A Futurist Vision of Metro Technical Colleges Dental Hygiene Program
Tania Nolin, BS, RDH EDU505 Future of Education Professor Rebecca Waters
A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 2 A Futurist Vision of Metro Technical Colleges Dental Hygiene Program This paper will discuss the current state of Metro Technical College (MTC), the history of how it became one of the Midwests largest community-based technical colleges, and finally how it may use specific technology as described in the New Media Consortiums Horizon Report to advance the quality and efficacy of education within the dental hygiene program. MTC Today MTC is one of 16 technical colleges that make up Wisconsins technical college system. The college offers 170 degrees. Associate, Accelerated Associate degrees, Apprenticeship, Technical diplomas, and certificate programs in six academic schools. Fifteen of these programs are offered online. MTC is an open-enrollment school, which reported 43,196 students in the 2012-2013 school year, of which 13,156 were enrolled full-time (Finding MTC, 2014). The mission statement for MTC reads, As a public, two-year comprehensive technical college, MTC offers exceptional educational and training opportunities and services to our diverse metropolitan area by engaging with partners to advance the quality of life for our students and community. One of the services they provide, relevant to this paper, is preventative dental hygiene care provided by the dental hygiene students. MTCs vision is stated as the premier comprehensive technical college that provides excellence in education to enrich, empower and transform lives (Finding MTC, 2014). Population of Students MTC is the only college in the state that has a greater percentage of minority students than Caucasian. The diverse population consists of: White 44%, African-American 32%, Hispanic 16%, Asian-American 5%, Multiracial 2% and American Indian 1% (Finding MTC, 2014). The average age for students is 29, however the most numerous of the populous is 19 A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 3 years of age. Funding, Tuition and Community Most of the funding for school operations comes from property tax, followed by student tuition and fees, student aid, federal aid, grants and contract services. Almost a one-third of students are low-income, many are studying for a specific job or a change of career, while others are preparing to further their education at a four-year college. The cost of one semester for assciate degree studies is approximately $2,070 and for four-year college transfers, $2,718 (MTC Fast Facts, 2013). MTC History MTC was founded in 1912 by a local social reformist who was fed up with the child labor laws of that time. In 1911 state legislature passed a law creating a statewide network of continuation schools which were mandated to release children from work to attend school or learn a vocation (Finding MTC, 2014). By the fall of 1912, MTC was established as Metro Vocational School and is now known as MTC. The school offered evening classes from the very beginning, which helped working individuals to gain education to gain practical working skills for the jobs they wanted to pursue (Finding MTC, 2014). MTC has evolved over the years to meet the needs of the community, such as their implementation of the a program Readiness Student Edge, a partnership with Metro Public schools, which helps at-risk high school students to find ways to a college education. The Dental Hygiene Program A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 4 In 1996, the addition of a Health Sciences building created space for both the Dental Hygiene and Registered Nursing programs. The Dental Hygiene Clinic is now a state-of-the-art facility that provides dental hygiene services to the community, such as cleanings, treatment for periodontal disease, x-rays, and fluoride treatments for a nominal fee. A Review of Significant Trends Affecting the Future of Dental Hygiene Education The United States Bureau of Labor Statistics calculates the career outlook for dental hygiene is expected to increase thirty-three percent through the year 2022 (2014). Anticipated growth will likely be reflected in an increase of student admissions into dental hygiene programs. A review of the literature cites significant trends in technology, economics, public policy and demographics affecting the field of dental hygiene in order to identify the implications of these trends on the future of MTCs dental hygiene program. Technology Trends Technology has become a ubiquitous component in our society, the discussion within educational settings has moved from novelties to more constructive questions about what technology should be implemented, and how it can improve student-learning outcomes. Flipped Classroom The flipped classroom model is part of a larger pedagogical movement that overlaps with blended learning, inquiry-based learning, and other instructional approaches and tools that are meant to be flexible, active, and more engaging for students (Johnson, Adams Becker, Estrada, Freeman, 2014, p. 36). Blended-learning is a method of teaching whereby the student accesses lecture and supplemental materials online, reducing in-class lecture time. Using class time that would have previously been spent on lecture can now be used for inquiry-based learning, such as group work and case studies. Talley and Scherer (2013) employed the flipped classroom model A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 5 in a biology course to determine if it could improve student grades as compared to earlier semesters. The results reflected that inquiry-based learning through self-explanation causes students to review the material more often and may enhance leaning by supporting the integration of new information with prior knowledge (Talley & Scherer, 2013, p. 345). Metro Area Technical College (MTC) uses blended-learning techniques through Blackboard, Google Docs and YouTube videos to supplement face-to-face class time in order to provide lecture materials and quizzes. They have implemented inquiry-based learning techniques through case studies of patients with oral diseases and group projects to identify and discuss characteristics and treatment for periodontal disease. Augmented Reality Johnson, Levine, Smith, and Stone (2010) stated, AR [Augmented Reality] has strong potential to provide both powerful contextual, on-site learning experiences and serendipitous exploration