Online Program

Education and Utilization of Risk Assessment Tools and Fluoride Varnish for the Pediatric Population in Primary Care Residency Training Sites

Monday, November 2, 2015

Erin Westfall, D.O., Department of Family Medicine and Community Health, University of Minnesota Medical School, Mankato, MN
Valeria Cristiani, MD MPH, Community Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN
Background: A pediatric oral health survey of the Mayo Clinic Enterprise providers found that 95% of respondents had patients with difficulty accessing dental care and 76% of them identified dental disease as a significant problem for their patients. Many clinicians expressed interest in learning how to apply fluoride varnish and complete an oral health risk assessment. Objectives: Pediatric and Family Medicine residency faculty at MCR and UMN/MCHS Mankato partnered to develop a pediatric oral health curriculum to increase residents’ knowledge of pediatric oral health; and to implement an oral health risk assessment tool with application of fluoride varnish when indicated in the residency continuity clinic.  Methods: Residents completed the Society for Teachers of Family Medicine (STFM) Smiles for Life (SFL) modules 2 and 6 to gain foundational knowledge of pediatric oral health. We conducted a hands-on training workshop for residents in MCR; and residents, faculty and nurses in Mankato.  We implemented oral health risk assessments and risk-based application of fluoride varnish at well child visits ages 4 months through 5 years. Results: Rates of fluoride varnish applications in UMN/MCHS Mankato increased from 0 to 75% of eligible children over the first 3 months of the intervention. In MCR, pediatric residents applied 60 fluoride varnishes over the first 8 months of the intervention. Conclusion: Targeting residents and allied health staff increased oral health prevention in the primary care setting. Interdisciplinary teaching lead to the development of oral health nurse-driven protocols and created a culture of oral health prevention at each site.

Learning Areas:

Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Public health or related education

Learning Objectives:
Evaluate the effectiveness of an oral health curriculum developed for primary care residents and allied staff at three Minnesota training sites.

Keyword(s): Oral Health, Teaching

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Osteopathic Program Director/DME and family medicine faculty for the University of Minnesota Rural Family Medicine Residency program in Mankato, MN. I have a special interest in pediatric health promotion and prevention, and completed a fellowship in curriculum development at the UMN, the topic of which was oral health curriculum in family medicine residencies. I am a member of the AAFP Oral Health Interest Group.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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