Intentionally blank D3 Summer Externship - PowerPoint Presentation

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D3 Summer Externship

Information session

Joseph Salamon, DDSDental Services Director

Joseph Salamon, DDS

UB Class of 2006 (

Feb 2007)Private practice: Cheektowaga NY, 2007 - 2008Private Practice Lihue & Hanalei, HI 2008-2009

Seneca Nation Health Staff Dentist 2010Seneca Nation Chief Dental Officer, CIRHC Irving, NY 2011-2013Seneca Nation Dental Services Director 2013 - present

2012 I.H.S.

Most Improved Dental Program, Nashville Area Office2013 I.H.S. Overall Best Program, Nashville Area Office2012 I.H.S. Dental Provider of the Year, Nashville Area Office2013 I.H.S. N O H C, Clinical Excellence award junior-level2014 I.H.S. N O H C, Clinical Excellence award mid-level2015 I.H.S. Dental Provider of the Year, Nashville Area Office

Goals of Today’s PresentationBrief overview of I.H.S. & SNHS

Review 2019 Summer Externhip Program

Program Expectations

Participation RequirementsRotation SchedulesQ & A

#1 Goal of Todays PresentationBrief overview of I.H.S. & SNHS

T

h

e Indian

Health

Se

rvice (IHS) is an agency with

i

n

t

h

e

Department of Health and Human Services.The provision of health services to members of federally-recognized tribes grew out of the special government-to-government relationship between the federal government and Indian tribes. This relationship, established in 1787, is based on Article I, Section 8 of the Constitution, and has been given form and substance by numerous treaties, laws, Supreme Court decisions, and Executive Orders.The IHS provides a comprehensive health service delivery system for approximately 2.1 million American Indians and Alaska Natives who belong to 566 federally recognized tribes in 35 states.“About Us,” from www.ihs.gov

T

h

e IHS provides

a compreh

en

sive health services delivery system

wi

t

h

op

portunity for maximum Tribal involvementThe mission of the IHS, in partnership with Indian people, is to raise their physical, mental, social, and spiritual health to the highest level.The IHS goal is to ensure that comprehensive, culturally acceptable personal and public health services are available and accessible to all Indian people.The IHS mission and goal are based on its foundation to uphold the Federal Government’s obligation to promote healthy American Indian and Alaska Native people, communities, and cultures, and to honor and protect the inherent sovereign rights of Tribes.IHS

Fa

c

ts, 2006, http://info.ihs.gov/Files/IHSFacts-June2006.pdf

SNHS

provides

comprehen

sive health

services to members of the WNY Native American Community and Enrolled Seneca membersSNHS operates 2 Tribal healthcare facilities in Salamanca, & Irving, NYMedical, Dental, Optical, Pharmacy, X-Ray, and EnvironmentalSNHS provides

a full range of primary and preventive care for acute and chronic illness and injuries.

SNHS has service

agreements with

local

hospitals, professional groups and agencies for inpatient treatment and specialty

care.

Seneca Nation Health System Mission“To enhance the overall health of the Native American communities it serves by providing a comprehensive range of health services that addresses the holistic well-being of each individual.”https://senecahealth.org/

#2 Goal of Todays Presentation2019 Summer Externship Program

20 Participants (8

Louisville,

8 UB, 4 Howard)Round Trip mileage for UBSDM participantsMay – August (average) Provider ‘Student Extern’:Preventive: 10Diagnostic: 199 (Ltd exam 74, X-rays:

Operative: 320 (AMAL=14, Resin 160)

Fixed : 41 (PORC=5, Core=17)

RCT: 6

Removable: 31 (5 full cases, 26 intermediate steps)

Extractions: 74 (non-surgical 66, surgical 7)

July 2013 Memo of Understanding

Alliance

Of regional

public health and medical

institutions

To serve the priority needs of Native American communitiesAll 5 health sciences schoolsMedicine, Public Health, Nursing, Pharmacy and Dental MedicineBuild on existing outreach to

WNY Native

American communities

“

The relationship will allow UB and IHS to work effectively together to improve the health of Native Americans in Western New York and throughout the state, as well as in Southern Ontario.”

Michael Cain, vice president for health sciences

Reduce Routine and Urgent Wait Times

Objective:

reduce routine wait from 11 weeks to 5 weeks

Objective: reduce urgent care wait from 4 weeks to 2 weeks

Increase routine and preventive care

Objective:

Increase restorative care by 25%

Spring ’16 cohort placed 115% more anterior resins (28) and 37% more posterior resins (77) compared to spring ’15

Cohort

 Summer ’16 cohort placed 288% more anterior resins (105) and 206% more posterior resins (153) compared to summer ’15 cohort

Increase routine and preventive care

Objective:

Increase preventive care by 25%

Spring ’16 cohort placed 67% less sealants (4) and 100% more interim therapeutic restorations (2) compared to spring ’15 cohort

Summer ’16 cohort placed 483% more sealants (35) and 25% more interim therapeutic restorations (5) compared to summer ’15 cohort

2018 Program Expectations

Arrive 15-30 minutes early to review treatment plans, histories, etc.Abide by the Volunteer Intern Agreement of the Seneca Nation of Indians.Adhere to the Polices and Procedures of the Seneca Nation Health System.Room patients

and maintain designated treatment room for the shift.Follow acceptable Infection Control safeguards and standards.Obtain vitals

necessitated

by procedure in accordance with SNHS policy.Check in with and brief the attending clinician prior to initiation.Check in with attending clinician as necessitated by procedure complexity.Check out with attending clinician / complete UBSDM grading sheets

2018 Program Expectations

Complete treatment note for

review note procedures on EDR chart.Treat all patients in a :

Professional…Courteous…And Compassionate manner

.

Refrain from cell phones or mobile devices in treatment areas.Utilize the designated intern workstation and daily end-of-day checklist.One-hour Cultural Awareness presentation TBD at UBSDM.Arrange a substitute participant if cannot attend a scheduled shift.

2020

Participation RequirementsCompete I.H.S. online Externship applicationComplete SNHS Internship packet

3 Clinical recommendation form lettersParticipant Commitment letterDocumentary acknowledgement quiz

Unseen Tears

https://www.youtube.com/watch?v=ioAzggmes8c&list=PLBKAYDq5dhv69hSe0CZWvQBwjsGBGiZTo

Unseen Tears Native American boarding school documentary. Residential schools / boarding schools in the U.S. and Canada have had a lasting impact on Native communities.

Remembering the

Removalhttps://www.youtube.com/watch?v=O4f3L2NScX0Remember the Removal explores the 1960's forced relocation of the Allegany Senecas as a result of the construction of the Kinzua

Dam along the Allegheny River near Warren, PA.

Clinical recommendation letter Participant Commitment letter

#4 Goal of Todays PresentationTentative UBSDM Rotations

6/8 – 6/19*

6/22

– 7/3*7/6 – 7/177/20 – 7/318/1 – 8/24*

*

Subject to approval from Clinic Director

#5 Goal of Today’s PresentationQ & A

SNHS clinic email (tip, send to both):

jsalamon@senecahealth.org

shenhawk@senecahealth.orgSUNY - UB faculty email:jsalamon@buffalo.edu716-532-0165 (CIRHC, Irving, NY)Administrative Assistant: Clyde Seneca

716-945-2818 (LRJHC, Salamanca, NY)

Administrative Assistant: Michelle

Pacini

Lastly…

Make sure you all thank Matt Blum for creating:

http://

dental.buffalo.edu/community-outreach/ihs-application.html

&

https://ubsdm.formstack.com/forms/externalevaluationform