BIO

Katharine Martinez, MPH, RDH, earned her master’s degree in public health from New Mexico State University and undergraduate degree in dental hygiene from the University of New Mexico. Katharine is widely recognized for her role as an oral health educator in a hospital setting. Katharine has created a role that incorporates an oral health professional to be a part of the multidisciplinary team that has led to improving patient treatment outcomes and decreasing hospital acquired infections.

Katharine has worked in pediatric and general dental clinics providing dental hygiene for patients of all ages and background. She has done consulting with home health agencies specifically on developing oral health training for patients with developmental disabilities, their caregivers, and nurses. Katharine has aided and consulted with oncology clinics on oral health advice to serve patients undergoing cancer treatment. Katharine has worked in collaboration with public health agencies in Oregon to develop and implement access to dental care programs for the uninsured. She has written published articles involving her role on medical/dental collaboration, oral care during oncology treatment and expanding patients’ oral health knowledge using the health belief model.

Katharine has presented at various conferences on the integration of oral health providers in the medical setting. She has helped mentor other hospital’s on how to facilitate incorporating oral health to improve treatment outcomes and decrease infections.

COURSE DESCRIPTION

These pediatric oncology modules are intended to prepare dental hygienists with the fundamental knowledge to pursue a career in a pediatric oncology hospital setting. The course offers an in-depth exploration of the various interdisciplinary roles within the oncology team, as well as insights into the differences between adult and pediatric hospitals, with a focus on the family-centered approach to treatment. We will discuss hospital-acquired infections and their connection to oral health, as well as explore pediatric cancers and the structured chemotherapy treatment plans traditionally used for children. We will also review bone marrow transplants and oral health considerations that are connected with them. At the end we will comprehensively apply the information covered to real-life case studies to enhance understanding of the material.

OBJECTIVES

1. Children’s Hospital Multidisciplinary Oncology 

1. Identify the different roles that make up a multidisciplinary oncology team
2. Identify the roles and responsibilities of each member of the team
3. Identify how a dental hygienist fits into the team

2. What Makes Pediatrics Unique?

1. Identify pediatric health care settings
2. Define pediatric age groups
3. Define family centered care 

3. Infections

1. Identify the type of hospital acquired infections that are correlated with oral bacteria
2. Identify what is a central line
3. Identify a highly immunocompromised patient

4. Pediatric Cancers

1. Review the most common pediatric cancers
2. Review the most common presentation symptoms of pediatric cancers
3. Discuss a chemotherapy roadmap

5. HPCT - (Bone Marrow Transplant) Process & Consideration

Co-lecturer Lynette Acosta, MSN-ED, RN

1. Describe what is a hematopoietic progenitor cell transplant (HSCT)
2. Describe the differences between the different types of transplants
3. Discuss the complications and considerations related to conditioning regimens and infections

6. Case Studies

1. Discuss case studies
2. Identify specific medical acronyms
3. Review interprofessional communication

BIO

Lynnette Acosta, MSN-Ed, RN, CPN is the Clinical Education Specialist in the Ambulatory Department of Phoenix Children's Hospital. She has been a nurse since 2012 and began her current role on the hematology/oncology/bone marrow transplant unit in 2017 after earning her masters in science of nursing education. She has a passion for implementing evidence-based practice and high-quality care for the pediatric population through proper education. 

COURSE DESCRIPTION

These pediatric oncology modules are intended to prepare dental hygienists with the fundamental knowledge to pursue a career in a pediatric oncology hospital setting. The course offers an in-depth exploration of the various interdisciplinary roles within the oncology team, as well as insights into the differences between adult and pediatric hospitals, with a focus on the family-centered approach to treatment. We will discuss hospital-acquired infections and their connection to oral health, as well as explore pediatric cancers and the structured chemotherapy treatment plans traditionally used for children. We will also review bone marrow transplants and oral health considerations that are connected with them. At the end we will comprehensively apply the information covered to real-life case studies to enhance understanding of the material.

