The IHS Division of Oral Health is an ADA CERP Recognized Provider
Challenges is offered to those hygienists who are new to the IHS Dental Program. The course will focus on an overview of the IHS system, personnel issues, cultural issues, career development and principles of public health and health education as they apply to both clinical and community based prevention and treatment programs.
Headquarters Session for Challenges [1 hour] The overall goal of the Headquarters session is to explain the mission of the Indian Health Service and the Division of Oral Health, and to provide an organizational framework of how the federal government interacts with Tribal organizations. The teaching resources include PowerPoint presentations and group discussions. Learning Objectives: By the end of this session, participants will be able to: • State the mission of the Indian Health Service • Describe the functions of the Division of Oral Health • Identify how to access clinical issues and career development resources
Dental Public Health Session [3 hours] Dental Public Health is the science and art of preventing and controlling dental diseases, and promoting dental health through organized community efforts. Previous educational or practice experiences may have emphasized how to be successful in the private sector. This session will focus on how to be successful in a dental public health program. This session is designed to give an overview of key dental public health data and concepts; distinctions between public health and private practice models; basic epidemiology principles; critical reading of research; and social and behavioral dimensions of dental disease. The learning format includes interactive PowerPoint presentations, case studies, and small group discussions. Learning Objectives At the end of the dental public health session, participants will be able to: • Describe the differences between a dental public health practice model and a private practice model; • List available resources that describe oral health status in the United States; • Discuss the effects of social and behavioral effects on one dental disease, and develop a scenario where these effects could be seen in an IHS setting; • Categorize common dental procedures in one of the dental levels of care; • Explain the basis of both preventive and periodontal recall management in an IHS dental public health practice. • Distinguish the three current IHS dental GPRA indicators and discuss the rationale behind these indicators. • Explain the goal for the IHS ECC Initiative, and how to access resources to achieve these goals.
Pediatric Dentistry Session for Challenges [4 hours] The overall goal of the pediatric dentistry session is to help the course participant better understand the treatment needs often presented in young children. This session is designed to give an overview of infant oral health and disease; preventive, diagnostic, and restorative strategies; and how to deal with common traumatic injuries. The learning format includes interactive PowerPoint presentations, case studies, and small group discussion. Learning Objectives: By the end of this session, participants will be able to: • Provide anticipatory guidance to parents/guardians as to what is normal development and when bottle, breast, cup, pacifier use is appropriate. • Explain how and why early caries relates to latter caries experience.. • Determine when radiographs are required and what types of radiographs are appropriate for a given age. • Describe common trauma injuries in children, what to evaluate, and when consults are needed. • Distinguish between various types of restorative materials for primary teeth considering their relative longevity and their public health implication. • Select behavior modification technique for achieving treatment appropriate with the child’s chronological age and maturity. • Describe what constitutes special needs patients and how their treatment is approached. • Identify the most common chronic diseases [anemia, asthma] encountered with children in our population and their impact on patient treatment. • Describe common ages for abuse and neglect, the most common presenting features, and dental provider’s legal responsibility.
Periodontics Session for Challenges [8 hours] The overall goal of the periodontics session is to advance participants knowledge and skills in nonsurgical and surgical periodontics, and to introduce them to public health in periodontics. The format will be lecture, discussion, and case studies. Learning Objectives: At the end of the periodontal session, the participants will be able to: • Record CPI/PSR scores accurately. • Screen for periodontal diseases. • Plan periodontal treatment taking into account the delivery of care, including the provider [DA, RDH, or DDS/DMD]. • Recommend appropriate antimicrobial agents for brushing, rinsing, local and systemic delivery in the treatment of periodontitis. • Recognize indications and contraindications to periodontal surgery. • Describe inflammation and the relationship between oral and systemic diseases. • List five conditions that put individuals at risk for periodontitis. • List three new technologies in periodontics that can/could be recommended for use in an I/T/U dental program. Wednesday Session: Clinical Issues Session for Challenges [2 hours] The overall goal of this session is to facilitate a better understand for course participants in dental hygiene-related clinical issues commonly found in Indian Health Service dental clinics. An overview of the dental Government Performance and Results Act [GPRA] indicators is provided, as well as methods in the management of periodontal patients. Learning Objectives: By the end of this session, participants will be able to: • Explain how the patient scheduling process works. • Identify the patient focus of their clinic. • Distinguish the three current IHS dental GPRA indicators, and discuss the rationale behind each. • Describe sealant-related issues, such as determining retention, sealing over caries and coding. • Describe fluoride coding in relation to GPRA. • Explain the methods and methodology of managing periodontal patients in IHS. • Understand coding concepts. • Determine documentation, training and types of anesthetics used in IHS.
