Accreditation Responses

Accreditation Responses Shasta-Tehama-Trinity Joint Community College District Health Sciences and University Programs Dental Hygiene 400 Market Street, Suite 806 P.O. Box 496006 Redding CA 9600 Prepared By: Charles D. Cort RDH, MA Dental Hygiene Program Director ccort@shastacollege.edu 530-339-3639 Charles D. Cort RDH, MA Dental Hygiene Program Director Gary A. Lewis Superintendent/ President Page

STANDARD INSTITUTIONAL EFFECTIVENESS Page 2

Standard. Institutional Effectiveness NARRATIVE: To demonstrate compliance with recommendation #, the Commission requests verification that that the program is using results of assessment findings are being used for program improvement. Documentation submitted demonstrated that multiple means of assessment data including; national board results, employer surveys, student learning outcome reports are being used to assess program goals and objectives. However specific program improvements related to use of assessment results was minimally documented in the Program Goal Assessment and did not demonstrate a formal and ongoing planning and assessment process using results for program improvement. RECOMMENDATION # : It is recommended that the program demonstrate its effectiveness using a formal and ongoing planning and assessment process that is systematically documented by using the results for program improvement. (DH Standard -, d) DESCRIBE PROGRESS MADE IN IMPLEMENTING THIS RECOMMENDATION SINCE THE SITE VISIT. COMPARE THE CURRENT SITUATION WITH THAT EXISTING AT THE TIME OF THE SITE VISIT: In response to the questions raised by the site visit committee members, the Shasta College Dental Hygiene Program formalized its existing quality assurance plan by developing a quality assurance matrix to provide a more systematic review of each of the quality assurance assessment components. Since the site visit, the program refined and adhered to the quality assurance matrix to systematically review each of the relevant components as scheduled. Specific program improvements, as well as examples of progress being made, are documented in the Annual Faculty Meeting Minutes (Exhibit -.), held on July 0, 2009, and in the subsequent documents. Student Clinical Performances (Exhibit -.2) are reviewed daily by the Clinic Quality Assurance Plan (QAP) Coordinator, who enters student daily grades into a data spreadsheet for instant tracking of student clinical performances. This enables the Clinic QAP Coordinator to identify deficiencies, irregularities, or inconsistencies in either student performance or faculty calibration. The Clinic QAP Coordinator then meets weekly with the Program Director to discuss the necessary courses of action. Additionally, at monthly meetings or by timely emailed minutes, the clinic faculty members are made aware of those issues requiring immediate response. Long term changes in protocol or policy are discussed during monthly faculty meetings to allow for open dialogue. Mock Board Exams (Exhibit -.3) were held on May 25, 2009, and results were reviewed during the annual faculty meeting. Dental Hygiene Employer Surveys (Exhibit -.4) were sent the first week in April and were reviewed during the annual faculty meeting. Patient Point of Service Surveys (Exhibit -.5) are collected and reviewed daily and are again reviewed and discussed during the annual faculty meeting. Student Learning Outcomes are completed by appropriate faculty members at the end of each semester and the results evaluated at the annual faculty meeting (see Annual Faculty Meeting Minutes). Chart Audits (see Annual Faculty Meeting Minutes) are completed by the Clinic QAP Coordinator and Program Director midway through the Page 3

