Word of Mouth, May 2019, UIC College of Dentistry

WORD of MOUTH Collaborative Program Results in Fewer Antibiotic Prescriptions at College Collaboration between UIC’s with Dr. Suda’s research focusCollege of Dentistry, College of ing on prescribing practices of Pharmacy, and the University of dentists.

Illinois Hospital and Health SciDrs. Gross and Suda proences System (UI Health) has vided the College with guideresulted in a significant reduclines and additional information tion in the amount of antibiotics from the federal Centers for prescribed at the College.

Disease Control and Prevention “There are a number of about how to create antibiotic recent of studies showing that programs within ambulatory dentists may be contributing to clinic settings. Dr. Rowan, and the develthe College opment of of Dentistry’s antibiotic Dr. Danny resistance Hanna, through Clinical empirical Associate prescribing Professor, patterns Oral Mediof antibiotcine and ics for their Diagnostic patients,” Sciences, Dr. Susan Rowan and Dr. Danny Hanna with explained devised a posters on antibiotic safety and clinical deDr. Susan program for cision making concerning antimicrobials.

Rowan, antibiotic Executive stewardship Associate Dean and Associate and prescription reduction at Dean for Clinical Affairs. “Antithe College of Dentistry. biotic resistance has become Drs. Suda and Gross, a very critical population health and Dr. Susan C. Beasdale, issue.”

Medical Director of Infection Dr. Alan Gross, Clinical and Prevention and Control, Assistant Professor, Pharmacy UI Health, participated in the Practice, and Dr. Katie Suda, analysis of the outcomes and Associate Professor, Pharmacy development of the article.

Systems Outcomes and Policy, “We started a campaign are experts in antibiotic usage, within the College to promote

May 2019, Vol. 16, No. 2

evidenced-based care concerning antibiotics in order to raise awareness relative to potential resistance issues,” Dr. Rowan said, The campaign included information in her “Monday Minute” weekly email and other initiatives led by Dr. Hanna, with collaboration by UIC College of Dentistry faculty Dr. William Flick, Clinical Professor, Oral and Maxillofacial Surgery, and Dr. James Bahcall. Clinical Associate Professor, Endodontics. This team devised and implemented a multimodal intervention that focused on antibiotic use for acute oral infections.

Antibiotic stewardship “was a hot topic anyway, and then the State of Illinois made a push not just for ambulatory outpatient centers to do antibiotics stewardship but dental clinics, too,” Dr. Hanna explained.

“We put up patient-facing signage in urgent care operatories, where sometimes patients request antibiotics that are unnecessary, and in all the clinics we put up signage for the providers, to educate them to be more conservative in prescribing.”

The team also “developed an Evidenced Based Clinical Decision Support Tool to help providers decide when to prescribe, gave that information to all the urgent care faculty, and posted the tool in the urgent care operatories so that both the faculty and students were following the same guidelines,” he said.

“We showed a significant decrease in the amount of prescriptions after those interventions,” Dr. Hanna said.

The results of the team’s assessment showed that among providers, the antibiotic prescribing rate per urgent care visit decreased by 72.9%. Clinical providers also reported that they had become more conscious of appropriate prescribing since implementation of the educational guidelines.

“Our faculty and residents heard the message, took it under advisement, and we saw a significant reduction in the amount of prescribing,” Dr. Rowan said. “We are proud of that.”

The College is “one of the first dental schools in the country that has initiated an antibiotic stewardship program,” Dr. Rowan added.

The team reported its results in February in the journal Open Forum Infectious Diseases, and plans to move forward with new initiatives.

“Our next antibiotic stewardship effort has to do

Word of Mouth University of Illinois at Chicago College of Dentistry (MC 621) Room 404-A 801 South Paulina Street Chicago, Illinois 60612-7211 Phone (312) 996-8495 Fax (312) 413-2927 billbike@uic.edu

with premedication prescribing for people with joint replacements,” Dr. Hanna explained. “It was fairly common in the past, but not now—few scenarios result in the need to prescribe for such patients. After that, we will review the guidelines in the College for prescribing antibiotics for people with heart issues. We believe we can reduce prescriptions there as well.”

