session as a precursor to live training sessions.

1. Review how to update settings and definitions to support new features in Dentrix Enterprise [DXE].
2. Identify three [3] new features in Dentrix Enterprise [DXE].
3. Understand user/staff security rights setup in Dentrix.

Course is available only while undergoing EDR upgrades.

None

Please Make Checks Payable to: Indian Health Service.

This course introduces the IHS Dental Clinic Manager's Handbook through a review of the daily, weekly, monhtly and adminstrative reports checklists. Learn the reports to generate regularly to keep the Dentrix Enterprise [DXE] system functioning properly, and finalize the DXE software setup prior to Go Live.

1. List three [3] Dentrix Enterprise [DXE] reports that should be run on a daily basis.
2. List four [4] advantages of running the Month End closeout.
3. Identify two [2] sections of the IHS Dental Clinic Manager's Handbook.

Course is available only while undergoing EDR upgrades.

None

Please Make Checks Payable to: Indian Health Service.

This course covers the complete lifecycle of a patient visit. From the initial patient contact through appointment completion.

This course will review the clinic's coding/billing workflow processes, features and workflows to support successful dental billing.

1. Identify two [2] types of patient information displayed in the More Information window.
2. Explain the steps to correct procedures entered in error.
3. Identify two [2] areas to store patient notes within Dentrix Enterprise [DXE].

Course is available only while undergoing EDR upgrades.

None

Please Make Checks Payable to: Indian Health Service.

This course is a review of patient scheduling and dental patient records management for the entire dental team. A special focus on new features of Dentrix Enterprise and how to successfully adopt new workflows through practice and hands-on instruction.

1. Define Clinical Records Management for an IHS dental clinic.
2. Identify two [2] tools for entering procedures into the Dentrix Enterprise [DXE] Patient Chart.
3. Identify two [2] areas to store patient notes within the Dentrix Enterprise [DXE] Patient Chart.

Course is available only while undergoing EDR upgrades.

None

Please Make Checks Payable to: Indian Health Service.

This course will cover Clinical Records Management for comprehensive documentation of dental patient care. Modules reviewed in this course include: Dental Patient Medical History Assessment, Patient Chart, Clinical Notes, Treatment Planner, and Perio Chart.

1, Demonstrate how to view signed treatment consent forms.
2. Explain how "Grouped Prompts" benefits the Clinical Note entry.
3. Name four [4] oral health conditions factored in the IHS Oral Health Status [OHS] Measure classification.

Course is available only while undergoing EDR upgrades.

None

Please Make Checks Payable to: Indian Health Service.

This course incorporates a review of new features to support billing workflows in new Dentrix Enterprise. Attendees will learn how to utilize enhanced dental claim features and balance management tools.

1. List the two [2] ways to apply Suspended Credits in Dentrix Enterprise.
2. Identify the window which displays the guarantor estimate for all open charges in an account.
3. Demonstrate the steps to attach an insurance plan to a dental patient in Dentrix Enterprise [DXE].

Course is available only while undergoing EDR upgrades.

None

Please Make Checks Payable to: Indian Health Service.

This course reviews the Dentrix Enterprise Ledger workflows, from general navigation to management of patient balances using new features and tools in Dentrix Enterprise. This course highlights the workflows for insurance payment entry and claim management to support revenue cycle management in Dentrix Enterprise [DXE].

1. Explain the purpose of the batch insurance payment window.
2. List two [2] daily insurance claims reports.
3. List two [2] ways to enter a payment into the Dentrix Enterprise [DXE] Ledger.

Course is available only while undergoing EDR upgrades.

None

Please Make Checks Payable to: Indian Health Service.

This course covers the complete lifecycle of a patient visit. From the initial patient contact through appointment completion. The course will test the clinic's patient workflow process and give team members the opportunity to role play through hands-on experience with the Dentrix Enterprise [DXE] software.

1. Identify two [2] types of patient information displayed in the More Information window.
2. Demonstrate how to change patient "status" in the Appointment Book .
3. Identify two [2] areas to store patient notes within Dentrix Enterprise [DXE].

Course is available only while undergoing EDR upgrades.

None

Please Make Checks Payable to: Indian Health Service.