semester and at the semester s end. Results are evaluated at the annual faculty meeting. Course Grades (DNTL 20 Exhibit -.6, DNTL 23 Exhibit -.7) are printed and reviewed by the Program Director midway through the semester and at the semester s end. They are also reviewed collectively at the annual faculty meeting. Program Graduate Surveys (Exhibit -.8) are sent the first week of April and reviewed collectively at the annual faculty meeting held each summer. National Exam and State Exam pass rates are also reviewed collectively at the annual faculty meeting. Finally, the scheduled Curriculum Management Plan (CMP) Committee meets monthly and the results are evaluated collectively at the annual faculty meeting (see CMP Meeting Minutes Exhibit -.9). The structure of the Revised Quality Assurance Plan Matrix (Exhibit -.0) provides a more systematic evaluation of the quality assurance assessments used by the program. The program utilizes the system to evaluate both clinic and didactic courses in order to identify areas which are inefficient, inconsistent, redundant, or fail to support program goals. The matrix organizes the review process; affording greater scrutiny of each individual assessment and their collective affects on the program s success in achieving its stated goals. The process also enables the faculty to identify and make numerous changes that positively affect the program. Adding or deleting confusing, redundant, or overlapping curriculum content has improved student and faculty performance (See Annual Faculty Meeting Minutes). More consistent monitoring of student clinical performances permits advanced intervention and remediation by faculty when lagging student competencies are identified. Additionally, a comprehensive review of student performances resulted in developing a Point ion Grid (Exhibit -.), which is now used by all clinical faculty to improve faculty calibration and clinical grading consistencies. Lastly, the revised process has effectively highlighted the importance of the quality assurance process and unified the faculty s efforts in supporting that process. LIST ALL DOCUMENTATION THAT IS SUBMITTED IN SUPPORT OF THIS PROGRESS: (DH Standard -, d) -. Annual Faculty Meeting Minutes -.2 Student Clinical Daily Grade Sheet Results (Spring 2009) -.3 Mock Board Exam Results (Sheet 7 of Clinical Daily Grade Sheet) -.4 Dental Hygiene Employer Survey Results -.5 Patient Point of Service Survey Results Course Grade Sheet Examples: -.6 DNTL 20 Local Anesthesia and Nitrous Oxide -.7 DNTL 23 Patient Management and Geriatrics -.8 Program Graduate Survey Results -.9 Curriculum Management Plan (CMP) Meeting Minutes -.0 Revised Quality Assurance Plan (QAP) Matrix -. Point of ion Grid Page 4

EXHIBIT -. Shasta College Meeting Minutes Health Sciences and University Program Dental Hygiene Date: Friday, July 0, 2009 Time 8AM-4PM. FACULTY SUMMER SOIREE Present: Full time faculty: Chuck Cort, Karen Henderson, Adjunct faculty: Dan Browand, Kristi Hughes, Cathy Cansino, Excused: Dr. Steve Borchers Staff: Jan Krewson, and Paula Guerrera Minutes submitted by: Paula Guerrera Issue/Indicator Conclusion/Discussion/Probable Cause/Recommendations Action/Plan Follow Up (Person I. Semester Summary Discussion on the continuing 200 class of students-everyone agreed the faculty will work on increasing their clinic skills and assist them in group efforts. This class splits decisions and need guidance as a whole, ALL Faculty Responsible) Karen Henderson Charles Cort Staff will continue to assist the students in keeping their schedule as full as possible-keeping a patient quick call list for cancelled appointments. Jan Krewson Paula Guerrera II. CMP Results and Action Plan Charles Cort: Presented information on the newly formed Curriculum Management Plan Committee (CMP) Who: Currently serving on the committee is Charles Cort, Karen Henderson, Paula Guerrera, and graduate student Kelsey Uhalde. When: Meetings are scheduled once a month from :5pm-3:5pm Courses completed to date: Spring 2009 DNTL 20 Local Anesthesia & Nitrous Oxide, DNTL 2 General & Oral Pathology, DNTL 23 Patient Management & Geriatrics, DNTL 24 Clinical Practice I, DNTL 25 Clinic I Seminar, DNTL 26 Nutrition in Dentistry, DNTL 27 Summer Clinic 27, DNTL 54 Summer Clinic 54 (see Revised CMP Matrix for completion dates) What: The committee meets to review curriculum information (CI), course schedules(cs), tests, curriculum, and review surveys given to students and faculty at the end of each semester. CI Course Information is reviewed and updated to be measurable, CS ALL faculty are to send copies of current CI & CS to Paula for consistency formatting and printing. ALL committee members consistent in format, and overlapping materials Course Schedule is reviewed for content and consistency. Committee reviewed Student, Employer, and Alumni Survey results. GET all adjunct faculty access to I:// drive Paula to request from Wanda Paula Paula will edit for consistency and send to print shop for printing ALL committee members Page 5