OBJECTIVES

Lynette instructs module 5, HPCT - (Bone Marrow Transplant) Process & Consideration with Katharine Martinez

1. Describe what is a hematopoietic progenitor cell transplant (HSCT)
2. Describe the differences between the different types of transplants
3. Discuss the complications and considerations related to conditioning regimens and infections

Dr. Karen Clark is an Assistant Professor of Science at Davenport University. She earned her bachelor of science in Clinical laboratory Science at Michigan Technological University in 1996 and her bachelor of science in Human Biology in 1998 and her doctorate of chiropractic at National University in 2000. She sold her chiropractic practice to pursue her passion of teaching full time at the undergraduate and graduate level. She has been at Davenport University for 20 years teaching Anatomy & Physiology lectures and labs, and Pathophysiology in the College of Arts and Sciences. She has received two outstanding teacher of the year awards, has presented on best teaching practices, advises student organizations and is a capstone mentor for the Biological Laboratory Science program at Davenport University.

Course Description

This course provides an overview on the biology of cancer, contrasting the characteristics of benign and malignant tumors. The etiology of cancer will be introduced, focusing on the genetic basis of cancer and host and environmental factors that have been linked to cancer.    

Objectives

1. Compare benign and malignant tumors
2. Discuss the characteristics of malignant cells
3. Describe the process of metastasis
4. Explain how mutations and epigenetic changes to proto-oncogenes and tumor suppressor genes contribute to the development of cancer in the cell cycle
5. Relate the effects of environmental factors and host factors to the risk for cancer development

BIO

Katie Charles, BSN, RN has worked as a nurse for over a decade. Katie received her nursing degree from the University of Illinois. She has worked in a variety of settings, including cardiology, oncology, gastroenterology, emergency medicine, and surgery. Katie understands the intricate balance of working in interprofessional teams in a complex healthcare system, as she has served on several advisory boards and committees for her hospital. She has a unique perspective in that she respects traditional medicine yet values a holistic approach to provide whole person care that focuses on prevention.

UNDERSTANDING LAB WORK (coming soon)

Mechanical Ventilation and Tracheostomy Care for Oncology Patients and Caregivers

As a member of the oncology interdisciplinary team, it is imperative the dental hygienist understands critical care management outside the traditional scope of practice and into bedside care and assistance. In severely immunocompromised oncology patients, there is the possibility of tracheostomy and ventilator dependence. Students will learn when each intervention is indicated, risks associated with a ventilated patient and how to provide oral care and understand the dental hygienist’s role in preventing hospital-acquired infections. 

Objectives 

1. Differentiate between a ventilator and tracheostomy and uses for each. 
2. Define ventilator-associated pneumonia, signs and symptoms, and oral care strategies for ventilated patients. 
3. Identify key educational pieces to share with caregivers and other health professionals regarding oral care on a ventilated patient.

BIO

Elizabeth Jinks, RDH, BS began her dental hygiene career in 1981 at Parkland College. Liz first began her career in private practice and began teaching shortly after. She quickly realized how much she loved to share her knowledge and experience with others. This ultimately inspired her to complete her bachelor’s degree. During her time at Parkland College, Liz taught several courses, including head and neck anatomy, local anesthesia, pharmacology, preclinic, seminar, seminar 3 and many laboratory courses. One of the most memorable highlights of her professional career include receiving the Part-time Faculty of the Year award. Her career in teaching has always been fulfilling and truly rewarding.  

Liz has a unique perspective in teaching subjects in oncology, as she was diagnosed with invasive ductal carcinoma, triple positive breast cancer (stage 1) in December 2017. She started her cancer journey in January 2018 with six chemotherapy treatments, immunotherapy, surgery and twenty radiation treatments. Her thirteen years of teaching pharmacology gave her the advantage of knowing about the medications she was receiving.  Liz’s cancer journey allowed her to understand the correlation between real life and the subject matter.  

COURSE OBJECTIVES

This two-part course will present chemotherapeutic drugs with an overview of their basic drug classifications, mechanisms of action, and the adverse effects they have on the oral cavity including osteonecrosis of the jaw, mucositis, oral fungal infections, and oral herpetic lesions.