Fry Foundation Grant Enables Pediatric Dentistry to Hire Elisabeth Purkis as Full-Time Social Worker

The Lloyd A. Fry Foundation in 2018 provided a grant to the Department of Pediatric Dentistry to start a social work program to support health equity and patients seen in the pediatric dentistry clinics. As part of the College’s first program involving social work, the department has hired Elisabeth Purkis as a Medical Social Consultant/Social Worker.

“She will be coordinating services and treatment appointments, social work encounters, case management, short-term interventions, and referrals for patients and families who attend the Pediatric Dentistry clinics,” said Dr. Marcio da Fonseca, Head of the Department of Pediatric Dentistry.

Purkis also will work with UIC’s Jane Addams College of Social Work to obtain and supervise social work interns at the College, facilitate case reviews with interns, faculty, residents, and students, and develop research, survey, and data collection projects.

“The primary reason I’m here is to help patients and families who are finding that challenges in their lives are getting in the way of getting Elisabeth Purkis. to appointments or following treatment plans,” Purkis said, noting that some of those life barriers may include mental health issues, a challenging home environment, financial stress, and geographic location.

“People bring these stresses into the dental chair, but Dean and UIC Distinguished Professor Clark Stanford, DDS, PhD, Prosthodontics, Cmstan60@uic.edu Associate Dean for Advancement Mark J. Valentino mjv@uic.edu Editor-in-Chief William S. Bike billbike@uic.edu

Staff Janette Guzman, jguzman32@uic.edu; Bruno Mancari, bmancari@uic.edu; Jessica Mueller, jmuelle0@uic.edu; Ana Lisa Ogbac, aogbac1@uic.edu Design Kim Arias Design Production UIC Office of Creative and Digital Services

ISSN 1555-1520

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they have not necessarily been addressed in the clinic before,” she explained. “I get involved when there are indicators that they need some extra help. Using social work skills to thoroughly assess the patient’s unique circumstances can help us to get to the root of the problem.”

That help could be something as simple as giving family members of pediatric dentistry patients vouchers for parking or public transportation, or as complex as using her knowledge of child development and therapeutic intervention to help families achieve their oral health goals, as well as connecting them up with much-needed services, such as domestic violence resources, getting them on About All Kids (a State program for children needing healthcare) or Medicaid, and referring them to other healthcare providers, including primary care physicians and specialists.

In her previous role as a caseworker and family therapist at the Virginia Frank Child Development Center of Jewish Child & Family Services, Purkis said she received, “in-depth training in therapeutic work with children and families.

“This is a new program in Pediatric Dentistry, and it is still very much in its infancy and is still developing,” she said. “We want to work in a way that is developmentally sensitive, appropriate, and supportive to the families that we see.”

Purkis noted that she is “spending a lot of time in the clinics,” specifically the Nickelsen Pediatric Dentistry Postgraduate Clinic, “to get to know the residents and see how they work so I can determine what needs there are with which I can be helpful.”

Purkis holds an MA in German and Russian languages and literature from the University of St. Andrews in Scotland, an MSW in Social Work from Loyola University Chicago, and is a Licensed Clinical Social Worker. She also speaks German and Russian.

She also has been a hospice social worker for JourneyCare. At the Frank Center, she supervised Master’s level social work students from Loyola and the Erikson Institute, and received the Loyola Field Instructor Excellence Award for her work with the students.

Purkis lives with her life partner, Sam, a retired hospice physician. She has two adult children. Cecilia works for Heartland Alliance as a grant writer, and Lyd works for a tech startup and is a musician in a band called Side Hug. When not working, Purkis crochets and studies “eastern philosophy, mindfulness, and meditation,” she said. “I’m also an avid reader of literature, especially from the 19th century, and I write poetry, more recently focusing on haiku.”

She is grateful to Dr. da Fonseca and Dean Clark Stanford for obtaining the Fry Foundation grant that brought social work to the Department of Pediatric Dentistry.

“They worked hard to get us to this point, and I am excited about being here and about the future of the program,” Purkis said. “Everyone has made me feel very May 2019

welcome, and I can’t thank Dr. da Fonseca and the Dean enough for having the vision to create this program.”

