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Davis and Genesis Clinics - Tampa, FL |
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Program Description |
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The University of Southern Florida (USF) Department of Pediatrics was established in 1972. This Department has a long history of developing and delivering comprehensive child health services in the Tampa Bay area. The Department of Pediatrics has a faculty of 58 physicians. The Division of General pediatrics has 13 pediatricians on staff. Graduate medical residents gain clinical pediatric experiences in the 17 Davis USF Ambulatory Care center, a multi-center outpatient care network, and the Health Park (Genesis) clinic. The USF Ambulatory Care Center at 17 Davis is the primary outpatient clinic for the Department with approximately 25,000 patient visits per year. The facility offers general pediatric care as well as management of chronic illnesses for CSHCN. It is the primary training for the Residency Program. The Genesis/Health Park clinic is a prenatal and infant/children care clinic serving high-risk populations in Tampa. It is located in a Health Professional Shortage Area (HPSA) in inner-city Tampa. The Genesis clinic primarily serves indigent inner-city families, many of whom have children with special health care needs (CSHCN). Over 85% of patients seen in the Ambulatory Care Center and Genesis either qualify for or are on Medicaid or SCHIP, 5% have private insurance and 10% are self pay. Both clinics serves a large proportion of Hispanics and African-Americans. In addition, the General Academic Pediatric Division runs the newborn nursery at Tampa General Hospital; Tampa's inner-city public hospital. This provides a steady stream of newborn patients to the USF Ambulatory care Center and Genesis Clinic.
The division of General Academic Pediatrics has formed strong community partnerships. In February 2006, a USF Pediatric Ronald McDonald Care Mobile was launched to provide medical and dental care to underserved children. Pediatric residents and medical students work on the Care Mobile side by side with dental hygienist students supervised by volunteer pediatric dentists as partners in this initiative.
Because USF does not have a dental school associated with it, the American Academy of Pediatrics (AAP) Oral Health Preceptor Program will enhance the training of faculty and residents in the provision of optimal oral health risk assessment and Fluoride varnish treatment in the clinics and on the Care Mobile to children 0-3 years of age.
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| Training Day |
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Day 1: Thursday, November 30, 2006
The training day began with a Fluoride varnish application and OHRA hands-on workshop. This workshop had 29 attendees including Pediatric and Med-Peds residents (16), pediatric faculty, clinic nurses and ARNP, and a community pediatric dentist. The preceptor demonstrated exam technique, positioning, and Fluoride varnish application. The day ended with an evening dinner lecture presented by the preceptor. The lecture was attended by several department faculty, the Pediatric department chairman, ARNPs, community partners including four pediatric dentists and the supervisor of the dental hygienist program. The didactic lecture highlighted basic dental concepts focusing on oral anatomy and pathology in a child, birth to three years, risk factors, dental risk assessment by the primary care physician, and anticipatory guidance. The site visitors also toured the Care Mobile and its dental component and equipments.
Day 2: Friday December 1, 2006
The OHRA and Fluoride Varnish application hands-on workshop was repeated. The workshop had 14 attendees including residents, faculty, a pediatric dentist, and a representative from the Florida Department of Health Oral Health Initiative. A meeting was then held between the preceptor, the AAP OHRA director, the USF site contact faculty, the General Academic Pediatric Division Chief and the Ambulatory Clinics director. The future plans were discussed for OHRA implementation and training. The visit ended with the OHRA didactic lecture delivered by the site contact faculty to the residents and medical students under the supervision of the faculty preceptor. |
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| Next Steps |
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This initiative allows the USF faculty, residents, and clinic staff to improve the level of oral health care in the Genesis and 17 Davis continuity clinics. The Care Mobile will serve as a vehicle for outreach and bringing OHRA to underserved children in rural Florida, day cares and school-aged children with no dental home. Following the training received the USF General Academic Pediatric Division plans to take the following steps:
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