Part 1 Objectives 

1. Identify the human and environmental carcinogens that may be involved in the etiology of cancer.
2. Discuss the pharmaceutical medications that may be prescribed during the initial cancer diagnosis, cancer treatment, and post cancer treatment their dental considerations.
3. Explain the four common treatments used to treat cancer.
4. Discuss chemotherapeutic agents and summarize their use, mechanism of action and classifications.

Part 2 Objectives

1. Identify the general adverse drug effects associated with chemotherapeutic agents.
2. Discuss the following oral adverse effects associated with chemotherapeutic agents: osteonecrosis of the jaw, mucositis, oral fungal infections, and oral herpetic lesions.
3. Summarize the pharmaceutical agents that are suggested/recommended to treat each of the aforementioned oral adverse effects.

BIO

Since becoming a credentialed dietitian in 2020, Zak has dedicated his career to helping others improve their relationship with food and eating. His first position was as an Oncology and Clinical Dietitian in Decatur, IL. As an Oncology Dietitian, his roles were to assess patients undergoing cancer treatment, manage use of feeding tubes or nutrition support, and provide education for reduction of cancer risk. Zak also enjoys tutoring students preparing to become dietitians, as well as producing and recording his video project, The Diet NPO Podcast.

Course Description

This course outlines the role of nutrition care in cancer and oncology treatment. The course discusses the role of registered dietitians in the medical care of patients with cancer. This includes the dietary recommendations for cancer, side effects of cancer and its treatment, as well as the use of nutrition support for cancer patients.

Objectives

1. Identify nutrition recommendations, foods, and beverages for cancer patients undergoing treatment.
2. Outline nutrition-related symptoms and side effects of cancer and its treatment.
3. Specify the indications for nutrition support through a feeding tube or intravenous (IV) nutrition. 
4. Define dietary and lifestyle habits to prevent cancer and reduce risk of cancer recurrence.

BIO

Jennifer was born and raised in Colorado Springs, Colorado. She has been a practicing dental hygienist for over 20 years. In 2018 she received her bachelor’s in dental hygiene, and has since achieved her certification as a tobacco treatment specialist and holds a certificate in Oral Systemic Education through National Network of Healthcare Hygienists. In January of 2019, she and her family moved to Arkansas as she was recruited to develop a dental hygiene role at CARTI Cancer Center and has since taken on the role of manager of the dental department.

Jennifer has dedicated her career and education to helping address the oral health needs of cancer patients. She spent eight years in two hospital setting cancer centers in Colorado, and is now in her fourth year navigating dental care for head and neck cancer patients at CARTI Cancer Center in Little Rock, Arkansas. CARTI’s values and vision have allowed the development of a state-of-the-art dental clinic and full-service dental team. Jennifer focuses her time on patients' dental needs prior to the start of radiation and/or chemotherapy therapy, including clinical hygiene, educating patients on the importance of oral care during treatment, and collaborating with their dental home ensuring they receive recommended post treatment care. Cancer patients face an incredible journey and Jennifer is honored and proud to play a key role in their support and success. 

Aligning with CARTI’s value of innovative approach, the dental clinic is addressing the recognized need for oral health support for all cancer patients and has developed a streamlined protocol for patients at risk for Medication Related Osteonecrosis Necrosis of the Jaw (MRONJ). Most recently, her team has started the development of a multidisciplinary support service clinic, and Jennifer will utilize her TTS certification in the new lung screening program. 

Jennifer strives to continue developing and integrating oral health education and services within the cancer clinic to address access to care. In addition, her hope is to increase interprofessional collaboration between medical and dental teams to improve the patient’s quality of life and overall well-being.

COURSE DESCRIPTION The Initial Dental Assessment on an Oncology Patient with Dr. Megan Reutter

The initial dental appointment involves a multitude of tasks: from learning the patient’s cancer and treatment regimen to educating the patient and caregiver on dental implications, and so much more. From this course, students will be well equipped to conduct the initial assessment appointment with an oncology patient and establish a relationship with them as they begin their cancer journey. This course provides a unique blend of education and personal stories from a dental hygienist specializing in oncology in a hospital setting.  