Endodontics Resident Dr. Tischke Recalls Service as U.S. Navy Pilot

Endodontics Resident Dr. Gail Tischke, ’12, had a very different career before dentistry. She spent two decades as an aviator in the U.S. Navy and Naval Reserves.

“Some people don’t even know the Navy has pilots,” Dr. Tischke said. “People say, ‘Wait, you’re Navy, not Air Force?”

The daughter of a World War II bomber pilot, (her father flew B-25s for the Army Air Corps), Dr. Tischke’s military service began with Aviation Officer Candidate School.

From there she completed flight school, earned her Naval Aviator wings, and became a C2 Greyhound carrier pilot.

She was deployed on the USS John F. Kennedy and USS George Washington before U.S. Navy Aviator Gail accepting orders as a station Tischke, on duty in the pilot in Key West, FL, followed by orders as an intermediate jet Suez Canal. instructor.

A C2 pilot shuttles people, parts, and mail aboard aircraft carriers via arrested

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landings using the aircraft’s tail hook to “catch a wire.”

“For example, we’d take off from Virginia Beach as the boat [aircraft carrier] was coming from the mainland to Bermuda,” Dr. Tischke explained. “We’d keep hitting the boat—supplying it—until it went out to the Atlantic out of range of land, when we would ride aboard until we were in range of the Azores, where we’d start flying back and forth Dr. Gail Tischke, Endodontics resident. with cargo again. Basically, we’d follow the boat wherever it was headed and set up an accompanying beach detachment because they didn’t have room onboard to house our planes full time.”

“We did our mission in war and peace,” she said.

“If there’s no war the fighter pilots are practicing instead of shooting, but we C2 pilots completed our mission by hitting the boat no matter what.”

Dr. Tischke’s work as a C2 carrier pilot also took her to Spain, Greece, Israel, Egypt, and the United Arab Emirates, to name just a few places. “In the photo, that’s me on the bow of the George Washington going through the ditch—the Suez Canal,” she said.

Her husband, Jim, also is a retired Naval Aviator, who flies for United Airlines. In the second decade of the 2000s, three major airlines declared bankruptcy, including United, and the couple was worried about the future of the airline industry.

“We didn’t know if they were going to survive,” she said. “I had no intention of becoming a dentist, but we needed a plan for an alternative source of income. I have an engineering degree, so I have a science background. I thought about becoming a dentist because it was flexible, would give me a career in science, and would allow me to support the family if it was our only income. United came out of bankruptcy in 2010, but since I was already in dental school at that time, I became a dentist anyway.”

Accepted at both UIC and Midwestern University in Arizona, Dr. Tischke was pleased to pick UIC because not only were she, her husband, and their four children living in the Chicago area, but because she wanted a school in “an urban area with a large patient base,” she said.

While earning her DDS at UIC, she remained in the military, transferring her commission to the National Guard and working as a student recruiter.

“A military career is not for everybody and I was honest with students about that,” Dr. Tischke said. “You have to know what you’re getting into, what you’re signing up for, and what your commitment is.”

After graduating from UIC in 2012, she remained in the National Guard Reserves, finally retiring in December

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2012 with 24 years total of military service.

Her military background helps in her dental career, she said.

“My organization and discipline skills were essential in getting through dental school with four kids at home and an airline pilot husband and they apply again as an endo resident,” she said.

The couple’s children are Peter, 23; Mitchell, 21, and Roslyn and John, 16.

Dr. Tischke noted that she had always liked endodontics when she was at the College going for her dental degree and thought about specializing, “but after four years of dental school and with four kids at home, I needed to go out and work for a while,” she said. “I also figured before I committed to two more years of school I wanted to ensure that endo was really what I wanted to do.”

She added, “In general dentistry, you have to keep up on everything, you have to be a jack of all trades. I like to focus on one thing.”

After finishing the endodontics program, “I definitely want private practice,” Dr. Tischke said. “I like the clinician part of dentistry. I would consider teaching, too.

“Some of my classmates didn’t like endo, but I find it fascinating,” she concluded. “I look at endo as every tooth being a puzzle to be mastered. You never know what you’re going to get when you get in there—just like on a carrier run.”

