and Reversing - Tufts University School of Dental Medicine
Transcription
and Reversing - Tufts University School of Dental Medicine
TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE Division of Advanced and Graduate Education Student Handbook Academic year 2012-13 The Division of Advanced and Graduate Education, Tufts University School of Dental Medicine reserves the right to make changes, without notice, to the curriculum, policies, procedures, regulations, dates, and financial and other information contained in this handbook. TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE Division of Advanced & Graduate Education Student Handbook ii-iii iv v vi vii viii ix x TABLE OF CONTENTS MISSION STATEMENT INTRODUCTION STATEMENT OF EQUAL OPPORTUNITY DIVISIONS DEPARTMENTS AND TELEPHONE NUMBERS HEALTH SCIENCE CAMPUS ADMINISTRATIVE OFFICES ADVANCED AND GRADUATE EDUCATION COMMITTEE STUDENT AFFAIRS, POLICIES, PROCEDURES AND SERVICES REGISTRATION CERTIFICATION OF ENROLLMENT DEFERMENTS STUDENT ID CARDS SERVICES FOR STUDENTS WITH DISABILITIES RELIGIOUS HOLIDAYS GENERAL INFORMATION FOR INTERNATIONAL STUDENTS ACADEMIC RECORDS ACCESS TO ACADEMIC RECORDS PAYMENT OF FEES WITHDRAWAL/TUITION REFUND POLICIES CLEARANCE UPON DEPARTURE FROM TUSDM STANDARDS OF ETHICAL CONDUCT AND FAIR PROCESS PREAMBLE CITIZENSHIP ETHICS, PROFESSIONALISM AND CITIZENSHIP COMMITTEE CODE OF PRINCIPLES OF ETHICAL AND PROFESSIONAL CONDUCT PROFESSIONAL CONDUCT CLINICAL CONDUCT MASSACHUSETTS COMPUTER CRIME LAW POLICIES AND PROCEDURES RELATIVE TO STUDENT CHEATING IMPLEMENTATION OF THE CODE OF ETHICS AND PROFESSIONAL CONDUCT PRINCIPLES OF ETHICAL AND PROFESSIONAL CONDUCT/STUDENT HONOR CODE DISCIPLINARY ACTION AND FAIR PROCESS DISCIPLINARY PROCEDURAL GUIDELINES ACTIONS AND PENALTIES 1 1 2 2 3 3 3 3 5 5 5 6 8 9 9 9 10 11 11 12 14 14 15 16 17 17 21 23 23 24 24 25 26 26 STUDENT ACTIVITIES STUDENT ACTIVITIES STUDENT ORGANIZATIONS RESEARCH SOCIETIES UNIVERSITY POLICY ON CAMPUS GATHERINGS STUDENT MEMBERSHIP IN COMMITTEES STUDENT RESOURCES TUFTS UNIVERSITY POLICIES, RESOURCES AND FACILITIES POLICIES FAMILY EDUCATIONAL RIGHTS & PRIVACY ACT OF 1974 SNOW EMERGENCY/CLINICAL GUIDELINES POLICY ON USE OF TUFTS UNIVERSITY NAME & INSIGNIAS INFECTION CONTROL MEDICAL EMERGENCIES PROTOCOL SUMMARY ii 27 27 27 28 30 31 NEEDLESTICK/PERCUTANEOUS INCIDENT PROTOCOL 34 35 36 36 40 40 40 42 42 42 44 45 46 47 48 52 52 53 53 53 54 55 57 57 57 58 60 60 60 61 61 61 62 INFECTED HEALTH CARE WORKER PROTOCOL PAYMENT POLICIES AND PROCEDURES FOLLOWING ACCIDENT OR NEEDLESTICK INJURY PUBLIC SAFETY AND RELATED POLICIES AND PROCEDURES LOST AND FOUND PROTOCOL SMOKE-FREE INDOOR POLICY STUDENT AND FACULTY DRESS CODE RESOURCES STUDENT ADVISORY AND HEALTH ADMINISTRATION OFFICE HEALTH INSURANCE IMMUNIZATION REQUIREMENTS COUNSELING CONTACTS CHAPLAINS BURSAR’S OFFICE HEALTH SCIENCES LIBRARY LIABILITY INSURANCE PARKING FACILITIES ENVIRONMENTAL HEALTH AND SAFETY BOOKSTORE STATE AND NATIONAL DENTAL ASSOCIATIONS PROFESSIONAL ACADEMIES AND ASSOCIATIONS DIVISION OF ADVANCED AND GRADUATE EDUCATION GENERAL INFORMATION OVERSIGHT COURSES STUDENT EVALUATION AND QUALITY STANDARDS RE-EXAMINATION POLICY COURSE EVALUATIONS ACADEMIC PROBATION AND DISMISSAL LEAVE OF ABSENCE MEDICAL LEAVE OF ABSENCE WITHDRAWAL COURSE SYLLABI APPENDICES APPENDIX A: ADVANCED & GRADUATE EDUCATION DEPARTMENT PAGES MASTER OF SCIENCE ADVANCED EDUCATION PROGRAM IN CRANIOMANDIBULAR DISORDERS & OROFACIAL PAIN ADVANCED EDUCATION PROGRAM IN ENDODONTICS ADVANCED EDUCATION PROGRAM IN GENERAL PRACTICE RESIDENCY ADVANCED EDUCATION PROGRAM IN ORAL AND MAXILLOFACIAL SURGERY ADVANCED EDUCATION PROGRAM IN ORTHODONTICS ADVANCED EDUCATION PROGRAM IN PEDIATRIC DENTISTRY ADVANCED EDUCATION PROGRAM IN PERIODONTOLOGY ADVANCED EDUCATION PROGRAM IN PROSTHODONTICS 1974 APPENDIX B: FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT OF APPENDIX C: TUFTS UNIVERSITY DRUG FREE CAMPUS PROGRAM APPENDIX D: TUFTS UNIVERSITY INFORMATION STEWARDSHIP POLICIES APPENDIX E: TUFTS UNIVERSITY POLICY ON SEXUAL HARASSMENT AND TUFTS UNIVERSITY POLICY ON CONSENSUAL RELATIONSHIPS APPENDIX F: APPENDIX G: APPENDIX H: APPENDIX H: TUFTS UNIVERSITY POLICY ON SEXUAL ASSAULT AMERICANS WITH DISABILITIES POLICY NON-DISCRIMINATION POLICY OFFICE OF ADVANCED AND GRADUATE EDUCATION FORMS iii 81 82 95 108 116 122 129 156 161 168 193 197 201 206 213 219 223 225 Tufts University School of Dental Medicine Mission Statement Tufts University School of Dental Medicine is an accredited private dental school providing education to diverse predoctoral and postdoctoral students to prepare them for the practice of dentistry in the 21 st century, with knowledge or many different populations, dental specialties, and varied practice settings. This education occurs in an ethical and professional environment in which quality dental care is provided to its patients. We strive to achieve a dynamic curriculum, which provides excellent clinical training utilizing technology to integrate health science with clinical experience. Our success is based on maintaining a strong faculty and staff committed to teaching, administration, student service and community service, supported by ongoing development, scholarship and research. iv INTRODUCTION Welcome to Tufts University School of Dental Medicine, Division of Advanced and Graduate Education. The information in this handbook provides an overview of information specific to residents in Advanced Education programs and/or candidates for the Master of Science degree. The purpose of this handbook is to acquaint you with the policies and procedures of the School of Dental Medicine, as well as information that may assist you during your enrollment in our school and your stay in the Boston area. v Statement of Equal Opportunity Applicants for admission and employment, students, employees, sources of referral of applicants for admission and employment, and all unions or professional organizations holding collective bargaining or professional agreements with Tufts University are hereby notified that this institution does not discriminate on the basis of race, religion, color, national origin, sex, sexual orientation, age, or mental or physical disability in admission or access to treatment or employment in its programs and activities. Any person having inquiries or complaints concerning Tufts University’s compliance with the regulations implementing Title VI, Title IX, Age Discrimination Act of 1975, and Section 504 is directed to contact the Medford/Somerville campus 617-627-3298. The Director of the Office of Equal Opportunity/Affirmative Action has been designated by Tufts University to coordinate the institution’s efforts to comply with the regulations implementing Title VI, Title IX, Age Discrimination Act of 1975, and Section 504. Any person may also contact the Assistant Secretary for Civil Rights, U.S. Department of Education, Washington, D.C., 20202, or the Director, U.S. Department of Education, Office for Civil Rights, Region One, Boston, Massachusetts, 02109, regarding the institution’s compliance with the regulations implementing Title VI, 34 C.F.R. Part 100; Title IX, 34 C.F.R. Part 106; Age Discrimination Act of 1975, 45 C.F.R. 90; or, Section 504, 34 C.F.R. Part 104. Also, Tufts has formulated an administrative policy that educational and employment decisions be based on the principle of equal opportunity. The consideration of factors such as sex, race, color, sexual orientation, national or ethnic origin, age, religion, veteran status, or disability unrelated to a person’s ability, qualifications, and performance is inconsistent with this policy. vi DEPARTMENTS & DIVISIONS--SCHOOL OF DENTAL MEDICINE All Boston campus numbers may be reached by dialing 617-636-, then the four digit extension. To call any number internally, dial 6 and the four digit extension. DEPARTMENT Chair Dept. Manager/ Staff Assistant Endodontics Daniel Green Pat Morrow Oral & Maxillofacial Surgery Maria Papageorge Marilyn Peterson Oral & Maxillofacial Pathology Michael Kahn Cheryl Frost Orthodontics Barry Briss Paula Manowitz Pediatric Dentistry Stanley Alexander Midge Buchan-Hartman Periodontology James Hanley (interim) Therese Kohlman Prosthodontics & Operative Dentistry Hans-Peter Weber Lisa Jordan Public Health & Community Service Mark Nehring Christine Robertson Extension DIVISION Extension Head Division Manager/ Staff Assistant 6-6796 6-0857 6-6510 6-6887 6-6902 6-6530 6-6585 6-3471 Department of Prosthodontics and Operative Dentistry Prosthodontics Nopsaran Chaimattayompol Operative Dentistry Peter Arsenault PG Prosthodontics Hiroshi Hirayama Jessica Upham Simulated Patient Care Iqbal Singh 6-0866 6-6585 6-6591 6-6787 Department of General Dentistry Clinical Affairs Oral Diagnosis Oral & Maxillofacial Radiology TMD Clinic 6-6791 6-6833 6-4767 6-6817 James Hanley Paul Trombly Aruna Ramesh Noshir Mehta Nicole Wade Patty DiAngelis Patty DiAngelis Christopher Gifford Department of Public Health and Community Service Education, Outreach & Advocacy Wanda Wright Medicine Kanchan Ganda Oral Medicine & Research Athena Papas Geriatric Dentistry Hilde Tillman Nutrition & Oral Health Promotion Carole Palmer Special Care Patty DiAngelis Pam Corrado Patty DiAngelis Patty DiAngelis Marie Burack SCHOOL ADMINISTRATION Huw F. Thomas, Dean Mark Gonthier, Executive Associate Dean Nadeem Y. Karimbux, Associate Dean, Academic Affairs Robert Kasberg, Associate Dean, Admissions & Student Affairs Gerard Kugel, Associate Dean for Research James Hanley, Associate Dean Clinical Affairs Maria Papageorge, Assistant Dean Hospital Affairs Noshir Mehta, Assistant Dean International Relations Paul Stark, Director of Advanced & Graduate Education Vangel Zissi, Director of Continuing Education Mary-Ellen Marks, Academic Affairs Administrator Melissa Kelly, Faculty Affairs Officer Beth Conant, Director of Finance and Administration Sandra Pearson, Director of Financial Aid Katherine Vosker, Associate Director, Student Affairs vii Gerard Cedrone Brittany Downey Nicole Wade Marilyn Peterson Christopher Gifford Susan J. Brown 6-3646 6-4055 6-6790 6-6968 6-6808 781-899-6020 6-6656 6-0909 6-6622 6-6639 6-4099 6-6791 6-6515 6-6817 6-3753 6-6629 6-6544 6-2165 6-6842 6-6640 6-0887 TELEPHONE NUMBERS House phones for calls to Tufts Medical Center and all Tufts University campuses are located on every floor. Boston campus numbers may be reached by dialing 6 and the four digit extension. Medford campus numbers may be reached by dialing 7 and the four digit extension. Basic Sciences Anatomy Biochemistry Gross Anatomy Lab Molecular Biology & Microbiology Pathology Pharmacology Physiology Clinical Sciences Endodontics General Dentistry Geriatric Dentistry Oral Diagnosis Oral & Maxillofacial Surgery Oral Pathology Orthodontics Pediatric Dentistry Periodontology Oral & Maxillofacial Radiology Prosthodontics & Operative Dentistry Miscellaneous Bookstore Bursar’s Office Campus Police-General Campus Police-Emergency Health Sciences Library Student Health Administration Esthetic Dentistry General Clinic Implant Center Oral Surgery Code Response Team Postgraduate Clinic Preclinical Laboratory New Patient Encounter Clinic 6-6685 6-6867 6-6681 6-6750 6-6710 6-3775 6-6739 6-6796 6-6814 6-6968 6-6814 6-6515 6-6510 6-6887 6-6902 6-6530 6-6812 6-6547 6-6628 6-6551 6-6610 6-6911 6-6706 6-2700 6-0443 6-6828 6-6930 6-6516 6-6995 6-6888 6-6952 6-6614 viii Health Science Campus Administrative Offices Bursar’s Office Posner Hall 200 Harrison Ave. 1st floor 617-636-6551, 617-636-6553 Terry Goodale, Assistant University Bursar Responsible for student billing and collection of educational costs Student Advisory and Health Administration Office Posner Hall 200 Harrison Ave. 4th floor 617-636-2700 Deborah Quinn, Director Gianna Dimitrakos, Associate Director Responsible for personal counseling, administration of health insurance and health service fee programs, health insurance waiver program, and administration of immunization records. Public Safety M&V Building 136 Harrison Ave. Lobby 617-636-6610 Responsible for providing for the service, safety and protection of persons and property within the Tufts community. Administers student ID system. Maintains lost and found department for students, faculty and staff. Assists in emergency medical services. Health Sciences International Office Park Plaza Office Building 20 Park Plaza Suite 1101 Boston, MA 02116 Tel: (617) 636-0391 Fax: (617) 636-0356 Adel Abu-Moustafa, Ph.D., Dean Responsible for preparation of all immigration documents. The office prepares and issues I-20 forms for F1 students and also prepares immigration forms for visitor and employment visas. ix Advanced & Graduate Education Committee 2012-2013 Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Paul Stark, Director of Advanced and Graduate Education, Chair Stanley Alexander—Pediatric Dentistry Jonathan Garlick—Oral Pathology Robert Amato—Endodontics Timothy Hempton—Periodontology Hiroshi Hirayama—Prosthodontics Noshir Mehta—Diagnosis & Health Promotion Maria Papageorge—Oral Surgery Gina Terenzi—Public Health & Community Service (General Practice Residency) Barry Briss—Orthodontics Wanda Wright—Public Health & Community Service Driss Zoukhri—Diagnosis & Health Promotion Ex officio without vote: Associate Dean Robert Kasberg, Dr. Matthew Finkelman Student members: Dr. Rebekah Lucier Pryles--Endodontics, Dr. Alaa AlQutub—Master of Science x OFFICE OF STUDENT AFFAIRS POLICIES, PROCEDURES & SERVICES The Office of Student Affairs is responsible for administering and maintaining student academic and registration records. This responsibility is governed by policies established by the School and University as well as mandates initiated by the State and Federal Governments. Students must realize that their status as a student is a legal matter and is subject to State and Federal laws as well as University Policy. The student is obliged, therefore, to insure that the Office of Student Affairs is notified of changes in enrollment status, names, citizenship status, and addresses. REGISTRATION Students are required to complete registration documents at a place and time announced each year. Registration documents contain information the School is required to maintain on each student and must be verified annually through the registration process. To be a fully registered student in the School of Dental Medicine, the student is required to meet three conditions: 1. The student is required to formally complete Registration documents. A late registration fee of $50.00 per day may be imposed upon any student failing to complete this aspect of Registration at the time scheduled. 2. The student must be financially cleared by the Bursar's Office in order to register. Although students are permitted to complete their Registration forms without financial clearance, they will not be fully registered until the Bursar's Office has cleared them. Students not registered because of this condition must see the Bursar to make satisfactory arrangements to pay their bill. Failure to make full and timely payment of tuition and fees may result in a financial penalty being assessed to the student by the Bursar. 3. A student is not fully registered unless the student has submitted health insurance and immunization documentation to the Student Advisory and Health Administration Office. Please note that any student not fully registered: 1. Forfeits all rights to obtain official transcripts or other documents requiring the Seal of the University or signature of a School Official. 2. May be suspended or withdrawn from the program. The primary Registration Form requests: Name: Your full legal name. Required by law. 991#: This number is assigned through the Admissions Office during the application process. This number is utilized as your identification number. Foreign students without a social security number are assigned an identification number by the Admissions Office. This number will be used as the student's identification throughout the educational program. Please keep this number confidential. Date/Place of Birth: Verification of the date and place of birth by the School is required by licensing jurisdictions, the Federal Government, and others. Citizenship: Federal law requires schools to determine this as a part of a student's enrollment record. State of Legal Residence: Determines eligibility for certain loan and scholarship programs. Required by School policy. Marital Status: Determines educational budget and, therefore, eligibility or access to certain federal loan programs. Required by School Policy and Federal laws for certain loan programs. Non-Citizen Information: Foreign students are required to provide Visa information as mandated by Immigration Laws. Permanent residency information is also mandated by Immigration Laws. 1 Addresses: School policy requires students to provide four addresses: Local Address/Billing Address/Emergency Address/Permanent Home Address. The Emergency Address includes the name of the person(s) to contact if an emergency regarding the student arises. Mobile Phone Number: This number will be used only for emergency purposes, unless given as primary local phone number. Changes in Registration Information Changes in any of the information cited above should be reported to the Office of Student Affairs. Special provisions are required for the following: Change in Name: Student is required to provide a copy of the court order & marriage certificate authorizing the legal change of name. Citizenship: Achievement of permanent residency status must be verified by submission of the Alien Registration Card "Green Card" – I-151 or I-551 form, copy of both sides. Change in Visa status must be documented through the International Affairs Office on the Boston Campus. CERTIFICATION OF ENROLLMENT The Office of Students Affairs provides the following types of letters certifying student enrollment. Standard Certifying Letter: This letter certifies full-time enrollment for the current academic year. The letter contains: Student Name School ID # Specialty - For Postgraduate Students Only Enrollment Period (current academic period) Expected Date of Graduation Certifying Letter with Educational Costs: This letter certifies full-time enrollment for the current academic year as well as a list of billed costs for the year, payment deadline, estimated living costs for the specific academic period, and estimated costs of books and supplies. The letter, thus, certifies enrollment, educational budget for a specific academic period, and expected graduation date. The two basic certifying letters can be modified to include such special requirements as a statement of satisfactory academic progress or absence of School-funded financial assistance. Letters are signed by the appropriate school official and embossed with the school seal. Special Certifying Letters Regarding Malpractice Insurance for Postgraduate Students: Many of the students in the Advanced Education programs are able to practice either at night or on weekends. Costs of liability insurance can be expensive for the full-time practitioner. Many insurance companies will offer reduced rates for part-time practice. The Office of Student Affairs can provide a letter certifying full-time enrollment with a statement reading, “The student is covered by School Malpractice insurance while enrolled 8am-5pm, Monday-Friday.” Such letters can be filed with applications for liability insurance. DEFERMENTS In addition to letters certifying enrollment, the Office of Student Affairs signs the deferment forms generated by lenders and loan authorities for prior and current student loans. It is the responsibility of the student to obtain proper deferment forms from lenders or loan servicing agencies and to submit them for processing. 2 NOTE: Deferment forms for future academic terms for which the student has not registered will not be processed until registration has been completed. While Tufts University participates in the National Student Loan Clearinghouse and reports student enrollment status accordingly, not all lenders and loan servicers utilize the Clearinghouse. Therefore, completion of the deferment form process may still be necessary. Students should contact their loan servicers for confirmation of participation in the Clearinghouse. Deferment forms will be signed for the academic period for which the student is registered or past academic periods in which the student was registered. STUDENT ID CARDS The Tufts Campus Police, during orientation and registration, initially issue student ID cards. ID cards should be safeguarded against loss or theft, as these cards provide access to many buildings, library resources and clinical instruments at Tufts. All recovered ID cards shall be turned in to the Office of Student Affairs. If replacement of a card is necessary, the student must report the loss or theft to the Student Affairs division of the School of Dental Medicine. Students will incur a $25.00 Student ID Replacement Fee, which will be collected by the Office of Student Affairs. You will receive a receipt for proof of payment that must be presented to the Tufts Campus Police for initiation of a replacement ID. ID cards are produced during regular business hours (Monday - Friday, 9am - 5pm) at the Tufts Campus Police office, 136 Harrison Avenue, first floor lobby. In the clinic, ID’s must be attached to the clinic gown by clip. ID chains or cloth rope may not be worn in clinical areas because of Infection Control concerns. SERVICES FOR STUDENTS WITH DISABILITIES Tufts’ goal is the full inclusion of students with disabilities into the life of the University. Although the University has no special academic programs for individuals with disabilities who are otherwise qualified for admission, Tufts is committed to providing support services and accommodations to all students who need and have legal entitlement to them. When a disability requires that accommodations related to course work or to facilities be made, students should discuss their situation with the Associate Dean for Admissions and Student Affairs. In cases where the Associate Dean does not agree that the requested accommodations be implemented, the student may seek review of this decision to the Dean. RELIGIOUS HOLIDAYS It is the policy of the University that all classes, which fall on major religious holidays such as Rosh Hashanah, Yom Kippur and Good Friday, will be held. Examinations however, will not be scheduled on religious holidays. Students are responsible for making up any work missed if they choose to observe the holidays. Students on clinical assignments involving patient care must make arrangements in advance to have their assignments covered by a classmate while they observe the holiday. The major religious holidays indicated in the annually published Master Calendar are listed below. Rosh Hashanah—Sept. 17-18, 2012 Yom Kippur—September 26, 2012 Passover—March 26-April 2, 2013 Good Friday—March 29, 2013 GENERAL INFORMATION FOR INTERNATIONAL STUDENTS The School of Dental Medicine is fortunate to attract many students from foreign countries; this section is included to provide general information for these students. The International Affairs Office (IAO) serves the Tufts University Health Sciences Campus and its affiliated hospitals in many aspects of immigration regulations and procedures. This includes administration of the 3 student visa program and the exchange visitor program under the authorization of the United States Department of State. In addition, the IAO provides annual orientation to all entering graduate students, travel authorization, practical training authorization and other support services. International students are welcome to contact the IAO office for assistance and advice. In addition, the IAO office provides immigration, orientation and adjustment services to international research scholars and faculty. The IAO is responsible for dissemination of information to the various departments at Tufts to assist the international population in improving the quality and productivity of their experience at the institution. Under the direction of the Dean of International Affairs, the IAO coordinates and manages a number of health technology transfer projects. Various training programs have been established abroad in conjunction with faculty of the Health Sciences campus and its affiliate hospitals. Health Sciences International Affairs Office Campus location: 20 Park Plaza, suite 1101, Boston, MA 02111 Phone: 617-636-0355 Fax: 617-636-0356 Tej Maini, M.D., F.A.C.S., Dean, International Affairs Ghenwa Hakim, J.D., Assistant Director, International Affairs Initial Issuance of Visa Documentation In order to obtain visa documentation from the IAO, all incoming students must: 1. Obtain a confirmed acceptance from the Admissions Office 2. Complete and return the Declaration of English Proficiency and Financial Certification (DEC) forms to the IAO 3. Provide original financial support documentation 4. Submit a copy of the biographical page in the passport 5. Pay the required admissions deposit and first semester tuition deposit Please note that documents will only be issued once all the above requirements have been met. Travel Information for Current Students in F-1 or J-1 Status All students who are currently in F-1 or J-1 visa status and wish to travel abroad must obtain a signature from the IAO on the back of their I-20 or DS-2019. Students must bring in the forms at least two weeks before planning to leave the United States to allow the IAO enough time to prepare the forms. Reissuance of I-20s Whenever I-20 information changes a new I-20 is required. Examples of such changes include, but are not limited to, a student’s marital status, new graduation date or change in finances. Students are individually responsible for notifying the IAO of any changes so that the IAO can assure compliance with Department of Homeland Security regulations. Work Authorization Work authorization for F-1 and J-1 students is strictly regulated; therefore, any student with questions about eligibility for work should refer to the International Student Handbook for details or call the IAO directly. Special Services - Office of Student Affairs Frequently, visa students require special letters or other documents which they need to present in their home countries. The Office of Student Affairs has two types of prepared letters, which have been developed to meet the needs of both foreign and domestic students: 1. A letter which certifies the enrollment for the current academic year and which indicates the expected graduation date. 2. A letter, which contains the certification of enrollment, expected graduation dates, and lists the billed costs, living allowances, and ancillary costs for the academic period. Each of these letters may be altered as necessary to include a statement indicating the student's satisfactory academic progress, need to return to studies by a specific date, etc. Students are urged to consider which documents best meet their needs. It should be noted that all letters are embossed with the School Seal and/or signed by the appropriate school official. They may be provided in a sealed envelope if requested. 4 In addition to certifying letters, foreign students may receive official Dental School transcript records from Tufts under conditions outlined in the Transcript Section. PLEASE NOTE: Transcripts from other schools will not be provided by the Office of Student Affairs. Foreign students are urged to obtain pre-professional transcripts from their prior school. In the case of foreign-trained dentists, copies of foreign dental school transcripts should be obtained from prior schools for use in applying for postdoctoral programs. Practical Training Students nearing the completion of their program who desire to extend their stay in the United States for the purpose of further professional experience should contact the International Affairs Office to explore application for Practical Training. Since the application process is extensive, students should begin contact with the International Affairs Office at least six months prior to the completion of their studies. For more information on the topics directly above, please refer to the International Student Handbook. ACADEMIC RECORDS Each student’s academic record is maintained on the official transcript document for the School of Dental Medicine. Report of grades to the student is made by issuing a STUDENT COPY transcript. Grades are reported A, B, C, and F for courses each Fall, Spring and Summer term. Access to Academic Records (Transcripts) Grades for each term are reported to the student on a transcript marked “STUDENT COPY.” Students should retain these records of their grades. When evaluations are requested of faculty, students may make copies of their latest grade report and furnish them to faculty members. Additional STUDENT COPY transcripts are available. The student must request additional copies in writing by completing a Transcript Request Form. There is a $1.00 fee for each additional transcript. When a grade change is issued by a Course Director or a re-examination grade is submitted, the student’s transcript is altered to reflect this change/addition and a new STUDENT COPY transcript is provided to the student. When a grade change results in a new average, the new average is computed and the new standing is determined. The new standing is determined by tying the student with another student whose average is closest. The standing of the student being tied with is not altered. Official and sealed envelope transcripts signed by a School Official and embossed with the School seal are available to be sent directly to recognized third parties by either Tufts or by the student, if document integrity standards are maintained. Students must request the transmittal of their transcripts in writing by completing a Transcript Request Form. There is a $5.00 charge for each transcript requested. Copies of transcripts from Undergraduate or professional schools previously attended are not provided to students. These transcripts must be requested from the other schools directly. NOTE: The University is not obligated to furnish a transcript to any student or graduate whose financial obligations to the University have not been satisfied. PAYMENT OF FEES It is the policy of the University that all tuition and fees are payable in full when bills are rendered. Tuition payments in two installments have been made possible for the convenience of the student. Any student who fails to make full payment of billed costs by the designated payment date will be assessed a late payment fine determined by the Bursar's Office and will forfeit all rights and privileges of the University. If a student withdraws from the University, dormitory charges will be prorated if a replacement occupant 5 can be found. Students who withdraw from the University after the start of the term are responsible for the total instrument fee for that year. FEE WAIVERS Each student is automatically assessed for individual health insurance and the health administration fee. Students who have equivalent comprehensive coverage may apply to the Student Health Advisory Office for a waiver prior to September 1st of each academic year. The Health Administration fee cannot be waived. TUITION REFUND POLICIES Students who take a leave of absence may be responsible for tuition and fees for the term in which their effective leave takes place. The Tuition Refund Policy is explained later in this section and should be carefully reviewed prior to the student’s withdrawal or leave of absence. Financial aid (which includes student loans) a student receives may be impacted if the student decides to withdraw or take a leave of absence: Withdrawn Students A student who is considered withdrawn from the school is not entitled to financial aid after the point they have withdrawn. Financial aid received up to the point the student has withdrawn may be prorated in accordance to the Financial Aid Refund Policy that is outlined later in this section. Students should review this policy closely realizing it and the Tuition Refund policy are mutually exclusive. A withdrawn student who has outstanding student loans is no longer entitled to defer payments on their student loans based on their enrollment status. As a consequence, the student will enter repayment on their outstanding student loans. Withdrawn students who received Federal or Institutional student loans while in attendance are required to complete student loan exit counseling as part of the administrative clearance process. Students on a Leave of Absence A student who has received federal student financial aid who is considered on a leave of absence may be required to be treated as though they have withdrawn from school thus the policy outlined under “Withdrawn Students” above applies to those cases. Federal financial aid regulations dictate whether or not the leave of absence must be treated as a withdrawal using established conditions which the leave of absence must meet in order for the student to remain “in student status”. If the leave meets all prescribed conditions, the student is able to retain financial aid received and their student loan payments will continue to be placed in an in-school deferment status. Students who are considered “in student status” while on a leave may not receive any additional financial aid for the term in which the leave is taken nor would they be entitled to receive any additional financial aid disbursements during their period of leave. Upon their return, the student may be eligible for financial aid based on a revised cost of attendance. Student loans, however, will continue to receive in-school deferment during the period of leave. Students who fail to return from a leave of absence as expected whereas the student was kept “in student status” during the period of leave, will be considered to have withdrawn from the school effective the date their leave of absence began. Both the Tuition Refund Policy and the Financial Aid Refund Policy will be applied in accordance with university policy and federal financial aid regulations. Oftentimes the Financial Aid Office will be required to treat a student that is considered on a leave of absence as though they have withdrawn from the school since the period of leave usually does not meet the federal conditions. The reasons for this include (but are not limited to) the fact the leave often extends beyond the 180-day limit, the student is unable to resume their academic program at the same point they left prior to taking leave or the student’s return to school is conditional. 6 Tuition Refund Policy In the event a registered student withdraws from the university after the beginning of the enrollment period, tuition and fee refunds are prorated as follows: 1st – 12th calendar day of term 13th – 19th calendar day of term 20th – 26th calendar day of term 27th – 33rd calendar day of term 34th calendar day of term and thereafter 80% 60% 40% 20% No refund Student Financial Aid Refund Policy Federal Refund Policy In accordance with federal regulations governing Federal Student Financial Aid programs, a student receiving Title IV Federal Student Financial Aid is subject to Title IV Refund Policy rules. This policy is applied to situations where a student received Federal Perkins Loan, Federal Direct Loan and /or Federal Direct Grad PLUS loans and is considered to have withdrawn from the school or has dropped below half time status at the school. The Title IV Federal Refund Policy states that any student who withdraws at or prior to the 60% point of the term for which they were enrolled and received Title IV financial aid for that term, will have their federal financial aid prorated based on the percentage of time they were enrolled for that term. The application of the TIV Refund Policy determines the amount of federal student financial aid that the school and, in some cases, the student, is required to return to the student’s lender(s). The funds are returned to repay the federal student aid programs received by the student in the following prescribed order: 1. Federal Direct Loan 2. Federal Perkins Loan 3. Federal Direct Grad PLUS Any student who has withdrawn after the 60% point of the term is said to have “earned” all Title IV financial aid received and the school cannot apply the Title IV Federal Refund Policy. However, upon receipt of written authorization from the student, the Financial Aid Office can facilitate returning unused or unwanted loan funding to the student’s lender(s). Please note that Title VII funding (Health Professions Student Loan and Loans for Disadvantaged Students) will also be prorated in a similar manner as Title IV financial aid unless the student received 100% tuition reversal. In that case, all Title VII financial aid funding as well as institutional funding (such as, but not limited to, Tufts Grant and Tufts Loan) will be rescinded from the student. In the event that HPSL and LDS funding is prorated, these funds will be repaid after all Title IV aid the student received has been repaid (including Federal Direct Grad PLUS loan proceeds) in accordance to the Title IV Federal Refund Policy. Treatment of Private Education Loans and Institutional Financial Aid Treatment of private education loans a withdrawn student has received or is due to receive is subject to the private education loan lender’s policies. Normally, if funds have been disbursed to the student, lenders usually do not require the student or the school to return funds. If the student withdraws or drops below half time prior to the funds being received, the Financial Aid Office is required to return 100% of the loan disbursement. Similarly outside scholarships or loans awarded to a student are subject to the awarding organization’s policies. Institutional financial aid such as grants, loans or scholarships may or may not be prorated or require 100% reversal depending on the circumstances. 7 It is important to note that the application of the Tuition Refund Policy and that of the TIV Federal Refund Policies are mutually exclusive. The student is responsible for payment of any balance that remains on his or her student account after the Student Financial Aid Refund policies are applied. The Financial Aid Office does not provide administrative clearance from the Financial Aid Office until they have been able to calculate and apply the appropriate Financial Aid Refund policies and all other financial aid-related administrative requirements (such as student loan exit counseling) have been completed by the student requesting clearance. CLEARANCE UPON DEPARTURE FROM THE SCHOOL OF DENTAL MEDICINE Every student leaving the University is required to complete an Administrative Clearance procedure to satisfy the officers of the University that the student has met all obligations. Federal student aid recipients must have an exit interview with the Financial Aid Office as a condition of meeting administrative clearance. Prior to this, the appropriate refund and repayment policies have to be applied in order to conduct the exit interview. Administrative clearance forms are provided in the Office of Student Affairs for students on an approved leave of absence, who have received an unofficial leave of absence, are withdrawing from the program, or are completing their program. The School of Dental Medicine will not release a transcript or any other official document until the student has completed the administrative clearance process. 8 STANDARDS OF ETHICAL CONDUCT AND FAIR PROCESS PREAMBLE Our School is a community of students, staff, and faculty. Important to our school is the high standard of honesty and integrity with which the community carries out its responsibilities. Absolute honesty on the part of every student, every faculty member, administrator, and staff member always has and always shall be an essential part of higher education at Tufts University School of Dental Medicine. Honesty must extend not only to academic and professional endeavors but also to social activities. Since academic and professional work in the School is designed to assist the student in expanding his/her knowledge and intellectual capacity, it can be achieved only by individual, independent study and work. The student dentist must fully recognize the obligations involved in the discharge of his/her duties toward patients. The latter are, in most cases, unable to estimate precisely the character of adequate procedures; therefore, the student's own sense of right must guarantee faithfulness in his/her performance. The students, in their relationship to the institution, must be governed by strict rules of honesty and courtesy. Tufts University School of Dental Medicine, as a school of the University, has a four-fold mission: to educate students for the dental profession, to provide patient care, to advance knowledge through research, and to serve the community at large through its diverse resources. The Code of Principles of Ethical and Professional Conduct (herein after referred to as the Code), as administered by the Ethics, Professionalism, and Citizenship (EPC) Committee, is a set of rules to insure that all students in the School of Dental Medicine share a collective responsibility for maintaining the highest ethical standards and professional conduct in their relationships with each other and with patients. Nothing in this document is to be construed as contradictory to present or future University policies and procedures, and in the event of such conflict, University policies and procedures will prevail. The final responsibility for adherence to the Code rests with each individual. Therefore, each student has the general obligation to: 1. Maintain high standards of academic and professional honesty and integrity. 2. Respect the rights, privileges and property of other members of the academic community and visitors to the campus. 3. Refrain from actions that would interfere with University functions, endanger the health, safety or welfare of other persons, or would expose the University to legal risk. 4. Know and comply with the rules and regulations of Tufts University and the School of Dental Medicine. 5. Seek advice and counsel when faced with an ethical dilemma. The School of Dental Medicine, through its faculty and staff, will foster an environment that promotes adherence to the Code. For example, the faculty and staff will work to clarify academic requirements, provide help to students in meeting expectations, and avoid situations that may lead anyone to violate the Code. CITIZENSHIP A major responsibility of the Ethics, Professionalism, and Citizenship (EPC) Committee is to promote citizenship within our community. Ethical and professional practices are certainly part of citizenship, but additionally, civility to members of our community, care for the environment of our community, 9 understanding and acceptance of the diversity within our community, and pride in our accomplishments, are goals also strongly encouraged by the EPC Committee. Citizenship is promoted by each of its members by, in part, understanding that caring for the details of everyday life during the rather long and focused hours of school is extremely important. Politeness, cleaning up after oneself, and helping others with small and/or large tasks, all go a long way toward a more civil, neater, and cleaner environment. Tufts University School of Dental Medicine is composed of individuals from a diverse range of backgrounds and circumstances. This diversity is important for students to embrace in order to function effectively as professionals, but this process can be challenging and difficult. Customs and attitudes are not homogenous for a group of individuals drawn from many different cultures and countries. Understanding the differences and how those differences may be accepted and incorporated within the larger framework of our own community’s culture is an important part of the work of the EPC Committee. Customs and attitudes change, and recognition and communication regarding such change are necessary to the functioning of a community. Effective communication among individuals in our community - students, staff, and faculty - is essential to its smooth functioning and development of traditions that will positively affect the community is strongly encouraged. All members of the community are urged to discuss ideas with the elected or appointed representatives of the EPC Committee to help institute positive change that can become a part of traditions within our school. ETHICS, PROFESSIONALISM, AND CITIZENSHIP (EPC) COMMITTEE Ethics, Professionalism and Citizenship Committee (EPC) Members, 2011-2012 Chair: Executive Associate Dean Mark Gonthier Dr. Michael Hall, Oral Pathology Dr. James Hanley, Periodontology Dr. Kathryn Ragalis, General Dentistry Dr. Roger Galburt, Oral Surgery Dr. Eric Weinstock, Director, Ethics & Jurisprudence Dr. Michael Thompson, General Dentistry 6-6639 6-6510 6-6783 6-6924 6-6930 6-6814 6-3775 The EPC Committee shall have responsibility for: 1. promoting ethical and professional behavior and citizenship among students, faculty and staff 2. reviewing and making recommendations concerning all issues relating to the ethical and professional behavior of students, faculty and staff 3. monitoring compliance with the code of ethics Written allegations related to staff behavior should be forwarded to the Associate Dean for Student Affairs, who will consult with the Executive Associate Dean in the disposition of the complaint. Written allegations related to faculty behavior should be forwarded to the Chairperson of the EPC Committee. A standing EPC Subcommittee on Faculty will review the allegation and forward its recommendation to the Faculty Committee on Committees, which will formally respond to the allegation. EPC Subcommittee for Faculty The elected faculty members shall constitute the subcommittee on Faculty Ethics and Professionalism. One student member will be appointed yearly by the Chairperson of the EPC Committee to the Faculty 10 Subcommittee with vote. All initial allegations regarding faculty shall be heard first by the faculty subcommittee. A recommendation, regarding the allegation, if applicable, will be forwarded to the Committee on Committees for adjudication. CODE OF PRINCIPLES OF ETHICAL AND PROFESSIONAL CONDUCT A. Professional Conduct In order to create and maintain the best possible professional atmosphere at the School of Dental Medicine, it is necessary that students adhere to standards of professionalism, courtesy, and ethics. Common courtesy and mutual respect are essential to enhance the educational experience, and to decrease stress and misunderstanding. Each student should recognize their responsibility in professional growth, and maintain an attitude that strengthens that development. Inappropriate conduct is subject to disciplinary action but is not limited to the following: A student will not: I. a. Fail to safeguard confidentiality of patient records. II. a. Give, receive or obtain information pertaining to an examination during the examination period, except as authorized by the instructor. b. Represent written, clinical or laboratory work prepared by another person as his or her own work for credit (unless authorized by the instructor). c. Possess any material or use any procedure or practice not authorized by the instructor, course director or department on any examination, written assignment, laboratory project, or clinical activity to be submitted or being performed for credit. d. Violate any policies of the School. e. Aid another person in committing any acts in violation of the schools’ Ethics and Professionalism Honor Code. III. a. Withhold evidence pertinent or give false evidence about any ethics and professionalism complaint being heard or investigated. b. Act in a manner that significantly interferes with School teaching, research, administration or other responsibilities. c. Commit gross or continuous violations of any procedures for infection control. IV. a. Furnish false or misleading information during the admissions and annual financial aid application process. b. Steal, procure in any unauthorized manner, damage, deface or destroy the property of the university or of another person. Willful property loss or damage caused by a student will be considered a violation of the Code of Principles of Ethical and Professional Conduct. c. Sell, lend, give (provide in any manner), steal or acquire information or materials unauthorized by the instructor. d. Falsify in any way a grade, evaluation, patient record or any other university record. e. Present for credit any work that includes information (e.g. dates, patient encounter records, etc.) that the student knows to be false. f. Possess or use firearms or any other dangerous weapons on School property. g. Use pressure, threat, abuse, or similar behaviors against any person involved to inhibit the reporting, investigation, or hearing of an alleged violation against this Code of Conduct. V. a. Use, possess or sell any illegal drugs on or off the School property. 24 b. Treat patients either outside regularly scheduled clinic periods or without appropriate faculty supervision. This action constitutes the illegal practice of dentistry. Compliance with the following standards is the obligation of all dental students: A student will: 11 1. be respectful and courteous when dealing with patients, students, faculty, staff and visitors. Students will also extend the same level of respect to the didactic and clinical Student Teaching Assistants as they would to faculty members. 2. address disagreement between faculty and/or students in a private setting off the clinic floor. 3. indicate when direct quotations are used, and when the ideas of another are incorporated into any work to be submitted for academic credit, those ideas must be appropriately acknowledged. 4. not make negative remarks in a patient’s presence. Significant negative criticism should be given in a private setting. 5. understand that any form of harassment relating to sex, sexual orientation, race, color, religion, age, national origin, disability or medical condition will be considered unethical. (The University Policy on Sexual Harassment is included as Appendix E). 6. safeguard the integrity of all research; any violation should be reported to the alleged violator’s supervisor. 7. follow the directives of assigned instructors and faculty members. Students cannot selectively identify alternate faculty members who advise differently. If there is a difference of opinion perceived by the student regarding faculty decisions or judgments, the Department Chairperson or Chairperson’s designee shall make the final judgment or decision. 8. adhere to departmental standards for patient care. 9. respect the rights, safety and welfare of other persons in the School of Dental Medicine (patients, faculty, students, staff and visitors). B. Clinical Conduct The following guidelines, which are based on the current ADA Principles of Ethics and Code of Professional Conduct, shall be adhered to by all students. The following guidelines have been derived from that document for Tufts University School of Dental Medicine. 1. In the clinics, the primary professional obligation shall be to provide competent and timely delivery of quality care within the bounds of clinical circumstances presented by the School and the patient, with due consideration being given to the needs and desires of the patient. 2. No person shall be discriminated against because of sex, sexual orientation, race, color, religion, age, national origin, disability, or medical condition. 3. Patient records must be maintained in such a way as to safeguard confidentiality and to protect the patient’s welfare. Patient records must be accessible at all times to other faculty, staff or students to allow provision of care; patient records should not be kept at the student’s residence. Students must maintain professional confidentiality about patients. 4. Students shall treat patients under the supervision of Tufts University School of Dental Medicine faculty in approved locations. 5. Consultation from another specialist or specialty clinic at the School of Dental Medicine shall be sought whenever the welfare of the patient calls for it. 6. A student shall refer a patient for evaluation to any other medical specialty deemed necessary by the student in consultation with clinical faculty 7. Patients should be informed of their present oral health status without disparaging comments made about prior services, whether or not provided at the School of Dental Medicine. Unjustified comments can be grounds for disciplinary action against the student making such statements. When accepted professional standards of care are not followed, the Associate Dean of Clinical Affairs or his designate should be notified at the earliest possible time. 8. Care being rendered to patients shall not be represented in a false or misleading manner. Anyone who represents that a dental treatment recommended or performed has the capacity to cure or alleviate disease or other conditions, when those representations are not based on accepted scientific knowledge or research, is acting unethically. 9. Fees being charged for providing care shall not be represented in a false or misleading manner. Incorrect treatment dates may not be reported to a third party payment agency in order to assist a patient in obtaining benefits that otherwise would be disallowed. A dental procedure on a third party claim form may not be incorrectly described in order to allow a greater payment, or to make a noncovered procedure appear to be covered. 12 10. Patients should be informed, in language the patient could reasonably be expected to understand, of the nature of the proposed treatment, any recognized alternatives, the possible risk, complications, and anticipated benefits involved in the treatment and recognized alternatives. Information should be provided to a patient in a manner that allows the patient to make informed decisions regarding his treatment. Departmental requirements shall take lower priority to the patient’s welfare, in situations of conflict. 11. A final written treatment plan will be provided to the patient. 12. Before undertaking patient treatment, the student shall be certain the patient has read about the proposed treatment in the Informed Consent Booklet, understood the information provided and signed the informed consent form. 13. A person’s training or competence shall not be represented in any way that would be false or misleading. 14. Inserting false information on a patient record, altering or forging a signature, or misrepresenting any material fact regarding a diagnosis, treatment, or management of a patient shall be considered unethical. 15. No student shall treat patients while under the influence of alcohol, controlled substances, or, as judged by appropriate qualified treating authority, any medical treatment that could impair clinical judgment or psychomotor function. (Students are obliged to notify the treating authority of the student’s responsibility regarding patient care.) 16. Prescribing or distributing controlled substances in violation of the law or University rules shall be considered unethical. 17. A patient’s confidential communication shall not be disclosed to any individual not involved in that patient’s care, unless permission has been granted in writing by the patient in accordance with School policy. 18. Failure to exercise approved infection control procedures is considered unethical behavior. 19. Services performed for patients shall be limited to those listed in an approved plan of care authorized by supervising faculty. 20. Failure to follow through with the approved signed plan of care in a timely manner is considered unethical, unless the patient is consulted and signed approval by a faculty member is obtained. 21. A research subject must grant informed consent for any test or procedure to be performed for the sole purpose of research. 22. Failure to treat patients in a timely fashion, failure to be in regular attendance in clinic in order to treat patients, unexcused absences which would result in not treating patients in a timely fashion, or misrepresenting patients’ desires about timely care or the desire for care, will be considered unethical. 23. Treating patients in a manner, which would knowingly harm the patient, is assault and will be dealt with in such fashion. Assault is a felony and is punishable under the law. Allegations of such treatment (for example, knowingly extracting a tooth in order to make a prosthesis for graduation requirements or intentionally causing a pulp exposure in order to necessitate root canal therapy) will be investigated and may be referred to the Campus Police. 24. Transfer of patients or treatment of patients from one student to another must be done with the signed permission of the student’s Practice Coordinator and the signed informed consent of the patient. C. Computer Ethics Use of Tufts Computer Services' facilities is a privilege extended to students of Tufts University. Tufts University cannot guarantee the privacy or security of users' computer files, or the anonymity of any user. The person issued an account is responsible for all use made of that account. Users of these facilities agree not to violate any of the following rules: 1. Tufts' computer facilities (computers, printers, networks, software, etc.) may only be used by authorized persons for legitimate purposes relating to teaching, course work, clinical patient care, research, and administration at Tufts University. 2. No one may use, access, alter, or copy the accounts, passwords, directories, files, or programs of 13 any other user without that person's consent. 3. No one may use Tufts' computer facilities for inappropriate purposes such as: the playing of practical jokes, deliberate breaching of security, the sending of abusive or offensive material, deliberate interference with the work of other users, or the introduction of computer viruses. 4. No one may copy copyrighted software or run illegally copied software at Tufts. 5. All students wishing to obtain access to or use Tufts computer facilities are required to sign a statement agreeing to comply with the Information Technology Responsible Use Policy at the time of initiation. Any such violation by a student may result in disciplinary action by the Associate Dean of Student Affairs through the aegis of the Ethics, Professionalism, and Citizenship Committee. See Appendix C for additional information. D. Massachusetts Computer Crime Law This Massachusetts law: Prohibits unauthorized access to any computer system, either directly or by network or telephone. The law provides that the use of password authorization systems to control access to a computer system puts people on notice that their access is unauthorized if they don’t have a legitimate password. Amends the criminal vandalism statute to make it clear that electronically stored or processed data is “property”, the destruction or corruption of which is illegal. Prohibits the theft of commercial computer service. The law also makes electronic copies of computer and data files admissible in court, thus allowing a business to maintain use of its original systems and files during proceedings. The new law also provides that computer crime may be prosecuted and punished either in the county where the perpetrator was physically located at the time he or she committed the crime, or in the county where the computer system and data that was accessed or corrupted were located at the time of the violation. This means, for example, that a hacker accessing a Massachusetts-based business’s computers in Massachusetts from another state would be susceptible to prosecution in Massachusetts. POLICIES AND PROCEDURES RELATIVE TO STUDENT CHEATING Cheating is a serious infraction of the School’s Code of Principles of Ethical and Professional Conduct. It gives cause to doubt the offending student’s integrity and fitness to be entrusted with the oral health care of the public. Undetected or ignored cheating encourages dishonesty. It can give a student unfair advantage over other students in comparative ratings and can lead to improper assessment of the student’s readiness to progress to more advanced study or to provide direct patient care. It may also demoralize the majority of students who do act fairly and honestly. I. Responsibilities Student responsibility includes the avoidance of even the appearance of cheating. Any student behavior that gives the appearance of cheating may be taken as a presumption of cheating. Upon observation of cheating on an examination or laboratory project, a student must report the incident immediately to the instructor as information orlater in writing as a complaint to the Chairperson(s) of the EPC Committee. II. Examination Administration The following measures are mandatory for all examinations within the School of Dental Medicine: • Tufts Student IDs are to be placed on the desktop, in a location that is clearly visible to the Course Director and Proctors. Examination guideline infractions (for example, if a student fails to bring his/her Tufts ID to the examination) are subject to a 5 point deduction in examination grade. 14 • All phones must be in the “off” position. If a student anticipates needing to be contacted for an emergency, s/he should give the “on” cell phone (labeled with the student’s name) to a proctor. In the event that a student’s cell phone rings during an examination, there will be a 5 point deduction in the examination grade. • Coats, book bags/back packs should be placed in the front of the room during the examination. However, please arrive early enough to visit your locker before the exam. Students are reminded to dress in layers, depending on the time of year. Sweaters/jackets may be removed and placed on the back of the seat. • Items are not to be left outside the examination room and material found in the areas outside of the examination room will be discarded. • Students who have not located their seat by the official start time of the class on the day of the examination, but who arrive before the end of the class, will be classified as late and will receive the grade on the examination with a 5 point deduction for a first time offense, a 10 point deduction for a second offense and for a third occurrence, the student is required to attend an SPC or EPC hearing to determine additional consequences. • Students who arrive late due to an MBTA delay of greater than 15 minutes will be asked to request a letter documenting the delay from the MBTA transit office in the Stuart Street Transportation Building. Delays of less than 15 minutes will not result in the late penalty being forgiven, so students are encouraged to allow ample time for transportation. • Students that do not appear before the exam has officially ended will be defined as having an unexcused absence. The student is entitled to a makeup examination and will receive the grade on the examination with a 15 point deduction for a first time offense, a 20 point deduction for a second occurrence and for a third occurrence, the student is required to attend an SPC or EPC hearing to determine additional consequences. • No blank or “crib” sheets are allowed in the room during examinations. • No headphones are allowed during examinations. • No food is allowed during examinations; drinks are permitted. • The wearing of head coverings (except for religious reasons) is not permitted during examinations. • Unless the student has applied for and been granted legal accommodation by the Office of Student Affairs, students are not allowed to walk up to the front of the room during slide examinations. • Students must protect their own examinations and answer sheets during examinations. • No communication between students is allowed during examinations. • Students must turn in their examinations and answer sheets when the Course Director announces that the examination time is over. • Students are not to congregate outside of the examination room before or after an examination, as it is distracting to those still taking the examination. • PDS’s or the use of PDA’s, calculators, clocks or other electronic devices is prohibited. • When leaving the exam room to visit the bathroom, exam proctors will require that students record their name on a sign-out sheet. The proctors will document the time that students leave the examination room. Upon returning to the exam room, students will be required to sign in, and provide the time of their return to the exam room. The clock in the exam room will be considered as providing the official time. IMPLEMENTATION OF THE CODE OF ETHICS AND PROFESSIONAL CONDUCT Students will sign the Code upon matriculation or at the first presented opportunity after matriculation. The following is a copy of the Ethics and Professionalism Conduct Code. 15 TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE CODE OF PRINCIPLES OF ETHICAL AND PROFESSIONAL CONDUCT Revised: 06/10 ETHICAL BEHAVIOR AS A STUDENT You are beginning, or continuing, your career as a professional who will help care for other human beings. As a professional, you are subject to a code of conduct to which you pledge to adhere. This code requires high standards of ethical conduct and honesty. We expect that each of you will make a personal commitment to abide by a standard of behavior which will form the basis of future professional conduct and will guide your conduct while enrolled at Tufts University School of Dental Medicine. We expect you to begin the practice of professional and ethical behavior as a student. Tufts students are expected to be responsible citizens not only of the Tufts community, but also the greater community. Students are expected to comply with all university policies, local ordinances, and state and federal laws. Students are expected to avoid activities that harm the reputation of the University or its members. Students also may not engage in conduct that poses a danger or threat to others. Notwithstanding the above, legitimate and peaceful activities, including but not limited to protests of certain University policies, whether expressed on or off campus, and provided that such activities are lawful and do not interfere with normal University functions, shall not be deemed to be a breach of this code of ethics. The Tufts University School of Dental Medicine Honor Code further imposes an obligation on each student to take affirmative steps to ensure that other dental students comply with these standards of behavior. All students are required to sign a copy of the Honor Code, which is maintained in the student’s file. STUDENT HONOR CODE Academic Misconduct and Professional Misconduct are defined below: Academic Misconduct: Is the misrepresentation of one’s own academic achievement, including but not limited to the use of inappropriate materials brought into an examination room; copying the work of others during or outside of an exam (e.g. 29 plagiarism) and any other acts or lack of acts which constitute a submission of someone else’s work as your own without proper credit or reference. Professional Misconduct: Encompasses such actions as, but not limited to, infractions of the ADA Principles of Ethics and Code of Professional Conduct and falsifying or altering clinical documents, and conduct which threatens or endangers the health or safety of any person. I agree to uphold the provisions of the Code of Ethics and Professional Conduct for students at Tufts University School of Dental Medicine (herein referred to as the Code). These include all acts that could be construed as cheating, stealing, falsification or misrepresentation of patient care in records or to patients, or any action related to academic or professional conduct that would knowingly place a patient or anyone else at risk of physical or emotional harm. If I observe academic and/or professional misconduct, I will discuss these observations with the member of my class elected to the Ethics, Professionalism, and Citizenship Committee (if applicable), with the Course Director or with any other member of the Ethics, Professionalism, and Citizenship Committee. Formal action to address violations of the Honor Code, when deemed necessary by the Dean for Students or his designee, will be taken in accordance with the Bylaws of the TUSDM Ethics, Professionalism and Citizenship Committee. I agree to respect all other members of our community, and to act towards them with courtesy. I will refrain from any comments regarding patients, or any negative or disparaging statements about other students, faculty or staff, in public places. I will respect the physical facilities and premises of the school as if they were my own. I understand the procedures that will be followed if I do not uphold the Student Honor Code of Tufts University School of Dental Medicine. I have read, understand and agree to comply with the Code of Ethics and Professional Conduct at Tufts University School of Dental Medicine. I have read the Section on Ethics, Professionalism and Citizenship as well as the Policies regarding Sexual Harassment, Sexual Assault and Consensual Relationships as detailed in the Student Handbook and understand the policies and procedures governing the evaluation of student conduct. (Signature) __________________________________________________________________ Date ____________ Print Name ___________________________________________________________________________________ Phonetic Pronunciation of Name (for use at official School ceremonies)_________________________________________________________ 16 DISCIPLINARY ACTION AND FAIR PROCESS The policy and procedures described in the section ensure fair process, that a fair hearing has taken place and that the student's position has received full consideration. The University makes every effort to protect the privacy of the individual. The location and time of EPC Committee hearings are not made public and the decisions rendered at the hearings are announced to the school community in a summarized fashion, which does not identify complainants and respondents, by name. Each member of the EPC Committee is required to sign a confidentiality agreement, which requires that the names of individuals appearing at committee hearings not be disclosed. Ethical and Professional Complaints Alleged violations of clinical and/or academic ethical standards and professional conduct by any student of Tufts University as witnessed by any employee, student or faculty member of Tufts University will be handled as described in the following section. Unethical conduct should first be reported to the appropriate Course Director and/or Practice Coordinator, who may consult with a relevant Department Chairperson and/or any of the Associate Deans for Clinics, Research, Academic Affairs or Student Affairs. Unprofessional conduct of students in non-academic situations should be reported to the Associate Dean for Student Affairs. Every effort should be made to resolve the situation at this level. If the situation cannot be resolved by the above-identified actions or if the informed parties believe the allegation(s) ascribed to the student warrant it, the matter should be handled through the following channels. DISCIPLINARY PROCEDURAL GUIDELINES The following guidelines supplement the Faculty Bylaws concerning how the School of Dental Medicine generally may respond to alleged student violations of the Code of Principles of Ethical and Professional Conduct (“the Code”). The School’s application of these guidelines is intended to be flexible, and their general applicability will depend on the facts and circumstances that each case presents. Accordingly, no contract is created or implied by anything stated herein. The School may exercise its discretion to change the guidelines at any time and/or may deviate from them whenever the circumstances of a particular case make deviation practical. Student discipline may take a variety of forms, including (without limitation) counseling, oral or written reprimand, probation, restitution, suspension, and expulsion (with or without the possibility of readmission). A. Allegations Concerning a Respondent For purposes of these guidelines, the Respondent is any student accused of violating the Code. An allegation is a written assertion that a violation of the Code may have occurred. Any employee, student or faculty member of the University may present allegations to the Chair of the Ethics, Professionalism, and Citizenship Committee (“EPC”). 1 Each allegation should describe with as much specificity as possible (e.g., dates, names, locations, occurrences), the particular factual events that constitute the alleged violation. If such specificity is missing, the person making the allegation should supplement as appropriate. 1 Article IV, 2h, of the Faculty Bylaws makes the EPC responsible for “reviewing and making recommendations concerning all issues related to the ethical and professional behavior of students” and “appointing a subcommittee annually to review all specific instances of alleged unethical or unprofessional behavior by students.” This subcommittee is referred to herein as an Incident Review Committee (“IRC”). 17 B. Optional preliminary investigation and report Upon receiving the allegation, the Chair of the EPC will determine whether preliminary investigation is appropriate before considering the initiation of proceedings involving an Incident Review Committee (“IRC”) appointed by the EPC. Such preliminary investigation may be conducted by an individual faculty member or administrator appointed by the Chair of the EPC, the campus police, or some other appropriate body or person. Depending on the circumstances, preliminary investigation may include gathering and reviewing pertinent documents, interviewing necessary witnesses, and interviewing the Respondent (if he or she agrees to be interviewed). If the Respondent insists on the presence of a lawyer during any interview, then the interview will be conducted only if a lawyer for the University also is present. The University’s General Counsel is available for consultation at any time on any student disciplinary case, as appropriate. If the Chair of the EPC determines that the Respondent’s probation, suspension, or expulsion is within the range of possible sanctions for the offense(s) alleged, then he or she will ensure that the case is coordinated with the General Counsel at an appropriate time. Any person or body charged with conducting the preliminary investigation will conclude his or her work by reporting to the Chair of the EPC a summary of the facts and evidence supporting any suspected violation of the Code. C. Initial notice to the Respondent, the Respondent’s right to respond in writing and with documents, and review and report by the IRC. The procedures of this section apply in either of two circumstances. First, they apply whenever the Chair of the EPC determines that no preliminary investigation is necessary but that circumstances warrant further consideration of student discipline. Second, they also apply whenever the Chair of the EPC makes this determination after reviewing a report resulting from preliminary investigation. In either situation, the Chair will provide the Respondent written notice of the following: 1. The violation(s) to be considered. 2. A summary of the evidence generally indicating that such violation has occurred. 3. The range of disciplinary sanctions that could result. 4. The Respondent’s opportunity to exercise any and all of the following rights, which will be waived if not exercised within the periods of time specified: A. A right to respond in writing within ten (10) days to explain anything that is factually erroneous about the allegation and/or that there has been no violation; B. A right to respond in writing within ten (10) days to explain why a particular disciplinary sanction would be too severe even though a violation has occurred; C. A right to submit within ten (10) days all documentary evidence (including statements/affidavits of witnesses, letters of character references, etc.) that support any of the Respondent’s positions; and D. A right to submit within ten (10) days a written demand for an oral hearing. Upon lapse of the above ten (10) day period and/or the receipt of the written submissions at issue, the IRC will review the evidence and, pursuant to Article IV, 2h, of the Faculty Bylaws, make a written recommendation to the EPC regarding case disposition. 18 D. EPC Deliberation and Disposition Upon receiving and reviewing the IRC’s report, the EPC will dismiss the case if it determines that no further proceedings are appropriate. If the EPC determines that additional proceedings are appropriate, however, it will proceed as suggested below. If the respondent did not demand a hearing, the EPC will review the available evidence and make a written recommendation to the Executive Faculty concerning case disposition. 2 If the Respondent did demand a hearing, then the Chair of the EPC will provide to the Respondent a letter of notification with notice of the following: 1. The time of the hearing (no sooner than ten days from the date of notification). 2. The location of the hearing. 3. The violation(s) to be considered. 4. The range of disciplinary sanctions that could result. 5. The names of the witnesses expected to be called by the EPC or any complainant. 6. The written or documentary evidence that the EPC will consider. 7. That the Respondent may testify at the hearing if he or she chooses. 8. That the Respondent may present evidence at the hearing through the testimony of witnesses, provided that he or she provides written notice of the identities of these witnesses to the Chair of the EPC at least five (5) days before the scheduled hearing. 9. That the Respondent may submit further written or documentary evidence for the consideration of the EPC, provided that he or she does so at least five (5) days before the scheduled hearing. 10. That the Respondent may cross-examine any witness who testifies against him. 11. That the Respondent may orally argue his or her position(s) to the EPC after all evidence is presented. 12. That the Respondent may be accompanied and advised by an attorney or other advisor, provided that written notice is given at least five (5) days before the hearing of the name of the attorney/advisor, and provided that the Respondent and his or her attorney/advisor understand that the attorney/advisor will be present for advice to the Respondent only – he or she will not be allowed to address the EPC. 13. That, at the conclusion of the hearing, the EPC will deliberate privately and, by majority vote, make its recommendation to the Executive Faculty on the issues of whether a violation has occurred and whether a particular disciplinary sanction should be imposed. E. The EPC hearing The Chair of the EPC, or some other EPC member appointed by the Dean, will preside at the EPC hearing. The hearing will proceed as set forth in the EPC’s letter of notification (as described above), beginning with a presentation of evidence against the Respondent. After all evidence is presented, the Respondent and any individual complainant may argue in his or her behalf. 2 Article III, 3, provides, with exceptions not applicable here that the Executive Faculty shall “act upon the reports of all standing and ad hoc committees.” 19 EPC hearing procedures otherwise are intended to be as flexible and informal as practical. Formal rules of evidence are not appropriate. The EPC may consider any evidence that it deems relevant, and may attach to the evidence whatever weight, if any, it deems appropriate. The hearing will not be recorded. At an appropriate point, the Chair of the EPC will announce the termination of the hearing. F. EPC deliberation and recommendation After the hearing, the EPC will deliberate in private and make decisions by majority vote about what to recommend to the Executive Faculty. After appropriate deliberation and voting, the EPC will submit a written report to the Executive Faculty on the following: 1. Its determination of each violation, if any that has occurred. 2. Its summary of the evidence that supports the finding of any violation. 