DENTAL HYGIENE DEPARTMENT PROGRAM REVIEW - Bergen

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DENTALHYGIENEDEPARTMENTPROGRAM REVIEWA PROCESS FORSELF-EVALUATIONANDCONTINUOUS IMPROVEMENT2014

TABLE OF CONTENTSSectionPage1. Overview .7Description and Mission of the Dental Hygiene Program .7The Dental Hygiene Department Goals and Objectives .82. Summary of Significant Developments Since Last Program Review .93. Focus on Students .10Demographics .10Demographics of Students Enrolled .10Special Populations Being Served .10Trends and Patterns of Enrollment .12Student Satisfaction .13Student Surveys of Enrollees and Graduates .13Qualitative Measures .14Learning Outcomes Assessments .15Faculty Participation in Assessment Activities .15Results of Assessment.15Assessment Methods/Documented Outcomes .15Outcome Measures.17Student Success .18Retention and Completion Rates .18Placement Data .18Transfer Rates and Success .19BCC Academic Program Review, 2013-14Dental Hygiene Program-2-

Graduates Perspectives and Employers Perspectives .20Degree to Which Diverse Populations Succeed.20Data Needs .204. Focus on Faculty and Staff .21Professional Profiles .21Full Time Faculty.21Adjunct Faculty.26Demographics .26Professional Activities .27Adjunct Faculty .27Hiring .27Coordination .27Communication .28Support .28Staff .29Data Needs .325. Focus on Curriculum.33Summary of Program Curriculum .33Program Learning Outcomes .35Curricular Issues .36Lead-in Courses .36Follow-up Courses .37Scheduling.38BCC Academic Program Review, 2013-14Dental Hygiene Program-3-

Assessment .39Assessment Methods/Documented Outcomes .39Innovations or Changes in the Last Five Years .40Data Needs .406. Focus on Support .41Technology .41Hardware and Software.41Technical Support .41Instructional Issues and Support .41Training for Faculty .42Facilities and Equipment.44Facilities and Equipment, Improvements, and Future Plans.44Learning Resources .45Marketing and Public Relations .46Brochures/Print Materials .46Website .46Special Events .46Recruitment .47Support Services .48Advisement .48Additional Advisement and Policies .48Assessment .50Testing.50BCC Academic Program Review, 2013-14Dental Hygiene Program-4-

Job Placement .51Resources/Budget .51Staffing .51Operating and Capital Budgets .53Grants .53Data Needs .537. Focus on Community .54Community Groups .54High School Connections .54Community Agency Connections .54Community Issues Related to Program.54Trends .55Employment Projections .55External Requirements or Considerations .55Certifications .55Accreditations .56Licensures .56Professional Organization Status .56Advisory Boards .57Advisory Board Composition and Input .57Functions and Activities .59Data Needs .598. Summary .60BCC Academic Program Review, 2013-14Dental Hygiene Program-5-

Program Achievements, Progress Made Since Last Review .60Mission/Goals/Objectives .60Strengths .61Challenges .61Celebration and Recognition.62Recommendations for Change .629. Action Plan.63Dental Hygiene Department Strategic Plan 2012-2015 .63BCC Academic Program Review, 2013-14Dental Hygiene Program-6-

BERGEN COMMUNITY COLLEGEPROGRAM:DENTAL HYGIENEPROGRAM REVIEW TEAM: PROF. DEBORAH, A. COOK,DR. LISA M. DUDDY,DR. TOMIRA LUCHYNSKYIDATE OF THIS REPORT:5/2014PERIOD OF YEARS BEING REVIEWED:2007-2014OVERVIEWDescription and Mission of the Dental Hygiene ProgramThe Dental Hygiene Program is designed to provide students with both an academic andclinical education that prepares them for employment opportunities primarily in Bergen Countyas well as in other locations within the Northeastern regional area. Dental hygiene students areeducated in traditional didactic, clinical and expanded services methodologies that prepare themfor employment primarily in private practice settings. The dental hygiene faculty subscribes toBergen Community College‟s mission to educate not only within a specific curriculum but toprovide a variety of student and community activities, which enhance professional development.The educational program is designed to prepare the student to be a professional dental hygienepractitioner. The program is based on a foundation of liberal arts, natural sciences, and socialsciences. The dental hygiene content is unique in that it is derived from the dental sciences andis composed of both a didactic and practice component.The program of learning is consistent with the standards and requirements set forth by theAmerican Dental Association, Council on Dental Accreditation, and the New Jersey DentalHygiene Practice Act. The Associate in Applied Science degree provides career preparation,however, it is recognized that rapidly changing technology necessitates continuing professionalgrowth. The dental hygiene educator is responsible for creating an environment conducive tolearning which includes receptivity to open exchange and the acceptance of students as membersof the dental care team. Both full time and adjunct faculty serve as role models for thoseentering the profession and provide planned learning experiences.BCC Academic Program Review, 2013-14Dental Hygiene Program-7-

