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April 8, 2005 TO: Robert Mrtek, Chair Senate Committee on Educational Policy FROM: Roger Nelson Assistant Vice Chancellor for Academic Affairs I am submitting for review and action by the Senate Committee on Educational Policy the attached proposal from the Department of Periodontics, College of Dentistry, to revise the Advanced Certificate in Periodontics. The proposal was approved by the Committee on Dental Post Graduate Programs on November 23, 2004, and by the College of Dentistry on January 19, 2005. RN: Attachment Cc: C. Hulse R. Betts B. Graham F. Licari P. Marucha J. Califano M. Borders Title: Revision of the Advanced Certificate in Periodontics Sponsor: Department of Periodontics College of Dentistry Introduction: The Certificate Program in Periodontics at the University of Illinois at Chicago has the principal goal of training future clinicians in the practice of patient care at the level of the American Academy of Periodontology Board Certified Specialist. The 1992 course curriculum currently in place does not meet current Academy of Periodontology Accreditation Standards. We derived the current curriculum proposal with the accreditation standards as our primary focus. Fifteen courses are being dropped as requirements to eliminate courses that do not address the accreditation standards in an efficient manner; and to streamline the overall curriculum to provide adequate time to address accreditation standards not met. Many of the accreditation requirements for the certificate program are relatively narrow in scope and change frequently to address the rapidly changing environment of clinical practice. This requires a curriculum that can evolve as clinical practice evolves. In addition, clinical specialty training should be evidence based and thus depends on the reading and evaluation of the primary scientific/clinical literature more so than traditional didactic courses. Thus, many of the standards can be most efficiently addressed through ever evolving and dynamic literature review courses, e.g., Peri 611 (this course has nearly doubled in required course hours). The program director and the faculty in the program have the responsibility for reviewing the accreditation standards and adjusting the curriculum on an annual basis. This kind of flexibility is essential to developing a highly rated, progressive program. Finally, the accreditation standards have a strong emphasis in developing proficiency in a number of clinical procedures and so a significant portion of time must be spent in mentored patient care. The Department of Periodontics proposes to update the Post Graduate Periodontics curriculum and increase the flexibility of the program. The American Academy of Periodontology and the American Dental Association have mandated several changes to postgraduate periodontics in recent years. The requirements for dental implants, conscious sedation, and directed research have been increased. Periodontal programs in the United States were, as a consequence, increased from 2 to 3 years in 1995. Students in the Certificate Program in Periodontics also have the option of concurrently enrolling in graduate degree programs (M.S., Ph.D.) in any of the basic sciences on the UIC campus. The changes to the Post Graduate Periodontics program will better facilitate the design of a course of study that will meet both the M.S./Ph.D. and certificate requirements. Students come to our program with differing levels of experience, from new dental school graduates to dentists with considerable experience. Some students already have a graduate degree as they enter our clinical program. The backgrounds of our students vary and therefore require programs to fit their individual needs. The curriculum as it currently exists fails to satisfy a number of accreditation requirements in the areas of practice management, pharmacology, sedation, behavioral sciences and others while requiring courses that are inappropriate for a Postgraduate Periodontics Program (e.g., requirement for 2 courses in electron microscopy). There is also some redundancy in the curriculum (e.g., content in Peri 631 is covered in Peri 630). Description: The Department of Periodontics proposes to: 1. Drop required course, Peri 631 (Evaluation of Clinical Periodontics, 1hr.) from the