This clinical work-force development series will share evidence-based recommendations and clinical pearls on the treatment and management of pain, opioid use disorder [OUD], and safe opioid prescribing. Participants will increase knowledge surrounding integrated pain management modalities, identification of opioid use disorder, recommended level or care for substance use disorder, increase comfort-level with initiating buprenorphine for OUD, and be able to identify resources to assist with improving opioid related outcomes.

Upon completion of this course, participants will be able to:
1.    Describe the pathophysiology of pain or substance abuse and create relevant treatment plans that utilize a variety of integrated management strategies
2.    Identify and implement patient assessment and screening tools to inform patient treatment plans and create useful patient monitoring strategies
3.    Improve the safety and outcomes of patients receiving ongoing chronic opioid therapy or substance use therapy

None

None

Please Make Checks Payable to: Indian Health Service.

This clinical work-force development series will share evidence-based recommendations and clinical pearls on the treatment and management of pain, opioid use disorder [OUD], and safe opioid prescribing. Participants will increase knowledge surrounding integrated pain management modalities, identification of opioid use disorder, recommended level or care for substance use disorder, increase comfort-level with initiating buprenorphine for OUD, and be able to identify resources to assist with improving opioid related outcomes.

Upon completion of this course, participants will be able to:
1.    Describe the pathophysiology of pain or substance abuse and create relevant treatment plans that utilize a variety of integrated management strategies
2.    Identify and implement patient assessment and screening tools to inform patient treatment plans and create useful patient monitoring strategies
3.    Improve the safety and outcomes of patients receiving ongoing chronic opioid therapy or substance use therapy

None

None

Please Make Checks Payable to: Indian Health Service.

This clinical work-force development series will share evidence-based recommendations and clinical pearls on the treatment and management of pain, opioid use disorder [OUD], and safe opioid prescribing. Participants will increase knowledge surrounding integrated pain management modalities, identification of opioid use disorder, recommended level or care for substance use disorder, increase comfort-level with initiating buprenorphine for OUD, and be able to identify resources to assist with improving opioid related outcomes.

Upon completion of this course, participants will be able to:
1.    Describe the pathophysiology of pain or substance abuse and create relevant treatment plans that utilize a variety of integrated management strategies
2.    Identify and implement patient assessment and screening tools to inform patient treatment plans and create useful patient monitoring strategies
3.    Improve the safety and outcomes of patients receiving ongoing chronic opioid therapy or substance use therapy

None

None

Please Make Checks Payable to: Indian Health Service.

This clinical work-force development series will share evidence-based recommendations and clinical pearls on the treatment and management of pain, opioid use disorder [OUD], and safe opioid prescribing. Participants will increase knowledge surrounding integrated pain management modalities, identification of opioid use disorder, recommended level or care for substance use disorder, increase comfort-level with initiating buprenorphine for OUD, and be able to identify resources to assist with improving opioid related outcomes.

Upon completion of this course, participants will be able to:
1.    Describe the pathophysiology of pain or substance abuse and create relevant treatment plans that utilize a variety of integrated management strategies
2.    Identify and implement patient assessment and screening tools to inform patient treatment plans and create useful patient monitoring strategies
3.    Improve the safety and outcomes of patients receiving ongoing chronic opioid therapy or substance use therapy

None

None

Please Make Checks Payable to: Indian Health Service.

This self-directed course meets Medication Access and Training Extension [MATE] Act requirements for all Drug Enforcement Administration [DEA]-registered practitioners. It is designed with 2 online video modules, a post-activity quiz, and a post-activity online evaluation. This course should take approximately 3 hours to complete.
There is no fee for this program.

Safe prescribing of control substances, adequate pain management, and appropriate screening and treatment of opioid use disorder is a high priority for the Indian Health Service. This training will help provide a better understanding of how to create a pain treatment plan and address how culture, spirituality and psychology can affect a patient’s pain experience. The training focuses on understanding pain from a historical standpoint, compares old and new guidelines to outline best practice, comprehensive pain and risk assessment, understand assessing and treating medications and acquire skills needed to address aberrant behavior.