Sparky Award Winners Named; Nominate a Colleague

Several members of the College community were named Sparky D. Dragon UIC College of Dentistry Customer Service Award recipients over the last few months. They are Ronnie Karmo, Assistant Director of Clinical Support Operations (February); Armando Santana, IT Support Associate (March); and Nancy Guzman, Clinic Manager of the Bach Clinic and Dental Unit Coordinator (April).

The award is presented to a person who shows excellence in care, concern, and support for patients, students, faculty, and alumni; a high degree of professional conduct; exceeds expectations; promotes the missions of the College; supports diversity; and treats people with great respect.

To nominate a member of the College community

Ronnie Karmo (2nd from right) with students.

May 2019

Armando Santana (3rd from right) with colleagues.

for the Sparky Award, log on to https://dentistry.uic.edu/ sparky-award, or contact Janette Guzman at jguzma32@ uic.edu.

Nancy Guzman (3rd from right) with colleagues.

People Deaths

Dr. James J. Baldwin, a part-time Clinical Professor of Orthodontics who retired in 2014, passed away on Jan. 31 at age 93. Dr. Baldwin had taught at the College for 15 years, specializing in biomechanics. He was a pioneer in the development of the segmented arch technique.

Dr. Baldwin also taught at the Indiana University Dental School, where he had earned his DDS. He also held an MS from Yale University.

He had practiced in Indianapolis and Castelton, IN. Dr. Baldwin was a former President of the Angle Society, and was a member of the Great Lakes Society of Orthodontists. Among his many accomplishments, he Dr. James J. Baldwin. was the recipient of the American Association of Orthodontists’ Louise Ada Jarabak Memorial International Teachers and Research Award in 2000, and the American Board of Orthodontics’ Dale B. Wade Award of Excellence in 2006.

He is survived by his sons, David (husband of Denise) and Frank, and three grandchildren. Memorials in his name may be made to the Alzheimer’s Association.

Dr. Arshad Mohammed, ’18, a first-year Resident in Orthodontics, passed away on March 28 due to a car accident.

“The entire Orthodontics family is deeply saddened by

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this,” said Dr. Sath Allareddy, Head, Orthodontics. “Arshad was a wonderful person. Our deepest condolences to his family.”

The College’s Radiology Team issued a statement saying, “We are saddened to hear of Dr. Arshad Mohammed’s passing. He was such a good person, and great to have him in Radiology. We wish his family and friends the strength for this tragic time.”

“He was a kind person and talented dentist,” said Dr. Brad Dr. Arshad Mohammed Johnson, Head, Endodontics. “He with Dr. Susan Rowan. will be missed.”

“Arshad was a valuable member of our College and of our Advanced Standing Program,” said Dr. Adriana SemprumClavier, Co-Director of the program. “We will always have fond memories of our good moments with Arshad and will have him in our hearts and minds.”

“We worked with Arshad in the Chicago/Vivaldi Clinic,” said Norma Delgado, Dental Clinic Clerk II. “He was one of our finest students, a true sweetheart.”

Ahmed Hegazy, A-4 Class President, on behalf of the students offered “sincere condolences to the whole College community and the Department of Orthotontics. Dr. Arshad was a great senior student who was never late in helping others. May his soul rest in peace, and our prayers ease the pain of this loss.”

Dr. Mohammed last spring received the College’s Dr. Allan C. Peterson Scholarship, named for the late Dr. Peterson who graduated in 1973. The criteria for the scholarship calls for the recipient to exemplify compassion, dedication, and excellence in a clinical setting—qualities for which Dr. Mohammed was known.

The College plans on naming an operatory for him, and on establishing the Dr. Arshad Mohammed Scholarship Fund in Orthodontics. For more information, contact Mark J. Valentino, Associate Dean for Advancement, at mjv@uic.edu or (312) 4137702.

Retirements

William S. Bike, Director of Advancement Communications, will retire on May 31, 2019. For an article about his career at the UIC College of Dentistry, please see the next issue of Vision magazine.

Dr. Alyson Koslow.

William S. Bike, and Flossie.

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