Certificate in Prosthodontics Curriculum 2. The following courses will be retained as the core required curriculum with titles and credit hours changed as follows: Peri 611 Classic Periodontal Literature Review, 3 hrs. (6 terms for a total of 18 hours) Peri 613 Current Periodontics Literature Review, 1 hr (6 terms for a total of 6 hours) Peri 620 Periodontics Clinic, 2-16 hrs. (All residents will register for 12 hours for 9 terms for 108 credits. If a student for academic performance or other reasons needs to stay in the program more than 9 terms, they may sign up for additional terms of Peri 620 at low numbers of hours to maintain their clinical skills while making up academic performance or other issues.) Peri 630 Periodontal Treatment Planning/Treatment Seminar, 1hr. (6 terms for a total of 6 hours) Peri 698 Periodontic Research, 1-10 hours per semester (minimum of 8 hours total for the program) In addition to these courses, a minimum of fifteen additional hours will be required to fulfill Certificate requirements as necessary to meet accreditation standards and to provide coursework that is appropriate for the students’ level of experience. 3. Add Omds 615, Anesthesia and Pain Control (1 hr) as a required course. This existing course is added as a requirement to address content in conscious sedation. 4. Drop the following offerings as required courses for the Certificate in Periodontics: Peri 610 Peri 612 Peri 631 Omds 610 Omds 621 Omds 622 Ortd 667 Ortd 668 Anat544 Hstl 501 Hstl 506 Omds 501 Omds 502 Omds 519 Omds 529 Biological Basis of Periodontics, 1 hr. Biochemistry of Periodontic Disease, 2 hrs. Evaluation of Clinical Periodontics, 1hr. Advanced Oral Microbiology, 1 hr. Advanced Oral Radiology I, 2 hr. Advanced Oral Radiology II, 2 hr. Ortho Perio Relationships, 2 hrs. Orthodontic Perspectives of TMJ, 2 hrs. Advanced Craniofacial Anatomy, 3 hrs. Advanced Oral Histology, 2 hrs. Advanced Oral Histology, lymphoid tissue, 2 hrs. Advanced Oral Pathology I, 2 hrs. Advanced Oral Pathology II, 2 hrs. Electron Microscopy Seminar, 1 hr. Electron Microscopy in Dentistry, 1 hr. Total hours 26 All courses above will be dropped as requirements but retained as electives with the exception of PERI 631. The range of hours required for the existing program is 156-165 (this reflects the range in required research hours in the existing program) while the proposed curriculum is 162 credit hours (147 credits of required courses and an additional minimum of 15credits of electives). The total number of credits is essentially the same. Justification 1. Much of the subject matter now taught in Peri 631 is also presented in Peri 630 (Treatment Planning in Periodontics, 1hr.). Consequently, the two will be combined. There will be no change in the contact and credit hours for Peri 630 resulting from the merger. 2. The proposed program will consist of a small core of required courses that ALL residents will take each semester regardless of previous experience or advanced degrees held. The remaining program content will be determined by the program director and will be selected from current courses now offered in the Periodontics Certificate Program; from those available in the College of Dentistry and on campus as well as new courses that are in development. Students increasingly come to us with diverse educational backgrounds and experience as well as differing research and clinical interests (some have advanced degrees in basic sciences in addition to a dental degree, some wish to pursue advanced degrees while they earn a certificate in periodontics, others wish to exclusively pursue the certificate program). In addition, the knowledge required for a student enrolled in the Certificate in Periodontics program changes frequently in response to new techniques and changes in accreditation requirements. The above curriculum design gives the Department of Periodontics the flexibility to assist students with their selection of courses to eliminate redundancy in the curriculum, to provide additional time for a legitimate research experience for all students and to provide students with the most timely, relevant information. The proposed core offerings, Peri 611, Peri 613 and Peri 630 are being renamed to better describe the content of the courses. Peri 611 is also increasing from 2 to 3 credit hours to reflect the actual time students currently spend in the course. The range of credit hours for Peri 620 Periodontics Clinic is increasing from (2-10 hrs) to (2-16 hrs) to provide sufficient credit hours for patient care activities rendered in the clinic as well as for a future hospital rotation. Each of the required courses will be repeated for credit for 6 semesters to include the Fall and Spring terms. The clinic course will be presented over 9 semesters to include 2 summer sessions. 