Objectives 

1. Identify key initial assessment components on an oncology patient.
2. Discover oral health care regimens and appointment sequencing for each type of cancer treatment. (RT, CT, HSCT)
3. Recognize potential workflows for the dental hygienist on an interdisciplinary team.

BIO

Megan Reutter, RDH, DHSc is a dental hygienist, educator, published researcher and oral health advocate. She has worked in a variety of settings, including clinical practice, education, and public health. She serves as a Trustee and Student Relations Chair for the Illinois Dental Hygiene Association. Megan’s research interest is interprofessional education and has presented her research at several seminars. She is passionate about educating the public and other health professions on the oral-systemic link.

Megan’s Doctorate focused on Leadership and Organizational Behavior from A.T. Still University.  In addition to interprofessional education, she is also passionate about leadership and evaluating leadership roles in multidisciplinary teams.  

Dr. Reutter works in private practice and serves as adjunct faculty at multiple universities including Parkland College in the dental hygiene program, University of Illinois in the Community Health program, and Campbell University in the Doctor of Health Sciences program. 

She is instructing or co-lecturing four courses, and is our Curriculum Director:

1. Secondary complications during cancer treatment (Part 1) with Jill Meyer-Lippert

2. Initial dental assessment on an oncology patient with Jennifer Brown

3. Interprofessional aspects in oncology care with Katie Charles

4. Secondary complications during cancer treatment (Part 2 solo)

In myelosuppressed cancer patients, the oral cavity can be a source of systemic infection. Particularly in oral cancers and radiation to the head and neck region, irreversible damage can occur to the oral mucosa, vasculature, and muscle and bone, resulting in xerostomia, rampant dental caries, trismus, soft tissue necrosis, and osteonecrosis. Opportunistic infections can also wreak havoc on the oral cavity. Management of oral complications on cancer therapy includes identification of high-risk populations, patient education, initiation of pretreatment interventions, and timely management of lesions. This course includes both preventive and therapeutic recommendations to minimize the risk of oral and associated systemic complications. 

Course Objectives

1. Identify the cause, symptoms, and oral manifestations of: osteonecrosis, acute periodontal infections, candida infections, herpes simplex, and trismus. 
2. Evaluate prevention modalities of each.
3. Identify critical education pieces to share with your patient undergoing cancer treatment and their caregiver.

BIO

Jill has worked in dentistry for 30 years with over 25 years as a clinical Dental Hygienist. She is the founder of Side Effect Support, an online resource for cancer patients, family caregivers, and healthcare providers to reduce harmful oral side effects of treatments, improving quality of life and treatment outcomes. Jill is a 2014 recipient of the Sunstar Americas/RDH Award of Distinction, holds a certificate in Oncology Management, and provides consulting services with Custom Dental Solutions. She is a member of the Registered Dental Hygienist Advisory Board for the Oral Cancer Foundation, the Inside Dental Hygiene Advisory Board, Teethcloud Thought Leaders, and was named as one of the “6 Dental Hygienists You Want to Know” by Dimensions of Dental Hygiene magazine.

COURSE DESCRIPTIONS

1. Providing Oral Care During Cancer Treatments with Dr. Megan Reutter

Oral mucositis is a common and debilitating complication of cancer therapy. In addition to extreme discomfort, oral mucositis can also lead to increased hospitalizations and mortality rate, compromised nutritional status, and have significant financial burden. This course will provide an evidence-based summary of the clinical presentation, epidemiology, assessment, risk prediction, and current intervention strategies of oral mucositis. Understanding these concepts will allow dental hygienists to provide effective, personalized mucositis interventions and improve the quality of life for patients undergoing cancer therapy. 

Course Objectives:

1. Identify the cause, symptoms, and clinical manifestations of oral mucositis. 
2. Evaluation prevention modalities of oral mucositis.
3. Identify critical education pieces to share with your patient undergoing cancer treatment and their caregiver.