3. Its recommendation of an appropriate disciplinary penalty, if any (not to exceed in severity the penalty for which the Respondent was given notice). G. Review and decision by the Executive Faculty Upon receiving the written report from the EPC, the Executive Faculty will deliberate and may take any of the following actions: 1. Dismiss the case; 2. Return the case to the EPC for additional proceedings, as appropriate; or 3. Advise the Respondent in writing of the EPC’s findings, the EPC’s initial determinations of disciplinary sanctions, if any, and the Respondent’s right to show cause in writing why the disciplinary sanction(s) would be unjust. The Respondent will be allowed ten (10) days to show such cause in writing. The respondent may attach to his written submission any documents that he or she believes appropriate for further consideration. After the ten (10) day period for written submissions has expired, the Executive Faculty will review the case file again and make its final determination of an appropriate disposition of the case, including any sanction(s) to be imposed. The Executive Faculty then will notify the Respondent in writing of (a) the decisions made by the Executive Faculty and the sanction(s) being imposed, and (b) the Respondent’s right to submit within ten (10) days a written appeal to the Dean. Any such written appeal should explain fully the bases for the appeal. The Respondent may attach additional documentation to the written appeal, if he or she deems it appropriate. If no appeal is received within the specified deadline, then the determination by the Executive Faculty will be final. H. Review of the appeal by the Dean If the Respondent appeals in the manner suggested above, the Dean will review the entire case file (including all materials submitted by the Respondent in support of his or her appeal), consult with others as appropriate, and provide written notice to the Respondent of final disposition of the case. 20 ACTIONS AND PENALTIES The following are the actions and penalties, which the EPC Committee may recommend to the Executive Faculty and Dean. The EPC Committee may present other reasonable recommendations to the Executive Faculty and Dean. Counseling The student will be counseled by members of the Committee, or by some person(s) appointed or authorized by the Committee. Counseling is not considered a punishment or penalty, and is designed to help the student understand his/her reasons for violating the Code, and to avoid future violations. A determination by the Executive Faculty and Dean that a student be counseled will not be noted on the student's record. Repeat of Examination The student will be required to repeat an examination or other exercise or procedure in connection with the violation of the Code. The disciplinary proceedings and action will be noted in the student's record, but may be deleted after graduation, and will not be used in correspondence from the School, if no further violations occur. A grade of zero on the examination in question can be recommended. Temporary Letter of Reprimand The student will receive a written reprimand by the Committee, signed by the Chairperson(s). A copy of the written reprimand will be included in the student's record, will not be referred to in correspondence from the school, and will be removed upon graduation if no further violations of the Code occur. Written Reprimand The student will receive a written reprimand by the Committee, signed by the Chairperson(s). A copy of the written reprimand will be included in the student's record, and will be referred to in correspondence from the school. Repeat Course or Academic Year The student will be required to repeat the course or year in which violation of the Code occurred. The student cannot advance to the subsequent year’s curriculum while repeating a course. This action will be noted in the student’s permanent record, and will be referred to in correspondence from the school. Probation The student will be placed on probation for a specified period of time. During such time, the student will remain under the continuing observation and supervision of the Chairperson(s) of the EPC Committee. The Committee may take appropriate steps, including requiring the student to appear regularly before the Committee or a designated member(s), to assure that the student is acting in accordance with the Code. If the student fails to fulfill the directives of the Committee during this time, the Committee may recommend to the Dean that another action or penalty be imposed. Probation will be noted in the student’s permanent record, and will be referred to in correspondence from the school. Restitution Where the student has damaged, converted, or otherwise impaired the value of the property of Tufts University, a Tufts University affiliate, or member or clients thereof, the student may be required to make adequate restitution to the injured party. Restitution may be ordered at the discretion of the Committee and restitution may be in the form of monetary compensation or penalty, which will not be mentioned in the student's record. The fact that restitution was ordered shall not be noted in the student’s permanent record. Suspension The student will not be permitted to continue as a registered student for a specified period of time. At the expiration of this time period, the student shall be re-enrolled upon his/her request. The student will receive credit only for those courses, which have been completed and passed prior to suspension. At the 21 discretion of the Executive Faculty or Dean, the student may be permitted to complete courses in progress, the current semester, or the current academic year before beginning the term of suspension. Suspension will be noted in the student’s record and will be referred to in correspondence from the school. Expulsion with Possibility of Re-application The student will be dismissed from the program but will be permitted to reapply for admission to Tufts University, subject to all the conditions of the regular admissions process. This action will be noted in the student’s permanent record, and will be referred to in correspondence from the school. Final Expulsion The student will be dismissed from the program, but will not be permitted to re-apply or re-enroll. This action will be noted in the student’s permanent record, and will be referred to in correspondence from the school. 22 STUDENT ACTIVITIES There are basically two types of student activities: (1) sponsored or university activities which have active management, financial, physical and administrative involvement from the University, involving significant staff and faculty time and (2) non-sponsored activities that are independent from the institutions physical, financial or administrative involvement. In this instance the University will have limited or no oversight of the activity. The University’s mission regarding these types of activities is to allocate limited resources, effectuate a mission, meet student interest and limit the liabilities to which the University, its students, faculty and staff are exposed. University sponsored activities require the prior approval of the Office of Student Affairs. Any questions regarding the appropriateness of an activity or whether the University will sponsor it, must be referred to the Office of Student Affairs well in advance of the event. Depending on the nature of the activity, participants may be obliged to sign a release or waiver of liability as a condition of participation. If a personal vehicle is utilized for a University sponsored activity, personal liability insurance limits are primary and the University’s limits may be excess. Under no circumstances will the University reimburse for damages to a personal vehicle. STUDENT ORGANIZATIONS Student organizations at Tufts are established and run by the students who wish to participate. Student groups are maintained based upon the general level of student interest. If you wish to establish a new organization it is necessary that you submit a mission statement along with a general overview of proposed activities associated with the group to the Assistant Director of Student Affairs. Student organizations may, upon written request, receive an annual budget allocation. However, organizations are expected to fundraise in order to cover their expenses. Organizations interested in receiving funds must submit a budget proposal to the Assistant Director of Student Affairs. Funding will be received based upon the proposal submitted and the availability of funds at the time of submission. Any allocated money must be used by June 15th for each fiscal year close or the use of the money will expire. Student organizations are encouraged to seek faculty advisors for assistance in support of their group. Please notify the Office of Student Affairs of the selection of an advisor or if you need assistance in finding one. Organizations must also keep the Office of Student Affairs informed of the election of new leadership positions each year. General Responsibilities of Student Organization Representatives Maintain correspondence with the student body regarding events or issues associated with the group. Complete room requests for organized meetings or events on campus. Maintain communication with the Assistant Director of Student Affairs in regards to event planning in order to ensure that no conflicts exist with the planned events of other organizations. Communicate all on campus organized meetings or events or off campus University sponsored meetings or events to the Assistant Director of Student Affairs. Complete all necessary room request forms, special event setup forms and any other additional paperwork and submit all necessary paperwork to the Assistant Director of Student Affairs. Submit a written report and/or presentation to the Office of Student Affairs upon returning from each national and/or regional meeting, if applicable. All travel arrangements must be pre-approved by the Office of Student Affairs. 23 The following is a list of currently active student organizations: Alpha Omega American Dental Education Association (ADEA) American Association of Women Dentists (AAWD) American Association of Men in Dentistry (AAMD) American Student Dental Association (ASDA) Bates Student Research Group Bridge Over Troubled Waters Christian Medical and Dental Society (CMDS) Delta Sigma Delta Gay Lesbian Student Organization (GLBT) Health Professions Scholarship Program Hillel Hispanic Dental Association (HDA) Muslim Student Association (MSA) Persian Association of Student Dentists and Dentists (PASDAD) Project Correct Smile Share and Care Smile Squad South Asian Medical-Dental Association (SAMDA) Student National Dental Association (SNDA) RESEARCH SOCIETIES History of Bates-Andrews Research Day Since the 1930’s this day is held in February or March to honor George A. Bates, an alumnus of Tufts University School of Dental Medicine, who taught Tufts medical and dental students. The student research societies annually sponsor “Bates Day” which consists of student table clinics that showcase the research conducted by students during the preceding year. It also features displays by commercial exhibitors and has included photography and arts & crafts exhibitions by students and faculty. Bates-Andrews Day especially gives our students an opportunity to share with the rest of the Tufts community their accomplishments in fields of special interest. Bates Day is held annually at Tufts to promote student research and thereby enhance the opportunities for professional growth of our students, alumni and faculty. Several prizes are awarded, included funded travel to meetings of the American Dental Association and the Greater New York Dental Society. Who participates/is expected to participate? All students who received Student Summer Research Grants from Tufts University School of Dental Medicine are required to present at Bates Day. Graduate students and students who completed research at other institutions are encouraged to participate. Master of Science students are encouraged to present posters. The George A. Bates - Student Research Group A student organization established in 1935, the local Student Research Group chapter of the American Association for Dental Research bears the name of the late George A. Bates. Dr. Bates was a graduate of the dental school and inspirational professor in microscopic anatomy for both the dental and medical students. The Bates-Student Research Group (SRG) promotes student research in dentistry and its related disciplines. All students interested in research are encouraged to pursue membership in the Bates-Student Research Group. Membership Interested students are welcome to attend various Bates-SRG meetings and activities throughout the year. Students are encouraged to join the American Association of Dental Research National Student 24 Research Group, and to help represent student research at Tufts on a national level. Membership in the Bates-Student Research Group is also acknowledged for all students who present at the annual BatesAndrews Research Day. The Robert R. Andrews Research Honors Society This student-run organization was established in 1921 to promote dental research and to honor those who excel in it. It is named in memory of Dr. Robert R. Andrews, a former member of the faculty, an outstanding researcher and distinguished dental surgeon. As the name signifies, this is an honor society to which students are elected following peer-review by research faculty and the Society’s officers. Student members are acknowledged at graduation by special mention in the commencement program for their class. The Robert R. Andrews Research Honors Society-Criteria for Membership Typically, students inducted into the Andrews Research Honors Society have conducted research during two or more years, and have presented their work at regional and national conferences. Each year one to three faculty members are inducted into the society based on their personal research accomplishments as well as their continuing support, guidance and mentoring for student research. UNIVERSITY POLICY ON CAMPUS GATHERINGS Because free inquiry and expression are indispensable to the attainment of the goals of the University, Tufts encourages members of the University community to develop the capacity for critical judgment and supports the rights of members of the University community to freely express their views and opinions. The University also recognizes a concurrent obligation to develop policies and procedures, which safeguard this freedom of expression but which, at the same time, will maintain on the campuses an atmosphere conducive to academic work. The University expects its members to be conscious and respectful of the corollary rights of fellow students, faculty, staff, and other participants in the University community to perform their duties free from disruption, interference, or harassment. While the University recognizes the rights of members of the Tufts community to peaceful and nonobstructive gathering for the purpose of expressing and discussing ideas and opinions, the University will not sanction conduct such as the following: a. Interference with students, faculty, staff or visitors to the campus who are seeking to perform their various duties. Blocking, directly or by crowding, an entry to a university building and/or creating excessive noise that interferes with sanctioned activities, constitutes disruption. b. Intimidation of students, faculty, staff, or visitors to the campus. Examples of intimidation include but are not limited to: causing or attempting to cause physical injury; physically preventing or attempting to prevent use of a university facility; or threatening, by worlds or actions, either of the above. Picketing outdoors that allows free access to the facility is permitted. c. Destruction of, damage to, or unauthorized access to property, records, documents, files, etc., of the University or of members of the University community. d. Unauthorized entry to a non-public area, a private office, or a University facility declared closed by the University and/or refusal to leave when asked. Such behavior constitutes trespassing. e. Interruption or disturbance of, or unwelcome participation (including symbolic, verbal, or other activity) at a religious service being conducted at the University. f. Failure to identify oneself when asked by a University official or University police officer or refusing to present proper ID when asked. g. Disregarding requests by a University official to disperse or preventing an official from carrying out his/her responsibilities to enforce university rules. h. Aiding and abetting others in violating any of these rules. Any individual who engages in the conduct described above, or who otherwise interferes with and disrupts the orderly conduct of University affairs will be subject to civil or criminal prosecution, when civil or 25 criminal statutes are violated, and to applicable University disciplinary procedures. With respect to students, such disciplinary procedures could result in suspension or expulsion from the University. STUDENT REPRESENTATION ON ADVANCED & GRADUATE EDUCATION COMMITTEE AND ETHICS, PROFESSIONALISM & CITIZENSHIP COMMITTEES While there is no formal governing body (class officers) for participants in the Advanced and Graduate Education programs, the Advanced & Graduate Education Committee and Ethics, Professionalism & Citizenship Committees have student representatives. Students serve for one year and may volunteer for service. In the event that there are no volunteers, a student representative is selected by the committee. STUDENT RESOURCES CLASS E-MAIL LIST SERVS REQUESTING A MESSAGE TO BE SENT TO ALL DMD CLASSES: 1. Type the mailing list address in the TO: field 2. For all DMD classes type: [email protected] 3. Complete the subject line with the true subject of your message, type the message text in the body, add any cc: or bcc: individuals and send. 4. The postings to class lists are set up as "Announcement" and "No Moderated-Edit". This means that the list owner, in this case the Office of Student Affairs, will receive a copy of the message for approval or discard. If there are any concerns with the content of the message, the message may be sent back for a request for modification, which has previously occurred, in rare cases. The message will appear as if it is coming from you. 5. If you wish to receive a copy of the sent message, please cc: yourself on the message. REQUESTING A MESSAGE TO BE SENT TO INDIVIDUAL CLASSES: Type the mailing list address in the TO: field and then continue with instructions above. Mailing list The Class The Class The Class The Class addresses for: of 2016 of 2015 of 2014 of 2013 [email protected] [email protected] [email protected] [email protected] REQUESTING A MESSAGE TO BE SENT TO ALL ADVANCED EDUCATION/GRADUATE (POSTDOCTORAL) STUDENTS: Type the mailing list address in the TO: field and then continue with instructions above. All Advanced Education/Graduate (Postdoctoral) Students [email protected] If you have any questions or concerns regarding Dental School Class Listservs, please contact the Office of Student Affairs at 6-6543 (Jenny Olivera), or 6-6823 (Lee Gant). 26 TUFTS UNIVERSITY POLICIES, RESOURCES & FACILITIES POLICIES FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT OF 1974 The Federal Family Educational Rights and Privacy Act of 1974 gives each enrolled student at Tufts access to his/her educational records, the right to request that they be amended where they are inaccurate or misleading, and the right to control their distribution to others. A detailed description of the student's rights under the act, the location of all pertinent records and the procedures for requesting access and invoking the right to control access are contained in Appendix B. SNOW EMERGENCY/CLINICAL GUIDELINES The School of Dental Medicine and the School of Veterinary Medicine operate a major clinical facility for the treatment of patients. As such, the School of Dental Medicine remains open for patient care even though other schools in the University may close for a snow emergency. Students are expected to make every reasonable effort to be in attendance since many of the schools patients will make extraordinary efforts to keep an appointment for treatment. In the event of a severe snowstorm, the Dean, in consultation with the central administration of the University, may close the School of Dental Medicine. If this is done, announcements will be made on local radio and television stations. Please note that the announcement must refer to the School of Dental Medicine specifically. General Tufts University announcements may not apply to the Dental School. It is very rare for the Dental School to suspend classes and clinical activity for inclement weather. An announcement will also be distributed through the student e-mail listservs. Please note that the Tufts University weather emergency number is 617-627-4636. POLICY ON USE OF TUFTS UNIVERSITY NAME AND INSIGNIAS INTRODUCTION The name "Tufts University" and how it is used affects both the institution as a whole and the individual members of the University community. Appropriate use of the name and insignias can benefit all, while inappropriate use may reflect negatively on both the institution and its individual members. Because of these far-reaching implications, oversight regarding the use of the University's name and insignias, and the names of individual schools within the University (including web domain names that incorporate "Tufts" or the name of a Tufts school), will be conducted on an institutional level according to the principles and guidelines outlined in this policy. The Office of University Counsel will coordinate all requests for use of the Tufts name and insignias, which are trademarks of the University. The Office of University Counsel is located in Ballou Hall, Third Floor, Medford, MA 02155, 617-627-3337. The Senior Vice President for University Relations is responsible for making final decisions on use of the Tufts name and insignias, including the names of individual units of the University. Principles 1. Is the implied association with the University accurate and can we ensure that the association with the University will continue to be portrayed accurately? Use of Tufts' name in connection with an activity, project or product implies a close association with the University and is generally construed as sponsorship or endorsement. Tufts must ensure that this 27 portrayal is accurate and that it has the requisite control of the activity, project or product to ensure that the implied close association remains an accurate representation of the affiliation with the University. 2. Is the use of the Tufts name consistent with the research and educational mission of the University? Tufts has an obligation to its students, alumni, faculty, staff, donors and others to ensure that the use of its name falls, in general, within its primary mission of research and education. Some activities such as promotion of individual causes, political or otherwise, clearly fall outside this mission. 3. What effect will the proposed use of name have on the image of the University as a whole? Use of the Tufts name in situations having a potential to diminish or damage Tufts' image and reputation must be avoided. 4. Will Tufts be able to realize a fair and reasonable gain (through image enhancement or through economic benefit) from the use of its name? Related to this is the issue of liability. If there is a potential for financial, legal or reputational risk to the University through the use of its name, for example on a particular product, such use of name should be avoided. General Guidelines and Procedures 1. Any use of name that refers to the University as a whole must be submitted to the Office of University Counsel for review. The Office of University Counsel will review the request and forward it with a recommendation to the Senior Vice President for University Relations, who will make the final decision. Specific questions or requests for approval can be emailed to [email protected] 2. Any use of name that refers to individual schools or units should first be submitted to the Dean or a responsible authority of that school or unit for approval and should then be submitted to the Office of University Counsel for review and transmittal to the Senior Vice President for University Relations. 3. In considering any proposed use, University officials will be guided by the principles outlined above. 4. Use of the official Tufts logo will follow these guidelines and additionally must adhere to the graphic standards outlined in the university’s visual identity manual. In most cases such use will require review by the Office of Publications before printing or manufacturing is approved. The University name may not be used to create new logos and may not be integrated or combined with existing logos. Issues regarding cobranding must follow the guidelines above and require review by University Counsel, Public Relations and Publications. Guidelines for Use of Name by Faculty, Staff, Students and Alumni 1. Faculty members and staff may use the Tufts name or the name of the appropriate school to identify themselves on stationery, business cards, publications in research or educational journals and other materials used in the course of their university-related activities (e.g. John Smith, Professor of Mathematics, Tufts University.) Students and alumni may wish to identify themselves as students or graduates of the University in biographical information. In using or authorizing use of the Tufts name to identify themselves in connection with activities conducted with outside individuals or entities (e.g. authoring a book), members of the Tufts community should be sure that the Tufts name is used in a manner that does not imply University endorsement or responsibility for the particular activity, project or product. For example, when authoring a book, a faculty member may describe his or her affiliation with Tufts University on the inside of the book or book jacket. The name of the University should not appear on the cover of the book. Likewise, the name of Tufts University may not be used in the title of any journal or other publication without the expressed permission of the University. Such permission will not normally be given in any circumstance where the University does not retain exclusive editorial control over the publication. Use of the University name or logo is NOT permitted for cards, stationery, signage, 28 promotional literature, web sites or other communications used in connection with an individual’s private practice or business. 2. All other proposed uses of the Tufts name by faculty and staff and any use of the name by students and alumni should be submitted to the Office of University Counsel. Guidelines for Use of Name by Individual Schools and Units 1. Schools or units may use the name of Tufts University or the name of their school or unit in the following activities: stationery, business cards and other materials used by the schools or other units in the course of their university-related activities; content in printed or multimedia form in which the University, school or unit involved regularly communicates with its constituencies, including course catalogues and related materials, web pages within the tufts.edu domain and similar publications issued by the schools and other units; course materials and any materials prepared for use in connection with courses conducted at the University, whether in printed or digital form. In any such uses, the school or unit involved should take care that its use does not adversely affect other schools or the institution as a whole. Ultimately the Senior Vice President for University Relations has the right to review and determine the appropriate use of the Tufts University name. 2. Any other use of the University's name or the name of the individual school or unit will require approval as outlined above in Item 2 of "General Guidelines and Procedures." In particular, prior approval is required if the use of name involves the sale or distribution for financial consideration of a product or service or the granting of a license for use of the name on merchandise, including but not limited to apparel, software or electronic media. 3. Any news, marketing and/or publicity materials designated for dissemination to media channels and extended audiences of elected/appointed officials, investors, donors, and others concerning official University or School matters require up-front involvement (at the planning stages) with the University's Public Relations Department and, as appropriate, the Community Relations and Publications departments. The Public Relations Department, working with the mandate and approvals of the University's administrative leadership team, must review any materials and information targeted at the media. The Public Relations, Publications and/or Community Relations departments should be an integral part of any continuing external publicity or marketing outreach by other parties if it involves the use of the Tufts name, insignias, or affiliation, etc. Guidelines for Use of Name by Third Parties In general, use of the University's name or the name of an individual school or unit requires written approval by the Office of University Counsel as outlined above. However, certain uses by third parties are generally permitted and do not require written approval: 1. A third party may use the University name when reporting a transaction internally or reporting a transaction to regulatory authorities as required by applicable law. For example, a corporation that has made a grant to the University may report the amount of such grant in internal documents summarizing its charitable activities, or on its tax returns. 2. A non-profit or government entity that has funded research or programming at the University may disclose that it has provided such funding. In addition, if such funded research is published, the source of the funding should be indicated along with the University affiliation of the researcher. 3. If a third party receives a license to use or distribute material written or developed by the University, the material should include a written acknowledgment that the copyright is owned by Tufts University and 29 that the material is being used or distributed under the terms of a license with the University (with all other rights being reserved). INFECTION CONTROL The Dental School has a Risk Management/Safety/Infection Control Committee, which is composed of representatives from each department, each clinical area and each dental class. Dr. James Hanley is the Director of Infection Control and Ms. Maureen Lombard is the Assistant Director. Ms. Shannon Balletto is the Infection Control Administrator. The main purpose of Infection Control is to break the chain of crosscontamination (the transfer of pathogens from one area to another to reduce exposure to any infectious diseases). Universal Procedures for Infection Control at Tufts University School of Dental Medicine, the Infection Control handbook for students, faculty, and staff, details the policies and procedures of the School. Please study and refer to this handbook. Infection Control is the responsibility of all of us. The summary guidelines are as follows: Universal Standard Precautions are used for ALL patients since it is not possible to tell which patient is infectious. All potentially infectious materials, such as blood or saliva, are considered infectious for blood borne pathogens. Exposure Control is to be followed at all times. This is the practice of preventing any reasonably anticipated eye, skin, mucous membrane or parental (injected) contact with blood or other potentially infectious fluids during the performance of one’s duties. Immunizations are required for Hepatitis B (HBV), Measles/Mumps/Rubella (MMR), Diphtheria/ Tetanus/Pertussis (DPT or DT), and Polio. It is strongly recommended that Dental Health Care Workers also receive yearly tuberculin testing and influenza vaccinations. Personal Protective Equipment (PPE) is to be worn for ALL patient procedures. This includes protective eyewear, clinic gown, facemask, and appropriate gloves. Sterilization is required for all instruments, burs, and handpieces by appropriate means (autoclave, dry heat, or ethylene oxide gas sterilization). Items must be dated and kept properly wrapped and sealed until ready to use. Surface Disinfection of cleaned surfaces is done by the Spray/Wipe/Spray technique with the appropriate disinfectant. Barrier Protection is used on cleaned and disinfected surfaces that may be touched or contaminated. Disinfection of non-sterilizable patient contact items is done by the student with the Spray/Wipe/Spray technique (examples include impressions, record bases, dentures, curing lights, and ultrasonic scaler units). Waste Disposal must conform to the guidelines provided by local, state, and governmental regulatory agencies. If you have any questions, please contact Shannon Balleto at (617) 636-3941, at the Infection Control Office in DHS-102, or by e-mail at [email protected]. 30 TUSDM Medical Emergencies Protocol Summary Assume charge of the emergency If ABCs present have assistant Call Oral Surgery: 6-6995 YOU stay with patient Designate an ASSISTANT Check: Airway, Breathing, Circulation Indicate floor and operatory # Station assistant at front stairway to direct oral surgery team Dial 6-5555 for Code 99 Indicate floor and operatory #, state “AT DENTAL TOWER BUILDING” Inform if child or adult Inform front desk Bring oxygen tank, stethoscope and BP cuff to emergency site If ABCs not present have assistant TMC TRANPORTATION FOR NON-CODED PATIENTS: 6-5122 or Beeper # 2933 or Page TMC runner at Beeper # 1358. Indicate level of urgency for transportation. Station assistant at rear doors (Proger Bldg.) to direct Code 99 team Alert Oral Surgery: 6-6995 Call Campus Police: 6-6911 Code Operator will call back in 1 minute to check code team arrival Notify Campus Police: 6-6911 Keep area clear 31 MEDICAL EMERGENCY PROTOCOL SUMMARY Emergency medical problems can occur at any place in the dental building. Most commonly they will occur in the clinic, but they could also occur in a laboratory, office, restroom or lounge. Whoever discovers the emergency situation should do the following: A. Assume charge of the situation until relieved. You are responsible for managing the event until expert help arrives. B. Be calm and don’t panic. Most emergencies appear worse than they are. If you lose control, you will be of no help to the victim. C. Check and note the time. Knowing how long the victim has been in a compromised situation is very important to the management of the care of the victim. Write down the time on anything at hand. Record any major events that occur after the emergency starts. For example, if the person stops breathing, loses his/her pulse, passes out, etc. Then, begin to assist the victim: 1. You, the Provider, stay with the victim. A person in distress should never be left alone. 2. Get someone to help you. Call out for help. You should stay with the victim, and have another person at hand to assist you. This assistant (the first responder) is responsible for getting a medically qualified person (clinic instructor, oral surgery resident, code team, equipment, etc.) to assess and care for the victim. 3. Remove the victim from harm. If the victim is light-headed, assist him/her to a horizontal position. If bleeding, apply pressure to the site. If attached to an electrical cord, pull the cord out from the receptacle. If seizing, assist to the floor unless seated in a dental chair. 4. First responder stays at the emergency site and delgates the following responsibilities: a. Call Oral Surgery and/or Code 99 Oral Surgery is contacted by dailing 6-6995. Be clear about the location (floor and bay number). The Oral Surgery Resident and staff and generally present from 8:30 a.m. to 4:30 p.m. For evening clinic there is no oral surgery coverage. Call the TMC operator at 6-5555. Check for pulse at the neck, watch the chest rise and fall to check for breathing. If the patient does not have a pulse or is not breathing, a code “99” should be called and you should initiate cardiopulmonary resuscitation (CPR). b. Get the code cart. The code (crash) cart is a red-wheeled cart kept near the dispensaries on floors 2, 3, 4, 5 and 8. Be sure to bring the green oxygen tank(kept near but separate from the code cart). Having the cart at hand will save valuable time when the expert help arrives. c. Get the Emergency Box from the dispensary. It contains the regular and large BP cuff, stethoscope, ammonia and liquid sugar. Use the contents to assist the Provider. d. Contact the Faculty and Practice Assistant The faculty will assist in patient care. e. Call Tufts Police at 9-6911. The police will coordinate patient transportation to ER when needed. f. Send someone to the front and back elevators to direct the Oral Surgery Team and the Code 99 Teams to the emergency site. g. Crowd control Keep the area clear. Emergencies attract crowds, crowds interfere with those trying to help the victim. Order all those not actively helping the victim to stand back. For all emergencies: An incident report must be filed in the office of the Dean of Clinics, DHS-3, and if the victim is a patient, a case note should be made in the clinic electronic record. Patient follow-up and outcomes of the emergency is conducted by the Director of Medicine 32 MEDICAL EMERGENCIES PROTOCOL SUMMARY If the patient is spontaneously breathing and is maintaining a pulse and blood pressure: 1. Call the R.N. and oral surgeons on the fifth floor, extension 6995. 2. State: “There is a medical emergency on the _____ floor, operatory number _____. 3. Call Campus Police, , extension 6-6911. State that the emergency is at the Dental Tower. 4. Notify the reception desk, faculty and the Practice Assistant of your location. 5. Station someone in the reception area by the stairway to direct the emergency team to the emergency area. 6. The oxygen delivery system, stethoscope and sphygmomanometer should be available at the operatory. OR If the patient is not breathing and not maintaining a blood pressure: 1. Dial extension 6-5555 and repeat as follows: “Code 99, there is a medical emergency on the _____ floor, dental tower, adult/pediatric patient”. The Team will be directed to the site by a person stationed at the door connecting Proger Hospital to the Dental Tower. 2. Keep your phone clear--the CODE operator in the hospital will call back to check the arrival of the team within one minute of your first call. 3. Call Campus Police: 6-6911. 4. Alert Oral Surgery at extension 6-6995. 33 Tufts University School of Dental Medicine Needle-stick/Percutaneous Incident Protocol The exposure site should be cleaned with soap and water and flushed liberally. During Day Clinic Report incident to instructor or supervisor and contact Dr. Ganda's office immediately to facilitate your referral to employee health. Dr. Ganda's office is located on DHS-3, Room 323, extension 6-4055. In the event Dr. Ganda is not readily available, contact the Department Administrator (DHS 320, extension 66814) or the Practice Coordinators. During Evening Clinic During Vacation Period Report incident to the Practice Coordinator or supervisor. Dr. Ganda should be notified the next day. The designated faculty, O.S.R.N. or Dept. Administrator will... Report incident to the R.N., in Oral Surgery, located on DHS-5, extension 6-6518. If unavailable, contact Dr. Ganda’s Department Administrator in room 320, DHS-3, extension 6-6814, who will facilitate your referral to employee health. ...assist the student/employee in completing the TUSDM NSIP Incident Report form. The Incident Report will detail the route and circumstances of exposure, the name and address of the source patient and the name of the source patient's attending physician. For NSIP’s during day clinic or vacation period For NSIP’s during evening clinic The designated person will contact the Emergency Room (x5566) attending physician and inform him/her about the accident. The student/employee and source patient will proceed with the Incident Report to the TMC Emergency Department. The student/employee and source patient will proceed with the Incident Report to the TMC Employee Health Service; (E.H.) located at Proger 6 North, 6-5480. The employee health attending or nurse practitioner will obtain the patient’s consent for blood draw and testing for HIV, Hepatitis, B, and hepatitis, C. The student/employee will leave the patient at E.H. and proceed to Proger 1 Outpatient Registration Desk to have a TMC Medical Record Card issued. Student/employee will then RETURN to E.H. for blood draw and testing. Business hours are Monday through Friday, 8:00 AM to 4:30 PM. Incident Report forms are available at every group practice and with Dr. Ganda’s Program Administrator. The potentially exposed person will receive exposure assessment, medical attention and counseling (if deemed necessary) at TMC Employee Health Service. Infection disease consultations are also available through the Employee Health Service The student/employee and source patient will register at the Emergency Department. Exposure assessment, medical attention and treatment will be provided by the attending physician designated for that day. Subsequent to the Emergency Department visit, test results of student/employee and source patient will be sent to the NEMC Employee Health Service. The Employee Health Service will contact the student/employee to convey test results. The source patient's test results will be sent to Dr. Ganda's office. Dr. Ganda will, in turn, direct the test results to the source patient's physician with a cover letter. In the event that the source patient has no primary care physician, Dr. Ganda will then contact the patient directly. Ms. Debbie Quinn, Counselor, will be contacted if necessary, should counseling be needed. Follow-up visits for the student/employee will be carried out by the TMC Employee Health Service, Proger 6 North. A copy of the Incident Report and the source patient’s blood test results will be kept on file at Dr. Ganda's office. A copy of the Incident Report will be sent to the Biosafety Officer, Dept. of Environmental Health & Safety, Posner Hall 1, Boston Campus. The names of the source patient and student will not be included as the Safety Office will use the information only for summary and presentation of frequencies, types and procedures involving accidents to the Dental School Risk Management Committee. Any accident requiring medical treatment is logged as an OSHA 200 reportable incident. This is done by the Risk Management Office in Medford. Referrals to additional resources for counseling or treatment purposes can be made through Dr. Ganda's office. 34 Infected Health Care Worker (IHCW) Protocol* The infected health care worker will be accorded the same respect and support that is provided any other health care worker. The IHCW protocol is to protect and assist the infected health care worker (IHCW) in the work environment. The HCW is a student, staff or faculty whose activities involve physical contact with patients or with blood/body fluids from patients in the health care setting. Infections, both acute and chronic with high level of infectivity and/or transmissibility will be assessed including, but not limited to: pneumonia, mumps, measles, chicken pox, TB, hepatitis, and AIDS. 1. The IHCW will contact the Designated Faculty (DF)**, upon his/her earliest notification that they have an infectious condition and will consider it his/her moral and social responsibility to make this contact. 2. The DF with, if necessary, the assistance of the expert panel, will establish the health status of the IHCW and his/her susceptibility or their patients’ susceptibility to infectious disease. 3. The DF with, if necessary, the assistance of the expert panel, will establish if immediate temporary isolation from the health care environment is needed. 4. The DF with, if necessary, the assistance of the expert panel, will establish the functional ability of the IHCW to perform assigned tasks or regular duties. 5. The DF with, if necessary, the assistance of the expert panel, will establish if illness interferes significantly with the IHCW’s ability to provide quality care. 6. The DF with, if necessary, the assistance of the expert panel, will determine if specific patients are more vulnerable to infection. 7. The DF will confirm compliance of IHCW with established universal precaution guidelines to prevent transmission of disease. 8. The DF, with the assistance of the Panel, will establish if the involved IHCW performs “invasive procedures” and implement appropriate guidelines as established by the school. 9. The DF will ensure compliance of the IHCW with practice limitations, if recommended. 10. The DF will inform the IHCW regarding the resources available through the expert panel. 11. The DF will contact the expert panel in a confidential manner after obtaining the written consent of the IHCW, if additional advice or support is required. 12. Access to information from the “expert panel” will be made with the option of anonymity should the IHCW so desire. 13. Using the option of anonymity, the IHCW through the DF can discuss with the panel his or her situation, the varying action steps and the potential ramifications without fear of involuntary disclosure and negative consequences. 14. Access to professional counseling will be available for the IHCW through the DF or school appointed psychiatrist or legal counsel in the event of an occupationally acquired infection. 15. The DF will maintain (a) periodic monitoring of the IHCW on a case-by-case basis through various options—reports by the IHCW or the IHCW’s personal physician; (b) all records regarding the IHCW in strict confidence. **Dr. Ganda has been designated the primary contact. In the event Dr. Ganda is unavailable, Dr. Papageorge should be contacted. *Compiled from Massachusetts department of Public Health Guidelines on HBV and HIV. 35 PAYMENT POLICIES AND PROCEDURES FOLLOWING ACCIDENT OR NEEDLESTICK INJURY The purpose of this section is to make you aware of payment policies and procedures in the event of an accident or needlestick injury while you are completing clinical degree requirements. For billing purposes, when seeking treatment for accidents or injuries incurred while completing clinical requirements, you must present your own health insurance information. Accidents or injuries include needlesticks, exposures to blood or body fluids, injuries obtained in clinical work, and exposures to infectious diseases. Any deductible or co-payment is your responsibility. Needlestick Injuries You will be responsible for the initial payment of all insurance co-pays and charges by the hospital. However, the Dental School will reimburse students for up to $500.00 for costs incurred from needlestick injuries. In order to be reimbursed, you must retain copies of your payments (for associated medical visits and medications) and provide this documentation to the Dean of Student Affairs. Students enrolled in the TUFTS Health Plan are no longer required to obtain a referral for Emergency Room service. If you are enrolled in an alternate health plan, you must follow the claims procedures required by your insurance company. Students are not eligible for Workers’ Compensation benefits from Tufts University or any affiliated teaching hospital or clinic in which they are assigned while completing clinical requirements. You must be an employee in order to receive Workers’ Compensation benefits. Hospital personnel sometimes misinform students regarding eligibility for Workers’ Compensation. You should note on any accident report form that you are a student and not eligible for Workers’ Compensation. This will facilitate the correct processing of the claim. When medical claims for students are submitted to Workers’ Compensation, the process often takes several weeks or months before they are properly submitted to the student’s health insurance company. As a result of the delay, your insurance company may refuse to pay a claim that was not submitted within the required time frame. Students who incur an exposure to blood or body fluids through the skin, eye or mucous membrane while working on a clinical rotation should follow the protocol printed on the previous page. To facilitate treatment at Tufts Medical Center, it is recommended that you obtain a hospital card in advance from patient registration and carry the card with you at all times. Questions regarding this policy can be addressed to Debbie Quinn, Director, Student Advisory & Health Administration at 617-636-2700 or Dr. Kanchan Ganda, Director of Medicine at 617-636-4055. PUBLIC SAFETY AND RELATED POLICIES AND PROCEDURES The Tufts University Police Department is headquartered on the Medford/Somerville campus with stations on the Boston and Grafton campuses. On June 17, 2005, the department was awarded accreditation status by the Massachusetts Police Accreditation Commission. The Commission voted to make Tufts the eighteenth department in the Commonwealth to receive this prestigious recognition. Only one other campus law enforcement agency in Massachusetts is accredited. To achieve accreditation, the Department demonstrated its compliance with over 300 standards covering a broad range of organizational and operations policies and procedures. Included in its full complement of 74 members are the director of public and environmental safety, 2 captains, 2 lieutenants, 10 sergeants, 1 corporal, 18 police officers, 3 parking and traffic officers, 8 dispatch/desk officers, 2 assistant desk officers and 23 campus security officers. Tufts police officers are trained at state-recognized law enforcement training academies, and they participate in ongoing in-service and specialized training programs. Many members of the police department have degrees in criminal justice and related fields. The Tufts University Police Department receives its authority from the Commonwealth of Massachusetts. All Tufts police officers are considered special state police officers under provisions of Massachusetts 36 General Law Chapter 22C, Section 63. Officers assigned to the Medford/Somerville and Boston campuses may, at times, be designated as deputy sheriffs in Middlesex and Suffolk counties, respectively. Officers assigned to the Grafton campus are also designated as special police officers in the towns of Westborough and Grafton. Generally, Tufts police officers are authorized to make arrests for criminal offenses in or upon lands or structures owned, used, or occupied by the university, or in places where university business is conducted. This authority extends beyond the confines of the various campuses as determined by the acquisition of local special police status, deputy sheriffs' authority or by previous court decisions. The university police enjoy a strong professional relationship with the state and local law enforcement agencies where our campuses are located. Cooperative programs and information exchanges are ongoing priorities. Through this reporting relationship, the Tufts police relay to the university community information on crimes that may pose a threat to students or employees on any of the campuses. Operational and technical support is mutually provided when necessary. The Tufts Police Department is committed to the philosophy of Community Policing and will assign police officers to work as community liaisons to various faculty, staff and student groups to create and support valuable police/community partnerships. Alcohol and Drug Enforcement Policies and Education Programs The illicit use of drugs and alcohol can seriously impair the health and safety of members of the Tufts community and their families. The university is committed to addressing and preventing illicit drug use and alcohol abuse within the university community. There are substantial health risks and legal consequences that stem from alcohol and drug abuse. All students and employees are urged to read the information that follows. I. Health Risks Alcohol and substance abuse are a national public health concern. II. Counseling and Treatment for Alcohol and Drug Abuse The university encourages Tufts students and employees with alcohol and substance abuse problems to seek assistance and treatment. At Tufts, a variety of resources exist where further information can be obtained about alcohol and substance abuse and their treatment. For students on the Boston and Grafton campuses, confidential counseling is available from the following: Ms. Debbie Quinn, Student Health Advisory Office Massachusetts Dental Society Commission on Drug and Alcohol Dependency 617-636-2700 1-800-342-8747 or 508-480-9797 In addition, the Office of the Dean of Students within each of the schools and the university chaplain's office are available for referrals to other resources in the University and community. III. Standards of Conduct The unlawful possession, use, or distribution of illicit drugs and alcohol by students on Tufts University property or as part of university activities is prohibited. IV. Disciplinary Sanctions The university will impose disciplinary sanctions on students and employees who violate the standards of conduct described above. Among the sanctions that may be imposed are the following: warning, probation, suspension, dismissal, and/or referral to appropriate governmental authorities for civil and criminal prosecution. The university may also require completion of a rehabilitation program in connection with a disciplinary matter. V. Local, State, and Federal Sanctions Concerning Alcohol and Drugs Local, state, and federal laws make the illegal use of drugs and alcohol a criminal offense. Conviction can 37 lead to imprisonment, fines, and other penalties. Cities and towns in Massachusetts prohibit public consumption of alcohol and impose fines for violation. The Metropolitan District Commission also prohibits public consumption of alcohol in its parks and public recreational areas. Boston and other cities and towns surrounding the various Tufts campuses have ordinances forbidding the possession of an open container of alcohol on any public street by a person of any age. Anyone choosing to violate such ordinances can be subject to arrest. Massachusetts’s law prohibits the sale or delivery of alcoholic beverages to persons under age 21. The penalty for violating this law may be a fine of up to $2,000 or imprisonment for up to one year, or both. Misrepresenting one's age or falsifying an identification to obtain alcoholic beverages is punishable by fine and/or imprisonment, and loss of license for one year. The penalties for the first conviction of driving under the influence of alcohol under Massachusetts’s law can include a fine of up to $5,000 or imprisonment for up to two and one-half years, or some combination. An individual also may have his or her license revoked. Massachusetts imposes criminal penalties for the possession and/or distribution of controlled substances or drugs without valid authorization, with penalties varying as to the type of drug. Sale and possession of "drug paraphernalia" is illegal in Massachusetts. Under both Massachusetts and federal law, penalties for possession, manufacture, and distribution are greater for subsequent conviction, and include mandatory prison terms, with the full minimum term being served. Massachusetts makes it illegal to be in a place where heroin is kept and to be "in the company" of a person known to possess heroin. Persons convicted of drug possession under state or federal laws are ineligible for federal student grants and loans for up to one year after the first conviction and up to five years after the second. The penalty for unlawful distribution of drugs is loss of benefits for five years after the first conviction and for a longer period after the second. Under federal law, penalties may be doubled when a person at least 18 years old distributes drugs within 1,000 feet of a public or private elementary or secondary school, or a public or private college, to persons under age 21. These penalties include a mandatory one-year prison term. See Appendix E for Tufts University Drug-Free Campus Program information. Access to Facilities Although Tufts encourages the local community to use its facilities, this policy presents unique challenges in maintaining safety and security on all three campuses. There are a few general rules in place meant to prevent unauthorized access to university buildings and property. Floor entry doors to the Posner residence hall are locked at all times. Only students with keys and those with legitimate business inside residence halls are allowed entry. All others are considered intruders, and residents are urged to report their presence to the Tufts police immediately. Duplicating keys and propping doors open are violations of university rules, and violators may be disciplined. Access to academic, administrative, and clinical facilities varies by use and location. Again, only those with legitimate business are allowed entry. The university police station commander approves all requests for exterior door keys. Department managers and, subsequently, the station commander approve requests for interior door keys. Sexual Assault Tufts University encourages any victim of sexual assault to report the assault to the university police. The police will assist in obtaining emergency medical care and crisis counseling, and in securing important evidence of the assault. The police will also file reports with the appropriate jurisdiction. The university police are available for consultation regarding these processes whether or not a victim wishes to proceed with any type of adjudication. Victims who may be reluctant to report to the university police are strongly encouraged to report the incident to the dean of students for their school. The dean's office can answer questions about university resources and procedures available to victims. A report, whether made informally to the dean of students or formally to the university police, does not commit the victim to a specific course of action (or any course of action). 38 The Dean's Office will inform victims of their options both through the School of Dental Medicine’s Ethics, Professionalism, and Citizenship Committee and other university processes, and in the criminal court system of the Commonwealth of Massachusetts. The dean's office will also assist the victim in notifying the proper law enforcement authorities, including on-campus and local police; assist in obtaining counseling services, both on and off campus; and advise students of options available in changing academic and living situations. Reporting Crimes The most recent copy of the Tufts Public Safety crime report can be found at the following internet address: http://publicsafety.tufts.edu/downloads/safetybrochure2009.pdf Members of the Tufts community are encouraged to report all crimes to the Tufts University Police Department. Members of the community may report crimes by visiting the university police station on the Boston campus or by calling (617) 636-6610, or ext. 6-6610 on campus. If police or emergency medical services are needed, call 6-6911 from any house phone. Emergency telephones are available. They are either the general-use wall phones found in administrative and clinical buildings, or outdoor telephones with a direct link to campus police. These outdoor telephones are all marked by a blue light above them. Reporting crime is important because it allows us not only to reassess security controls and patrol strategy, but also to develop better methods of crime prevention. University police officers investigate complaints filed by community members and pursue investigations to their most reasonable conclusion. Follow-up investigations may be conducted by detectives, with support from local, state, or federal law enforcement agencies when necessary. The interests of the victim are always our primary concern. The Tufts police recognize the importance of confidentiality and of protecting the identity of a victim in the course of a successful investigation. In criminal matters, that means the victim's preferences greatly influence the way in which a case is prosecuted. The university has a number of alternatives at its disposal to adjudicate inappropriate behavior, whether it is of a criminal nature or not. In addition to pursuing cases through the courts, the university uses an internal judicial structure to decide on specific issues unique to university life. If a member of the Tufts community is alleged to have been involved in criminal conduct, deans and other administrators will be notified when deemed necessary and where the law permits. Security and Maintenance Tufts University is like a small city with a large and mobile population. The upkeep of university buildings and property falls to the Facilities Department. The Tufts police, in cooperation with Facilities and Dean of Students offices, conduct frequent security surveys, lighting surveys, and inspections of electronic security systems in an ongoing effort to examine the need for modification and to elevate the level of campus protection. Channels of internal communication exist to facilitate the repair or improvement of security systems on campus. The Facilities Department recognizes the importance of responding promptly to requests that involve security issues. Security Awareness Programs During orientation students are informed of services offered by the Tufts police. Video and slide presentations outline ways to maintain personal safety and residence hall security. Students are also told about incidents of crime on campus and in surrounding neighborhoods. Periodically during the academic 39 year the Tufts police, in cooperation with other university organizations and departments, present crime prevention awareness sessions on sexual assault (rape and acquaintance rape); theft; vandalism; and educational sessions on personal safety and residence hall security, among other topics. A common theme of all awareness and crime prevention programs is to encourage students and employees to be aware of their responsibility for their own security and the security of others. LOST AND FOUND PROTOCOL The University is not responsible for lost or misplaced items. It is the students’ responsibility to ensure that their equipment and personal items are accounted for and kept secure at all times. Students are reminded to make a final check of their belongings before leaving their workstation in the preclinical area or the lab. If an item is lost, students should first check with any classmates who were seated nearby, and retrace their steps to their last known location, in an effort to recover the item. If a student loses an instrument he or she should check the dispensary, which is also the location for returning any found instruments. Other lost items should be turned in to the Office of Student Affairs, who will send an email notifying the school. Items unclaimed by the end of the day will be turned over to Campus Security on the first floor of the M&V building. The item will be logged and retained for up to one year. Items unclaimed after this time will be disposed of according to existing law. SMOKE FREE INDOOR AIR POLICY Policy: Smoking is prohibited in all facilities of Tufts University School of Dental Medicine with the exception of designated private resident rooms within the Posner residence hall. Definitions: Smoking - The burning of any type of lighted pipe, cigar, cigarette, or any other smoking equipment, whether filled with tobacco or any other substance or material. Facility - Any enclosed area of a structure, or portion thereof when such structure is owned and/or being occupied or operated, by Tufts University School of Dental Medicine. This is inclusive of University owned and/or operated vehicles and outdoor group seating facilities. Outdoor group seating facilities - Any outdoor seating arrangement whereby people sit in close proximity (shoulder-to-shoulder to one another). Residence Hall - Any structure designated by the University as a residence hall or dormitory. The smokefree indoor air policy shall apply to all areas within the residence hall except designated private resident rooms. STUDENT AND FACULTY DRESS CODE The personal appearance and demeanor of every person affects, either directly or indirectly, the care and management of patients. The image communicated to patients through professional attire and appearance, behavior and interaction will influence their perceptions of the quality of care they will receive at Tufts University School of Dental Medicine, and their confidence in the person providing the care. A professional presentation is an essential component in upholding the standards of excellence set by TUSDM and the dental profession. One should also keep in mind personal protection and patient safety. Follow the Infection Control manual’s guidelines for wearing person protective equipment as set forth in the Universal Procedures for Infection Control at Tufts University School of Dental Medicine. Clinic Attire Blue gowns (students) or green gowns (faculty) must be worn over appropriate clothing when treating patients. Tie behind the neck - high enough to cover your clothing. They should not be 40 worn outside the Dental Clinic areas such as to the cafeteria, restroom, etc. Picture ID’s should be clipped onto gown and be prominently displayed. Students must wear a tailored or collared shirt (preferably with a tie) or turtleneck. No T-shirts, jeans (of any color), or shorts are permitted. Professionally appropriate skirts at knee length or longer are acceptable. Clean shoes, leather sneakers or surgical clogs should be worn. Open toed shoes such as sandals or Crocs must not be worn. Appropriate socks or stockings are required. Socks must fully cover legs during seated clinical procedures (no peds or tennis socks). Hats are not allowed in clinic. Body hygiene is required so that offensive body odor is avoided. Strong perfumes and colognes may be offensive to others, therefore avoid excessive use. Heavy application of make-up should also be avoided. Jewelry should not be worn on hands or wrists. Dangling earrings are not permitted. Nails must be clean, short and rounded. Long artificial nails are not permitted. Cover all wounds on the hands/fingers with a protective bandage. Long and medium length hair (touching shoulders) must be tied or pinned back. Beards and moustaches are acceptable when well groomed. Preclinical and Fourth Floor Laboratories Long, buttoned laboratory coats or yellow gowns should be worn with clipped-on picture ID’s prominently displayed. During patient treatment periods, blue gowns are acceptable in laboratory areas. Casual, neat clothing may be worn. Clean jeans are permitted, but NOT in patient contact areas. Shorts must not be worn. Sandals and open toed shoes must not be worn. Jewelry should not be worn on hands or wrists. Dangling earrings are not permitted. Long and medium length hair (touching shoulders) must be tied or pinned back for safety reasons. No hats allowed. Dental Building (when not treating patients) Casual, neat clothing may be worn. Clean jeans are permitted, but NOT in patient contact areas. Shorts must not be worn. Blue gowns (students) or green gowns (faculty) are not allowed outside clinical areas (i.e. rest rooms, food areas, offices, waiting rooms, libraries, seminar rooms, laboratories, or outside the TUSDM building). Yellow gowns are for laboratory use only. Hats are not allowed. Enforcement Violations of the above code in the clinical areas will affect the clinical grade. All faculty and senior management personnel are able to enforce the dress code. Repeated violations will be referred to the Associate Dean for Clinics and may result in dismissal from the clinic. Violations in the preclinical area should be reported to the Director of the Preclinical Laboratory. Blue gowns or green gowns worn outside of clinical areas should be reported to the Infection Control Coordinators. 41 RESOURCES Student Advisory & Health Administration Office, SAHA The Student Advisory & Health Administration Office is located at 200 Harrison Avenue on the 4th floor of Posner Hall. Office hours are Monday - Friday, 9:00 a.m. - 5:00 p.m. Counseling and Mental Health Services The Student Advisory & Health Administration Office provides short-term, confidential counseling/advice for evaluation of personal or school-related problems. Consultation is strictly confidential and no information will be released without the student’s written consent. Appointments are available by calling the Student Advisory & Health Administration Office at 617636-2700, or emailing Debbie Quinn, [email protected]. Her office is located in Posner Hall at 200 Harrison Avenue, on the 4th floor. Referrals for psychotherapy, psychiatric evaluations and/or long-term therapy can be made through Debbie Quinn. Payment for behavioral health or psychiatric services outside of the University is the responsibility of the student. Students enrolled in the student health insurance plan, Harvard Pilgrim Health Care Insurance Company (HPHC)/United Healthcare Student Resources (UHCSR), have a $15 copayment for eligible mental health visits. There is no limit on eligible mental health visits for nonbiologically-based and biologically-based mental disorders per academic year. For covered Mental Health benefits refer to the Certificate of Coverage. Assistance in locating a mental health provider is available from Debbie Quinn or, if enrolled in the student insurance plan, at: https://www.UHCSR.com. Health Insurance The Commonwealth of Massachusetts requires health insurance coverage for all students enrolled in a three-quarter to full time program in higher education. Tufts University offers a comprehensive student health insurance plan that meets the State and University requirements. The student health insurance plan, underwritten by HPHC Insurance Company, an affiliate of Harvard Pilgrim Health Care (HPHC), and administered by United HealthCare StudentResources (UHCSR), includes primary and emergency care, major medical coverage, a prescription plan, eye care, mental health benefits and many other services. When making decisions regarding health insurance, students should be aware there is no health service clinic available to Tufts University Boston Campus students. The student health insurance plan is available to all matriculated health sciences students and their eligible dependents. Eligible dependents include: spouse, domestic partner, or dependent(s) under the age of 26. Each semester, students are charged one-half of the annual insurance cost at the Individual rate. Two-person or family health insurance coverage is available at an additional cost. Depending on the date of enrollment, full payment for two-person or family coverage is required at the time of enrollment. Open Enrollment for the student plan is September 1 st – 30th of each academic year. This provides a once-a-year opportunity for students to apply for enrollment or add dependents without a qualifying event. There is a grace period of thirty (30) days beyond the open enrollment date in which to apply. To apply for coverage during Open Enrollment student must complete an online Enrollment Form at: https://studentcenter.uhcsr.com. Insurance ID cards will be received within 7 to 10 business days of enrollment. Unless there is a qualifying event, students are not eligible to apply for coverage or add a dependent(s) at any other time of the academic year. Qualifying events include: change in marital status; birth or adoption of a child; or loss of alternate insurance through no fault of the student or dependent. Enrollment Form must be submitted within sixty (60) days of the qualifying event. 42 Students should contact the Student Advisory & Health Administration Office for information on applying and the prorated payment amount. Students must reapply for the student health insurance coverage each academic year. Unless there is a change of status, the insurance coverage continues through August 31 st of the current academic year. The effective date of enrollment for new students is the first day of orientation, not the date of enrollment form. Waiving the Student Health Insurance State Law and University Policy require all students to carry health insurance when enrolled in a three quarters to full time program in higher education. The student health insurance plan is not intended to replace the student’s current coverage. Students are not required to enroll in HPHC/UHCSR plan and may waive the student plan by completing a Waiver Form. Students must waive the student health insurance coverage each academic year. Completion of a Waiver certifies participation in a health insurance plan that meets or exceeds the coverage required by Massachusetts General Law. Information regarding the State’s minimum qualifications for a health insurance plan can be found at: http://medicine.tufts.edu/Who-WeAre/Administrative-Offices/Student-Advisory-and-Health-Office/Student-Health-Insurance. To waive the student plan during Open Enrollment, September 1 st – 30th, complete a Waiver at: https://studentcenter.uhcsr.com. Use your insurance card to answer all the questions on the waiver. Once approved, you will receive an email confirmation and your student account will be credited for the health insurance cost. Students whose waivers are denied will be automatically enrolled in the HPHC/UHCSR insurance plan. Students who do not take action to either waive or enroll by September 30th, or whose waiver has been denied, will be automatically enrolled in the HPHC/UHCSR insurance plan. The online enrollment or waiver option is not available after September 30th. However, students are able to waive the school health insurance plan at any time during the academic year. For waiver instructions after September 30th please contact the SAHA Office at 617-636-2700 or 617-6362701. Student Health Insurance Policy for Students on Leave of Absence Students enrolled in the student insurance plan who have been granted a leave of absence are eligible to continue enrollment for up to one year from the effective date on which the leave begins. A Leave of Absence Health Insurance Coverage Contract must be signed and submitted to the Student Advisory & Health Administration Office in order to keep the insurance coverage. Students electing to continue insurance coverage must pay in full prior to leaving and must adhere to payment deadlines for subsequent semesters. While on leave, full payment for fall semester premiums are due by August 15 th and spring semester premiums are due by February 15 th. Students who return on or before the one-year’s leave of absence may continue with uninterrupted coverage. Enrollment in the student insurance plan will be canceled if the student fails to pay the premium, or if the student does not return at the end of one-year’s leave of absence. Prior to beginning a leave of absence students must contact the SAHA Office at 617-636-2701 for information regarding payment procedures and benefit information. Student Health Insurance Policy for Withdrawn or Dismissed Students Boston and Grafton Health Sciences students, who are withdrawn or dismissed and who are enrolled in the student health insurance plan, have the option of either cancelling their health insurance or continuing enrollment in the plan for up to sixty (60) calendar days following their withdrawal or dismissal date. To continue enrollment the student must be a matriculated student 43 for at least 31 days prior to the withdrawal or dismissal. The student has fifteen (15) calendar days from his/her withdrawal or dismissal date to notify the Student Advisory & Health Administration Office of his/her intent by completing a Withdrawal or Dismissal Health Insurance Cancellation Form and by ensuring that full payment has been made. Students cancelling insurance coverage earlier than the end of the current insurance semester will receive a prorated credit based on the date of cancellation, if applicable. Failure to notify the Student Advisory & Health Administration Office by submitting the required form and to complete payment within the fifteen (15) day period will result in the student’s health insurance policy being cancelled on the date of Withdrawal or Dismissal from Tufts University. Student Health Insurance Policy for Graduating Students Students graduating in the spring and summer have the option of continuing the student health insurance coverage through August 31st of the year in which they graduate. Students graduating at other times during the year may keep the student insurance until the end of the term for which the insurance cost is paid. Students canceling coverage earlier than the maximum time allowed will receive a prorated credit for the remainder of the semester billing period. Insurance Conversion Policy for Graduated or Withdrawn Students Graduating students are not eligible to continue enrollment in the student health insurance plan under the Federal Law known as the Consolidated Omnibus Budget Reconciliation Act (COBRA), as this law applies to employees only. Students remaining in the State of Massachusetts have the option of obtaining health insurance coverage through the Commonwealth Connector. More information can be found at: www.mahealthconnector.org Immunization Requirements In order to be in compliance with Massachusetts State Law and University policy, all students must submit The School of Dental Medicine Immunization Form to the Student Advisory & Health Administration Office by the given deadline. The form must be signed by a Health Care Professional, or equivalent medical documentation must be attached to the form. The form can be printed from the following website, http://medicine.tufts.edu/saha. If you are unable to provide documentation of past immunizations, you will need to provide laboratory evidence of immunity, or be vaccinated again. Questions regarding immunization requirements should be directed to the SAHA Office, at 617-636-2712. Upon notification from the Student Advisory & Health Administration Office, students are required to update immunizations as mandated by the Commonwealth of Massachusetts and Tufts University and those recommended for healthcare workers by the Centers for Disease Control and Prevention (CDC). As a condition of matriculation, the following immunization documentation is required prior to the program start date: Tetanus Diphtheria Acellular Pertussis (Tdap): One dose of the adult Tdap vaccine, unless current Td booster is less than 2 years old. If current Td booster is less than 2 years old wait to receive Tdap vaccine. Measles, Mumps and Rubella (MMR): Two doses of measles, mumps and rubella vaccine or positive antibody titers. Tuberculosis Test: Mantoux skin test given within one year prior to start date and updated annually. If tuberculin positive, documentation of a past positive test must be submitted. A chest x-ray or QuantiFERON-TB Gold Test report, dated within one year of the student’s start date, must 44 also be submitted. (A history of BCG vaccine is not acceptable as proof of being tuberculin positive. You must provide documentation of a past positive tuberculosis test in addition to a chest x-ray or QuantiFERON-TB Gold test report within one year prior to start date.) Varicella (chicken pox): Physician verification of year of disease, positive antibody titer, or two doses of varicella vaccine. Hepatitis B: Three doses of hepatitis B vaccine and positive surface antibody titer (blood work). Dental students must be tested for presence of infection (HBsAg) prior to vaccination or if restarting series, and testing for immunity (anti-HBs) within six months following the 3 doses. If an incoming student tests positive for the presence of surface antigen titer (HBsAg) and HBV DNA, matriculation will not be allowed. Meningococcal: One dose of vaccine within five years prior to start date or a signed State Waiver Form. Influenza: Annual Seasonal Influenza vaccine required for all students. COUNSELING CONTACTS Counseling of students is a major focus in the School of Dental Medicine. A diverse student body of 725 students, ranging in age from 21 to 49 years, representing 25 to 30 countries and from varied economic circumstances, generates numerous requests for personal, academic, financial, and career counseling, and less frequently, psychiatric consultation. Students in need of information or counseling frequently contact one of the individuals listed below who are designated by their positions to play a primary role in student counseling. These individuals may provide counseling themselves or may refer the student to the most appropriate resource, either to a faculty or staff member for informal counseling or to the Student Advisory and Health Administration Office, Out-Patient Adult Psychiatric Services or the emergency room (if critical situations arise). Tufts has a large number of faculty and administrators who are available to discuss problems with students when the need arises. A list of suggested contacts is provided below. Personal Counseling/Guidance Ms. Debbie Quinn, Student Advisory and Health Administration Office 4th Floor Posner Hall, 636-2700 Dr. John Van Pruitt MD, 59 Temple Place, Suite 400; Boston, MA 02111, 357-5542 Academic Counseling/Advising Robert Kasberg, Associate Dean for Student Affairs, 636-6539 Dr. Michael Thompson, Chair of Student Promotions Committee (SPC), 636-3775 Progress in Meeting Clinical Degree Requirements & Remediation Dean for Academic Affairs, 636-6622 Robert Kasberg, Associate Dean for Student Affairs, 636-6539 Dr Michael Thompson, Chair of Student Promotions Committee (SPC), 636-3775 Career & Research Advising Robert Kasberg, Associate Dean for Student Affairs, 636-6539 Katherine Vosker, Associate Director of Student Affairs, 636-0887 Research Dr. Gerard Kugel, Associate Dean for Research, 636-4299 Professor Eileen Doherty, Director of Predoctoral Research, Chair of Research Committee & Faculty Advisor to Bates-SRG and Andrews Research Honor Society, 636-6870 Patient Management Issues/Practice Coordinators Dr. James Hanley, Associate Dean for Clinical Services, 636-6873 Dr. Charles Rankin, Chair Diagnosis and Health Promotion, 636-0927 45 CHAPLAINS Naila Baloch, Muslim Chaplain Interfaith Center, 58 Winthrop St. 781-665-0474 Lynn Cooper, Catholic Chaplain Interfaith Center, 58 Winthrop St. 617-627-2044 Rachel Petttengill, Protestant Chaplain Interfaith Center, 58 Winthrop St. 617-627-209781 Rabbi Jeffrey Summit, Jewish Chaplain and Director, Granoff Family Hillel Center 617-627-3242 RELIGIOUS SERVICES-2012 BUDDHIST: Wednesdays, 8:30-10 AM, Goddard Chapel and Sundays, 7PM, The Rabb Room, Lincoln-Filene Center [email protected] CATHOLIC: Sundays, 10:00 PM, Goddard Chapel Lynn Cooper, Catholic Chaplain, 617-627-2044 [email protected] CHRISTIAN SCIENTIST: Meetings, Tuesdays, 6:30-7:30 PM, Interfaith Center, 58 Winthrop St. John (Barrett) Sparkman – [email protected] HINDU: Meetings to be announced* [email protected] JEWISH: Conservative, Fridays, 5:30 PM. (6 PM DST) Granoff Family Hillel Center Reform, Fridays, 5:30 PM. (6 PM DST) Rabbi Jeff Summit, Hillel, 617-627-3242 [email protected] MUSLIM: Prayer Service, Fridays, 1PM The Interfaith Center, 58 Winthrop Street, Medford Naila Baloch, Muslim Chaplain, 617-627-2065 [email protected] PROTESTANT: Protestant Worship Service, Sunday, 7PM, Goddard Chapel Rachael Pettengill-Rasure, Protestant Chaplain, 617-627-2097 [email protected] TCF (Tufts Christian Fellowship), Thursdays, 6:30-9:45 PM Interfaith Center, 58 Winthrop Street Charles Skold ase.tufts.edu/tcf UNITARIAN UNIVERSALISTS: Meetings, Thursday, 8-9 PM Interfaith Center, 58 Winthrop St. [email protected] 46 HEALTH SCIENCES BURSAR’S OFFICE Tufts University bills tuition and fees electronically via Tufts eBill. New students will receive preliminary information in May or June through their Admissions Office, outlining the Tufts eBill enrollment and billing process. Beginning in June, new students will receive a specific email notice with instructions on how to set up a Tufts eBill account. Once a student’s account has been set up, others (i.e. parents) may be invited by the student to view and/or pay the bill. Fall semester bills are issued in the first week of July and are due in the first week of August. Spring semester bills are issued in the first week of November and are due in the first week of December. The specific due date each semester will be noted on your bill. You may also pay online by electronic check. If you choose not to pay online, payments should be mailed with the payment coupon to Tufts University, Health Sciences Bursar’s Office, P.O. Box 414090, Boston, MA 02241. Payments may also be made in person at the Bursar's Office. All students must be financially cleared in order to register and attend classes. Please note that accounts not paid or settled by the due date may be subject to a 10% late payment fine. Other services provided by the Bursar’s Office include the issuance of student account refund checks, sale of MBTA Semester passes, distribution of petty cash including MBTA pass quarterly discounts, and distribution of work-study paychecks. The Bursar’s Office is located on the first floor of Posner Hall at 200 Harrison Avenue, Boston MA. Office hours are 9am-4pm, Monday through Friday. For questions about your bill, please contact the Bursar’s Office directly. You may also visit our website at http://finance.tufts.edu/bursar/ for answers to most frequently asked questions and full contact information. 