Module 1 IHS Opioid Stewardship Video
Module 2 Essential Training on Pain and Addictions
•   Part 1 Historical Trauma in American Indians / Alaska Natives [AI/AN
•   Part 2 Pain and Opioid Overdose Epidemiology and Opioid Crisis and Overdose in AI/AN population
•   Part 3 Clinical Practice Guidelines for Opioid Therapy
•   Part 4 Opioid Safety and Mitigation Strategies
•   Part 5 Recommended Treatments for Pain
•   Part 6 Opioid Use Disorder [OUD] Treatment
•   Part 7 Opioid Dose Reduction and Tapering

Upon completion of this course, participants will be able to:
1. Examine the comprehensive healthcare needs of American Indians and Alaska Natives [AI/AN] for chronic pain and substance use disorder
2. Develop a basic awareness of chronic pain, substance use, addiction and diversion
3. Identify highlights from the 2022 CDC Clinical Practice Guidelines for Prescribing Opioids
4. Evaluate the pharmacology and risks of controlled substances and medications for opioid use disorder [MOUD]
5. Promote interprofessional team-based management, evaluation, and treatment of pain and substance use disorders

IHS IHM 3-30.29 MANDATORY TRAINING
2.   All Federal prescribers, contractors [that spend 50 percent or more of their clinical time under contract with the Federal Government], clinical residents and trainees are required to successfully complete the IHS Essential Training on Pain and Addictions within six months from the start of IHS employment.

None

Please Make Checks Payable to: Indian Health Service.

This is based upon the tip of the week e-mail sent out by DOH on June 6, 2023. To gain CDE credit, participants must successfully pass a test based upon the reading material.

https://www.cdc.gov/antibiotic-use/core-elements/index.html
https://www.cdc.gov/antibiotic-use/index.html
https://www.cdc.gov/antibiotic-use/materials-references/index.html

CDC Core Elements of Antibiotic Stewardship
Antibiotic Prescribing and Use
Patient Resources and Education

Please Make Checks Payable to: Indian Health Service.

This is based upon the tip of the week e-mail sent out by DOH on June 20, 2023. To gain CDE credit, participants must successfully pass a test [score 80] based upon the reading material.

Here is the reading material:
1. https://www.osha.gov/laws-regs/federalregister/2001-01-18:~:text=The20sharps20injury20log20shall,required20by202920CFR201904.
2. https://www.cdc.gov/injectionsafety/PDF/Safe-Injection-Checklist-P.pdf
3. https://www.cdc.gov/injectionsafety/providers/provider_faqs_general.html
4. https://www.cdc.gov/sharpssafety/pdf/sharpsworkbook_2008.pdf
5. https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/publications/guidelines-for-practice-success/gps-regulatory/safe_handling_of_instruments_and_sharps.pdf?rev=c359913b26174210898bec8bf1c7e8b7&hash=D2B36B5BB1168AB1620F49D707AD0853
6. https://www.osha.gov/laws-regs/regulations/standardnumber/1904/1904.8

1. Understand OHSA 29 CFP Part 1910
2. Describe the proper was of recapping
3. Explain the OSHA recording and reporting requirements for occupational injuries and illnesses

Must read the IHS DOH Tip of the Week for 6/20/23

Please Make Checks Payable to: Indian Health Service.

This is based upon the tip of the week e-mail sent out by DOH on July 3, 2023. To gain CDE credit, participants must successfully pass a test [score 80] based upon the reading material.

Reading material:
https://www.cdc.gov/niosh/docs/video/2023-120/?s_cid=3ni7d2_NPPTL_Listserv_N95_approval_2022
https://www.cdc.gov/niosh/npptl/usernotices/counterfeitResp.html
https://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/default.html
https://www.cdc.gov/niosh/npptl/usernotices/AdditionalTips.html
https://www.fda.gov/consumers/health-fraud-scams/health-fraud-product-database

How to tell if Your N95 Respirator is NIOSH Approved
Counterfeit Respirators/ Misrepresentation of NIOSH-Approval
Approved List of Filtering Facepiece Respirators [FFR]
Additional Tips for Spotting Counterfeit Respirators
FDA Health Fraud Product Database

Must read the IHS DOH Tip of the Week for 7/3/23

Please Make Checks Payable to: Indian Health Service.

This is based upon the tip of the week e-mail sent out by DOH on July 18, 2023. To gain CDE credit, participants must successfully pass a test [score 80] based upon the reading material.