access for adj. faculty III. Quality Assurance Plan The Quality Assurance Plan provides systematic review and scrutiny of assessment data. Helps us determine how our entire program links together: All faculty received and reviewed the results of the following Looking and scrutinizing program to improve our program and create consistency IF any faculty sees a missing question or any question that needs to be added on the survey contact Chuck CMP Committee & ALL faculty & ALL staff Charles Cort Employer and Alumni Surveys to go to Dr. Katherine Jackson to reformat and modify questions for a more measurable result Paula to check on progress before next schedule mailing March 200 a. Employer Surveys Reviewed by all-- Question #4 and #5 discussed and faculty would like to see more clarity on these two questions Employers generally praised student performances, however, faculty would like see improved results for question A-5. Faculty believes outside rotations at NVIH will improve student s ability to more quickly acclimate to new professional environments. Increase students exposure to include; front office, sterilization duties, assistant duties etc. b. Student Surveys Reviewed by all. Clinical Survey reviewed; Faculty discovered confused wording in some questions and provided alternatives.. Change #4 to Hygienist ability to acclimate to job responsibilities. Change #5 to Initial ability to complete patients within the required time frame. 2. Include Jan in the survey results discussions 3. Inform / instruct NVIH staff to diversify student exposure. Change #2 to Rate the level of effort required to succeed in course. & change responses to High/Moderate/Low 2. Change #0 to Were the instructors courteous and professional with students on clinic floor? 3. Change # to Were the instructors effective in teaching clinical concepts? Charles Cort Paula Guerrera to make changes to the master and contact Katherine to change her version of the electronic test.. Change #2 to Rate the level of effort required to succeed in course. & change responses to High/Moderate/Low Page 6

c. State Board / Action Plan Reviewed by all: Last year 4 students attended the California State Boards and 3 patients and declined for one quad 2 nd quad approved on same patient. All faculty believes that State Board review by clinic coordinator has helped faculty and students with patient selection Overall staff doing a good job in selecting patients with students for boards/ The title of COMDA has changed to DHCC or Dental Hygiene Committee of California and website: dhcc.ca.gov All faculty to continue to work with the students on patient selection Clinic Coordinator to formally review selection criteria with clinical faculty mid spring semester. Karen Henderson d. National Board Exam Reviewed by all-2009 results compared to ALL national testers With results for 2005-2009 comparisons included from CODA Discussion among meeting members confirmed we are seeing increased results by our students overall. Place a tickler in computer for January 200 to investigate the electronic version of testing for the National Boards for this year. Where & when-gather information Paula Guerrera to place reminder in her computer to remind Chuck e. Student Learning Outcomes Reviewed by all. Faculty to continue to refine assessment to ensure that outcome results accurately reflect student competencies (See attached sample) f. Course Grades Reviewed DNTL 24, 34, 42/43 Grades reviewed for DNTL 43 Clinical III A=8 B=5 C=0 Reviewed by all Classroom Survey Grades reviewed for DNTL 20 Local Anesthesia & Nitrous Oxide A=2 ALL faculty to continue to review the Student Learning Outcomes (SLOs) at the end of each semester Paula to send electronic reminder at semesters end for SLOs review All Faculty Page 7

B=3 C= g. Chart Audits Chuck explained he and Karen pulled 20 charts / 0 per semester and they are looking for medical HHx information and update, risk assessment, PO instructions, personal comments, faculty signed, red ink where and when appropriate, medication documented and a template is used to assess the above documentation. Chuck did 7-patients cross-referenced in DENTRIX (2009 charts). Some charts NOT approved by faculty 2. Student signatures missing in chart for Shasta Community Health Center patients and missing miscellaneous forms 3. Referrals documentation missing ALL clinical faculty to double check that they have approved and checked charts and computer approval at the end of every session. Karen to discuss errors with students during clinic seminar. Charles Cort Karen Henderson h. Mock Board Exam Reviewed by all-there were less patients that were not board quality patients this semester Grade points given May 2009 ranged from 00 points to 54 points Karen to present to students guidelines for Mock Board assistants. She will create guidelines and dispense and discuss in Seminar Class Karen Henderson Lower points deducted from probe accuracy, calculus scaling misses, and pocket depths Faculty Concurrence best it has ever been i. Alumni Surveys Reviewed by all overall good survey results. Survey revealed depressed employment opportunities. Praised the preparations provided by faculty and staff. No changes to survey at this time. Electronic tickler has been placed to ensure timely completion j. Deficient Student Identification / Remediation Goal is to find a way to accurately and consistently grade clinic grade sheets primarily scaling effectiveness Grid sheet created / distinguished by clinic and code of patient by how many misses at scale check (see attached sample) No patients the first clinic session for DNTL 34 to allow time to review the new scale check Point ion Grid and how it will be implemented on daily grade sheet Karen Henderson & Charles Cort to present at first meeting of DNTL 34 IV. Admissions Criteria Reviewed the proposed Dental Hygiene Program Enrollment Requirements change being presented to the Board of Trustees for approval. Student and faculty to do more outreaches in the community. All students and clinical faculty Increased range of GPA (in both general and sciences) to range from 4.0-2.50 currently 4.0-3.0 2. Cathy Cansino will add to DNTL 44 Community Oral Health Cathy Cansino Page 8