3. The 1992 course curriculum does not meet current Academy of Periodontology Accreditation Standards. We derived the current curriculum proposal with the accreditation standards as our primary focus. The 16 courses are being dropped as requirements so they can be included in a curriculum tailored to meet the needs of the individual resident and to insure accreditation standards are met without repetition and/or irrelevant content in the periodontal residency program. The program director, research advisor and student will together come up with a plan to meet accreditation standards and goals for each resident. The following are the justifications for dropping each of the 15 courses above as requirements: 1. Peri 610 Biological Basis of Periodontics, 1 hr. – The content previously covered in this course is somewhat out of date. This topic area is now covered as part of Peri 611. Peri 611 is a comprehensive and dynamic review of the classic periodontal literature that emphasizes the current state of knowledge of the specialty. It is taken for 6 terms. This review includes over 1000 journal articles each year and is continuously revised and updated. 2. Peri 612 Biochemistry of Periodontic Disease, 2 hrs. – The justification for dropping this course is the same as Peri 610: the material is dated and the relevant material is covered in Peri 611. 3. Peri 631 Evaluation of Clinical Periodontics, 1hr- This course content is included in Peri 630 4. Omds 610 Advanced Oral Microbiology, 1 hr. – The course content is somewhat out of date; much of it is covered in the DDS curriculum which is required for entry into the certificate program. The up-to-date and certificate-specific content is covered in Peri 611. 5. Omds 621 Advanced Oral Radiology I, 2 hr., Omds 622 Advanced Oral Radiology II, 2 hr., Omds 501Advanced Oral Pathology I, 2 hrs., Omds 502Advanced Oral Pathology II, 2 hrs. - These four courses do not reflect the content directed by the American Academy of Periodontology. We have designed a series of exercises that better meets the needs of our residents. These oral pathology/oral radiology exercises course include a clinical component (a rotation in the oral medicine clinic) coupled with a case-based, problem-based seminars. This oral radiology/oral pathology curriculum continues throughout the second and third year of the residency and does not fit the model of a traditional “one or two semester course.” It does, however, more closely follow accreditation guidelines and is a more clinically relevant treatment of the topic. 6. Ortd 667 Ortho Perio Relationships, 2 hrs. – Since this course is not a requirement for accreditation standards, we have eliminated it as a required course, but will retain it as an elective. 7. Anat544 Advanced Craniofacial Anatomy, 3 hrs. - ANAT 544 includes content needed for several different residency programs. There are laboratory dissections and didactic content that are outside the accreditation requirements dictated for the specialty of periodontics. If our Periodontics residents are required to register for this course, then our students would need to complete all the course content (including content relevant to the specialty). We have arranged with the course director to allow our residents to attend only the didactic and laboratory components specific to the specialty of periodontics and necessary for accreditation. The experiences not relevant will be omitted (and thus they will not register for the course). This will allow more time for other courses and initiatives such as directed research or conscious sedation. 8. Hstl 501 Advanced Oral Histology, 2 hrs.- This course is now called “Advance Oral Sciences.” It includes, in addition to histology, topics from a wide range of basic science disciplines. This course focuses on presentation of cutting edge science related to oral biology and oral diseases. It is anticipated that all students will take this course. 