Here is the reading material:
https://www.epa.gov/eg/dental-effluent-guidelines
https://www.osha.gov/dentistry/hazard-control-prevention
https://www.envcap.org/srl/resourcelocator.php?id=7
https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/publications/guidelines-for-practice-success/gps-regulatory/medical_waste_disposal.pdf?rev=9d79e830e2eb45939d33df20fe808e9f&hash=6011CA5EDBD27A18B01F9C3E384536A3
https://www.hercenter.org/rmw/rmwlocator.php

General waste from hospitals or other health-care facilities [e.g., dental practices or clinical/research laboratories] is no more infective than residential waste. The majority of soiled items in dental offices are general medical waste and thus can be disposed of with ordinary waste. Examples include used gloves, masks, gowns, lightly soiled gauze or cotton rolls, and environmental barriers [e.g., plastic sheets or bags] used to cover equipment during treatment.

Please Make Checks Payable to: Indian Health Service.

This is based upon the tip of the week e-mail sent out by DOH on August 1, 2023. To gain CDE credit, participants must successfully pass a test [score 80] based upon the reading material.

Reading materials:
1. https://www.ashrae.org/file20library/technical20resources/covid-19/core-recommendations-for-reducing-airborne-infectious-aerosol-exposure.pdf
2. https://www.osha.gov/ventilation/standards
3. https://www.epa.gov/system/files/documents/2022-03/508-cleanairbuildings_factsheet_v5_508.pdf
4. https://www.cdc.gov/infectioncontrol/guidelines/environmental/appendix/air.html

Inadvertent exposures to environmental pathogens [e.g., Aspergillus spp. and Legionella spp.] or airborne pathogens [e.g., Mycobacterium tuberculosis and varicella-zoster virus] can result in adverse patient outcomes and cause illness among health-care workers. Environmental infection-control strategies and engineering controls can effectively prevent these infections. The incidence of health-care--associated infections and pseudo-outbreaks can be minimized by:
1] appropriate use of cleaners and disinfectants
2] appropriate maintenance of medical equipment [e.g., automated endoscope reprocessors or hydrotherapy equipment]
3] adherence to water-quality standards for hemodialysis, and to ventilation standards for specialized care environments [e.g., airborne infection isolation rooms, protective environments, or operating rooms]
4] prompt management of water intrusion into the facility. Routine environmental sampling is not usually advised, except for water quality determinations in hemodialysis settings and other situations where sampling is directed by epidemiologic principles, and results can be applied directly to infection-control decisions.

Please Make Checks Payable to: Indian Health Service.

This is based upon the tip of the week e-mail sent out by DOH the week of August 9th, 2023. To gain CDE credit, participants must successfully pass a test [score 80] based upon the reading material.

Reading materials:
https://www.cdc.gov/infectioncontrol/pdf/guidelines/disinfection-guidelines-H.pdf
https://www.cdc.gov/oralhealth/pdfs_and_other_files/BESC7-Sterilization-508.pdf
https://www.cdc.gov/infectioncontrol/guidelines/disinfection/index.html
https://www.cdc.gov/oralhealth/infectioncontrol/statement-on-reprocessing-dental-handpieces.htm
https://www.govinfo.gov/content/pkg/FR-2003-04-30/pdf/03-10413.pdf

Learning Objectives: Upon reviewing the NIPCS Tip of the week, you will:
1. Understand basic concepts of dental instrument sterilization
2. Recognize the sterilization requirements for handpieces
3. Know the difference between a Critical, Semicritical and noncritical dental items.

Please Make Checks Payable to: Indian Health Service.

This is based upon the tip of the week e-mail sent out by DOH the week of August 29th, 2023. To gain CDE credit, participants must successfully pass a test [score 80] based upon the reading material.

Reading materials:

https://www.cdc.gov/dental-infection-control/hcp/summary/standard-precautions.html

https://www.cdc.gov/infection-control/hcp/isolation-precautions/precautions.html?CDC_AAref_Val=https://www.cdc.gov/infectioncontrol/guidelines/isolation/precautions.html

https://www.cdc.gov/dental-infection-control/hcp/summary/?CDC_AAref_Val=https://www.cdc.gov/oralhealth/infectioncontrol/summary-infection-prevention-practices/index.html

Upon reviewing the NIPCS Tip of the week, you will:
1. Understand basic concepts of Standard precautions versus Transmission based precautions.
2. Recognize the fundamental processes of preventing the spread of infectious agents.
3. Know the difference between Contact, Droplet and Airborne precautions.