47 TUFTS UNIVERSITY HIRSH HEALTH SCIENCES LIBRARY Eric D. Albright, MLS, Director Arthur M. Sackler Center for Medical Education 145 Harrison Avenue Boston, MA 02111 Homepage: http://www.library.tufts.edu/hhsl Email: [email protected] Fax: 617-636-4039 Administration: 617-636-2481 IT Service Desk: 617-636-2947 Circulation: 617-636-6706 Reference/Education: 617-636-6705 Collections Management: 617-636-2448 STAFFED HOURS Library Service Desk IT Service Desk Monday-Thursday: 7:45 a.m. – 11:00 p.m. Monday-Thursday: 9:00 a.m. – 6:00 p.m. Friday: 7:45 a.m. – 7:00 p.m. Friday: 9:00 a.m. – 7:00 p.m. Saturday: 10:00 a.m. – 7:00 p.m. Saturday: Closed Sunday: 12 noon – 10:00 p.m. Sunday: Closed For holidays and changes, please consult http://www.library.tufts.edu/hhsl/about/hours.html. FACILITIES The Hirsh Health Sciences Library (HHSL) spans the fourth through seventh floors of the Sackler Center. The library may be entered via any of these floors from the elevators or stairs. A bridge connects the fourth floor of Sackler to the third floor of the Dental Building. The fourth floor houses the Library Service Desk, Reference and Reserve collections, current journals, leisure reading collection, public computers with Internet access, study areas and the Food 4 Thought café. A house phone is located on the east end of the building, near the main elevators, and a bulletin board is located across from Security at the bridge to the Dental Building. The fifth floor houses the circulating book collection, study carrels and the IT Service Desk. The two microcomputer labs and multimedia classrooms are available for teaching and individual or group study. The lab facilities provide access to Internet applications, a variety of standard word-processing, spreadsheet, database and presentation-graphics programs and other software that support the curricula of the health sciences schools. The IT Service Desk, staffed by Library Systems Office employees and student workers, provides support for students’ personal computers. To reserve a room, please contact the IT Service Desk at [email protected] or call 617-636-2947. For more information, see http://www.library.tufts.edu/hhsl/computing/computing.html. The sixth floor houses the library’s staff offices, the beginning of the bound journal collection (A-B titles of print-only subscriptions, print copies of some journals also received electronically and older volumes) and a photocopy room. The Allan D. Callow Room (also known as the Special Collections Room) contains a collection of works on the history of science and medicine, imprints prior to 1914 and historical artifacts that may be viewed by contacting the Library Administration Office (617-636-2481). A house phone is located on this floor in the central library staircase. The seventh floor houses the remainder of the bound journal collection (C-Z titles of print-only subscriptions, print copies of some journals also received electronically and older volumes), study rooms, classrooms, study carrels and a photocopy room. POLICIES Some library services are provided on a cost-recovery basis. Payment for fees can be made by check accompanied by a Tufts ID card or by Tufts Interdepartmental Requisition. Library employees may neither accept cash for payment nor make change. Copy/print cards can be purchased at the Add Value Machine 48 on the 4th floor. Monies may also be added to University IDs at the Add Value Machine or online at: http://www.jumbocash.net. The library operates within the constraints of the U.S. Copyright Law in regard to the photocopying of printed materials and interlibrary loans and within license restrictions for electronic materials. Please turn off the ringer on cellular telephones and pagers before entering the library. Urgent calls can be made or received in the library’s stairwell. Protective gowns, lab coats, masks, gloves, caps and shoe covers are not permitted in the library. Please dispose of such items properly before entering. Suggestions or comments regarding the library’s policies, services and collections are welcome. Send them by email to [email protected] from a Tufts email account, and the library will respond promptly. PRIVILEGES If not pre-registered at orientation, students can register in the library’s system with their Tufts ID, which may be obtained from the Tufts Police Department at 136 Harrison Avenue. Upon registration, the Tufts ID will also function as a library card. The activated ID card is valid for access and borrowing at all Tufts University libraries. For further information on other Tufts libraries, please visit http://www.library.tufts.edu or inquire at the Library Service Desk (617-636-6705). Students are eligible to receive support for their personal computers and mobile devices at the IT Service Desk on the fifth floor. Some of the services provided are software installation, virus removal and registration to use the Tufts network. Please visit http://support.hhsl.tufts.edu/ for more information or inquire at the IT Service Desk (617-636-2947). Thirty Apple laptops are available for students to borrow for use within the library. On weekdays, laptops may be checked out from the IT Service Desk on the fifth floor before 6pm and from the Library Service Desk on the fourth floor after 6pm, except on Fridays. On weekends the laptops are checked out from the Library Service Desk on the fourth floor. As a user of the Tufts University Hirsh Health Sciences Library, you accept responsibility for the return of all materials borrowed from any of the Tufts University Libraries or from other libraries through document delivery. All fees incurred for lost, damaged or late items must be paid, and failure to pay such fees may result in a loss of library privileges, an attachment of wages, or additional charges on term bills. You agree to abide by all HHSL policies and you are responsible for copyright compliance as well as Tufts University policies concerning the responsible use of resources. Other Tufts Libraries Tisch Library (Medford Campus) Ginn Library (Medford Campus) Webster Family Veterinary Library (Grafton Campus) 617-627-3460 (or x73460 ) 617-627-5021 (or x75021) 508-839-7958 (or x87958) Boston Library Consortium Tufts University is a member of the Boston Library Consortium (BLC), an association of research and academic libraries in New England. While only a Tufts ID is required for admittance to most Consortium libraries, Consortium cards are necessary for access to certain restricted libraries and for borrowing at most institutions. Tufts faculty, staff and students may apply at the Library Services desk for these cards at no cost. Member institutions include: Boston College Boston University Brandeis University 49 Marine Biological Laboratory Woods Hole Oceanographic Institute Massachusetts Institute of Technology Northeastern University State Library of Massachusetts Tufts University University of Connecticut University of Massachusetts--Amherst, Boston, Dartmouth, Lowell UMass Medical Center University of New Hampshire Wellesley College Williams College For more information on the BLC, please consult http://www.library.tufts.edu/hhsl/services/BLC.html or contact the Library Service Desk (617-636-6705). Other Libraries Francis A. Countway Library of Medicine Harvard Medical School 10 Shattuck Street Boston, MA 02115 Reference: 617-432-2134 Upon presentation of a valid Tufts ID, faculty and students of the medical, dental and veterinary schools may have access but not borrowing privileges from the Countway Library. Law Library New England School of Law 145 Stuart Street Boston, MA 02116 Reference: 617-422-7299 Upon presentation of a valid Tufts ID, faculty, staff and students of the Tufts health sciences schools may have access but not borrowing privileges from the Law Library. SERVICES Circulation & Reserve Registered faculty, staff and students may borrow circulating books for four weeks with two renewals and are responsible for returning them on time. For each lost or damaged item, the charge levied amounts to the replacement cost plus a $15 processing fee. Borrowing privileges may be suspended for borrowers with overdue books or unpaid bills. Reserve books designated as an overnight copy may be borrowed after 4:00 p.m. on weekdays for overnight use and on Fridays for weekend use. Reserve books are due by 9:00 a.m. the following school day. Only one reserve book may be borrowed at a time for overnight/weekend use. Certain texts in high demand are kept behind the Library Service Desk and may be recalled when needed. Collections & Electronic Resources The Tufts Catalog (http://library.tufts.edu/) lists books, journals, databases, audiovisual materials and other works held by the Tufts libraries in Boston, Grafton and Medford. The catalog links directly to a large collection of electronic books and full-text journals, most of which require a Tufts email account for access. Clicking on a journal title allows access to a list of the available volumes or its vendor’s search engine. Ovid databases and PubMed should be accessed from the HHSL homepage, as this will link users to all Tufts’ licensed journals at the article level. Full text can also be accessed through the FindIt@Tufts link located on the results screens of our licensed resources. 50 For more information about electronic journals, please consult http://www.library.tufts.edu/hhsl/resources/ejalpha.html. To arrange for consultations regarding your research needs, please contact Information Services by phone at 617-636-6705 or by email at [email protected]. Suggestions for book purchases and journal subscriptions may be made using the online form at http://www.library.tufts.edu/hsl/services/order_form.html or by calling 617-636-2448. Document Delivery & Interlibrary Loan Members of the Tufts community can obtain books, audiovisual materials and journal articles from other libraries through interlibrary loan by registering with our interlibrary loan system, ILLiad: http://www.library.tufts.edu/hhsl/services/docdel_illiad.html. This online system enables you to order and track requests and view/print articles. Students may request up to twenty articles or books per academic year at no charge. For further information, please contact Document Delivery at 617-636-3787 or email [email protected]. IT Service The Library Systems Office and IT Service Desk maintain all the public computers in the library and serves as first-tier support for computer questions. The library’s public computers are able to perform a variety of functions, including workstations variously equipped with scanners, CD/DVD burners and USB ports. The labs within the library are open for computer-assisted instruction, personal computing, Internet access and web-based email. The IT Service Desk, which is also located on the fifth floor, provides services such as software installation, virus removal and registration to use the Tufts network. Please visit http://support.hhsl.tufts.edu for more information or inquire at the fifth-floor IT Service Desk (617-6362947). Printing, Copying & Scanning Black-and-white photocopiers operated by JumboCash debit from the student ID or a guest card are located on all floors of the library. The basic charge for a B&W copy is 10 cents per page. Guest cards may be purchased at anytime from a card dispenser (PHIL Station) with cash, by Tufts or Tufts Medical Center requisition, weekdays from 9:00 a.m. to 4:45 p.m, or by check through Dining Services. Jumbocash can also be added with a credit card online at www.jumbocash.net. For further information, please consult http://www.library.tufts.edu/hhsl/services/photoServices.html. Color laser print stations are located on the 4th and 5th Floors. Black-and-white printers are located on the 4th and 5th Floors. Patrons can send print request(s) from all public computers in the library. Charges for printing, which must be paid by JumboCash debit from the student ID or a guest card, are 10 cents for each B&W page (15 cents duplex) and 30 cents for color (45 cents for duplex). A self-service scanner is available in Room 524. For further information about printing, copying and scanning, please consult http://www.library.tufts.edu/hhsl/services/photoServices.html. Educational and Information Services Library staff are available Monday through Friday from 7:45 a.m. to 5:00 p.m. to answer research and reference questions. Librarians provide research support via customized literature searches or instruction of biomedical databases such as MEDLINE, research support for Faculty, information and reference support for course projects, support and instruction for bibliographic management software like RefWorks and EndNote and help obtaining full-text articles via the library’s website. Please see our website to learn about the full range of resources and services the Hirsh Health Sciences Library provides to support research, curriculum and patient care information needs. Mobile web users can also access this information via our mobile web page where they can connect to resources optimized for mobile web browsing. 51 To arrange for research or education consultations, please call 617-636-6705, or email at [email protected]. For information literacy curriculum support for courses, please contact Gail Hendler, [email protected]. TUSK (Tufts University Sciences Knowledgebase) The Tufts University Sciences Knowledgebase (TUSK) is a curriculum database/knowledge management system which provides access to a full complement of curricular material. Available to Tufts students, faculty, and staff at http://tusk.tufts.edu, it includes text, slide collections, images, digital video, shockwave files, synchronized multimedia, recorded lectures, quizzes, cases, weekly course schedules and online course evaluations. TUSK users may create personal collections of TUSK material and annotate any document or image. Students are also able to create personalized Flash Card decks for studying and selfassessment. When users logon with their Universal Tufts Login Name (UTLN) and password, TUSK displays pertinent announcements, current courses, posted evaluations and discussion boards. Electronic discussions between students and course directors facilitate communication about class material. Students may request discussions for their class, as well as their own collaborative My Group areas on TUSK. In addition, student authors/editors sometimes assist faculty with uploading material to TUSK. To request the creation of a discussion group for a course, a collaborative My Group area, or to request authoring privileges, please send an email to TUSK User Support at: [email protected]. Wireless Computing Tufts faculty, staff and students who register their laptop computers may then use them to connect to the campus network and the Internet on all Tufts campuses. Laptops may be registered at the IT Service Desk, Sackler 5: Monday – Friday, 9am – 6pm. For further information, please consult http://www.library.tufts.edu/hsl/computing/laptops.html. LIABILITY INSURANCE All Tufts Dental students are insured for professional liability through the University's professional liability policy. This policy provides coverage during activities at Tufts and at approved externship sites. It does not cover licensure examinations or any other clinical experience not directly related to the curriculum. PARKING Tufts Medical Center Parking and Transportation Department 274 Tremont Street Garage, 1st floor 636-5580 Monday- Thursday, 7:00am-6:00pm Friday, 7:00am-4:00pm Parking spaces are available for all Tufts University students at the Traveler’s Lot (this is near the Teradyne building on Harrison Avenue). Valid parking decals are required in the Tufts Medical Center parking facilities. Parking decals are available at no charge upon presentation of your student I.D. and car registration at the Parking Office, located at 274 Tremont Street. Please Note: Students are issued only one DECAL per school year. For the 2010-2011 academic year, all students will be assigned to the Traveler’s Lot. Rate: Monday thru Friday-$4.75 per day payable by coupon only. Cash will not be accepted. Coupons: Coupons are available for purchase in the Parking Office, located at 274 Tremont Street, and at the Bursar’s Office, located at 200 Harrison Avenue, for $23.75 per book. Each book contains 5 coupons (purchase limit of 4 books at a time.) Weekends: All students may park in the Tremont Street Garage for $4.75 per weekend day (payable with a coupon or $7.50 cash) Parking Regulations for Tufts University Students 52 Parking is permitted only with a currently valid Tufts Medical Center parking decal. Both your vehicle registration, to prove car ownership, and a Tufts identification card must be presented to the Parking Office in order to obtain a decal for one car per school year. Departure and re-entry into the parking garage is not allowed on the same parking sticker. If you do have occasion to leave the garage, a new sticker must be used upon re-entry. Parking decals are not transferable. Anyone who uses a lost, stolen or fraudulent decal will be subject to loss of parking privileges. Questions regarding parking should be directed to the Parking Office at (617)636-5580. Parking in Boston Parking around Tufts Medical Center is forbidden or limited by one-hour meters. There is no legal parking in one spot for longer than two hours anywhere in Boston. Unpaid tickets are listed in computer files and cars with Massachusetts or out-of-state registration have been towed or rendered immobile with the “Denver Boot.” Motorcycles Motorcycles can be left in the parking garage located at 274 Tremont Street for $8.00 per day. You must have your registration and student I.D. to get a parking card from the Tremont Street Garage. If your motorcycle is registered out-of-state you must file with the campus police just as out-of-state car owners must file. Our-of-state owners need not register before obtaining cards. Bicycles Bicycles can be left in a bicycle cage at the Parking Garage at 274 Tremont Street by paying $3 and receiving a key for the bicycle room. The $3 fee is refunded when the key is returned. FACILITIES Facilities is located on the first floor (dorm side) of Posner Hall. This department is responsible for maintenance and upkeep of the buildings and grounds of the Boston campus including Posner Hall. Any maintenance problems should be reported to Facilities at 6-3535; after hours and on weekends, please call the Campus Police at 6-6610. ENVIRONMENTAL HEALTH AND SAFETY The Departments of Environmental Health and Safety, and Risk Management are responsible for all aspects of safety and insurance, industrial hygiene, right-to-know compliance, employee and student environmental health and safety, fire safety, risk management and loss control. For information or assistance, please call 636-3615. All accidents and/or injuries involving students, even those that seem minor, must be reported to the Campus Police and to the faculty supervisor. TUFTS UNIVERSITY HEALTH SCIENCES CAMPUS BOOKSTORE 116 Harrison Avenue 617-636-6628 Monday, Tuesday & Thursday, 8:30 a.m.-5:00 p.m. Wednesday, 8:30 a.m.-6:00 p.m. Friday, 8:30 a.m.–4:00 p.m. Tufts University Health Sciences Bookstore is your destination for textbooks and course required supplies. The Bookstore stocks textbooks, medical reference and review books, lab supplies, burs, teeth, school supplies and snacks. The bookstore also carries TUSDM merchandise including sweatshirts, t-shirts, mugs, and fine gifts. Please ask a bookseller for any out of stock items, they can be ordered for you. 53 The bookstore will have all textbooks ready for purchase prior to the start of classes. You can stop by the bookstore to purchase books, or log on to www.tufts-med.bkstore.com to order books, which you may then pick up at the bookstore or have shipped to your home. Out of stock textbooks can be special ordered upon request. Textbooks may be returned or exchanged during the first week of class. Return Policy A full refund will be given in the original form of payment if textbooks are returned, with receipt, during the first week of class. A full refund will be given in the original form of payment if textbooks are returned, with proof of schedule change and receipt, during the first 30 days of class. No refunds will be given without receipt, or if textbooks are not in original condition. Payment The bookstore accepts cash, checks, Visa, MasterCard, American Express, Discover, Traveler’s Checks, and Barnes & Noble gift cards. Credit card holders must be present for purchases. Students may not use another person’s credit card. Barnes & Noble gift cards are available at the bookstore, Barnes & Noble stores, or at www.barnesandnoble.com. DIRECTORY OF STATE AND NATIONAL DENTAL ASSOCIATIONS American Dental Association 211 East Chicago Avenue Chicago, IL 60611 800-621-8099 website: http://www.ada.org American Dental Education Association 1400 K St. NW Suite 1100 Washington, D.C. 20005-2403 website: www.adea.org American Student Dental Association 211 East Chicago Avenue, Suite 1160 Chicago, IL 60611 Membership Records: 800-621-8099 website: http://www.asdanet.org Massachusetts Dental Society 2 Willow Street, #200 Southborough, MA 01745 508-480-9797, 800-342-8747 website: www.massdental.org National Board of Dental Examiners Commission on National Dental Examinations American Dental Association 211 East Chicago Avenue Chicago, IL 60611 Contact Person: Judy Friend 800-621-8099 website: www.ada.org 54 Massachusetts Board of Registration in Dentistry 239 Causeway Street, 5th Floor Boston, MA 02114 617-727-9928 website: www.mass.gov/dph/boards North East Regional Board of Dental Examiners 8484 Georgia Avenue Suite 900 Silver Spring, MD 20910 Telephone Number: (301) 563-3300 Fax: (301) 563-3307 website: www.nerb.org DIRECTORY OF PROFESSIONAL ACADEMIES American Association of Endodontists 211 E. Chicago Ave., Suite 1100 Chicago, IL 60611-2691 Phone: 800/872-3636 (North America) or 312/266-7255 (International) Fax: 866/451-9020 (North America) or 312/266-9867 (International) E-mail: [email protected] American Association of Orthodontists 401 North Lindbergh Boulevard St. Louis, MO 63141-7816 Phone: 314-993-1700 Fax: 314-997-1745 American Academy of Pediatric Dentistry 211 East Chicago Avenue, Suite 1700 Chicago, IL 60611-2637 (312) 337-2169 Fax (312) 337-6329 American Academy of Periodontology 737 N. Michigan Avenue, Suite 800 Chicago, IL 60611-6660 Phone: 312-787-5518 Fax: 312-787-3670 American College of Prosthodontists 211 E. Chicago Ave., Suite 1000 Chicago, IL 60611 312-573-1260 By Fax: 312-573-1257 By E-mail: [email protected] American Academy of Fixed Prosthodontics Office of the Secretary 31 Emory Road Winnipeg, Manitoba 55 R3T 3K9 Canada Toll Free (888) 220-9386 Fax (204) 275-1285 E-mail [email protected] American Academy of Maxillofacial Prosthetics Dr. Steven P. Haug Executive Secretary/Treasurer 1121 West Michigan Street Indianapolis, IN 46202 Tel: 317-274-5571 Fax 317-278-2818 Email: [email protected] American Academy of Orofacial Pain 19 Mantua Road Mount Royal, NJ 08061 Tel: (856) 423-3629 Fax: (856) 423-3420 American Academy of Craniofacial Pain 1901 North Roselle Road, Suite 920 Schaumburg, IL. 60195-3187 USA Email: [email protected] http://www.aacfp.org Main: 847- 885-1272 Toll Free: 800-322-8651 Fax: 847-885-8393 OUTSIDE USA AACP Central Office: 0101 (847) 885-1272 Fax: 0101 (847) 885-8393 American Association of Oral and Maxillofacial Surgeons 9700 West Bryn Mawr Avenue Rosemont, IL 60018-5701 847-678-6200 800-822-6637 56 DIVISION OF ADVANCED AND GRADUATE EDUCATION ACADEMIC AFFAIRS, POLICIES AND PROCEDURES Advanced Education Certificate Programs Craniomandibular Disorders & Orofacial Pain Endodontics General Practice Residency Oral & Maxillofacial Surgery Orthodontics Pediatric Dentistry Periodontology Prosthodontics Graduate Programs Master of Science Dental Distance Education—Master of Science Oversight Each Advanced and Graduate Education program is overseen by the Program Director. In turn, all are overseen by the Advanced and Graduate Education committee, which has charge of all matters and policies related to curriculum and research leading to the degree of Master of Science. The committee is also responsible for coordinating, organizing and evaluating interdepartmental postgraduate level courses necessary for specialty certification and other postgraduate clinical training programs. The Committee assists as necessary the directors of the Advanced Education programs in developing the didactic and clinical curriculum for their respective specialty programs and has overall responsibility of coordinating the schedules of the advanced and graduate education curricula. The Advanced and Graduate Education Committee consists of the directors of all existing Advanced Education programs (or their designate) and includes representation from all departments, the Director of the Dental Distance Education Program, one graduate faculty member from another school within the University and one student member each from the advanced education and graduate programs. In addition, the committee includes include four faculty members elected by the Executive Faculty, at least two of whom are to be graduate faculty. Representatives from the Office of Admissions and Office of Registration serve ex officio without vote. Courses The academic year is from July 1 to June 30. The calendar is divided into two semesters, Fall (F), and Spring, (S), with a shorter, intensive summer term in July and August (A). Each Advanced Education program has specific required courses, in addition to interdepartmental courses which make up the Advanced and Graduate curriculum. These are: DEGR201A Biostatistics IA: Introduction to Biostatistics DEGR203A Epidemiology & Critical Thinking in the Practice of Dentistry DEGR204A Successful Research Strategies (online) DEGR206F Biostatistics IB: Principles of Biostatistics DEGR210F Clinico-Pathologic Conferences in Oral & Maxillofacial Pathology (online) DEGR211F Management of the Medically Compromised Dental Patient DEGR213F Temporomandibular Disorders I (Occlusion) DEGR214F Oral & Maxillofacial Radiology DEGR215S Topics in Molecular & Cell Biology DEGR216A Oral Microbiology 57 DEGR217S Advanced Head & Neck Anatomy DEGR218S Advanced Head & Neck Anatomy, Laboratory Dissection DEGR219F Biomaterials II DEGR220S Multidisciplinary Approach to the Diagnosis & Management of TMD & Orofacial Pain DEGR222S Dental Pharmacology DEGR223A Immunology DEGR224A Applied Nutrition in Dentistry DEGR230F Biomaterials I DEGR231S Bone Biology DEGR232F Growth & Development DEGR233F Dental Sleep Medicine DEGR234F Neuroanatomy, Neurophysiology & Neurological Assessment of Orofacial Pain DEGR235F Pain Assessment & Management DEGR236S Physical Medicine for Craniofacial Pain DEGR237S Orthopedic & Neurological Assessment of the Cervical Spine & Upper Extremity DEGR238F Pharmacotherapeutics for Pain DEGR310SP Independent Study Student Evaluation and Quality Standards With the advice of the advisor and/or program director, students in Advanced Education or the Master of Science program at TUSDM must declare at the time of course registration whether they will be taking a course for credit or audit. Students may withdraw from a class at or before the third class meeting, without notation on the student’s transcript. Withdrawal from class after the third meeting will result in the notation “W” on the transcript. While the appearance of the “W” notation is a neutral indicator, students should keep in mind that a number of “W”’s on a transcript could have a negative connotation to a reviewer. Credit 1. Students taking courses for credit are required to attend all classes unless excused by the instructor. Students should make every effort to notify the course director in advance. Excused absences include: Emergencies such as serious illness or death in immediate family Serious personal illness Attendance at an approved meeting Interviews Wedding in immediate family or when member of wedding party Jury duty Religious holiday It is the responsibility of the student to arrange to make up missed course work. Students will face disciplinary action for signing attendance sheets for classmates. Students who miss 50% of classes owing to unexcused absence will be given the grade of “I” or Incomplete. 2. All course requirements will be fulfilled as specified by the instructor. Requirements may include exams, homework assignments, classroom participation, etc. Course requirements should be fully explained to all students at the first class meeting. 3. Upon completion of the course requirements, a quality grade for course participation will be given. This grade will be entered on the student’s permanent transcript. If the course requirements have not been completed by the time final grades are submitted to the Assistant Director of Registration, the student will receive a grade of “I”, or Incomplete. Incompletes must be converted to a quality 58 letter grade by the end of next grading period, or the “I” grade will automatically be changed to an “F” (failure). 4. Students may withdraw from a course by the third class meeting, with no notation on transcript. Withdrawal from a course after the third class meeting will result in a notation of “W” on the transcript. Audit 1. Students auditing will attend all classes as if they were taking the course for credit. 2. At the discretion of the instructor, auditors may take selected exams on course materials for the purpose of feedback to the student and instructor only. No grade will be submitted. It is the responsibility of the instructor to be aware of the level of understanding and/or performance of all students, including auditors. 3. Upon completion of the auditing requirements, student will receive the designation “N”, for no grade, on his or her transcript. This indicates that the student has completed the course, but not for letter grade or credit. 4. Students may withdraw from the course at any time, but the designation “W” will appear on the permanent transcript. Grading All graduate and advanced education courses will result in a quality grade for each student receiving course credit. All courses are given for a letter grade, unless designated Pass/Fail. Pass/Fail is not available as an option. The designation “N” (standing for No Credit) will be used for courses that have been audited. The only grades permitted on the transcript are as follows: A: 96-100 A-: 91-95 B+: 87-90 B: 83-86 B-: 80-82 C+: 76-79 C: 73-75 C-: 70-72 D: 60-69 F: <60 P: Pass. This grade is only given for certain designated courses and is not available as an option. Credit for a course with a grade of “P” is counted, but the grade is not factored into the GPA. I: Incomplete. This is a temporary grade which must be replaced by a quality grade by the end of the next grading period. Failure to complete the course by this time will result in the automatic conversion of the grade to F. N: No credit. This is the designation for a completed audit. This designation may also be used in a course which lasts over more than one grading period. The designation “N” will appear on the transcript at the completion of one section, with the grade awarded only on the completion of the course (for example, Critical Evaluation of Scientific Literature I & II). W: Withdrawal. Used to note withdrawal after the third meeting from any course taken for credit or audit. Clinic time will be evaluated by the program director or designate and be included in the student’s transcript with the notation “H” (honors), “P” (pass) or “F” (fail). These grades will not factor into the grade point average, though credit will be given. 59 Master of Science candidates are required to maintain an average cumulative GPA of 3.0, and may not have more than one grade of C or any grade of F on the academic transcript. Students who do not fulfill these requirements will be placed on academic probation. The Director of Advanced and Graduate Education, in collaboration with the student’s principal advisor and the Advanced and Graduate Education Committee, will determine the conditions of probation and any possible remediation. Students in Advanced Education programs are required to remediate any course that they receive a grade of F. Grade point average requirements are set by the respective program directors and may be different among programs. Re-examination Policy Students receiving a grade of C or lower in any class may apply for re-examination. In order to ensure timely implementation of the re-examination, course directors should submit projected final grades to the Office of Advanced and Graduate Education within two weeks after the final examination. The Office of Advanced and Graduate Education will notify the students (and their program directors) by email directly if a pending final grade renders them eligible to apply for re-examination. Students have 7 calendar days from the receipt of notification to request re-examination. The re-examination cannot be scheduled later than 6 weeks after the final examination. Course directors are encouraged, though not required, to offer re-examination if petitioned. In case of a delay in submission of the grades or other unanticipated events, the re-examination will be scheduled on a date mutually agreed by the course director and the student(s) and after approval by the Director of Advanced and Graduate Education. The highest grade a student can receive via re-examination is a B-. Re-examination will be considered only as a final exam, will cover the entire course and the grade received as a result of a re-examination will replace and/or supersede any other grade(s) received during the course (including mid-term examinations). It is possible therefore for a student with a C who opts for a re-examination and receives an F to fail the course. The format of the reexamination will be at the course director's discretion; however, oral examinations require the presence of a member of the Advanced and Graduate Education Committee in addition to the examiner and the student. The format of the re-examination for any given course can change from year to year at the course director's discretion. Course directors are encouraged, but not required to provide tutoring or any other assistance to the students requesting a re-examination. Course directors will submit final grades to the Office of Advanced and Graduate Education, which will take responsibility for providing them to the Registrar in a timely fashion, for entering into the student’s official transcript. Course Evaluations Course evaluations afford students the opportunity to offer feedback, positive or negative, pertaining to all of their courses. Students are required to complete course evaluations once they have completed any course. Evaluations are posted on TUSK and the evaluations due from the student are listed on the left side of the page once the student has logged in. While feedback and comments are made available to course directors, all responses are anonymous and all feedback is kept strictly confidential. Academic Probation and Dismissal Master of Science candidates who do not maintain a B- average will be placed on academic probation, which will be recorded on the student’s transcript. The Director of Advanced and Graduate Education, in collaboration with the student’s principal advisor and the Advanced and Graduate Education Committee, will determine the conditions of probation, including the length of probation period and means by which performance may be improved. During the probation period, students may not transfer to another advanced education program at TUSDM, and may not receive an academic degree. MS students will be placed on academic probation if: The student receives a grade of F The student receives more than one C The student’s GPA is less than 3.0 60 Students may be asked to withdraw, or be dismissed from the Master of Science program under the following circumstances: receiving three grades of less than B receiving more than one F failing to convert a grade of F to a passing grade. An F cannot stand on a degree candidate’s record upon recommendation of the student’s principal advisor and the Director of Advanced and Graduate Education to the Advanced and Graduate Education Committee. upon determination by the Ethics, Professionalism and Citizenship Committee and/or Tufts University School of Dental Medicine Executive Faculty of unethical behavior, on campus or off, while enrolled. Students in Advanced Education programs may be placed on probation or dismissed by their respective program directors. The program director may consult with the Advanced and Graduate Education Committee before implementing his or her decision. Students may also be dismissed by the Ethics, Professionalism and Citizenship Committee if found guilty of unethical behavior. Any student dismissed from an Advanced Education program or the Master of Science Program has the right of appeal. Appeal must be initiated by written request within 30 days to appear before a special meeting of the AGEC, the agenda of which will be limited to the appeal. The student may be represented by counsel. Further appeal to the Executive Faculty of TUSDM would also be possible. Leave of Absence A Leave of Absence may be obtained by petitioning the Advanced and Graduate Education Committee, the Director of Advanced and Graduate Education, or the student’s program director. Terms of individual Leaves of Absence are considered on a case-by-case basis. Extensions to the five-year maximum Master of Science program duration may be given at the time a leave is granted. Medical Leave of Absence In instances of serious physical and/or psychiatric illness, wherein members of the faculty believe that a student should not continue his or her studies, and the student cannot or will not request a leave of absence, the Dean, in consultation with the appropriate administrators, may elect to place the student on medical leave of absence. Medical leave of absence should not exceed one calendar year. At any point in the year the student may request termination of leave and re-entry into his or her program, provided the Student Advisory and Health Administration Office and/or the administrative psychiatric consultant can verify in writing that the student’s health permits it. Medical leave may be extended for up to an additional year based on the recommendations of the medical professionals referred to above. After two years, the student will be withdrawn if unable to continue. He or she may apply for re-admission at a later date. If admitted, the Director of Advanced and Graduate Education and/or the student’s Program Director will determine the student’s entry point into the curriculum. Withdrawal A student who wishes to withdraw voluntarily from the program may do so by notifying the Director of Advanced and Graduate Education or his/her program director in writing. The student will be withdrawn as of the date the letter is received. It should be noted that if the student should wish to return to the Master of Science program at a later date, he or she will have to petition the Advanced and Graduate Education Committee for re-admission. The official date of withdrawal will determine the computation of costs and refunds. Those who fail to notify the Director in writing will receive an official withdrawal date, which is the last known date that the student attended classes. 61 Course Syllabi Interdepartmental Courses Biostatistics IA: Introduction to Biostatistics (DEGR201F) Course Director Dr. Matthew Finkelman 617-636-3449 1 Kneeland St. room 638 [email protected] Tuesday/Friday, 12:30 p.m.-2:00 p.m., July (Summer semester) Course Description This is an interdepartmental course for 1st year Advanced Education students and a core course for Master of Science students. It provides 1.0 graduate credit. The course consists of seven 90-minute lectures, and one 90-minute final examination. It provides an introduction to the basic principles of statistics that are necessary to perform dental research. All course material (syllabus, lecture presentations, and assignments) is available on TUSK (www.tusk.tufts.edu). Course Goals and Objectives: The goal of this course is to introduce the graduate students to the concepts required to perform dental research. By the completion of the course, students should be able to: understand statistical reasoning set up a dataset calculate basic statistics present results in a clear, meaningful way Outcome Measures: Attendance/participation Homework Final examination 10% 30% 60% Note: To receive full credit, all assignments must be turned in when due. 10 points will be deducted for each day late. Epidemiology & Critical Thinking in the Practice of Dentistry (DEGR203A) Course Director Dr. Wanda Wright Department of Public Health & Community Service 617-636-3646 DHS 1534C [email protected] Monday/Wednesday, 8:30 a.m.-10:00 a.m., July (Summer semester) Course Description This is an interdepartmental, 12-hour, one credit course for 1st year Advanced Education students and a core course for the MS students. The course information and lectures are posted on TUSK. Course Goals and Objectives Goals Introduce the student to the basic principles and methods of epidemiology and demonstrate their applicability to dentistry 62 Enable the student to begin to critically interpret literature relevant to dental professionals as well as to provide a structure method for evaluating date and conclusions. Outcome Measures: Graded Homework Assignments: Homework is intended to provide practice questions and to reinforce concepts. Students are expected to complete the homework assignments on their own and submit the assignments on time. Please see the course schedule for homework due dates. Final examination The final examination is conducted as a “closed book” examination and thus no materials (besides pens, pencils or calculators) are permitted to be brought in by the student or otherwise used by the student during the examination. Your overall grade for the course will be computed based on the weights listed above. Your transcript will reflect a letter grade and are generally assigned as follows: A: 96-100 A-: 91-95 B+: 87-90 B: 83-86 B-: 80-82 C+: 76-79 C: 73-75 C-: 70-72 D: 60-69 F: <60 Successful Research Strategies (DEGR204A) Course Director Dr. Paul Stark 75 Kneeland St. Suite 105 617-636-3743 [email protected] Summer semester Course Description This is an interdepartmental course for all Advanced Education students and a core course for the MS students. It provides 1.0 graduate credit for MS students. The course provides an overview of the ethical background and administrative procedures necessary for any research project involving human subjects. The course consists of 4 hours of lecture material, which is available on TUSK, as well as the successful completion of an online examination, which is also on TUSK. In addition, students need to complete 6 hours of online lectures and associated CITI examination. For more information see the Tufts University Health Sciences Campus Institutional Review Board (IRB) website at: http://tnemcirb.tufts.edu/ Course Goals and Objectives The educational goal of this course is to introduce the graduate students to the ethical dilemmas involving human subject-related research as well as the implementation of safeguards put in place by the Institutions to assure the well-being of research subjects. By the completion of the course, students should: Understand the ethical responsibilities of a clinical researcher and the role of the Institutional Review Board Be familiar with basic principles of clinical research Be familiar with basic forms and terminology used in research projects involving human subjects at Tufts Be able to direct their questions to the appropriate individuals at TUSDM and the IRB. 63 Outcome Measures Attendance is mandatory for all Advanced Education residents and Master of Science candidates. Upon completion, students will be instructed to complete additional educational requirements as determined by the IRB. Successful completion will result in a grade of Pass for the course. Biostatistics IB: Principles of Biostatistics (DEGR206F) Course Director Dr. Matthew Finkelman 617-636-3449 1 Kneeland St., room 638 [email protected] Friday, 11:30 a.m.-1:00 p.m. (Fall semester) Course Description This is an interdepartmental course for 1st year Advanced Education students and a core course for the Master of Science students. It provides 1.5 graduate credits. This course consists of eight 90-minute lectures, three 60-minute computer sessions, one 90-minute midterm examination, and one 90-minute final examination. It builds on the introductory class that is a prerequisite for this course. The focus of this class is obtaining a deeper understanding of the statistical methodology necessary to perform oral health research. All course material (syllabus, lecture presentations, and assignments) is available on TUSK (www.tusk.tufts.edu). Goals/Objectives The goals of this course are to provide the graduate students with the skills required to read and understand the oral health literature, as well as to be able to perform commonly used statistical tests. By the end of this course the students will be able to: Select the correct test to perform Carry out the statistical analyses Interpret the findings Outcome measures Attendance & participation Problem sets Midterm examination Final examination 10% 30% 25% 35% Note: To receive full credit, all assignments must be turned in when due. 10 points will be deducted for each day late. Clinicopathologic Conferences in Oral and Maxillofacial Pathology (DEGR210F) Michael A. Kahn, DDS – Course Director Department of Oral & Maxillofacial Pathology 617-636-6510 Online course (Fall semester) Description This is an online pass/fail course, intended for first and second year Advanced Education and Master of Science students. The course provides 1.5 graduate credits to MS students. All relevant course material will be uploaded on TUSK. The course will be posted and active on TUSK for a specific time period which will be announced at the beginning of the Fall semester; failure to complete the course by the stated deadline will result in an automatic failure. Course Goals and Objectives 64 This postdoctoral level course in oral and maxillofacial pathology is intended to enhance the postdoctoral dental student’s differential diagnosis skills by building upon their basic knowledge of oral and maxillofacial conditions and diseases. By conducting the online course in a clinicopathologic conference format, based on head and neck lesions’ clinical and/or radiographic appearance, the residents will: be able to identify various lesions of the head and neck area that they are likely to encounter in their practice and establish a differential diagnosis be able to recall critical facts about these lesions that would help them develop an appropriate treatment plan or referral sharpen their critical thinking skills Outcome Measures The course is exclusively online with a pass/fail format. Each student is required to sequentially take each of the course's 9 units. Each unit is composed of a series of unknown cases with a short history provided. Each case has a series of multiple choice questions which must be answered correctly before proceeding to the next unit. Once the student has completed all 9 units successfully the student will earn a passing grade in the course. Management of the Medically Compromised Dental Patient (DEGR211F) Course Director Kanchan Ganda, M.D. Dept. of Public Health and Community Service [email protected] Tuesday 12:00 noon-1:30 PM (Fall Semester) Course Description This is an interdepartmental course, intended for first year Advanced Education and Master of Science students. It provides 1.5 graduate credits to MS students. The intention is for the competent students to apply the patient management skills and guidelines in the day-to-day management of the medically compromised dental patient as they transcend through their clinical training program and beyond. Course content will be derived from Dentist's Guide to Medical Conditions and Complications, Kanchan Ganda, M.D., Wiley-Blackwell publishers. Course Goals and Objectives The educational goal for this course is to provide the student with the knowledge to evaluate systemic health problems and appropriately apply this knowledge in a future clinical setting. At the completion of the course, student will: Recognize the clinical presentation of common systemic conditions and medical emergencies. Understand the deviations from normal. Appreciate concepts of medical management and suggested dental modifications. Understand laboratory tests used to evaluate specific disease states of special interest to the dentist. Recognize and interpret clinical laboratory tests and medical therapeutics associated with common systemic conditions. Be able to identify the need for further investigation and modify dental care, when needed. Outcome Measures Student evaluation is determined by performance on a “case-based” multiple choice examination. A letter grade is provided (A/B/C/F). Temporomandibular Disorders I (Occlusion) (DEGR213F) Course Directors Dr. Noshir Mehta ([email protected]) Craniofacial Pain Center Dept. of General Dentistry 65 Friday 8:00-9:30 AM, September through December (Fall Semester) Description This is an interdepartmental course, intended for first and second year Advanced Education and Master of Science students. It provides 1.5 graduate credits to MS students. Course Goals and Objectives This course is designed to give an overall biologic perspective of dental and craniofacial function. The 16 hours will provide a unique look at the evidence behind the historical concepts and changes taking place in the light of new evidence. The student will learn to look at dental occlusion as individual to each patient that does not change from specialty to specialty. At the completion of the course, student will: Understand the concept of Neuromuscular Physiology of function and dysfunction. Understand the differences in Centric relation, Centric occlusion and neuromuscular occlusions as they apply to the physiology of mastication. Be able to examine patients in a three dimensional maxillo mandibular relationship. Be able to diagnose three dimensional imbalances in the maxillo mandibular relationships. Be able to design treatments for such imbalances based on their own specialties. Outcome Measures Interclass discussions. Final exam, which is a MULTIPLE CHOICE QUESTION EXAMINATION. Questions will cover topics from lectures and handouts. Students are expected to take notes since the handouts may not cover all the exam material. Oral & Maxillofacial Radiology (DEGR214F) Course Director Aruna Ramesh B.D.S., D.M.D., M.S. [email protected] Monday 12:00 noon-1:00 PM, September through December (Fall Semester) Description The Post-Graduate Oral and Maxillofacial Radiology course is an interdepartmental course intended for first year Advanced Education students. It provides 1.0 graduate credit to Master of Science students. The course consists of twelve 60-minute lectures and one 60-minute case-based examination. The course provides a brief overview of imaging in dentistry. The course begins with lectures on radiation physics, biology and protection and proceeds with principles of radiographic interpretation and generation of differential diagnosis. The course also focuses on digital imaging and advanced imaging modalities in dentistry and their interpretation. Most relevant course material is available on TUSK. Course Goals and Objectives: The educational goal of the course is to provide the Advanced Education and Graduate students with pertinent information that will help them understand the basics of digital radiography and advanced imaging modalities in dentistry. The course also includes lectures on principles of radiographic interpretation which will enable them to critically review radiographic pathology and provide a differential diagnosis. The Specific Objectives are for the students to: Understand the intraoral and extraoral digital radiographic system and software program (MiPACS) used at TUSDM so that they are able to carry out their clinical responsibilities efficiently. Understand the basic principles of digital radiography and various advanced imaging modalities available in dentistry today and their applications Understand principles of radiographic interpretation and generation of a differential diagnosis 66 Outcome Measures The student will be evaluated based on the following: Radiographic Assignment: Obtaining a diagnostic Full mouth survey and panoramic radiograph in a patient (constitutes 25% of final grade) Final Examination: A case-based 25 question exam (constitutes 75% of final grade). A letter grade will be provided at the end of the course Topics in Molecular and Cell Biology (DEGR215S) Course Director Dr. Addy Alt-Holland [email protected] Course Description This is an interdepartmental course intended for first year advanced education students as well as graduate students whose research involves cellular and molecular biology techniques. This course provides 2.5 graduate credits. The course includes 11 meetings In addition, there will be one three hours tour (“field trip”) of select Core facilities at Tufts. The classroom lectures are grouped into five units. Units 1-2 focus on elementary principles of cells and genomes and the internal organization of the cell that determines its behavior and function. Units 3-4 explores cell behavior in multicellular systems, and focus on physiologic and pathologic phenomena in epithelial tissues and the immune system. During these units principles of experimental tools for investigating cell behavior and function in the laboratory will be discussed. The tour in selected Core Facilities at Tufts in Unit 5 is designed to enhance the information learned in class by exposing the students to the powerful molecular and cell biology methodologies and tools in advancing scientific and clinical work and also to introduce students to the research capabilities and opportunities at Tufts. Most relevant course material (lecture slides, reading assignments, homework assignments) are available on TUSK. Lectures will be given by Dr. Alt-Holland and invited guest speakers Dr. Thomas Van Dyke and Dr. Toshihisa Kawai (Forsyth Institute, Boston). Outcome Measures Weekly assignments Case presentation and paper Final exam 40% 30% 30% Weekly assignments: After each lecture (and before the beginning of the next one) using the material discussed in class and in the recommended text books, the students will submit 3 multiple-choice questions with one correct answer for each. Students are required to explain the correct answer in a short paragraph (5-8 sentences). Case presentation and paper: Students will select a case/topic that they encountered in the clinic or during literature reading, and prepare a short power point presentation presenting the case and explaining how they could implement the background and tools they learned during the course to better address that issue. The goal of this assignment is to implement the material learned in class in critical scientific analysis of topics/cases that the students are exposed to in their work, and share ideas between classmates that could potentially lead to future collaborations, publications and grant submissions. This presentation should also be summarized in a one page “Research Proposal” that includes the title, case/topic, aim(s), methods/analyses and potential outcomes. A sign-up sheet for selecting the presentation date (in June 16 and June 23) will be circulated at the start of the course. The specific topic choice has deliberately been left flexible so as to allow this assignment to overlap as much as possible with the student clinic/research 67 work or interest. Further details about format and approach of this presentation will be discussed at the beginning of the course. Final exam: This exam will be based on multiple-choice questions that the students submitted in their weekly assignments along with multiple-choice questions written by the course director and guest lecturers. It will be held on our last class meeting. Oral Microbiology (DEGR216A) Course Director Dr. Stanley C. Holt The Forsyth Institute [email protected] Monday/Wednesday 10:00-12:00 PM, July/August (Summer semester) Course Description This is an interdepartmental course, intended for first or second year advanced education and Master of Science students. The course provides 1.5 graduate credits to MS students. Lecture slides and other relevant course material will be posted on TUSK. Course Goals and Objectives: The objectives of this course are to provide an understanding of the role of microorganisms in the progression of dental caries, periodontal and endodontic infections. The course will also discuss the hostparasite relationship, and the mechanisms by which selected bacterial species gain access and cause hostassociated problems. At the end of the course the students will be able to understand: principles of host-parasite relationships the structure and function of gram-positive and gram-negative bacterial species involved in oral infections the role of dental biofilm in oral infections the microbiology of dental caries the microbiology of periodontal and endodontic infections the role of the host in oral infections Outcome Measures: Course outcome measured by two examinations. Class participation is factored into the final grade as 10% of the outcome. A letter grade is provided. Advanced Head and Neck Anatomy (DEGR217S) Course Director Tracy E. Maloney D.M.D., M.S. Dept. of Orthodontics, DHS-12 617-636-6887 Friday 11:30 AM–1:00 PM, January through April (Spring Semester) Course Description This is an interdepartmental course for 1st or 2nd year Advanced Education and Master of Science students. This course provides 2.0 graduate credits to MS students. All of the images for fascial planes and the pterygopalatine fossae as well an online syllabus can be found on TUSK. Course Goals and Objectives: Goal The goal of this course is to educate the resident in the pertinent Head and Neck Anatomy as it relates to the practice of dentistry. The final lecture includes a series of clinical slides which relates the anatomic knowledge to actual clinical cases. Examples: (cavernous sinus thrombosis, fascial plane infections, submandibular infections, submandibular spontaneous bleeding, internal carotid artery/cavernous sinus 68 fistula with Horner’s syndrome as well as tissue lysis along facial veins due to endodontic irrigant injected through a tooth apex.) Objectives The resident will be able to understand: The osteology of the skull, with reference to muscular attachments, cranial nerves and blood supply of the head and neck. (lecture #1) The anatomy of the nasal cavity and ancillary structures, the special sense of smell with emphasis on blood supply to this region.(lecture#2) The anatomy and function of the temporomandibular joint with its relationship to the primary muscles of mastication, temporal and infratemporal regions.(lectures #2,#4) The anatomy of the neck: anterior and posterior triangles and their contents.(lecture #3) The face and parotid regions, with emphasis on the muscles of facial expression, motor branches of CN VII and sensory branches on CNV.(Lecture #4) The blood supply of the head and neck with emphasis on anastomoses as well as end arteries. (lecture #5) The venous drainage of the head and neck. The meninges and venous sinuses particularly the cavernous sinus.(lecture #6) The lymphatic drainage of the head and neck with emphasis on metastasis. (lecture#6) The pterygopalatine fossae, the osteology and connections to other regions of the skull. The path of V2, the pterygopalatine ganglion, CNVII and the 3rd part of the maxillary artery.(lecture #7) The anatomy of the fascial planes, potential fascial spaces and the pathway of infection from the oral cavity to the mediastinum.(lecture#8) The structure and function of the cranial nerves with emphasis on CNV and CNVII.(lectures #7,9,10.11.12) The structure and function of the autonomic nervous system.(lectures#7,9,10.11.12) The anatomy of the orbit (vision).(lecture#8) The anatomy of the oral cavity, tongue, palate, pharynx, larynx and submandibular region.(lectures # 3,4,10) Outcome Measures: Grades are based on a midterm (40%) and final exam (60%). Grades will be recorded as A/B/C or F. Advanced Head and Neck Anatomy, Laboratory Dissection (DEGR218S) Course Director Tracy E. Maloney D.M.D., M.S. Dept. of Orthodontics, DHS-12 617-636-6887 Friday 1:30-4:30 PM, January through April (Spring Semester) Course Description This is an interdepartmental course for 1st or 2nd year Advanced Education and Master of Science students in surgical residency programs. This course provides 3.5 graduate credits to MS students. All of the images for fascial planes and the pterygopalatine fossae as well an online syllabus can be found on TUSK. Course Goals and Objectives: Goal The goal of this course is to train the resident in the dissection of a hemisected human cadaver head. Objectives The resident will be able to dissect, visualize and identify: The osteology of the skull, with reference to muscular attachments, cranial nerves and blood supply of the head and neck. (Lab #1) The anatomy of the nasal cavity and ancillary structures, the special sense of smell with emphasis on blood supply to this region (lab#8) 69 The anatomy and function of the temporomandibular joint with its relationship to the primary muscles of mastication, temporal and infratemporal regions. (Lab #3, #4) The anatomy of the neck: anterior and posterior triangles and their contents. (Lab#5, #6) The face and parotid regions, with emphasis on the muscles of facial expression, motor branches of CN VII and sensory branches on CNV. (Lab #2) The blood supply of the head and neck with emphasis on anastomoses as well as end arteries. (All labs) The venous drainage of the head and neck. The meninges and venous sinuses particularly the cavernous sinus. (All labs) The pterygopalatine fossae, the osteology and connections to other regions of the skull. The path of V2, the pterygopaltine ganglion, CNVII and the 3rd part of the maxillary artery. (Lab #9) The anatomy of the fascial planes, potential fascial spaces and the pathway of infection from the oral cavity to the mediastinum. (Lab#9) The structure and function of the cranial nerves with emphasis on CNV and CNVII. (Lab # 1, 2, 3, 4, 8, 10, 11, 12) The structure and function of the Autonomic nervous system. (Lab #2, 8, 13) The anatomy of the orbit (vision) (lab #11) The anatomy of the oral cavity, tongue, palate, pharynx, larynx and submandibular region (lab# 10, 12) Outcome Measures Grades are based on a midterm (40%) and final exam (60%). Grades will be recorded as A/B/C or F. Biomaterials I (DEGR230F) Course Director Roya Zandparsa, D.D.S., M.Sc., D.M.D Department of Prosthodontics and Operative Dentistry 617-636-2117 [email protected] Wednesday 10:30 a.m.-12 p.m., September & October (Fall Semester) Course Description This is an interdepartmental course for 1st or 2nd year Advanced Education students or Master of Science students who have an interest in dental material properties and applications. The course provides 1.5 graduate credits to MS students. This course is designed to provide background knowledge of the structure and properties of various materials, their composition, chemistry, reaction, biocompatibility and other characteristics. Course Goals and Objectives The educational goal of the course is to give students an overview of the physico-chemical characteristics and potential applications of biomaterials that are widely used in dentistry. At the end of the course, the students are expected to have a background of biomaterials science, so that they: can describe the principal properties of major biomaterials have an overview of materials and their properties have the ability to relate the properties of the materials to clinical technique and efficacy have knowledge of the general composition of biomaterials have the ability to use the basic knowledge acquired from this course to critical thinking in the use of materials on patients’ clinical care. Outcome Measures The final exam will consist of approximately 50 questions devoted to Biomaterials Science I. Questions will be derived from lecture, handouts, and the required text. Examinations are comprehensive and will include questions in all areas pertaining to science of biomaterials and its applications. Mechanism for determination of final grade: Attendance (10 %), Final Exam (90 %). 70 Successful completion of the course is dependent upon achieving a passing grade. The grading scale is as follows: A: A-: B+: B: B-: C+: C: C-: D: F: 96-100 91-95 87-90 83-86 80-82 76-79 73-75 70-72 60-69 <60 Re-examination may be granted in the case of a course failure. The course director is responsible for determining the appropriateness of granting a reexamination. All examinations must be taken as scheduled on the course calendar. Failure to adhere to this policy without an acceptable excuse will be viewed as “unprofessional behavior.” This could result in action by the office of the Academic Dean. In the event of failure to present to an examination, a make-up examination may be administered at a later date if the student is able to present an excuse that is acceptable per TUSDM policies. Changes may occasionally be necessary and will be made at the discretion of the course director. Biomaterials II (DEGR219F) Course Director Roya Zand Parsa, D.D.S., M.Sc. Department of Prosthodontics and Operative Dentistry 617-636-2117 [email protected] Wednesday 10:30 AM-12 PM, October-January (Fall/Spring Semester) Course Description This is an interdepartmental course for 1st or 2nd year Advanced Education students or Master of Science students who have an interest in dental material properties and applications. The course provides 1.5 graduate credits to Master of Science students. In an effort to present Biomaterials as an applied science, the course will be presented on the following lecture topics: An Introduction on Restorative Biomaterials, Composite Resins, Biomaterials of Implant, Dental Cements and Casting Alloys, Impression Materials, Gypsum and Investment Products, Acrylic Resins, and Dental Ceramics. Course Goals and Objectives: The educational goal of the course is to give students an overview of properties and applications of the most commonly used dental materials. At the end of the course, the students are expected to: be able to describe the principal properties of the most commonly used dental materials be able to relate the properties of these materials to clinical technique and efficacy. have knowledge of the general composition of dental materials have the ability to use the basic knowledge acquired from this course to critical thinking in the use of materials on patients clinical care. Outcome Measures There will be approximately 50 questions devoted to Biomaterials Science I. Questions will be derived from lecture, handouts, and the required text. Examinations are comprehensive and will include questions in all areas pertaining to science of biomaterials and its applications. 71 Mechanism for determination of final grade: Attendance (10 %), Final Exam (90 %). Successful completion of the course is dependent upon achieving a passing grade. The grading scale is as follows: A: A-: B+: B: B-: C+: C: C-: D: F: 96-100 91-95 87-90 83-86 80-82 76-79 73-75 70-72 60-69 <60 Re-examination may be granted in the case of a course failure. The course director is responsible for determining the appropriateness of granting a reexamination. All examinations must be taken as scheduled on the course calendar. Failure to adhere to this policy without an acceptable excuse will be viewed as “unprofessional behavior.” This could result in action by the office of the Academic Dean. In the event of failure to present to an examination, a make-up examination may be administered at a later date if the student is able to present an excuse that is acceptable per TUSDM policies. Changes may occasionally be necessary and will be made at the discretion of the course director. Multidisciplinary Approach to the Diagnosis and Management of TMD and Orofacial Pain (DEGR220S) Course Directors Dr. Noshir Mehta ([email protected]) Craniofacial Pain Center Dept. of General Dentistry Friday 8:00-9:30 AM, January through April (Spring Semester) Course Description This is an interdepartmental course, intended for first and second year Advanced Education and Master of Science students. It provides 1.5 graduate credits to MS students. Course Goals and Objectives: This course is designed to introduce the student to the overall aspects of Orofacial pain and Temporomandibular Disorders. It is also designed to look at the biologic interrelationships of the head, face and neck as they relate to dental occlusion and the interdisciplinary approach to chronic pain. At the completion of the course, student will: Understand the scope of the problem of chronic pain in the TMD and orofacial structures. Understand the dentist’s role in head, neck and facial pain. Be able to understand history, symptoms and be able to examine the head, neck and facial structures for pain related problems. Be able to understand the role of biopsychosocial interactions in chronic pain. Be able to interpret radiographs and MRIs of the TM Joint. Be able to understand the interaction of dental occlusion on chronic head, neck, and face pains. Outcome Measures Final exam, which is a MULTIPLE CHOICE QUESTION EXAMINATION. Questions will cover topics from lectures and handouts. 72 Dental Pharmacology (DEGR222S) Course Director Michael L. Thompson, M.S., Ph.D. Dept. of General Dentistry 617-636-3775 [email protected] Thursdays, 12:00-2:00 p.m., April through June (Spring Semester) Course Description This is an interdepartmental course, intended for first year graduate students in clinical residencies, as well as Master of Science students. This course provides 2.0 graduate credits to MS students. All reading materials will be posted to TUSK. Course Goals and Objectives: The educational goal of this course is to provide an update to students on the most commonly used medications in dental practice. Following completion of the course, the student should be familiar with drugs commonly used by dentists and their patients (lectures 2, 3, 4, 8, and 9) able to correctly prescribe analgesics and antibiotics (lectures 2, 8, and 9) able to appreciate the impact of a patient’s medications on dental management (reinforced during each lecture but most specifically in lecture 5 and 10) familiar with important drug interactions and how they affect patient management (reinforced during each lecture but most specifically in lecture 10) Outcome Measures: The grade will be based on the results of 2 written exams which constitute 2/3 of the grade. The remaining 1/3 comes from the daily quizzes. Grades will be letter form. Immunology (DEGR223A) Course Director Dr. Geoffrey Sunshine Tel: 617-488-2303 [email protected] Tuesday/Thursday, 8:00-10:00 a.m., July/August (Summer semester) Course Description The course, intended for first year graduate students in clinical residencies and in the masters program, comprises 9 120-minute sessions: 7 lectures, a review, and exam. Each lecture and review session contains a 10-minute break. This course provides 1.5 graduate credits to MS students. The lectures are grouped into two major sets: first, basic mechanisms in the immune response, which focuses on the key cell types and mediators of the innate and adaptive immune responses. In the second half of the course, problems of immune system function and practical applications of immunological knowledge to different diseases with relevance to the oral cavity are described. Most course materials, particularly lecture slides, are available on TUSK. Where appropriate, selected handouts e.g. recent relevant papers, are provided at the beginning of lectures. Course Goals and Objectives: The educational goal of this course is to provide an understanding of basic and clinical concepts in immunology for professionals who treat oral diseases of any type. Its additional aim is to provide graduate students with a grasp of new and fundamental immunological information–such as the importance of the level of CD4+ T cells in HIV positive individuals and how to treat autoimmune diseases--that has permeated every aspect of contemporary society. The specific objectives for the students are: know the roles of the key cells, receptors, and mediators involved in immune defenses; 73 understand the difference between innate and adaptive immunity, and know how innate and adaptive immune systems interact; understand the difference between immunity mediated by T and B lymphocytes, and know the functions of different classes of antibody molecules; understand how antibody molecules are used to treat diseases; understand the role of major histocompatibility complex (MHC) gene products in the immune response; be able to distinguish between the function of CD4+ and CD8+ T lymphocytes in the immune response to pathogens; understand the different roles of subsets of CD4 + T cells; have developed an understanding of how and why vaccination prevents disease; recognize why we are tolerant to “self”, and how tolerance breaks down in autoimmunity; appreciate the consequences of faulty immune responses in hypersensitivity conditions and immune deficiency syndromes; understand the unique features of secretory immunity and osteoimmunology (interactions of the immune system with bone cells), and know the immune responses involved in some periodontic and endodontic diseases. Outcome Measures: Students will be evaluated based on the outcome of the exam taken in the final session. The final grade will be a letter (A/B/C/F). The review session prior to the exam will include information on the exam format, which in previous years has predominantly been a multiple choice test. Examples of the types and level of multiple choice questions to be found in the test are provided at the end of each chapter in the recommended textbook. Students who fail the course or who receive a C grade and wish to improve their grade will be allowed to take a re-examination. The format of the re-examination is at the discretion of the course director but previously has involved essay writing. Re-examination grades are final and cannot be higher than B-. Students who fail the re-examination will be required to retake the course. Applied Nutrition in Dentistry (DEGR224A) Course Director Carole A. Palmer Ed.D., R.D., L.D.N. Head, Division of Nutrition and Oral Health Promotion Department of Public Health and Community Service 617-636-6808 [email protected] Monday/Wednesday 11:30 a.m.-1:00 p.m., July (Summer semester) Course Description This course is designed for Advanced and Graduate Education students who should have had some basic nutrition education in their prior academic career. The course provides 1.0 graduate credit to MS students. During the course, we will review current nutrition guidelines and standards, show how they relate to dentistry at various stages of the life cycle, and discuss how they can be applied to improve general and dental health for oneself, family, and patients. Course Goals and Objectives Goals To provide a review of the principles of applied nutrition, including recent advances in nutrition and disease prevention and nutrition goals for health promotion. To provide the student with an understanding of the relationships between nutrition and oral health through the life cycle. To provide students with a methodology and experience in conducting a diet screening and evaluation and providing diet counseling to appropriate patients. Objectives After participating in the Clinical Nutrition Course, the student will be able to: 74 Discuss how diet and nutrition can affect and be affected by oral health. Discuss the underlying rationale for the development of dietary standards and their current status including: Recommended Dietary Allowances, Dietary Guidelines, new labeling laws. Discuss the pertinent nutrition issues common to dental patients throughout the life cycle Discuss the role of nutrition in the management of specific disorders such as oral cancer, AIDS, diabetes mellitus, and eating disorders. Describe the important components of diet assessment and counseling for dental patients. Outcome Measures Students will receive a letter grade for the course, which will be based upon one written quiz, in-class presentation, written paper, as well as class attendance and participation. Bone Biology (DEGR231S) Course Director Jake Chen, D.D.S., Ph.D. Room 643, DHS 617-636-2729 [email protected] Tuesday 12:00 noon-1:00 PM, January through April (Spring Semester, every other year) Course Description This is an interdepartmental course, intended for first and second year Advanced Education and Master of Science students. It provides 1.0 graduate credit to MS students. Each lecture will contain three major components: (1) a review of basic and classic knowledge on the topic; (2) updates of the latest development of research in the area, and (3) relevance to dental research of different disciplines. Course Goals and Objectives The educational goal of this course is to provide the advanced education students with an overview of structures of mineralized tissues including bone, cartilage and tooth. It will also discuss the differentiation of a variety of bone cells including osteoblast, osteocyte and osteoclast. Bone genes expression and regulation and signal transduction pathways will also be covered. Translational studies in this area, e.g., regenerative dental medicine, bone tissue engineering, osteonecrosis of the jaw and osseointegration of implants will be briefly introduced. At the completion of the course, students will: be familiar with the basic biology of bone and other mineralized connective tissues including enamel, dentin and cementum, at both morphological as well as cell and molecular biological levels be exposed to the basic science research in this rapidly moving area be involved in active and creative thinking in generating testable hypothesis and appropriate methodology for their future research in their respective dental specialties and disciplines. Outcome Measures A letter grade will be provided, which will reflect student performance in the final examination (70%), attendance (20%) and class participation (10%). Growth and Development (DEGR232F) Course Director Dr. Barry Briss, Orthodontics Dr. Stanley A. Alexander, Pediatric Dentistry Monday, 8:00–9:30 AM, September-December (Fall semester) Course Description 75 This is a one-credit, interdepartmental course intended for first year post-graduate residents; required for residents from the Orthodontic and Pediatric Dentistry departments and open to Master of Science students and other Advanced Education departments. It consists of 8 weekly lectures and one final exam. The course is designed to provide the Advanced Education student with in depth knowledge of growth and development of the craniofacial complex, jaws, and teeth. Upon completion of the course, the student should: 1. Understand somatic growth and postnatal human development. 2. Understand the psychological make-up of the child and adolescent. 3. Know the processes and theories regarding facial growth. 4. Know the development of the dentition and arches. 5. Be able to assess growth with the various means available. 6. Understand endocrinology of the growing child and be aware of normal and pathological changes due to altered glandular control. 