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Partnerships for Progress in Missouri's Underserved Areas

Contributed by Ashley DeVilbiss, program director, West Central Missouri AHEC

The federal- and state-funded program Area Health Education Centers (AHEC) was created in 1971 by Congress to unite medical professionals with medically underserved areas. The national AHEC network includes seven regional Missouri Area Health Education Centers (MAHEC). The goal of MAHEC is to improve the health of the region by establishing community and academic partnerships that will increase the supply and distribution of health-care professionals practicing in underserved areas in Missouri . On a statewide level, MAHEC is a contractor with the Primary Care Resource Initiative for Missouri (PRIMO) program, which serves as a pipeline to recruit health-care professionals and to develop systems of care for underserved areas. Missouri AHEC, the PRIMO program and the UMKC School of Dentistry are developing collaborative academic and community relationships to address the shortage of oral health-care providers in certain areas of Missouri .

MAHEC regional centers and PRIMO have established AHEC Career Enhancement Scholars (ACES), a comprehensive career-planning program for high school, undergraduate and professional school students interested in pursuing a career in primary care. MAHECs across the state are identifying and recruiting students from shortage areas who have the desire and the ability to become health professionals. The UMKC School of Dentistry’s role in the collaborative effort is to involve prospective dental and dental hygiene students in the school’s special recruitment activities and programs that include hands-on workshops, clinical shadowing experiences, DAT preparation, and mentoring.

PRIMO also helps dental and dental hygiene students pay for their dental educations. Missouri residents participating in the ACES program are eligible to apply to the PRIMO student loan forgiveness program. The program will “forgive” each year of a student’s PRIMO education loans for each year of the student’s professional service in a Missouri health professional shortage area (HPSA). The PRIMO loan program can pay for almost all of a student’s dental school tuition. For the academic year 2002-03, UMKC dental students (class of 2005) William Chouinard, Stuart Samples and Dez Ziegenhorn became the School of Dentistry's first PRIMO loan recipients. The school eventually hopes to have five students from each dental class, a total of 20, participating in the PRIMO loan forgiveness program.

The School of Dentistry and MAHEC also are developing rural rotations to enrich UMKC dental and dental hygiene PRIMO loan recipients’ clinical experience. These special clinical rotations, arranged by the School of Dentistry , will enable PRIMO students to learn important lessons and valuable strategies for practicing dentistry in an underserved setting. When the PRIMO loan recipients, known as PRIMO Scholars, graduate from dental school, they will be better prepared for their service in an underserved community. These newly practicing professionals also can give back to the dental community by becoming a preceptor and mentor to future students interested in delivering oral health care in rural communities.

The UMKC School of Dentistry, the Missouri Area Health Education Center and PRIMO are working together to provide more dentists and health-care professionals to the areas of Missouri that need them the most. This unique collaboration will in-turn provide increased access to QUALITY healthcare for all Missourians.

You can be a part of these collaborative efforts by referring interested students in your area to one of the seven regional AHEC centers located in Kansas City, St. Joseph, Macon, Springfield, Poplar Bluff, St. Louis and Rolla; or contact the UMKC School of Dentistry. I also encourage you to contact me personally at
(816) 889-5050 x308 or adevilbiss@kclinc.org.

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