Please Make Checks Payable to: Indian Health Service.

lth literacy is multidimensional and involves the interaction of individuals, providers, caregivers, and complex healthcare systems. This session will provide an overview of the role of organizational health literacy, share strategies and techniques to improve patient understanding, locate practical tools, and discuss the current ongoing efforts of the IHS Health Literacy Workgroup to advance health literacy.

Upon completion of this course, participants will be able to:
1. Examine the importance of practicing Health Literacy Universal Precautions with all patients.
2. Discuss how low health literacy contributes to health disparities.
3. Implement practical strategies to improve health literacy in practice.

None

None

NA

This is based upon the tip of the week e-mail sent out by DOH the week of September 11, 2023. To gain CDE credit, participants must successfully pass a test [score 80] based upon the reading material.

Reading materials:

https://www.ada.org/en/resources/practice/wellness/safety-tips-to-prevent-hearing-loss

https://www.cdc.gov/niosh/topics/noise/

https://www.osha.gov/noise/standards

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5227015/

Learning Objectives: Upon reviewing the NIPCS Tip of the week, you will:
1. Understand basic concepts of damaging decibel levels.
2. Recognize the fundamental processes of preventing hearing loss.
3. Learn decibel levels of common dental instruments.

Please Make Checks Payable to: Indian Health Service.

The purpose of the orientation for the Wee Smile: MID Style Initiative is to orientate select dental programs to this new Initiative in the Portland area. The Wee Smile Initiative is an 18-month collaborative that offers an evidence-based approach for IHS, tribal, and urban Indian dental programs to improve the oral health of their communities, with an emphasis on 0-5-year old’s.

Upon completion of this course, participants will be able to:
1.   List the goals and objectives of the Wee Smile: MID Style Initiative
2.   Learn how to collect the data necessary for this Initiative and submit the data reports
3.   Go over the Quality Improvements objectives to help achieve the goals and objectives of the Initiative

Portland Area only

To host site

Please Make Checks Payable to: Indian Health Service.

This is based upon the tip of the week e-mail sent out by DOH the week of September 26, 2023. To gain CDE credit, participants must successfully pass a test [score 80] based upon the reading material.

Reading materials:
https://www.fda.gov/medical-devices/overview-device-regulation/device-labeling
https://www.fda.gov/news-events/fda-voices/using-symbols-convey-information-medical-device-labeling
https://www.jointcommission.org/-/media/tjc/newsletters/quick-safety-65-packaged-sterile-devices-6-20-22-final.pdf

Learning Objectives: Upon reviewing the NIPCS Tip of the week, you will:
1. Understand basic concepts of medical device labeling.
2. Recognize the common symbols used in manufacturer’s IFUs.
3. Understand the importance of monitoring air exchanges and humidity in a surgical supply storage area

Please Make Checks Payable to: Indian Health Service.

The Monthly IHS CDE Webinars are available to all IHS, tribal, and urban dental program staff [dentists, dental hygienists, dental health aide therapists, community dental health coordinators, expanded function dental assistants, dental assistants, and dental health aides].

Upon completion of this training/course, participants should be able to:
1-   Discuss Non-invasive dental therapies.
2-   Discuss implementation of non-invasive dentistry in our practice
3-   Discuss the role of the Dentist, Hygienist, RDAEF, and RDA, along with the non-invasive children’s & youth dental care program that I have set up for our native children in my clinic.

None

None

The Monthly IHS CDE Webinars are available to all IHS, tribal, and urban dental program staff [dentists, dental hygienists, dental health aide therapists, community dental health coordinators, expanded function dental assistants, dental assistants, and dental health aides].

Upon completion of this training/course, participants should be able to:
1. Describe the history of National Children's Dental Health Month and Give Kids A Smile;
2. List the three IHS dental GPRA goals; and
3. Implement NCDHM and GKAS events in your program.