7. Be familiar with dysmorphogenesis. Proficiency in this course will be attained after the participation and completion of the required seminar presentations, objective written examination, and through the application of growth and development principles during patient care. A letter grade will be provided( A/B/C/F). Goal of Course To provide the student/resident with in-depth knowledge of the growth and development of the jaws, dentition, face and craniofacial complex. To provide the student/resident with the skills and ability to apply this knowledge, in a clinical or academic setting in the diagnosis, treatment planning, and treatment of the orthodontic and/or pediatric dental patient. Objectives of Course To provide the student/resident with the knowledge to and understanding of normal and abnormal growth of the jaws, dentition, face and craniofacial complex. To provide the student/resident with the ability to distinguish between normal and abnormal craniofacial and dental growth and development. To provide the student/resident with the knowledge of those factors which can modify and influence the growth of the jaws, dentition, face and craniofacial complex. To provide the student/resident with the skills to assess the growth stages of the orthodontic/pediatric dental patient and to plan the appropriate timing and sequencing of treatment. Attendance Policy The course attendance is strongly encouraged. Students are responsible for the contents of each lecture, even if they are absent. Course hand-outs will be given at each lecture and are pertinent study materials along with the suggested reading list and textbooks used on the final exam. If a student is absent (unexcused or excused) more than 3 lectures, he or she will be required to retake the course the following year. Outcomes assessment One final exam will be given at the end of the course to evaluate each student. The multiple choice exam will provide grades on a A,B,C,F format and will be based on attendance, lecture hand-outs, and the 76 provided reading list from textbooks and literature. Online course evaluations will also be offered at the end of the course. Dental Sleep Medicine (DEGR233S) Course Director Dr. Leopoldo Correa Thursday, 12-1:30 p.m., September-December (Fall semester) This is an interdepartmental course, consisting of 11 hours of lecture and 6 hours of rotation. It provides 1.5 graduate credits. Neuroanatomy, Neurophysiology & Neurological Assessment of Orofacial Pain (DEGR234F) Course Director Dr. Steven Scrivani Tuesdays 8:00-9:30 a.m. (Fall semester) Course description This is an interdepartmental course which will review the pertinent neuroanatomy and neurophysiology of the head, face and neck region with particular attention to the trigeminal system. In addition, the course will cover the comprehensive diagnostic evaluation of a patient with orofacial pain with particular attention to the neurological assessment. The differential diagnosis of orofacial pain will also be reviewed. It provides 1.5 credits. Pain Assessment & Management (DEGR235F) Course Director Dr. Ronald Kulich Monday, 8-9:30 a.m. September-December (Fall semester), plus alternative scheduled sessions for outof-class lectures and clinical assessments. (Please contact instructor to review expectations for out-ofclass assignments) Course description This is an overview course of the current clinical science with respect to biobehavioral factors in the assessment and treatment of chronic pain conditions. Several guest lecturers and discussants are included in the program. With updates from the current scientific literature, the content is based on the International Association for the Study of Pain Core Curriculum. The course topics address areas of key competency required for Pain Medicine and related board certification exam content. This program also is designed to meet program criteria for the orofacial pain fellowship program Case-based discussions are included to aid the student in integrating course material into their clinical training and practice. Students also are required to complete competency assessments within the Craniofacial Pain and Headache Center at Tufts School of Dental Medicine. Outcome measures Multiple choice examination covering course content: 30 points Class attendance: 20 points Facial Pain and Headache Grand Rounds Attendance: 30 Points (2 points per lecture: maximum 15 lectures) Two within-clinic psychological assessments covering a minimum of 80% required content: 10 points each Academic Pain Lectures outside of Tufts (see instructor for list):3 points per lecture, maximum 3 lectures Physical Medicine for Craniofacial Pain (DEGR236S) Course Director Dr. George Maloney Orthopedic & Neurological Assessment of the Cervical Spine & Upper Extremity (DEGR237S) 77 Course Director Dr. William Cooke Tuesday, 8-9:30 a.m. September-December (Fall semester) Course description This course is designed to train the graduate dental medicine specialist in the anatomy and physiology of the cervical spine and upper extremity region. It will also train the clinician in the proper history and physical examination techniques for the comprehensive evaluation of patients with craniofacial pain and headache disorders. It provides 1.5 graduate credits. Pharmacotherapeutics for Pain (DEGR 238F) Course Director Dr. Steven Scrivani Thursday, 8:00-9:30 a.m. (Spring semester) Course Description This course will review and update the following areas of pharmacotherapeutics for dentistry: Anatomy and physiology of acute and chronic pain Pharmacological principles Pharmacological management of acute and chronic pain Analgesic therapy for common orofacial pain disorders Side effects and contraindications of pharmacotherapy for pain Common drug-drug interactions Course Objectives To review the mechanism for acute and chronic orofacial pain To update the pharmacological management of orofacial pain To review and update the drug-drug interactions in common dental practice Biology of Saliva & Salivary Glands Course Director Dr. Driss Zoukhri Day and time TBA (spring semester) Course Description This course will give students an understanding of the fundamental biology of the salivary glands, the health benefits of saliva, and the etiology, pathogenesis, and impact of salivary gland diseases on oral health. The course will cover the regulation of salivary gland physiology ranging from development to neural and hormonal control of salivary output. Emphasis will be put on salivary gland diseases as well as current and emerging treatments using tissue engineering and stem cells. The potential use of saliva as a diagnostic tool not only for oral diseases but for other systemic diseases will also be discussed. Course Goals and Objectives Outcome Measures Master of Science Courses Critical Evaluation of Scientific Literature (DEGR302F) Course Director Dr. Paul Stark Wednesday, 4:30-6:30 p.m. September-December (Fall semester) Course Description 78 This course consists of ten 2-hour seminars. During each seminar, one article selected by the course director is discussed in detail and critiqued based on a series of questions (see addendum A, paper critique template). Only articles from peer-reviewed journals are selected, from the dental as well as the biomedical literature. The format of the seminar is a discussion among all students. This is core course intended for Master of Science students and provides 2.0 graduate credits. Most relevant course material (reading assignments, homework assignments) is available on TUSK. In addition, selected handouts may be provided at the beginning of each lecture. Course goals and objectives This course will discuss the methods for evaluating the merit of a scientific paper. Emphasis will be placed on the design of the study, the analysis of the data collected, and the interpretation of these data. Upon completion of the course, students should be able to critically evaluate manuscripts published in peerreviewed scientific journals. Outcome measures Participants will be graded based on: Class participation Written critiques 50% 50% Research Methodology (DEGR205A) Ms. Jessica Goetz, MPH Tuesday/Thursday, 10:00 a.m.-11:30 a.m., July (Summer semester) Course Description This is an introductory course discussing the practical considerations for designing and conducting a research project. It consists of 8 90-minute meetings. Its focus is on how to start with an idea and have it progress through the different stages of the research process, from devising a research question to conducting the study and writing-up the results. Information on available library resources and the IRB process will also be covered. No prior exposure to research will be assumed. This is core course intended for Master of Science students and provides 1.0 graduate credit. Course goals and objectives In this course, students will acquire an understanding of the process of conducting dental research. Participants will be able to apply the scientific process to an idea and turn it into a research project. Completed homework assignments from this course will culminate in a strong research proposal draft. Outcome measures Six homework assignments (90%) Class participation and attendance (10%) Integrated Research Experience (DEGR2241F, 241S) Ms. Jessica Goetz, MPH Tuesday, 12:30-2:00 p.m. September-December, January-April (fall and spring semesters) Course Description Course goals and objectives Outcome measures Epidemiology & Biostatistics II (DEGR301S) Dr. Matthew Finkelman 79 Dr. Wanda Wright Course Description Biostatistics component: This is a practical course that covers advanced statistical techniques needed to conduct and understand dental research. We discuss how to select the appropriate statistical technique, perform the analysis, and interpret the results. Students will also receive hands-on practice using the statistical software SPSS. Epidemiology component: The epidemiology component will provide a basic and broad overview to clinical research. The student will gain an understanding of how to develop clinical research questions including protocol design and the factors that should be considered in initiating a clinical research study. Prerequisites Each student should have successfully completed an introductory Biostatistics and epidemiology course and have begun to plan a research project. Readings Students will receive weekly optional readings in the Biostatistics portion of the class. Content This course will extend and advance the material covered in Biostatistics I and Epidemiology. Biostatistics topics include two-way ANOVA, logistic regression, the Kruskal-Wallis test, advanced categorical data analysis, SPSS, and how to randomize subjects. Epidemiology topics include the recruitment of study participants, regulatory issues, data management, and defining measures and instruments. Each student will do a short presentation about his/her research project. Expectations: 1. Attend all lectures and actively participate in class discussions. 2. Demonstrate an understanding of the material on assignments, the thesis design presentation, and the final examination. Performance Evaluation: Participants will be graded based on: Attendance & class participation Homework Thesis design presentation Final examination 10% 20% 20% 50% Note: To receive full credit, all assignments must be turned in when due. 10 points will be deducted for each day late. 80 APPENDIX A Department pages Graduate Programs Master of Science Dental Distance Education—Master of Science Advanced Education Certificate Programs Craniomandibular Disorders & Orofacial Pain Endodontics General Practice Residency Oral & Maxillofacial Surgery Orthodontics Pediatric Dentistry Periodontology Prosthodontics 81 MASTER OF SCIENCE PROGRAM Tufts University School of Dental Medicine offers a program of study and research leading to the degree of Master of Science to all scholars qualified to proceed into graduate study. Applicants must hold an approved bachelor’s degree or the equivalent, may or may not hold a dental degree, and may or may not be interested in dental specialization. Evidence must be shown of excellent scholarship, research potential, and a career interest in academic dentistry. The Master of Science program is a two year program combining a rigorous academic curriculum comprised of at least 22 credits of didactic study with 18 credits of thesis scholarship and research, leading to the degree of Master of Science in Dental Research. Administration Paul C. Stark, M.S., Sc.D. Director, Division of Advanced and Graduate Education 617-636-3743 [email protected] Susan Brown Staff Assistant 617-636-3753 [email protected] The Office of Advanced and Graduate Education is located at 75 Kneeland St., Suite 105. Application procedures Candidates may apply to the Master of Science program only, or pursue the degree concurrently with one of the postgraduate specialty certificate programs. Candidates who wish to pursue a Master of Science degree concurrently with a specialty certificate or fellowship program may apply to the Master of Science program during their first year of residency, or apply to both during the admissions process. To apply during residency, candidates should provide the Director of Advanced and Graduate Education with a completed application, (available on request from the Office of Advanced and Graduate Education), a letter of support from his or her program director or department chair, and a current TUSDM transcript. While as a general rule grades should be B or better, students applying to the MS program are permitted to have one grade of C, if there is evidence of superior performance in other courses. The applications of students who have two or more grades of C will be considered on a case by case basis, and such students may be admitted provisionally. The deadline for application is March 1, for matriculation on July 1. Individuals may also choose to pursue the Master of Science degree without also taking part in a specialty certificate program. Such individuals should provide the Director of Advanced and Graduate Education with a completed application, letter of intent, current CV, and transcripts from the institutions of higher education attended. TOEFL scores, when appropriate, are also required. The minimum TOEFL score is 90 on the internet based test, with a minimum of 25 on the written section, 24 on the spoken section, 21 on the reading section and 17 on the listening section. The International English Language Testing System (IELTS) exam may be substituted for the TOEFL, with a minimum score of 7.0. Candidates should apply by March 1 of the year they wish to matriculate. As of July 2011, TUSDM offers a combined Doctor of Dental Medicine/Master of Science program. The program will allow a select group of D.M.D. candidates the opportunity to enroll in the Master of Science program, earning both degrees in five years. First year students in good standing are welcome to apply. A mentor and research project must be identified and students should have a minimum GPA of 3.0. Two letters of recommendation and a personal statement should be submitted with the application. Program Length 82 The Master of Science program a minimum of two years with a maximum of five. Individuals enrolled concurrently in specialty-Master of Science program take a minimum of three years to successfully complete both components. It should be noted that, while some courses count toward both the specialty certificate and the Master of Science degree, the Master of Science program is independent and students should plan their schedules to ensure that they will have time to both attend classes and perform their research. Program Cost Students taking part in the Master of Science program only are charged the customary tuition rate for two years. Students concurrently enrolled in a certificate program will be charged an additional 25% of tuition for the two years they are enrolled in the Master of Science program. Students who do not complete the program in two years will be charged a continuation fee, which will be a percentage of the tuition fee, determined by status and prorated by quarter. Continuation Status If at the end of two years a Master of Science student has at least 18 didactic credits and 4 thesis research credits, he or she is eligible to enroll quarterly under continuation status for up to an additional three years, rather than enroll full-time (and at full tuition). Per the recommendation of the student’s advisor, continuation status can be full-time, half-time, or part-time, and costs will be assessed accordingly. Quarters are approximately 11 weeks in length and correspond to the four degree dates (September, November, February and May). Fees will be assessed and charged by quarter, as follows: Full-time: 25% of tuition per quarter Half time: 12.5% of tuition per quarter Part-time: 5% of tuition per quarter International students International students may have to register as full-time and pay the higher cost owing to visa requirements, even if not in residence full-time while on continuation status. Registration Students matriculating in the Master of Science program must fill out a Registration form for every year he or she is enrolled in the program, whether full or part-time. Registration in the Master program is separate from registration in any other program. Registration is for one year. 83 Activity Select advisor Deadline November 1 – year 1. Advisor's primary appointment should be TUSDM Select committee and thesis topic November 1 – year 1. Committee should consist of at least three other members, all can be from TUSDM. It is strongly recommended that one member be a statistician, or that when necessary, content is reviewed by a statistician. Meet with full committee, develop research proposal December 1-year 1. Submit 3-5 page Research Proposal to Office of December 1–year 1. Advanced and Graduate Education, to be presented to AGEC for approval Develop Research Protocol Winter – year 1. A protocol with a clear background, hypothesis, materials and methods and statistical analysis section should be developed. Defend Research Proposal to Thesis Committee Spring – year 1. Proposal documents and room assignments should be distributed to committee and Office of Advanced and Graduate Education at least one week before defense date. Submit application to IRB (for research on human subjects or teeth) or IACUC (if animal subjects are being used). No research may begin before approval. Conduct research Spring – year 1. Work with Department of Dental Research Administration on IRB submission. Schedule Thesis Committee meetings At least once every 4 months. Present research at Research Day June – year 2. Conduct thesis defense June 30, year 2. Thesis documents and room assignments should be distributed to committee and Office of Advanced and Graduate Education at least one week before defense date. Summer – year 1 and throughout year 2. 84 Benchmarks While students should make every effort to adhere to the deadlines detailed above, the Office of Advanced and Graduate Education acknowledges that it is not always possible. However, the following benchmarks will be strictly enforced: Master of Science students must submit a research proposal to the Advanced and Graduate Education Committee by June 30 of their first year in the program. Those who do not will not be permitted to enroll in classes for the next semester (summer). Master of Science students must complete the protocol defense by December 31 of their second year in the program. Those who do not will not be permitted to enroll in classes for following semester (spring). Forms All forms that students need to submit to the Office of Advanced and Graduate Education can be obtained at the office (75 Kneeland St., suite 105), or found on TUSK (www.tusk.tufts.edu). The Advisor A faculty member is selected by October 1 of the first year to serve as Advisor. Only a TUSDM faculty member with an appointment of Assistant Professor or above, with significant research experience, is a suitable choice for principal advisor. (A full-time faculty member from TUSDM or another institution who does not have these qualifications may still serve as co-advisor, along with an appropriate TUSDM faculty member). The Advisor serves as the Chair of the student’s thesis committee, mentors the student, assists the student in identifying and pursuing a research topic, and in preparation of the thesis. The Thesis Committee The function of the thesis committee is to work with the student regarding: selection of courses pertinent to the objectives of the student’s educational program evaluate the thesis research proposal consultation and advice on research design, methods and techniques critical review of the research in progress consultation and advice on thesis writing attendance at the thesis defense Students should work with the advisor to identify and select the thesis committee. The committee must have at least three members, (your advisor does NOT count as a member of your committee). One committee member should be a statistician. Any faculty member with a rank of Assistant Professor or above may serve on the thesis committee. Once the committee is established, submit a signed “Advisor/Committee Acceptance Form” to the Office of Advanced and Graduate Education. Progress Reports Master of Science students are encouraged to meet with their committee frequently, but MUST meet with the committee before submitting the Research Proposal for approval to the Advanced and Graduate Education Committee. After that, plan to meet with your full committee at least once every four months. Meetings must be in person. Students should bring a Progress Report Form to the meeting and submit the signed progress report to the Office of Advanced and Graduate Education. During a student's course of study and research, all members of the Thesis Committee should be available for consultation and advice. In order to facilitate communication, a dedicated group is set up in TUSK as soon as the advisor and committee are selected. Students are encouraged to use this resource for informal discussions and feedback with their committee on their work in progress. 85 Course Requirements and Credit The Master of Science program requires a minimum of 22 didactic credits and 18 research credits, for a total of 40 credits. One credit is equal to 12 contact hours. Individual programs of graduate study and research should be developed by the student in close collaboration with his or her advisor. The following 8 core courses (a total of 13.5 credits), are required for all Master of Science students: Biostatistics IA Biostatistics IB Biostatistics & Epidemiology II Epidemiology & Critical Thinking in the Practice of Dentistry Integrated Research Experience Critical Evaluation of Scientific Literature Successful Research Strategies Research Methodology 1.0 1.5 2.5 1.5 3.0 2.0 1.0 1.0 credit credits credits credits credits credits credit credit The remaining 9.5 didactic credits may be taken as electives. Graduate level courses are available at the School for Dental Medicine, the School of Medicine, the Sackler School of Biomedical Sciences, the Nutrition School and Tufts University Graduate School of Arts and Sciences. Students should be guided by their research interests and thesis topic when designing an elective curriculum. It is also possible to undertake a program of independent study, for up to four credits. Contracts for independent study must be approved by the Director of Advanced and Graduate Education and filed in the Office of Advanced and Graduate Education. Research Students are required to obtain a minimum of 18 research credits. Credits are awarded as follows: Thesis Research Research Day Research protocol Thesis document Thesis defense 6 2 2 4 4 credits credits credits credits credits Research Funds The Office of Advanced and Graduate Education can assist students in obtaining materials, services or software that is unavailable at the Dental School and is necessary for their research. Up to $1,000 worth of such materials may be purchased on the students’ behalf. The Research Proposal must be approved prior to making your request. These funds may not be used for editing services, to defray costs associated with ordering bound thesis copies, or for travel to conferences. Research Days The Division of Advanced and Graduate Education holds a Research Day in early June for Master of Science candidates who are either enrolled as Master of Science students only, or who are enrolled concurrently with an Advanced Education program that does not have its own research day. Oral presentations are given, with the top presenters going on to present at an interdepartmental research day at the end of June. Representatives from postgraduate departments will give oral presentations. Participation at Research Day is mandatory for Master of Science students, whether it is to present or to attend. Performance is not graded, credit is given. Credit will not be given if the student does not attend, or if his or her presentation is found to be below standard for a graduate student. 86 Writing Requirements There are 5 documents that students need to write while in the Master of Science program: 1) Research Proposal 2) Research Protocol 3) IRB application 4) Thesis 5) Manuscript, to be submitted to a peer-reviewed journal. All work that a student produces must be original. If a student wants to utilize material that has been published elsewhere, then that material needs to be referenced. Taking credit for another’s work without the appropriate reference is considered plagiarism, a serious ethics infraction. A useful reference source is “MLA Handbook for Writers of Research Papers”. All documents prepared by the student should be double-spaced, using Times New Roman 12point font, with page numbers in the lower right corner, except where specified. There is a significant amount of overlap between the 5 documents, as outlined in the table below. The manuscript is not included in the table, as its requirements are specific to the journal. 87 Section Length Abstract Introduction Significance Aim(s) Hypotheses Research Design and Methods Research Proposal 3 – 5 pages NA 1- 2 pages Short literature review Concise statement Research Protocol 20 – 50 pages NA 5- 20 pages Expanded literature review Alternative only 1 – 2 pages Future tense Design and brief methods Inclusion/exclusion, recruitment Concise statement IRB Protocol Thesis 5 – 15 pages NA 1 – 2 pages Similar to Research Proposal Concise statement Alternative only 2 – 5 pages Future tense Similar to Research Protocol Similar to Research Protocol Similar to Research Protocol Analytic plan NA 30 – 70 pages 350 words 5 – 20 pages Similar to Research Protocol Concise statement Variables Outcome Statistical Analysis Results NA NA Alternative only 2 – 5 pages Future tense More detailed methods Add sample size calculation Add predictors and confounders Analytic plan NA Descriptive Results NA NA NA Analytic Results NA NA NA Discussion NA 1 – 3 pages Future tense NA Discussion of Results NA Hypothetical discussion of potential implications of findings NA Limitations NA NA NA Future Research NA NA NA Conclusion NA NA NA Timeline Budget References Tables & Figures Appendices IRB Forms 0.5 pages 0.5 pages Sequential order NA NA NA NA NA Sequential order As needed As needed NA NA NA Sequential order NA NA As needed Study Design Study Sample Alternative only 2 – 5 pages Past tense Revise as needed to accommodate changes that took place during study implementations. Change to past tense. 3 – 10 pages Describe study sample Results of statistical analysis 3 – 10 pages Past tense Discussion based on results. Interpretation of findings. Comparison to other work. Discuss any weaknesses Suggestions for future research 0.5 – 1 page summary of the “take-home” message NA NA Sequential order As needed As needed NA Note: Some additional sections are required for the IRB application that are not listed above. For a complete list, visit the IRB website at: http://tnemcirb.tufts.edu/ 88 1) The Research Proposal (3–5 pages) This proposal is a three to five page document which is submitted to the Office of Advanced and Graduate Education and reviewed by the Advanced and Graduate Education Committee. The Research Proposal should be submitted electronically (via email) to the OAGE. The advisor should be copied on the email. The AGEC reviews the feasibility and merit of the proposed research before the student initiates any research activities. The structure of the Research Proposal is as follows: Student’s name and department Proposed title Advisor’s name Introduction: Literature Review and Significance of Research (1–1.5 pages) Discuss the problem to be investigated as well as the rationale for this research. Describe the current body of knowledge on the topic and how the research project adds to it. Specific Aims and Hypothesis (0.5 pages) State what the research is expected to accomplish. Include the hypothesis and specific objectives of the project. Your aims should contain some comparative words. Research Design and Methods (1–2 pages) Include an overview of the experimental design and a description of methods for how the data will be collected, analyzed and interpreted. State the primary outcome and how it will be measured. Be sure to describe the study population and state the inclusion and exclusion criteria. Timeline (0.5 pages) Describe the process required to satisfactorily complete the proposed research project and estimate the amount of time needed to complete each step. Budget (0.5 pages) Estimate the costs associated with the research project and how those costs will be covered. References (length as needed) Cite every article mentioned in the Research Proposal. References should be denoted by a superscripted number, ordered consecutively in the order that they first appear in the document. Each reference must contain the name of the author(s), the title of the paper, the name of the publication, the volume, date and page range. If the project is approved by the AGEC, then the student can move on to preparing the Research Proposal. 2) Research Protocol (20–50 pages) The Research Protocol is a comprehensive, 20-50 page document that describes, in detail, the justification for the proposed research project, the current body of knowledge on the topic and how the research adds to that body. In addition, the Research Protocol describes the exact process that will be followed for conducting the study and analyzing the data collected from the study. The structure of the Research Protocol is as follows: Title page (1 page) Project Title Student’s name and department Names and titles of all members of thesis committee (1 page) Table of Contents (length as needed) List of Tables, if appropriate (length as needed) 89 List of Figures, if appropriate (length as needed) Main Body of Protocol Introduction: Literature Review & Significance of Research (5 – 20 pages) Discuss the problem to be investigated as well as the rationale for this research. Describe the current body of knowledge on this topic and how this research project adds to it. Make a case for why this research should be conducted. Include a discussion of all pertinent work and reference all articles discussed. Specific Aims and Hypothesis (1 page) A thorough discussion of what the research is expected to accomplish. Include the hypothesis and specific objectives of the project. Research Design and Methods (2–5 pages) Include a detailed description of the experimental design and the methods for data collection. State the primary outcome and how it will be measured. Be sure to describe the study population and state any inclusion and exclusion criteria. A detailed discussion of the statistical analysis and interpretation is required. In addition, reference every instrument or device that is used throughout the course of the project. The power calculation and sample size justification should be included in this section. Discussion (1 – 3 pages) Describe the potential impact of the study. Include the ramifications of the study findings being significant or not. References (length as needed) Cite every article mentioned in the Research Protocol. References should be denoted by a superscripted number, ordered consecutively in the order that they first appear in the document. Each reference must contain the name of the author(s), the title of the paper, the name of the publication, the volume, date and page range. After the student has written the Research Protocol, he or she needs to defend the protocol during a 30 minute oral PowerPoint presentation to the Thesis Committee. At least 1 week prior to the proposal defense, the student needs to circulate the Thesis Protocol to the Thesis Committee and the Office of Advanced and Graduate Education. Failure to do so may result in a postponement of the proposal defense. After the oral presentation, the Thesis Committee examines the student on his or her knowledge of the subject matter and the proposed research project. If the student successfully passes the Oral Protocol Defense, then the student meets with representatives from the Department of Dental Research Administration to prepare the necessary paperwork (IRB or IACUC application) to begin the study. After the study has been approved, the student can undertake the research project. Every three to four months the student is required to hold a Thesis Committee Meeting, where all members of the Thesis Committee meet with the student and are updated as to the progress of the research. After the research has been completed, the student will write and defend the Thesis. 3) The Thesis The thesis is a culmination of an original investigation leading to new information. The thesis should characterize, in a scholarly manner, the importance of this information as it applies to the field of study. The thesis should reflect the methodology, techniques, statistics and literature background used, as well as scientific logic necessary for acceptance of the results and conclusion. At least 1 week prior to the thesis defense, the student needs to circulate the Thesis to 90 the Thesis Committee and the Office of Advanced and Graduate Education. Failure to do so may result in a postponement of the thesis defense. The structure of the Thesis is as follows: Title page (1 page-centered) Project Title Student’s name “Thesis submitted in partial fulfillment of the requirement for the degree of Master of Science” Tufts University Seal “Tufts University School of Dental Medicine” Student’s department Names and titles of all members of thesis committee (1 page) Abstract (1 page–350 words or less, double spaced) Acknowledgments (optional) Table of Contents (length as needed) List of Tables (length as needed) List of Figures (length as needed) Main Body of Thesis Introduction: Literature Review and Significance of Research (5 – 20 pages) Discuss the problem that was investigated as well as the rationale for this research. Describe the current body of knowledge on this topic and how this research project adds to it. Make a case for why this research was conducted. Include a discussion of all pertinent work and reference all articles discussed. Specific Aims and Hypothesis (1 page) A thorough discussion of what the research was expected to accomplish. Include the hypothesis and specific objectives of your project. Research Design and Methods (2 – 5 pages) Include a detailed description of the experimental design and the methods for data collection. State the primary outcome and how it was measured. Be sure to describe the study population and state any inclusion and exclusion criteria. A detailed discussion of the statistical analysis and interpretation is required. In addition, reference every instrument or device that was used throughout the course of the project. The power calculation and sample size justification should be included in this section. Results (3 – 10 pages) Present the findings generated from the research. The findings should be presented both in paragraph form and as tables or figures. Discussion (3 – 10 pages) Describe the implications of the findings presented in the Results section. Put the findings of this study in context of other similar studies. Be sure to include a subsection for Limitations. Conclusion (0.5 – 1 page) Describe the overall ramifications of the research project. State what can be deduced from the project as a whole. Include a discussion of the next steps for future work. 91 References (length as needed) Cite every article mentioned in the Thesis. References should be denoted by a superscripted number, ordered consecutively in the order that they first appear in the document. Each reference must contain the name of the author(s), the title of the paper, the name of the publication, the volume, date and page range. Appendix (or Appendices, as needed) The Appendix is for material that may need to be included, but does not coincide with any specific section of the Thesis. For example, if a questionnaire was used for data collection, a copy of the questionnaire should be included in the Appendix. Spacing and Margins All text material and preliminary pages, including the abstract should be double-spaced. Notes, bibliographic references, and long quotations may be single-spaced. The document should be arranged as if it were to be single-sided. The left margin should be 1½ inches wide, the right margin, as well as top and bottom margins, should be one full inch. Pagination The title page would be lowercase Roman numeral “I” but is not typed. Subsequent pages should be typed as “ii”, “iii”, etc., until the thesis proper is reached. The first page of the thesis proper is Arabic “1” and repeats the title only. Pagination appears within the one-inch margin recommended about ¾” from the top and right-hand edges of the paper or ¾” from the bottom edge of the paper, centered. Pagination that includes pages such as “10a”, “10b”, etc., should be avoided. Style and Documentation It is crucial that theses written by students at the Tufts University School of Dental Medicine have a consistent style. As a result, all theses should adhere to the American Medical Association Style format. More information about the specifics of the style can be found at www.amamanualofstyle.com, and a copy of the AMA Manual of Style is available in the Office of Advanced and Graduate Education. All questions of style and technique should be discussed with the Office of Advanced and Graduate Education and resolved before the preparation of the final thesis document. Thesis Defense After the student has written the Thesis, he or she needs to conduct a thesis defense--a public, 45 minute oral PowerPoint presentation. The Thesis Committee should all be in attendance. At least 1 week prior to the thesis defense, the student needs to circulate the Thesis to the Thesis Committee and the Office of Advanced and Graduate Education. Failure to do so may result in a postponement of the thesis defense. After the oral presentation, the Thesis Committee examines the student on his or her knowledge of the subject matter and the research project. The following four learning outcomes should be achieved: Ability Ability Ability Ability to to to to critically evaluate scientific literature independently conduct a research study interpret the results of an experiment contextualize conclusions Copyright Information The thesis is considered published once it has been placed in the university archives. If the material has not been copyrighted, it is placed in the “public domain,” which means that the material may be copied, sold, or used without permission of the author and with no payment to the author. If the writer’s intent is to commercially publish the thesis, use it as a basis for future articles or otherwise try to profit from its content, the material should be copyrighted. University 92 Microfilm International (http://www.umi.com) maintains pertinent copyright information and can provide information on intellectual property issues. During the electronic submission process, students may have ProQuest/UMI file for copyright on their behalf. For further information about copyright registration, consult the Library of Congress website http://www.copyright.gov/. Thesis Submission Once the thesis defense has been successfully completed, (Form A), and the required changes made to the thesis document (Form B), the thesis will be submitted electronically to ProQuest (http://www.etdadmin.com/tuftsdentm). Simply create an account and follow the submission instructions. Students must order at least two bound copies for the Office of Advanced and Graduate Education and his or her Advanced Education department, though students may order as many personal copies as they like. In addition, the thesis must be submitted for publication to a peer-reviewed journal (Form C). The thesis does not have to be published before the degree is granted, but must be submitted. Students who have not submitted their thesis to ProQuest will not be presented to the Executive Faculty for approval, have their names submitted for approval to the Board of Trustees, or be permitted to participate in Commencement. Disseminating the results of the thesis project is an integral part of the research experience. Therefore, theses should be written with publication in mind and the structure should mirror a peer-reviewed manuscript. The thesis must be submitted to a peer-reviewed journal after the thesis defense. The student will not be presented to the Executive Faculty for approval until the thesis has been submitted. 4) The Manuscript The impact of the student’s research is limited unless the information is disseminated to other members of the scientific community in that field. As a result, it is a requirement to submit the thesis for publication in a peer-reviewed journal before the degree of Master of Science will be conferred. The primary distinction between the Thesis and the Manuscript (aside from length) is the audience for each. The Thesis should be written for a very narrow audience with a wide range of interests, whereas the Manuscript should be written for a larger audience with a very specific interest in the research topic. The format of the manuscript will need to adhere to the guidelines for authors for the specific journal to which the manuscript is being submitted. In general, the following steps should be taken to make the Thesis appropriate for submission to a journal. The Literature Review should be significantly shortened to focus on the most salient and relevant articles. However, the Specific Aims and Hypothesis should still be the paragraph that concludes the Introduction. The Research Design and Methods section should remain virtually intact. There should be slightly more detail with regard to study design and statistical analyses in the Thesis than in the Manuscript. The information presented in the Results section of the Thesis may be divided into more than one manuscript. If so, the Introduction, Results, Discussion and Conclusion sections should be condensed accordingly. Authorship All members of the thesis committee, as well as anyone who has provided significant contribution to the research, should be included as a co-author on the manuscript. If there are doubts about a person’s contributions, that person should decide if he or she belongs as a co-author. The authors’ names are typically listed in order of contribution, with the exception of the advisor, who is usually the senior member of the research team and therefore listed last. 93 Completion The academic requirements for the degree of Master of Science will have been completed following successful attainment of a minimum of 22 semester hours of approved graduate study and 18 semester hours of thesis research, scholarly defense of thesis, and the submission of the “Certificate of Fitness” form, also known as Form A, the “Approval of Thesis for Binding” form, or Form B, and the “Submission of Thesis for Publication”, or Form C; and submission of a final approved and corrected thesis document to ProQuest. A minimum of three members of the student’s thesis committee must be present for the thesis defense. In addition, students need to clear administratively. Once both the academic (turning in forms A, B and C) and the administrative (completing a clearance form from Student Services) requirements have been met, the Chair of the Advanced and Graduate Education Committee will present the student’s name to the Executive Faculty for approval of the Dean and Trustees of Tufts University. The Trustees will confer the degree at the next degree date. The actual diploma will be mailed about 2 months after that date. Be sure to leave a correct mailing address with the Assistant Director of Registration, to ensure that the diploma arrives promptly. Students who complete their requirements and receive their degrees on the August, November, February or May degree dates are welcome to take part in the University Commencement ceremonies in May if they wish. 94 ADVANCED EDUCATION PROGRAM IN OROFACIAL PAIN Postdoctoral education in temporomandibular disorders and related head, neck, and orofacial pain is a full-time two-year interdisciplinary certificate program with an option of a third year leading to a Master of Science degree. The program is designed to provide students with the latest theories in chronic pain management from both a dental and a medical perspective. Clinical training is conducted on a one-on-one basis at the Craniofacial Pain, Headache and Sleep Center, an interdisciplinary center utilizing multiple current approaches to diagnosis and treatment. The center is the largest university-based center in the United States and is an acknowledged leader in the field. The faculty consists of dental medicine specialists, physician specialists and other health care providers such as psychologists, chiropractic physicians, licensed acupuncturists, occupational therapists, physical therapists and social workers, all with training and expertise in pain, who are involved in the teaching and clinical practice of pain management. The students learn how to evaluate and diagnose utilizing state-of-the-art clinical technology. The training also includes pain-control modalities such as pharmacotherapy, biobehavioral interventions, electromyographic (EMG) biofeedback techniques, oral appliance therapy, triggerpoint injections, psychological intervention, anesthetic nerve blocks, and computerized occlusal analysis. The Center incorporates additional alternative and complementary medical modalities such as acupuncture, acupressure, herbal therapies, nutritional counseling and chiropractic remedies. The students supplement their clinical training with medical lectures through such specialties as neurology, psychology, anesthesia, otolaryngology, radiology, oral and maxillofacial surgery, oral and maxillofacial pathology and other pain-related specialties. In addition to the clinical training, students in the three year program construct a research proposal as part of their preparation for their research and thesis, which is essential for completion of the Master of Science requirements. Faculty areas of research interest include, but are not limited to, gross anatomy, histology, dental occlusion, neurology, psychology, muscle function, pharmacological trials, complementary medicine, functional brain imaging, temporomandibular joint surgery, rehabilitation motion devices, and many more. Upon successful completion of the Master of Science program, students will be qualified to participate in the clinical aspect of temporomandibular disorders and orofacial pain management, to take the exam for board certification in orofacial pain, and to pursue independent research. Students also learn how to run an interdisciplinary pain practice or program and how to interact with a variety of health professionals. Tufts University School of Dental Medicine Tufts University School of Dental Medicine offers one of the most forward-looking educational environments in dental medicine in the country. Since its founding in 1868, Tufts University School of Dental Medicine has been committed to excellence in education, research, patient care, and community service. At Tufts University School of Dental Medicine, research and teaching are complementary, producing professionals who possess the analytical capacity and the spirit of inquiry to deal with an everincreasing knowledge base and rapid technological changes. By treating patients in the school's teaching clinics and through a variety of externships at hospitals and government sponsored dental clinics around the country, Tufts dental students understand not just how to apply science to practice, but how to employ compassion in the treatment of human illness. The students and faculty at Tufts University School of Dental Medicine benefit from the university's commitment to interdisciplinary teaching, research and practice. Located in the heart of Tufts Health Sciences campus in downtown Boston, the school shares resources and research breakthroughs with Tufts University School of Medicine, Cummings School of Veterinary Medicine, 95 Friedman School of Nutrition Science and Policy, and the Sackler School of Graduate Biomedical Sciences. The school is dedicated to training doctors of dental medicine as expert clinicians with strong biomedical backgrounds. Tufts University School of Dental Medicine is directly affiliated with several hospitals for the care of medically compromised patients and surgical in-patient management on a comprehensive basis. Tufts Medical Center Tufts Medical Center is a world-class academic medical center offering outstanding patient care to both adults and children, teaching generations of future physicians the most advanced medical science and breaking new ground with ongoing, innovative research. Tufts Medical Center and Floating Hospital for Children serve as the principal teaching hospitals for Tufts University School of Medicine, which ranks in the top five percent of institutions nationwide receiving National Institutes of Health research funding. Physicians offer advanced medical science and services in every major specialty and subspecialty and an integrated, interdisciplinary approach to the diagnosis and management of patients with complicated diseases. All full-time physicians at Tufts Medical Center and Floating Hospital for Children hold faculty appointments at Tufts University School of Medicine. As the oldest permanent medical facility in New England and one of the first in the nation, the 451-bed Medical Center is the principal teaching hospital for Tufts University School of Medicine, where all full-time Medical Center physicians hold faculty appointments. Tufts Medical Center offers compassionate, patient-centered care, where a team approach ensures both complete and thorough consideration of treatment options. Patients value the personal, caring touch offered by Tufts Medical Center physicians and staff. Each patient has a specially designated primary nurse who coordinates nursing care, provides patient education and facilitates discharge planning. We strive to heal, to comfort, to teach, to learn, and to seek the knowledge to promote health and prevent disease. Our patients and their families are at the center of everything we do. We dedicate ourselves to furthering our rich tradition of health care innovation, leadership, charity and the highest standard of care and service to all in our community. The Craniofacial Pain, Headache and Sleep Center The Craniofacial Pain, Headache and Sleep Center specializes in the diagnosis and treatment of complex painful disorders of the head and neck region. The mission of our Center is to provide a comprehensive diagnostic evaluation, a concise and coordinated management plan in a holistic, integrated biomedical patient-focused manner. Your care will be coordinated and supervised by one of our pain specialists who will provide clear and effective communication between patient, family, and their other physicians and health care practitioners. Our Center’s multidisciplinary staff consists of pain specialists from numerous medical and dental disciplines. These include: Dental Medicine – Restorative Dentistry Endodontics Oral and Maxillofacial Pathology Oral and Maxillofacial Radiology Oral and Maxillofacial Surgery Oral Medicine Orofacial Pain Orthodontics Pediatric Dentistry Periodontics Temporomandibular Disorders Acupuncture Behavioral and Clinical Psychology Chiropractic Medicine Complementary and Alternative Medicine Headache Medicine Integrative Medicine Medicine Neurology Occupational Therapy Pain Medicine Physical Therapy Rehabilitation Medicine Sleep Medicine Conditions treated at the Craniofacial Pain, Headache 96 and Sleep Center includes numerous complex pain disorders, such as, but not limited to: Burning Mouth Disorder Cervical (Neck) Disorders Chronic Regional Pain Syndrome (CRPS) Headaches Movement Disorders of the Head, Face, and Neck Musculoskeletal Pain Disorders Neuropathic Pain Disorders Temporomandibular Joint Disorders (TMD) Teeth-related Pain Disorders Oral Pain Disorders Trigeminal Neuralgia Treatment at the Craniofacial Pain, Headache and Sleep Center includes a variety of procedures designed to eliminate or control pain, restore function, and improve overall well-being and quality of life. Treatments offered at our Center consist of: Acupressure Acupuncture Biofeedback and Behavior Modification Cognitive Behavioral Therapy Diet & Nutritional Therapy (Complementary Medicine) Electromyographic Analysis Exercise Program Home Care Instructions Injection Therapy Medication Therapy Occupational Therapy Occlusal Therapies Orthopedic Jaw Appliances -Mouth Guards Physical Therapy Relaxation Therapy Relaxation Training Rehabilitation Program Sleep Medicine Department Administration Department Chair, AE Program Director: Noshir R. Mehta, D.M.D., M.D.S., M.S. Administrative Assistant: Christopher Gifford Web: http://www.orofacialpain.com Program Faculty Noshir Mehta, D.M.D., M.D.S., M.S., F.I.C.D., F.A.C.D., Director of the Craniofacial Pain Center; Professor and Chairman of the Department of General Dentistry at Tufts Dental School. Clinical Specialties: Diagnosis and management of temporomandibular disorders, orofacial pain and head and neck pain from a full body perspective and the interaction of the dental occlusion in musculoskeletal dysfunction. Board Certification: Diplomate of the American Board of Orofacial Pain and a Fellow of the American College of Dentists, and the International College of Dentists. Education: Tufts University School of Dental Medicine. Postgraduate Training: Tufts University School of Dental Medicine, 1973. Tofool Al-Ghanem, D.M.D., M.S. Instructor Brijesh Chandwani, B.D.S., Instructor Clinical Specialties: Diagnosis and Treatment of Temporomandibular Disorders and Orofacial Pain Education: Tufts University School of Dental Medicine William J. Cooke, D.C., C.C.S.P., Assistant Clinical Professor Chiropractic Orthopedist, Head of Orthopedic Rehabilitation Clinical Specialties: Sports Medicine / Orthopedics Board Certification: Sports Medicine, Board Eligible: Orthopedics 97 Education: University of Alabama; Life Chiropractic College Postgraduate Training: National Chiropractic College Leopoldo Correa Vasquez, B.D.S., Assistant Professor Clinical Specialties: Diagnosis and Treatment of Temporomandibular Disorders and Orofacial Pain, Sleep Medicine Education: Facultad de Odontologia, University of Veracruz, Mexico Shuchi Dhadwal, B.D.S., Instructor Ronald J. Kulich, Ph.D., Assistant Clinical Professor, Consulting Psychologist Clinical Specialties: Psychological Assessment of Chronic Pain Education: Case Western Reserve University; Purdue University, Dept. of Psychological Sciences Postgraduate Training: Brown University Medical School Chao Lu, D.D.S., Instructor George Maloney, D.M.D., Associate Professor Clinical Specialties: Diagnosis and Treatment of Temporomandibular Disorders and Orofacial Pain. Acupuncture Board Certification: Diplomate of the American Board of Orofacial Pain Education: University of Massachusetts at Amherst, B.S. in Biology; University of Pennsylvania, D.M.D. Postgraduate Training: General Practice Residency, Worcester City Hospital. Temporomandibular disorders and orofacial pain Residency, Tufts University School of Dental Medicine. Masters of Science in Acupuncture. Steven J. Scrivani, D.D.S., D.Med.Sc., Associate Professor, Craniofacial Pain Center Clinical Specialties: Headaches, trigeminal neuralgia, neuropathic facial pain, neurological disorders, burning mouth, trigeminal nerve injuries, salivary gland disorders, jaw functioning disorders, complementary and alternative medicine for pain Education: Columbia University Postgraduate Training: Columbia University, School of Dental and Oral Surgery- Doctor of Dental Surgery (D.D.S), 1980; The Mount Sinai Hospital Medical Center, Department of Oral and Maxillofacial Surgery Training Program, 1981-1982; Harvard Medical School/ Harvard School of Dental Medicine- Doctor of Medical Science (D.Med.Sc), 1993-1998; Department of Oral and Maxillofacial Surgery-Massachusetts General Hosptial Fellowship in Orafacial Pain Medicine (Certificate), 1993-1997 Teresa Sienkiewicz, M.S., P.T., M.Ed., Clinical Instructor Egilius L.H. Speirings, M.D., Ph.D., Clinical Associate Professor Departmental Training Programs The Craniofacial Pain Center offers a wide variety of Residency Programs, as well as Distance learning options. These programs are designed to fulfill the needs of graduate dentists interested in specializing in this field, either on a full-time or part-time basis. For tuition information, please contact the Center. Certificate Program—2 years The Center offers a full-time Certificate Program in Temporomandibular Disorders and Orofacial Pain. This program prepares dentists in the management of complex orofacial pain patients through a multidisciplinary approach. With hundreds of new patients every year, and two years to follow up cases, this program provides residents with a unique clinical experience. Clinical training is done at the Craniofacial Pain Center. Residents have an extensive exposure to Orofacial Pain patients on a daily basis. This forms 70% of the resident's scheduled time. Residents learn how to diagnose and treat orofacial pain patients from a multidisciplinary approach. Interactions between 98 residents and other faculty members including orthodontists, pain specialists, neurologists, psychologists, physical therapists and surgeons form the basis for establishing treatment plans and managing pain patients. Residents have extensive training in diagnostic imaging (radiography, CT scan, MRl, MRA, etc.) for the head and neck area, electromyography, computerized dental occlusal analysis, electrical anesthesia and diagnostic injections. Treatment modalities commonly used at the Craniofacial Pain Center include intraoral appliances, pharmacology, psychology, physical therapy. Postgraduate Courses form the didactic part of the students' studies and include courses given at the School of Dental Medicine such as Temporomandibular Disorders & Orofacial Pain, Oral & Maxillofacial Radiology, Medicine, Oral & Maxillofacial Pathology, Dental Occlusion, Head and Neck Anatomy, Growth and Development, Nutrition, Research Methods, Biostatistics, and CPR. Residents also receive courses and seminars at the Craniofacial Pain Center. These range from literature review sessions and board review seminars to patient conferences visiting lecturers and research meetings Master of Science–3 years In addition to the Certificate Program, Tufts School of Dental Medicine offers a third year leading to the Master of Science Degree from Tufts University. This has didactic and research requirements in addition to the clinical part. The didactic section of the degree requires that the resident completes 22 credit hours of courses toward the M.S. degree, taken in association with Masters candidates from other dental specialties. Some of these courses may be completed in the first two years (Certificate). The resident is also required to construct an original research proposal as part of his/her preparation for the research and thesis. This is essential for the completion of the M.S. requirements. Research may be in a clinical or basic area relating to temporomandibular disorders and orofacial pain, including gross anatomy, histology, dental occlusion, neurology, psychology, muscle function, pain control to name a few. Upon successful completion of the M.S. program, a resident should be qualified to participate in the clinical aspects of temporomandibular disorders and orofacial pain management, pursue an academic position and conduct independent research. The residents also learn how to run a multidisciplinary pain practice or program and how to interact with the various health professionals. Residents have the opportunity to follow-up their patients throughout the three years. Fellowship Program—1 year The Fellowship Program is designed for the dentist interested in additional clinical training in Temporomandibular Disorders and Orofacial Pain. The majority of a Fellow’s time is dedicated to patient care in the Craniofacial Pain, Headache and Sleep Center under the supervision of the faculty. Fellows are required to attend department courses, seminars, literature and textbook review, and patient conference sessions. Mini-Residency The Mini-Residency Program is a one day per week program for one year. The morning session is directed toward lectures and seminars in Temporomandibular Disorders and Orofacial Pain. Health care professionals are invited to lecture in different aspects of pain management each week. Case presentations and patient interviews are also part of the program, with an hour dedicated to the Research Club in the morning. The participants are provided with a broad view of current approaches in the diagnosis and treatment of the orofacial pain field. The afternoon session is directed toward patient evaluation and treatment under guidance of the Pain Center's faculty. 99 Visiting Dentist Program The Visiting Dentist Program is customized to each individual dentist's needs. Visiting dentists will participate in most lectures, seminars and events taking place at the Center during their visits, and observe clinical management and treatment with the faculty and residents. Participants are encouraged to take part in discussions and patient interviews. Dental Distance Education-Master of Science The Dental Distance Education (D.D.E.) Master of Science (M.S.) is a blended distance program for practicing dentists who want to do research and expend their knowledge in the field of Craniofacial Pain. Adhering to the same requirements and standards as the existing Master of Science, this three year program is designed to allow dentists to obtain a Tufts M.S. degree from any location in the world. The Master of Science degree is a scientific research degree that does not have a clinical component. Required courses include Epidemiology, Statistics, Review of Literature and Scientific Writing. Participants complete a rigorous research project and research thesis. In addition there is an extensive Continuing Education course in Craniofacial Pain—both through the distance format and hands-on during meetings in Boston. The program uses a combination of interactive web environment, lectures on CD and close interaction with faculty. Participants have 8 weeks of sessions in Boston spread over the 3 year course. Foreign students must comply with student visa regulations. Advanced and Graduate Education Core Courses Year 1 Advanced Head and Neck Anatomy Behavioral Sciences: Pain Assessment and Management Biostatistics IA: Introduction to Biostatistics Biostatistics IB: Principles of Biostatistics Research Methodology Dental Pharmacology Dental Sleep Medicine Diagnosis and Management or Temporomandibular Disorders and Orofacial Pain Epidemiology & Critical Thinking in the Practice of Dentistry Management of the Medically Compromised Dental Patient Neuroanatomy, Neurophysiology and Neurological Evaluation of Pain Occlusion Oral and Maxillofacial Radiology Successful Research Strategies Orthopedics Pharmacotherapeutics for Orofacial Pain and Headache Physical Medicine for Craniofacial Pain Year 2 Master of Science Core Courses Biostatistics & Epidemiology II Critical Evaluation of Scientific Literature Scientific and Technical Writing Departmental Courses Behavioral Medicine Case Presentations Complementary and Alternative Medicine Craniofacial Pain and Headache Board Review Craniofacial Pain, Headache and Sleep Center Grand Rounds 100 Craniofacial Seminar Series Dental Sleep Medicine Diagnostic Imaging Headache Medicine Literature Review Clinical Requirements Comprehensive Case Report (Minimum of 1 case per month) American Board of Orofacial Pain format Must include clinical pictures/radiographs/psych history Should be co-signed/co-authored with a Faculty member Comprehensive Psychological Evaluation (Minimum of 1 per month) Dr. Kulich All cases must include psychological assessment Can be a part of #1, but has to be assessed by Dr. Kulich Comprehensive Biobehavioral Medicine Evaluation (Minimum of 3 per year) Dr. Kulich Biofeedback evaluation and training Cognitive behavioral evaluation and training Behavioral Workshop Training (Minimum of 1 complete group session) Dr. Kulich Must be documented Neurological Examinations ( Minimum of 1 per month) Can be a part of #1, but has to be assessed by Dr. Spierings or Dr. Scrivani. Orthopedic Evaluation (Minimum of 1 per month) Dr. Cooke Initial orthopedic patient evaluation Must be documented Orthopedic Review Tuesday morning series – Dr. Cooke (see schedule) Topic Review Thursday morning seminar series – Dr. Scrivani (see schedule) Literature Review Thursday morning seminar series – Dr. Chandwani (see schedule) Formal Case Presentations Thursday mornings seminar series – Dr. Kulich (see schedule) MGH Grand Rounds (Mondays 12-1) Write up a summary report for presentation Should be about 1 page 1 summary report every 4 per month (3 per year) Postdoctoral Program Requirements In order to complete the program and qualify for graduation, you must document the following requirements: 1. Successful completion of all Postdoctoral core curriculum courses. 2. Successful completion of all Departmental courses. 3. Successful completion of all clinical requirements. 101 4. Successful completion of Departmental written examinations (2 per year). 5. Successful completion of Departmental oral case-based examinations (1 per year – 4-6 cases). 6. Successful completion of developing a scholarly manuscript for submission for publication and/or presentation at Tufts University Research Day or at a national meeting. This manuscript or presentation must be supervised by one of the faculty. 7. Satisfactory review by the Faculty–Student Evaluations every 4 months. **You must achieve a grade of “B” (80%) or better in all courses** Graduation Requirements For Fellowship and Certificate programs: Completion of all required courses. For Master of Science program: Completion of courses and a Master of Science research project and dissertation. Other Departmental policies This section can include information regarding absence, vacation and any other department-specific policies. Attendance Attendance for all didactic and clinical requirements is mandatory. In addition, you must be present on-time for all required didactic and clinical activities. Tardiness is not acceptable and will be considered an absence. If you are late without an acceptable excuse, ½ day will be subtracted from your vacation time. Vacation You will receive 20 vacation days and no personal days during an academic year (July 1 through May 30th). Any personal or sick days out of the Center will be subtracted from your 20 vacation days. If you have used up all the 20 vacation/personal/sick days and you have a medical or personal event for which you need to take off, you can take up to 4 days more. You will be required to make up these allowable 4 days at the end of the year. Under any circumstances, if you end up taking more time off than 24 working days, you may have to repeat a semester at your expense. You will need to coordinate your vacation days with your fellow postdoctoral students so that the clinic is properly staffed. You must fill out a “Vacation Request Form” and have the time out approved by Dr. Mehta or Scrivani. Once approved, your vacation time must also be registered with Dr. Dhadwal . Sick/Personal Time If you will be out of the Center for a personal or sick day you must notify Drs. Chandwani, Scrivani or Mehta as soon as possible. If you are unable to reach any of the above, please leave a message with the answering service. Dr. Scrivani – 203-218-9509 Dr. Mehta – 781-704-5849 Answering Service – 617-636-6817 Clinical Attire You are required to abide by the general policy of the School of Dental Medicine regarding proper professional attire. You must also abide by the Infection Control Policy of the School of Dental Medicine when treating patients in the patient care areas of the Craniofacial Pain, Headache and Sleep Center. Departmental Research and Publications Sponsored Research 102 The Effectiveness of Pulsed Radio Frequency Current on Knee Pain; Energex Systems, 2006 Effectiveness and Safety of Over The Counter Night Guard Bruxguard for Dental Concepts, 2005 The Effectiveness of Orthosonix Energex Device on TMD Pain and ROM, Orthosonix Inc., 2001 The Effect of Topical Theraflex® on TMJ and Masseter Pain, NABOB Rx, 2001 Clinical Protocol to Compare the Effectiveness of Dental Bleaching Agents, 3M Corporation, 2000 Effect of Resistance Exercise System on Stomatognathic Myofascial and Cervicospinal Muscle Pain Associated with TMDS, Tasmark Inc., 2000 Textbook Mehta NR., Maloney G, Bana D, and Scrivani, S. Head, Face, and Neck Pain. In publication Wiley Press 2008 Chapters in Major Textbooks Mehta N, Scrivani SJ, Maciewicz R: “Dental and Facial Pain” In Benson HT, Rathmell JP, Wu CL, Turk DC, Argoff CE (eds.): Raj’s Practical Management of Pain, 4th ed., Elsevier, Philadelphia, PA., 2007 Mehta N, Maloney GE, Bana D, Scrivani SJ, Kulich R, Maciewicz R: “An Integrative Approach to the Diagnosis and Treatment of Head, Face and Neck Pain” In Mehta N, Maloney GE, Bana D, Scrivani SJ (eds): Head, Face and Neck Pain: Science, Evaluation and Management. 1st ed., John Wiley & Sons, Inc., Hoboken, NJ, 2008 (in press) Scrivani SJ, Mehta NR, Keith DA, Stiles A, Maciewicz RJ, Kulich RJ: “Facial Pain” In Ballantyne JC, Rathmell JP, Fishman SM (eds.): Bonica’s Management of Pain, 4th Edition, Lippincott Williams & Wilkins, Philadelphia, PA., 2008 (in press) Scrivaini S, Mehta. NR, Keith D et al; Chapter of “Orofacial Pain” in Bonica Textbook of Pain 2008 Mehta NR, Scrivani S: “Temporomandibular Disorders” Chapter in Raj Textbook of Pain 2008 Mehta NR: Chapter on “Disorders of the Temporomandibular Joint: Internal Derangement” in Merck Manual 2008 in publication Mehta NR; Chapter on “Disorders of the Temporomandibular Joint: Internal Joint Derangement” in Merck Manual, March 2003 Web Based Temporomandibular Disorders: Google Knol 2008 Tooth Pain: Google Knol 2008 Bruxism: Google Knol 2008 Dental Mouth Guards: Google Knol 2008 Journals Mehta NR: Chapter on “Disorders of the Temporomandibular Joint: Internal Derangement” in Merck Manual 2008 (in press) Mehta N, Abdallah A, Lobo Lobo S, Ceneviz C, Correa L.: “Three-Dimensional Assessment of Dental Occlusion (Occlusal Fencing): A Clinical Technique” Inside Dentistry; 2006 p. 2-5 Mehta N, Maloney GE, Bana D, Scrivani SJ (eds): Head, Face and Neck Pain: Science, Evaluation and Management – An Interdisciplinary Approach. 1st ed., John Wiley & Sons, Inc., Hoboken, NJ, 2009 (in press). Mehta N, Scrivani SJ, Maciewicz R: Dental and Facial Pain. In Benson HT, Rathmell JP, Wu CL, Turk DC, Argoff CE (eds.): Raj’s Practical Management of Pain, 4th ed., Elsevier, Philadelphia, PA., 505527, 2008. 103 Mehta N, Scrivani SJ: An Integrative Approach to the Diagnosis and Treatment of Head, Face and Neck Pain. In Mehta N, Maloney GE, Bana D, Scrivani SJ (eds): Head, Face and Neck Pain: Science, Evaluation and Management. 1st ed., John Wiley & Sons, Inc., Hoboken, NJ, 2009 (in press). Ceneviz, C., Mehta, N., Forgione, A., Abdallah, E., Lobo-lobo, S., Mavroudi, S.: “The Immediate Effect of Changing Mandibular Position on the EMG Activity of the Masseter Temporalis ,Sternomastoid and Trapezius Muscles” Cranio October 2006, Vol 24., No. 4237-244 Zawawi KH, Al-Badawi EA, Lobo SL, Melis M, Mehta NR.: “An Index for the Measurement of Normal Maximum Mouth Opening” Journal Canadian Dental Association, pp. 737-741, Vol. 69 Issue 11, December 2003 Melis M, Lobo SL, Ceneviz C., Zawawi K., Al-Badawi E, Maloney G, Mehta N.: “Atypical Odontalgia: A Review of the Literature” Headache, pp. 1060-1074, Vol. 10 Issue 10, Nov-Dec 2003 Scrivani SJ, Mehta NR, Keith DA, Stiles A, Maciewicz RJ, Kulich RJ: Facial Pain. In Ballantyne JC, Rathmell JP, Fishman SM (eds.): Bonica’s Management of Pain, 4 th Edition, Lippincott Williams & Wilkins, Philadelphia, PA., 2009 (in press). Scrivani SJ, Mehta NR, McGeeney B: Headache and Craniofacial Pain. In Carr D, McNicol E (eds.): The Busy Clinician’s Guide to Pain. International Association for the Study of Pain, IASP Press, Seattle, Washington, 2009 (in press). Chandwani B, Maloney GE, Mehta NR, Scrivani SJ: Chronic Daily Headache: Case Report of One Subgroup. J Mass Dent Soc. 56:20-23, 2007. Borsook D, Moulton E, Pendse G, Morris S, Cole S, Aiello-Lammens M, Scrivani S Becerra LR: Comparison of Evoked verses Spontaneous Tics in patients with trigeminal neuralgia (Tic Doloreaux). J Molecular Pain, 3:34, November 6, 2007. Chandwani B, Kulich RJ, Andrew L, Scrivani SJ: Tapering Chronic Opioid Therapy in Chronic Neuropathic Facial Pain – An Interdisciplinary Approach: Case Report. J Opioid Therapy. 4:167173, 2008. Scrivani SJ, Keith DA, Kaban LB: Temporomandibular Disorders – Medical Progress. New England J Med, 359:2693-2705, December 18, 2008. Scrivani SJ, Chandwani B, Keith DA, Kahn M, Heilman C: Woman with Severe Facial Pain – Clinicopathological Conference. Oral Surg Oral Med Oral Path Oral Rad Endo, 107:151-156, 2008. Scrivani SJ, Kulich RJ, Maciewicz RJ: Functional Magnetic Resonance Imaging (fMRI), Expert Testimony and Pain: Role in the Courts? Pain Medicine, 10:373-380, 2009. Scrivani SJ, Cole S, Wallin D, Moulton EA, Wasan AJ, Lockerman L, Bajwa Z, Becerra L, Borsook D: fMRI Evaluation of Lamotrigine on Trigeminal Neuropathic Pain: Pilot Study. Pain Medicine. 2009. Chandwani B, Ceneviz C, Scrivani SJ, Mehta NR: Incidence of Bruxism in a Temporomandibular Disorders Population. General Dentistry, 2009 (submitted). Chandwani B, Kulich RJ, Mehta NR, Scrivani SJ: Smoking Cessation in the Dental Setting – A Practical Approach. J Dental Education, 2009 (submitted). Lobo-Lobo S, Chandwani B, Kulich RJ, Mehta NR, Scrivani SJ: A model for the management of comorbid sleep disorders with orofacial pain. Clin J Pain. 2009 (submitted). 104 Rochman D, Ray S, Kulich RJ, Mehta N., Driscoll S. Validity and utility of the Canadian Occupational Performance Measure in a craniofacial pain center. Occupational Therapy Journal of Research, 28, 1, 2009. Kulich RJ, Mehta N, Mathews E, Scrivani. Persistent facial pain: Recollections from antiquity through the present. Headache, the Journal of Head and Face Pain. (in press) Kulich RJ. Behavioral and psychological aspects of pain, Chap11 In Abdi, S, Chopra P, Smith H. Specialty Pain Medicine Board Review. McGraw-Hill (in press). Rochman D L., Ray S. A., Kulich R.J., Mehta N.R., Driscoll S.: “Validity and Utility of the Canadian Occupational Performance Measure as an Outcome Measure in a Craniofacial Pain Center”: OTJR Occupation Participation and Health. Vol 28, No. 1 p. 4-11 Winter 2008 Mehta N, Abdallah A, Lobo Lobo S, Ceneviz C, Correa L.: “Three-Dimensional Assessment of Dental Occlusion (Occlusal Fencing): A Clinical Technique” Inside Dentistry; 2006 p. 2-5 Sakaguchi K, Mehta, N., Abdallah E, Forgione, A., Hirayama H., Kawasaki, T., Yokoyama, A.: “Examination of the Relationship between Mandibular Position and Body Posture” Cranio October 2007 Vol 25. No. 4.237 - 249 Chandwani B, Maloney GE, Mehta NR, Scrivani SJ: “Chronic Daily Headache: Case Report of One Subgroup” J Mass Dent Soc. 56:20-23, 2007 Scrivani SJ, Lobo-Lobo S, Chandwani B, Kulich RJ, Mehta NR: “Assessment of Sleep Disorders in Patients with Chronic Orofacial Pain” Oral Surg Oral Med Oral Path Oral Rad. 103 (6), 795, June 2007 (Abstract) Scrivani SJ, Kulich RJ, Bindayel N, Chandwani B, Mehta NR: “Neuropathic Pain Scale Base Rates in Orofacial Pain Population” Oral Surg Oral Med Oral Path Oral Rad. 103 (6), 795, June 2007 (Abstract) Scrivani SJ, Lobo-Lobo S, Chandwani B, Kulich RJ, Mehta NR: “Assessment of Sleep Disorders in Patients with Chronic Orofacial Pain” Bates-Andrews Day Research Journal, Tufts University School of Dental Medicine, 60, 2007 (Abstract) Chandwani B, Ceneviz C, Scrivani SJ, Mehta N: “Bruxism and Temporomandibular Disorders – A Strong Link” Bates-Andrews Day Research Journal, Tufts University School of Dental Medicine, 6061, 2007 (Abstract) Chandwani B, Maloney G, Mehta N. Scrivani SJ: “Case Series: Phantom Tooth Pain” Bates-Andrews Day Research Journal, Tufts University School of Dental Medicine, 61, 2007 (Abstract) Scrivani SJ, Kulich RJ, Bindayel N, Chandwani B, Mehta NR: “Neuropathic Pain Scale Base Rates in Orofacial Pain Population” Bates-Andrews Day Research Journal, Tufts University School of Dental Medicine, 63-64, 2007 (Abstract) Chandwani B, Ceneviz C, Scrivani SJ, Mehta NR: “Bruxism: High Incidence but Low Self-Reporting” Cranio, 2007 (in press) Ceneviz, C., Mehta, N., Forgione, A., Abdallah, E., Lobo-lobo, S., Mavroudi, S.: “The Immediate Effect of Changing Mandibular Position on the EMG Activity of the Masseter Temporalis, Sternomastoid and Trapezius Muscles” Cranio October 2006, Vol 24., No. 4237-244 Kulich RJ, Driscoll S, Scrivani SJ, McAlary P, Mehta N: “A Survey of Medico-Legal Practices Among Pain Specialists” Pain Medicine 5(1):98-103, 2004. Scrivani SJ, Mehta N, Mathews ES, Maciewicz R: “Clinical Criteria for Trigeminal Neuralgia” Letter to the Editor. Oral Surg, Oral Med, Oral Path. 97:544-555, 2004 105 Kulich RJ, Driscoll S, Scrivani SJ, McAlary P, Mehta N: “A Survey of Medico-Legal Practices Among Pain Specialists” Pain Medicine 5(1):98-103, 2004 Scrivani SJ, Mehta N, Mathews ES, Maciewicz R: “Clinical Criteria for Trigeminal Neuralgia” Letter to the Editor. Oral Surg, Oral Med, Oral Path. 97:544-555, 2004 Al-Badawi EA, Mehta N., Forgione AG, Lobo SL, Zawawi KH.: “Efficacy of Pulsed Radio Frequency Energy Therapy in Temporomandibular Joint Pain and Dysfunction” The Journal of Cranio, pp. 1020, Vol. 1, January 2004 Kulich RJ, Dyer J, Driscoll S, Mehta N. “Managing Pain for the Elderly” J. Mass Dental Society, pp. 75-80, Vol. 52, Issue 1, Spring 2003 Kulich RJ, Driscoll J, Prescott JC Jr, Pelletier NJ, Driscoll S, Cooke W, Correa L, Mehta NR. “The Daubert Standard, a Primer for Pain Specialists” Pain Med. Pp. 75-80, Vol. 4, Issue 1, March 2003 Chakfa AM, Mehta NR, Forgione AG, Al-Badawi EA, Lobo SL, Zawawi KH.: “The Effect of Stepwise Increases in Vertical Dimension of Occlusion on Isometric Strength of Cervical Flexors and Deltoid Muscles in Nonsymptomatic Females” The Journal of Cranio, pp. 264-273, Vol. 20 Issue 4, October 2002 Melis M, Zawawi K, Al-Badawi E, Lobo Lobo S, Mehta N.: “Complex Regional Pain Syndrome in the Head and Neck: A Review of the Literature” J. of Orofacial Pain, pp. 93-104, Vol. 16 Issue 2 Spring 2002 Kulich RJ, Kreis PG, Fishman SM, Prescott JC, Pelletier MJ, Bennett P, Mehta NR. “Forensic Issues in Pain, Review of Current Practice” Pain Practice p. 119-135, Volume 1, Issue 2 2001 Kulich, R., Kay, E., Gibbons, M., Mehta, N.: “Treating the Injured Worker: Incentives to Reduce Care” American Pain Society Bulletin, pp. 7-9, Vol. 11, Number 1, January-February 2001 Pradham, N., White, G., Mehta, N., Forgione, A.: “Mandibular Deviations in TMD and non-TMD groups Related to Eye Dominance and Head Posture” The Journal of Clinical Pediatric Dentistry, pp. 147-155, Vol. 25, Number 2, 2000 Mehta, N., Forgione A., Maloney G., and Greene R.: “Different Effects of Nocturnal Parafunction on the Masticatory System: The Weak Link Theory” The Journal of Cranio, pp. 280-285, Vol. 18, Number 4, October 2000 Abstracts/Graduate Advisory Abstracts Mehta N.R., Forgione A.G., and Correa L.P.: “Pain Ratings of 200 Treated TMDs Patients” Presented at the Annual IADR Meeting in Hawaii, March 2004 Abstract #1191 *Driscoll S.E., Kulich R., and Mehta N.: “The Efficacy of Meditation Based Stress Reduction for TMD Symptoms” Presented at the Annual IADR Meeting in Hawaii, March 2004 Hayes C., Chew P., Antczak-Bouckoms A., White B.A., Mehta N.R. and Lau J.: “Variation of Surgical Procedures for TMD: Analysis of Utilization Patterns” Presented at the Annual IADR Meeting in Hawaii, March 2004. Chew P., Hayes C., Antczak-Bouckoms A., Mehta N.R., White B.A. and Lau J.: “Using Hospital Databases to Examine TMD Utilization Patterns: Methodological Issues” Presented at the Annual IADR Meeting in Hawaii, March 2004 Montine R., Hayes C., Antczak-Bouckoms A., Mehta N.: “Systematic Review of Arthroscopic TM Dysfunction” Presented at the Annual IADR Meeting in San Antonio, Texas, March 2003 106 Saposnik M., Hayes C., Antczak-Bouckoms A., Mehta N., Lau J,: “Systematic Review of Surgical Treatment of Temporomandibular Joint Dysfunction” Presented at the Annual IADR Meeting in San Antonio, Texas, March 2003 Robinson M., Hayes C., Antczak-Bouckoms A., Mehta N., Lau J.: “Systematic Review of NonSurgical treatments to TM Disorder” Presented at the Annual IADR Meeting in San Antonio, Texas, March 2003 Al-Muhanna M., Mehta N.R., Forgione A.G., Al-Badawi E.A., Zawawi K.H.: “Effect of Splint Design on Head Posture and Cervical Symptoms” Presented at the Annual IADR Meeting in San Diego, California, March 8, 2002. Abstract #2336 Driscoll S., Kulich RJ, Mehta N.: “Prevalence of TMJ Symptoms Within a Population of General Stress Management Referral” Presented at the International Association for the Study of Pain in San Diego, California, 2002 Kulich RJ, McAlary P, Driscoll S, Mehta N.: “Forensic Practice by Pain Specialists, A Survey of Current Practice Patterns and Review of the Current Standard of Care” Presented at the International Association for the Study of Pain in San Diego, California, 2002 *Alghamdi J., Mehta N. (presenter) and Forgoine A.: “The Effectiveness of Multi-faceted Treatment of TMDs: 500 Patients Drawn from a Pool of 5,000” Presented at the Annual IADR Meeting in Chicago, March 2001 *Alghamdi J., Mehta N., and Forgione A.: “Relationship between TMDs Pain, Somatization, Anxiety, Depression and SF-36 Scores” Presented at the Annual IADR Meeting in Chicago, March 2001 *Shata R., Mehta N., and Forgione A.: “Active Resistance Exercise for TMD Related Tension Pain” Presented at the Annual IADR Meeting in Washington, April 2000. Journal of Dental Research, Vol. , Abstr.# Brandman D., Mehta N., and Forgione A.: “Coping Strategies, SF-36, SCL-90 in Mild and Severe TMD Pain.” Presented at the Annual IADR Meeting in Washington, April 2000. Journal of Dental Research, Vol. , Abst.