The faculty enhances learning by creating a climate which enables the student not onlyto acquire knowledge and skills, but also encourages them to share their personal experienceswith one another. An increase in cultural diversity in the college presents opportunities foreducational, social and professional growth. In the dental hygiene program, learning is assessedby written examinations and the evaluation of clinical practice, with integration of didacticknowledge and technical skills. The faculty member has an inherent responsibility to assessstudent proficiency and to provide the student with regular evaluation of their progress. Studentsare encouraged to continue their education through recognized continuing education programsand/or advanced degrees.The Dental Hygiene Department Goals and Objectives1. To provide a high-quality educational program that prepares students for licensure andemployment.2. To effectively interact with diverse populations in the community by providing a varietyof dental hygiene services.3. To develop the skills and knowledge to competently, legally, and ethically assess, plan,implement, and evaluate dental hygiene services.4. To encourage participation in professional associations for the advancement of dentalhygiene and the promotion of oral health.5. To foster an attitude of lifelong learning and scientific inquiry.6. To promote the utilization of technological advances and state-of-the–art equipment andprocedures.7. To nurture a commitment to community service.8. To graduate from an accredited dental hygiene program.9. To successfully complete the National Board Dental Hygiene examination (NBDHE).10. To successfully complete the American Dental Hygiene License Examination(ADHLEX).11. To obtain a license to practice Dental Hygiene.Bergen Community College offers many high quality, relevant educational and healthservice career programs to high school graduates and adult learners in the community. TheDepartment goals are related in preparing students for graduation from an accredited degreeprogram, enabling them to obtain employment, developing a commitment to the communityBCC Academic Program Review, 2013-14Dental Hygiene Program-8-

service, and fostering a desire for life-long learning. Both the college and the department arecommitted to engaging the student in our diverse population on campus as well as within thecommunity.Both the college and the department are committed to service. The goal is to collaboratewith educational institutions, community organizations, public agencies, businesses, andemployee groups to enhance opportunities for learning and for the economic development of theregion, to prepare the student for the commitment to community service and interaction withdiverse communities. All students participate in the Service Learning program at the college. Avariety of community outreach activities and programs are planned throughout the two years ofthe dental hygiene program.SUMMARY OF SIGNIFICANT DEVELOPMENTS SINCE LAST PROGRAM REVIEWThe Dental Hygiene Program made significant enhancements and developments in:utilizing computer software EagleSoft Patterson Dental in the dental hygiene clinic,implementing electronic student grading and tracking via Typhongroup.net system, modifyingrecording of patient assessment forms to facilitate Electronic Health Records, and curriculummodification. Additionally, radiographic facilities were expanded by the construction of TheDental Hygiene Radiology lab, S 329 in 2007. In the spring of 2011 The Dental Hygiene Lab, S319, was renovated.The Dental Hygiene Program underwent curriculum modification in 2010 to incorporatethe latest changes to the State of NJ Dental Practice Act through course modifications and newcourse additions.BCC Academic Program Review, 2013-14Dental Hygiene Program-9-

FOCUS ON STUDENTSDemographicsDemographics of Students EnrolledFor the 2013 – 2014 academic year, there are 35 students enrolled in the second year and36 in the first year. The demographics are as follows:SecondYear FirstYear Second Year 35In County 15Out of County 15Out of State 5First Year 36In County 14Out of County 17Out of State 5Special Populations Being ServedThe Department of Dental Hygiene complies with the college wide policies and with thefollowing acts:The Civil Rights Act of 1964-Title VIIThe Americans With Disabilities Act (ADA)The NJ Law Against Discrimination (NJ LAD)The Drug-Free Workplace ActSafe and Drug-Free Schools & Community ActHowever, due to the nature of the clinical requirements of the program, some applicantscannot meet the physical challenges. Following is an explanation of the Essential Functions forDental Hygiene: Motor skills/physical health – students must have sufficient physical ability and health toacquire specific technical skills that allow for the performance of the various oral hygieneprocedures without inflicting harm to their well-being or that of their patients, peers,faculty, or staff. Ergonomic positioning of self and patient for the performance ofBCC Academic Program Review, 2013-14Dental Hygiene Program-10-