None

None

The Monthly IHS CDE Webinars are available to all IHS, tribal, and urban dental program staff [dentists, dental hygienists, dental health aide therapists, community dental health coordinators, expanded function dental assistants, dental assistants, and dental health aides].

Upon completion of this training/course, participants should be able to:

None

None

The Monthly IHS CDE Webinars are available to all IHS, tribal, and urban dental program staff [dentists, dental hygienists, dental health aide therapists, community dental health coordinators, expanded function dental assistants, dental assistants, and dental health aides].

Upon completion of this training/course, participants should be able to:

None

None

The Monthly IHS CDE Webinars are available to all IHS, tribal, and urban dental program staff [dentists, dental hygienists, dental health aide therapists, community dental health coordinators, expanded function dental assistants, dental assistants, and dental health aides].

Upon completion of this training/course, participants should be able to:

None

None

The Monthly IHS CDE Webinars are available to all IHS, tribal, and urban dental program staff [dentists, dental hygienists, dental health aide therapists, community dental health coordinators, expanded function dental assistants, dental assistants, and dental health aides].

Upon completion of this training/course, participants should be able to:

None

None

The Monthly IHS CDE Webinars are available to all IHS, tribal, and urban dental program staff [dentists, dental hygienists, dental health aide therapists, community dental health coordinators, expanded function dental assistants, dental assistants, and dental health aides].

Upon completion of this webinar, course participants should be able to:
1.   Understand basic concepts of sharps safety;
2.   Describe safe injection methods; and
3.   List top OSHA findings related to sharps safety.

None

None

Our featured Medicor Imaging presenter presents An Overview of the MiPACS Dental Imaging System. From this course, you will learn the A to Z of what MiPACS and DICOM are and how it can fit into your environment.

Upon completion of this training/course, participants should be able to:
1.   Define MiPACS and DICOM
2.   How MiPACS can be implemented in my clinical environment.
3.   Name 3 features that MiPACS has.

None

None

This course is designed to help ABQ Area dental directors and/or designated clinic leads address challenges associated to IHS/Tribal dental clinic management issues. We will have a few speakers present on topics brought up as concerns after surveying our Area dental directors. There will be opportunities to share best practices for increased collaboration.

Upon completion of this course, participants will be able to: [see form with separate objectives for each course]
1.    Prepare for AAHC Survey
2.    Lead team building exercises with staff
3.    Utilize conflict resolution strategies

Must be staff in the Albuquerque Area.

Travel is required to host site.

Please Make Checks Payable to: Indian Health Service.

The Alaska Area Dental Meeting allows collaboration among Tribal Health Organization [THO] dental programs and provides continuing education for dental assistants, dental health aides, dental hygienist and dentists.

Discussing Alaska’s dental needs among other tribal health organization dental teams allows for problem solving and learning from others what has been successful and not successful for addressing the oral health concerns in our Alaska Native Population.