Increase residency preference from nine to twelve counties: adding Humboldt, Del Norte, and Medincino one school visit be an outreach at a community school V. Clinic Coordinator (See attached sample) a. Dress Code-Scrubs to be worn at all times while attending classes and clinic sessions, exception (any classes taken on the main campus) ALL faculty to enforce change Change Clinic Manual, Student Handbook, and Orientation Manual Karen Henderson and Paula b. CSE Changes-Cathy is looking for more consistency between the actual CSE form and the computer application ALL faculty to review the computer process and the CSE form and make any change suggestions. Once the changes have been marked have a clinical faculty meeting and discuss the changes. ALL faculty Put ALL CSE forms in a notebook at the faculty island for faculty to review and mark any changes in red or on a post-it note Jan Krewson c. X-Ray Retake-Monitor retakes taken by students ALL clinical faculty. IF faculty allows retakes they must have student enter additional retakes in computer and that faculty must approve in DENTRIX ALL clinical faculty 2. Retake limits: 3 BWX & 5 FMX and update Clinic Manual and Student Handbook Karen Henderson & Paula Guerrera Chuck performed an audit on x-rays taken on patients and discovered that a student took 34 x-rays on one patient and 28 x-rays on another patient Look for X-ray report in Dexis and DENTRIX for x-rays taken and deleted x-rays Paula Guerrera Paula showed faculty how to check for retakes and deleted x-rays. Open Dexis Program 2. Click on the printer icon on the top task bar 3. Change the date in the last two boxes-export Activity List Page 9

enter either a range or one day at a time 4. Click on the box to the left of Export Activity List and 5. Click done 6. Then go to your desktop and open the x-rays.txt file VI. Patient Screening Patient Screening-continue to screen the first 60 min of each clinic session. Dr. Pierce working with his coworkers to improve screening speed and accuracy. Dr. Pierce requests template to be entered into Dentrix to increase speed and improve accuracy in charting VII. Student Outside Rotation Due to the elimination of Denti-Cal in the state of California we may not be able to send our students to outside rotation at NVIH (Northern Valley Indian Health) or SCHDC (Shasta Community Health Dental Center) because of the loss of adult Denti-Cal. Chuck and the directors of NVIH and SCHDC will continue to talk regarding this topic and faculty will be updated if there is any changes VIII. Miscellaneous Question posed regarding students only taking digital x-rays during clinic sessions. First year students to be taught screening process by graduates during summer session. Mr. Cort to meet weekly with Dr. Pierce to refine screening procedure. Mr. Cort to develop screening template Charles Cort to contact Bill Cochran regarding reducing or eliminating fees to the lower income patients Charles Cort to start attending the NCDS (Northern California Dental Society) meetings and asking the dentists in attendance for root planing referrals Require students to take both a traditional and digital set of BWX and FMX this change will be added to the DNTL 34 Clinic folder for this Fall 2009 semester and the Clinic Manual Charles Cort Charles Cort Paula Guerrera Page 0

Final EXHIBIT -.2 Clinic Grades SPRING 2009 Shasta College Rotation Grades DNTL 43 Health Science & University Programs SPRING 2009 STUDENT AVERAGE CLINIC CLINIC CLINIC rec'd pos H090 Student 777.0 88.0 94.99% H0902 Student 2 80.0 892.0 90.8% H0903 Student 3 560.0 602.0 93.02% H0904 Student 4 733.0 765.0 95.82% H0905 Student 5 750.0 800.0 93.75% H0906 Student 6 638.0 702.0 90.88% H0907 Student 7 737.0 796.0 92.59% H0908 Student 8 79.0 833.0 86.3% H0909 Student 9 60.0 69.0 88.28% H09 Student 0 735.0 792.0 92.80% H092 Student 77.0 807.0 95.54% H093 Student 2 69.0 837.0 82.56% H094 Student 3 78.0 748.0 95.99% 0.0 0.0 0.0 0.0 Page