palpation, percussion, auscultation and other diagnostic procedures; manipulation of handand motor instruments; basic life support; operating foot controls; positioning andmoving dental equipment and responding to visual and aural equipment signals areamong, but not all inclusive of the requisite skills. Sensory ability – students must have adequate visual acuity to recognize and gathermaterial from printed or handwritten formats, slides, films, videos, DVDs and x-rays; todifferentiate between variations in the depth of field, color, shade, size and shape ofclinical findings or their diagrammatic representation; and to observe and respond tononverbal communication. Auditory functions must be sufficient to facilitatecommunication with faculty, peers and patients; and to recognize and respond to soundemanating from malfunctioning equipment. Tactile sensitivity is crucial in differentiatingbetween normal and abnormal structures of the head and neck. Communication – in order to provide effective patient care services, and become anintegral dental team member, the student must have sufficient command of English.Excellent communication skills are vital in gleaning information from lectures, texts,journals and other written materials as well as conversations with dental personnel, and toconvey gleaned information to patients, peers, faculty and staff. Writing skills areessential for documentation of clinical charts. Patient education, problem solving andcollaborative exercises are all dependent upon the students‟ ability to communicateeffectively. Cognition – administration of appropriate and timely dental hygiene care is a function ofanalysis, integration, and synthesis of a variety of sources. Problem solving requires theability to calculate, summarize and interpret written, oral and diagrammatic/pictorialinformation. Furthermore, written documentation of relevant accurate and completeinformation in a prescribed, legally acceptable form is essential. Multi-tasking is also arequisite skill of the dental health care professional. The capacity to prioritize, in anappropriate sequence, may mean the difference between life and death in an emergencysituation.BCC Academic Program Review, 2013-14Dental Hygiene Program-11-

Behavioral – students must possess the emotional stability necessary to fully utilizehis/her intellectual capability in providing the patient with appropriate, efficient and safetreatment. This can be demonstrated by the exercise of good judgment; promptcompletion of patient related responsibilities; development of compassionate andeffective rapport with patients, peers and faculty; adaptation to change; display offlexibility; compliance with programmatic procedures and policies as well as standards ofacademic integrity; tactful and congenial management of apprehensive patients; andacceptance of reasonable feedback and constructive criticism. Maintaining a calmdemeanor in the face of stress that is inherent in the clinical treatment of patients isanother demonstration of the attitudinal and behavioral maturity required for success.Trends and Patterns of EnrollmentIn 2004-2005, the Dental Hygiene Clinic was renovated. The original clinic had 18dental chairs and 4 were added for a total of 22. This increased the maximum number ofstudents that could be enrolled from 36 per year to 44. Enrollment varies due to the number ofstudents who fail/withdraw from a first or second semester course and have to repeat thecourse(s) the following fall and/or spring in order to progress through the program.Table on Enrollment Data 2008-2014First Year of the ProgramNumber of applicantsNumber meetingestablished admissioncriteriaNumber to be admittedNumber to be admittedwith advanced standingStudent Attrition Rate firstyear of programStudent Attrition Ratesecond year of 801TBD301200BCC Academic Program Review, 2013-14Dental Hygiene Program-12-

Student SatisfactionStudent Surveys of Enrollees and GraduatesCurrent students complete evaluations of faculty each semester. In the past, these were paperand pencil forms which were reviewed and tabulated by an outside agency. During the followingsemester and/or year, the reports were then sent to the respective faculty and the departmentchair was copied for review. For the first time in fall 2013, an electronic version was utilized.Results were sent to the faculty via email. The categories were scored from strongly agree, toagree, neutral, disagree, and strongly disagree and included the following:1. Challenged2. Increase learning3. Assignments objectives4. Texts relevant5. Tests content6. Material logical7. Workload8. Recommend course9. Attend10. Prepped11. Strong desire12. Required13. Organized manner14. Communicate clearly15. Positive environment16. Helpful feedback17. Support progress18. Enhanced interest19. Timely feedback20. Overall instructionOpen ended questions included:1. What did this instructor do well?2. How can this instructor improve?BCC Academic Program Review, 2013-14Dental Hygiene Program-13-

