Formicola Allan, Bailit Howard, D'Abreu Kim, Stavisky Judith, Bau Ignatius, Zamora George, Treadwell Henrie
College of Dental Medicine, Columbia University Medical Center, 630 W. 168th St., Box 100, New York, NY 10032, USA.
J Am Dent Assoc. 2009 Mar;140(3):346-53. doi: 10.14219/jada.archive.2009.0166.
The Robert Wood Johnson Foundation, Princeton, N.J., the W.K. Kellogg Foundation, Battle Creek, Mich., and The California Endowment, Los Angeles, collaborated in funding a five-year (2002-2007) national demonstration program (Pipeline, Profession & Practice: Community-Based Dental Education [Dental Pipeline]) to reduce dental care access disparities. Fifteen dental schools were selected to participate in the Dental Pipeline program. The goals were to have senior students spend more time in community sites providing care to underserved patients; to prepare students to treat diverse, low-income patients; and to increase enrollment of underrepresented minority (URM) students.
A national program office at Columbia University in New York City administered the Dental Pipeline program. The participating dental schools developed networks of community clinics and practices for student rotations, established courses in cultural competency and public health and implemented new programs to recruit URM students.
The average time senior students spent in community clinics and practices increased from 10 to 50 days; all schools developed courses in cultural competency and public health; and enrollment of UMR students increased 54.4 percent (excluding two of the schools) versus 16 percent in non-Dental Pipeline schools.
On average, the participating dental schools were successful in meeting program goals.
新泽西州普林斯顿的罗伯特·伍德·约翰逊基金会、密歇根州巴特尔克里克的W.K.凯洛格基金会以及洛杉矶的加利福尼亚捐赠基金合作资助了一项为期五年(2002 - 2007年)的全国示范项目(渠道、职业与实践:基于社区的牙科教育[牙科渠道]),以减少牙科护理可及性方面的差距。15所牙科学院被选中参与牙科渠道项目。目标是让高年级学生在社区场所花费更多时间为服务不足的患者提供护理;使学生做好治疗不同的低收入患者的准备;并增加代表性不足的少数族裔(URM)学生的入学人数。
纽约市哥伦比亚大学的一个全国项目办公室管理牙科渠道项目。参与的牙科学院为学生轮转建立了社区诊所和医疗机构网络,开设了文化能力和公共卫生课程,并实施了新的项目来招收URM学生。
高年级学生在社区诊所和医疗机构花费的平均时间从10天增加到了50天;所有学校都开设了文化能力和公共卫生课程;URM学生的入学人数增加了54.4%(不包括其中两所学校),而非牙科渠道学校的这一增幅为16%。
总体而言,参与的牙科学院成功实现了项目目标。