# 107 ADVANCED EDUCATION PROGRAM IN ENDODONTICS Program Information The Advanced Education Program in Endodontics has as its goals: to prepare the student for eligibility for the American Board of Endodontics, to prepare the student to be a competent professional clinician who has an in depth understanding of the science and practice of endodontics, to prepare the student for teaching and for the evaluation of the endodontic literature. Service in organized dental activities, emergency care and volunteer teaching is fostered with patient-centered education and a commitment to excellence. Our curriculum, which provides excellent clinical training, integrates the health sciences with clinical experience and utilizes modern technology. Our success is based on maintaining a strong faculty and staff, supported in their commitment to teaching, on-going development, research, and student service. Department Administration Dr. Daniel B. Green Professor and Chairman (617) 636-6797 [email protected] Ms. Patricia Morrow Department Administrator (617) 636-6796 [email protected] Mrs. Jennifer Mulligan Secretary (617) 636-3765 [email protected] Program Faculty Professor Daniel B. Green, D.D.S. Dr. Green is a Professor and Chairman of the Department of Endodontics. He attended the University of Cincinnati, received a D.D.S. from the University of Pennsylvania and a Certificate in Endodontics in 1961 from Albert Einstein, Philadelphia. He is certified by the American Board of Endodontics. Robert B. Amato, D.M.D. Dr. Amato is a Professor of Endodontics and Director of Postgraduate Endodontics. He attended Rutgers University, received a D.M.D. from Tufts University School of Dental Medicine and also Certificate in Endodontics from Tufts in 1983. He is certified by the American Board of Endodontics. Charles Rankin, D.M.D Dr. Charles Rankin is a Professor of Endodontics and Director of Predoctoral Endodontics. He attended Salem State College, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 1986. He is certified by the American Board of Endodontics. Clinical Professor Thomas F. Winkler III, D.M.D. 108 Dr. Winkler is a Clinical Professor of Endodontics. He attended Tufts University, received a D.M.D. from Tufts University School of Dental Medicine and a Certificate in Endodontics and M.S.D. from the VA Hospital and Indiana University in 1970. He is certified by the American Board of Endodontics. Vangel R. Zissi, D.M.D. Dr. Zissi is a Clinical Professor of Endodontics. He attended the University of New Hampshire, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 1967. He is certified by the American Board of Endodontics. Associate Professor Virginia Karapanou, D.M.D., M.S. Dr. Karapanou is an Associate Professor of Endodontics. She received a D.D.S. from Aristotelion University (Greece), she attended Tufts University School of Dental Medicine and received a Certificate in Endodontics in 1994, a D.M.D. in 2001 and a Master of Science in 2007. She is certified by the American Board of Endodontics. Associate Clinical Professor Ayman Aboushala, D.M.D., M.S. Dr. Aboushala is an Associate Clinical Professor of Endodontics. He received a D.D.S. from Baath University (Syria). He attended Tufts University School of Dental Medicine and received a Master of Science degree in 1996, a Certificate in Endodontics in 2004 and a D.M.D. in 2006. He is board eligible for the American Board of Endodontics. Elliot Goldberg, D.D.S. Dr. Goldberg is an Associate Clinical Professor of Endodontics. He attended Brandeis University, received a D.D.S. from Northwestern and a Certificate in Endodontics from Tufts University School of Dental Medicine in 1976. He is educationally qualified for the American Board of Endodontics. Leslie Miller, D.D.S. Dr. Miller is an Associate Clinical Professor of Endodontics. He attended Syracuse University, received a D.D.S. from Temple University and a Certificate in Endodontics from Harvard University in 1974. He is certified by the American Board of Endodontics. Jan Rozen, D.D.S. Dr. Rozen is an Associate Clinical Professor of Endodontics. He attended the University of Illinois, received a D.D.S. from Loyola and a Certificate in Endodontics from Boston University in 1970. He is certified by the American Board of Endodontics. Assistant Professor Addy Alt-Holland, Ph.D. Dr. Alt-Holland is an Assistant Professor of Endodontics. She attended Bar-Ilan University, received a Master of Science degree and a Ph.D. from Bar Ilan University. Assistant Clinical Professor Bella Batsevitsky, D.M.D. Dr. Batsevitsky is an Assistant Clinical Professor of Endodontics. She attended Forsyth at Massachusetts College of Pharmacy & Healthy Sciences, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 2011. She is board eligible for the American Board of Endodontics. Brooke Blicher, D.M.D. 109 Dr. Blicher is an Assistant Clinical Professor of Endodontics. She attended Colgate University, received a D.M.D. from Harvard University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 2009. She is board eligible for the American Board of Endodontics. Philip Cabrera, D.M.D. Dr. Cabrera is an Assistant Clinical Professor of Endodontics. He attended Memorial University of Newfoundland, received a D.D.S. from Dalhousie University and a Certificate in Endodontics from Tufts University School of Dental Medicine in 1993. He is certified by the American Board of Endodontics. Steven Corliss, D.M.D. Dr. Corliss is an Assistant Clinical Professor of Endodontics. He attended Boston College, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 1990. He is certified by the American Board of Endodontics. Natalie Delivanis, D.M.D. Dr. Delivanis is an Assistant Clinical Professor of Endodontics. She attdended Mestovio National Technical University, received a D.M.D. from National and Kapodistrian University and a Certificate in Endodontics from Tufts University School of Dental Medicine in 2011. She is board eligible for the American Board of Endodontics. Kelsey Evelyn, D.M.D. Dr. Evelyn is an Assistant Clinical Professor of Endodontics. She attended the University of Michigan, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 2007. She is board eligible for the American Board of Endodontics. Elina Fooks, D.M.D. Dr. Fooks is an Assistant Clinical Professor of Endodontics. She attended Brandeis University, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 2003. She is board eligible for the American Board of Endodontics. Maryanne Irwin, D.M.D. Dr. Irwin is an Assistant Clinical Professor of Endodontics. She attended Boston College, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 2008. She is educationally qualified for the American Board of Endodontics. Jitka Janicek, D.M.D. Dr. Janicek is an Assistant Clinical Professor of Endodontics. She attended Palacky University, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 1989. She is educationally qualified for the American Board of Endodontics. Michael Joseph, D.M.D. Dr. Joseph is an Assistant Clinical Professor of Endodontics. He attended the University of Pennsylvania, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 2006. He is board certified by the American Board of Endodontics. Steven Kaminsky, D.M.D. Dr. Kaminsky is an Assistant Clinical Professor of Endodontics. He attended Brandeis University, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 1979. He is educationally qualified for the American Board of Endodontics. Arnold Maloff, D.M.D. Dr. Maloff is an Assistant Clinical Professor of Endodontics. He attended the University of Pittsburgh, received a D.M.D. from the University of Pennsylvania and a Certificate in Endodontics 110 from Tufts University School of Dental Medicine in 1980. He is certified by the American Board of Endodontics. Charles Millstein, D.M.D. Dr. Millstein is an Assistant Clinical Professor of Endodontics. He attended Brandeis University, received a D.M.D. from Tufts University School of Dental Medicine, a Certificate in Endodontics from the University of Pennsylvania in 1967 and a M.P.H. from Harvard University in 1980. He is educationally qualified for the American Board of Endodontics. Douglas Moll, D.M.D. Dr. Moll is an Assistant Clinical Professor of Endodontics. He attended Tufts University, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 1991. He is certified by the American Board of Endodontics. Gregory Odierna, D.M.D. Dr. Odierna is an Assistant Clinical Professor of Endodontics. He attended College of the Holy Cross, received a D.M.D. from Harvard University School of Dental Medicine, and a Certificate in Endodontics from the University of California at Los Angeles in 2000. He is educationally qualified for the American Board of Endodontics. Christina Pastan, D.M.D. Dr. Pastan is an Assistant Clinical Professor of Endodontics. She attended Wheaton College, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 1994. She is educationally qualified for the American Board of Endodontics. Shawn Record, D.M.D. Dr. Record is an Assistant Clinical Professor of Endodontics. He attended the University of Florida at Gainesville, received a D.M.D. from Tufts University School of Dental Medicine, and a Certificate in Endodontics from Tufts in 1993. He is educationally qualified for the American Board of Endodontics. Craig Saltzman, D.M.D. Dr. Saltzman is an Assistant Clinical Professor of Endodontics. He attended State University of New York, Geneso, received a D.M.D. from Boston University Goldman School of Dental Medicine, a Certificate in Endodontics and a Masters Degree in Oral Science from University of Buffalo in 1999. He is educationally qualified for the American Board of Endodontics. Steven Saunders, D.M.D. Dr. Saunders is an Assistant Clinical Professor of Endodontics. He attended Boston College, received a D.M.D. from Tufts University School of Dental Medicine, a Certificate in Public Health and a Certificate in Endodontics from Tufts in 1980. He is certified by the American Board of Endodontics. H. Randolph Scott, D.D.S. Dr. Scott is a Clinical Instructor of Endodontics. He attended the Morehouse College, received a D.D.S. from Meharry Medical College and also a Certificate in Endodontics from Tufts University School of Dental Medicine in 2009. He is board eligible for the American Board of Endodontics. Eric Shapiro, D.D.S. Dr. Shapiro is an Assistant Clinical Professor of Endodontics. He attended Suny at Buffalo, received a D.D.S. from Suny at Buffalo School of Dental Medicine, and a Certificate in Endodontics from Suny at Stony Brook in 2004. He is educationally qualified for the American Board of Endodontics. David Singer, D.M.D. Dr. Singer is an Assistant Clinical Professor of Endodontics. He attended Hobart College, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 2000. He is certified by the American Board of Endodontics. 111 Ronit Smolyar, D.M.D. Dr. Smolyar is an Assistant Clinical Professor of Endodontics. She attended Semmelwise University (Hungary) where she received a D.M.D. She received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 2002. She is certified by the American Board of Endodontics. Raina Trilokekar, D.M.D. Dr. Trilokekar is an Assistant Clinical Professor of Endodontics. She attended Nair Dental College where she received a B.D.S. and an M.D.S. She received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 1988. She is certified by the American Board of Endodontics. Deborah Tung, D.M.D. Dr. Tung is an Assistant Clinical Professor of Endodontics. She attended Wellesley College, received a D.M.D. from the University of Pennsylvania and a Certificate in Endodontics from Tufts University School of Dental Medicine in 1997. She is certified by the American Board of Endodontics. Emina Zaganjori, D.M.D. Dr. Zaganjori is an Assistant Clinical Professor of Endodontics. She attended Tufts University, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 2005. She is board eligible for the American Board of Endodontics. Clinical Instructor Elizabeth Jones, D.M.D. Dr. Jones is a Clinical Instructor of Endodontics. She attended Providence College, received a D.M.D. from Tufts University School of Dental Medicine and also a Certificate in Endodontics from Tufts in 2012. She is board eligible for the American Board of Endodontics. Andrea Shah, D.M.D. Dr. Shah is a Clinical Instructor of Endodontics. She attended California Polytechnic State University and received a D.M.D. from Harvard University School of Dental Medicine, and a Certificate in Endodontics from Tufts University School of Dental Medicine in 2012. She is board eligible for the American Board of Endodontics. Coursework Interdepartmental Courses Biomedical Sciences Biostatistics 1A Introduction Head and Neck Anatomy–lecture Immunology Management of the Medically Compromised Dental Patient Epidemiology and Critical Thinking in the Practice of Dentistry Clinicopathologic Conferences in Oral and Maxillofacial Pathology Microbiology or Oral Infections Bone Biology Oral Microbiology Biostatistics 1B Principles of Biostatistics Implant Dentistry Cellular and Molecular Biology Clinical Sciences 112 Dental Pharmacology Infection Control Interdepartmental Case Presentation/Treatment Planning Seminar Medical Emergencies Oral and Maxillofacial Radiology Orofacial Pain Practice Management Endodontic Clinical Case Review Seminar Endodontic Literature Review Principles and Guidelines in Research Involving Human Subjects Clinical Instruction Clinical and Educational instruction is provided by the entirety of the Department. Expectations 1. All students are expected to be in attendance at all required courses. 2. Each course director may choose the method for evaluation. 3. Each spring semester you will be examined utilizing the following methods: a. Written examination to assess accumulation of knowledge. This will be in essay form. b. Oral Examination utilizing a format similar to that used by the American Board of Endodontics (ABE). c. Presentation of cases in the American Board of Endodontics (ABE) format. Endodontic Case Review On a rotational basis, each week one postgraduate endodontic student will present all of his/her cases to faculty and fellow students. The format will utilize slide and/or power point projection. Each case should precipitate discussion. You will be evaluated on these cases and your presentation. The format will parallel the information requested for case presentation to the American Board of Endodontics to qualify for oral examination. This format is available on disc from the American Board of Endodontics. Literature Review On a rotational basis, each student, working with the director, is responsible for the assembly and organization of the literature review by subject. The procedure is as follows: 1. Review with the Director the previous bibliography to determine which articles are to be selected. 2. Conduct a computer assisted library search using “key words”, “usual journals” to develop an updated bibliography. These articles are to be reviewed by the Director to determine which should be added to the current review. 3. Develop a new bibliography and assign on a rotational basis, articles to be assigned for purposes of abstract. Thus, each article will be abstracted and these abstracts will be organized with the assigned literature review. 4. The student assembling the review will generate objectives which will be discussed, embellished and increased during the actual session. 113 5. All of the articles will be photocopied for each student by our copy center. One copy remains on file and two additional copies are generated for the Director. See Pat Morrow for details (budget code). 6. This entire document will be placed in a binder: a. Bibliography, b. Objectives, c. Abstracts and d. Original articles and placed in the endodontic library. Interdisciplinary Treatment Planning Seminar Second year postgraduate student will choose a topic to be presented to the Interdisciplinary Treatment Planning Seminar. This is done in lieu of case presentation in order to instruct the other postgraduate students. The procedure is as follows: Review with the Director the previous bibliography to determine which articles are to be selected. Conduct a computer assisted library search using “key words” “usual journals” to develop an updated bibliography. These articles are to be reviewed by the Director to determine which should be added to the current review. Develop a new bibliography and assign on a rotational basis, articles to be assigned for purposes of abstract. Thus, each article will be abstracted and these abstracts will be organized with the assigned literature review. The student assembling the review will generate objectives which will be discussed, embellished and increased during the actual session. All of the articles will be photocopied for each student by our copy center. One copy remains on file and two additional copies are generated for the Director. See Pat Morrow for details (budget code). The entire document will be placed in a binder: A. Bibliography; B. Objectives; C. Abstracts and D. Original Articles, and placed in the Endodontic Library. Lecturing Assignments Each second year student will be assigned 30 minutes of lecture material to be delivered to second year predoctoral dental students during their preclinical course. The lecture will be developed using Power Point graphics and will be stored on the Tufts Web Site for student review. Second year postgraduate students will choose a topic to be presented to the Interdisciplinary Treatment Planning Seminar. This is done in lieu of case presentation in order to instruct the other postgraduate students. Schedules Clinic Schedule Each student will present a monthly schedule to the appointment desk, one month in advance, listing available clinic time for appointment scheduling. This is imperative in order to receive patients for treatment. All patient appointments will be confirmed the day prior by telephone by you. In the beginning, for six weeks, only one appointment per clinic period will be scheduled after which all appointments will be scheduled for 1½ hours or less. The clinic clerk will receive a transfer referral form from undergraduate referrals to be retained in our clinic. Information for outside referrals to include: referring dentist’s name and telephone number, patient’s name and telephone number, tooth number to be treated and insurance carrier. Those insured by Massachusetts Health Plan (Medicaid) must be preauthorized. In order to file for preauthorization, the dentist must submit a full mouth series of radiographs. Teaching Schedule in the undergraduate dental clinic 114 All students, as part of their program, are scheduled for a teaching assignment in the undergraduate dental clinic. The schedule is devised on a rotational basis and you are advised to be on time in order to assist the students for signatures permitting distribution of equipment, anesthesia and x-rays. Evening Clinic All students are assigned to evening (4:30-7:30) clinic on a rotational basis. You may, however, trade assignments but you must notify the staff assistant, Ms. Patricia Morrow. Each student, at present, is paid for this service. All dental students must have completed their clinic activities by 6:45 in order to have time to record their activities. No dental student shall remain in the clinic unsupervised. Emergency Rotation One student is assigned per week to the emergency rotation. Your duties are as follows: 1. Assist in the diagnosis, treatment and instruction of all tooth related pain and to diagnose orofacial pain. 2. If the case is determined to be beyond the capabilities of the attending predoctoral dental student you are advised to take over the case for emergency care only. Vacation Policy/Absence Policy The University and Tufts University School of Dental Medicine schedules closure of the clinics in August and reopening after Labor Day, a spring break for predoctoral and one for postdoctoral students. The school clinics are closed on such days as: President’s Day, Martin Luther King Day, Columbus Day, and Patriot’s Day. In addition, clinics are closed over the Christmas-New Year winter holiday. Any other request for absence must be discussed with and approved by the director. Also, a form must be completed stating that all of your assignments have been covered and that course directors of other biomedical and clinical courses have approved your absence. Our postgraduate clinic will be closed during the American Association of Endodontists Meeting and you are strongly encouraged to attend. School’s Instrument Rental Policy Specifically, these rented instruments must be accounted for at receipt and at return. You must present your I.D. card and an encounter form in order to receive instruments. These instruments must be returned before 12:00 noon of the next day or you will be assessed $50.00. You will be charged for missing instruments. The Endodontics Department follows the guidelines for clinic operation set forth by the School of Dental Medicine, the Infection Control Committee, OSHA requirements and HIPAA policies (Health Insurance Portability and Accountability Act). Infection Control Manual available upon request. Moonlighting Private practice during evenings, weekends and holidays is permitted providing: 1. That you are responsible to be in school during clinic hours (leaving early is discouraged). 2. That your performance is not negatively affected. 3. That you act independent of the university (licensed, insured for malpractice). 4. That you or your employer does not misrepresent by referring to you as a certified endodontist. Other terms inappropriately used by employers are also discouraged, i.e. “our endodontist”, “our specialist”. 115 Department of Public Health Advanced Education Program in General Practice Residency in Dentistry The Tufts University General Practice Residency Program (GPR) was founded in 1976. It is conducted with the cooperation and participation of its sponsoring institution, Tufts University School of Dental Medicine (TUSDM), Tufts Dental Facilities (TDF), and Tufts Medical Center (TMC). There are currently four resident positions in the PGY 1 program and one resident position in the PGY 2 program and one fellowship position in the PGY 3 program. Rotation participation provides the residents with diverse clinical and educational experiences. At the TDF clinics in outlying suburban areas, residents receive training in the diagnosis and treatment of oral disease, with an emphasis on prevention and restoration, for patients with multiple disabilities and limitations. Through TDF, the residents also participate in the largest OR dental rehabilitation program for special needs patients in the country. The clinical rotation at TUSDM emphasizes crown and bridge, restorations, and treatment of the general population with complex dental needs. At TMC, the residents receive training in emergency care. The residency program also has an anesthesia rotation at Franciscan Children’s Hospital, and an Emergency Medicine rotation at TMC. Specialty clinical and seminar rotations provide the residents advanced training in history and physical diagnosis, conscious and IV sedation, periodontal surgery, endodontic therapy, oral surgery, TMD, implantology, and practice management. Completion of the Tufts GPR Program will prepare the graduate to: Act as a primary care provider for individuals and groups of patients. This includes the planning, coordination and provision of multidisciplinary comprehensive oral health care for a wide variety of patients, including patients with special needs. Apply the exposure to advanced dental treatment modalities provided during the residency training to the practice of dentistry. Have a working knowledge of mental retardation, mental illness, and physical disabilities and the impact these conditions have on the provision of comprehensive dental care. Function effectively within the hospital and other health care environments. This includes the ability to provide general dentistry services for a patient who has been placed under general anesthesia. Function effectively as a member of an interdisciplinary health care team. To provide emergency oral health care. To promote disease prevention and oral health promotion for patient in the clinical environment as well as the community. Manage the delivery of oral health care by applying concepts of patient and practice management. This includes anxiety and pain control management, patient consent, staffing coordination, for the provision of care to the general population as well as the special needs population. To understand the fundamentals of quality care and the concept of quality assurance. Apply scientific principles to learning and oral health care. This includes using comprehensive literature review, critical thinking, evidence or outcomes-based clinical decision-making and technology-based information retrieval systems. Utilize the values of professional ethics, patient’s rights, lifelong learning, patient centered care, adaptability, and acceptance of cultural diversity in professional practice. Department Administration Department of Public Health Interim Department Chair: Noshir Mehta, D.M.D., MSc. Division Head for Special Care: Darren Drag, D.M.D. Office: 781-899-6020 116 GPR Program Director: Gina M. Terenzi, D.M.D. Office: 617-636-6816 Fax: 617-636-3888 GPR Administrative Assistant: Elizabeth Costa Office: 617-636-2163 Program Faculty Full and Part-time Faculty with Administrative, Academic and Clinical responsibilities within the General Practice Residency. Dr. Gina Terenzi, Program Director, Associate Professor, holds a B.A. in Biology and D.M.D. from Boston University. She received certification in General Practice Residency from St. Francis Hospital and Medical Center in Hartford, CT and Certification for Chief in General Practice Residency from Carolinas Medical Center in North Carolina. Faculty The following Faculty enjoy clinical responsibilities for the General Practice Residency Program. Hana Sadi, B.D.S. Jennifer Rubel, D.M.D. Laila Von Andrian, D.M.D. Richard Miller, D.M.D. Joel Perlman, D.M.D. Andre St. Germain, D.M.D Darren Drag, D.M.D. Paola Pabon, D.M.D. Kallen Hull, D.M.D. Anastacia Foufas, D.M.D. Thomas Bjornson, D.M.D. Joseph O’Donnell, D.D.S. Gary Warrington, D.M.D. Robert Kaplan, D.M.D. Alan Pan, D.M.D. John Morgan, D.D.S. Karen Chang, D.M.D. Robert Mandell, D.M.D. Morton Rosenberg, D.M.D. Coursework Interdepartmental Courses Formal Courses for the GPR include: History and Physical Diagnosis Course Director, Dr. Elisabeth Wilder Nitrous Oxide Certification Course Director, Dr. Morton Rosenberg Advanced Cardiac Life Support Certification Tufts Medical Center Clinical Research Studies Departmental Courses Periodontal Seminar Program The goals and objectives of this curriculum are to allow the resident to: Diagnose and treatment plan periodontal status. Perform initial therapy for periodontal oral care. Re-evaluate periodontal health for surgical therapy. Analyze critically periodontal literature and its relation to current concepts in periodontics. 117 Practice Management Seminar Program The goals and objectives for this curriculum will allow the resident to: Understand business plan concepts Understand behavior management and its impact on the dental practice Understand the need for dental practice systems Understand the importance of being a leader Transitions from GPR to life after training Oral Surgery Seminar Program The goals and objectives for this curriculum will allow the resident to: Diagnose and treatment plan the oral surgical needs of patient care both medically and dentally. Understands concepts of and perform exodontia. Perform simple pre-prosthetic surgery. Understand the initial treatment and management of extra-oral facial trauma. Detect and treatment plan initial treatment for intra-oral pathology. Treat intra-oral hard and soft tissue lesions of traumatic origin. Prosthodontic Seminar Program The goals and objectives for this curriculum will allow the resident to: Diagnose and treatment plan the fixed and removable prosthodontic needs of oral care. Appropriate referral when necessary. Understand theory and apply practice of current concepts and techniques of fixed and removable prosthodontics. Understand the fundamentals of restoring implants. Understand the relationship between occlusion and dental rehabilitation with fixed and removable prosthetics. Understand the necessity of proper treatment planning needs for implant prosthodontics Understand diagnostic tools necessary for proper implant treatment planning work ups Understand Implant prosthodontic trouble shooting Understand Principles of surgical implant placement from patient selection to surgical technique Endodontic Seminar Program: The goals and objectives for this curriculum will allow the resident to: Be exposed to current concepts in pulpal therapy and modalities of treatment. Appropriate diagnosis and treatment planning for comprehensive and emergency pulpal care. Advanced training in treatment techniques of single and multi-rooted teeth in need of endodontic care. Current academic schedules can be accessed on www.tufts.edu/tusk/dental Clinical Instruction Clinical instruction for patient care in dentistry and medicine are throughout the year in the following rotations and resident experiences will enable the resident to perform the listed goals and objectives: Advanced General Dentistry Clinic Tufts University School of Dental Medicine, 1 Kneeland St. Boston 30% Clinical Time. Expose the residents to professional skills and practice management necessary to function effectively in the private general practice setting. Utilize the resources available within the Dental School for advanced training, one on one, in dental specialties for practice in comprehensive patient care. Train residents in complex dental procedures. Train residents in time management. 118 Expose residents to various dental materials not typically used in undergraduate clinics. Provide opportunities to residents to teach pre-doctoral students within the dental school. Tufts Dental Facilities, Taunton and Wrentham 30% Clinical Time. Expose the residents to professional skills and practice management necessary to function effectively in a public health center, focusing specifically on special care dentistry. This includes patient care for those with developmental disabilities, geriatrics, and the medically compromised. Train residents in advanced behavior management Train residents in advanced medical management Train residents advanced topics for informed consent, guardianship issues, and interdisciplinary communication. Operating Room Lemuel Shattuck Hospital, Jamaica Plain, MA Franciscan Children’s Hospital, Brighton, MA North Shore Medical Center, Salem, MA 20% Clinical Time Provide experience with informed consent and guardianship issues. To manage the patient pre-operatively, operatively, and post-operatively. To provide comprehensive dental care under general anesthesia. To expose resident to proper hospital procedure and protocol. To act as an integral part of an interdisciplinary healthcare team. To become proficient with matters regarding informed consent. To apply skills obtained in history, physical and medical risk assessment. Emergency Room On-Call and Consultation Service Tufts Medical Center, Boston, MA In-House Call for weeknight and weekend shifts. Approximately 38 Call experiences per resident per year. Consult Service is for inpatient care for dental needs. Treat patient’s intra-oral dental emergencies. Manage patients with extra-oral emergencies. Anticipate and treat medical emergencies. Do initial management of extra-oral trauma. Treat intra-oral trauma. Interdisciplinary care with the Department of Oral Surgery Act as a primary care provider for patient's oral health as it relates to medical health. Apply knowledge of patient's physical and mental disabilities and their impact on comprehensive dental care in order to consult appropriately. Act as a member of an interdisciplinary healthcare team. Oral Surgery TUSDM, Department of Oral Surgery One Week Rotation, 40 hours of training: Summer Semester To extract teeth. To extract uncomplicated impacted third molars. To perform uncomplicated pre-prosthetic surgery. Treat complications of intra-oral surgery. Treat complications of extra-oral surgery. Perform simple biopsies of oral tissues Establish risk assessment for dental treatment. Gelb Oro-Facial Pain Clinic TUSDM One Week Rotation, 35 hours of training: Spring Semester Understand anatomy of the TMJ and its relationship to TMD. Diagnose and treat uncomplicated TMD. 119 Assess and manage facial pain. Anesthesiology Franciscan Children’s Hospital, Brighton, MA Two Week Rotation, 80 Hours of training. Winter Semester Evaluate the patient pre-operatively. Assess the effects of pharmacological agents. Perform venipuncture technique and administration of intravenous agent. Understand and perform patient monitoring, airway management, anesthetic induction and intubation, administration of anesthetic agents, prevention and treatment of anesthetic emergencies, and assessment of patient recovery from anesthesia. Anticipation of Medical Emergencies and treatment protocols for medical emergency management Emergency Medicine Tufts Medical Center, Boston Two Week Rotation: 80 hours of training. Fall Semester. Taking, recording and interpreting a complete medical history Understanding the indications of and interpretations of laboratory studies and other techniques used in the diagnosis of oral and systematic diseases Understanding the relationship between oral health care and system diseases Interpreting the physical evaluation performed by a physician with an understanding of the process, terms and techniques employed Using the techniques of physical examination (i.e., inspection, palpation, percussion, and auscultation) Anticipation of medical emergencies and treatment protocols for medical emergency management Promotion and Graduation Requirements Promotion and graduation requirements are in keeping with a Residency Agreement Policy for Program participation, participation in the Individual Education Plan process for resident progress and evaluation, as well as completion of the Steps for Success program for best practice technique and quality of patient care. All other requirements for promotion and receipt of certificate at program end are in keeping with the Tufts University School of Dental Medicine Student Handbook. A sample of the resident agreement can be accessed on the TUSK system. Schedules Samples of Course, Patient Care Conferences and current clinic schedules can be accessed on the Tufts University School of Dental Medicine TUSK system. Clinic and rotation participation are routinely from 8:30 a.m.–4:30 p.m. Departmental Research and Publications Residents are required to participate in the Annual Bates Andrews Research day for presentation of table clinic projects. Projects are assigned at the beginning of the academic year and presented on Bates Day with occurs in February/March. Publications although not required are encouraged. General Information Tufts University School of Dental Medicine General Practice Residency is a stipend position. Student fees for supplies, books and activities may apply. Please see a sample of this information located in the TUSK system for Resident Agreements. Medical insurance is available, and required for participation by Massachusetts state law. Premium cost to the resident is in keeping with University student health plans. Departmental policies for time off may be accessed via TUSK. The GPR Program has two weeks paid leave. The first week is selected for the resident and the second week is upon request during the spring semester. No vacation time can be taken in the last program month, June. Paid holidays are per the University Master Calendar, where no clinic duties are scheduled, unless the 120 resident is scheduled for on-call services. Both Clinic and On Call schedules are assigned at the beginning of the year for the entire year in advance. All other time off is in keeping with University policies and the Program Director. Due to the multi-facility nature of the Program, the use of a car is required for program participation. The TUSDM GPR program is a multi-facility educational experience as described above in detail. All residents are House officers at the below institutions. Residents must be eligible to practice dentistry as a graduate from an accredited dental school from within the United States or Canada. Temporary Intern Licensure is available for practice in Massachusetts pending application requirements and approval. TUFTS MEDICAL CENTER HOSPITAL (TMC): The primary teaching hospital of the Tufts Medical and Dental Schools. Its mission is to provide multidisciplinary health care, mostly of a tertiary nature, to a broad patient population. As a world-renowned teaching hospital its educational priorities include training undergraduate and graduate medical and dental students, providing in-depth residency training in medical specialties and maxillofacial surgery, oral pathology and general dental practice. TMC seeks to advance and promote medical and scientific knowledge through basic and clinical research, and to apply this knowledge to promote health and prevail over disease. TMC has a rich tradition in excellent health care delivery, health care innovation, teaching, research and community service. The Tufts University School of Dental Medicine and its programs, both at the pre-and postdoctoral levels, are an integral part of TMC. The institutions are adjacent to one another and share an access interface on all floors. LEMUEL SHATTUCK HOSPITAL: A state funded public health hospital located in the Metropolitan Boston area. The Lemuel Shattuck Hospital’s mission is to provide comprehensive health care and support services, which meet the health and social needs of the surrounding community. The institution provides operating room facilities for the Tufts program for special needs. The institution also provides funding so that the resident is able to provide comprehensive dental care to the hospitals outpatient population in its own clinic. FRANCISCAN CHILDREN’S HOSPITAL: A Metropolitan Boston area charitable institution, run by the Franciscan Order, that is dedicated to providing care to children, most with severe mental or physical disabilities, 21 years of age or younger. This institution provides operating room facilities for the Tufts program for special needs. 121 ADVANCED EDUCATION PROGRAM IN ORAL AND MAXILLOFACIAL SURGERY Program Information The Advanced Education program in Oral and Maxillofacial Surgery is a four year program and provides the resident with a broad academic background in biomedical sciences and surgical principles, in the diagnosis and management of medically compromised patients, and the fundamental knowledge, principles and surgical skills in the treatment of major and minor Oral and Maxillofacial Surgery problems. The academic and clinical aspects of this program complement each other and fulfill all the requirements established by the American Board of Oral and Maxillofacial Surgery and the Council on Dental Education of the American Dental Association. During the four years of training, residents are exposed to the basic and applied sciences–in particular pathology, laboratory medicine, physical diagnosis, medical sciences, pharmacology, surgical anatomy, general surgery, and anesthesiology. Special emphasis is placed on major and minor oral surgery, as well as broad experience in out- and in-patient general anesthesia. The residents are required to attend lectures, seminars, conferences, and clinics at the University and affiliated hospitals. The resident participates actively as a member of the oncology team at Tufts Medical Center in the management of head and neck tumors. The second year of the program is entirely devoted to general surgery, general anesthesia, and surgical specialties including otolaryngology. The major teaching hospital of Tufts University School of Dental Medicine is Tufts Medical Center Hospital. The student is required to participate in basic and/or clinical research, leading to publication and presentation of their research. Academic credits received during the four years may be directed toward an M.S. degree, but time beyond the four years will be necessary to complete the requirements for the M.S. degree. Emphasis is placed upon training the residents to the standards for Board certification. Thus, residents are well prepared for Board examination and it is expected that they successfully achieve Board certification. To broaden the scope of the trainee’s experience and maximize education experience, there are off-service rotations that the resident has an opportunity to participates in. There are annual rotations to Honduras and India. While on these rotations, the resident participates fully in the evaluation, treatment planning and treatment of cleft lip and palate patients, trauma, and pathologic entities. Participation in these rotations is offered to senior residents in good standing with their academic and clinical requirements. Mission statement The Department of Oral and Maxillofacial Surgery at Tufts University School of Dental Medicine is committed to providing high level effective care for patients and is dedicated to the education of pre-doctoral and post-doctoral students. The department treats the full-scope of Oral and Maxillofacial Surgery problems including extraction of erupted and impacted teeth, trauma to the teeth and jaws, benign and malignant neoplasms, congenital and development maxillofacial deformities, orthognathic surgery and reconstruction, and placement of dental implants. Department Administration Program Director and Chair of Oral and Maxillofacial Surgery: Maria B. Papageorge, D.M.D., M.S. Contact information Phone: (617) 636-6515 e-mail: [email protected] 122 Department Manager: Marilyn Peterson Contact Information Phone :(617) 636-0843 e-mail:[email protected] Administrative Assistant: Contact Information Phone: (617) 636-0857 e-mail: Program Faculty Full-time Faculty Dr. Maria B. Papageorge is a tenured Professor, Chair and Director of the advanced education program in Oral and Maxillofacial Surgery. She is also Assistant Dean for Hospital Affairs and Chair of the Department of Dentistry at Tufts Medical Center. She has been on the faculty in the department of Oral and Maxillofacial Surgery since 1986. She received her Bachelor of Arts degree from Wellesley College, and her D.M.D. degree and M.S. degree from Tufts University School of Dental Medicine. She completed her Advanced Education Training in Oral and Maxillofacial Surgery and a fellowship in Cancer and Reconstructive Surgery from Tufts and Tufts-New England Medical Center. Dr. Papageorge is a Diplomate of the American Board of Oral and Maxillofacial Surgeons, Fellow of the American Association of Oral and Maxillofacial Surgeons, the International College of Dentists, and the Pierre Fauchaud Academy. Her extensive research and clinical interests include cancer, maxillofacial reconstruction, orthognathic surgery, and implant surgery. Dr. Morton Rosenberg is a Professor in Oral and Maxillofacial Surgery and Head, Division of Anesthesia and Pain Control. He is also Assistant Professor of Anesthesiology at Tufts University School of Medicine, and has been on faculty since 1975. Dr. Rosenberg received his D.M.D. degree from Tufts University School of Dental Medicine and his residency in Anesthesia at Tufts-New England Medical Center. A nationally recognized leader and educator in dental sedation and anesthesia, he has published extensively in the dental and medical literatures. He is currently on the Board of Directors of the American Dental Society of Anesthesiology. Dr. Constantinos Laskarides is Assistant Professor and Director of the pre-doctoral program in Oral & Maxillofacial Surgery. He has been on faculty since 2006. He received his D.M.D. degree and his PharmD degree from the University of Athens, Greece. He completed his Advanced Education Training in Oral and Maxillofacial Surgery at Tufts University and Tufts-New England Medical Center and his IS D.M.D. from Tufts University School of Dental Medicine. Dr. Laskarides is a Diplomate of the American Board of Oral and Maxillofacial Surgery. His clinical interests include facial cosmetic and orthognathic surgery, advanced implant and maxillofacial reconstructive surgery, and primary cleft lip and palate repair. He participates annually in surgical expeditions to the third world for the treatment of children with cleft lip and palate. Dr. Daniel Oreadi is Assistant Professor in Oral & Maxillofacial Surgery. He received his DMD degree from Universidad Central de Venezuela, School of Dentistry in Caracas, Venezuela in 2000. He completed his Advanced Education Training in Oral and Maxillofacial Surgery at Tufts University and Tufts Medical Center in 2009 and a Fellowship in Head and Neck Tumor and Reconstructive Surgery at the University of Tennessee Medical Center, Knoxville, TN in 2010. His clinical interests include cancer and reconstructive surgery, orthognathic surgery, advanced implant and maxillofacial reconstructive surgery, and management of head and neck trauma patients. Dr. William Gilmore is Associate Professor and has been on faculty since 1979. He received his Bachelor of Science Degree from Boston College and his D.M.D. from Tufts University School of Dental Medicine. He completed his Advanced Education Training at Tufts. Dr. Gilmore is a Diplomate of the American Board of Oral and Maxillofacial Surgery, Fellow of the American Society of Dental Anesthesiology, and a member of the American Dental Association, Mass Dental Society, American Association of Oral and Maxillofacial Surgeons. Dr. Gilmore primarily teaches in the predoctoral program. 123 Dr. Roger B. Galburt is a Clinical Professor and Director of the Implant Center, and has been on the faculty since 1977. He received his Bachelor degree from the Universtiy of the City of New York Brooklyn College, and his D.D.S. from New York University College of Dentistry. He completed his Advanced Education training in Prosthodontics at Harvard University School of Dental Medicine. He is a consultant and examiner with the Northeast Regional Board of Dental Examiners. He is also a member of the American Dental Association, South Shore Dental Society, and American College of Prosthodontics. Part-time Faculty Dr. Richard Sorbera is Clinical Professor and has been on faculty since 1967. He received his Bachelor of Science Degree from Boston College and his D.D.S. from Georgetown University School of Dentistry. He completed his Advanced Education Training at Tufts University School of Dental Medicine. Dr. Sorbera is a Diplomate of the American Board of Oral and Maxillofacial Surgeons, Fellow of the American Association of Oral and Maxillofacial Surgeons, Fellow of the American College of Oral and Maxillofacial Surgeons. Dr. Sorbera directs the outpatient general anesthesia clinic. Dr. Lou Rissin is Associate Clinical Professor and director of the implant fellowship and has been on faculty since 1996. He received his Bachelor of Arts degree from the University of Vermont and his D.M.D. from the University of Pennsylvania School Of Dental Medicine. He completed his Advanced Education Training in Prosthodontics at Harvard School of Dental Medicine. Dr. Rissin is a Diplomate of the American Board of Prosthodontics. Dr. Shibly Malouf is Associate Clinical Professor and has been on faculty since 1968. He received his Bachelor of Science Degree from Bates College and his D.D.S. from Temple University School of Dentistry. He completed his Advanced Education Training in Oral and Maxillofacial Surgery at the University of Virginia School of Medicine and Tufts University School of Dental Medicine. Dr. Malouf is a Fellow of the American College of Oral and Maxillofacial Surgeons, Fellow of the International Society of Oral and Maxillofacial Surgeons, and Fellow of the American Dental Society of Anesthesiology. Dr. Malouf primarily teaches in the pre-doctoral program. Dr. Edward D'Eramo is Associate Clinical Professor and has been on faculty since 1974. He received his Bachelor of Science Degree from Boston College and his D.M.D. from Tufts University School of Dental Medicine. He completed his Advanced Education Training at UCLA-VA Medical Center. Dr D'Eramo is a member of the American Dental Association, Southern California Academy of Oral Pathology, American Dental Society of Anesthesiology, Massachusetts Dental Society, and Massachusetts Society of Oral Surgeons. Dr. D'Eramo primarily teaches in the pre-doctoral program. Dr. Lewis Estabrooks is Associate Clinical Professor and has been on faculty since 1970. He received his Bachelor of Science Degree from the University of Rochester and his D.M.D. from Tufts University School of Dental Medicine. He completed his Advanced Education Training at Tufts University School of Dental Medicine, New England Medical Center and Boston City Hospital. Dr. Estabrooks is a Member of the Maine Dental Assocation, American Dental Association, American Association of Oral and Maxillofacial Surgeons, Fellow American Dental Society of Anesthesia. Dr. Estabrooks, primarily teaches in the advanced education program. Dr. Laith Azzouni is an Assistant Clinical Professor and has been on faculty since 2009. He received his BDS from the University of Jordan Faculty of Dentistry in 2000 and his DMD from the University of Pennsylvania School of Dental Medicine in 2004. He completed his Advanced Education Training in Oral and Maxillofacial Surgery from Montefiore Medical Center, in NY in 2008. Dr Azzouni is a Diplomate of the American Board of Oral and Maxillofacial Surgery. Dr. Azzouni teaches in both the pre-and post-doctoral programs. Dr. Peter Theoharides is Assistant Clinical Professor and has been on faculty since 1990. He received his Bachelor of Science Degree from Boston College, and his D.M.D. from the University of Pennsylvania School of Dental Medicine. He completed his Advanced Education Training at Tufts University School of Dental Medicine. Dr. Theoharides is a Diplomate of the American Board of Oral 124 and Maxillofacial Surgeons, Fellow of the American board of Oral and Maxillofacial Surgery, American Dental Association, Massachusetts Society of Oral and Maxillofacial Surgeons and Massachusetts Dental Society. Dr. Theoharides primarily teaches in the pre-doctoral program. Dr. Mahmoud El-Hadidy is Assistant Clinical Professor and has been on faculty since 2004. He received his D.D.S. from Al-Azhar University Faculty of Dental Medicine and his BDS for Alexandria University Faculty of Dentistry. He studied Oral and Maxillofacial Surgery at Tufts University of Dental Medicine from 1979 to1981 and completed a fellowship in Oral and Maxillofacial Surgery at the University of Illinois from 1984 to 1985. He received a Specialty Diploma from Al-Azhar University Faculty of Dental Medicine, Cairo, Egypt and his D.M.D. from Tufts University School of Dental Medicine. Dr. El-Hadidy is a member of the American Association of Oral and Maxillofacial Surgeons, Massachusetts Society of Oral and Maxillofacial Surgeons, American Dental Association, Massachusetts Dental Society, International Association of Oral and Maxillofacial Surgeons, Academy for Osseointegration, International Association for Dental Research. Dr. El-Hadidy primarily teaches in the pre-doctoral program. Dr. Christopher Maller is Assistant Clinical Professor and has been on faculty since 1988. He received his Bachelor of Science Degree and Master of Science from the University of Maine and his D.M.D. from Tufts University School of Dental Medicine. He completed his Advanced Education Training at Wm. Beaumont Army Medical Center and Surgical Anesthesia at Boston City Hospital. Dr. Maller is a Diplomate of the American Society of Dentist Anesthesiologists, and Fellow of the American Dental Society of Anesthesia. Dr. Maller teaches pain control in the pre-doctoral program. Dr. Lawrence Herman is Assistant Clinical Professor and has been on faculty since 1974. He received his Bachelor of Science degree from McGill University, Montreal and his D.M.D. from the University of Pennsylvania. He completed his Advanced Education training at Albert Einstein College of Medicine and Kings College Hospital and Dental School, London, England. Dr. Herman is a Diplomate of the American Board of Oral and Maxillofacial Surgery, and Fellow of the American Dental Society of Anesthesiologists. Dr. Herman participates annually in surgical expeditions to the third world for the treatment of children with cleft lip and palate. Dr. Hamid Esbah-Tabatabaei is a Clinical Instructor and has been on the faculty since 2008. He received his Bachelor of Science degree from Elizabeth College and his D.M.D. from Tufts University School of Dental Medicine. He completed his advanced education training at Lincoln Medical and Mental Health Center. Dr. Esbah-Tabatabaei is a Diplomate of the American Board of Oral and Maxillofacial Surgeons, and a Fellow of the American Board of Oral and Maxillofacial Surgeons and American Society of Dental Anesthesiology. Dr. Esbah-Tabatabaei primarily teaches in the pre-doctoral program. Dr. Nicholas G. Capobianco is a Clinical instructor, and has been on faculty since 2011. He received his Bachelor of Science from Fairfield University and his D.D.S. from Saint Louis University School of Dentistry. He completed his Advanced Education Training at the University of Maryland Hospital, Hospital Empleados, and The Worcester City Hospital. Dr. Capobianco is a Retired Life member of the American Dental Association. He is also a member of the American Association of Oral and Maxillofacial Surgeons and The Rhode Island Dental Association. Dr. Capobianco teaches in the pre-doctoral clinic. Dr. Marcin Jarmoc is a Clinical Instructor and has been on faculty since 2011. He received his Bachelor of Science Degree from the University of Florida and his D.M.D. from Tufts University School of Dental Medicine. He completed his Advanced Education Training at Tufts University School of Dental Medicine and TUFTS Medical Center. He is a member of the American Dental Society, American Academy of Oral and Maxillofacial Surgeons, Massachusetts Society of Anesthesiology and the Omicron Kappa Upsilon National Dental honor Society. Dr. Jarmoc teaches in the pre-doctoral and post- doctoral programs and practices the full scope of Oral and Maxillofacial Surgery. Dr. James Kraus is a Clinical Instructor and has been on faculty since 2011. He received his Bachelor of Science Degree from Saint Michael's College and his D.M.D. from Tufts University 125 School of Dental Medicine. He completed his Advanced Education Training at Tufts University School of Dental Medicine and TUFTS Medical Center. Dr. Kraus completed a one year fellowship in Pediatric and Adult Cranio-Maxillofacial Surgery at the Royal Children's Hospital; Royal Melbourne Hospital and Epworth Medical Center, Melbourne, Australia. He is a member of the American Association of Oral and Maxillofacial Surgeons, American College of Oral and Maxillofacial Surgeons, International Society of Oral and Maxillofacial Surgeons, Australian & New Zealand Association of Maxillofacial Surgeons and the American Trauma Society.Dr. Kraus teaches in the pre-doctoral and post-doctoral programs. He practices the full scope of Oral and Maxillofacial Surgery with special interest in Cranio-Maxillofacial Surgery. Dr. Joseph Leibovici is a Clinical Instructor and has been faculty since 2009. He received his Bachelor of Science degree from Rugters University and his D.M.D. from the University of Medicine and Dentistry of New Jersey. He completed his advanced education training at Tufts University School of Dental Medicine. Dr. Leibovici is a Diplomate of the American Board of Oral and Maxillofacial Surgeons, and Fellow of the American Board of Oral and Maxillofacial Surgeons and American Society of Dental Anesthesiology. Dr. Kiely primarily teaches in the pre-doctoral program. Emeritus Faculty Dr. Lonnie H. Norris is Professor of Oral and Maxillofacial Surgery Emeritus and Dean Emeritus. He was appointed Interim Dean in 1995 and Dean from 1996 to 2011. He is a tenured professor and has been on faculty since 1980. He received his Bachelor of Arts degree from Fisk University and his D.M.D. and MPH degrees from Harvard University School of Dental Medicine, and Harvard School of Public Health. His Advanced Education training in Oral and Maxillofacial Surgery certificate was awarded from Tufts University School of Dental Medicine, Tufts-New England Medical Center and Boston City Hospital. Dr. Norris is a Diplomate of the American Board of Oral and Maxillofacial Surgery, Fellow of the American Association of Oral and Maxillofacial Surgeons, International College of Dentists, the American College of Dentists, the American Academy of Dental Science, and the Pierre Fauchard Academy. Dr. H. Chris Doku is Distinguished Professor Emeritus. He was on faculty from 1970 until 1999. He received his Faculty of Science Certificate of Physics, Chemistry and Biology and as his DDS degree from the University of Istanbul. He completed his Advanced Education training in Oral and Maxillofacial Surgery at Tufts University School of Dental Medicine and in General Anesthesia at St. Francis Hospital, Hartford, CT. He also received his D.M.D. degree from Tufts University School of Dental Medicine. Dr. Doku served as Chair and Director of the advanced education program in Oral and Maxillofacial Surgery from 1965 to 1999. He also served as the Assistant/Associate Dean for Hospital Affairs, Chairman of the Oral and Maxillofacial Surgery Department, Coordinator Tufts General Practice Residency Program in Dentistry. Dr. Doku is a Diplomate of the American Board of Oral and Maxillofacial Surgery, Fellow of the American Dental society of Anesthesiology, Fellow of International Association of Oral Surgeons, Fellow of the American Association of Oral and Maxillofacial Surgeons and Fellow of the International College of Dentists. Required Courses Physical Diagnosis Oral and Maxillofacial Pathology Head and Neck Anatomy and Laboratory Dissection Principles of Orthognathic Surgery and Orthodontic preparation Evidence based implant dentistry Cardiopulmonary Resuscitation Advanced Cardiac Life Support Advanced Trauma Life support Departmental Courses and Conferences Oral and Maxillofacial Surgery Course Clinico-Pathological Conferences Combined Oral and Maxillofacial Surgery/orthodontic treatment planning seminars Resident presentations 126 Oral and Maxillofacial Surgery/Implant treatment planning seminars Treatment planning conferences Oral and Maxillofacial Surgery /ENT trauma conferences Head and Neck Tumor conferences Graduation Requirements Successful completion of all academic and clinical requirements. Completion of research project with presentation and submission for publication. Departmental Research and Publications Current active research projects include: Development of sleep-related breathing disorders. Prospective randomized control trial of 2 different sedation sequences for removal of 3 rd molars. Evaluation of Soft and Hard tissue alterations around implants placed on the anterior aesthetic area of the maxilla that have been restored with the use of the medialized platform technique. Incidence of infra-orbital and superior alveolar nerve paresthesia following Le-Fort I osteotomy. The role of Facial Characteristics in the development of obstructive sleep apnea syndrome. Evaluation of Postoperative edema and pain following third molar extractions after the application of non-diathermy pulsed electromagnetic field therapy. Postoperative assessment of Maxillo-Mandibular Advancement as an effective treatment for obstructive sleep apnea syndrome. A Comparison of Immediate Implant Placement following Tooth Extraction with NonImmediate Implant Placement and Associated Outcomes as documented by a Five-Year Retrospective Case-control Analysis. Selected recent departmental publications: Papageorge, MB, Chapman, RJ. Reconstruction of Craniofacial Function using Osseointegrated Implants in Patients with Mandibular Defects. Chapter in Osseointegration-Multidisciplinary Treatment, Quintessence, 287-320, 2005 Al-Sebaei, M, Gagari, E., Papageorge, MB. Mandibular Distraction Osteogenesis: A Rabbit Model Using a Novel Experimental Design. J Oral Max Surg, 63 (5): 664-672, 2005 Papageorge, MB, Etiology of Oral Cancer in the Young Patient: Is Tongue Cancer becoming the Other Cancer in Women? Chapter in Oral and Maxillofacial Surgery Clinics of North America, Elsevier Saunders, 19(2): 163-171, 2007 Kraus, J, Oreadi, D, Shastri, K, Rosenberg, M. Perioperative management of a patient with short chain acyl-CoA Dehydrogenase deficiency. J Oral Maxillofac Surg, 66:2164-2165, 2008 Domingos Ribeiro-Junior, P, Magro-Filho, O, Shastri, Papageorge, MB. In Vitro Biomechanical Evaluation of the Use of Conventional and Locking Miniplate/Screw Systems for Sagittal Split Ramus Osteotomy, J Oral Maxillofac Surg 68(4); 724-730, 2010 Jarmoc, M, and Shastri, K, Davis, F. Anisocoria Following Open Reduction and Internal Fixation of a Mandible Fracture under General Anesthesia: A Case Report. J Oral Maxillofac Surg 68 (4); 898901, 2010 Demetriades, N, Chang, DJ, Laskarides, C, Papageorge, MB. Effect of Mandibular Retropositioning, with or without Maxillary Advancement, on the Oro-Naso-Pharyngeal Airway and Development of Sleep-Related Breathing Disorders. J Oral Maxillofac Surg, 68 (10):2431-2436, 2010 127 Lucca, M, Shastri, K, McKenzie, S, Kraus, J, Finkelman, M, Wein, R. Comparison of treatment outcomes associated with early versus late treatment of mandible fractures: a retrospective chart review and analysis, J Oral Maxillofac Surg, 68 (10):2484-2488, 2010 Lucca, M., D’Innocenzo, R.Kraus, J, Gagari, E, Hall, J, Shastri, K, Ameloblastic Carcinoma of the Maxilla: A Report of Two Cases. J Oral Maxillofac Surg, 68 (10):2564-2568, 2010 McKenzie, S, Rosenberg, M. Paradoxical Reaction Following Administration of a Benzodiazepine, J Oral Maxillofac Surg, 68:3034-3036, 2010 John, V, Papageorge, MB, Jahangiri, L,Wheater,M, Cappelli, D, Frazer, R, Sohn, W. Recruitment, Development, and Retention of Dental Faculty in a Changing Environment. JDE, 75(1): 82-89, Jan 2011 Kraus, J, Papageorge, M, Vocal Cord Paralysis after Orthognathic Surgery, Annals of Maxillofacial Surgery,1(2):166-168, 2011 Smart Ryan J, DMD, MD, Marsh Shawn DMD, Rosenberg Morton DMD. Intraosseous Access in Oral and Maxillofacial Surgical Practice, J Oral Maxillofac Surg, 2011 Laskarides C, Goldstein R, Malcmacher L:.Botox therapy in the dental practice. Educ Dent. 2011 Apr;32(3):10-1. Compend Contin Reti R, Navarro P, Shastri K, Oreadi D. Case of multiple keratocystic odontogenic tumors. J Mass Dent Soc. 2011 Winter;59(4):36-9. PubMed PMID:21446619 Rosenthal M, Oreadi D, Kraus J, Bedi H, Stark PC, Shastri K. Comparison of preoperative computed tomography and surgical findings in maxillofacial infections. J Oral Maxillofac Surg. 2011 Jun;69(6):1651-6. Epub 2011 Jan 21. PubMed PMID: 21256641. Oreadi, D., Carlson, ER. Ablative Oral / Head and Neck Surgery. Book Chapter in Management of Complications in Oral and Maxillofacial Surgery, Michael Miloro and Antonia Kolokythas. WileyBlackwell 2012 128 ADVANCED EDUCATION PROGRAM IN ORTHODONTICS Program Mission Statement and Philosophy It is the mission of the department of orthodontics to train dentists in the specialty of orthodontists in accordance with the guidelines set forth by the American Dental Association Commission on Dental Accreditation for Advanced Education Programs in Orthodontics and Dentofacial Orthopedics. Further, it is our mission to train dentists to be qualified to achieve Board Certification by fulfilling the requirements set forth by the American Board of Orthodontics, the American Association of Orthodontists and the ADA Commission for Accreditation for Advanced Dental Educational Program in Orthodontics. The program educates the student/resident in the biomedical, clinical and applied sciences appropriate to the diagnosis and treatment of patients who exhibit a wide variety of malocclusions and craniofacial problems which are reflective of the types of patients seen in the private practice of orthodontics. In addition, the program trains the student resident in all areas of quality, comprehensive care of the patient. This training includes, but is not limited to, the use of a wide variety of fixed and removable appliances, the use of orthopedic appliances, treatment of both the adult and child patient, treatment of patients with congenital anomalies, patients that are dentally compromised, patients that require a multidisciplinary approach to treatment, as well as patients requiring orthognathic surgery. The program also trains the student/resident to have in depth knowledge, understanding and familiarity with the entire range of topics related to the specialty of orthodontics and to gain the skills to be proficient in the application of this knowledge in the practice of orthodontics. In the areas of research, the program trains the student/resident to be able to study and understand the scientific literature and to think critically. The student/resident is trained in research methodology and design in order that he/she can successfully complete a clinical research project and an associated paper of publishable quality. The postdoctoral Orthodontic program at Tufts University School of Dental Medicine is a two year program which emphasizes the clinical aspects of the specialty leading to a Certificate in Orthodontics and Dentofacial Orthopedics. The program admits eight students/residents per year a majority of whom will follow the two year clinical track. In addition, a student/resident may choose a three year track leading to a Certificate in Orthodontics and Dentofacial Orthopedics and a Master of Science Degree. The program also fulfills all requirements of the American Board of Orthodontics for certification upon graduation. The program trains students/residents in all aspects of clinical orthodontics including, but not limited to: adult treatment treatment of the adolescent early and interceptive treatment orthognathic surgery TMD cleft palate and other dentofacial anomalies dentofacial orthopedics. The program encourages students/residents to pursue further individual advancement in clinical orthodontics, research, and academia. The latest in technology is an integral part of the program and of the course of study; this includes a paperless record system, digital radiography, 3D cone beam imaging, digital photography and the use of digital cephalometrics. During their first year of training each student/resident is assigned approximately 40 new patients who exhibit a wide variety of malocclusions indicative of those types of problems seen in the 129 private practice of orthodontics. During the second year of their training each student/resident accepts transfer patients from the graduating class to round out their case load of 80-90 patients. Students/residents work closely with individual or multiple faculty members who are assigned to each individual patient. While we believe in a traditional approach to diagnosis, treatment planning and mechanotherapy, each faculty member has the latitude and freedom to explore his/her own particular method of treatment. We believe that this is a major strength to our program. Ours is a diverse and dedicated faculty consisting of excellent practitioners/teachers from the greater metropolitan Boston area, most of whom have been here for many years and many of whom are Board Certified in orthodontics. We believe in introducing new approaches, new materials and new appliances into the program, but we also believe in providing our students/residents with a solid background in traditional orthodontics. Simply stated, we believe in the fundamentals of wire and appliance fabrication combined with new techniques. Biomedical Sciences Epidemiology Head and Neck Anatomy Growth and Development Radiology, Biostatistics Oral Pathology Occlusion Temporomandibular Disorders Medicine Genetics Bone Biology Applied Clinical Sciences Cephalometrics Diagnosis and treatment planning Biomechanics Occlusion Cardiopulmonary Resuscitation Speech Physiology and Therapy Implantology Practice Management Clinical Orthodontics Orthodontic History Machnaotherapy Child Psychology Clinical Photography Digital Radiography Interdisciplinary treatment Cleft Palate and Dentofacial Anomalies Analysis and Treatment of Malocclusions Biomaterials Biomechanics Clinical Thesis Combined Surgical Orthodontics Treatment Practice Administration Adult Orthodontics Review of Orthodontic Literature Aligners Nutrition Pain Control Special Courses Great Lakes Orthodontic Laboratories in Buffalo, New York A one week intensive laboratory course in the fabrication of removable appliances, orthopedic appliances, laboratory materials and related topics. 130 Tweed Course at the Tweed Foundation in Tucson, Arizona A two-week intensive course in orthodontic diagnosis, treatment planning and mechanotherapy. The orthodontic course of study at Tufts builds on a solid background in the basic biomedical sciences and related applied clinical sciences and applies that knowledge to the diagnosis and clinical treatment of patients with a diverse range of malocclusions. Daily seminars focus on case analyses encompassing the different orthodontic modalities, as well as offering a comprehensive review of important current and historical literature. The department invites guest lecturers to supplement the basic course content, encourages students/residents to attend outside courses to increase their overall knowledge in the field, and stresses research studies and technical exercises. All students/residents are required to take the written examination of the American Board of Orthodontics in the second year of study. In addition, students/residents are trained and encouraged to initiate the final step towards Board certification by taking the clinical examination of the American Board of Orthodontics upon graduation. The program emphasizes the use of the Edgewise arch mechanism and its variations, such as the straight wire Alexander appliance and other treatment modalities such as Korn and Wilson mechanics. Students/residents treat selective patients with removable and functional appliances. The program also trains students to diagnose and analyze patients with combined orthodontic, prosthetic, and periodontal problems in concert with other postgraduate departments. Our students/residents interact with their peers in other postgraduate department such as Periodontology, Prosthetics, Pediatric Dentistry, The Craniofacial Pain Center and Oral Surgery in the diagnosis, treatment planning and execution of treatment plans for patients who present with complex malocclusions requiring an interdisciplinary approach to treatment. We are making advances in the research aspects of our program. The three-year combined Certificate/Master’s program allows one or two students/residents to explore the area of research in which they are interested. Collaboration with other departments in the University is encouraged. Each student/resident is required to complete a clinical research project as part of the requirement for graduation. Certain of these projects have resulted in publication in juried journals such as the American Journal of Orthodontics and Dentofacial Orthopedics. Department Administration Program Faculty Full-time Dr. Barry S. Briss is Professor and Chairman of Postgraduate Orthodontics. He has been a member of the orthodontic faculty since 1970. He received a Bachelor of Arts degree from University of Massachusetts-Amherst, his DMD and Certificate in Orthodontics from Tufts University School of Dental Medicine and is a Board Certified orthodontist. He serves as The President-Elect and Northeastern Director of the American Board of Orthodontics. Dr. Georgios Kanavakis has been a faculty member since 2011. He received his D.D.S at Aristotle University of Thessaloniki, Thessaloniki, Greece, had postgraduate education in Orofacial pain and Temporomandibular disorders at Tufts University, School of Dental Medicine, a Certificate in The Craniofacial Pain, Headache and Sleep Center at Tufts University, School of Dental Medicine, a Master of Science at Tufts University, School of Dental Medicine and a Certificate in Orthodontics and Dentofacial Orthopedics from Tufts University, School of Dental Medicine. Part Time Dr. David Cabeceiras is an Associate Clinical Professor and has been a member of the orthodontic faculty since 1991. He earned a Bachelor of Science Degree from Providence College, a DMD and a Certificate in Orthodontics from Tufts University School of Dental Medicine. He is a Board Certified Orthodontist and maintains a full-time private practice south of Boston. Dr. Carl Carlamere is an Assistant Clinical Professor and has been a member of the orthodontic faculty since 1983. He earned a Bachelor of Science Degree from Villanova University, a DDS from 131 Georgetown University and a Certificate in Orthodontics from Tufts University School of Dental Medicine. He maintains a full-time practice north of Boston. Dr. Vicky Cartsos is an Associate Professor and has been a member of the orthodontic faculty since 2005. She received D.M.D. degrees from the University of Athens School of Dentistry and Tufts University School of Dental Medicine, a Certificate in Orthodontics from Tufts University School of Dental Medicine and a Master of Science degree from Tufts. Dr. Peter Cressman is an Assistant Clinical Professor and has been a member of the orthodontic faculty since 1985. He is on the Cleft Plate team at Tufts New England Medical Center and oversees the care of patients with craniofacial anomalies such as cleft palate. He earned a Bachelor of Science Degree in Biology from Lafayette University, a DMD from the University of Pennsylvania and a Certificate in Orthodontics from Tufts University School of Dental Medicine. He maintains a full-time private practice south of Boston. Dr. Eugene Eagles is an Assistant Clinical Professor and has been a member of the orthodontic faculty since 1997. He earned a Bachelor of Arts Degree from Tufts University, a D.M.D. from Tufts University School of Dental Medicine and a Certificate in Orthodontics from Boston University. He is a Board Certified orthodontist who is retired from full-time practice. Dr. Thomas Fischer is an Assistant Clinical Professor and recently joined the faculty in 2008. He earned his Bachelor of Science Degree from the University of Notre Dame, his DMD from the University of Pennsylvania and his MS in orthodontics from Marquette University. He is a Board Certified orthodontist and maintains a full time private practice in Burlington, Vermont. Dr. Bahram Ghassemi is an Associate Clinical Professor and has been a member of the orthodontic faculty since 2002. He is the former Chairman of the Orthodontic Department in Teheran, Iran. He is a dual degree specialist having earned his Certificate in Pediatric Dentistry from Boston University and a Certificate in Orthodontics from Tufts University School of Dental Medicine. He is a Board certified orthodontist and maintains a full-time practice in the greater Boston area. Dr. Richard Graham has been a Faculty member since 2011. He has received his B.S. from Tufts University, his D.M.D. from Tufts University School of Dental Medicine and his certificate in orthodontics from Albert Einstein/Montefiore Medical Center. He maintains a private practice in Wesley Chapel, NC. Dr. Unae Han is an Assistant Clinical Professor and joined the faculty in 2010. She earned a Master of Public Health from the Harvard School of Public Health, a DMD (Cum laude) from The Harvard School of Dental Medicine and a Master of Science Degree and Certificate in orthodontics from the University of Michigan School of Dentistry. She is a Board certified orthodontist and maintains a private practice in a community west of Boston. Dr. James Kane is an Associate Clinical Professor and has been a member of the orthodontic faculty since 1982. He is a dual degree specialist have earned a Bachelor of Science Degree from the University of Massachusetts (Amherst), a DMD, a Certificate in Pediatric Dentistry and a Certificate in Orthodontics from Tufts University School of Dental Medicine. He maintains a full-time private practice west of Boston. Dr. Harold Kaplan is an Associate Clinical Professor and has been a member of the orthodontic faculty since 1971. He earned a Bachelor of Arts Degree from Columbia University, a DMD and a Certificate in Orthodontics from Tufts University School of Dental Medicine. He is the Chairman of the Admissions Committee for the department and is a Board Certified orthodontist. He maintains a full-time private practice north of Boston. Dr. Marcel Korn is an Associate Clinical Professor and has been a member of the faculty since 1972. He earned a Bachelor of Science Degree from the University of Massachusetts (Amherst), a DMD and a Certificate in Orthodontics from Tufts University School of Dental Medicine. He is a 132 Board Certified orthodontist and maintains a full-time private practice in Boston. Dr. Leon Klempner is a visiting lecturer and Clinical Instructor and has been a member of the orthodontic faculty since 2002. He earned a Bachelor of Arts Degree from Adelphi University, a DDS from the University of Maryland and a Certificate in Orthodontics from Tufts University School of Dental Medicine. He is a Board Certified orthodontist and maintains a full-time private practice on Long Island, New York. Dr. Matthew Miner is an Associate Clinical Professor, has been a member of the faculty since 2009 and directs a variety of research projects. He earned his Bachelor of Arts Degree at Colby College, his DDS at New York University and complete hi orthodontic training at the Harvard School of Dental Medicine. He is a Board Certified orthodontist and maintains a full time practice in Dedham, Massachusetts. Dr. Tracey Maloney is an Associate Clinical Professor and has been on the orthodontic faculty since 1995. She is a member of the Dental School faculty and is a teacher of gross anatomy at the Post-graduate level. She earned her Bachelor of Science Degree, a DMD, a Certificate in Orthodontics and a Master of Science Degree from Tufts University School of Dental Medicine. She maintains a full-time private practice south of Boston. Dr. Roland Nentwich is an Assistant Clinical Professor and has been a member of the orthodontic faculty since 2002. He earned a Bachelor of Arts Degree from Holy Cross, a DDS and a Master of Science Degree from SUNY Buffalo School of Dental Medicine and a Certificate in Orthodontics from the University of Rochester. He maintains a full-time private practice west of Boston. Dr. Carl Perlmutter is an Associate Clinical Professor and has been a member of the orthodontic faculty since 1975. He earned a Bachelor of Science Degree from the University of Vermont, a DMD and Certificate in Orthodontics from Tufts University School of Dental Medicine. He maintains a fulltime private practice west of Boston. Dr. Peter Phan has been a faculty member since 2011. He received his Bachelor of Arts degrees from Rutgers University and University of California, his DMD from Tufts University School of Dental Medicine and his Certificate in Orthodontics and Dentofacial Orthopedics from Tufts University School of Dental Medicine. He maintains a private practice south of Boston. Dr. Hugh Phillis is an Assistant Clinical Professor and has been a member of the or6thodontic faculty since 1980. He earned a Bachelor of Science Degree from Pennsylvania State University, a DMD and a Certificate in Orthodontics from Tufts University School of Dental Medicine. He is a Board Certified orthodontist and maintains a full-time practice in Nashua, New Hampshire. Dr. Charles Ruff is an Assistant Clinical Professor and joined the faculty in 2008. He earned a Bachelor of Science degree in Chemical Engineering from Manhattan College, his DMD and Certificate in orthodontics from Tufts University School of Dental Medicine. He is a Board Certified orthodontist and maintains a practice in Waterville, Maine. Dr. Leo Spyrou is an Assistant Clinical Professor and has been a member of the orthodontic faculty for 6 years. He is a dual specialist having earned both a Certificate in Pediatric Dentistry and a Certificate in Orthodontics from Tufts University School of Dental Medicine. He maintains a full-time private practice west of Boston. Dr. Eric Serfaty is a Visiting Lecturer and has been a member of the orthodontic faculty since 2003. He earned a Certificate in Orthodontics and a Master of Science Degree from Tufts University School of Dental Medicine. He maintains a full-time private practice in Paris, France. Dr. Lokesh Suri is an Associate Clinical Professor and has been a member of the orthodontic faculty since 2003. He received a BDS degree from Maulara Azad Medical College, a D.M.D. and Certificate in Orthodontics from Tufts University School of Dental Medicine. In addition, he received a Master of Science degree from Tufts. 133 Dr. Parul Taneja is a Clinical Instructor and had joined the orthodontic faculty in 2003. She earned a BDS Degree from Mangola University in India, a DMD from Boston University and a Masters in Orthodontics from the University of Oklahoma. She is in a full-time private practice in the Boston area. Dr. Robert Wilson is an Assistant Clinical Professor and has been a member of the orthodontic faculty since 1978. He earned a Bachelor of Arts Degree from Yankton College, a DDS from Case Western Reserve University and a Certificate in Orthodontics from Tufts University School of Dental Medicine. He maintains a full-time private practice north of Boston. Dr. Gui Zhang is an Assistant Clinical Professor and has been a member of the faculty since 2001. She earned a DDS and a Master of Science Degree from West China University and a DMD and a Certificate in Orthodontics from Tufts University School of Dental Medicine. She maintains a fulltime private practice west of Boston. Contact information Department Number Paula Wheeler (administrative assistant) Patricia Stoney (administrative assistant) Paula Manowitz (department manager) 617 636-6887 617 636-0955 Coursework Interdepartmental Courses Epidemiology Head & Neck Anatomy Growth & Development Radiology Biostatistics Oral Pathology Temporomandibular Disorders I (Occlusion) Temporomandibular Disorders II Medicine Bone Biology Departmental Courses Applied Nutrition Course Type: Clinical Sciences Faculty: Dr. Carole Palmer Timing: 1st & 2nd years Contact Hours: 4 Format: seminar/lecture Content Diet recommendations for health promotion Nutrition and oral health issues through life cycle (teens, adults, elders) Nutrition and oral health issues through life cycle (pregnancy and children) Nutrition-related disorders of dental patients and their management Goals/Objectives To provide a review of the principles of applied nutrition, including recent advances in nutrition and disease prevention and nutrition goals for health promotion. To provide the student with an understanding of the relationships between nutrition and oral health through the life cycle. To provide students with a methodology and experience in conduction a diet screening and evaluation and providing diet counseling to appropriate patients 134 After participating in the Clinical Nutrition course, the student will be able to: Discuss how diet and nutrition can affect and be affected by oral health Discuss the underlying rationale for the development of dietary standards and their current status including recommended dietary allowances, dietary guidelines, new labeling laws Discuss patient nutrition issues common to dental patients throughout various phases of the life cycle Discuss the role of nutrition in the management of specific disorders such as cancer, AIDS, diabetes mellitus, and eating disorders Describe the important components of diet assessment and counseling for dental patients Outcome measures (evaluation method) Online course and faculty evaluation Behavioral Sciences (speech therapy, child psychology) Course Type: Applied Clinical Sciences Faculty: Dr. David Chedekel (Child Psychologist), Linda Diaz (Speech Pathologist Timing: years 1 & 2; four 1½ hour sessions (every other year) Contact Hours: 6 Format: seminar/lecture Content Speech—the course contains topics which familiarize the student/resident with the basic knowledge and understanding of the normal production of sounds, tongue function, lip function etc. The early development of the structures related to speech is reviewed as is their relationship to mastication. In addition, there is a review of abnormal function, habits etc. as they relate to the formation of malocclusion. Corrective measures are described. Child Psychology--The student/resident is provided insight into the psycho-social aspects of the youngster from early development through adolescence. Topics are related to the everyday practice of orthodontics and provide insight into the relationship of developmental stages to issues of cooperation in the treatment of the adolescent. At a second seminar, topics related to atypical family settings and other non traditional settings is discussed in order to gain insight into gaining patient trust and confidence. Lastly, there is a discussion of child abuse and the orthodontist’s role and responsibility. Goals/Objectives To gain familiarity with the nature of speech and abnormal habits as they relate to the management of the orthodontic patient. To provide familiarity with the psycho-social aspects of the young orthodontic patient. Emphasis is upon the adolescent patient with regard to psychological development and social behavior, peer pressure, family setting etc. Outcome measures Course Evaluations Feedback from residents Biomechanics Course Type: Faculty: Contact Hours: Format: Content Applied Clinical Sciences Parul Taneja, B.D.S., D.M.D., M.S. 8 hours Seminar Introduction to Biomechanics–definitions, scalar and vector quantities, force, moment of force, center of rotation, center of resistance, types of tooth movement, determinate and indeterminate systems, cantilevers. 