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DiscussionSpecial Reports

100 Million Mouths Campaign: Creating a Pilot Program to Advance Oral Health Equity

Shenam Ticku, Judith A. Savageau, Christine A. Riedy, Robin A. Harvan and Hugh Silk
The Annals of Family Medicine February 2023, 21 (Suppl 2) S86-S91; DOI: https://doi.org/10.1370/afm.2930
Shenam Ticku
1Harvard School of Dental Medicine, Boston, Massachusetts
BDS, MPH
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  • For correspondence: shenam_ticku@hsdm.harvard.edu
Judith A. Savageau
2University of Massachusetts Chan Medical School, Worcester, Massachusetts
MPH
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Christine A. Riedy
1Harvard School of Dental Medicine, Boston, Massachusetts
PhD, MPH
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Robin A. Harvan
3Massachusetts College of Pharmacy and Health Sciences University, Boston, Massachusetts
EdD, EdM
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Hugh Silk
1Harvard School of Dental Medicine, Boston, Massachusetts
2University of Massachusetts Chan Medical School, Worcester, Massachusetts
MD, MPH
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  • Article
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Article Figures & Data

Tables

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    Table 1.

    OHECs’ Ratings of the 100 Million Mouths Campaign 2 Half-Day Workshops

    Workshop Component/AttributeScore, Mean (Range)
    Helpfulness of training session presentationsa
    Introduction to CIPCOH4.50 (4-5)
    Ice breaker3.83 (3-5)
    Making the case that oral health matters5.00 (5-5)
    Working with state resources4.50 (4-5)
    Resources for oral health teaching4.83 (4-5)
    Using EPAs and core competencies to guide teaching efforts4.50 (3-5)
    How to assess an oral health curriculum4.50 (3-5)
    Recap/highlights from session 14.50 (4-5)
    Identifying schools and programs in your state4.50 (4-5)
    Case studies in changing oral health curriculum4.17 (3-5)
    Role playing—making the case, changing the curriculum4.17 (3-5)
    Implementing evaluation4.33 (3-5)
    Reporting efforts to date/recommendations using template4.17 (3-5)
    Agreement level regarding workshop content and conductb
    The two 4-hour workshops were the right amount of learning time.4.00 (2-5)
    The workshops could have been shorter in time without a loss of attention to the individual sessions’ goals.3.50 (2-5)
    Some of the materials could have been presented asynchronously without a loss to group learning.3.33 (2-5)
    The workshops could have been longer with more detailed attention to each segment.1.50 (1-2)
    The workshop format (eg, a combination of didactics/interactive discussions, via Zoom) was easy to follow.4.50 (4-5)
    The workshop content was presented in an engaging manner.4.33 (3-5)
    During the training sessions, there was sufficient opportunity for addressing my needs as an OHEC for my state.4.67 (4-5)
    Preworkshop websites/documents that were sent before the first training were valuable resources for me.4.50 (4-5)
    Resources related to the workshop content (eg, database of state-specific information, slide decks of presentations, contact information for targeting new recruits) were useful to me/helped me to formulate my next steps.4.83 (4-5)
    Confidence level to begin framing own toolkitc
    Knowing where to find resources within my state for identifying and recruiting future OHECs4.17 (3-5)
    Knowing where to find resources for training future OHECs4.17 (3-5)
    Knowing where to find EPAs and other competencies/standards for training OHECs who will be working with trainees from different disciplines and specialties4.00 (3-5)
    Identifying some case studies and/or role-playing activities to help future OHECs with potential “pushback” from program directors for incorporating oral health into primary care training programs3.67 (3-4)
    Knowing how to develop some internal evaluation assessments to monitor my own progress in rolling out an OHEC program in my state3.33 (3-4)
    Knowing how to develop some external evaluation assessments to monitor the progress of learners3.33 (3-4)
    Understanding the OHCET to assess health professions schools/programs curriculum and future needs4.33 (4-5)
    • CIPCOH = Center for Integration of Primary Care and Oral Health; EPAs = entrustable professional activities; OHCET = Oral Health Curriculum Evaluation Tool; OHEC = oral health education champion.

    • ↵a Extent to which the workshop presentations helped in planning next steps as a statewide oral health champion (1 = not at all helpful to 5 = very helpful).

    • ↵b Level of agreement regarding workshop attributes (1 = strongly disagree to 5 = strongly agree).

    • ↵c Confidence level to begin framing their own toolkit for identifying and training the next level of OHECs in their state (1 = very low to 5 = very high).

    • View popup
    Table 2.

    Process and Outcome Metrics Assessing the OHECs’ Impact

    MetricAlabamaDelawareHawaiiIowaMissouriTennessee
    Academic programs engaged by OHECs
    Medical schoolsXXXX
    Family medicine residencyXXXX
    Internal medicine residencyX
    Pediatrics residencyXX
    Medicine-pediatrics residencyX
    Physician assistant programsXXX
    Family nurse practitioner programsXXX
    Pediatric nurse practitioner programsX
    Adult-gerontology primary care training programX
    Doctor of nursing practitioner programX
    Resources used by OHECs to engage programs
    Oral health coalitionsXX
    State center for nursingX
    National discipline-specific primary care associationsX
    Departments of Public Health and other state officesXXXXX
    Dental facultyXXXX
    Colleagues in the universityXX
    Peer OHECs and/or 100MMC teamXX
    Other previous relationshipsXX
    Lists developed by CIPCOHXXX
    Modalities used by OHECs to recruit programs
    Informational e-mails/telephone callsXXXXXX
    Introductory meetingXXXX
    Introductory presentationsXXX
    Informational flyersXX
    Tools prepared by CIPCOH (curriculum mapping tools and OHCET tool)XXXXXX
    Media publicityX
    Training modalities developed by OHECs and primary care programs
    Implementation of an oral health electiveX
    Fluoride varnish implementation in clinics, trainings, and/or workshopsXXXXX
    Dental sealant programsXX
    Student projects and/or mentorship of studentsXX
    Cases incorporated into coursesXXX
    Presentations and lectures delivered by OHECs, program faculty, dentists, etcXXXXXX
    Oral health challengesX
    Oral health dayX
    Asynchronous material such as informational and training videosXX
    • 100MMC = 100 Million Mouths Campaign; CIPCOH = Center for Integration of Primary Care and Oral Health; OHCET = Oral Health Curriculum Evaluation Tool; OHEC = oral health education champion.

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The Annals of Family Medicine: 21 (Suppl 2)
The Annals of Family Medicine: 21 (Suppl 2)
Vol. 21, Issue Suppl 2
February 2023
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100 Million Mouths Campaign: Creating a Pilot Program to Advance Oral Health Equity
Shenam Ticku, Judith A. Savageau, Christine A. Riedy, Robin A. Harvan, Hugh Silk
The Annals of Family Medicine Feb 2023, 21 (Suppl 2) S86-S91; DOI: 10.1370/afm.2930

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100 Million Mouths Campaign: Creating a Pilot Program to Advance Oral Health Equity
Shenam Ticku, Judith A. Savageau, Christine A. Riedy, Robin A. Harvan, Hugh Silk
The Annals of Family Medicine Feb 2023, 21 (Suppl 2) S86-S91; DOI: 10.1370/afm.2930
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