9. Hstl 506, Advanced Oral Histology, lymphoid tissue, 2 hrs.- Despite the title of the course, it is actually a course in Immunology. A name change for this course has been proposed to reflect the change in content. This will be an elective for our students. 10. Omds 519 Electron Microscopy Seminar, 1 hr.; Omds 529 Electron Microscopy in Dentistry, 1 hr. – This topic is not an accreditation requirement. 11. ORTD 668 Orthodontic Perspectives of TMJ – The important content of this course for the periodontist will be covered as part of the Oral Medicine Clinical Rotation/problem based seminar in our new oral pathology/oral radiology exercise. Patients with TMJ disorders are seen regularly in the oral medicine clinic. Minority Impact Statement: The program revision will not have an impact on minority students. Budgetary and Staff Implications: There will be no additional staffing needs as a result of the proposed changes. Library Resources Implications: No additional resources are needed at this time. Space Implications: The changes will not require any additional space. Committee for Dental Postgraduate Programs Approval Date: College Approval Date: January 19, 2005 Proposed Effective Date: Approval, Fall 2005 November 23, 2004 Revision of the Post-Graduate Periodontics Certificate Program EXISTING PROPOSED Anat 544 Adv Craniofacial Anatomy, 3 hrs. Hstl 501 Adv Oral Histology, 2 hrs. Hstl 506 Adv Oral Histo: lymphoid tissue, 2 hrs Omds 501 Adv Oral Pathology I, 2 hrs Omds 502 Adv Oral Pathology II, 2 hrs. Omds 519 Electron Microscopy Sem., 1 hr. Omds 529 Electron Microscopy in Dent. 1 hr Omds 610 Adv. Oral Microbiology, 1 hr. Omds 621 Adv. Oral Radiology I, 2 hr. Omds 622 Adv. Oral Radiology II, 2 hr. Ortd 667 Ortho Perio Relationships, 2 hrs. Ortd 668 Orthodontic Perspectives of TMJ, 2 hrs Peri 610 Biological Basis of Perio., 1 hr. Peri 612 Biochem. of Periodontic Disease, 2 hrs. no longer required “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ “ Peri 611 Clin. Basis of Periodontics), 2 hrs (8 hrs required) Peri 613 Current Lit.in Periodontics, 1 hr. (6 hrs required) Peri 620 Periodontics Clinic, 2-10 hrs Peri 611 Classic Perio Lit Review, 3 hrs. (repeated for 18 hrs.) Peri 613 Current Perio. Lit Review, 1 hr (repeated for 6 hrs) Peri 620 Periodontics Clinic, 2-16 hrs repeated for 9 semesters; 108 hrs required) Peri 630 Perio Tx Plan/Tx Sem, 1 hr (repeated for 6 hrs.) Peri 698 Periodontic Research, 1-10 hrs. (8 hrs required) Omds 615 Anasthesia and Pain Control, 1 hr Peri 630 Treatment Plan. in Periodontics, 1hr (6 hrs required) Peri 698 Periodontic Research, 1-10 hrs Peri 631 Eval. of Clinical Periodontics, 1hr. Dropped from the Program . 15 hours of required elective coursework The existing program does not have a provision or requirement for electives. The proposed curriculum has a minimum of 147 credit hours of required coursework and 15 required credit hours of electives. Course Descriptions of Dropped Courses PERIODONTICS 610 The Biological Basis of Periodontics 1 hours. Current concepts of host response mechanisms in gingival epithelium and connective tissues. Prerequisite(s): Enrollment in the postgraduate program in periodontics or the consent of the instructor. 612 Biochemistry of Periodontal Disease 2 hours. A lecture-seminar course that deals specifically with the biochemistry of periodontal structures and periodontal disease, the literature and the current advances in this area. Prerequisite(s): BCHE 411. 631 Evaluation of Clinical Periodontics 1 hours. Students present completed surgical cases which are reviewed and evaluated by faculty and students. Students explain the rationale for therapy and success or failure. Prerequisite(s): Enrollment in the postgraduate program in periodontics 698 Periodontic Research 1 TO 10 hours. A clinical or basic research experience related to periodontology and done under the guidance of a University of Illinois faculty member. Satisfactory/Unsatisfactory grading only. Prerequisite(s): Admission to the postgraduate program in periodontics or consent of the instructor. ORAL MEDICINE AND DIAGNOSTIC SCIENCE 501 Advanced Oral Pathology I 2 hours. Detailed consideration of oral cysts, odontogenic tumors, and diseases of facial bones, blood and lymphoreticular systems, and salivary glands. Journal literature used. Prerequisite(s): OMDS 424 or the equivalent. 