and discovery of the connected nature of information in the real world (p. 21). Advancements in AR are becoming more accessible to students and educators by way of computers, hand-held devices and mobile technology and have been applied in chemistry, astronomy, biology, physics and geometry courses. AR supports discovery-based learning, allowing students to be creative, take risks, and make mistakes without consequences (Thornton, Ernst, & Clark, 2012, p. 20). Economics and Public Policy Economics and public policy have a stong impact on all facets of education, including students, educational settings, educators, funding and more. Economic trends affecting dental hygiene education include the concern of students return of investment and the projected growth of dental hygiene jobs. A public policy trend calls for the increased need for science, technology, A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 6 engineering and mathmatic (STEM) related professios (United States Department of Education, 2014). Return on Investment One of the determining factors students need to consider when deciding on a college is the return on investment. Graduation rates, career outlook and job placement from educational institutions are evalauated to establish a return of investment. Michael Zimmerman, Vice President for Academic Affairs and Provost at The Evergreen State College (2014) stated, on average, getting a degree will significantly increase ones job prospects and lifetime earnings regardless of the major (p. 26). According to the United States Bureau of Labor Statistics (2014-2015), projects a thirty-three percent increase in the number of dental hygiene jobs, much faster than average for all occupations, through the year 2022. Dental hygiene has consistently been one of the most costly associate degrees offered at MTC. Although the cost of education continues to rise, dental hygiene education appears to be valuable and a good return of investment. Increased Demand for STEM Professions The federal government has been making investments toward the advancement of STEM professions. Jackson, Charleston, and Gilbert (2014), conducted a strength, weaknesses, opportunities, and threat analysis of data received from email interviews sent to current STEM professionals. The findings suggest there are programs and resources available for STEM growth, but lack infrastructure particularly in collaboration of these programs and their professional affiliations. Many respondents to the interview stated they initially became interested in STEM professions sometime between 8-10 th grades. Focus on developing interest in STEM subjects at secondary education levels may increase the number of high school A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 7 graduates pursuing STEM related majors in college. Recruitment of minorities is an untaped source of STEM participation, which if utilized would improve the odds of meeting the projected needs for STEM professions in the future (Jackson et al., 2014). Demographic Trends The American minority population is growing and is becoming more ethnically diverse (Shrestha & Heisler, 2011). History has shown that minorities disproportionately carry the burden of untreated dental disease they also are more likely to seek treatment from people of their own race (Edmunds, 2006, p. 918). It has been well documented that there is a shortage of minority students and faculty in dental hygiene. Additionally, it is easily observed that there are few men in this field as well. Underrepresented Minorities and Males in Dental Hygiene African American, Native Americans, Hispanic and Latina are underrepresented minorities in the field of dental hygiene (Sandino & Rowe, 2014). Research by Onik (2009) investigated reasons why African Americans represented only four percent of the national dental hygiene population. The findings from Sandino and Rowe (2014) support Oniks previous work, which cites the high cost of dental hygiene programs, lack of role models of similar ethnicity, and lack of influence from a dental professional as barriers to careers in dental hygiene. A study by Collins, Cordelia, Zinskie, Keskula, and Thompson (2007) concluded that most full-time dental hygiene faculty is female and non-Hispanic with men representing only four percent of that sample population. The Growing Hispanic Population The U.S. Census Bureau (2000) reported twelve point six percent of the U.S. population was identified as Hispanic. This group is projected to increase to thirty point two percent by the A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 8 year 2050 (Shrestha & Heisler, 2011). In the 2012-2013 academic year, MTC reported that sixteen percent of the student population was Hispanic (MTC Fast Facts, 2013). To increase the percentage of minorities in MTCs dental hygiene program, will help to create a more proportionate number of hygienists to that of the population of minorities in the U.S. The premise to increase the number of minorities in dental hygiene is that it will facilitate more culturally sensitive providers, thereby increasing access to oral health care in those populations (American Dental Education Association, 2011, p. 992). In todays society it is not surprising to see that our world today is not what it was even yesterday. Advances in technology and a growing knowledge base have been huge contributing factors. It is important for academic leaders to analyze these changes as well as developing trends within our culture and on a global level, in order to create a vision, strategize, and plan for the future of dental hygiene. This paper will discuss the concept of futuring and why it is important for the field of education, as well as scanning and scenarios as tools for futuring. Futuring as a Method of Viability The famed educator, John Dewey stated, if we teach todays students the ways of yesterdays, we rob them of tomorrow (Digital Media, 2010). This statement emphasizes the importance of foresight in education and stresses the need for innovation. Unfortunately, there is no magic eight ball of which to ask questions about the future, what jobs will be in high demand, and what political matters will evolve. However, it is imperative for researchers to make efforts toward creating a vision of what the future of education might become. Futuring, as defined by World Future Society is the act, art, or science of identifying and evaluating possible future events (n.d.). It is a