Community Issues Section for Challenges [2 hours] The overall goal of this session is to help course participants understand unique community issues in IHS. This session is designed to give an overview of community outreach projects and collaborations. It will provide direction in assessing community needs and individualizing activities to better meet those needs. Learning Objectives: By the end of this session, participants will be able to: • Select a needs assessment tools appropriate for their community. • Discuss the Early Childhood Caries and Basic Screening Survey initiatives, and their importance within IHS. • Describe caries stabilization, and the rationale behind it. • Identify grant writing methods and opportunities. • Explain various community prevention programs, and develop a scenario in which these could work in their community setting. • Describe methods of training medical and non-medical staff on oral health-related issues. • Determine resources available to assist in planning community programs and projects.
Quality Improvement/Program Evaluation Section for Challenges [2 hours] The overall goal of this session is to explain quality improvement rationale and program evaluation techniques to course participants. The session is designed to address RPMS reporting, grant writing and the evaluation of community and clinical programs. Learning Objectives: By the end of this session, participants will be able to: • Identify components of the RPMS reporting program, and determine which reports are relevant to quality improvement and program evaluation. • Describe basic grant writing concepts and guidelines, and list dental hygiene-related programs augmented by grant awards. • Explain evaluation methods of community and clinical programs, and determine which are situation-appropriate. Resources Section for Challenges [2 hours] The overall goal of this section is to provide valuable resources for course participants in an effort to positively impact their career as an IHS dental hygienist. This section discusses program planning guides and methodologies, includes List-serv information, provides networking and continuing education resources, and contact information for IHS specialist and Dental Support Centers. Learning Objectives: By the end of this session, participants will be able to: • Describe and locate available resources for IHS Dental Hygienists. • Identify networking systems and List-serv options for future collaboration and problem-solving efforts. • Distinguish between the major employment groups across IHS [Commissioned Corps, Civil Service, Contract, Tribal]. • Identify Dental Support Center and IHS specialist contacts for future reference.
It is the policy of the Indian Health Service, Division of Oral
Health, that faculty/planners disclose any financial or other relationships with commercial companies whose products may be discussed in the educational activity.
The Indian Health Service, Division of Oral Health, also requires that faculty disclose any unlabeled or investigative use of pharmaceutical products and medical devices.
Images that have been falsified or manipulated to misrepresent treatment outcomes are prohibited.
None of the faculty/planners for this activity has a conflict of interest, and there is no use of unlabeled or investigative pharmaceutical products or medical devices.
No images have been falsified or manipulated to misrepresent treatment outcomes.The educational objectives, content, and selection of educational methods and instructors are conducted
independent of any commercial entity.
Concerns or complaints about this course may be directed to Mary Beth Kinney or to ADA CERP (http://www.ada.org/goto/cerp).
Must have a current dental hygiene license.
Tuition Payment Information:
Please Make Checks Payable to: USET, Inc.
c/o Tammy Fowler
711 Stewarts Ferry Pike
Nashville, TN 37214
Tuition must be paid in full 8 weeks prior to the start date of any course. Request for refunds must be received in writing at
least two weeks before the course begins. For each refund request, there will be an administrative charge of $100. No refunds will be made to registrants who fail to attend a course.
If IHS CDE program cancels a course, then 100% of the tuition will be refunded.