2. Oral Hygiene Modifications & Product Consideration

Oral side effects and untreated dental diseases can cause added pain, financial hardships, and psychological distress for those being treated for cancer. They can also lead to complications or delays in treatments, which can compromise treatment outcomes. Oral changes may have a continued negative impact throughout survivorship.

While highlighting the human element of cancer care and quality of life issues, this presentation will provide tools for a well-rounded approach to optimal patient care through a focus on prevention, patient education, and product selection.

Course Objectives

1. Determine the value of preventive oral care with treatments and survivorship.
2. Identify homecare modifications to reduce complications.
3. Examine product pros and cons.
4. Provide additional resources for continued support.

BIO

Sara Jane is the dental and oncology specialist for THOR Photomedicine, expanding the use of photobiomodulation (PBM) in dental practices and oncology centers for the benefit of both patients and providers. She is passionate about whole-body health and collaboration between different fields, as she has seen how different perspectives of team-based care leads to better overall care for oncology patients. 

She especially loves working with cancer treatment facilities. She helps the medical staff feel confident and empowers them to use technology to help fight cancer therapy side effects. She is moved to continue this important work by the incredible success stories that come back to her regarding PBM. She sleeps well at night knowing patients are getting through their cancer therapy without delays in treatment, without feeding tubes, or needing opioids because they don’t have debilitating side effects. 

Sara Jane is also a dental hygiene instructor at Montgomery Community College in Pennsylvania. She loves watching her students think critically and see the whole patient as an avenue to learning and growing as a healthcare provider.

She still finds time to temp clinically once in a while, and loves the challenges and rewards of guiding her patients to optimize their overall health through better oral health.

Course Description

The aim of this course is to understand the technology of photobiomodulation (PBM), (previously known as LLLT or cold laser) and how it is used around the globe for oncology patients. We will identify what PBM is, how it works, who can use it, when/how treatment is applied, and where in the USA it is being used for oncology patients. This course will focus on using PBM for the cancer therapy side effect of oral mucositis. We will also discuss a few other PBM cancer therapy side effects applications such as oral graft vs host disease (GVHD), radiation trismus, and xerostomia.

Objectives

1. What is Photobiomodulation (PBM)?
2. What does PBM do for your patients?
3. Define the mechanism of action
4. Know the difference between class 3B, class 4 lasers and LED’s for PBM use
5. Understand the research and guidelines endorsing PBM for the treatment of cancer therapy side effects such as oral mucositis

BIO

Roxanne Dsouza-Norwood, MS, RDH, is an assistant professor in the Dental Hygiene Programs at the University of North Carolina at Chapel Hill (UNC) Adams School of Dentistry, Division of Comprehensive Oral Health. In her current role, she works with dental, undergraduate dental hygiene, and graduate dental hygiene students in research projects, didactic education, and clinical education. She is the second-year dental hygiene clinic director and directs undergraduate dental hygiene honor’s thesis and periodontology courses. She has a background in both education and research and has presented her research nationally. She has also participated in and led several interprofessional initiatives across healthcare disciplines at UNC. She has a passion for interprofessional education and is dedicated to educating compassionate healthcare clinicians dedicated to whole-person centered care. Roxanne is an active member of the American Dental Hygienists’ Association, North Carolina Dental Hygienists’ Association, American Dental Education Association, president of Sigma Phi Alpha–Xi Chapter, and East Regional Chair of Sigma Phi Alpha–Supreme Chapter.

Course Description

Dental hygienists provide care for patients across all stages of cancer therapy. Following cancer therapy care, should be addressed utilizing an individualized approach of assessing patient goals of care and appropriate recall intervals. Additionally, short-term and long-term considerations following specific cancer therapies must be evaluated in collaboration with the oncology team. This course provides recommendations for dental hygiene providers in the oral care for patients following the completion of cancer therapy. Emphasis will be placed on person-centered and collaborative care. 

Objectives

1. Collaborate with the oncology team and healthcare providers on the current status of cancer treatment.
2. Describe potential short-term and long-term oral health considerations following specific cancer therapies.
3. Provide individualized care for patients who have undergone cancer therapy.
4. Establish an appropriate recall interval.