process that benefits to capitalize on strategic outside intelligence, avoid being blind-sided by external forces, profit from new opportunities, and to turn emerging A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 9 threats into opportunities Ashley & Morrison, (1995, para 1). Anticipation of these events and evaluating the ways in which it could affect education, assists academic leaders in making informed, proactive decisions that will ensure the long-term viability of educational institutions. Metro Technical College (MTC) should employ futuring to sustain and proliferate well into the next twenty-five to fifty years and beyond. Scanning Scanning is an essential tool to identify trends, movements or anything that may potentially have an affect on an organization, whether it is directly, indirectly, positive or negative. This information made readily available for academic leaders, policy makers, and any other stakeholder, will empower them to make sound decisions for the future. The process of scanning will look for trends occurring over time within educational institutions, the state, nation, and other countries. The use of computer databases, student and instructor feedback, newspapers, magazines and various websites provide a large amount of data (World Future Society, n.d.). Scanning involves the collection of any and all evidence that is not only educationally relevant, but also things that may appear, at least initially irrelevant, such as environmental issues, political events and other things like the cost of energy and international communications. Scanning to identify trends may take a considerable amount time and resources, but is compensated by the aversion of undesirable consequences and finding ways to achieve long-term goals. MTCs dental hygiene program could initiate the scanning process by looking at data from other dental hygiene schools to see what changes they have had to overcome or what trends are affecting their program. MTC may also look into state legislature, as is relates to the field of dental hygiene, the Wisconsin Dental Hygienists Association and the Wisconsin Dental Association to investigate any proposed legislative changes and assess their A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 10 goals and how they may affect MTC. Scenarios Futuring uses scenarios to represent different extremes of current trends and define alternatives. Using data from the process of scanning, scenarios should include a variety of very desirable circumstances, less desirable, and worst-case scenarios. Others to consider are scenarios that are based on changes likely to occur, and those that are less likely. Working under these premises and developing a strategic plan will provide a testing ground for ideas, or [act as] the stimulus for new development (Mietzner & Reger, 2005, p. 224). Once a scenario is recognized certain steps should be undertaken: identify the driving forces, the predetermined elements and the critical uncertainties (Mietzner & Reger, 2005, p. 227). There are several advantages and disadvantages to using scenarios. See Table 1 Advantages and Disadvantage of Using Scenarios for Futuring. Table 1. Advantages and Disadvantages of Using Scenarios for Futuring Advantages Disadvantages Anticipates future opportunities/conflicts Time consuming Promotes new perspectives May require additional resources Time allows for allocation of resources Future outcome may not be any of the scenarios investigated Builds proactive vs. reactive organization Focus may be too limited Early recognition of organizations weaknesses Time to actual implementation of planned decisions are so far in the future, other obstacles may alter outcome in scenario Opens discussion of untraditional thinking Difficult to identify multiple different A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 11 scenarios
A Vision of Dental Hygiene Education for the year 2020 In five years, the student body of MTCs dental hygiene program will exhibit greater demographic diversity including a greater percentage of males and Hispanics. Two specific technologies identified in the New Media Consortium (NMC) Horizons Report 2014, flipped classroom and augmented reality, will be firmly adapted as teaching protocols to create unique and effective learning opportunities for dental hygiene students. Technology in for MTCs Dental Hygiene Program One of the technologies is augmented reality. This could be used to aid in learning of tooth anatomy, facilitate identification of anatomical landmarks in local anesthetic administration and in developing hand instrumentation skills. By providing information at the right time and right place and offering rich content with computer-generated 3D imagery, pre-clinical students will be able to experience what correct adaptations are in instrumentation techniques, at an early stage, which may help them to recognize what is correct without the direct supervision of an instructor (Lee, 2012). Augmented reality could provide each individual with ones unique discovery path with rich content from computer-generated three dimensional environments and models (Lee, 2012). This technology will help to manage class time more effectively and allow instructors to provide more specific guidance to students who may need more help. It will also help to achieve proficiency of learning objectives more efficiently, thereby improving overall time-management. Challenges to adapting this technology include cost, lack of general awareness in AR technology, lack of maintenance support and educator perceived difficulties integrating AR with traditional learning models (Lee, 2012). A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 12 The second technology, flipped classroom has already been implemented in some small instances, but has the potential to be used to a much greater capacity. Flipping the classroom overlaps with blended learning, inquiry-based learning, and other instructional approaches and tools that are meant to be flexible, active, and more engaging for students (Johnson, et al., 2014). Blackboard will continue to be used to provide supplemental reading materials and web links to YouTube videos created by the instructors of MTC or other credible sources. Lectures will be prepared and viewed on digital interface where content can be viewed by students as many times as necessary to master the essential knowledge (Hawks, 2014). Placing lecture materials in a digital format allows students