SPRING 2009 STUDENT Monday Wednesday Wednesday Monday Wednesday Wednesday Monday Wednesday TOTALS January January For the 2 January 4 January 4 9 January 2 January 2 January 26 January 28 Page HOLIDAY Clinic AM Clinic PM HOLIDAY Clinic rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos AM Clinic asst asst Student 22 25 23 25 2 2 2 68 74 Student 2 6 20 0 0 20 25 20 25 7 20 73 90 asst Student 3 0 0 22 25 0 0 23 25 23 25 68 75 asst PM Clinic PM Clinic asst down Student 4 23 25 23 25 6 20 2 73 82 AM CLINIC CLINIC Student 5 25 25 22 25 6 20 20 25 2 2 2 25 6 32 asst down Student 6 23 25 9 2 2 25 22 25 75 87 exc abs down Student 7 24 25 9 20 22 25 2 2 77 82 asst asst Student 8 2 25 8 25 2 6 20 5 6 82 asst down Student 9 2 35 37 22 25 2 25 89 99 exc abs exc abs Student 0 22 25 0 0 2 2 44 49 down asst Student 23 25 7 20 24 25 23 25 87 95 down Student 2 2 6 20 24 25 23 25 7 20 9 02 asst asst Student 3 0 0 24 25 8 20 2 53 57 Page 2

Wednesday Monday Wednesday Wednesday Monday Wednesday Wednesday Monday TOTALS SPRING 2009 January 28 February 2 February 4 February 4 February 9 February February February 6 For the Page STUDENT Clinic PM Clinic PM Clinic AM Clinic PM Clinic PM Clinic AM Clinic PM HOLIDAY rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos Rec'd pos asst exc abs exc abs Student 25 25 24 25 20 20 8 20 87 90 CLINIC CLINIC Student 2 7 25 8 20 2 0 2 20 25 2 25 9 20 6 39 asst down exc abs asst exc abs Student 3 24 25 2 35 37 down down down down ill asst Student 4 24 25 25 25 49 50 asst zero exc abs Student 5 6 20 2 25 2 2 25 69 82 asst exc abs exc abs Student 6 7 20 2 2 25 2 25 70 82 down exc abs down Student 7 24 25 23 25 2 9 20 77 82 down asst Student 8 9 2 2 23 25 0 2 8 25 7 86 down asst down Student 9 22 25 7 20 2 20 25 70 82 down asst Student 0 23 25 2 20 20 22 25 2 25 97 07 down asst down Student 23 25 9 20 23 25 0 0 65 70 asst asst down Student 2 2 2 24 25 4 20 60 69 asst Student 3 24 25 24 25 25 25 20 20 24 25 23 25 40 45 Page 3

SPRING 2009 Wednesday Wednesday Monday Wednesday Wednesday Monday Wednesday Wednesday TOTALS February February February February For the 8 February 8 23 25 25 March 2 March 4 March 4 Page STUDENT Clinic AM Clinic PM Clinic AM Clinic AM Clinic AM Clinic AM Clinic AM Clinic AM CLINIC CLINIC rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos asst exc abs Student 2 23 25 0 2 20 20 24 25 22 25 0 9 asst down asst Student 2 25 25 0 2 24 25 23 25 24 25 06 2 down asst Student 3 2 25 24 25 7 20 25 25 23 25 0 20 down down asst down Student 4 2 2 24 25 24 25 24 25 84 87 asst down Student 5 24 25 22 25 24 25 2 2 23 25 2 25 26 37 asst asst down Student 6 25 25 22 25 2 2 22 25 2 25 02 2 asst Student 7 8 20 0 2 2 2 24 25 2 2 23 25 8 20 7 26 down Student 8 8 20 0 0 2 24 25 0 2 8 25 8 20 99 4 abs abs zero day Student 9 2 7 20 20 20 23 25 20 25 9 02 asst asst asst Student 0 22 25 25 25 24 25 20 20 2 02 07 down Student 2 2 20 20 24 25 25 25 2 2 8 20 2 22 26 asst abs abs Student 2 20 25 2 5 20 20 25 2 2 78 94 asst asst Student 3 25 25 20 20 24 25 22 25 9 20 23 25 33 40 Page 4