135 Deep Bite Malocclusions–Class II div 1, Class II div 2, aesthetic considerations, methods of corrections (intrusion arches etc), application of basic concepts to understand type of tooth movement, limitations of treatment mechanics, guidelines to recognizing mechanics that are appropriate for individual cases. Open Bite Malocclusions–Etiology, MEAW, TADS and their mechanics, role of extractions and mechanics employed. Non-Extraction Treatment–Case selection, Use of elastics–limitations, biomechanics of distalizing appliances. Extraction Treatment–Case selection, Sliding mechanics, Loop mechanics, Role of friction, Control of Anchorage. Non-surgical treatment of Class III malocclusions–Early treatment and growth modification, alternating expansion-constriction, RPHG. Finishing and Detailing Final Examination Associated Reading Mulligan TF, Common Sense Mechanics Article Series, JCO 1979-1980 Contemporary Orthodontics, 4th Edition, William R. Proffit, Henry W. Fields, David M. Sarver Orthodontics – Current Principles and Techniques, 4th Edition, Thomas Graber Goals/Objectives This a basic biomechanics course for the first year residents. The aim of the course is to introduce the student to basic concepts, terminology and to an enable an understanding of the biomechanics of tooth movement. Common problems that manifest themselves (in the vertical and transverse planes) with Class I, II or III malocclusions are addressed in a series of lectures. The biomechanics of tooth movement is discussed in these scenarios. All lectures include cases to exemplify most of the mechanics under discussion. At the end of the course the student should have comprehension of basic biomechanical principles, recognition of the forces in play in determinate systems, sequencing mechanics correctly during treatment, the ability to differentiate between desirable and undesirable forces when different mechanics are used in a clinical situation and apply concepts learnt to maximize efficacy of these mechanics. Outcome measures Class participation: 25% Assignments/Final Examination: 75% Online evaluation ABO Literature Review Type of Course: Clinical Sciences Faculty: Drs. Briss, Cartsos, Suri Timing: January 3rd-April 3rd of 2nd year Contact Hours: 28.5 hours Format: Seminar Content The residents have scheduled seminars to review in detail the 76 Journal Articles which the ABO recommends as a reading list. A total of 8 journal are presented and reviewed by each of the residents at each session to the faculty assigned to moderate the article review. Textbook chapters which the ABO suggests are also reviewed in these seminars. Associated Reading: ABO reading list Goals/Objectives The purpose of this course is to provide the student/resident with depth of knowledge in regard to the orthodontic specialty. It aims to prepare the student/resident for the written examination for board certification. This course is intended to give a broad and most current perspective of the orthodontic theory and principles. 136 Outcome measures The student/resident is evaluated by the ABO written exam (Phase II) for board certification taken in April. A computerized course departmental evaluation is also given to the students at the end of the curriculum. Cephalometrics Type of Course: Faculty: Timing: Contact Hours: Format: Clinical Sciences Drs. Briss, Cartsos, Suri, Maloney Summer session & 1st year Seminar Content During the summer session specific seminars are conducted to teach the residents the variety of cephalometric analyses which are used in the program. In addition, a separate seminar is conducted to review osteology and bony landmarks and relating them to radiographic images. The basic analyses include, but are not limited to, Steiner, Tweed, Margolis, Downs, Wits, etc. In addition, the student/residents are introduced to basic soft tissue analyses such as Holdaway, Steiner, Rickets soft tissue analyses. Separate sessions are conducted in hand tracing landmarks on hard copy radiographs. Once the resident is capable of identifying these points and drawing the various planes, they are instructed in digitizing radiographs on the Dolphin soft tissue program. During the remainder of their training, other analyses (i.e. surgical VTO, etc.) are introduced and discussed relative to diagnosis and treatment planning. Associated Reading: Textbooks--Profitt; Graber/Vanarsdall; Jacobson Goals/Objectives The purpose of this course is to provide the resident with in-depth knowledge of cephalometrics as it relates to growth and development, diagnosis, treatment planning, mechanotherapy and its effects on the craniofacial complex. In addition, the course is designed to provide the resident with the skills to become proficient in landmark identification, development of reference planes and hand/digital tracing of cephalometric radiographs. Outcome measures The resident is graded on his/her tracing exercises. In addition, an assessment of the quality of the tracings is considered in the overall grading of their initial diagnostic records taken on the first numbers of patients assigned to each resident. Cleft Palate: Management of Patients in a Clinical Setting Course Type: Applied Clinical Sciences Faculty: Dr. Peter Cressman, Michael Lewis, M.D. Timing: 1st & 2nd years Contact Hours: Format: Seminar Content Surgical correction of the cleft lip/palate patient at birth. Discussion of anatomy, types of clefts, and the team approach to correction. Indications and timing for secondary (alveolar) bone grafting. Genetics and etiology is reviewed in the Growth and Development and Genetics courses. Considerations with regard to etiological factors Associated Reading: Appropriate readings in the review of the literature. Goals/Objectives Achieve an understanding of the orthodontic management of the cleft-lip/palate patient. To recognize the importance of inter-disciplinary coordination and the orthodontists role on the oro-facial anomalies team. 137 Clinical Orthodontics Type of Course: Faculty: Timing: Contact Hours: Format: Clinical Sciences Orthodontic faculty years 1 & 2 Seminar/lecture/patient care Content This is a comprehensive course including the entire range of topics related to the clinical practice of orthodontics. This includes, but is not necessarily limited to, topics listed below. Dentofacial Orthopedics Early Treatment Headgear Therapy Invisalign Interdisciplinary Treatment Planning (Adult Orthodontics) Mechanotherapy Orthodontic History Temporary Anchorage Devices Anchorage Use of elastics Removable appliances Functional appliances Fixed appliances therapy Diagnosis and treatment planning Diagnostic records Cephalometrics All related topics are include in seminars and lectures throughout the course of study. The knowledge gained is applied directly into the clinical practice of orthodontics as the resident treats his/her patients. Instruction continues at chair side by close supervision of the care by the faculty. Associated Reading Includes all appropriate reading assignments (journals & texts) throughout the entire course of study which apply to the clinical study of orthodontics. Reference is made to the copies of the curriculum, reading list, ABO reading list, texts, etc. as evidence of the wide range of topics covered. Goals/Objectives To provide in-depth knowledge of all topics related to clinical orthodontics To provide the resident with the ability to apply the knowledge gained in the didactic portion of the course of study to the practical application of these principles in the practice of clinical orthodontics To teach the resident to be proficient in the treatment of patients Outcome measures Formal prospective case presentations and displays of four cases presented halfway through the course of study Final case presentation and display of ten cases a the completion of the course of study The oral mock board examination ABO written examination performance CPR and Advanced Type of Course: Faculty: Timing: Contact Hours: Format: Life Support N/A Dr. Ganda and staff Every other year N/A lecture/participation 138 Content All students/residents, faculty and support staff involved in the direct provision of patient care are recognized in basic life support (B.L.S.), including cardiopulmonary resuscitation and are able to manage common medical emergencies. All students/residents, staff and faculty involved in the direct care of patients are certified for Healthcare Provider Cardiopulmonary Resuscitation (HCP CPR) every other year under the supervision of the Director of Medicine. Staff and faculty HCP CPR is scheduled by the Director of Medicine’s office. Individuals are required to have CPR certification every two years. A two week schedule is emailed to all participants for sign-up. The CPR certifications are then conducted every evening including weekend to cover all full and part-time staff and faculty. Any faculty member or student/resident who does not take the school’s course must show proof of his/her certification to the appropriate school authority. All participants complete an on-line American Heart Association (AHA) HCP CPR exam. At the end of exam, a printed certificate verifies successful completion. This certificate needs to be presented to continue with the hands-on portion of the HCP CPR certification. A video demonstrating the clinical presentations and management of common medical emergencies encountered in the dental setting is shown to all HCP CPR participants. The CD also outlines the TUSDM Emergency Protocols that need to be implemented during these emergencies. Students, staff and faculty submit copies of their current certification card if certification has been obtained outside of the School. A log of CPR certification of all students, staff and faculty is maintained in the Medical Director’s Office The Director of Medicine provides an annual presentation on TUSDM’s Emergency Protocols to the entire student, staff and faculty involved in patient care as part of the annual Risk Management and Safety Seminar. The School's Oral Surgery and Code 99 Emergency protocols are discussed in detail. Mock emergencies are also periodically conducted, at least twice per month, at different locations in the Predoctoral and Postgraduate Clinics. Following each mock emergency, immediate outcomes assessment is provided directly to the participants and by email to the entire School, if deemed necessary by the Director of Medicine. Each floor is equipped with an Emergency Code Cart and each dispensary has an "emergency box" containing a regular sized, large sized and pediatric blood pressure cuff, stethoscope, ammonia inhalants and a liquid sugar container. Every participant is shown the contents of the box and its use. This box can be used for emergencies by any member of the School. The School’s emergency protocol is posted next to every telephone on the clinical floors and at specific known sites on the non-clinical floors. The emergency protocol is incorporated in the clinical manual, student manual, faculty handbook, risk management manual and operatory bulletin boards. Additionally a laminated synopsis of HCP CPR and TUSDM emergency protocols is provided to every student and faculty. This can be easily clipped to the School’s ID badge. Associated Reading: CPR Booklet (American Red Cross) Goals/Objectives: Proficiency in CPR Outcome measures: Written/Practical tests Diagnosis & Treatment Planning Type of Course: Clinical Sciences Faculty: Drs. Briss, Diamond, Suri, Spyrou, Giarrusso Timing: years 1 & 2; Thursday morning; 1 ½ hours/ session 139 Contact Hours: Format: seminar Content This is a case based (problem based) seminar. On a rotational basis, each student/resident is required to present a case of interest which is under treatment. First year students/residents are required to present hew assigned cases and second year residents are asked to present cases in progress. Discussions are held amongst the residents, and monitored by the faculty, regarding the entire range of subject related to diagnosis and treatment planning. Associated Reading: Textbooks—Profitt; Graber/Vanarsdall Journals—Articles appropriate to the subject from the program’s reading list and library collection Goals/Objectives to provide a forum for each resident to learn how to present a case before an audience of his/her peers to teach the resident the proper formatting of a formal case presentation to teach the resident how to conduct a seminar to provide the resident with the in depth knowledge of the entire range of subjects, integrating relevant clinical, biological and behavioral science into patient treatment, and relating it to them in the diagnosis and treatment planning of the patient’s problem to provide the resident with the understanding of patient management, risk management and other practical topics relative to the practice of orthodontics. to train the resident in the appropriate use of complete data bases to provide a strong foundation for diagnosis, treatment planning, treatment consultation, treatment and retention of the patient. Outcome measures evaluation of the residents’ understanding of the subject by assessing his/her ability to present the material evaluation of the residents by assessing their participation in the discussions and their ability to answer questions posed by the faculty. Diagnostic Records Type of Course: Clinical Sciences Faculty: Drs. B. Briss, D. Briss, Brockman, Suri, Cartsos 2nd year residents, Dental school staff Timing: Summer session Contact Hours: Format: Seminar/lecture/patient care Content: This is a concentrated course in taking diagnostic records. Topics include the following: Axium training (paperless record systems) Clinical digital photography Digital radiography Digital study casts (Orthocad) Dolphin imaging (image capturing and manipulation, digitization of radiographs, etc.) Impression technique Study cast trimming Hand tracing radiographs Goals/Objectives To train the resident to produce Board quality diagnostic records. To train the resident taking digital photographs and the computer manipulation of digital intraoral and extraoral photographs 140 To train the resident to be skilled and proficient in impression technique, study cast fabrication and model trimming so that he/she can produce Board quality casts. To train the resident to be proficient and skilled in both hand tracing and digitizing lateral and frontal radiographs. To train the residents in the aspects of Dolphin Imaging and OrthoCad technology so that they become proficient and skilled in their use. Outcome measures (evaluation method): At the completion of the summer session, the residents are required to submit as many sets of records that they have completed for evaluation and grading. Those aspects of the records which do not meet Board standards are redone. Residents who do not produce Board quality study casts are not allowed to move on to digital study casts. Great Lakes Orthodontic Lab Course Type of Course: Clinical Sciences Faculty: Brian D. Williston, C.D.T. Timing: years 1; Fall semester; Four day session; 8 hours/day Contact Hours: 32 Format: seminar/laboratory Content This is an intense laboratory training course consisting of four eight hour sessions. The residents are trained to construct a variety of removable and fixed appliances. In addition, they are trained in soldering technique, for appliance fabrication, and wire bending technique. Use of state-of-the art laboratory equipment is stressed in order to allow the resident to use similar equipment in the orthodontic clinic laboratory. Goals/Objectives to gain proficiency in soldering technique to gain proficiency in the use of laboratory equipment to fabricate high quality removable and fixed orthodontic appliances: transpalatal bars, orthopedic appliances, etc to gain proficiency and skill in the use of up-to-date orthodontic materials to gain proficiency in laboratory wire bending technique Outcome measures The residents’ appliances are evaluated by inspection upon their return from the course. The quality of the training is excellent and the resident verbal reviews of the course are excellent. Infection Control Type of Course: Faculty: Timing: Contact Hours: Format: Applied Clinical Orthodontic Faculty 1&2 seminar/lecture Interdisciplinary Diagnosis and Treatment Planning Type of Course: Clinical Science Faculty: Dr. David Briss, Dr. Timothy Hempton (periodontlogy), Dr. Kang (prosthodontics), Dr. Maria Papageorge, (oral surgery) Timing: 1st & 2nd years Contact Hours: Format: Seminars, continuing education courses and scheduled regional and national meetings. In school, the format is a case-based discussion and review using cases from orthodontic 141 faculty offices and cases from offices of specialists in other disciplines. Content The content varies depending upon the particular department faculty member making the presentation. For example, the periodontist will present topics such as canine exposure and guided tissue regeneration. The prosthodontist would discuss bite registration. Associated Reading Appropriate selections from scientific literature may be referenced and reading may be assigned based upon the particular topic of the day, (varies according to case.) Appropriate journal articles (Kokich etc.) Goals/Objectives To provide the students/residents with an in depth knowledge of the concepts and practical aspects of treating patients with complicated dental problems which requires a multi-specialist approach Outcome measures: online evaluations Laboratory Technique Type of Course: Clinical Sciences Faculty: Drs. Briss, Diamond, Suri, Brockman, and staff Timing: Summer Session 1st year Contact Hours: 64 Format: seminar/laboratory Content Wire bending, soldering, loop design and fabrication, introduction to biomechanical principles related to loops, Tweed ideal arch exercise, archform arch coordination and symmetry. Introduction to basic properties of wire, use of pliers relative to basic wire fabrication is given. Residents are taught to fabricate the ‘classical” Tweed ideal archform. Residents are given a summer break assignment to complete and pass in all wire bending and soldering exercises upon their return to school in the fall. Residents are required to complete and submit completed sets of ideal, coordinated round and rectangular archforms for grading. Associated Reading: Classical articles on ideal Archform, Bonwill/Hawley, Tweed Goals/Objectives To provide the resident with the basic understanding of wire properties and differences in the effect of a variety of wires in tooth movement. To introduce the concepts of wire fabrication and creating archform and coordination with archwires. To introduce ideal archform as a concept as it relates to stability in the final result. To provide a basic understanding of the nature and technique of soldering stainless steel wires. To begin to develop the skills in wire bending and manipulation. Outcome measures (evaluation method): Wire bending exercises, soldering exercises and the Tweed ideal arches are graded. Leveling & Aligning (.018) Typodont Course Type of Course: Clinical Sciences Faculty: Drs. Briss, Brockman Suri, Cartsos, Diamond Timing: Year 1--Tuesday morning; 1 ½ hours/session Contact Hours: Format: seminar/laboratory Content Each resident will be required to set up his/her individual typodont in the form of a patient who has a Class II, division 1 malocclusion with bimaxillary crowding, deep overbite and ectopically erupted cuspids. The case will also be set up with all four first bicuspids having already been extracted. A 142 power point presentation will accompany the technique exercise portion of the course so as to demonstrate to the student/residents the variety of leveling wires and techniques used in a typical extraction case. In addition, the presentation will demonstrate the techniques for retraction of cuspids, use of loops, use of rectangular wires for space closure, use of Class II elastics, use of Class II mechanics, use of headgear for anchorage support, bite opening mechanics and other techniques for uprighting individual teeth and correction of the adverse results of space closure. The initial exercise will involve the placement of Nitinol wires as initial leveling wires. The wires will be completely engaged and NOT tied back. The purpose of this exercise is to demonstrate to the resident, as the wax is heated and softened, the negative effects of these wires as they are allowed to express themselves. The anticipated result will be forward movement of the incisors and initial loss of anchorage. The remainder of the course will require the student/resident to design, fabricate, place and active a series of stainless steel wires to accomplish leveling. In addition, the resident will learn methods of retracting ectopically erupted canines using moderate to maximum anchorage principles. Goals/Objectives The purpose of this course is to provide the resident with the knowledge, understanding and skill of the mechanotherapy of initial leveling and alignment of an orthodontic malocclusion. In addition, it is the goal to provide the student/resident with the ability to understand anchorage, retraction mechanics and tooth control during initial leveling and alignment. During the course, the resident will be taught what negative effects orthodontic appliances can have upon the dentition as the appliance express their forces. Literature Review Type of Course: Faculty: Timing: Contact Hours: Format: Clinical Sciences/Biological Sciences/Research Drs. Diamond, Kaplan Years 1 & 2; Friday morning; 1 ½ hours/session seminar Content Current major scientific journals (AJODO/Angle/Seminars in Orthodontics) Goals/Objectives The intent of these sessions is to train the residents to read the scientific literature, to analyze article content and to think critically about what they are reading. An additional goal is to train the resident to apply the knowledge they gain in their core and associated clinical courses to their analysis and understanding of statistics, research methodology and scientific paper design. Outcome measures (evaluation method) Assessment of the residents understanding of the material is based upon the faculty members’ judgment of student/residents’ participation and contribution to the discussions. Oral Pathology Course Type: Faculty: Timing: Contact Hours: Format: Clinical Sciences Dr. Michael Kahn 1st & 2nd years: (every other year) 4 seminar/lecture Content A case based review of the typical diseases of the oral cavity. A review of disease entities specific to orthodontic treatment. Clinical slides accompanied by text and discussion of the entire range of lesions found on the lips on the tongue and in the oral cavity. Associated Reading: N/A Goals/Objectives To provide the students/residents with an understanding of the diseases of the oral 143 cavity, the tongue and the lips. To teach the student/residents how to recognize disease entities of the oral cavity, lips and tongue. To teach the students/residents about the causes (local, systemic) associated with lesions of the oral cavity, lips and tongue. To relate these disease entities to the specific patient population seen in the typical orthodontic practice. Topics: systemic diseases syndromes auto-immune diseases tumors localized causes of diseases of the oral cavity Outcome measures Online course and instructor evaluations Orthodontic/Oral Surgery Rounds Course Type: Clinical Sciences Faculty: Dr. Barry Briss; Dr. Maria Papageorge; Postdoctoral students/residents Timing: 1st & 2nd years 1 hour seminars held on the second Wednesday of each month Contact Hours: 6 hours Format: Seminar Content A case based seminar/discussion session moderated by the chairs of Orthodontics and Oral Surgery. Cases which are either jointly treated by both departments are presented by the residents treating those cases. Each department, on an alternating week schedule, presents a case requiring orthodontics and orthognathic surgery and discussed from all aspects of patient management. This course leads into the formal course which begins in the second semester. Goals/Objectives To provide the students/residents with an in depth knowledge of the management of the orthodontic/orthognathic surgical patient. To have a practical understanding of the nature of treating these patients in all aspects of the treatment. To create a better working relationship between the departments and to improve the communication amongst the faculty and residents. Outcome measures online evaluation the associated final examination given at the end of the formal orthodontic/orthognathic course Orthodontic/Orthognathic Surgery Type of Course: Clinical Sciences Faculty: Drs. Briss, Papageorge, Suri, Cabaceiras, Cartsos, Laskarides, Shastri Timing: Years 1 & 2; Wednesday morning; 1 ½ hours/session Contact Hours: 16.5 Format: seminar/lecture Content Introduction to adjunctive orthodontics Pre-surgical Orthodontics Model surgery Diagnosis and Treatment planning for dentofacial deformities for function and esthetics. The team approach. SARPE Maxillary and midface deformities 144 Surgical techniques for Le-Fort I and MFA Orthognathic case presentation Mandibular deformities Surgical technique for mandibular Osteotomies. Cosmetics of the chin Management of skeletal and occlusal deformities of hemifacial microsomia. Costochondral graft/Distraction Osteogenesis Pre-operative, intra-operative and post-operative care of the surgical patient Post-op orthodontics and stability Final examination Associated Reading Text readings seminars: the residents will be required to read assigned text sections. Goals/Objectives To provide the Orthodontic resident with the knowledge and expertise to diagnose, treatment plan and treat adult patients who present with complex problems that cannot be treated with orthodontics alone. The resident will be trained to communicate and work closely with the surgeon in the treatment of these cases. This series of seminars and lectures is designed to present an overview of the current status and progress made in facial reconstruction and orthognathic surgery. This seminar series will include resident participation in presentation of current Orthodontic-surgical cases, with discussion on both the orthodontic preparation of the patients, along with surgical treatment planning and procedures for correction of dento-facial deformities. The course will consist of 11 sessions which are 1-1/2 hours each and a final examination. The interdisciplinary art and science of correcting dentofacial deformities by surgery and orthodontics, is described, based on sound diagnostic and biological principles. The surgical anatomy and physiopathology related to the masticatory apparatus, facial soft tissue and skeleton and the effect of surgical interventions upon growth and development is presented. The interdependence and modifications induced by surgery on function, esthetics and long term stability, based on current research is emphasized. Surgical techniques are presented to better understand the physiopathology of the masticatory apparatus. Outcome measures Final examination (written) on diagnosis and treatment planning of a case. Postural Orthodontics for Children and Adults Type of Course: Clinical Sciences Faculty: Dr. Marcel Korn Timing: 1st & 2nd year Contact hours: 24 hours Format: lecture/hands-on laboratory participation Content A concentrated lecture and laboratory course in the design and fabrication of functional appliances. Material is presented to provide knowledge and understanding in the following areas: Early treatment Eruption science Muscular training Functional philosophy TMD Interdisciplinary treatment 145 Practice management & marketing Reading: Literature on functional, surgery, eruption Goals and objectives To provide knowledge and understanding to the students/residents on incorporating “postural” orthodontics concepts and “muscular” training techniques into the practice of orthodontics into mechanical orthodontics. To provide the students/residents with the basic skills in appliance fabrication and understanding of their use in particular situations. Outcome measures Online course and instructor evaluations and continuing education evaluations. Practice Management, Risk Management Faculty: Dr. Phillis, Dr. Perlmutter Timing: years 1 & 2 Year 1 (one hour once/month) Year 2 (1½ hour once/month) Contact Hours: 28 Format: Seminar Content: Initial examination, diagnostic record taking, case presentation techniques. Banding/bonding, communicating with parents regarding cooperation issues, communicating with generalists and other specialists, progress report, parent letters, early treatment. Patient transfers Computers, digital technology, management systems Staff issues, hiring, wages, firing, health insurance, etc. Office overhead Supplies, dealing with companies. Marketing the practice. Associated Reading: AAO Practice Alternatives Materials Goals/Objectives To teach the students/residents about issues related to the management and administration of a private practice in orthodontics. Topics such as marketing, technology, organization, communication, etc. are reviewed and discussed. Outcome measures (evaluation method): Student/resident evaluation (on line) Successful Research Strategies (DEGR204A) Course Director Dr. Paul Stark DHS 639 617-636-3743 Thursday, July 2, 9:00 a.m.-1:00 p.m. (Summer semester) Course Description This is an interdepartmental course for all Advanced Education students and a core course for the MS students. It provides 1.0 graduate credit for MS students. The course provides an overview of the ethical background and administrative procedures necessary for any research project involving human subjects. The course consists of 4 hours of lecture material, which is available on TUSK, as well as the successful completion of an online examination, which is also on TUSK. In addition, students need to complete 6 hours of online lectures and associated CITI examination. For more information see the Tufts University Health Sciences Campus Institutional Review Board (IRB) 146 website at: http://tnemcirb.tufts.edu/ Course Goals and Objectives The educational goal of this course is to introduce the graduate students to the ethical dilemmas involving human subject-related research as well as the implementation of safeguards put in place by the Institutions to assure the well-being of research subjects. By the completion of the course, students should: Understand the ethical responsibilities of a clinical researcher and the role of the Institutional Review Board Be familiar with basic principles of clinical research Be familiar with basic forms and terminology used in research projects involving human subjects at Tufts Be able to direct their questions to the appropriate individuals at TUSDM and the IRB. Outcome Measures Attendance is mandatory for all Advanced Education residents and Master of Science candidates. Upon completion, students will be instructed to complete additional educational requirements as determined by the IRB. Successful completion will result in a grade of Pass for the course. Tweed Foundation Type of Course: Faculty: Timing: Contact Hours: Format: Course Clinical Sciences Tweed Foundation Faculty years 1; Spring Semester; 11days; 8 hour sessions/day 100 seminar/ laboratory Content This is a full course in diagnosis (Tweed Merrifield Philosophy), treatment planning and orthodontic technique. Topics covered are listed as follows: appliance design, soldering and precision wire bending, directional force systems, and correction of various malocclusions. Full laboratory technique treating a variety of malocclusions on typodonts. Associated Reading Residents are required to bring cases from their clinical patient load to discuss, diagnose and treatment plan. Goals/Objective This course is designed with the following objectives: Appropriate readings are reviewed as part of the overall coursework in the program. To provide a basic understanding in diagnosis and treatment planning To train the resident to be proficient in all aspects of appliance fabrication. To provide in depth knowledge of treatment mechanics To provide in depth knowledge of appliance design and force systems To provide experience in the correction of a variety of malocclusions using basic principles. Outcome measures (evaluation method): An informal report, in the form of a letter, from one of the Tweed Foundation directors is sent to the program director informing him of how the residents performed during the course. Feedback is solicited from the residents upon completion of the course. The skills and knowledge gained at this course is evaluated informally as the faculty interacts with the residents during their continued treatment of their patients. Wire bending skills, fabrication of appliances and knowledge about concepts (i.e. anchorage etc.) is determined through treatment in the clinic and in discussions in seminar on related topics. The quality of the training is excellent and the resident verbal reviews of the course are excellent. 147 Tweed Ideal Archform Type of Course: Applied Clinical Faculty: Orthodontic Faculty Timing: 1&2 Contact Hours: 10 Format: seminar/lecture/laboratory Content The course consists of a formal presentation of the concepts of the ideal archform. The construction of the individualized archform fabrication using Dr. Tweed’s method is reviewed. A step by step process is used to guide each student/resident through the steps to produce an customized ideal archform chart Additional topics include, arch form, stability, wire design, wire bending, 1 st,2nd 7 3rd order bends etc. Associated Reading Tweed Text, Bonwill articles on ideal archform, Hawley articles Profit text, grabber text. Goals/Objectives To provide the basic understanding of the “concept” of the ideal arch. To provide the understanding of arch coordination To provide the understanding of 1st.2nd & 3rd order bends To provide an understanding of the need for 1st order bends in the standard edgewise appliance. To provide the student/resident with the skills to bend and manipulate round and rectangular stainless steel wire and to have the ability to form those wires into sets of ideal, coordinated arches. Outcome measures The complete charts are graded. Both sets or ideal coordinated arches (.016, .016x.022) are graded for form, symmetry and coordination and accuracy with regard to the idealized chart. The Wilson 3D Arch Type of Course: Clinical Sciences Faculty: Dr. Robert C. Wilson Timing: year 1; Friday afternoon Contact Hours: 6 Format: seminar/laboratory Content: Hands on technique: Basic wire bending techniques Discussion of uses of a lingual arch a. holding lower arch length b. saving “E” space c. saving space from premature loss of primary teeth Following the directions put forth in the assigned text book Hands on fabrication of wire Hands on adjustments of wire control of torque, tipping, rotation of molars and incisors Use of extensions movement of 2nd molars Use of the Wilson Transfer System Associated Reading Enhanced Orthodontics, Drs. William and Robert Wilson Goals/Objectives To gain knowledge in the use of the Wilson 3S arch appliance To become proficient in the fabrication of the appliance 148 Outcome measures (evaluation method) A written quiz at completion of the session Wilson Lingual Arches and Palatal Arches Type of Course: Clinical Sciences Faculty: Dr. Robert Wilson Timing: year 1; Friday afternoon Contact Hours: 6 Format: seminar/laboratory Lecture combined with hands-on technique Palatal arches and Multiaction Palatal Arches Content Discussion of uses of a palatal arch and multiaction palatal arch a. hold upper molar position b. rotate upper molars c. slight distalization of upper molars Hands on fabrication of wires Hands on adjustments of wires control expansion, torque, tipping, and rotation Distalizing Maxillary Molars with the Wilson Bimetric Distalizing ArchBasic wire bending techniques a. discussion- of uses of a Wilson Bimetric Distalizing Arch b. demonstrate and discuss c. indications & contra-indications d. show use in mixed dentition e. demonstrate- effects on functional and skeletal changes f. demonstrate- long term results and stability g. hands on fabrication of wires h. hands on adjustments of wires i. Control expansion, torque, tipping, and rotation Associated Reading: Enhanced Orthodontics, Drs. William and Robert Wilson Goals/Objectives To gain knowledge in the use of the Wilson 3S arch appliance To become proficient in the fabrication of the appliance Outcome measures A written quiz at completion of the session Clinical hands on test on molar rotation and torque Clinical- hands on test on molar rotation and tip and extrusion Clinical Instruction A brief description of the scope and time allotted for clinical instruction can be presented. Examples of common clinical procedures can also be listed. Schedules Schedules and curriculum may be reviewed in the program syllabus which is available in the orthodontic department. Departmental Research and Publications Any active research projects can be listed, along with funding information, if available. Also a list of selected departmental publications (5-10) in the past 2-3 years can be included. Rules and Regulations for Residents Attendance 149 Attendance in classroom seminars and in clinic is mandatory. The ADA guidelines for granting certification in the specialty of orthodontics stipulate that a resident must complete a minimum of 24 months and 3700 hours of didactic and clinical study. It is expected that residents will be in attendance except for scheduled vacation periods, outside courses and seminars and scheduled professional meetings pertinent to the educational process. Absence due to illness or other special circumstances requires the approval of the chairman of the department. In addition to treating patients in the clinic, residents are expected to attend core curriculum courses, write research papers and pursue other academic interests within the department. If a resident is away from the immediate clinic area for a prolonged period, he/she must inform a staff member where they can be reached. Excessive tardiness and absenteeism will not be tolerated. Residents are expected to be at the university and are expected to be on time for all scheduled events, classes, seminars, laboratory and clinic sessions. Exceptions may include illness, religious observances, weddings, funerals and other important family occasions, or weather conditions, which force school closure. Attendance at department seminars, clinic sessions and courses will be monitored. The department’s policies with regard to these issues are summarized as follows: Morning seminars begin at 8:00 AM, with occasional seminars scheduled at other times. Residents who arrive late may not be allowed to attend. Missing a one-hour seminar is considered a one-hour unexcused absence. Eight missed seminars may be considered the equivalent of a full day of unexcused absences to be made up or added to the length of the program and may result in a delay in awarding the certificate. The orthodontic department relies on a volunteer staff of orthodontists who donate their valuable time away from busy practices to come to the Dental School to teach. Some travel great distances to be at school. Arriving late is discourteous and can be disruptive if a seminar has already begun. Tufts University School of Dental Medicine Core Courses Postgraduate residents are required by Tufts University and ADA policy to receive training in certain areas of basic sciences. Excessive absenteeism, poor performance or failure in these courses can result in the withholding the certificate. Exceptions will not be made. Exemptions or auditing of these courses will not be permitted unless there are extenuating circumstances. Vacation Policies, Sick Leave and Personal Time Off The Orthodontic Department follows the vacation schedule set by Tufts University. At the discretion of the chairman, time off for residents to attend professional meetings or continuing education courses may be permitted. STUDENTS ARE EXPRESSLY FORBIDDEN TO EXTEND THEIR VACATION PERIODS BEYOND THE LIMITS SET BY THE DEPARTMENT. It is expected that all travel will be completed within the allotted vacation period. Reservations for transportation should be made far enough in advance so as to avoid problems. Exceptions may be permitted at the discretion of the department chairman. Abuse of vacation privileges may reflect poorly on the overall evaluation of a resident and may result in the withholding the certificate. A resident who is excessively absent and does not fulfill the minimum hourly ADA requirement for training will be required to make up any lost time before a certificate is awarded. The department should be notified of absence from the clinic due to illness. Patients should be notified and rescheduled in order to avoid his/her appearing in the clinic when the doctor is absent. The department is aware that each resident requires a certain amount of time to conduct personal or professional business. This may be especially true during the second year of training when residents are in the process of finding practice locations. In anticipation of this situation, each resident will be given personal days at the discretion of the chairman. A written request for these absences must be submitted to the department manager. 150 Attendance at Professional Meetings and Courses Outside of the University The department endeavors to provide residents with opportunities to attend courses and lectures outside of the University. Since other orthodontic programs are available in the New England area, an attempt will be made to take advantage of such resources to broaden the education of residents. However, it is important to keep in mind that the majority of a resident’s orthodontic education will occur within the Tufts department. While we recognize the importance of exposing residents to other treatment philosophies, teaching the basics of this specialty to Tufts residents within a two-year program presents a challenge. Excessive time away from the clinic makes the teaching process that much more difficult. Furthermore, time away from the clinic is time away from Tufts patients. The Chairman has the sole responsibility for deciding which outside courses residents will take. RESIDENTS ARE NOT PERMITTED TO SET THEIR OWN AGENDAS IN TERMS OF SELECTING OUTSIDE COURSES. When arrangements have been made for residents to participate in an outside program and the clinic is closed, attendance is mandatory. It is the prerogative of the department to examine residents on material presented at such courses and meetings. If a resident chooses not to attend a particular course or meeting, he/she is required to be at school either seeing patients (when faculty are available) or doing other scholarly activities (research papers, reading, etc.). Requirements for Promotion and Graduation Attendance at scheduled events, seminars, classes, and clinic. Faculty Evaluation Satisfactory oral and written examinations Satisfactory completion of mock board examination (2 nd year) Satisfactory completion of research paper (2nd year) Satisfactory presentation of 10 cases (2nd year) Satisfactory completion of core courses Each resident is required to take and pass the Phase II (written) of the American Board of Orthodontics. Completion of all patient transfers following appropriate protocols. Substandard performance or failure in one or more of these areas may result in the withholding the certificate until the standards are met. Assignment of Patients It is the sole responsibility of the department to assign patients to residents. A system is in place to assign patients in an orderly and equitable manner. While it is virtually impossible to assure that every resident will treat every possible type of malocclusion, the department will endeavor to provide the residents with as broad a base of patients as possible. Residents are NOT permitted to exchange patients or choose instructors without the express permission of the Chairman and/or the instructor originally assigned to the case. This includes the transfer of patients from graduating second-year residents to first year residents. A system exists for the equitable transfer of patients in this circumstance, and will be outlined at the appropriate time. Each resident will also be assigned one or more instructors in order to provide exposure to the broad range of treatment philosophies of our faculty. It is advantageous to work with as many different instructors as possible. The sole responsibility for patient and instructor assignments rests with the department staff and faculty. If it becomes necessary to change the day that a patient comes to the clinic, the problem should be discussed with the instructor assigned to the patient BEFORE a change can be made. A formal transfer, involving the original instructor should take place. From time to time, depending upon the need to attract new patients to the clinic, free screenings will be scheduled. While an attempt is made to schedule these during normal school hours, it is not always possible to do so. On these occasions, sessions may be scheduled late in the day or on a Saturday morning. At these times, residents and faculty may be asked to participate on a rotating basis. Patient Records Patient records are legal documents and are the property of Tufts University School of Dental 151 Medicine. It is University policy that the instructor(s) assigned to the case must sign the recorded case note at the conclusion of the day's treatment. Faculty signatures are required on all matters relating to the case, including diagnosis, treatment plan, extraction orders, radiographic surveys, or any other aspect of treatment. No treatment may be rendered without faculty permission. No patient may be dismissed from the clinic without a case note signed by the faculty member(s) assigned to that case. Failure to follow these guidelines could result in legal action against the Department and/or the University. The University has instituted a paperless system. Appropriate safeguards and procedures are in place to assure that all required signatures are obtained during the treatment of our patients. Each record must contain a fully completed and SIGNED medical history, which should be updated at least once a year. A signed informed consent form and a truth in lending form are required as well. All diagnostic records should be present, along with a properly completed yellow treatment card. In addition, once in place, all information that is required for the department’s computer database must be entered into the system by the residents. Furthermore, according to University policy, patient records must remain in the Dental School building at all times. The Orthodontic Department has a state-of-the-art record storage system. Records are to be kept in the designated room. Records, model boxes laboratory work and such may not be kept in individual cubicles and failure to abide by this policy is in direct violation of HIPAA regulations. Residents are asked to pull out of storage only the records of the patients to be treated on a particular day. All records must be returned to the storage room at the end of each day. Quality of Patient Records Diagnostic records for orthodontic patients are expected to conform to American Board of Orthodontics standards. These include properly trimmed, finished, and soaped study casts, properly oriented and exposed cephalograms, panorexes, periapical and bite-wing radiographs, properly oriented facial photographs (facial frontal, facial profile, and smiling), and properly oriented and exposed intraoral photographs. Hard copies (printouts) of digital photographs are required for case analysis with instructors and for patient/parent case presentations. Records must be prepared to Board standard before consultation with a faculty member. If records are incomplete or of substandard quality, the resident will not be allowed to begin treatment until the records meet the required standard. Patient records must be available during every patient visit for review by the faculty member(s) assigned to the case. Patient Care, Appliance Fabrication and Activation During the early stage of residency it is important that the faculty closely monitor a resident’s work. It is necessary for the faculty to check a resident’s work prior to placement and activation of an appliance in the patient's mouth. This includes but is not limited to the selection of molar bands, placement of brackets, fabrication of archwires, headgears, intraoral elastics, and other treatment auxiliaries. All treatment rendered in the clinic must conform to the guidelines set forth by the ADA requirements for postgraduate education. At no time are residents permitted to render treatment without faculty supervision. "Rendering treatment" includes, but is not limited to; fitting molar bands; cementing brackets; fabricating and activating archwires; fabricating, adjusting or activating headgears or other treatment auxiliaries; removing fixed orthodontic appliances; placing, adjusting or discontinuing retainer treatment. Residents are not permitted to schedule patient appointments during scheduled classroom or seminar time, during scheduled continuing education courses or during professional meetings, or at any other time when instructors will not be present in the clinic. Residents are not permitted to schedule patients before or after clinic hours. Normal clinic hours are weekdays 9:00 A.M. to noon, 1:00 to 5:00 P.M. There are no weekend clinic hours. However, residents are permitted to perform laboratory work at their convenience, including weekends. A resident who violates these guidelines may be suspended from the clinic. 152 Referral Policy It is department policy that all patients under active treatment who require adjunctive procedures be referred by formal written letter. Both the resident and the instructor assigned to the individual patient for whom the procedure is to be done must sign the letter. In situations where the instructor on the case is not available, it is permissible to ask another instructor to sign the letter. Clinic Facilities and Policies The Orthodontic Department follows the guidelines for clinic operation set forth by the University and by the ADA, OSHA and HIPAA regulations. While there are unique aspects to orthodontic care, the Department expects you to follow these guidelines as closely as is practically possible. Most of the department’s equipment is expensive and requires constant care. Although the department has janitorial services, it is the resident’s responsibility to exercise common sense when using clinic equipment. The last resident to use x-ray equipment at the end of the day is reminded to turn it off. Certain rooms must be kept locked (i.e. ceph room) after their use. Plaster trimmers must be cleaned thoroughly after each use. Sterilizing areas and ultrasonic cleaners should be kept neat and clean. A full-time assistant is in charge of these facilities and has the authority to implement the department policies in this area. Operatories are to be kept clean and free of personal supplies. The Infection Control department is the governing board in this regard and enforces school policy. Any resident who violates these regulations may be suspended from the clinic. In keeping with policy guidelines, parents, relatives, and friends of patients are not allowed to remain in the treatment areas. Anyone accompanying a patient must wait in designated waiting areas outside the clinic. Should a conference be necessary a patient and parent and /or guardian may be seen in either the Shapiro Library or the Margolis Room. Research All research is to be carried out under the direction of a faculty member who is assigned to the project. On an individual basis, if a resident wishes to work with a particular faculty member the resident is required to have approval of the chairman. The faculty member assigned to a project will act as the Principle Investigator and the resident will act as the Principle Researcher. According the rules and regulations of the Tufts Medical Center Investigative Research Board (IRB), residents are not allowed to be the Principle Investigator on any project. It is the responsibility of both the Principle Investigator and the Principle Researcher of any project to follow the rules and regulations set forth in the IRB guidelines and HIPAA regulations. This applies especially with regard to seeking IRB approvals, exemptions etc, for projects. In addition, according to IRB regulations, the Chairman of the Program is required to maintain files with regard to all research projects. All research within the department becomes the sole property of the Department of Orthodontics. In the event material from research projects is published, the Principle Investigator and the Principle Researcher will receive appropriate credit. The Resident/Principle researcher will be designated as the Principle Author and the faculty Advisor/Principle Investigator will be second author. Teaching Responsibilities As part of their training, residents are expected to participate in the teaching process. The faculty believes that the experience of teaching adds to the experience of the educational process and prepares the resident for teaching and lecturing often associated with the private practice of orthodontics. This aspect of training encompasses teaching at both the pre-doctoral and postdoctoral levels. In the pre-doctoral areas, residents will conduct seminars, from time to time, on diagnosis and treatment planning. In addition, residents are expected to assist the faculty in conducting the pre-doctoral laboratory exercises associated with the second year orthodontic program. In the post-doctoral areas, the second year residents will tutor the first year residents in certain of the operating systems in the clinic and assist them in clinical procedures as directed by the faculty. Clinic Dress Code and General Conduct Orthodontic residents are expected to appear neat and professional both in and out of the clinic. Male residents must wear a collared shirt and tie (jacket is not necessary). For female residents, 153 professional dress (pants or skirts, blouses, or dresses) is appropriate. At no time are jeans or sneakers to be worn. Residents are expected to behave in a professional manner both in clinic and in other areas of the school. Supplies Supplies for the treatment of patients are stored in the front desk business area. The staff is responsible for maintaining an adequate supply of materials for all residents. Residents are allowed access to the supplies, but are asked to use discretion when taking what they need for each appointment. Taking extra supplies, or stocking your own supplies, is costly, deprives other residents of the supplies they need and is absolutely prohibited. In the event that you see that stock of an item running low, please inform the staff so that the item can be reordered and restocked. If items are allowed to be depleted or to run out, it presents a difficulty for other residents. The staff is here to help the clinic run efficiently and is to be treated with the respect. Working Outside the Orthodontic Program Residents with appropriate state licensing have traditionally been allowed to practice general dentistry in their spare time. Residents with appropriate licensing may also practice dental hygiene, dental assisting or orthodontic assisting. This permission does not include practicing orthodontics. Residents are expressly forbidden from practicing orthodontics outside of the program. Any resident found practicing orthodontics in violation of this rule may be subject to immediate dismissal. Due Process The department of orthodontics follows the procedures and policies of the university with regard to due process and adjudication of academic and disciplinary complaints. Each resident is encouraged to read and familiarize himself/herself with the subject of due process in the university student handbook. The department has its own Committee on Ethics. Rights and Responsibilities The student’s responsibilities within the orthodontic department are outlined above. Students in the orthodontic department have all rights applicable to all students in the dental school as outlined in the student handbook. Each student is encouraged to read and familiarize himself/herself with student rights. Patient Confidentiality (HIPPA) The orthodontic department abides by the school policies on patient confidentiality. Residents are requested not to discuss information regarding his/her patients in public areas. Discussions about patient information should be held quietly within an individual operatory or in a private area away from the general clinic. Failure to adhere to the rules of the Department may result in the withholding of the certificate or dismissal from the Orthodontic Program. Any questions regarding Orthodontic Department policy should be directed to the Chairman of the Department. Departmental Research and Publications Shalish M, Shusterman S, Will LA. Malposition of unerupted mandibular second premolars in children with unilateral cleft lip and palate. Angle Orthod 2007; 77:1062-1066. Giddon DB, Anderson NK, Will LA. Psychological and behavioral responses associated with mechanical tooth movement. Sem Orthod 2007; 13:212-219. Ronay V, Miner RM, Will LA, Arai K. Mandibular arch form: the relationship between dental and basal anatomy. Am J Orthod Dentofac Orthop 2008; 134:430-438. Berco M, Rigali PH, Miner RM, Anderson NK, Will LA. Accuracy and reliability of linear cephalometric measurements obtained from cone beam computed tomography scans of a dry human skull. In press, Am J Orthod Dentofac Orthop, 2009. 154 Lamichane M, Rigali PH, Anderson NK, Will LA. A comparison of linear and angular measurements from compressed cone beam CT scans and traditional cephalograms. In Press, Am J Orthod Dentofac Orthop 2009. Ball R, Arai K, Will LA, Miner RM. Comparison of the dental and basal arch forms in Class I and Class II patients Accepted for publication, Am J Orthod Dentofac Orthop, 2008. Berco M, DeLuca S, Rigali PH, Miner RM, Giddon DB, Anderson NK, Will LA. A Protocol for Orienting CBCT Scans into Natural Head Position. In revision, American Journal of Orthodontics and Dentofacial Orthopedics. Suri, L. Huang, G. English, J.D. Jr. Owen, S. Nah, H.D. Riolo, M.L. Shroff, B. Southard, T.E. Turpin DL. Topical fluoride treatment. American Journal of Orthodontics & Dentofacial Orthopedics. 135(5):561-3, 2009 May. Hardy, T.C. Suri, L. Stark, P. Influence of patient head positioning on measured axial tooth inclination in panoramic radiography. Journal of Orthodontics. (in press) Marshall, S.D., English, J. Huang, G.J. Messersmith, M.L. Nah, H. Riolo, M.L. Shroff, B. Southard T.E., Suri, L. Turpin, D.L. Long-term stability of maxillary expansion. American Journal of Orthodontics and Dentofacial Orthopedics. 133(6):780-1, 2008 Jun. Bindayel, N. Ullbro, C. Suri, L. Al-Farra, E. Cephalometric Findings in Patients with Papillon-Lefèvre Syndrome. American Journal of Orthodontics and Dentofacial Orthopedics. 134(1):138-44, 2008 Jul. Suri, L. Damoulis, P.D. Le, T. Gagari, E. Expression of MMP-13 (Collagenase-3) in Long Term Cultures of Human Dental Pulp Cells. Archives of Oral Biology. 53 (2008): 791-799. Huber, K.L. Suri, L. Taneja, P. Eruption Disturbances of the Maxillary Incisors: A Literature Review. Journal of Clinical Pediatric Dentistry. 32(3): 221-230, 2008. Suri, L. Taneja, P. Surgically Assisted Rapid Palatal Expansion-A Literature Review. American Journal of Orthodontics and Dentofacial Orthopedics. 133(2):290-302, 2008 Feb. Fooladi, B. MacCarthy, T. Maloney, T. Suri, L. Category 4: Class II Division 2 Deep Overbite Malocclusion. American Journal of Orthodontics and Dentofacial Orthopedics. 132(2):252-9, 2007 Aug. Suri, L. Gagari, E. Vastardis, H. Delayed Tooth Eruption: Pathogenesis, Diagnosis and Treatment- A Literature Review. American Journal of Orthodontics and Dentofacial Orthopedics. 126(4):432-45, 2004 Oct. Commentaries: 2006: de Almeida-Pedrin RR. Pinzan A. de Almeida RR. Ursi W. de Almeida MR. Panoramic evaluation of mesiodistal axial inclinations of maxillary anterior teeth in orthodontically treated subjects. American Journal of Orthodontics & Dentofacial Orthopedics. 130(1):56-60; discussion 60-1, 2006 Jul. 155 ADVANCED EDUCATION PROGRAM IN PEDIATRIC DENTISTRY The Advanced two year Certificate Program in Pediatric Dentistry trains dentists in the specialty in accordance with the guidelines set forth by the American Dental Association and the American Academy of Pediatric Dentistry. In order to fulfill the mission, the student is educated in the biomedical sciences and the supporting clinical sciences to the extent that the student is proficient in providing both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. The didactic experiences include course work in the basic and clinical sciences, seminar and laboratory sessions, an independent, written research project presented to the faculty, and preparing for the written examination of the American Board of Pediatric Dentistry. The clinical sciences include: outreach community services, operating room services, anesthesia, adolescent dentistry, pediatrics, medically compromised patients, conscious sedation, hospital dentistry, and presenting clinical cases to the standards of the American Board of Pediatric Dentistry. Overall, we wish to produce clinically proficient and scientifically adept graduates capable of diagnosing and treating all types of pediatric patients encountered in specialty practice. A Master of Science Program is offered for an additional year and includes some of the courses offered in the Certificate Program. Academic Courses Head and Neck Anatomy Pharmacology Oral & Maxillofacial Radiology Biostatistics 1A & 1B Research Methodology Applied Nutrition Oral Microbiology Epidemiology & Critical Thinking in the Practice of Dentistry Bone Biology Immunology TMJ Disorders Occlusion Departmental Courses Craniofacial Growth and Development Preventive and Interceptive Orthodontics Special Health Care Needs Hospital Dentistry Conscious Sedation Infant Oral Health Speech and Language Pathology Dental Management of Traumatic Injuries Applied Behavior Management Pediatric Dentistry Journal Review Practice Management Clinical Science Core Courses Pediatric Dentistry Restorative Adolescent Dentistry Scientific Methodology/Writing for Research (instead of Airway Management) Case Presentation Seminars Diagnosis and Treatment Planning Theory and Practice of Pediatric Dentistry 156 Department Administration Stanley A. Alexander, D.M.D. Professor and Chair 617-636-3898 M. Buchan Power Staff Assistant 617-636-6902 Program Faculty Stanley A. Alexander, D.M.D. Dr. Alexander is Chairman and a tenured professor of the Department of Pediatric Dentistry. He received his DMD degree from Tufts University and a Certificate in Pediatric Dentistry from Harvard University and the Children’s Hospital Medical Center, Boston. He received a Certificate in Orthodontics from Columbia University. He is a Diplomate of both the American Board of Pediatric Dentistry and the American Board of Orthodontics. Dr. Alexander taught at the School of Dental Medicine, Stony Brook University for 28 years, where he chaired the Department of Children’s Dentistry, and founded the postdoctoral program in Orthodontics. At Stony Brook, he carried the titles of Distinguished Teaching Professor, (1996) and Distinguished Service Professor (2006), before he returned to Tufts University to chair the department. He is also a consultant in the Department of Dental & Oral Surgery at Brookdale University Hospital Medical Center, Brooklyn, New York. He has authored more than 60 articles in professional journals and has given many continuing education courses locally, regionally, and nationally. Laura Camacho-Castro, D.D.S. Dr. Camacho-Castro is associate clinical professor. She received her D.D.S. degree from the University of Puebla, Mexico and specialty training in Pediatric Dentistry from Tufts University. She is a Diplomate of the American Board of Pediatric Dentistry. Dr. Camacho-Castro has taught at Tufts University for more than 15 years and is currently the director of the Medically Compromised Patient Clinic. She has consulted in over a dozen children’s health care agencies and Outreach activities regarding dental disease and helped with the inception of the Tufts “Baby” Clinic. She has authored many articles in the pediatric dental literature and has presented numerous lectures and continuing education courses at professional national and international meetings. Leonard Carapezza, D.M.D. Dr. Carapezza is an associate clinical professor in the Department of Pediatric Dentistry. He received his DMD degree from the University of Medicine and Dentistry of New Jersey and a certificate in Pediatric Dentistry from Harvard University and The Children’s Hospital Medical Center, Boston. Dr. Carapezza is a contributing editor to the Journal of Clinical Pediatric Dentistry and has published numerous articles on Pediatric Malocclusion. He gives courses nationally and internationally on “Early Treatment of Malocclusion” and is a recognized leader in this area of Pediatric Dentistry. His experience, knowledge and expertise are shared with the pediatric graduate students along with maintaining an active private pediatric practice in Wayland, MA. William B. Chan, D.M.D. Dr. Chan is an assistant clinical professor and part-time member of the Department of Pediatric Dentistry. He received his D.M.D. and Certificate in Pediatric Dentistry from Tufts University. Dr. Chan has a special interest in malocclusion early intervention and is actively engaged in private practice in the state of Rhode Island. Jessica Chiang, B.D.S., M.S. Dr. Chiang is assistant professor in the Department of Pediatric Dentistry and director of predoctoral pediatric dentistry. She is a Diplomate of the American Board of pediatric Dentistry. 157 Dr. Chiang’s clinical interests are in the treatment of cleft palate in newborns. Stuart S. Gould, D.M.D. Dr. Gould is an assistant clinical professor and part-time member of the Department of Pediatric Dentistry. He received his D.M.D. degree from Tufts University, his Certificate in Pediatric Dentistry from Tufts-New England Medical Center, and a Fellowship Certificate in Dental Anesthesia from Mt. Sinai Medical Center, New York. He holds multiple consultant positions at various hospitals in Massachusetts. Dr. Gould’s primary responsibility to the department is in the supervision of the sedation clinic in the postdoctoral program. Mohammed Hassan, B.D.S., M.S. Dr. Hassan is an assistant professor in pediatric dentistry and a Diplomate of the American Board of Pediatric Dentistry. He received his B.D.S from the College of Dental Surgery, Karnaoaka, India and his M.S. degree and certificate in Pediatric Dentistry from Tufts University. Shiow-Jiin Jaw, D.M.D Dr. Jaw is an assistant clinical professor in the Department of Pediatric Dentistry. She received her dental degree from the School of Dentistry College of Oral Medicine, Taipei Medical University, and her Certificate in Pediatric Dentistry from Tufts University. Her research interests are in the field of palatal expansion and skeletal anatomy of the face. She is a Diplomate of the American Board of Pediatric Dentistry. Maria Kritsineli, D.M.D. Dr. Kritsineli is an Assistant Clinical Professor in Pediatric Dentistry. She received her DDS degree from Aristoteleion University, Greece and her Certificate in Pediatric Dentistry and DMD degree from Tufts University. She is a Diplomate of the American Board of Pediatric Dentistry. She is currently the Dental Director of the Cotting School and Nashoba Learning Center. Dr. Kritsineli has published in the professional journals and has a special interest in Caries Prevention and Preventive and Interceptive Orthodontics. Dr. Kritsineli is engaged in part-time teaching and maintains a private practice in Plymouth, MA. Cheen Y. Loo, B.D.S., Ph.D., M.P.H., D.M.D Dr. Loo is associate professor in Pediatric Dentistry and Post-doctoral program director. She received her dental degree from Tufts University, Ph.D. degree from the University of Sydney and her MPH and Certificate in Pediatric Dentistry from Boston University. She has authored more than a dozen professional articles in the scientific journals with a research interest in microbiology. She is a Diplomate of the American Board of Pediatric Dentistry. Nooruddin S. Pradhan, B.D.S., D.M.D., M.S. Dr. Pradhan is an assistant professor in Pediatric Dentistry. He received his B.D.S. degree from Liaquat Medical College, Pakistan and his D.M.D., M.S. and Certificate in Pediatric Dentistry from Tufts University. He also holds a fellowship certificate in craniomandibular joint disorders from Tufts University. Dr. Pradhan is a well-sought speaker on TMJ disorders and has an active research interest in cariology. He is a Diplomate of the American Board of Pediatric Dentistry. Alfred P. Rich, D.M.D., M.D.S. Dr. Rich is an associate clinical professor and part-time member of the Department of Pediatric Dentistry. He received his D.M.D. degree, M.D.S., and Certificate in Pediatric Dentistry from the University of Pittsburgh. He has authored multiple publications in the professional literature and has special research interest in nasal and oral airways. He also has the responsibility for monitoring the status of the research projects for the postdoctoral program. Meletia Laskou, D.D.S., D.M.D. Dr. Laskou is an associate clinical professor and a part-time member of the Department of Pediatric Dentistry. She received her D.D.S. degree from Aristotle University, Greece and her D.M.D. and Certificate in Pediatric Dentistry from Tufts University. Dr. Laskou is a Diplomate of the American Board of Pediatric Dentistry. She has authored publications in professional journals; was the former 158 director of the pre-doctoral program; has been engaged in private practice; and teaching in the department for the past 15 years. Joseph O’Donell, D.M.D., M.S. Dr. O’Donnell is an associate clinical professor and a part-time member of the Department of Pediatric Dentistry. He received his D.M.D. from the University of Pittsburgh, School of Dental Medicine and his M.S. degree from Tufts University. Dr. O’Donnell has dedicated an important part of his professional life to children with special needs. He has authored multiple publications in professional journals, is the former director of the GPR program and is engaged in part-time teaching and private practice. Dr. O’Donnell is a Diplomate of the American Board of Pediatric Dentistry. Arnold Weiss, D.D.S., M.S. Dr. Weiss is an assistant clinical professor at Tufts University. He received his D.D.S. degree from New York University College of Dentistry. He received his postdoctoral and his Master of Science degree in Pediatric Dentistry from Boston University. He has a special interest in the area of Infant Oral Health, and non-pharmacological behavior management of children. He lectures nationally and internationally on all aspect of pediatric dental care, personal growth, and the business of dentistry. Dr. Weiss is actively engaged in private practice and on the Council on Clinical Affairs of the Academy of Pediatric Dentistry which establishes the clinical guidelines for pediatric dental care. David Tesini, D.M.D., M.S. Dr. Tesini is an Associate Clinical Professor in the Department of Pediatric Dentistry. He received his D.M.D. degree from Tufts University and his Pediatric Dentistry postdoctoral degree from Tufts University. He was inducted into fellowship in the Royal College of Surgeons of Edinburgh, Scotland in 2001. Dr. Tesini has numerous publications in the areas of prevention, behavior management and patients with disabilities. Dr. Tesini is engaged in part-time teaching and maintains a private practice in Natick, MA Gary Warrington, D.M.D. Dr. Warrington is an Assistant Clinical professor at Tufts University. He received his D.M.D. degree from Tufts University and his Pediatric Dentistry degree from New England Medical Center Hospital. He is a Diplomate of the American Board of Pediatric Dentistry and teaches part-time at Tufts University. Dr. Warrington maintains a private practice in Winchester, MA and has published multiple articles related to special health care needs children. Serena Kassam, D.M.D. Dr. Kassam is an assistant clinical professor in the Department of Pediatric Dentistry. She received her D.M.D. degree from Tufts University and her Certificate in Pediatric Dentistry from St. Joseph’s Hospital, Providence, Rhode Island. She is a Diplomate of the American Board of Pediatric Dentistry. Her research and clinical interests are in the field of hospital dentistry and the early treatment of cleft lip and palate. Christina Zervou, D.M.D., MSc Dr. Zervou is currently an adjunct assistant professor. She received her doctor of dentistry degree from Semmelweis University, her certificate in Pediatric Dentistry, D.M.D and MSc degrees from Tufts University. Dr. Zervou has delivered several professional presentations, pubished multiple papers and has received many awards for her studies. She is a member of multiple American and European professional and scientific organizations. She has a special interest in Infant Oral Health Care, Pediatric Esthetic Dentistry and Preventive & Interceptive Orthodontics. Diba Dastjerdi, D.D.S., D.M.D. Dr. Dastjerdi received her DDS degree and certificate in pediatric dentistry from Behesti University, Tehran, Iran and a DMD from Tufts University. She is a clinical instructor in the Department of Pediatric dentistry. She possesses extensive clinical experience in oral health education and prevention. Dr. Dastjerdi has written multiple articles related to caries prevalence and received multiple awards for her academic achievements. 159 Martin Kaplan, D.M.D. Dr. Kaplan is a clinical instructor in the Department of Pediatric Densitry. He received his DMD degree from Tufts University and his certificate in pediatric dentistry from the Montefiore Hospital and Medical Center, New York. His interests are in the area of laser dentistry. Nour Gowharji, D.D.S. Dr. Nour Gowharji is a clinical instructor in the department of pediatric dentistry. She received her DDS from King Abdul Aziz University Jeddah, Saudi Arabia in 2003. She then received her certificate in pediatric dentistry from Tufts University school of Dental Medicine in 2006. She became board certified in 2007, and a Diplomate of the American board of pediatric dentistry. She has numerous publications on assessing skeletal growth and maturity and interests in growth and development. Virginia Burns, R.D.H, B.S. Ms. Virginia Burns is a registered Dental Hygienist with degrees in Biology and Psychology. She received her dental hygiene degree from the Forsyth School for Dental Hygiene in Boston. Ms. Burns has extensive experience in children and adolescent oral health education. She is actively involved in pediatric dentistry outreach and community service, and was involved in the inception of the Baby Clinic and strengthening the relationships between the Tufts Medical Center Department of General Pediatrics and the Tufts Pediatric Dentistry Asian Clinic. In 2004, Ms. Burns was the first dental hygienist to receive membership in the American Academy of Pediatric Dentistry. Promotion and Graduation Requirements Postdoctoral students are required to pass annual written, oral, and clinical promotional examinations. Research is a requirement of the program and culminates in a written and oral presentation. Departmental policies The 2 year certificate program is in session 12 months a year. Attendance at all functions is a requirement. Vacation schedules match that of the School of Dental Medicine; however, postdoctoral students are required to take emergency call which may interfere with scheduled vacation time. Attendance at scientific and professional meetings of the specialty is strongly suggested, while presentation of student research at these meetings is encouraged. 160 ADVANCED EDUCATION PROGRAM IN PERIODONTOLOGY Basic Program Information It is the mission of the Department of Periodontology to train dentists in the specialty of periodontology in accordance with the guidelines set forth by the American Dental Association Commission on Dental Accreditation for advanced education in periodontology and the American Academy of Periodontology. Further, it is our mission to train dentists being qualified to become board certified periodontists upon graduation. Within the Tufts University School Dental Medicine, the Department of Periodontology educates postdoctoral students to a level of competency in the arts and science of this discipline and to a level of expertise and leadership in the field. In addition, the Department strives to create an environment, which nurtures the ideals of professional service. In support of this, the Department of Periodontology provides a diverse didactic, clinical, and research curriculum that enables the postdoctoral students to recognize clinical health and periodontal pathology. They are trained to utilize a critical thought process to select appropriate therapy in the best interest of the patients. Moreover, a clear understanding of various current and emerging technologies applied in periodontal therapy will be provided at every stage of their education. The Department faculty will enable the postdoctoral students to understand the rationale for utilization of periodontal therapy in clinical practice. Postdoctoral students are provided the theory and practice to perform a wide spectrum of periodontal and implant procedures. In addition, the Department creates a learning environment where postdoctoral students develop diagnostic skills and have an opportunity to perform non-surgical and surgical treatments. Utilizing a private practice model, the Department promotes a symbiotic relationship between future general dentists and future periodontists. This model facilitates a better understanding of when to refer therapy to a specialist or when that treatment can be provided by the general practitioner. The Department has established a teaching and mentoring philosophy among the postdoctoral students in their relationships to each other and to the predoctoral students. The postdoctoral students are encouraged to interact in a mentoring fashion with the predoctoral students. These interactions occur during the pre-doctoral student rotations in the graduate clinic as well as when the postdoctoral students are teaching on the pre-doctoral clinic floor. The program also includes the development of teaching skills both in the classroom as well as with regard to clinical instruction. The graduate students are trained on how to prepare lectures both in the university setting as well as for presentations related to professional meetings. In the interview process, the Chair/Postdoctoral Director sets out five specific goals for every graduate of the program that graduates of the program are expected to be competent in periodontology, surgical implantology, teaching, research, and lecturing. Specific programs and training are in place to accomplish all of these goals. Progress towards these goals is evaluated at specific points during the program. Through its talented faculty, diverse curriculum, and competent students, the Department of Periodontology will be recognized for producing highly skilled clinical periodontists. The Department works collaboratively with colleagues in general dentistry and the other specialties and provides effective administration to ensure a patient and student centered environment. Department Administration Dr. James B. Hanley Interim Chair (617) 636-6531 [email protected] Therese Kohlman 161 Department Administrator (617) 636-6531 Fax: (617) 636-0911 [email protected] Website: http://www.tufts.edu/dental/departments/perio.html Program Faculty James B. Hanley, D.M.D. is currently Associate Dean for Clinical Affairs and Associate Professor of Periodontology at Tufts University School of Dental Medicine. In addition, he was appointed Chair ad interim of the Department of Periodontology as of March 1, 2012. Dr. Hanley received his Bachelor of Arts in Natural Science from Assumption College, his D.M.D. and Certificate of Advanced Education in Periodontology from Tufts. Dr. Hanley has been a long standing faculty member who has also served in a number of administrative roles including, Director of Periodontal Clinic Administration, Assistant Dean for Clinical Affairs and Associate Dean for Clinical Services. Over the years he has served on most committees at the Dental School and currently chairs three of the school’s standing committees. As a key member of the Electronic Health Record (Axium) implementation team he contributed to the effort that enabled Tufts to go “paperless” in 2004. In addition to being a member of the American Dental Education Association, Dr Hanley is an active member of the American Dental Association, the American Academy of Periodontology and the Massachusetts Periodontal Society. He is also a Diplomate of the American Board of Periodontology and a Fellow of the American College of Dentists, the International College of Dentists and the American Academy of Dental Science. Recently he received the Tufts University Provost’s Award for Teaching and Service Dr. Timothy Hempton is an Associate Clinical Professor at Tufts University School of Dental Medicine and serves as the Interim Director of the postdoctoral program in Periodontology. He is a Diplomate of the American Board of Periodontology and presently serves as a consultant for the American Dental Association Commission on Dental Accreditation. Dr. Hempton has also served as member of the Education Committee and the Dental Hygiene Committee for the American Academy of Periodontology. Dr. Hempton is also listed on the AAP's list of recommended speakers for the topics of non-surgical and surgical periodontal therapy. Dr. Hempton is a fellow of the American College of Dentists, a member of the Pierre Fauchard Academy and a recipient of the 2005 American Academy of Periodontology Teaching and Mentoring award at Tufts University. In 2011, he received the Clinician of the year award from the Yankee Dental Congress. He also maintains a private practice limited to Periodontics and Dental Implants in Dedham, Massachusetts Dr. Wai S. Cheung is an Associate Professor and has been teaching at Tufts since 2002. She received the D.M.D. Degree, completed her residency in periodontics in the Department of Periodontology and earned a Master of Science Degree from the graduate school of Tufts University. Prior to that Dr. Cheung earned her first dental degree from National Yang-Ming University, Taipei, Taiwan, worked as a general practitioner and later a training fellow in the section of Periodontics at Taipei Chang-Gung Memorial hospital. She is a Diplomate of the American Board of Periodontology and a reviewer for the Journal of Periodontology. Currently, Dr. Cheung is also the President of the Massachusetts Periodontal Society. Patricia A. Cohen is an Assistant Clinical Professor and has been a member of the faculty for seven years. She graduated from the University of Pennsylvania, School of Dental Medicine, Department of Oral Hygiene. She earned a Bachelor of Science in Health Management at Northeastern University and a Master of Science Degree in Health Communications from Tufts University School of Medicine. Patricia has over 35 years of experience in private practice. 