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MINUTES ORANGE COUNTY BOARD OF HEALTH September 17, 2008 Board of Health Minutes Transcription completed by Anne Miles Cassell 4 September 17, 2008 Anissa Vines asked about the findings for autopsy. E. Committee Reports The Environmental Health and Quality Assurance Committee did not meet prior to the Board meeting. The Clinical and Community Programs Committee met on September 10. Jim Stefanadis gave a synopsis of the agenda. Dental Student/Resident Rotations: The Health Department has student rotations in all disciplines of healthcare and is part of our mission. Angela Cooke discussed student rotations from the Dental School and the question arose over what the Health Department’s obligation in training students vs. efficiency, production and patient satisfaction with deliverable services. The program began in 1980 with a grant from Robert Wood Johnson to open two dental clinics in Orange County to serve the indigent population in addition to meeting the Hospital Dentistry accreditation requirement for General Practice Resident treating ambulatory patients. The OCHD pays for one resident to work 4.5 days per week. Each resident generates approximately $15,000 in revenue for a total of $120,000 per year. In the summer, from May through the first week in September, three dental students in the DISC rotation are scheduled for four-week rotations at the Health Department. Both the dental students and residents need considerable assistance from our dentist and dental assistants. Dr Day commented that training students is both time consuming and less efficient. Dental appointments and procedures take longer in addition to the quality of work of services being provided per appointment. In addition to the regular student rotations, we contracted with the UNC Pediatric Dentistry Department to pay $50 per day for one third year Pediatric Resident to work and supervise one day per week in the Hillsborough Dental Clinic. On Friday mornings both dental clinics were scheduled with six dental students and one pediatric dentist from UNC School of Dentistry supervising the students. A meeting was scheduled with the chair of the pediatric department and concerns for the programs were discussed. At that time both programs were discontinued because the dental school requested that we pay $500 per day (two days per week) to have the pediatric resident and the dental students. At that time the budget had already been submitted and the department did not have the funds to support the programs. In June 2008 the dental staff had a retreat and discussed the dental hygiene student rotations. At that time, the staff decided not to continue with the rotations for the following reasons: • Each week there would be two new students to orient and train • Difficulty in scheduling children due to school schedules • Adult patients could not spend two hours for a cleaning appointment At this time the dental program would like to continue with the General Practice Resident, dental student summer rotations and the dental hygiene student practicum rotation (6 weeks of two students in the spring semester). Staff feels it is important to