Community Grand Rounds (CGR) is a real time, interactive videoconference presentation of a rural patient's oral health needs and a discussion by a panel of College of Dentistry (COD) experts regarding the potential treatment options. The case presentation originates from a rural or underserved clinic or dental office and is transmitted through the Nebraska Telehealth Network to the COD. Through the use of technology, the COD can assist providers and patients alike in improving access to care as well as improving the oral health status of Nebraskans.
The CGR audience includes dental students, primarily from the third and fourth year, and interested COD faculty. Currently anyone with access to the Nebraska Telehealth Network can join the CGR sessions via the internet. In the future, these sessions will be available by streaming video to dental alumni and other interested health professionals.
The first CGR presentation was made by Dr. Susan Alexander, a UNMC staff dentist who works at the Good Neighbor Community Health center in Columbus, NE. The case presentation involved a 38 year old male patient who had received a gunshot wound to the face several years ago and was unable to obtain proper care at that time. As a result, the patient had lost several teeth and most of his right mandible. Dr. Alexander used photos, radiographs, and intraoral camera images to seek the expert opinions from the COD specialty faculty. In turn, the COD faculty used the case to pose issues and ask questions of the students regarding differential diagnoses, treatment options, and the prognosis.
Other CGR presentations have included a case presentation on ectodermal dysplasia by Dr. Jessica Meeske from her pediatric dental practice in Hastings, Nebraska, radiation treatment and dental care by Dr. Hayley Beaudette from the Community Action Partnerships of Western Nebraska (CAPWN) in Gering, dental implant placement by Dr. Douglas G. Camplin in Grand Island, Nebraska, and a TMD case between the College of Dentistry and a patient in Alma, Nebraska.
The purpose of the CGR is to introduce practitioners and students to the opportunity and benefits of utilizing telehealth to serve the oral health needs of patients in rural and underserved communities. Practicing dentistry in a rural community does not mean isolation from the health community and dental specialty support, but rather quick access through the telehealth network.