502 Advanced Oral Pathology II 2 hours. Detailed consideration of oral cancer and other lesions of oral mucosa, dental caries, inflammatory periodontal disease, skin lesions and microscopic diagnosis techniques. Journal literature used. Prerequisite(s): OMDS 424 or the equivalent. 519 Electron Microscopy Seminar 1 hours. A student speaker makes a seminar type presentation about a topic and follows this with a discussion involving electron microscopy. Prerequisite(s): Consent of the instructor. 529 Electron Microscopy in Dentistry 1 hours. Principles, theory, and practice of transmission and scanning electron microscopy, and energy dispersive x-ray microanalysis. Processing, sectioning, staining and examination of tissues. Same as HSTL 515. Prerequisite(s): Consent of the instructor. 610 Advanced Oral Microbiology 1 hours. Dental aspects of microbiology including oral flora, host responses, anaerobic microbiology, specific oral bacteria, plaque, pathogenic mechanisms, oral infections, caries, periodontal diseases, endodontic microbiology, and infection control. Prerequisite(s): MIM 322. 621 Advanced Oral Radiology I 2 hours. Radiation physics and its clinical applications. Protection from radiation. Prerequisite(s): Consent of the instructor 622 Advanced Oral Radiology II 2 hours. Interpretation of radiographic lesions. Prerequisite(s): OMDS 621. ORTHODONTICS 667 Orthodontic-Periodontic Relationships 2 hours. A seminar series discussing the effects of orthodontic treatment of periodontal tissues; the indications and rationale for preforming periodontal procedures as an adjunct to orthodontic therapy; the objectives of orthodontic tooth movement in the adult, especially for periodontal considerations. Satisfactory/Unsatisfactory grading only. Prerequisite(s): Satisfactory completion of the first year of the Advanced Certificate in Orthodontics or Advanced Certificate in Periodontics postgraduate program. ANATOMY 544 Advanced Craniofacial Anatomy 3 hours. Functional and clinical aspects of head and neck anatomy, based on detailed laboratory dissection, original readings, and project work. Prerequisite(s): Any human gross anatomy course or the equivalent. HISTOLOGY 501 Advanced Oral Histology 2 hours. Lectures and discussions on special subjects and problems in oral histology. Prerequisite(s): HSTL 401 or the equivalent and consent of the instuctor. 506 Advanced Oral Histology-Lymphoid Tissues 2 hours. Lectures and discussions on the structure and functions of lymphoid tissues with special interest in orally related diseases. Prerequisite(s): HSTL 401, a course in microbiology and consent of the instructor. PROSTHODONTICS 618 Reconstructive Implantology 2 hours. A seminar course involving treatment planning considerations and the technical procedures in implant prosthodontics including subperiosteal and endosseous implants, and preprosthetic augmentation of edentulous ridges. Same as OSUR 618. Prerequisite(s): Matriculation into the Advanced Certificate Program in Advanced Prosthodontics or Oral and Maxillofacial Surgery. RETITLED COURSES (some with credit hour changes) 611 Classic Periodontal Literature Review 3 hours. Historical and current clinical concepts of the etiology, pathogenesis, diagnosis and treatment of periodontal diseases are studied and evaluated by review of classic literature. May be repeated. Prerequisite(s): Enrollment in the postgraduate program in periodontics or consent of the instructor. 613 Current Periodontal Literature Seminar 1 hours. Critical analysis, evaluation and interpretation of current literature in periodontology. May be repeated. Prerequisite(s): Enrollment in the Periodontics Certificate Program. 620 Periodontics Clinic 2 TO 16 hours. Students treat a wide variety of basic and advanced periodontal conditions using all currently accepted treatment rationales and procedures. Prerequisite(s): Admission to the postgraduate program in periodontics. 630 Periodontal Treatment Planning/Treatment Seminar 1 hours. Using student case presentations the etiology, diagnosis, pathogenesis, prognosis and treatment of a wide variety of periodontal diseases and conditions are discussed and studied. May be repeated. Prerequisite(s): Admission in the Periodontics Certificate Program.