Monday Wednesday Wednesday Monday Wednesday Wednesday Monday Wednesday TOTALS SPRING 2009 March 9 March March March 6 March 8 March 8 March 23 March 25 For the Page STUDENT Clinic PM Clinic AM Clinic PM Clinic PM Clinic AM Clinic PM Clinic PM Clinic AM CLINIC CLINIC rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd Pos rec'd pos asst Student 24 25 25 25 8 20 8 20 2 20 20 24 25 40 47 asst Student 2 24 25 22 25 22 25 24 25 2 2 0 2 23 25 37 49 asst down zero down down asst Student 3 22 25 23 25 45 50 down zero Student 4 22 25 24 25 2 2 2 25 25 25 25 25 29 37 asst asst Student 5 25 25 24 25 24 25 20 20 20 20 23 25 36 40 down asst asst Student 6 2 2 25 22 25 7 20 23 25 94 07 asst ill zero down Student 7 2 20 20 25 25 25 25 8 82. zero down asst Student 8 2 25 9 25 2 23 25 9 25 93 2 zero asst zero down Student 9 9 20 2 25 24 25 23 25 87 95 asst asst Student 0 24 25 24 25 24 25 25 25 23 25 23 25 43 50 asst asst Student 24 25 2 25 9 20 23 25 25 25 9 20 3 40 Student 2 22 25 7 20 20 25 8 25 2 25 23 25 2 8 20 50 77 zero down asst zero Student 3 20 20 22 25 24 25 20 20 86 90 Page 5

Wednesday Monday Wednesday Wednesday Monday Wednesday Monday Wednesday TOTALS SPRING 2009 March 25 March 30 April April April 6 April 8 April 3 April 5 For the Page STUDENT Clinic PM Clinic PM Clinic AM Clinic PM HOLIDAY HOLIDAY rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos Student 2 2 2 2 25 25 25 25 20 20 94 94 asst Student 2 7 20 24 25 25 25 25 25 5 25 06 20 asst zero down asst Student 3 22 25 23 25 45 50 asst Student 4 24 25 25 25 8 25 24 25 23 25 4 25 zero zero asst down asst down Student 5 0 0 zero down asst Student 6 22 25 23 25 22 25 67 75 down down Student 7 2 25 7 20 22 25 23 25 83 95 Clinic zero PM Clinic AM CLINIC CLINIC Student 8 25 25 24 25 23 25 23 25 22 25 24 25 4 50 asst asst down Student 9 0 2 9 20 0 2 39 44 zero asst Student 0 0 2 9 20 23 25 9 20 7 77 down zero Student 24 25 22 25 24 25 2 8 87 zero asst asst Student 2 8 25 24 25 2 25 63 75 down down asst Student 3 7 20 25 25 2 2 54 57 Page 6

Wednesday Monday Wednesday Wednesday Monday Wednesday Wednesday Monday TOTALS SPRING 2009 April 5 April 20 April 22 April 22 April 27 April 29 April 29 May 4 For the Clinic STUDENT Clinic rec'd P M Clini c PM Clinic po s rec'd A M Clinic po s rec'd P M Clinic po s rec'd dow n asst asst P M Clinic po s rec'd A M Clinic po s rec'd P M Clinic po s rec'd CLINIC CLINIC P M po s rec'd pos Student 22 25 2 2 2 20 20 24 25 89 94 asst asst Student 2 20 25 2 22 25 20 20 23 25 24 25 20 07 asst down asst Student 3 23 25 24 25 9 20 23 25 8 20 07 95 abs asst Student 4 25 25 9 20 2 2 20 20 20 20 22 25 8 97 asst Student 5 9 20 25 25 0 2 20 20 23 25 9 20 20 20 36 22 dow down n asst Student 6 20 25 0 0 22 25 24 25 24 25 90 75 asst asst Student 7 2 2 2 23 25 23 25 25 25 47 50 4 49 zero asst Student 8 24 25 25 25 22 25 2 23 25 25 25 30 2 abs abs down Student 9 2 24 25 6 20 2 2 2 25 84 94 Student 0 2 2 2 25 24 25 9 20 24 25 24 25 23 25 47 32 asst down asst down Student 24 25 20 20 2 2 25 25 2 2 93 94 da asst down zero y Student 2 22 25 23 25 2 25 2 25 22 25 09 25 da zero y down zero asst Student 3 20 20 20 20 23 25 2 2 75 77 Page 7