162 Dr. Richard S. Doff is an Assistant Clinical Professor and has been teaching at Tufts since 1999. He received his D.M.D. degree from Tufts University School of Dental Medicine in 1972. He then practiced general dentistry in the U.S. Air Force for two years. In 1976, he earned his post graduate certificate in Periodontics and M.S. degree from The Ohio State University College of Dentistry. In 2010 he retired from the private practice of Periodontics in Needham. Dr. Charles E. Hawley received his dental degree from the University of Pennsylvania and his Ph.D. from the University of Maryland. He is currently Clinical Professor, Department of Periodontology, Tufts University School of Dental Medicine. Previously, Dr. Hawley was Professor of Periodontics and Microbiology at the Dental School, University of Maryland where he was director of the post-graduate program in periodontics and was a Colonel in the US Army Dental Corps where was director of the residency program in periodontics. Dr. Hawley was awarded the Legion of Merit from the U.S. Army and appointed Professor Emeritus by the University of Maryland. Dr. Hawley is a Diplomate of the American Board of Periodontology and was elected to the American College of Dentist, the International College of Dentists, and the Pierre Fauchard Academy. Dr. Yong Hur received his D.M.D., Periodontal certificate, and Master of Science degree from Tufts University. He is a Diplomate of the American Board of Periodontology. He has been actively involved with periodontal research on guided bone regeneration and implant. He currently serves a reviewer for the Journal of Periodontology and Clinical Advances in Periodontics. Dr. Natalie Jeong is Assistant Clinical Professor and has been on faculty since 2000. She received her Bachelor of Science Degree (Biology) and Bachelor of Arts Degree (Psychology) from Northeastern University. She earned her D.M.D. and her Certificate in Periodontology from Tufts University. She is a Diplomate of American Board of Periodontology and currently teaches in both pre-doctoral program and the post-doctoral program. She is a director of Lincoln Dental Study Club and maintains a full-time private practice limited to Periodontics and Implant surgery in Lincoln, Massachusetts. Dr. Paul A. Levi, Jr. is an Associate Clinical Professor and has been teaching at Tufts University School of Dental Medicine since July, 2003. Prior to that, he taught for nine years at Harvard School of Dental Medicine. He received his Bachelor of Science Degree from St. Lawrence University in 1962, a D.M.D. from Tufts University School of Dental Medicine in 1966 and his Certificate in Periodontology from Tufts University in 1971. He is a Diplomate of the American Board of Periodontology and maintains a private practice in Burlington, Vermont. He is President of the American Academy of Periodontology Foundation and an examiner for the American Board of Periodontology. Dr. Yumi Ogata earned a Certificate in Periodontology and a Master of Science Degree from Tufts University School of Dental Medicine. She is currently an Instructor and teaches in both predoctoral program and the post-doctoral program as a full-time faculty member at Tufts University School of Dental Medicine. She maintains a part-time practice limited to Periodontics and Implant surgery in Tufts faculty practice (Tufts Dental Associates). Dr. Evangelos Papathanasiou is currently a Clinical Instructor and has been a member of the faculty of the Department of Periodontology since September 2011. He earned a Certificate in Periodontology and a Master of Science Degree from Tufts University School of Dental Medicine in June 2011. Dr. Papathanasiou received his dental degree (D.D.S.) from the School of Dentistry of the Aristotle University of Thessaloniki in Greece. He currently teaches in both pre-doctoral and the post-doctoral program and participates in several ongoing research projects. Dr. Andreas Parashis is currently an Assistant Professor in the Department of Periodontology at Tufts University School of Dental Medicine. He received his DDS from the National University of Athens, Greece, his Certificate in Periodontology from Tufts University and his Doctorate Degree from the Department of Periodontology, University of Athens, Greece. He is a Diplomate of the American Board of Periodontology, has authored articles in the International and Greek Journals and has lectured extensively in seminars and meetings. Dr. Parashis taught for nine years parttime at the University of Athens, was the president, for two terms, of the Hellenic Society of 163 Periodontology and the representative of the society at the European Federation of Periodontology for ten years. He maintains a part-time private practice limited to Periodontics since 1987 in Athens, Greece. Dr. David Rosen is an Assistant Clinical Professor in post-graduate periodontology and has been a member of the periodontal faculty since 1978. He earned a Bachelor of Science from Syracuse University, a DMD and Certificate in Periodontology from Tufts University School of Dental Medicine, a Master of Education from Boston College and a Master of Business Administration from Northeastern University. He is a Diplomate of the American Board of Periodontology and the American Board of Dental Sleep Medicine and maintains a private practice west of Boston. Dr. Robert J. Rudy received a D.M.D. degree in 1970 from Tufts University School of Dental Medicine. From 1970-1972, he practiced general dentistry in the USAF and pediatric dentistry in 1973 for the city of Boston, Dept. of Public Health. He received in 1975 a post-graduate certificate in Periodontology from the University of Washington. In September 1975, he joined the faculty of the department of Periodontology. He was named Associate Clinical Professor in 1985 and Director of Pre-Doctoral Periodontology in 1995. He maintains a part-time practice in Brookline, MA. Dr. Tannaz Shapurian is an Associate Clinical Professor and has been a member of the Periodontology faculty since 2000. She received a BA degree from Bucknell University (Lewisburg, PA), a D.M.D. and Certificate in Periodontology from Tufts University School of Dental Medicine. In addition, she received a Master of Science degree from Tufts. Dr. Shapurian is a Diplomate of the American Board of Periodontology and maintains a private practice limited to Periodontology & Implants in Boston, MA. Dr. Esther Wilkins is a Clinical Professor and has been a member of the Department of Periodontology since 1966. She earned her Bachelor of Science degree from Simmons College, Boston and her D.M.D. and Certificate in Periodontology from Tufts University School of Dental Medicine. Dr. S. Samantha Yamamoto is Assistant Clinical Professor and has been a member of the periodontal faculty since 1992. She earned D.M.D. and Certificate in Periodontology from Tufts University School of Dental Medicine. She maintains full-time private practice in Newton and works as part-time research advisor for private bio-medical research laboratory. She is a Diplomate of the American Board of Periodontology Coursework Interdepartmental Courses Oral & Maxillofacial Radiology Management of the Medically Compromised Dental Patient Clinico-Pathologic Conferences in Oral and Maxillofacial Pathology Biostatistics IA--Introduction to Biostatistics Biostatistics IB--Principles of Biostatistics Principles and Guidelines in Research Involving Human Subjects Implant Dentistry Occlusion From Essential Oral Epidemiology to Scientific Inquiry Principles of Cellular & Molecular Biology Oral Microbiology Advanced Head & Neck Anatomy Multidisciplinary Approach to the Diagnosis & Management of TMD and Orofacial Pain Dental Pharmacology Immunology Hypnosis Suggestion & the Placebo Response Bone Biology Interdisciplinary Treatment Planning Sedation and Pain Control 164 Medicine (lecture & practicum) Research Methods & Modalities Oral Biology I & II Departmental Courses Interdisciplinary Treatment Planning Seminar Course Director: Dr. H. Hirayama, Dr. T. Hempton, Dr. D. Green Monday 8:00-9:30 AM. September through June (Fall and Spring semester) Course Description: This course is mandatory for all students enrolled in the Advanced Education Programs in Endodontics, Periodontology, and Prosthodontics. Postgraduate students from other disciplines such as Esthetic Dentistry, Implantology, Orthodontics, Pedodontics, TMJ/Myofascial, etc. are invited and strongly welcome. Faculty participants represent their respective specialties and are chosen for their experience and interest in this course, as well as for their scheduled availability. A Surgical Literature Review in Periodontology and Implantology Course Director: P. Rory O’Neill B.D.S.,D.M.D.,M.Sc. Wednesday: 8:00-8:50 AM, September through July Course Goals and Objectives To study in depth recent original reports in the art and science of periodontology. To use current literature as a “spring-board” to related or applicable background articles. To provide a forum where residents may discuss current literature as it may affect the current/accepted rationale for clinical periodontology. To give residents an opportunity to display, in addition to knowledge, understanding of a given topic in periodontology. To paraphrase an axiom in education: The half-life of knowledge is approximately 30 days. The half-life of understanding in infinite. To teach requires understanding. Literature Review: Periodontology and Dental Implants Course Director: Dr. Timothy J. Hempton Additional course faculty: Dr. Charles E. Hawley and Dr. Paul Levi Monday: 10:00 a.m.-12:00 noon; September through July Course Description This is a departmental course intended for first year and second year postdoctoral periodontology students. The course is a review of the periodontics and implant literature from early classic articles to current publications. Reading assignments are provided at the beginning of each semester. In addition, selected handouts are provided throughout the course. Evidence Based Periodontology and Implant therapy Course Directors: Dr. Timothy J. Hempton and Dr. Terrence Griffin, Wednesdays 10:00 a.m.–12:00 noon; September through July Course Description This is a departmental course intended for first and second year periodontology graduate students. Reading assignments will be available on TUSK. In addition, selected handouts will be provided throughout the course. The course meets every Monday for two hours. Each lecture includes a 10 minute break. The course includes an examination at the end of the fall term and the end of the summer term. The AAP in-in service examination is conducted at the end of the spring term. A Review of Current Literature in Periodontology Course Director: Charles E. Hawley, D.D.S., Ph.D. Thursday 8:00–8:50 a.m. September through July Course Goals and Objectives 165 To study in depth recent original reports in the art and science of periodontology. To use current literature as a “spring-board” to related or applicable background articles. To provide a forum where residents may discuss current literature as it may affect the current/accepted rationale for clinical periodontology. To give residents an opportunity to display, in addition to knowledge, understanding of a given topic in periodontology. To paraphrase an axiom in education: The half-life of knowledge is approximately 30 days. The half-life of understanding in infinite. To teach requires understanding. Periodontal Surgery and Morbidity Seminar Course Director: Dr. Walter H. Meinzer, II Fridays 8:00-8:50 AM, September through July Course Description This is a departmental seminar intended for first/second/third year postgraduate periodontology students. Relevant course materials (guidelines, presentation schedules) are provided by e-mail or as handouts directly to the participants. Each seminar session consists of two 20 minute presentations by an assigned presenter. The format of each presentation is digital projection with oral presentation supported by pertinent history, clinical findings, clinical photography, radiographs, narrative and references. Each presentation is followed by an open forum discussion (guided by the seminar faculty) requiring participation by all students in the seminar. The presenter has 10 minutes to answer questions from faculty and students. The presenter’s role is to offer the rationale for the provided treatment as well as decisions made regarding the execution of the surgical procedure. The students are advised that one of the presented cases should have included significant challenges which may have resulted in a less than ideal outcome. Problems and confounding factors associated with this case serve as a springboard to discuss alternative options for surgical design. The analysis of negative outcomes is a critical component of the discussion. Students are encouraged to present and examine any problems noted in the utilized techniques and elaborate on ideas for improvement. Clinical Instruction The students spend approximately 60 percent of their time engaged in clinical activity. These include diagnostic, non-surgical and surgical therapy. The average student also places over one hundred implant fixtures during the three month period. The graduating students are well experienced in all forms of soft and hard tissue grafting as well as periodontal plastic surgery. In addition, residents receive extensive training and experience in site preparation for implants including soft tissue preparation, sinus lifting procedures, and ridge augmentation. Promotion and Graduation Requirements Students are required to successfully pass all departmental and interdepartmental courses. In addition, the students are required to satisfactorily perform and complete the three final case presentations at the end of the program. Students are expected to attain all grades of B or above on all interdepartmental and departmental courses. Clinically, students have a mandatory attendance policy for the entire three year period of the residency. If a student misses more than five days yearly in addition to the seven weeks of vacation per year, the student will be required to repeat the year. The students are required to place a minimum of 55 implant fixtures and perform 300 periodontal surgical procedures during the three year program. Departmental Research and Publications The department fosters an atmosphere of ongoing, vibrant, and current clinical research. To that end, a completed clinical research project is required of each graduating resident. The department has a final case research day where each third year student presents the completed project in 166 which they were involved. Many faculty are also currently pursing clinical research in a variety of different aspect of periodontology or implantology. The department is currently involved in several areas of clinical research. The department faculty is extensively involved with the use of platelet rich plasma in both hard and soft tissue grafting and wound healing. Currently, the department is involved in projects using a piezoelectric device, three different types of membranes and several bone grafting materials. There is also some current research activity exploring the perio-systemic link between periodontal disease and several systemic disease entities. A sample list of recent publications by the department is listed below. Shapurian, T., Damoulis, P.D., Reiser, G.M., Griffin, T.J. and Rand, W.M. Quantitative evaluation of bone density using the Hounsfield index. International Journal of Oral and Maxillofacial Implants 21: 290-297, 2006 Drakos D.E., Griffin, T.J., Damoulis, P.D. (2006) Root coverage of multiple recessions with an acellular dermal matrix. Clinical approach (Greek - Odostomatologiki Proodos) Odontostomatological Progress; 60(3) Gagari, E., Rand, M.K., Tayari, L., Vastardis, H., Sharma, P., Hauschka, P.V. and Damoulis, P.D. (2006) Expression of stem cell factor and its receptor, c-kit, in oral mesenchymal cells. European Journal of Oral Sciences 114:409-415 Griffin, T.J., Cheung, W.S., Zavras, A.I., and Damoulis, P.D. (2006) Postoperative Complications Following Gingival Augmentation Procedures. Journal of Periodontology 77:2070-2079 Griffin, T.J., Engler-Hamm, D., and Cheung, W.S. (2006) Staged Periodontal Plastic Surgery in the Management of Patients with Complex Dental Problems. Dentistry Today 25(11): 126-129. Al-Khabbaz, A.K., Griffin, T.J., and Al-Shammari, K.F. (2007) Assessment of Pain Associated with the Surgical Placement of Dental Implants. Journal of Periodontology 78 :2, 239-246. Yen, C.A., Griffin, T.J., Cheung, W.S., and Chen, J. (2007) Effects of Platelet Concentrate on Palatal Wound Healing After Connective Tissue Graft Harvesting. Journal of Periodontology 78 : 4, 601610. Ferriol, M., Cheung, W.S., Griffin, T.J. (2007) Oral Mini-Implants to Facilitate Orthodontic Movement of Teeth. Dentistry Today 26(6): 114-119 Hempton, T.J., Nart, J., and Likhari, V. (2007) Restoring Periodontal Support : A Review of Why, When, and How Inside Dentistry. 3(6)1-8. Other Departmental policies The Department of Periodontology also has competency examinations that each student must complete satisfactorily for promotion or graduation from the program. There are also three final case presentations encompassing a definitive periodontal case, implant therapy, and a clinical research project. All students are required to be involved in a clinical case or research project wh which will result in a presentation and a publication. It is an objective of the Department to graduate students who will become active in speaking, teaching and publications as well as becoming master clinicians. 167 DEPARTMENT OF PROSTHODONTICS & OPERATIVE DENTISTRY ADVANCED EDUCATION PROGRAM IN PROSTHODONTICS Basic Program Information Tufts University Postgraduate Prosthodontics has been one of the leaders among Postgraduate Prosthodontics programs in the nation and known in strength in clinic and laboratory fields. Complete denture, esthetics and fixed ceramo-metal prosthodontics have been known as prominent parts of the program. The program has been a combined program of fixed and removable prosthodontics since beginning of the program. The program has known to have a strong emphasize in dental laboratory works. Dr. Hardy founded the Program in 1948. Dr. Phillip Williams kept his philosophy in prosthodontics especially in complete denture. Dr. Sheldon Stein fostered strength in fixed prosthodontics and esthetics while maintaining strength and philosophy of complete denture. Dr. Gino Passamonti, who was one of the students of Dr. Hardy, further added sound foundations of the program in treatment planning and case management for advanced prosthodontics patients. He was in the program director’s position for over twenty-four years and considers being “the father of the program” and many national and international leaders in the field of prosthodontics graduated under his guidance. Currently Dr. Hiroshi Hirayama has been the program director since 1994. The program has maintained tradition and philosophy of Drs. Hardy, Williams, Stein and Passamonti and put additional emphasis on Esthetics and Implant Prosthodontics. Research has been an additional emphasis of the program since Dr. Hirayama became the program director. Ten graduates are granted Master of Science degree since 1998. One of emphasis of the program is CADIAX system for occlusal and TMD evaluation. Four units are available for everyday clinical use. Additional Jaw tracking system (Biopack) was introduced from Bioreserch. Biopack consists of 8 channels EMG, Joint Vibration Diagnosis analysis unit (JVD) and Magnetic Jaw tracking unit (JT 3D). Future direction of the program is integration of advanced dental technologies such as CAD CAM, Digital impression technology, Digital image modeling and other Digital technologies into academic and clinical teachings for enhancement of learning environment while maintaining good sound foundation and tradition of the prosthodontics program. Mission Statement The craniofacial system is likely the oldest of the organ systems. The earliest simple animals were organized as hollow tubes open at both ends. One end accumulated food, the other end excreted that which wasn’t used. But nature continued to favor organisms that could find and process food quicker and easier. In fact it is argued that all the senses were developed to enhance food gathering and processing. The first sense was smell; it evolved as a mechanism to find complex organic chemicals or particles that would allow an organism to develop more rapidly and/or live longer. Touch, sight, and hearing developed later, as did mobility of the animal, a more complex digestive system, circulatory systems, and protective defenses. All these evolved in fits and starts, but the goal seemed to be furthering the ability to get food faster and better. Simply put, increasing complexity and diversity of animal structures were developed for better eating. Department Administration Program Director of Postgraduate Prosthodontics: Hiroshi Hirayama, D.M.D, D.D.S, M.S, F.A.C.P Contact information Phone: (617) 636-6598 Email: [email protected] Administrative Assistants: Jessica Upham Contact Information Phone: (617) 636-6591 168 Email: [email protected] Kelly Barnes Contact Information Phone: (617) 636-6591 Email:[email protected] Samantha Hafley Contact Information Phone: (617) 636-6591 Email: [email protected] Program Faculty Robert Chapman Professor Chairperson, Department of Prosthodontics and Operative Dentistry Hiroshi Hirayama * Professor Division Head Postgraduate Prosthodontics Program Director, Graduate and Postgraduate Prosthodontics Kiho Kang* Associate Professor Associate Program Director, Graduate and Postgraduate Prosthodontics Yongjeong Kim Assistant Professor Assistant Program Director, Graduate and Postgraduate Prosthodontics Alaaddin Al-Wazzan Assistant Professor Paul Cammarata Assistant Clinical Professor Norman Hammer Clinical Professor William Heggerick * Clinical Professor Albert Intonti * Associate Clinical Professor Kenneth Malament * Clinical Professor William Maness Associate Clinical Professor Vincent Mariano * Assistant Clinical Professor Maurice Martel Clinical Professor George Maryniuk Assistant Clinical Professor Lloyd Miller Clinical Professor Julian Osorio Assistant Clinical Professor William Papadopoulos Assistant Clinical Professor Luis Sarmiento Assistant Clinical Professor Marcelo Suzuki Assistant Professor Denise Leong Yokota Clinical Instructor Pasquale Calvani ** Adjunct Associate Professor Ernest Hegenbarth Adjunct Associate Professor Konstantinos Michalakis *,**Adjunct Associate Professor Gianluca Paniz ** Adjunct Instructor Robert Pellecchia ** Adjunct Instructor Itszack Shoher Adjunct Research Professor John Sorenson* Adjunct Professor Yasuhiko Kawabe Adjunct Technical Instructor Akihiko Yoshida Adjunct Technical Instructor * Board Certified Prosthodontist ** Visiting Instructors; they stay for 1 month per year, but are full-time for that month. Interdepartmental Courses Oral & Maxillofacial Radiology Management of the Medically Compromised Dental Patient 169 Clinico-Pathologic Conferences in Oral and Maxillofacial Pathology Biostatistics IA--Introduction to Biostatistics Biostatistics IB--Principles of Biostatistics Successful Research Strategies Occlusion Epidemiology & Critical Thinking in the Practice of Dentistry Advanced Head & Neck Anatomy Multidisciplinary Approach to the Diagnosis & Management of TMD and Orofacial Pain Dental Pharmacology Immunology Bone Biology Biomaterials I Biomaterials II Interdisciplinary Treatment Planning Departmental Courses Immunology for Postgraduate Prosthodontics Course Director Emilio I Arguello, D.D.S., M.S. Goals & Objectives This course is intended for first year graduate students in the prosthodontics residency. Course Materials are given to students in paper handouts The reference is outlined on each slide, mainly peer-reviewed publications. Advanced Prosthodontics Treatment Planning Seminar Course Directors Dr. William Heggerick, Dr. Paul Cammarata, Dr. Hiroshi Hirayama, Dr. Kiho Kang Goals & Objectives This course is intended for all graduate residents in the Postgraduate Prosthodontics residency. Paper handouts are provided by the presenter The reference is outlined on each slide, mainly peer reviewed publications. Fixed Partial Denture Course Director Dr. Yong Jeon Kim Goals & Objectives To understand and apply the principles of fixed partial dentures in depth level. Introduction to Advanced Prosthodontics - Advanced technical fixed prosthodontics I, Prelinical FPD Laboratory Procedures I Master cast fabrication (PG Pros. Pre-clinical Exercises) Course Director Dr. Kim, Mr. Oishi Goals & Objectives To learn and manipulate impression materials and dental stones, make proper master models; prepare master dies and mount on the semi-adjustable articulator. Introduction to Advanced Prosthodontics - Advanced technical fixed prosthodontics I, Preclinical FPD Laboratory Procedures II Introduction to porcelain, posterior porcelain-metal complex Goals & Objectives 170 To make students to be able to wax up and cut back a metal framework for PFM restorations and to manipulate porcelain. To make the students to learn the design concept of posterior PFM restorations. At end of this course the students are able to fabricate an acceptable posterior PFM restoration on Postgraduate level. Introduction to Advanced Prosthodontics - Advanced technical fixed prosthodontics I Preclinical FPD Laboratory Procedures III Partial and full coverage gold restoration Goals & Objectives To understand the concepts of ideal tooth preparation; become technically competent in the “clinical” and laboratory aspects of this exercise. Advanced Fixed Partial Denture Practical course Class: K’ 2009 Goals & Objectives To satisfactorily complete at an advanced level a series of practical exercises with the development of concepts and technical skills in preparation for patient and clinical management. Perspectives in Modern Dental Ceramics Course Director Dr. Kenneth Malament Goals & Objectives To give students an in-depth level of knowledge of Modern Prosthodontics Ceramics and how they affect treatment planning decisions. Introduction to Advanced Prosthodontics - Treatment of Endodontically Treated Teeth Course Director Dr. George Maryniuk, Dr. Hiroshi Hirayama Course Assistant: Mr. Oishi Goals & Objectives To provide the students with an understanding of the prosthodontic treatment options and procedures for treating endodontically treated teeth. Introduction to Advanced Prosthodontics - Tooth whitening Course Director Dr. George Maryniuk Goals & Objectives To provide the students current concepts and techniques of tooth whitening. To make the students fabricating tooth whitening trays and experiencing tooth whitening. Introduction to Advanced Prosthodontics - Advanced technical fixed prosthodontics II Course Director Mr. Oishi Goals & Objectives To make the students becoming proficient in manipulation of dental porcelain, experiencing different types of margin finishing and achieving highly esthetic result by using shoulder porcelain. To make student to be competent on pre-soldering procedure and expose to postsoldering technique. 171 At end of this course, the students will be able to differentiate types of margin configurations, apply shoulder porcelain and to perform pre-soldering technique. Introduction to Advanced Prosthodontics - Tooth preparation: From single unit to Full arch preparation Course Director Dr. Intonti Goals & Objectives To teach students to do efficient and predictable tooth preparations for indirect laboratory fabricated restorations, and meticulous sequential tooth preparation techniques with emphasis on control. Introduction to Advanced Prosthodontics - Diagnostic Wax-up and Provisionals Course Director Dr. Kim Goals & Objectives To provide in depth knowledge and concepts of diagnostic wax up and different method of provisionals on fixed prosthodontics fields. Advanced Prosthodontics Seminar Course Director Dr. Hirayama Goals & Objectives To provide students an advanced level of prosthodontics case management knowledge, and treatment modalities and options. To provide students additional knowledge to fill students’ weakness in the field of Prosthodontics, and patient and case management through past final cases, students’ complex cases, Drs. Hirayama’s and Passamonti’s clinical cases, and selected topics. Selection of topic and case will depend on the students’ weak points and interests. Round table case treatment planning discussion will be provided during course of the seminar. This is open discussion formatted seminar so that the students can ask any kind of questions without any hesitation and felling of intimidation by others. At end of third year students will have well organized applicable prosthodontics, and patient case management knowledge. The students will prepare for prosthodontics board examinations. Implant abutment selection: Prefabricated - Customized Implant Abutments –CAD CAM Abutments Course Director Dr. Julian Osorio, Mr. Yukio Oishi Goals & Objectives To provide students with current concepts of customized implant abutments. Comprehensive Prosthodontics Literature Review (CPLR) Course Directors Drs. Hiroshi Hirayama, Kiho Kang, YongJeong Kim, Albert Intonti, Norman Hammer Goals & Objectives To familiarize students with Evidence-based dentistry (EBD) approach to oral health care. EBD process is based on integrating the scientific basis for clinical care, using thorough, unbiased reviews and the best available scientific evidence at any one time. To make the students understanding of the scope, depth and content of literature concerning fixed, removable, periodontal, implant prosthodontics and dental occlusion including physiology. Removable Denture Course Director 172 Dr. Hiroshi Hirayama Goals & Objectives To provide students in depth knowledge of theoretical background in removable complete denture and removable partial denture, To prepare students ready to apply above mentioned concepts and theories to daily clinics and to other fields of Prosthodontics disciplines. To prepare students for American Board of Prosthodontics examinations. Clinical Complete Denture Course Directors Dr. Luis del Castillo, Dr. Hiroshi Hirayama Goals & Objectives To demonstrate an advanced level of clinical complete denture construction procedures, To provide an in-depth level of knowledge in the construction of complete dentures. Complete Denture Laboratory Course Course Director Dr. Luis del Castillo Goals and Objectives To provide the students with competency in laboratory skills for complete denture construction. Advanced Removable Partial Dentures Laboratory Course and Clinical Demonstration Course Director Dr. Luis del Castillo, Dr. Yong Jeong Kim Goals and Objectives The goal of the Advanced Removable Partial Denture Laboratory Course and Clinical Demonstration is to familiarize the student in the fabrication of a removable partial denture. This includes the theoretical, technical and clinical aspects of this restoration. Advanced Occlusion Course Director Dr. Maurice Martel Goals and Objectives To develop conceptual information on occlusion, especially with regard to the nervous system and TMJ’s and teeth To establish the relationship of the TMJ’s anterior guidance and occlusal form to function. Advanced Prosthodontics course-Gnathological wax up course Course Director Dr. Heggerick Goals and Objectives To make students understand the concepts and techniques of Gnathological wax up, and practicing on patients’ study casts. At end of this course the students are able to perform Gnathological wax up on different situations of patient’s mouth. Advanced Prosthodontics course-Diagnostic Waxing and Occlusal Instrumentation Course Directors Dr. Kiho Kang Goals & Objectives 173 To develop conceptual goals of prosthodontic treatment in the areas of craniofacial esthetics, functions, occlusion, and physiology. To facilitate students’ understanding of the history, theory, concepts and techniques, instrumentation and materials of fixed prosthodontic treatment. To familiarize students with an approach for treatment planning through pretreatment clinical evaluation, study cast analysis and diagnostic waxing procedures Advanced Prosthodontics course-Occlusal Device - Laboratory Hands-on and Lecture Course Director Dr. Hiroshi Hirayama and Dr. Denise Leong Yokota Goals and Objectives To make the students a competent skill level of laboratory and clinical procedures and an understanding of the theories of occlusal devices and management of TMD patients. Research Methodology in Prosthodontics and Biomaterials Course Director Dr. Hiroshi Hirayama Course Description This is a departmental course for 1st or 2nd year Advanced Education students or Master of Science students who have an interest in prosthodontics and biomaterial research methods and use of equipments. This course is designed to provide background knowledge of the research method and equipments. Maxillofacial Prosthetics Concepts –Book and Literature Review Course Director Dr. Marcelo Suzuki Goals and Objectives To establish a basic understanding of the theories and concepts used to treat patients afflicted with head and neck carcinoma or congenital abnormalities, and trauma victims. Endodontics for Prosthodontists Course Director Dr. Robert Amato, Dr. Jan Rozen Goals and Objectives Postgraduate Prosthodontics residents should be able to diagnose, categorize and assess appropriate treatment modalities for pulpal and periapical disease. They should also be able to recognize, diagnose and treatment plan periodontal endodontic disease. A discussion of endodontic success and failure will allow the Prosthodontics student to better assess previous endodontic treatment and decide treatment options. Periodontics and Prosthodontics Course Director Dr. Kenneth Malament Goals and Objectives To integrate the academic and clinical standards of both Periodontics and Prosthodontics, and to achieve harmony in treatment planning decisions. Orthodontics for Prosthodontists Course Director Dr. Barry Briss (Chairman, Dept. of Orthodontics) Goals and Objectives 174 To provide the residents in Postgraduate Prosthodontics with a basic understanding of orthodontic concepts; to train them in the use of Steiner analysis for treatment planning; to give them an understanding of soft tissue analysis, smile analysis, and the concept of occlusion from an orthodontist’s point of view. Advanced Prosthodontics course-Dental Photography Course Director Dr. Kiho Kang Goals and Objectives The course objective is to cover the clinical aspects of dental intra and extraoral photographs. The lecture and clinical hands-on practice will cover the topics and techniques including the followings: the series of photos required for the American Prosthodontics Board examination the series of photos required for the Prosthodontics Seminar presentation what common mistakes are to avoid how to position mirrors, retractors, and patient Practice management for Postgraduate Prosthodontics I II III Course Director Dr. Vincent Mariano Goals and Objectives To prepare students for their future practice by making them realizing importance and ways of practice management. Advanced Prosthodontics Clinic 1-4 Course Directors Drs. Hiroshi Hirayama, Kiho Kang, YongJeong Kim Course Description This clinical course, encompassing all three residency years, is designed to provide comprehensive clinical experience in the broad spectrum of prosthodontics. Patients requiring fixed, removable, and implant prosthodontic procedures will be examined, diagnosed, treatment planned and treated by the postdoctoral students under the supervision of clinical faculty. The students will routinely present their diagnostic findings and treatment plans during multiple formal opportunities for patient presentation. This level is aimed to treat PDI class 1, 2 and 3 patients and training in treatment plan and managing of PDI class 4 patients. Advanced Prosthodontics Clinic 5-8 Course Directors Drs. Hiroshi Hirayama, Kiho Kang, YongJeong Kim Course Description This clinical course permits advanced clinical experience on management and completion of PDI class 4 patients. Also focus on management and treatment of advanced cases such as esthetic demanding cases, TMD related cases and advanced implant cases. Most of these treatment plans will be multidisciplinary in nature and the resident is encouraged to discuss and coordinate treatment with other disciplines. They encourage sharing diagnostic information and organized to come up sequential treatment plan which include mutispecialties. Graduation Requirements First Year Competency and confidence in the application of basic fixed prosthodontic clinical and laboratory procedures. Competency in all basic complete denture clinical and laboratory techniques. Understanding of complete denture anatomy and occlusal concepts. 175 Competency in all basic RPD clinical and laboratory procedures. Understanding of basic RPD principles, design and function. Familiarity with overdenture techniques which includes implant overdenture. Familiarity with immediate denture techniques. Familiarity with reline/rebase techniques. Competency in survey crown preparation and fabrication. Competency in the use of the semi adjustable articulator, positional records, facebows and familiarity with CADIAX recording, other jaw tracking units, cephalometric analysis, concepts of occlusion and fully adjustable articulators. Familiarity with functionally generated path techniques and Gnathological wax up technique. Familiarity with implant prosthodontics. Familiarity with diagnosis and treatment of patients with temporomandibular disorders and facial pain. Familiarity with maxillofacial prosthetic services for patients with acquired, developmental or congenital defects. Familiarity with the prosthodontic literature and its support of and application to treatment, and Evidence Based Dentistry (EBD) literature search concept and technique. Develop and present a table clinic at a professional dental meeting. Second Year Competency in diagnosis and treatment planning with an understanding of the relationship of prosthodontics to the various specialties of dentistry in the comprehensive care of patients. Competency and confidence in the treatment of combination cases involving fixed, removable, maxillofacial and dental implant prosthesis. Competency in the application of the various concepts of occlusion for both fixed and removable and competent in the use of CADIAX recorders, semi adjustable articulators. Competency and confidence in the application of advanced prosthodontic laboratory procedures. Competency in Gnathological waxing techniques and occlusal concept, and Panky Mann philosophy and concept. Competency in the diagnosis and treatment of various Temporomandibular disorders and facial pain. Competency in the treatment and follow-up care of patients with maxillofacial acquired defects. Competency in the prosthodontic literature and its support of and application to treatment, and Evidence Based Dentistry (EBD) literature search concept and technique. Familiarity with the treatment of patients with maxillofacial developmental or congenital defects. Identify a Thesis/clinical research project with title and outline completed. Develop and present a table clinic at a professional dental meeting. 3rd Year Proficiency in diagnosis and treatment planning with an understanding of the relationship of prosthodontics to the various specialties of dentistry in the comprehensive care of patients. Proficiency and confidence in the treatment of combination cases involving fixed, removable, maxillofacial and dental implant prosthesis. Proficiency in the application of the various concepts of occlusion for both fixed and removable and competent in the use of CADIAX and other jaw tracking system, semi and fully adjustable articulators. Proficiency and confidence in the application of advanced prosthodontic laboratory procedures. Develop and present a table clinic at a professional dental meeting. Complete a Thesis and/or research project for presentation and publication. 176 Academic Requirements Postgraduate Prosthodontics program is three year program that may be combined with a possible Master of Science degree. Residents MUST complete their program on May 31st of their third year. After June 1 st there will also be an additional tuition charge for either the Master's degree or a Certificate program. The resident MUST pass all assigned credited courses. (Necessary courses will be assigned by the Program Director). "F" grade is NOT acceptable. Two permanent "F" grades will result in resident's dismissal from the program. The resident who is enrolled in the Master of Science Program MUST have enough credit hours according to the guidelines of the Advanced and Graduate Education Committee. No “F” or more than two "C grades will be permitted per AGEC policy and could result in dismissal from the Master of Science program. The students MUST take the part 1 Prosthodontic Board Examination and one of other parts of the Prosthodontics Board Examination in their third year. Clinical Requirements Type of Cases based on ACP Classification of Prosthodontic Patients should include: Class Class Class Class 1 2 3 4 – – – – 5 cases 5 cases 10 cases 10 cases Type of Prosthodontic Treatments should include: FPD Should include minimum of 2 cases of more than 20 units Two complete documentations of Part 3 Board cases 3 cases of occlusal reconstruction– including complete single arch reconstruction, altering VDO, complete posterior reconstruction 3 cases of partial coverage metal restoration–including two gold onlays 5 cases of fixed and removable combination cases– including one complete arch fixed combination case Two complete documentation of Part 2 Board cases RPD Should include 15 units (including treatment metal framed RPDs) Should include minimum of 2 different types of attachment RPDs. (Acrylic RPDs will not be counted toward graduation credit.) CD Should include 15 dentures (minimum 5 sets) Two complete documentations of Part 4 Board cases Includes types of Conventional CD/OD, Immediate CD/OD, Treatment CD/OD, Maxillofacial CD/OD/Obturators Should include at least the following: 5 conventional complete dentures 177 3 1 3 2 4 immediate complete dentures Removable complete overdenture treatment complete dentures laboratory relinings tissue conditioning cases – direct and indirect methods Implant Should include 7 implant cases which include two complete documentations of any part of Board cases and 4 different types of cases among the following categories; FCD – porcelain or polymer cemented (C), screw-retained (S) or CS types IFSR – C, S, CS types FPD Implant-supported or assisted – C, S, or CS types RCD Implant-supported RCD Implant-assisted RPD Implant-supported or assisted Occlusion & TMD The student should pass an oral examination and a competency examination by the end of first and second year. Cases should include: 2 cases of fully adjustable instrumentation incorporated with CADIAX 4 cases of adjustable instrumentation 3 cases of equilibration 2 cases of management on occlusion related TMD patient Maxillofacial Prosthesis Should be 2 cases When the student cannot meet above mentioned requirements, the program director will evaluate total achievement of the student and make a judgment whether the student meets the standard for the graduation level. The student may be asked to continue the program with the tuition until the student adequately reaches the standard of the program. Laboratory Work Requirement 1) All diagnostic works, which include all diagnostic wax ups, and fabrication of provisionals. Five of more than six units splinted cases must be done by student then may send out to the commercial laboratory after passing a competency examination. 2) 30 units of Fixed Prosthodontic Laboratory work Limited number of full gold crown units (no more than 5 units). All laboratory works for Part 2 Board cases must be done by student. The student must pass competency examinations by the end of 1 st and 2nd year. 3) Five RCDs, five RPDs, five acrylic RPDs must be done by student. After passing competency examinations, the student may send them out. 4) All cast posts & cores 5) 10 Implant custom abutments. After passing competency examinations, the student may send them out. 6) All implant removable substructures Any exemption needs to be approved by the program director. Partial credit will be calculated based on the case progress of transfer cases. 178 Final Case Presentation & Mock Clinical Board Examinations A final case presentation (one part of Board cases) on scheduled date and two other parts Board case presentations and oral examinations before graduation are required as a graduation requirement. (A re-presentation is required for persons who obtain a conditional passing grade or a failed grade.) Final Case Presentation The final case MUST contain at least restorations of all posterior teeth to control vertical dimension of occlusion and can be any of the followings: Fixed prosthodontics case (ABP Part 3) (No removable prostheses) Fixed-removable prosthodontics combination case (ABP Part 2) The following will be needed in order to present the final case: Approximately 40-50 photos (All mandatory photos by the American Board of Prosthodontists must be included). One set of mounted casts with Type VI or V stone pre- and post-treatment. One set of unmounted casts with white stone pre- and post-treatment. Two case narrations which include a set of a copy of pre- and post-treatment FMX. A copy of presentation, a set of unmounted study casts (pre- and post-treatment) and a copy of the case narration including copy of pre- and post-treatment FMX must be submitted before graduation. Mock Clinical Board Examinations Mock presentations and oral examinations are required for the other two parts of Board cases before graduation on scheduled dates. (A re-presentation is required for persons who obtain a conditional passing grade or a failed grade.) The Mock presentations consist of 2 different types of presentations from the final case according to the requirement of the American Board of Prosthodontics (ABP): Fixed/Removable Prosthodontics Combination Case Fixed Prosthodontic Treatment Removable Prosthodontic Treatment (ABP Part 2) (ABP Part 3) (ABP Part 4) At least one among three cases must contain implant restoration. The student MUST pass all three parts for his/her graduation. The student MUST have multiple back up cases in order to secure the graduation requirement. Schedules First Year Summer Session (July–August) Orientation: Hirayama/Kang/Kim Student Registration Internal Student Registration Instruments Evaluation Program Orientation 179 Basic Science Courses Introduction to Advanced Prosthodontics Drs. Hirayama/Kang/Kim/Hammer/Intonti Introduction to Clinical Prosthodontics Drs. Hirayama/Kang/Kim/Hammer/Intonti Fixed Prosthodontics I & II Ceramics Removable Partial Denture Removable Complete Denture Implant Prosthodontics Occlusion and TMD Esthetic in Prosthodontics Restoration of Endodontically treated tooth Treatment and management of Complex cases Maxillofacial Prosthesis Advanced Occlusion I (Lectures & Techniques) Fabrication of Preliminary impression and Study Casts Facebow Registration of Maxillo-mandibular record Articulation and Articulator Occlusal analysis and Modification Occlusal Wax up Tooth Morphology Drs. Kang/Kim Advanced Fixed Prosthodontics I (Lectures & Techniques) Tooth Preparation Techniques and Theory Partial coverage – Gold and Porcelain Inlay and Onlay Full coverage – PFM and All ceramic crowns Multiple Units RPD and Attachment abutment Diagnostic Wax up and Provisionals Fixed Prosthodontics Impressions Techniques and Theory Hydrocolloid Poly-vinyl siloxisan Polyether Evaluation and Cementation of Restorations Drs. Kim/Kang Dr. Intonti Advanced Mr. Oishi/Dr.Kim Technical Fixed Prosthodontics I Fabrications of Master casts Articulation/Mounting of Casts Fabrication of Restorations Wax up, silicone key and cut back Spruing, investing and casting Evaluation of castings, finishing and polishing Related Disciplines Courses Biostatistics Epidemiology & Critical Thinking in the Practice of Dentistry Dr. Hirayama Dr. Kang Dr. Kang Dr. Kim Dr. Stark Dr. Wright Fall (September – December) First Year Basic Science Courses Clinicopathologic Conferences in Oral and Maxillofacial Pathology Growth and Aging Related Disciplines Courses Diagnostic Radiology Dr. Ramesh 180 Medicine Microbiology for postgraduate prosthodontics Advanced Prosthodontics Courses Advanced Removable Prosthodontics I Removable Partial Denture Complete Denture Dr. Ganda Dr. Arguello Dr. Hirayama Advanced Fixed Prosthodontics II Drs. Kang/Kim Advanced Clinical Prosthodontics I (Clinical and Laboratory) Drs. Hirayama/Kang/Kim/Intonti Examinations and Comprehensive Treatment Planning I Evaluation of History and Patient Extraoral Examinations Intraoral Examinations Consideration of other Disciplines Diagnosis and Sequential Treatment Planning Presentation of Treatment Plans Paperwork and Financial Arrangements Drs. Kang/Kim/Hirayama Phase I Prosthodontics Caries control Amalgam and Composite resin restorations Dr. Intonti Diagnostic Wax up and Provisionals Fixed Prosthodontics Removable Prosthodontics Implant Prosthodontics Drs. Kang/Kim Clinical Prosthodontics Evaluations Esthetics Phonetics Occlusal Plane VDO Function Clinical Occlusal Evaluation and Night guard Dr. Hirayama Photography in Prosthodontics Extraoral Intraoral Laboratory Research Computer Dr. Kang Advanced Technical Fixed Prosthodontics II Metal Framework design and Metal finishing Porcelain PFM Porcelain Margin Pre-solder and Post-solder – Demo/Lecture Mr. Oishi/Dr.Kim Comprehensive Prosthodontics Literature Review Drs. Kang/Kim/Hirayama Seminars Advanced Prosthodontics treatment planning Seminar Drs. Hirayama/Kang/Heggrick/Cammarata Inter-Disciplinary Treatment Planning Seminar Drs. Hirayam/Hempton/Green 181 OMFS –Prosthodontics Implant Seminar Advanced Prosthodontics seminar Drs. Laskakidis/Kim Dr. Hirayama Master of Science Degree/Research Topic Selection Literature search Advanced Prosthodontics Clinic 1 Meetings ACP GNYAP Spring (January–June) First Year Basic Science Courses Anatomy Pharmacology Bone Biology Dr. Malone Dr. Thompson Dr. Chen Related Disciplines Courses Biomaterials TMD Medical Emergency and Pain Control Research Methodology in Prosthodontics and Biomaterials Periodontics and Prosthodontics Microbiology for postgraduate prosthodontics Dr. Dr. Dr. Dr. Dr. Dr. Zanparsa Mehta Ganda Hirayama Malament Arguello Advanced Prosthodontics Courses Advanced Occlusion Dr. Martel Advanced Removable Prosthodontics II Drs. del Castillo/Calvani Complete Denture Fabrication of Custom Trays Fabrication of Trial Bases and Occlusal rims Denture teeth set up – Anatomical, Non-anatomical Investing Processing Remount and Occlusal adjustment– Laboratory and Clinical Finishing and Polishing Removable Partial denture Dr. del Castillo Fabrication of Custom trays Fabrication of Occlusal bases Surveyor Mouth Preparation Altered Cast Technique Advanced Clinical Prosthodontics (Clinical and Laboratory) Removable Prosthodontics (Clinical Demonstration & lab) Drs. del Castillo and Hirayama Removable Partial Denture Complete Denture Tooth preparation Dr. Intonti Final impressions Dr. Kang Tooth whitening Drs. Marynuck/Al-Wazzan Restoration of Endodontically Treated Teeth Drs. Marynuck and Hirayama Direct Cast Post and cores Indirect Cast Post and cores Establishment of Tooth foundation Dr. Mariano Pre-fabricated posts (Endodontically Treated Teeth) Tooth Bonding 182 Comprehensive Prosthodontics Literature Review Seminars Advanced Prosthodontics treatment planning Seminar Inter-Disciplinary Treatment Planning Seminar OMFS –Prosthodontics Implant Seminar Advanced Prosthodontic seminar Master of Science Degree/Research Committee selection (Masters Degree only) Literature Review Protocol preparation Drs. Hirayama/Kang/Heggrick/Cammarata Drs. Hirayama/Green/Hempton Drs. Laskakidis/Kim Dr. Hirayama Dr. Michalakis Advanced Prosthodontics Clinic 2 Meeting AAFP AO IADR/AADR Summer (May-August) First Year Related Disciplines Courses Maxillofacial Practice Management in Prosthodontics I Periodontology Orthodontics Endodontics Pre-prosthetic surgery Dr. Suzuki Dr. Mariano Dr. Hempton Dr. Briss Drs. Amato and Rozen OMFS Advanced Implant Prosthodontics I - Implant abutment selection: Prefabricated - Customized Implant Abutments –CAD CAM Abutments Dr. Osorio and Mr. Oishi Advanced Clinical Prosthodontics (Clinical and Laboratory) Cementation Materials Techniques Tooth Bonding Desensitization Patient’s Recare and Craniofacial Health Maintenance Drs. Leong/Sarmiento/Papadopoulos Evaluation Medical condition and Medications Saliva Soft tissues Hard tissues Fixed Removable Implant Occlusion, Parafunctional Habits and TMJ & Muscles Fluoride Application Night Guard Occlusal adjustment Comprehensive Prosthodontics Literature Review 183 Seminars Advanced Prosthodontics treatment planning Seminar Inter-Disciplinary Treatment Planning Seminar OMFS –Prosthodontics Implant Seminar Advanced Prosthodontics Seminar Material Fatigue in Prosthodontics Bruxism Altered VDO Treatment of Extremely Worn Dentition Class II & III Perio-prostho Combination Orthodontics Esthetics Drs. Hirayama/Kang/Heggrick/Cammarata Drs. Hirayama/Green/Hempton Drs. Laskakidis/Kim Dr. Hirayama U.G. Teaching Master of Science Degree/Research Initial Committee Meeting (Masters Degree only) Completion of Literature Review Advanced Prosthodontics Clinic 3 Mock Board Exam Second Year Fall (September – December) Advanced Prosthodontics Courses Advanced Technical Fixed Prosthodontics III Porcelain Internal Stain Technique – Demo/Lecture Captek and Galvano-electroform gold All Ceramics (Procera) – Demo/Lecture Mr. Oishi Advanced Implant Prosthodontics II Advanced Occlusion II – Instrumentation Techniques Transverse Hinge Axis Location Extraoral Tracings Fully Adjustable Articulators Dr. Kang and Kim Dr. Kang Comprehensive Prosthodontics Literature Review Seminars Advanced Prosthodontics treatment planning Seminar II Drs. Hirayama/Kang/Heggrick/Cammarata Inter-Disciplinary Treatment Planning Seminar II Drs. Hirayama/Green/Hempton OMFS –Prosthodontics Implant Seminar II Drs. Laskakidis/Kim Advanced Prosthodontics Seminar II Dr. Hirayama Implantology (surgical aspect) Management of complex cases Round table (treatment planning) U.G. Teaching and Recare & Emergency Master of Science Degree/Research Pilot study (Master’s Degree Only) Completion of Protocol Meeting 184 ACP GNYAP Advanced Prosthodontics Clinic 4 Maxillofacial clinic Spring (January-April) Second Year Related Disciplines Courses Practice Management in Prosthodontics II Dr. Mariano Advanced Prosthodontics Courses Advanced Occlusion Dr. Martel Advanced Technical Fixed Prosthodontics IV Porcelain Porcelain Laminate – Demo/Lecture Ceramic Inlay and Onlay (Empress) – Demo/Lecture CAD CAM Mr. Oishi/Dr. Al-Wazzan Comprehensive Prosthodontics Literature Review Seminars Advanced Prosthodontics treatment planning Seminar II Drs. Hirayama/Kang/Heggrick/Cammarata Inter-Disciplinary Treatment Planning Seminar II Drs. Hirayama/Green/Hempton OMFS –Prosthodontics Implant Seminar II Drs. Laskakidis/Kim Advanced Prosthodontics Seminar II Dr. Hirayama Round table (treatment planning) U.G. Teaching Presentation Yankee Dental Congress AAFP AO Master of Science Degree/Research Experimental Procedures Dr. Michalakis Mock Board Exam Meeting Yankee Dental Congress AAFP AO IADR/AADR Advanced Prosthodontics Clinic 5 Maxillofacial clinic Summer (May-August) Advanced Prosthodontics Courses Advanced Clinical Prosthodontics (Clinical and Laboratory) Porcelain veneer Dr. Heggrick Attachments Dr. Hammer Fixed Prosthodontics 185 Removable Prosthodontics Implant Prosthodontics Advanced Technical Fixed Prosthodontics V Attachments Milling Technique Mr. Oishi Comprehensive Prosthodontics Literature Review Seminars Advanced Prosthodontics treatment planning Seminar II Drs.Hirayama/Kang/Heggrick/Cammarata Inter-Disciplinary Treatment Planning Seminar II Drs. Hirayama/Green/Hempton OMFS –Prosthodontics Implant Seminar II Drs. Laskakidis/Kim Advanced Prosthodontics Seminar II Dr. Hirayama Clinical Science Courses Implantology Maxillofacial Prosthetics U.G. Teaching Master of Science Degree/Research Experimental Procedures Committee Meeting Progress Review by Advanced Study Committee Abstracts due for IADR/AADR in September Advanced Prosthodontics Clinic 6 Maxillofacial clinic Third Year Fall (September-December) Related Disciplines Courses Practice Management in Prosthodontics III Current Literature Review Seminars Advanced Prosthodontics Treatment Planning Seminar III Drs.Hirayama/Kang/Heggrick/Cammarata Inter-Disciplinary Treatment Planning Seminar III Drs. Hirayama/Green/Hempton OMFS –Prosthodontics Implant Seminar III Drs. Laskakidis/Kim Advanced Prosthodontics Seminar III Dr. Hirayama Round table (treatment planning) Esthetics U.G. Teaching Master of Science Degree/Research Experimental Procedures Completed Statistical Analysis of Results Committee Meeting Completion of Thesis Thesis Defense (Dec-Jan) Master’s Degree only Research Presentation (Dec-Jan) Non Degree Students 186 Poster presentation ACP GNYAP Meetings ACP GNYAP Advanced Prosthodontics Clinic 7 Maxillofacial clinic January-April Third Year Literature Review Current Literature (Journal Club) Esthetics and Advanced Ceramics Seminars Advanced Prosthodontics treatment planning Seminar III Drs. Hirayama/Kang/Heggrick/Cammarata Inter-Disciplinary Treatment Planning Seminar III Drs. Hirayama/Green/Hempton Advanced Prosthodontics Seminar III Dr. Hirayama Round table (treatment planning) Esthetics U.G. Teaching--Students have one Evening Clinical Teaching per week Assignment Master of Science Degree/Research Final Thesis Revisions Development of Publishable Form Presentations/Meetings AAFP IADR/AADR (Mandatory for Master of Science Students) Advanced Prosthodontics Clinic 8 Maxillofacial clinic ACP Mock Board part one examination Part one ABP board Exam ABP board Exam - one part of 2, 3 or 4 Mid April-May Third Year Current Literature Review Seminars Advanced Prosthodontics treatment planning Seminar III Drs. Hirayama/Kang/Heggrick/Cammarata Inter-Disciplinary Treatment Planning Seminar III Drs. Hirayama/Green/Hempton Master of Science Degree/Research (Student must complete these steps by end of April) Signatures on B form and Final Thesis Deposit (Master’s Students only) Publishable Form completed and submit for Publication Advanced Prosthodontics Clinic Maxillofacial clinic Mock Board case Presentations –two parts Final Case Presentations (first Monday of May) Graduation - End of May (Last Thursday of May) 187 PROGRAM RULES & REGULATIONS--GENERAL INFORMATION Students’ Privileges: Access to and use of TUSDM as described in the TUSDM Student Handbook and additional access and use of Lloyd Miller Postgraduate Prosthodontics laboratory and Philip Williams library for their educational purpose. School Hours: 8:00 a.m. - 7:00 p.m. Monday, Wednesday, Thursday 8:00 a.m. - 4:30 p.m. Tuesday, Friday All students are expected to be in the school during school hours. Unreported absence will be subjected of a warning form. Student who needs to be absent from school must submit [Student Absent Form] two weeks in advance. Clinic Hours: 9:00 a.m. - 7:00 p.m. Monday, Wednesday, Thursday 9:00 a.m. - 4:30 p.m. Tuesday, Friday Attendance: Mandatory-all lectures, seminars, clinic and assigned rotations. CLINIC POLICY The students must treat all of their patients in the postgraduate prosthodontics clinic. Treatment of school patients in outside school setting and/or unsupervised treatment in the postgraduate clinic are NOT permitted in any circumstances. Violation of this policy will result in probation and/or dismissal of the student from the program. All clinical activity MUST be finished by the end of daily clinical session – planning and organization of the clinical session is the key of success. No impressions are to be made after 6:30 p.m. on Monday, Wednesday, and Thursday and after 4:00 p.m. on Tuesday and Friday. No glazing while the patient is waiting. Make a separate appointment. When students are assigned to Recare/Emergency rotation or Research rotation, they should NOT schedule any appointments with their own patients. Students MUST NOT treat any patients without supervision of a faculty member. Students are responsible to all of their assigned patients. Students MUST promptly respond in a polite and caring manner to any patient’s complaints, phone calls, massages and pages and notify the complaint to an attending faculty member. Students must make a case note regarding the patient’s complaints and responds to the complaints. Student who has not seen his/her patient(s) in reasonable clinical period will be subject of an investigation and/or review of his/her student status. Any patients' complaints will be filed in [Patient complaint form] and will be subject of evaluation of student status. Issue of two forms within one month could be subject of evaluation of student status by the Program Director. Issue of two forms with same reason or more than three forms within three school months could be subject to establishment of student's probation status by the Program Director or the Faculty meeting. Clinic carts are the property of the school - students are NOT to keep their personal belongings in the carts. The carts will be inspected periodically for neatness and cleanliness, if not properly maintained, students may be suspended from the clinic. Compliance to infection control guideline is MANDATORY. See Infection Control Handbook. Laboratory Work Policy The cleanliness of the lab is essential for mutual learning environment and your progress of dental laboratory skills and understanding, especially for the laboratory safety point of view. Any students, who do not comply with safety and cleanliness matters, and OSHA standards, will be subject of disciplinary actions which include suspension, probation and/or dismissal from the program. 188 "Keep the lab clean - clean up after yourself !!!" All students must perform the minimum requirement of dental laboratory works by themselves. All laboratory cases done by students must be examined and approved by a faculty member and/or Mr. Oishi. Any students must not send out any laboratory works until they complete a minimum of ten units of FPD by themselves unless they have written authorization by the Program Director. All students’ lab works must be done is school lab facilities and all patient casts and relative information must be kept in the school for reviews by faculty members. All students’ lab works must be evaluated by a faculty member or Mr. Oishi prior to scheduled appointment. All lab works must be at an acceptable level as a postgraduate student. If it is not ready for a clinical session, faculty member will ask you to finish before you see a schedule patient or faculty will dismiss your patient. No commercial lab work is permitted to do at any time in the postgraduate Prosthodontics laboratory by the students including former graduates. A faculty member and the PG business office must authorize cases that are to be sent out to commercial labs. Upon return of the case it must be examined and approved by the Program Director and a faculty member. Unauthorized lab works which are sent outside for part of the lab requirements will result in suspension, probation or dismissal from school. Any violations to these guidelines will be reported to the office and may result in a disciplinary action. Miscellaneous Policies Any non-functional or problems, or missing equipment, computers, and facility MUST be promptly reported to the Program Director by an e-mail. Unattended facility MUST be locked and closed all the time for security reasons. No smoking in the school, No food in the clinic and Lab, No chewing gum in the clinic. No loud music to be played at any time. Library books may be signed out for two weeks at the secretary’s desk. The students MUST wear a proper color of gown in the lab and clinic. They should NOT wear the gown in the PWL. Clinic gowns must be placed in proper bins. Gowns should NOT be left in any other areas! Closets in the library are for faculty and visitors ONLY. Office phones are NOT to be used by students without permission from the staff assistant or the program director. Students are requested to speak ONLY English in the clinic and laboratory areas. Speaking in a different language around those who do not understand is impolite. Do NOT give the lab and office telephone numbers to patients - patients should call the front desk and voice mail. Any violations to these guidelines will be reported to the office and may result in a disciplinary action. ABSENCE AND VACATION POLICY The program is closed (no clinic, no emergency clinic, no classes, office closed); Thanksgiving weekend (Thurs-Sun) Christmas to New Year Weekends (Saturday and Sunday) Federal Holidays and Patriots Day The program will be open all other times, including during the school’s spring break and summer vacation. 189 Students will have two weeks of vacation in 1st year and three weeks of vacation in 2nd and 3rd years from July to following June, to be taken any time, provided three weeks’ notice is given beforehand. Also, students must make sure before submitting requests for vacation that they have arranged for their recall/emergency rotations and teaching rotations covered by other students and that patient appointments are rescheduled. Students must also inform their academic course directors of their absence and arrange for any missed work to be made up. Any violations to these guidelines will be reported to the office and may result in a disciplinary action. Attending prosthodontics meetings and presenting at the meetings are encouraged; however, those must be within reasonable time and period and approved in advance by the program director. If your clinical progress and academic achievement are not up to the program standard, you may not be allowed to attend those meetings. Academic actions Students who do NOT comply any regulations will be issued a Warning Form or Patient complaint Form. Issue of TWO forms within one month could be subject of evaluation of student status by the Program Director. Issue of two forms with same reason or more than three forms within three school months could be subject to establishment of student’s probation status by the program director or the Faculty meeting. Probation status period is from three to six months and could be more, and after this period the student status will be evaluated at the faculty meeting. Dismissal from the program may be a consequence after the probation period. Right to Appeal All students in PG Prosthodontics have a right to appeal the decision of Probation status or dismissal from the program in writing within fifteen days after receiving a letter of the decision from the program director. The appeal letter in writing will be evaluated by a committee, which complies with following members; Program Director A faculty member chosen by the program director Departmental Chairperson Dean of Admission and One student representative who will be selected by PG Prosthodontics student body. The committee will schedule a hearing process with the student and will make a decision. The committee will communicate the decision in writing to the student as soon as possible. The student may appeal the decision of the committee to the Director of Advanced and Graduate Education in writing within seven working days of receipt of the letter from the committee and subject to the limitations previously delineated in this section. The Director of Advanced and Graduate Education will report to the Advanced and Graduate Education Committee and make a decision. The decision will be send to Executive Faculty and Dean for the final decision. The student has a chance to appeal Executive Faculty and Dean that described on [TUSDM Student Handbook]. Complaints When the student finds or thinks that problems exist with the program compliance with the accreditation standards, they are encourage to report or file complaints of the issue to the program director, the associate program director, or the dean of Tufts University School of Dental Medicine in writing. Also the student may file complaints to the Commission on Dental Accreditation; 190 however the student is encouraged to communicate with the program director first to solve the problem. The Commission on Dental Accreditation will review complaints that relate to a program’s compliance with the accreditation standards. The Commission is interested in the sustained quality and continued improvement of dental and dental-related education programs but does not intervene on behalf of individuals or act as a court of appeal for treatment received by patients or individuals in matter of admission, appointment, promotion or dismissal of faculty, staff or students. A copy of the appropriate accreditation standards and/or the Commission’s policy and procedure for submission of complaints may be contacting the Commission at 211 East Chicago Avenue, IL 60611-2678 or by calling 1-800-621-8099 extension 4653. Departmental Research and Publications October 2007 2nd JPS-GNYAP Joint meeting Tokyo, Japan Predictable Management of Extremely worn down dentition Space management for worn down dentition cases Suda, T, Kumagai, N, Gatti, M, Al-Fulaij, W, Mao, C, Kang, K, Hirayama, H October 2007 2nd JPS-GNYAP Joint meeting Tokyo, Japan Advanced Application of Porcelain Laminate Veneer Restorations Kumagai, N, Suda, T, Amirian, I, Amirian, Y, Hirayama, H 2006 Haythem Abualsaud: The Clorimetric Assessment of the Effect of Porcelain Crown Substructures on Color of Cervical Regions 2006 Dr. Suhail Al-Ghafli: The Effect of Cyclic Dislodgements on the Retention of an Overdenture Attachment System at Different Implant Angulations 2006 Dr. Gianluca Paniz: The Effect of Metal Framework Design on the Cervical Color of CeramoMetal Crown 2007 Dr. Seevan Shoher: Comparison of Effects of Implant Abutment Material and Crown Core: Comparison on the Cervical Color of Anterior Crowns 2007 Dr. Waleed Al-Fulaij Comparison of Porcelain Fracture Resistance of Two Types of Implant Metal-Ceramic Restorations Michalakis KX, Kalpidis C, Kang K, Hirayama H: “A simple impression technique for dental implants placed in close proximity or adverse angulations.” J Prosthet Dent 2005;94(3):293-295 Michalakis KX, Kang K, Hirayama H: Fabrication of a metal-ceramic fixed partial denture utilizing the prosthetic components of an unidentified implant system.” J Prosthet Dent 2005;94(5):472473 Raptis N, Michalakis KX, Hirayama H: Optical behaviour of current ceramic systems. Int J Periodontics Restorative Dent 2006;26(1):31-41 Trakas T, Michalakis KX, Kang K, Hirayama H: Attachment System for Implant Retained Overdentures: Literature Review. Implant Dentistry 15(1):24-34, 2006 Kang, K. and Hirayama, H.: Study guide for Board certification in Prosthodontics 11 th edition on CD ROM American College of Prosthodontists Chicago, IL. USA 2006 Michalakis K, Kang K, Hirayama H: Repositioning implant replicas after soldering a fixed complete denture framework. J Prosthet Dent 2006;95 (4)331-2 191 Michalakis K, Pissiotis A, Hirayama H, Kang K, Kafantaris N: Comparison of temperature increase in the pulp chamber during the polymerization of materials used for the direct fabrication of provisional restorations. J Prosthet Dent 2006;96:418-23 Kamalakidis S, Paniz G, Kang K, Hirayama H: Non-surgical managements of soft tissue deficiencies for anterior single implant-supported restorations: A clinical report. J Prosthet Dent 2007;97:1-5 Michalakis KX, Bakopoulou A, Hirayama H, Garefis DP, Garefis PD: Pre- and post-set hydrophilicity of elastomeric impression materials. J Prosthodont. 2007 Jul-Aug;16(4):238-48 Michalakis KX, Pissiotis A, Hirayama H, Garefis P, Petridis H: Cement failure Loads of 4 Provisional Luting Agents Used for the Cementation of Implant Supported Fixed Partial Dentures. Part 2: The Effect of Thermocycling and Air Abrasion of the Abutments and the Intaglio Surface of the Copings. Int J Oral Maxilofac Implants . 2007;22 Michalakis K, Pissiotis AL, Kang K, Hirayama H, Garefis P, Petridis H: The Effect of Thermal Cycling and Air Abrasion on Cement Failure Loads of 4 Provisional Luting Agents Used for the Cementation of Implant-Supported Fixed Partial Dentures. Int J Oral Maxillofac Implant (in review process) Sakaguchi K., Mehta N., Abdallah E., Forgione A., Hirayama H., Kawasaki T., Yokoyama A.: Examination of the relationship between mandibular position and body posture J of Craniomandib Pract 200725(4) 237-249 192 APPENDIX B FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT OF 1974 (Buckley Amendment) The U.S. Congress in 1974 passed the Family Educational Rights and Privacy Act, which governs the use, distribution of, and individual access to student records kept by educational institutions. The purpose of this legislation was to protect students from the abuses inherent in the release of inaccurate information, which may be present in his or her file. The act provides several safeguards for the student as well as defining the institutional responsibilities and rights in the maintenance and administration of student records. This document will serve to notify the student of the School's implementation of the Act's provisions. Definitions For purposes of this notification, the Tufts University School of Dental Medicine uses the following definitions of terms. Student - any person who attends or has attended the Tufts University School of Dental Medicine. Persons admitted but never matriculated are not considered students. Education records - any record (in handwriting, print, tapes, film, electronic, or other medium) maintained by the university or an agent of the university that is directly related to a student, except: 1. A personal record kept by a staff member if it is kept in the sole possession of the maker of the record and is not accessible or revealed to any other person except a temporary substitute for the maker of the record. 2. An employment record of an individual whose employment is not contingent on the fact that he or she is a student, provided the record is used only in relation to the individual's employment. 3. Records which are created and maintained by Public Safety for law enforcement purposes. 4. Records made or maintained by a physician, psychiatrist, psychologist or other recognized professional or paraprofessional acting in his or her professional or paraprofessional capacity and which are used only in connection with the treatment of a student and which are disclosed only to individuals providing that treatment. 5. Alumni records that contain information about a student after he or she is no longer in attendance at the university and which do not relate to the person as a student. School official - a person employed by the University in an administrative, supervisory, academic or research, or support staff position (including law enforcement unit personnel and health staff); a person or company with whom the University has contracted (such as an attorney, auditor, or collection agent); a person serving on the Board of Trustees; or a student serving on an official committee, such as a disciplinary or grievance committee, or assisting another school official in performing his or her tasks. Legitimate educational interest indicates the need of a school official to review an education record in order to fulfill his or her professional responsibility. The following are the student’s rights provided under FERPA: The right to inspect and review the student's education records within 45 days of the day the University receives a request for access. Students should submit a written request that specifically identifies the education record(s) they wish to inspect to the custodian of the record as indicated in the chart below. An official within the department that receives the request will make arrangements for access and notify the student of the time and place where the records may be inspected. If the records are not maintained by the University official to whom the request was submitted, that official shall advise the student of the correct official to whom the request should be addressed. A student may read any recommendation in his/her files unless the right to do so has been waived in writing. 193 Enrollment Records Office of Student Affairs 15th Floor 1 Kneeland Street Boston, MA 02111 1 Kneeland Street Boston, MA 02111 Lee Gant. Registrar (617) 636-6823 Administration Office (SAHA) 200 Harrison Ave., 4th floor, Boston, MA 02111 (617) 636-2700 Cumulative Academic Records (grades, transcripts) Office of Student Affairs 15th Floor 1 Kneeland Street Boston, MA 02111 1 Kneeland Street Boston, MA 02111 15th Floor Lee Gant. Registrar (617) 636-6823 Career Services Records 15th Floor Counseling & Testing Records* Student Advisory & Health Disabled Student Service Office of Student Affairs Mary Ellen Marks, Executive Assistant to the Dean (617) 636-6544 Administration Office (SAHA) Deborah Quinn, Director Disciplinary Records Office of Student Affairs 1 Kneeland Street Boston, MA 02111 15th Floor Financial Records Health Sciences Bursar’s Office 200 Harrison Avenue Posner Hall, Suite #101 Boston, MA 02111 Financial Aid Records Financial Aid Office 1 Kneeland Street Boston, MA 02111 15th floor Health Records* Student Advisory & 200 Harrison Ave., 4th floor, Health Administration Office (SAHA) Boston, MA 02111 International Student Records 20 Park Plaza Suite 1101 Boston, MA 02111 Miscellaneous Records (Student education records not included in above list) Office of Student Affairs 15th floor 1 Kneeland Street Boston, MA 02111 Robert Kasberg, Associate Dean, Admissions & Student Affairs (617) 636-6539 Robert Kasberg, Associate Dean, Admissions & Student Affairs (617) 636-6539 James Moodie, Health Sciences Bursar (617) 636-2141 Sandra M. Pearson, Director of Financial Aid (617) 636-0922 Deborah Quinn, Director (617) 636-2700 Ghenwa Hakim, Foreign Student Scholar Adviser (617) 636-0391 Robert Kasberg, Associate Dean, Admissions & Student Affairs (617) 636-6539 *Health and counseling records are maintained by the Student Advisory and Health Administration Office and are available only to health professionals. A professional designated by the student in writing may see that student's records. 194 The right to request the amendment of the student’s education records that the student believes is inaccurate, misleading or otherwise in violation of his or her privacy rights. A student may ask the School of Dental Medicine to amend a record that the student believes is inaccurate or misleading. The student should write to the Associate Dean of Student Affairs, clearly identify the part of the record they want changed, and specify why the student believes the record is inaccurate or misleading. If the School of Dental Medicine decides not to amend the record as requested by the student, the School will notify the student of the decision and advise the student of his or her right to a hearing regarding the request for amendment. You may appeal to the Dean for a hearing by a board of disinterested persons chosen for this purpose. The hearing will be conducted in accordance with the procedures set forth in the Ethics & Professionalism section of this Handbook. If as a result of the hearing the School decides that the information in the education record is not inaccurate, misleading, or otherwise in violation of the student’s privacy rights, the student shall have the right to place in the education records a statement commenting on the contested information in the record or the reason(s) the student disagrees with the decision of the School. The right to consent to disclosures of personally identifiable information contained in the student's education records, except to the extent that FERPA authorizes disclosure without consent. Personally identifiable information from the education records of a student will be disclosed by the School of Dental Medicine upon the prior written consent or request of the student. The written consent or request must (a) specify the records that may be disclosed; (b) state the purpose of the disclosure and (c) identify the party or class of parties to whom the disclosure may be made. However, the School may disclose information without the prior written consent of the student in the following circumstances: 1. To school officials with a legitimate educational interest in the records. 2. To certain officials of the U.S. Department of Education, the U.S. Comptroller General, and state and local educational authorities, in connection with certain state or federally supported education programs. 3. In connection with a student's request for or receipt of financial aid, as necessary to determine the eligibility, amount or conditions of the financial aid, or to enforce the terms and conditions of the aid. 4. To organizations conducting certain studies for or on behalf of the university. 5. To accrediting organizations to carry out their functions. 6. To either of two parents when at least one parent has claimed the student as a dependent for income tax purposes. A certified copy of the parents' most recent Federal Income Tax Form may be required to verify dependency. 7. To comply with a valid court order or subpoena or to comply with federal law (e.g., the USA Patriot Act). 8. To appropriate parties in a health or safety emergency. 9. To a victim of an alleged perpetrator of a crime of violence or a nonforcible sex offense, the final results of a disciplinary proceeding conducted by the university with respect to that alleged crime or offense. The university may disclose the final results of the disciplinary proceeding, regardless of whether it concluded a violation was committed. 10. Directory information so designated by the university. 