to "enhance the relevance and retention of knowledge[and] facilitate in-depth learning (Hawks, 2014). Class time will provide students with collaborative opportunities to discuss clinical applications of case studies and dental hygienist/patient role-play. Challenges and Opportunities. There are several potential challenges as well as opportunities to implementing this future vision for MTCs dental hygiene program. Some of the challenges are: Attracting male students into the program due to the existing predominance of female dental hygienists Attracting minority students into the program due to the existing majority of ethnically white dental hygienists Lack of instructor acceptance to use augmented technology due to lack of interest and/or motivation to change existing teaching strategies Lack of tech support or funding to implement and/or maintain technology Lack of time for instructors to translate existing lectures to Blackboard or A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 13 YouTube format Lack of relevant augmented technology for learning objectives Opportunities and advantages to implementing this future vision include: Demographic diversity in the population of future dental hygienists and other STEM professionals Potential increase in demographic diversity of future dental hygiene instructors Potential increase in minority populations to obtain preventative and therapeutic dental hygiene care in an environment of the same demographic Increase collaborative opportunities for students to discuss clinical applications of case studies and role-playing Improve instructor and student time management Improve students proficiency of learning objectives Increase opportunities for pre-clinical students to practice hand instrumentation Plan for Change To accomplish this vision it will require innovation, sufficient time, planning, and precise execution of specific actions defined in the plan. There are several ways in which to being planning for these changes. Utilization of the futuring techniques such as scanning and scenarios is a suitable way to begin. Scan for other dental hygiene programs that have already achieved the future vision of MTC. If there are none, consider looking for those that are striving for the same goals, also consider degree programs not to dental hygiene related, as they may also provide good references. Next, create scenarios based upon this information. Creating multiple scenarios, with both desired outcomes and undesired, as both will help to identify effective strategies. Another way to plan for change is to assess the current situation in the classroom, A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 14 and the dental hygiene student population, using the problem solving technique CATWOE, which stands for customers, actors, transformation process, world view, owner, environmental constraints. This will help to stimulate thinking to identify potential problems and find solutions to implement change. Administering a SWOT analysis will further assist in recognition of the strengths, weaknesses, opportunities, and threats to achieving the vision. Finally, a decision tree analysis can be used to evaluate technology options from a financial perspective. These tools are useful in all stages of planning and may be repeated to make further refinements. Perhaps the greatest advantage of using these tools is the opportunity for constructive thinking and open discussion of possibility. Call for Action Developing MTCs vision of education can realized in five years. The first step to achieving this goal is to formulate three specialty committees. These three committees will be designated as: Underrepresented Minority Recruiting, Minority Support, and Futuring and Planning. Each of these components will have specific tasks and responsibilities, executed on a weekly, monthly and yearly basis over the next five years. The Underrepresented Minority Recruiting committee, comprised of four members will be responsible for building and maintaining relationships with the leading minority-serving dental institutions or other related affiliations. They will participate in outreach programs to minorities with these institutions as well as local community programs and high school Career Day functions. The purpose of these activities is to increase awareness of a career in dental hygiene and introduce them to MTCs dental hygiene program. This committee will also meet with MTCs admissions department to discuss application fee waivers for underrepresented minorities. It will be the responsibility of all members in this committee to personally reach out to potential applicants A FUTURIST VISION OF MTCS DENTAL HYGIENE PROGRAM 15 and maintain contact with them, tracking trends, reasons, supports that lead to their admission into the program or their decision to pursue other interests. The Minority Support group will provide guidance to potential applicants and current minority dental hygiene students. They will also provide assistance in job placement for minority graduates. The Futuring and Planning committee will consist of at minimum five members and will be responsible for several tasks. The first is to create a timeline of necessary actions to be completed over the next five years, breaking larger tasks down into monthly tasks. Each member of this committee will be responsible for investigating and executing a specific action item, aimed at identifying and implementing augmented technology and flipped classroom. One day of each month, members of this group will meet to discuss findings and manage task assignments for the following month. All MTC dental hygiene instructors will actively participate in a committee in a joint effort to realizing this vision. Conclusion Change is happening all around us. MTCs dental hygiene program should consider futuring, as it will benefit them regardless of what happens in the future, but moreover sustains long-term viability. Scanning the environment for trends will guide academic leaders to determine possible scenarios, strategically plan, and make calculated projections for the future. The plan is going to become a reality for some dental hygiene programs, MTC can lead the way, if they implement the steps outlined in the call for action. In a period of constant transformation, now is the time to be proactive. MTC must be the principal of change, or risk becoming the change of yesteryear.
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