Presentation Overviews and Objectives
Title: Cross Cultural Communication in healthcare
Instructor: Tacuk Martz
Course Overview: Training will involve describing in detail aspects of cross-cultural communication specific to the participants’ work in their respective health fields and how to humanize their interactions with patients.
Objectives:
1.   Develop greater awareness of the cross-cultural communication aspects of their patient interactions
2.   How to humanize their interactions with patients
Title: State of the State: Updates on the Alaska Oral Health Program and SHARP
Instructor: Terry Bookey
Course Objectives:
1.   Updates on the Alaska oral health program
2.   Updates on SHARP program
3.   The state of Alaska oral health
Title: Alaska Tribal Oral Health Data
Instructor: Dane Lenaker and Sarah Shoffstall-Cone
Course Overview: The State of Alaska last released an Oral Health Plan in 2012. Currently, there is no data routinely being collected by the State of Alaska in regard to Oral Health. It is hard to measure improvements in health outcomes without baseline data. The goal of this session is to highlight the value of data and make a plan moving forward for the Alaska THO system.
Objectives:
1.   Identify the benefits of having oral health data.
2.   Show what data has been collected historically in Alaska and through electronic dental records.
3.   List some of the data sets that are currently being collected nationally and identify what data Alaska THOs would be interested in collecting.
Title: Hall Crown Technique
Instructor: Kim Hort
Course Overview: The Hall Crown Technique is a key component of minimally invasive dentistry in our pediatric population. Understanding the indications and contraindications is paramount to achieving success, which averages 97 over 3 - 5 years. The technique is simple, time efficient, and has high patient, parent and provider satisfaction. This technique can be easily incorporated into any general practice as a simple means of protecting carious primary molars until exfoliation.
Objectives:
1. Clearly recognize indications and contraindications for the Hall Technique
2. Understand the armamentarium needed for successfully integrating the technique into clinical practice
3. Learn the step-by-step technique for successfully placing Hall Crowns on primary posterior molars
Title: Integrated Care: An Interdisciplinary Team Approach to Health and Wellness
Instructor: Vicky Gallegos-Randel
Course Overview: Integrated care excels when interdisciplinary teams are seamlessly woven into patient-centered approaches, as seen in a health center where medical, dental, and mental health professionals deliver cohesive integrated care services. This approach not only addresses the complete well-being of individuals - encompassing both body and mind - but also creates a supportive network that actively advocates for holistic well-being and preventive care.
Objectives:
1. Identify various levels of integrated care.
2. Identify barriers to integrated care and ways to mitigate barriers.
3. Analyze case studies and develop integrated care strategies.
4. Identify ways to become more integrated.
Title: Orthodontic Guidelines for the General Dentist
Instructor: Martha Truncale
Course Overview: An examination of orthodontic malocclusions, growth and treatment timelines and select methodology in current orthodontic practice.
Objectives:
1.   Participants will be able to identify the most common malocclusions necessitating referral to orthodontics.
2.   Participants should feel versed in important growth waypoints that underpin orthodontic treatment.
3.   Participants will develop an understanding of some orthodontic methods used for the treatment of malocclusion.
Title: Early Intervention for Childhood Caries to Address Alaska Native Disparities in Oral Health
Instructor: Timothy Thomas, Gretchen Day and Judith Burks
Course Overview: “By 6 years of age, 73 of Alaska Native children in the Yukon-Kuskokwim [YK] region of southwestern Alaska have had a full mouth dental reconstruction [FMDR], requiring general anesthesia for the treatment of extensive early childhood caries. The presence of early childhood caries affects health, sleep, eating habits, and performance in school. While it is uncommon for YK Delta children to receive an oral health exam by age 24 months [12], almost all [80] received standard vaccinations during this period of their lives. Vaccinations require 5 visits to a clinic where frequently, both Community Health Aides and Dental Health Aide Therapists are co-located. Building upon the sustained success in achieving high vaccination rates among children in the region, researchers from ANTHC and YKHC will collaborate to improve the reach and coordination of dental services for children in a project called Early Intervention for Childhood Caries to Address Alaska Native Disparities in Oral Health.”
We will discuss this collaborative project to implement and evaluate care coordination. Our aims are: [1] to explore facilitators and barriers to oral health care including the integration of dental and well child visits for children, [2] to design an implementation plan for integrating a care coordinator position into the well child visit workflow, to systematically reach children for an oral health exam prior to age 24 months, [3] to compare stakeholder-reported, implementation process and clinical outcomes.
Objective:
1.   Understand the importance of partnerships between health organizations, communities, and researchers in improving the oral health.
2.   Recognize the need for interprofessional collaboration to improve access to care and prevention of early childhood caries.
3.   Identify leading practices that may improve access to early and ongoing preventive oral health care.
Title: Dental Antibiotic Stewardship
Instructor: Katie Presser
Course Overview: What is Antibiotic Stewardship and why does it matter? What are the unique challenges in dental care and stewardship? How can we work to change the course for our patients’ care? What resources are available?
1.   Objectives: Explain the role of antimicrobial stewardship in dental practice
2.   Integrate interventions to minimize antimicrobial prescribing when a known infection is not present
3.   Develop processes to periodically review prescribing practices
Title: Diabetes and the whole person
Instructor: Luz Smeenk
Course Overview: Diabetes and how this disease affects the entire person
Objectives:
1. Describe medical concerns with diabetes
2. Describe the difference between common struggles -- diabetes burnout, stigma, and distress – from the patient’s perspective
3. Describe strategies to “reframe the narrative” for the patient and their family.
Title: HIV/STI Oral Manifestations and Symptoms
Instructor: Rolf Christensen
Objectives:
1.   Describe common oral manifestations in persons with HIV
2.   Summarize HIV screening and diagnosis in the dental setting.
3.    List appropriate treatments for HIV-related oral lesions
Title: SCF Specialty Clinic Panel
Instructor: Danny Mendez
Course Objectives:
1.   Update dental directors on status and wait times of Oral Surgery referrals
2.   Update dental directors on status and wait times of Pediatric referrals
3.   Answer all questions on which type of referrals to send to ANMC and how we process referrals
Title: Dental Program Updates
Instructor: Sarah Shoffstall-Cone
Course Overview: This course allows each Tribal Health Organization [THO] to share their challenges and successes over the last year. THOs are able to learn from each other about what is working well and what is an area of improvement. It also allows THOs to come to a consensus about what additional support is needed.
Objectives:
1.   Identify AAAHC/Joint Commission issues/concerns
2.   Provide updates on issues/concerns related to the delivery of services, personnel and clinic management.
3.   Identify additional areas of need to best support dental patient care and safety at Alaska Area Tribal Health Organizations