11. To a court or administrative agency in the event of legal action between the university and a student. Directory Information "Directory information" is personally identifiable information about students in attendance at the School of Dental Medicine that may be disclosed without the prior consent of the student, subject to the right of the student to inform the School in writing that all "directory information" with respect to him or her shall not be so disclosed, as discussed below. The School has designated each of the following items as "directory information": 94 • the student's name 195 • local address • local telephone number • E-mail address • photographs • awards and academic honors received • previous educational institution(s) attended Students may restrict the release of directory information, except to school officials with legitimate educational interests and to others as permitted by law. In order to restrict the release of such records, a student must make a request, in writing, to Mark Gonthier, Associate Dean of Admissions and Student Services by October 1st of the academic year. (4) The right to file a complaint with the U.S. Department of Education concerning alleged failures by the University to comply with the requirements of FERPA. The name and address of the federal agency that administers FERPA is: Family Policy Compliance Office U.S. Department of Education 400 Maryland Avenue, SW Washington, DC 20202-4605 Gramm-Leach Bliley Act The Financial Modernization Act of 1999, also known as the “Gramm-Leach-Bliley Act” or GLB Act, includes provisions to protect consumers’ personal financial information held by financial institutions. The GLB Act gives authority to eight federal agencies and the states to administer and enforce the “Financial Privacy Rule” and the “Safeguards Rule”. These two regulations apply to “financial institutions,” which include not only banks, securities firms, and insurance companies, but also companies providing many other types of financial products and services to consumers, including universities who administer loans and other financial aid. The Financial Privacy Rule governs the collection and disclosure of customers’ personal financial information by financial institutions. It also applies to companies, whether or not they are financial institutions, which receive such information. Because universities are already subject to the privacy provisions in the Federal Educational Rights and Privacy Act ("FERPA"), the Federal Trade Commission decided that institutions of higher education that are complying with FERPA in protecting the privacy of their student financial aid records will be deemed to be in compliance with the GLB Act. The Safeguards Rule requires all financial institutions that collect or receive customer financial information to design, implement and maintain safeguards to protect such information. Tufts University maintains safeguards to protect student financial information and generally requires that third parties who provide services to the University, which requires them to have access to student financial information, maintain safeguards that comply with the GLB Act. 196 APPENDIX C TUFTS UNIVERSITY Drug-Free Campus Program The Drug-Free Schools and Communities Act Amendments of 1989 require that colleges and universities, as a condition of receiving federal funds or any other form of financial assistance under any federal program, certify that they have adopted and implemented a program to prevent the unlawful possession, use, or distribution of illicit drugs and alcohol by students and employees. Federal regulations implementing this statute require that Tufts University provide the following information to its students and employees. The illicit use of drugs and alcohol can seriously impair the health and safety of members of the Tufts community and their families. The University is committed to addressing and preventing illicit use and abuse of controlled substances and alcohol within the University community. There are substantial health risks and legal consequences that stem from alcohol and substance abuse. All students and employees are urged to read the information below. I. Health Risks Alcohol and substance abuse are a national public health concern. The health risks associated with the abuse and illicit use of drugs and alcohol are described in the CONTROLLED SUBSTANCES – USES AND EFFECTS and in the enclosed STATEMENT ON ALCOHOL EFFECTS both of which are listed below. II. Counseling and Treatment for Alcohol and Other Drug Abuse The University encourages Tufts students and employees with alcohol or substance abuse problems to seek assistance and treatment. At Tufts, a variety of resources exist where additional information can be obtained about harmful behaviors and forms of treatment. Students/Student Assistance Program (SAP) For students on the Medford/Somerville campus, confidential counseling is available from the following: Alcohol and Health Education 617-627-5495 Tufts Health Service 617-627-3350 Tufts Counseling Center 617-627-3360 Psychiatrist, University Health Service 617-627-3350 For students on the Boston/Grafton campuses, confidential counseling is available from the following: Student Advisory and Health Adm. Office (All Schools) Resource for Impaired Students Committee (Medical) Massachusetts Dental Society (Dental) 617-636-2700 617-636-6534 508-651-7511 In addition, the Dean of Students office within each of the schools and the University Chaplain’s office are available for referrals to the other resources in the community. Employees Employees who need assistance in dealing with alcohol and substance abuse problems are strongly encouraged to utilize the confidential assistance and services offered through the Alcohol and Health Education Program and the Chaplain’s office. Employees may also consult with their Human resources representative for advice and referrals through the various insured health plans of the University, or to seek out other resources in the community. III. Standards of Conduct 197 The unlawful possession, use, or distribution of illicit drugs and alcohol by students and employees on Tufts University property or as part of University activities is prohibited. IV. Disciplinary Sanctions The University will impose disciplinary sanctions on students and employees who violate the standards of conduct described above. Sanctions may include but are not limited to: warning; probation; suspension; dismissal; and/or referral to appropriate governmental authorities for civil and criminal prosecution. The University may also require completion of a professional assessment as part of Tufts Student Assistance Program as part of the student disciplinary process. V. Local, State, and Federal Sanctions Concerning Alcohol and Drugs Local, state, and federal laws make the illegal use of drugs and alcohol a criminal offense. Conviction can lead to imprisonment, fines, and other penalties. Cities and towns in Massachusetts prohibit public consumption of alcohol and impose fines for violations. The Massachusetts Department of Conservation and Recreation also prohibits public consumption of alcohol in its parks and public recreational areas. Boston and other cities and towns surrounding the various Tufts campuses have ordinances forbidding the possession of an open container of alcohol on any public street by any person, regardless of any age. Anyone violating such ordinances is subject to arrest. Massachusetts’s law prohibits the sale or delivery of alcoholic beverages to persons under age 21. Violations are punishable by a fine of up to $2,000, one year’s imprisonment, or both. Misrepresenting one’s age or falsifying an identification to obtain alcoholic beverages is punishable by a fine of up to $300. Driving under the influence of alcohol, even for a first offense, is punishable by a fine of not less than $500 and up to $5,000, up to two and one half years’ imprisonment, or both, and revocation of drivers’ license for between 45 and 90 days, and mandatory alcohol rehabilitation. Massachusetts imposes criminal penalties for the possession and/or distribution of controlled substances, or drugs, without valid authorization. The penalties vary, depending on the type of drug. Sale and possession of “drug paraphernalia” also is illegal in Massachusetts. Under both Massachusetts and federal law, penalties for possession, manufacture, and distribution are greater for subsequent convictions, including mandatory prison terms and the full minimum term must be served. Massachusetts makes it illegal to be in a place where heroin is kept and to be “in the company” of a person known to possess heroin. Under federal law, penalties may be doubled when any of the aforementioned acts are committed within 1,000 feet of an elementary, secondary or vocational school; a college, junior college or university; or a playground or public housing facility. The penalties may be doubled if the act is committed within 100 feet of a youth center, public swimming pool or video arcade. Penalties may also be doubled when an individual over the age of 18 distributes drugs to a person under 21; employs, uses, induces, or coerces a person under 18 to violate federal drug laws or to assist the individual to avoid detection for her/her own violations of federal drug laws; or receives drugs from a person under 18 who is not an immediate family member. Penalties may be tripled if an individual over 21 years of age coerces a person under 18 to distribute, possess with intent to distribute or manufacture, or assist the individual to do the same, a drug within 1,000 feet of an elementary, secondary, or vocation school; a college, junior college, or university; or playground or public housing facility. Penalties may be tripled if the act is committed within 100 feet of a youth center, public swimming pool, or video arcade. Distribution of a drug by one who is over 18 to a person under 18 can result in a prison sentence of up t 5 years and/or fine of not more than $50,000. Finally, conspiracy to commit any of the above 198 drug-related offenses carries the same penalties regardless of whether or not he conspiracy is successful. See the enclosed chart on FEDERAL TRAFFICKING PENALTIES and the description of FEDERAL PENALTIES AND SANCTIONS FOR ILLEGAL POSSESSION OF A CONTROLLED SUBSTANCE for additional information. Updates regarding federal drug trafficking laws can be found at the Drug Enforcement Agency’s website (www.usdoj.gov/dea/index/htm) Under both Massachusetts and federal law, penalties for possession, manufacture, and distribution increase with each subsequent conviction, including mandatory prison terms. Persons convicted of drug possession under state and federal law are ineligible for federal student grants and loans for up to one year following the first conviction, and up to five years after the second. The penalty for unlawful distribution of drugs is loss of eligibility for benefits for up to five years after the first conviction and for a longer period after the second. Effects of Alcohol Alcohol consumption causes a number of marked changes in behavior. Even low doses significantly impair the judgment and coordination required to drive a car safely, increasing the likelihood that the driver will be involved in an accident. Low to moderate doses of alcohol also increase the incidence of a variety of aggressive acts, including spouse and child abuse. Moderate to high doses of alcohol cause marked impairments in higher mental functions, severely altering a person’s ability to learn and remember information. Very high doses cause respiratory depression and death. If combined with other depressants of the central nervous system, much lower doses of alcohol will produce the effects just described. Repeated use of alcohol can lead to dependence. Sudden cessation of alcohol intake is likely to produce withdrawal symptoms, including severe anxiety, tremors, hallucinations, and convulsions. Alcohol withdrawal can be life threatening. Long-term consumption of large quantities of alcohol, particularly when combined with poor nutrition, can also lead to permanent damage to vital organs such as the brain and the liver. Mothers who drink alcohol during pregnancy may give birth to infants with fetal alcohol syndrome. These infants have irreversible physical abnormalities and mental retardation. In addition, research indicates that the children of alcoholic parents are at greater risk than other youngsters of becoming alcoholics. Federal Penalties and Sanctions for Illegal Possession of a Controlled Substance 21 U.S.C. 844(a) 1st conviction: Up to 1 year imprisonment and fined at least $1,000 but not more than $100,000, or both. After 1 prior drug conviction: At least 15 days in prison, not to exceed 2 years and fined at least $2,500 but not more than $250,000, or both. After 2 or more prior drug convictions: At least 90 days in prison, not to exceed 3 years and fined at least $5,000 but not more than $250,000, or both. Special sentencing provisions for possession of crack cocaine: Mandatory at least 5 years in prison, not to exceed 20 years and fined up to $250,000, or both if: (a) 1st conviction and the amount of crack possessed exceeds 5 grams (b) 2nd crack conviction and the amount of crack possessed exceeds 3 grams. (c) 3rd or subsequent crack conviction and the amount of crack possessed exceeds 1 gram. 21 U.S.C. 853(a)(2) and 881(a)(7) 199 Forfeiture of personal and real property used to possess or to facilitate possession of a controlled substance if that offense is punishable by more than 1-year imprisonment. (See special sentencing provisions re: (crack). 21 U.S.C. 881(a)(4) Forfeiture of vehicles, boats, aircraft or any other conveyance used to transport or conceal a controlled substance. 21 U.S.C. 884a Civil fine of up to $10,000 (pending adoption of final regulations). 21 U.S.C. 853a Denial of Federal benefits, such as student loans, grants, contracts, and professional, and commercial licenses, up to 1 year for first offense, up to 5 years for second and subsequent offenses. 18 U.S.C. 922(g) Ineligible to receive or purchase a firearm. Miscellaneous Revocation of certain Federal licenses and benefits, e.g. pilot licenses, public housing tenancy, etc., are vested within the authorities of individual Federal agencies. 200 APPENDIX D Tufts University Information Stewardship Policy & Supporting Information Policies Information Stewardship Policy Policy Statement Tufts University and members of the University community are expected to responsibly manage and use information in support of research, teaching, service, and administration. All information that is created, collected, licensed, maintained, recorded, used, or managed by the University, its employees, and agents working on its behalf, regardless of ownership or origin, is institutional data. The electronic and physical systems owned or licensed by Tufts University used to store and access institutional data are institutional systems. Members of the Tufts community are expected to responsibly maintain and use institutional data regardless of the resource used to access or store the data—whether an institutional system, a privately owned resource, or a third-party resource. The privacy of the personal information of University community members and clients should be protected. This policy and suite of accompanying policies, procedures, and resources will help ensure that Tufts’ institutional data and systems are protected from misuse, unauthorized access, damage, alteration, or disclosure, while preserving the ability of authorized individuals to access and use institutional data and systems for appropriate University purposes. Members of the Tufts community working with or using institutional data and systems in any manner must comply with all federal, Massachusetts, and other applicable laws and regulations; all applicable university policies, procedures, and standards; and all applicable contracts and licenses. Members of the Tufts community who violate this policy may be denied access to institutional data and systems, and may be subject to other penalties and disciplinary action, both within and outside of the University. Use of Institutional Systems Policy Policy Statement The electronic and physical systems owned or licensed by Tufts University used to store or access institutional data are institutional systems. These systems support the University’s instructional, research, and service mission, including all university related activities. Use of these systems, like those of other university resources and activities, is subject to all applicable laws and regulations; university policies, procedures, and standards; and contracts and licenses. All operation of institutional systems should therefore represent Tufts’ values and mission and management expectations for ethical behavior. Authorized Individual Access Tufts institutional systems are provided to authorized individuals for University-related purposes. Types of authorized individuals are described in the Eligibility for IT Policy. All access and use must be properly controlled in a manner defined by management, and consistent with individual roles and job responsibilities. Members of the Tufts community are entrusted with access to institutional systems on an individual basis. Members of the Tufts community are not permitted to extend access further to any other person by any means, including sharing access, providing unauthorized redistribution of services, or otherwise obfuscating the true identity of the user. Users are expected to take reasonable steps to prevent unauthorized access. Authorized access to institutional systems is generally expected to end when a user no longer has an official connection to the Tufts community. Managers have the authority to limit the personal use of institutional systems. Such personal use cannot involve access to confidential data, interfere with work responsibilities, or place an undue burden on institutional systems. Resource Management, Monitoring, and No Expectation of Privacy in Use Use of institutional systems is not ultimately private. While Tufts does not routinely monitor individual usage of resources, normal operation and maintenance of resources requires logging of activity, backup and caching of data, and other activities necessary to provide services and ensure adherence to laws and regulations. 201 The University may, at is sole discretion and without notice to the individual: i. monitor the activity of individuals without notice whenever there is reasonable cause to believe that a law, contract, or any Tufts policy is being violated. ii. Utilize the results of any general or individual monitoring in appropriate university disciplinary proceedings or in litigation; and iii. disclose the results of any such monitoring, including the contents and records of individual communications, to appropriate University personnel, local, state, or federal law enforcement agencies, and pursuant to legal process (such as a subpoena). Security and Local Policies/Practices The University employs various administrative, technical, and physical controls to reduce inherent risks associated with using institutional systems and to safeguard institutional data. However, security cannot be guaranteed solely with centralized controls. School, division, departmental, and individual controls, policies, and practice should establish and maintain appropriate access control and security, including the use of antivirus software, personal firewalls, secure storage areas for physical media, user accounts, and authorized forms of encryption for institutional data and institutional systems. Management Controls Administrative, physical, and technical controls serve to reinforce Tufts’ interpretations of responsible use, verify trust placed in individuals, and limit their authorization to institutional systems and institutional data. Disabling, deliberately circumventing, or probing or testing such controls threatens the entire network of institutional systems, and is a violation of this policy. When an institutional system has been compromised or may not be operating under appropriate management control—and in order to protect the confidentiality, integrity, or availability of institutional systems, institutional data or to otherwise protect the University—management may temporarily disable, disconnect, or contain any account, device or system, prior to, during, or upon completion of an investigation. Resource Exhaustion and Disruption of Others Operation of institutional systems must respect the finite capacity of those systems and limit use so as not to consume an unreasonable amount of systems capacity or to interfere unreasonably with the activity of other users. The University may require users of institutional systems to limit, schedule, coordinate, or refrain from specific uses in order to ensure that adequate resources are available to all users. Policy Violation Depending on the circumstances, and in management’s sole discretion, members of the Tufts community who violate this policy may be denied access to institutional data and systems, and may be subject to other penalties and disciplinary action, both within and outside of the University. The University may refer suspected violations of applicable law to appropriate law enforcement agencies. Information Classification and Handling Policy Policy Statement This policy provides a three-level classification scheme for the confidentiality of institutional data and establishes the requirements to maintain the integrity and availability of institutional data regardless of its ownership or origin. Confidentiality This policy establishes three levels of confidentiality for institutional data. All members of the community must know the level of confidentiality for the institutional data under their care. All members of the community must manage institutional data under their care with safeguards that are commensurate with the data’s level of confidentiality. This includes implementing and operating institutional systems that support the confidentiality of the institutional data under their care. 202 Confidentiality Level Level A: Confidential Institutional data that is meant for a Institutional Data very limited distribution—available only to members of the Tufts community on a strictly need-to-know basis. This institutional data includes, but is not limited to, personally identifiable information (name plus social security number, state ID number, financial account number) or protected health information. Tufts is usually, but not always, required to protect this information by law or contract. Level B: Institutional data that is meant for a Sensitive limited distribution; available only to Institutional members of the Tufts community that Data need the institutional data to support their work. This institutional data derives its value for Tufts in part from not being publically disclosed. Level C: Public Institutional Data Institutional data that is meant for members of the Tufts community and in some cases wide and open distribution to the public at large. This institutional data does not contain confidential information. Description Consequences of Unauthorized Disclosure Some of the consequences may include: violation of peoples’ privacy, reputational and financial loss, and legal sanctions for Tufts Examples Payroll records, personnel files, compensation data, tenure and promotions files, financial aid records, student records, accounts payable records, vulnerability and audit reports, protected health information, any documents with nonpublic personal information, any information unauthorized individuals can use to steal identities or financial resources. Some of the consequences may include: reputational and financial loss, a hindrance to productivity, or a competitive disadvantage for Tufts. Internal memos and emails, planning documents, logs, audit trails, research notes documenting the development of a patentable invention. Some of the consequences may include: violating licenses, loss of access to subscription resources, or a financial loss for Tufts. Limited to Tufts Community Licensed library resources, licensed software, Wide and Open Distribution Publications, press releases, information posted on and meant for open websites. Integrity All information owners, managers, and custodians are responsible for maintaining the integrity of the institutional data under their care, ensuring that the data is complete and unaltered in all essential respects. Information managers and custodians are responsible for implementing and operating institutional systems that support the integrity of the institutional data under their care. Availability All information owners, managers, and custodians are responsible for maintaining the availability of the institutional data under their care to persons who are permitted to use such data, ensuring the data is retrievable, deliverable, and understandable. Information managers and custodians are responsible for implementing and operating institutional systems that support the availability of the institutional data under their care. Policy Violation Depending on the circumstances, and in management’s sole discretion, members of the Tufts community who violate this policy may be denied access to institutional data and systems, and may be subject to other penalties and disciplinary action, both within and outside of the University. The University may refer suspected violations of applicable law to appropriate law enforcement agencies. Information Roles and Responsibilities Policy Policy Statement Responsibilities Members of the Tufts community manage and use institutional data to support their work. Using and managing institutional data comes with a variety of responsibilities, which this policy defines. All management and use of institutional data should represent Tufts’ values and mission and management expectations for ethical behavior. Respect for Individual Privacy Except as required by policy and law, all members of the university community are obligated to respect the privacy of others as noted in this policy and the Business Conduct Policy. Respecting the privacy of others includes not placing confidential or sensitive institutional data on institutional systems or other environments that are unfit or unauthorized for such purposes, or engaging in activities that unnecessarily expose 203 institutional data to harm or unauthorized access. Compliance All members of the community are obligated to manage and use institutional data in a manner that is compliant with all applicable laws and regulations; university policies, procedures, and standards; and contracts and licenses. Members of the Tufts community are responsible for using and managing institutional data in a compliant manner regardless of the resource used to access or store the data—whether an institutional system, a Tufts community member’s privately owned resource, or a third-party resource. Requirements of Other Jurisdictions All members of the community who engage in electronic communications with persons in other states or countries or on other systems or networks may also be subject to the laws of those other states and countries and the rules and policies of external networks and systems. Users should ensure that their use of any particular resource is consistent with laws within those other jurisdictions. The best source of information to clarify these requirements is with the user’s academic or administrative manager. Respect for Copyright All members of the community must respect the work product and copyrights of others as noted in the Policy on Fair Use of Copyrighted Materials. Priority of University Business All members of the community are expected respect the priority of university business and keep the personal use of institutional systems to a minimum. Managers have the authority to limit the personal use of institutional systems. Prohibition on Testing of Security Controls Under management direction, the University performs routine testing and audits of its security controls to help ensure they are working as intended. Anyone who seeks to violate the legitimate privacy of others or gains unauthorized access to resources is in violation of this policy and any probing or testing of security controls is strictly prohibited. Violations will be investigated, will follow established internal disciplinary procedures and may be referred to external law enforcement agencies for further legal action. Policy Violation Depending on the circumstances, and in management’s sole discretion, members of the Tufts community who violate this policy may be denied access to institutional data and systems, and may be subject to other penalties and disciplinary action, both within and outside of the University. The University may refer suspected violations of applicable law to appropriate law enforcement agencies. Roles Members of the Tufts community play different roles in the use and management of institutional data. The table below defines these roles and associated responsibilities. Individuals are not to be formally assigned to particular roles (in fact, everyone has different roles for different types of institutional data). Rather, this policy is designed to help members of the community understand the interconnected framework of responsibilities for managing and using institutional data. 204 Role Information Owners Description Generally speaking, Tufts University is the information owner of institutional data. Faculty members are often information owners of their faculty materials. See the Policy on Rights and Responsibilities with Respect to Intellectual Property for more details on Information Managers The individuals charged by information owners to ensure the responsible management and use of institutional data. Information managers are typically senior managers, senior administrators, and directors of schools, divisions, offices, and departments. Faculty members are the information managers of their faculty materials. Information Custodians Information Users Information Subjects Responsibilities Information owners have the right and responsibility to manage and use institutional data appropriately, as defined by all applicable laws and regulations; university policies, procedures, and standards; and contracts and licenses. Information owners may delegate the responsible management of their institutional data to information managers. Information managers make the decisions and take the actions on behalf of the information owners needed to ensure the responsible and appropriate management and use of institutional data. Typical responsibilities of information managers include, but are not limited to: • Establish appropriate information management policies and procedures; • Identify the laws and regulations; University policies, procedures, and standards; and contracts and licenses that affect the institutional data under his or her care; • Identify the classification of institutional data under his or her care; • Determine the appropriate access and use of institutional data under his or her care; • Provide communications and education to information users on the appropriate use and care of institutional data;Work with information custodians to establish and maintain trustworthy information systems. Information managers may delegate some management activities to information custodians, usually for reasons of efficiency and effectiveness. Information managers may also appoint information stewards to undertake activities for the manager, including, but not limited to, surveying the location and state of information, developing and implementing information policies and procedures, and implementing protective measures. The entities or individuals charged by Information custodians make the decisions and information managers to execute aspects of take the actions needed to support the managing institutional data. management function delegated by the Information custodians are typically IT information managers to the information units that maintain and operate custodians. Information custodians’ decisionmaking, institutional systems in order to manage actions, and responsibilities are limited institutional data on behalf of information to those delegated functions. Typical managers. responsibilities of information custodians include, but are not limited to: • Maintain and operate institutional systems; • Ensure that institutional systems have the safeguards in place that are commensurate with confidentiality level of the institutional data held or accessed by the institutional systems; • Manage access to institutional data appropriately; • Follow and implement information policies and procedures. Individuals that access and use Information users have the responsibility to institutional data in support of their access and use institutional data in an research, teaching, service, and appropriate and compliant manner. In particular, administrative work. information users have the responsibility to Typically, information users are faculty, staff and protect the personal information of information affiliates. subjects in the institutional data they are accessing and using. The individuals that have information about them Information subjects have the right to expect that in institutional data. Nearly all members of the information users, custodians, managers, and Tufts community—students, faculty, staff, owners will manage and use the institutional data affiliates, alumni, and donors, plus that contains information about them in an nonmatriculated students—are information appropriate and compliant manner. In particular, subjects. information subjects have the right to expect that information users, custodians, managers, and owners will use reasonable efforts and resources to protect the subject’s personal information. 205 APPENDIX E TUFTS UNIVERSITY POLICY ON SEXUAL HARASSMENT AND TUFTS UNIVERSITY POLICY ON CONSENSUAL RELATIONSHIPS Sexual harassment violates the dignity of individuals. It is a form of discrimination that violates federal and state laws and is prohibited at Tufts University. Tufts is committed to providing an education and work environment that is free from sexual harassment. The University works to prevent and address sexual harassment through educational programs, training, and complaint resolution. Tufts encourages all members of the University community to report any concerns or complaints of sexual harassment. Managers, supervisors and other agents of the University are required to respond promptly and appropriately to allegations of sexual harassment that are brought to their attention. What is sexual harassment? Sexual harassment is a form of sex discrimination. It includes unwelcome sexual advances, requests for sexual favors, and other physical or verbal conduct of a sexual nature or conduct directed at a person because of his or her gender when: Submission to such conduct is made either explicitly or implicitly a term and condition of an individual’s academic status or employment; or Submission to, or rejection of, such conduct by an individual is used as a basis for academic decisions or employment decisions; or Such conduct, whether verbal or physical, has the purpose or effect of unreasonably interfering with the individual’s academic or work performance or of creating an intimidating, hostile, or offensive environment in which to work or to learn. What are my rights under this policy? You have the right to work, learn and live in an environment free from sexual harassment. Who could be involved in an incident of sexual harassment? Sexual harassment can occur between any individuals associated with the University, whether between people of different sexes or the same sex. Sexual harassment can occur between people of unequal power or between peers. Examples of who could be involved in a sexual harassment allegation could include, but are not limited to, any combination of the following: supervisor and subordinate, faculty and staff, coworkers, student and professor, student and staff, student and student, contractor or vendor and staff. A victim does not have to be the direct recipient of the conduct but could be anyone affected by the conduct. What actions constitute sexual harassment? The following are some examples of conduct, particularly when unwelcome, which may constitute sexual harassment: Direct proposition of a sexual nature and/or subtle pressure for sexual activity that is unwanted and unreasonably interferes with a person’s work or academic environment gender harassment, including sexist statements and behavior that convey insulting, degrading, or sexist attitudes persistent and unwanted requests for dates, unwelcome and inappropriate letters, telephone calls, email, or other communications or gifts 206 direct or implied threats that submission to sexual advances will be a condition of employment, work status, promotion, grades, or letters of recommendation subtle or overt pressure for sexual favors unwanted physical contact such as touching, hugging, brushing against a person’s body, impeding or blocking movements sexually explicit statements, questions, jokes, or anecdotes regardless of the means of communication (oral, written, email, text messages, etc.) the display of inappropriate sexually oriented materials in a location where others can view them sexual assault, attempted rape, or rape. (Please see section on sexual assault) Where does sexual harassment occur? Sexual harassment does not restrict itself to the workplace nor does it have to take place on University property. Sexual harassment could occur at any University sponsored program or activity regardless of location. For example, sexual harassment could occur out of state, such as at a conference, off-site project, or an externship. What can I do if I feel I have been sexually harassed? If you feel comfortable enough, you may talk with the person, inform him or her of the unwelcome behavior and ask that the behavior stop. Document the incident and the steps taken to resolve it. Staff/faculty: You may report it to any supervisor or manager; Student: You may report it to any university faculty member or university administrator. You may contact any of the Sexual Harassment Resource Persons listed in this brochure. You may call the Office of Equal Opportunity directly at 617.627.3298. You may file a confidential and anonymous complaint through EthicsPoint, Inc. (https://secure.ethicspoint.com/domain/en/report_custom.asp?clientid=7182) or by calling EthicsPoint, Inc. directly at 1.866.384.4277. Note: Complaints that are submitted without identifying the Complainant make it difficult, if not impossible, to adequately investigate, respond or take appropriate action. Employees with complaints are strongly encouraged to contact OEO directly if there are specific concerns about filing a complaint. Where do I go if I have questions about this policy? Tufts University Office of Equal Employment and Affirmative Action is responsible for enforcing the University’s Sexual Harassment policy. Please contact OEO at 617.627.3298 if you have questions about this policy. OEO is located in Ballou Hall on the Medford Campus, first floor. You can call OEO at 617.627.3298 or visit www.tufts.edu/oeo. Rights and Responsibilities As a member of the Tufts community you have the right to work, learn, and live in an environment free from sexual harassment. All members are responsible for reporting incidents of possible sexual harassment. Managers, supervisors and other agents of the University are required to respond promptly and appropriately to allegations of sexual harassment that are brought to their attention. Duty to Report Managers, supervisors, faculty and other agents of the University have a duty to report any known or alleged incidents of sexual harassment to the OEO. Duty to Cooperate Faculty, staff, student employees and students must cooperate with University investigations into sexual harassment. Refusal to cooperate with an investigation may result in disciplinary action. Freedom from Retaliation 207 Any member of the University community has the right to raise concerns about or complaints of, sexual harassment without fear of reprisal. It is unlawful and it is a violation of University policy to retaliate against an individual for filing a complaint of sexual harassment or for cooperating in a sexual harassment investigation. Any person who retaliates against an individual reporting sexual harassment, filing a sexual harassment complaint, or participating in a sexual harassment investigation is subject to disciplinary action up to and including expulsion or termination by the University. Confidentiality The University recognizes the importance of confidentiality and understands that some individuals filing complaints or involved in an investigation may want their identity to remain confidential. In some instances, the alleged harasser can be spoken to without the Complainant being identified. In other cases, issues of confidentiality must be balanced against the University's need to investigate and take appropriate action. The University will respect the privacy and confidentiality of individuals involved in a sexual harassment investigation to the fullest extent possible. Consequences of Sexual Harassment Sexual harassment affects the victim of harassment. The student or employee may suffer a diminished ability to work and study, which may have a lasting career impact or a loss of confidence in the University’s ability to provide a comfortable and safe environment for work and learning. A student's educational goals may also be significantly affected if the student decides to avoid certain courses, change his or her area of study, or transfer to another institution. In addition, sexual harassment impacts the University and the department(s) involved. The University and the department(s) may experience an atmosphere of fear, intimidation, declining work productivity and office morale. A person found responsible for sexual harassment may face: student disciplinary action letter of reprimand denial of promotion demotion suspension termination Sexual Assault Cases Students who are survivors of sexual assault are highly encouraged to contact University police. Reporting an assault to University police does not require filing criminal charges; however, it does allow the University to assist and support the survivor. Sexual assault is an egregious form of sexual harassment and it is a crime. The University takes all incidents seriously. The University supports the right of the survivor of a sexual assault to decide how best to utilize various university, community, private, and public support systems designated to address crimes of sexual assault. Within the University, instances of sexual assault should be reported to: Tufts University Police Department Medford Campus: 617.627.6911 Boston Campus: 617.626.6911 Grafton Campus: 508.839.5303 Students may also contact the appropriate dean of college/school. On the Medford campus, students may contact Elaine Theodore, Sexual Violence Resource Coordinator located in Health Services, at 617.627.3752. For further information regarding sexual assault, please reference Tufts University Sexual Assault Policy at www.tufts.edu/oeo/univpolicies.html. 208 Title IX: Central Reporting and Coordination Title IX regulations of the Education Amendments of 1972 require all university personnel to report any incident of sexual harassment whether resolved informally or formally through the grievance procedure to the University’s Title IX coordinator. The director of the Office of Equal Opportunity serves as the Title IX coordinator. Reports should not include the names or identities of the persons involved. Reports should include a description of the complaint and the schools or administrative units with which the participants are affiliated. These reports allow the Title IX Coordinator to identify patterns of frequency in a particular area or location within the University and report these findings to the president on an annual basis and to coordinate compliance with federal regulations. For questions regarding Title IX, please call the Title IX Officer at 617.627.3298. University Sexual Harassment Resource Persons Office of Institutional Diversity Office of Equal Opportunity and Affirmative Action Ballou Hall, 1st Floor—Medford 617.627.3298 Medford Campus Sonia Jurado Interim Title IX Coordinator Office of Equal Opportunity and Affirmative Action 617.627.3298 [email protected] Christy Galatis Senior OEO Specialist Office of Equal Opportunity and Affirmative Action 617.627.3298 [email protected] Alison A. Blackburn Director of Human Resources and Talent Management 617-627-6272 [email protected] Margery W. Davies Director of Diversity Education & Development School of Arts, Sciences & Engineering 617-627-3385 [email protected] Leah Friedberg Manager Engineering Project Development Center School of Engineering 617-627-4525 [email protected] Steph L. Gauchel Director, Women’s Center School of Arts, Sciences & Engineering 617-627-4640 [email protected] Laurie Hurley Director of Admissions The Fletcher School 209 617-627-2410 [email protected] Doreen L. Long Associate Director of Residential Life & Learning School of Arts, Sciences and Engineering 617-627-5247 [email protected] Inez McCarthy Faculty Affairs Officer School of Arts, Sciences & Engineering 617-627-3708 Mindy Nierenberg Senior Programs Manager and Director of Leadership Studies Tisch College 617-627-4159 [email protected] Branwen C.A. Smith-King Assistant Director, Athletics School of Arts, Sciences & Engineering 617-627-3782 [email protected] Elaine D. Theodore Sexual Assault Resource Coordinator School of Arts, Sciences & Engineering 617-627-3752 [email protected] Boston Campus Stacey Herman Associate Dean for Student Affairs Friedman School of Nutrition Science & Policy 617-636-3711 [email protected] Janet Kerle Associate Dean of Students Tufts School of Medicine 617-636-6534 [email protected] Kathryn Lange Associate Dean, Sackler School 617-636-6767 [email protected] Katherine Vosker Associate Director, Student Affairs Tufts University School of Dental Medicine 617-636-0887 [email protected] Sabrina Williams 210 Director, Human Resources, Boston and Grafton 617-636-6600 [email protected] Grafton Campus Barbara Berman Assistant Dean, Student Affairs The Cummings School 508-839-8733 ext. 84725 [email protected] Lucia Hackett Senior Human Resources Representative The Cummings School 508-839-7975 ext. 87975 [email protected] Mary-Rose Paradis Associate Professor The Cummings School 508-839-7926 [email protected] OEO Grievance Procedures The OEO Grievance Procedures can be found in this brochure or by visiting www.tufts.edu/oeo. You may also request a copy of the procedures by contacting OEO at 617.627.3298. Other Resources Complaints or inquiries concerning sexual harassment may be filed directly with: For the Student Community: US Department of Education Office for Civil Rights 5 Post Office Square Eighth Floor Boston, MA 02109-3921 617-289-0111 211 TUFTS UNIVERSITY POLICY ON CONSENSUAL RELATIONSHIPS I. PURPOSE AND POLICY Tufts University seeks to maintain a professional educational environment. Actions of faculty members and academic administrators that are unprofessional or appear to be unprofessional are inconsistent with the university's educational mission. It is essential that those in a position of authority not abuse, nor appear to abuse, the power with which they are entrusted. Faculty members and academic administrators exercise power over students, whether by teaching, grading, evaluating, or making recommendations for their further studies or their future employment. Amorous, dating, or sexual relationships between faculty members, academic administrators, and students are impermissible when the faculty members and academic administrators have professional responsibility for the student. Voluntary consent by the student in such a relationship is suspect, given the fundamental nature of the relationship. Moreover, other students may be affected by such behavior, because it places the faculty member and academic administrator in a position to favor or advance one student's interest to the potential detriment of others. Therefore, it is a violation of university policy for a faculty member or academic administrator to engage in an amorous, dating, or sexual relationship with a student whom he/she instructs, evaluates, supervises, or advises, or over whom he/she is in a position to exercise authority in any way. II. DEFINITION As used in this policy, the terms faculty or faculty member include all those who teach at the university and other instructional personnel, including graduate students with teaching responsibilities. Academic administrators include all staff who are in a position to counsel, direct, or influence the academic performance of students. III. POLICY VIOLATION A violation of this policy may result in disciplinary action. IV. REPORTING If the person involved in a possible policy violation is a faculty member, the issue should be brought to the attention of the appropriate Dean of the College/School. If the person involved is a staff member or administrator, the issue should be brought to the attention of the Director of OEO, The Vice President for Human Resources or the Vice President/Executive Associate Dean for the College/School employing the staff member or administrator. 212 APPENDIX F TUFTS UNIVERSITY POLICY ON SEXUAL ASSAULT Tufts University Sexual Assault Policy Sexual assault is a crime of violence that is never acceptable and will not be tolerated at Tufts University. The University is dedicated to the elimination of sexual assault within the Tufts community. Accordingly, the University takes all allegations of sexual assault seriously, and is committed to providing information, resources, and clear direction to the members of the Tufts community so that together we can help prevent and respond to sexual assault. The University affirms the right of survivors to decide how they may best use university and other support systems and processes to address crimes of sexual assault. Retaliation against anyone who brings forward a complaint of sexual assault is strictly prohibited. Anyone responsible for retaliation, whether that person is the accused party or someone affiliated with the accused, will be subject to disciplinary action by the University. Defining and Recognizing Sexual Assault Sexual assault is the act of committing an unwanted physical contact of a sexual nature, whether by an acquaintance or by a stranger, that occurs without indication of consent of both individuals, or that occurs under threat or coercion. An “acquaintance” is not necessarily a person one knows only casually, and can include a close friend, intimate partner, family member, classmate, etc. Survivors and perpetrators can be of any sex/gender. Sexual assault can occur either forcibly and/or against a person's will, or when a person is incapable of giving consent. Under federal and state law, sexual assault includes, but is not limited to, rape, forcible sodomy, forcible oral copulation, sexual assault with an object, sexual battery (e.g., unwanted touching of an intimate body part for purposes of sexual gratification), and threat of sexual assault. Consent is an affirmative, conscious decision - to engage in mutually accepted sexual contact. Signals of consent must be mutual and ongoing, as well as offered freely and knowingly. Consent is required regardless of the parties' relationship, prior relationship, or sexual history. A verbal "no," even if it may sound indecisive or insincere, constitutes a lack of consent. Likewise, incapacitation constitutes a lack of consent. For example, a person is incapable of giving consent when passed out, asleep, or incapacitated by intoxication. Consumption of alcohol and/or drugs, in and of itself, does not relieve a party of responsibility to obtain ongoing consent. Reporting Sexual Assault Reporting a sexual assault can be difficult, and survivors may experience a multitude of emotions in thinking about discussing what happened to them. For that reason, Tufts University wants survivors to know that there are many options for them when considering whether to report sexual assault. Survivors of sexual assault are strongly encouraged to report the assault immediately to the police with authority over the location of the assault. If the assault occurred on campus, survivors are encouraged to report it immediately to campus police. Early reporting provides immediate access to medical support, and to information regarding available legal and judicial resources, as well as counseling and support services. Counseling and medical services are available immediately and confidentially, whether or not an individual feels ready to make any decisions about reporting the assault to police or campus judicial resources. Survivors who notify the police should be aware of the importance of the immediacy of reporting the incident in terms of preserving physical evidence at the assault scene as well as on the person assaulted. The gathering of physical evidence can provide important evidence in support of criminal charges. Survivors may also choose to report an assault well after the assault occurred, even if the opportunity to collect physical evidence has passed. 213 Survivors who immediately report an assault will be provided with information directing them to an appropriate health care facility to allow for collection of evidence and treatment. If a sexual assault survivor chooses to report the incident days, weeks, or even months after the assault, important support systems are still available and can be arranged, but the survivor should understand that delay may make it more difficult to collect physical evidence of the sexual assault that could impact an investigation. Reporting an assault to the Tufts Police or other law enforcement does not require filing criminal charges. Tufts University has police officers who have been specially trained to work with survivors of sexual assault, and they can explain your rights and options, as well as direct you to other resources. Office of Equal Opportunity (OEO)/Title IX (617-627-3298; www.tufts.edu/oeo; [email protected]) Pursuant to Title IX of the Education Amendments of 1972, Tufts University is committed to providing a campus environment free of sex discrimination. Sexual assault is a form of sex discrimination that violates Title IX. The University’s Title IX Coordinator, as part of OEO, is charged with the intake and investigation of reports regarding sex discrimination (including sexual assault and other forms of sexual harassment). Students, staff and faculty may contact OEO to report any type of sexual misconduct. Resources Tufts University recognizes that survivors must focus on their security, health and healing in the aftermath of a sexual assault. The following is a list of resources that can assist survivors on or off campus. Resources for Students on the Boston Campus Tufts Police: 617-636-6911 or ext 66911 (emergency); 617-636-6610 (non-emergency) The Tufts Police can help with transportation to a hospital, reporting the assault if you wish to do so, investigating the assault and obtaining a restraining order. Student Advisory and Health Administration Office 617-636-2700 Debbie Quinn, Director During normal business, this office provides short-term confidential counseling for personal problems, academic concerns, career indecision, increased self-awareness, stress management, anxiety, and family and interpersonal issues. Dean of Students Offices The staff in the Dean of Students offices can help arrange for safe housing, stay-away orders and can facilitate university disciplinary action, should you wish to pursue it. School of Medicine 617-636-6534 Amy Kuhlik, Dean of Student Affairs Office of Public Health & Professional Degree programs 617-636-2497 Robin Glover, Assistant Dean School of Dental Medicine 617-636-6539 Robert H. Kasberg, Jr., Associate Dean, Student Affairs Sackler School 617 636-2143 Naomi Rosenberg, Dean of Sackler School Friedman School of Nutrition Science & Policy 617-636-3779 Patrick Webb, Academic Dean Human Nutrition Research Center on Aging 617-556-3357 Arlene Walsh, Senior Human Resources Representative 214 Title IX Liaisons The Title IX Liaisons are University employees who are available to receive reports of sex discrimination at Tufts, including sexual harassment and sexual assault. The Liaisons can provide information regarding available resources, but are not responsible for investigating reports. Rather, they will direct the information they receive to the University’s Title IX Coordinator in OEO. On the Boston campus, the Title IX Liaisons are: Stacey Herman Associate Dean for Student Affairs The Friedman School of Nutrition Science and Policy 617.636.3711 [email protected] Janet Kerle Associate Dean of Students Tufts School of Medicine 617.636.6534 [email protected] Kathryn Lange Associate Dean of the Sackler School The Sackler School 617.636.6767 [email protected] Katherine Vosker Associate Director of Student Affairs Tufts School of Dental Medicine 617.636.0887 [email protected] Sabrina Williams Director of Human Resources for Boston and Grafton 617.636.6600 [email protected] Other Resources Tufts Police: 617-636-6911 or ext 66911 (emergency); 617-636-6610 (non-emergency) Tufts Police can help with transportation to a hospital, reporting the assault if you wish to do so, investigating the assault and obtaining a restraining order. Local police departments in your town: Dial 911 for emergencies; otherwise, each town lists a non-emergency number in your phone book, and you can ask to speak to a detective. Some larger police departments have a specific sexual assault unit. Office of Equal Opportunity (OEO): 617-627-3298; www.tufts.edu/oeo OEO is responsible for Title IX reporting and enforcement of the university’s sexual harassment policy. Staff and faculty should contact OEO to report a sexual assault. Community Resources These resources are listed for your information. Tufts University is not affiliated with any of these organizations. Center for Violence Prevention and Recovery: 617-667-8141; www.bidmc.org/violenceprevention 215 Located at the Beth Israel Deaconess Medical Center in Boston, the center provides confidential support and assistance to survivors of violence and abuse. Services include individual and group counseling and assistance navigating the medical and legal systems. Boston Area Rape Crisis Center: 617-492-7273 (hotline); 617-492-8306 (business); www.barcc.org Staff provides a range of confidential services for sexual assault survivors, including a 24-hour hotline, counseling and legal assistance. BARCC also provides medical advocates who offer emotional support at all SANE site hospitals (sites equipped to do a rape kit and exam) in the metro area. BARCC serves women and men. Fenway Community Health Violence Recovery Program: 617.927.6250 or 800.834.3242 www.fenwayhealth.org In addition to being a full-service lesbian, gay, bisexual and transgender physical and mental health center, Fenway’s Violence Recovery Program offers an LGBT Domestic Violence Support Group, a sexual assault and/or childhood sexual abuse Male Survivors Group (co-facilitated with BAARC—contact Peter at 617.927.6224), and a Trauma Recovery Group for LGBT people who have experienced abuse, violence or other trauma (contact Ben at 800.834.3242). Rape Crisis Center of Central Massachusetts – Worcester; 888-887-7130; www.rapecrisiscenter.org Victim Rights Law Center: 617-399-6720; www.victimrights.org VRLC provides sexual assault victims with free legal assistance. Victims of Violence Program – Cambridge Health Alliance: 617-591-6360; http://www.challiance.org/vov/vov.shtml VOV provides a range of clinical services to victims of violence including: crisis intervention and response, hospital-based and system-wide victim advocacy and support, longer term clinical care (psychological assessment, treatment planning and psychotherapy) for adult survivors of physical and sexual violence, and a wide array of groups (including groups for adult survivors of childhood abuse and domestic violence). District Attorneys' Offices If you wish to contact law enforcement authorities to report a sexual assault, select the district attorney in the county where you reside. Middlesex County: 781-897-8300 Suffolk County: 617-343-4400 Worcester County: 508-797-4334 Sexual Assault and Related Crimes: Definitions The following terms are defined by Massachusetts General Laws (Mass. Gen. Laws) and are not necessarily applicable for purposes of any university policy. They are summarized below for reference only in order to assist readers in understanding the criminal context of sexual assault and related crimes. Sexual assaults, as generally described in the Mass. Gen. Laws, are addressed through the criminal justice system. Readers should refer directly to the Mass. Gen. Laws for more information or to obtain the complete text of any criminal statute. A. Domestic Abuse – Massachusetts defines "abuse" as one or more of the following acts between family, or household members: (a) attempting to cause or causing physical harm; (b) placing another in fear of imminent serious physical harm; (c) causing another to engage involuntarily in sexual relations by force, threat or duress. M.G.L. c. 209A § 1. "Family or household members" includes those who (a) are or were married to one another; (b) are or were residing together in the same household; (c) are or were related by blood or marriage; (d) have a child in common 216 regardless of whether they have ever married or lived together; or (e) are or have been in a substantive dating or engagement relationship. A court considers several factors in determining whether a "substantive dating relationship" exists, including (1) the length of time of the relationship, (2) the type of relationship, (3) the frequency of interaction between the parties; and (4) if the relationship has been terminated by either person, the length of time elapsed since the termination of the relationship. M.G.L. c. 209A § 1. The rights of the survivor of domestic abuse include the right to an order restraining the attacker from abuse, an order directing the attacker to leave the household, building or workplace, and an order directing the attacker to pay for losses suffered as a result of abuse including medical and moving expenses, and property damaged sustained. M.G.L. c. 209A § 3. B. Rape – In Massachusetts, "whoever has sexual intercourse or unnatural sexual intercourse with a person, and compels such person to submit by force and against his or her will, or compels such person to submit by threat of bodily injury," is guilty of rape. See M.G.L. c. 265 § 22(b). The term "unnatural sexual intercourse" includes oral intercourse, anal intercourse, digital penetration, and object penetration. Rape occurs when the sexual act is without consent and forced by (a) force, (b) threat, or (c) when the survivor is unconscious. C. Aggravated Rape –The crime of aggravated rape occurs (1) if the rape results in serious bodily injury, (2) there is more than one perpetrator of the rape, or (3) the rape is committed during a serious felony such as assault and battery with a dangerous weapon, robbery, kidnapping, or burglary. In Massachusetts, aggravated rape is punishable by life in prison. See M.G.L. c. 265 § 22(a). D. Assault with Intent to Commit Rape – It is a crime punishable by prison time for anyone to assault a survivor with the intent to commit rape. If the person who assaults with intent to rape is also armed with a gun, the punishment is at least 20 years in state prison. M.G.L. c. 265 § 24. E. Drugging for Sexual Intercourse – Whoever applies, administers, or causes to be taken by a person any drug, matter or thing with intent to stupefy or overpower such person so as to thereby enable any person to have sexual intercourse or unnatural sexual intercourse with such person shall be guilty of the crime and subject to at least 10 years to prison. M.G.L. c. 272 § 3. F. Stalking – It is a crime to (i) willfully and maliciously engage in a knowing pattern of conduct or series of acts over a period of time directed at a specific person which seriously alarms or annoys that person and would cause a reasonable person to suffer substantial emotional distress; and (ii) make a threat with the intent to place the person in imminent fear of death or serious bodily injury. This includes contact by mail, e-mail, and fax. See M.G.L. c. 265 § 43. Any individual who commits such acts is guilty of the crime of stalking. G. Sexual Harassment – Massachusetts prohibits sexual harassment both in employment and in educational facilities. Sexual harassment in the workplace is defined as sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature when (a) submission to or rejection of such advances, requests or conduct is made either explicitly or implicitly a term or condition of employment or as a basis for employment decisions; (b) such advances, requests or conduct have the purpose or effect of unreasonably interfering an individual's work performance by creating an intimidating, hostile, humiliating or sexually offensive work environment. M.G.L. c. 151B § 1(18). Sexual harassment in an educational facility means any sexual advances, requests for sexual favors and other verbal or physical conduct of a sexual nature when:— (i) submission to or rejection of such advances, requests or conduct is made either explicitly or implicitly a term or condition of the provision of the benefits, privileges or placement services or as a basis for the evaluation of academic achievement; or (ii) such advances, requests or conduct have the purpose or effect of unreasonably interfering with an individual’s education by creating an intimidating, hostile, humiliating or sexually offensive educational environment. M.G.L. c. 151C § 1(e). 217 SURVIVIOR'S RIGHTS GUARANTEE Sexual assaults, including acquaintance rape, are a very serious concern of the University. If you are the survivor of a sexual assault or think you may have experienced sexual assault, the Tufts Police will guarantee you the following: 1. We will meet with you privately, at a local place of your choice, to take a police incident report. 2. We will not release, without your consent, your name to the public or to the press during the course of the investigation. 3. Our officers will not prejudge you, and you will not be blamed for what occurred. 4. We will treat you and your particular case with courtesy, sensitivity, dignity, understanding, and professionalism. 5. If you feel more comfortable talking with a female or male officer, we will do our best to accommodate your request. 6. We will assist you in arranging for any hospital treatment or other medical needs, including transportation to a local hospital with a Rape Crisis Treatment Center. 7. We will assist you in privately contacting counseling services, the development of a safety plan and advising you about other available/necessary resources. 8. We will discuss the options available to you. We will investigate your case to the fullest extent possible. With your consent, we will refer your matter to the District Attorney’s office to discuss the charging and prosecuting of the responsible individual. 9. We will continue to be available for you to answer questions, to explain the systems and processes involved (prosecutor, court, etc.) and, if you wish, to be a listening ear. 10. We will treat your case seriously regardless of your or any suspect's sex, gender identity and expression, sexual orientation and behavior, race, ethnicity, religion, national origin, age, disability, or veteran status. If you are a sexual assault survivor, you may call the Tufts University Police at (617) 627-3030 to indicate that you want to file (privately) a sexual assault report. You may call the division anytime (24 hours a day, 7 days a week). If you have an emergency or would like to access a city police department, call 911. If we fail to achieve any part of the listed guarantee, the station commander (phone number 617627-3030) will meet with you personally to address any problems/concerns. University Police want to help you make the Tufts campuses safe for students, faculty, staff and visitors. 218 APPENDIX G Americans with Disabilities Act Policy Policy Statement Tufts University is committed to providing reasonable accommodations for qualified individuals with disabilities in a fair and equitable manner, and in accordance with applicable federal and state law. All personnel who are responsible for the implementation of the University’s mission are charged to support this policy. We urge everyone in the Tufts community to join in this commitment. Reasonable Accommodations The Americans with Disabilities Act (ADA), and Section 504 of the Rehabilitation Act, require Tufts University to provide appropriate academic and employment accommodations to employees and students with disabilities unless doing so would create an undue hardship, compromise the health and safety of members of the University community, or fundamentally alter the nature of the University’s employment or academic mission. As described more fully below, the University engages in an interactive process with the student or employee to determine disability status and accommodation needs. Reasonable Accommodation Procedures Students Academic Accommodations Medford Campus If you are an undergraduate or graduate student enrolled in the School of Arts, Sciences and Engineering, the Fletcher School, or the Boston School of Occupational Therapy and you need an academic accommodation, please visit the Disability Services website at: http://uss.tufts.edu/ arc/disability/ or contact the Program Director Program Director, Sandy Baer, at 617-627-2000 or [email protected]. Note: If you are a faculty member who has received an accommodation request from a student, please refer him/her to the Program Director for Disability Services at the contact number listed above. Boston & Grafton Campuses If you are a graduate or professional student of any Tufts school located on the Boston or Grafton campus and you need an academic accommodation, follow the procedures set forth in your school’s student handbook or contact the appropriate school administrator listed below. Note: If you are a faculty member who has received an accommodation request from a student, please refer him/her to the appropriate school administrator listed below in the contacts table. The following is a list of school administrators to whom requests for accommodations on the Boston and Grafton campus should be forwarded: School Contact/Title Contact Information Cummings School of Veterinary Medicine Barbara Berman Assistant Dean of Student Affairs (508) 839 8733 [email protected] Friedman School of Nutrition Science and Policy Stacey Herman Director of Student Affairs (617) 636 3711 [email protected] 219 Sackler School Kathryn Lange Associate Dean (617) 636 6767 [email protected] Tufts Dental School Robert H. Kasberg, Jr. Associate Dean of Student Affairs (617) 636 6539 Tufts Medical School Colleen Romain Director of Student Affairs (617) 636 6576 [email protected] Non-Academic Accommodations Medford Campus Housing – For all requests related to accessible housing, please contact the Office of Residential Life at 617.627.3248 or visit: http://ase.tufts.edu/reslife/policies/disabilities.asp. Transportation – For information regarding accessible parking and/or Tufts accessible shuttle service on the Medford Campus, please contact the Department of Public Safety Parking and Administrative Services at (617) 627 3030 or visit: http://publicsafety.tufts.edu/adminsvc/ Other - Other–For all other non-academic accommodations, including information involving medical leaves, please contact the Dean of Student Affairs at 617.627.2000. Boston & Grafton Campus For all non-academic accommodations on the Boston and Grafton campuses, please contact the appropriate school administrator in the table listed above. Helpful Resources for Tufts Community Members and Visitors Access Issues To report an issue concerning access to Tufts’ buildings and grounds, including access issues involving snow removal, curb cuts, and non-operable automatic door openers, on the Medford, Boston, or Grafton campus, please contact the Tufts Facilities Department: • Medford Campus: 617.627.3496 • Boston Campus: 617.636.3535 • Grafton Campus: 508.839.7921 Accessible Parking For information regarding accessible parking on the Medford, Boston, and Grafton campus, please contact the Tufts Department of Public Safety: • Medford Campus: 617.627.3030 • Boston Campus: 617.636.6610 • Grafton Campus: 508.839.5303 Campus Accessibility Maps: http://www.tufts.edu/oeo/univmaps.html Commencement Resources: http://commencement.tufts.edu/ Planning an Accessible Event: http://oeo.diversity.tufts.edu/10steps.html Arts, Sciences & Engineering Conference Bureau: http://ase.tufts.edu/conferences/ Frequently Asked Questions 1. What is a disability? According to the Americans with Disabilities Act (ADA), disability is defined as a physical or mental impairment that substantially limits one or more of a person’s major life activities (for example, walking, standing, or breathing). 2. What is the interactive process? The interactive process is when an employer and an individual with a documented disability 220 work together to identify what barriers exist to the individual’s performance of a particular job function. This analysis often includes a review of the individual’s abilities and limitations and which factors or job tasks pose difficulties. Fundamental to the process is ensuring that the employee provides sufficient documentation to enable the university to determine if the condition substantially limits a major life activity, and if so, what accommodation(s) may be reasonable but still permit the employee to meet the essential functions of the employee’s position. 3. How are reasonable accommodations made? Accommodations are provided through an interactive process between the applicant or employee and Tufts representatives. The individual requesting the accommodation may be asked to obtain documentation from his/her health care provider to be forwarded to OEO. Supporting documentation from a qualified clinician may include: • a diagnosis of the impairment and any accompanying test results, • a detailed description of the specific impairment, functional limitations (with and without the use of mitigating measures such as treatment, aids, and medication), functional need, and the medical justification for such need, and • a recommendation for the type and duration of the accommodation needed, as well as the rationale underlying the request. Upon receiving and reviewing the appropriate documentation, a determination will be made regarding the individual’s disability status as well as his/her essential job functions as they relate to the accommodation being requested. 4. What should I do if I feel as though I’ve been discriminated against or harassed because of my disability? Students, staff, and faculty may report alleged acts of discrimination or harassment by contacting OEO at 617.627.3298. For further information on reporting incidents or filing an OEO grievance, visit www.tufts.edu/oeo. 5. Where do I go if I have questions about this policy? Tufts University Office of Equal Employment and Affirmative Action is responsible for enforcing the University’s ADA policy. Please contact OEO at 617.627.3298 if you have questions about this policy. Rights and Responsibilities of Tufts Employees Duty to Cooperate Managers, supervisors, faculty and other agents of the University have a duty to engage students, employees and applicants in an interactive process in response to requests for reasonable accommodations. Anyone who feels uncomfortable initiating the interactive process is encouraged to contact OEO at 617.627.3298 as soon as they have notice of a possible need for an accommodation. Freedom from Retaliation Any eligible member of the University community has the right to request a reasonable accommodation. It is a violation of University policy to retaliate against an individual for requesting an ADA accommodation. Any person who retaliates against an individual is subject to disciplinary action up to and including termination by the University. Confidentiality In accordance with the ADA, Tufts will protect and maintain the privacy and confidentiality of medical information of its employees obtained in connection with the reasonable accommodation process. All medical information will be treated confidentially and maintained securely and separately from personnel files. OEO Grievance Procedures The OEO Grievance Procedures can be found in the OEO Policies and Procedures brochure or by visiting www.tufts.edu/oeo. You may also request a copy of the OEO grievance procedures by contacting OEO at 617.627.3298. Terminology Used ADA: Americans with Disabilities Act Disability: According to the Americans with Disabilities Act (ADA), a disability is defined as a physical or mental impairment that substantially limits one or more of a person’s major life activities (for example, walking, standing, or breathing). 221 Essential Functions: Job duties considered so fundamental that the individual cannot do the job without performing them. Interactive Process: The interactive process is when an employer and an individual with a documented disability work together to identify what barriers exist to the individual’s performance of a particular job function. This analysis often includes a review of the individual’s abilities and limitations and which factors or job tasks pose difficulties. Qualified Persons with Disabilities: An employee or applicant with a disability who satisfies skill, experience, education and other job-related requirements for the position and who can perform the essential functions of the job in question with or without reasonable accommodations. This includes part-time, full-time, probationary, non-career status and temporary employees. Undue Hardship: An action requiring significant difficulty, expense or disruption, or an action that would fundamentally alter the nature of an operation at Tufts University. 222 APPENDIX H TUFTS UNIVERSITY NONDISCRIMINATION POLICY POLICY STATEMENT Tufts University is committed to employment practices and a learning environment that are free of discrimination and harassment. We seek to promote a diverse and inclusive university community. At Tufts University, equal opportunity and affirmative action is not only a legal commitment; it is a moral commitment as well. This policy shall apply, but not be limited, to the following employment activities: recruitment and employment, promotion, demotion, transfer, compensation, selection for training, job reduction, and termination. Tufts is further committed to take affirmative action to ensure equal employment opportunities are afforded to all. Tufts prohibits discrimination against and harassment of any employee or any applicant for employment because of race, color, national or ethnic origin, age, religion, disability, sex, sexual orientation, gender identity and expression, veteran status (special disabled veterans, disabled veterans and Vietnam-era veterans), or any other characteristic protected under applicable federal or state law. Tufts also prohibits retaliation based on protected activity, such as the filing of a complaint of discrimination or participation in the investigation of such a claim. Persons with knowledge about discrimination or harassment at Tufts are encouraged to report their information to a manager or supervisor, a dean, any senior member of the University administration, or directly to the Office of Equal Opportunity (OEO). All personnel who are responsible for hiring and promoting employees and for the development and implementation of university programs or activities are charged to support this effort and to respond promptly and appropriately to any concerns that are brought to their attention. The University expects everyone to join in this commitment and provide for the prompt and impartial consideration of all complaints of discrimination issued by its faculty, staff, and students. Tufts University’s OEO is responsible for planning and implementing the University’s affirmative action program, monitoring of affirmative action-related decisions and activities, and enforcing the University’s nondiscrimination policy. Tufts University seeks to maintain an internal system of audit and reporting that shall facilitate the identification and removal of inequities and deficiencies in its employment and those policies and practices that could preclude the fair and equal treatment of minorities, women, individuals with disabilities, and all covered veterans (special disabled veterans, disabled veterans and Vietnam-era veterans). Rights and Responsibilities As a member of the Tufts community you have the right to work, learn, and live in an environment free from discrimination and harassment. You have the right to equal opportunity and equal access to all university programs and activities. Duty to Report Managers, supervisors, faculty, and other agents of the University have a duty to report any known or alleged incidents of discrimination or harassment to the Office of Equal Opportunity. Duty to Cooperate Faculty, staff, and students must cooperate with University investigations concerning allegations of discrimination or harassment. Refusal to cooperate with an investigation may result in disciplinary action. Freedom from Retaliation Any member of the University community has the right to raise concerns or make a complaint regarding discrimination or harassment under this policy without fear of reprisal. It is a violation of University policy to retaliate against an individual for filing a complaint of discrimination or harassment or for cooperating in an investigation of alleged discrimination or harassment. Any 223 person at Tufts found in violation of this policy is subject to disciplinary action up to and including termination of employment or expulsion from school. Confidentiality The University recognizes the importance of confidentiality and understands that some individuals filing complaints of discrimination or who are otherwise involved in an investigation may want their identity to remain confidential. In all cases, issues of confidentiality must be balanced against the University’s need to investigate and take appropriate action. The University will respect the privacy and confidentiality of individuals involved in an investigation to the fullest extent possible. OEO Grievance Procedures The OEO Grievance Procedures can be found by visiting www.oeo.tufts.edu. You may also request a copy of the procedures by contacting OEO at 617-627-3298. 224 APPENDIX I Advanced and Graduate Education Forms Master of Science Registration form Master of Science Advisor/Committee Acceptance form Contract for Independent Study Research Proposal Guidelines Master of Science Progress Report Approval of Research Protocol form Certificate of Fitness (form a) Approval of Thesis for Binding (form b) Submission of Thesis for Publication (form c) 225