3. Is there anything about this course that we did not ask but you would like to tell us?The results ranged from strongly agreed 50-94%, agree 6-39%, neutral 0-17%, disagree 06%, strongly disagree 0%. Unfortunately, this year surveys for other faculty were not receivedby the department chairs. In the past, both faculty and department chairs would receive theresults of the paper and pencil surveys.Per the Center for Institutional Effectiveness, Graduate Follow-up Surveys wereconducted from 2007 to 2011. Graduates satisfaction was measured in Tables 7, 8, 11, and 12(Appendix A). Table 7 looked at current employment status and those employed full timeranged from 29 – 61%, those employed part time 28 – 69%, those seeking employment 6 – 18%,and those not available for employment 0 – 6%. Table 8 reported the relevance of their programof study at BCC to their current job. Those responding that it was directly related ranged from89 – 100% and somewhat related ranged from 0 – 11%. Not related reported 0%.Table 11 inquired if the program of study at BCC helped in any of the following ways: toobtain a job 36 – 54%, with performance on the job 34 – 38%, to get a raise/promotion 8 – 17%,and other 0 – 14%. Table 12 asked how well the training you received at BCC prepared you foryour current job. Scoring was done with 5 excellent, 4 good, 3 average, 2 fair, and 1 poor. Over the five year period, scores ranged from 3.4 to 4.77, average to good.Qualitative MeasuresOpen ended comments are also recorded on the Follow Up Surveys each year. Themajority of responses were positive: excellent program, very pleased, prepares you for boardsand future positions, wonderful, great experience, amazing teachers, challenging, etc. Some ofthe negative comments included: problems with registration, unaware of job placement program,problems with bursar/lost paperwork, desire for more radiographic practice and patientinteraction, labs need to be updated, desire for local anesthesia course to be available tograduates, etc.Graduate follow up survey inserts are program specific and scored from excellent togood, fair, poor, or skill not used. Categories included Traditional Skills, Expanded FunctionSkills, General Skills, and Affective Behavior and Professionalism. Graduates are asked to ratehow well you feel the Dental Hygiene program at BCC prepared you for each skill.BCC Academic Program Review, 2013-14Dental Hygiene Program-14-

In 2007, 14 responded, in 2008, 18, in 2009, 17, in 2010, 10, and in 2011, 8. Traditionalskills ranged from excellent 33 – 100%, good 6 – 55%, fair 5 – 37 %, and poor 0 – 11%.Expanded Function skills ranged from excellent 5 – 77%, good 5 – 50%, fair 5 – 41%, poor 5 –28%, and not used 7 – 50%. General skills ranged from excellent 33 – 90%, good 5 – 62%, fair0 – 16%, poor 0 – 16%, not used - 16%. Affective Behavior and Professionalism ranged fromexcellent 42 – 83%, good 16 – 50%, fair 5 – 25%, poor 0%, and not used 0 – 7%.Learning Outcomes AssessmentsFaculty Participation in Assessment ActivitiesLearning outcomes are assessed by faculty on an ongoing basis throughout the twentyone month curriculum. Clinical assessment is done through the Typhon electronic gradingsystem for OH I, OH II, OH III, and OH IV (DHY 101, 201, 202, and 203 respectively).Didactic assessment is accomplished through examinations, quizzes, assignments, projects, andjournaling. Moodlerooms is utilized in each course.Results of AssessmentAs indicated in our written and clinical board examinations, (NBDHE andADHLEX/NERB), our students successfully pass their examinations in preparation for licensureas Registered Dental Hygienists. When required by changes in the State of NJ Dental PracticeAct, the department has created new courses, such as Local Anesthesia (DHY 220) and modifiedexisting courses as well as the curriculum.Through student evaluations each semester as well as graduate surveys, feedback isreceived regarding how students/graduates perceive that they have been prepared for theirprofession.Assessment Methods / Documented Outcomes National Dental Hygiene Board Examination Results (2006-2013) ADHLEX /NERB Examination Results (2006-2013) Dental Hygiene Program – Skills Assessment (Typhon) Extramural Rotation Experience Evaluation (Typhon) Dental Hygiene Program – Didactic Coursework (Moodlerooms)BCC Academic Program Review, 2013-14Dental Hygiene Program-15-

National Dental Hygiene Board Results2006-2013YearPassFail201397% (3% result 00897%3%200797%3%2006100%0%ADHLEX / NERB Board %0BCC Academic Program Review, 2013-14Dental Hygiene Program-16-

Outcome MeasuresClinical CompetenceCritical Thinking SkillsProblem Solving SkillsKnowledgeProfessionalismEthicsMeasured by clinical evaluations in patient care includinginstrumentation, assessment, treatment planning,implementation, and evaluation.Graded in Typhon.Measured in both didactic and clinical knowledge and skills.Examinations, quizzes, papers, projects, discussion boardpostings.National Board Examination NBDHEMeasured through class activities, discussions, examinations,clinical judgment, discussion board postings

sciences. The dental hygiene content is unique in that it is derived from the dental sciences and is composed of both a didactic and practice component. The program of learning is consistent with the standards and requirements set forth by the American Dental Association, Council on Dental Accreditation, and the New Jersey Dental

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