Title: Recognition and Stabilization of Common Medical Emergencies in the Dental Chair
Instructor: Susan Romero
Course Overview:
Recognition and stabilization of common adult and pediatric medical emergencies in the dental clinic setting utilizing Crisis Resource Management Principles [CRM].
Objectives:
1. Demonstration of the ABCDEFG Assessment checklist to assess, recognize, and stabilize common medical emergencies in both Pediatric and Adult Medical Emergencies
2. Evaluation of altered mental status and common causes: Vasovagal syncope, Hypoglycemia,
Seizures.
3. Identification and treatment of the most common medical emergencies in dental offices
Title: How Community Health Can Make Us Resilient Against Our Greatest Health Threats
Instructor: Raj Panjabi
Course Overview: Fireside chat on how community health can make us resilient against our greatest health threats.
Objectives:
1.   To identify the role of community health in preparing and responding to pandemic and epidemic threats;
2.   To identify the role of technology in enhancing community health care delivery; and
3.   To identify strategies for strengthening community health systems
Title: Dental Academic Review Committee Update
Instructor: Erin Giauque
Course Overview: Discussing updates to DARC and what DARC has been working on this year.
Objectives:
1.   Understand new changes to Standards and Procedures
2.   Discuss committee updates from 2024
3.   Discuss new curriculum changes in standards and procedures

Upon completion of this course, participants will be able to:
1.   Allow THO dental programs to share knowledge and develop collaborations.
2.   Provide applicable continuing education for all members of the dental team that will improve patient safety and provider knowledge.
3.   Identify Alaska Area needs and develop action plans to address issues.

Travel is required to host site.

Please Make Checks Payable to: Indian Health Service.

The purpose of the Wee Smile virtual learning sessions is for select dental programs in the Portland Area to learn more about working in a collaborative focused on Minimally Invasive Dentistry [MID]. The Wee Smile Initiative is an 18-month collaborative that offers an evidence-based approach for IHS, tribal, and urban Indian dental programs to improve the oral health of their communities, with an emphasis on 0-5 year olds.

Upon completion of this course, participants will be able to:
1.   Increased dental access in all age groups, with an emphasis on 0-5 year olds
2.   Trusted relationships between patients/caretakers and providers
3.   Improved oral health of patients

Must be Portland Area dental staff participating in this initiative.

Please Make Checks Payable to: Indian Health Service.

The purpose of the Wee Smile virtual learning sessions is for select dental programs in the Portland Area to learn more about working in a collaborative focused on Minimally Invasive Dentistry [MID]. The Wee Smile Initiative is an 18-month collaborative that offers an evidence-based approach for IHS, tribal, and urban Indian dental programs to improve the oral health of their communities, with an emphasis on 0-5 year olds.

Upon completion of this course, participants will be able to:
1.   Increased dental access in all age groups, with an emphasis on 0-5 year olds
2.   Trusted relationships between patients/caretakers and providers
3.   Improved oral health of patients

Must be Portland Area dental staff participating in this initiative.

Please Make Checks Payable to: Indian Health Service.