Wednesday Wednesday Monday Wednesday Wednesday Monday TOTALS SPRING 2009 May 6 May 6 May May 3 May 3 May 8 FOR THE PAGE STUDENT Clinic AM Clinic PM Clinic PM Clinic AM Clinic PM MOCK BOARDS rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos Student 25 25 23 25 23 25 24 25 94 00 89 200 zero zero zero Student 2 23 25 9 25 25 25 85 00 52 75 zero Student 3 22 25 24 25 23 25 8 00 50 75 CLINIC CLINIC Student 4 23 25 25 25 23 25 2 2 83 00 66 87 Student 5 22 25 22 25 25 25 2 2 86 00 67 87 asst Student 6 9 20 2 2 8 20 2 2 79 00 40 64 zero Student 7 9 20 9 20 9 20 9 20 85 00 6 80 Student 8 22 25 6 20 2 2 20 20 54 00 24 77 asst asst Student 9 2 25 22 25 23 25 84 00 50 75 asst asst Student 0 24 25 24 25 20 20 63 00 3 70 asst Student 9 20 24 25 25 25 24 25 00 00 92 95 asst Student 2 9 20 2 25 20 25 22 25 58 00 40 95 down Student 3 2 2 25 25 20 20 25 25 95 00 77 82 Page 8

Student Clinical Performances Exhibit -.3 Sheet 7 from main document Spring 2009 Health Sciences and University Programs DNTL 42/43 Shasta College Dental Hygiene Wednesday Wednesday Monday Wednesday Wednesday Monday TOTALS SPRING 2009 May 6 May 6 May May 3 May 3 May 8 FOR THE PAGE STUDENT Clinic AM Clinic PM Clinic PM Clinic AM Clinic PM MOCK BOARDS CLINIC CLINIC rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos rec'd pos zero Student 25 25 23 25 23 25 24 25 94 00 89 200 zero zero Student 2 23 25 9 25 25 25 85 00 52 75 zero Student 3 22 25 24 25 23 25 8 00 50 75 Student 4 23 25 25 25 23 25 2 2 83 00 66 87 Student 5 22 25 22 25 25 25 2 2 86 00 67 87 asst Student 6 9 20 2 2 8 20 2 2 79 00 40 64 zero Student 7 9 20 9 20 9 20 9 20 85 00 6 80 Student 8 22 25 6 20 2 2 20 20 54 00 24 77 asst asst Student 9 2 25 22 25 23 25 84 00 50 75 asst asst Student 0 24 25 24 25 20 20 63 00 3 70 asst Student 9 20 24 25 25 25 24 25 00 00 92 95 asst Student 2 9 20 2 25 20 25 22 25 58 00 40 95 down OK Student 3 2 2 25 25 20 20 25 25 95 00 77 82 Page 9

EXHIBIT -.4 Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Employer Background Number Percent Total number of employer surveys received: 50 00.0. Indicate the type of dental practice you represent: -General Practice 44 88.0 4-Public or Community Agency 2 4.0 2-Endodontics 2.0 5-NVIH Red Bluff 2.0 5-Non-Profit CHC 2.0 2-Perio 2.0 2. What year did you graduate from dental school? Not reported 3 6.0 950-959 2.0 960-969 6 2.0 970-979 3 26.0 980-989 5 30.0 990-999 6 2.0 2000-2009 6 2.0 3. How many Dental Hygienists do you currently employ? 0 4 8.0 6 2.0 2 6 32.0 3 3 26.0 4 6 2.0 5 2 4.0 Don't have at this time 2.0 - Not from Shasta 2.0 2.0 Page 20

Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Employer Background Number Percent For Dental Hygienist : How many hours per week does he/she work? 9 3 6.0 9 8 6.0 2 29 22 44.0 3 39 4 8.0 40 7 4.0 Not reported 6 2.0 For Dental Hygienist 2: How many hours per week does he/she work? 9 6 2.0 9 7 34.0 2 29 5 0.0 3 39 5 0.0 40 4 8.0 Not reported 3 26.0 For Dental Hygienist 3: How many hours per week does he/she work? 9 7 4.0 9 8 6.0 2 29 3 6.0 3 39 2.0 40 3 6.0 Not reported 28 56.0 For Dental Hygienist 4: How many hours per week does he/she work? 9 7 4.0 9 2.0 3 39 2.0 Not reported 4 82.0 Page 2

Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Dental Hygienist Evaluation Background and Professionalism Number Percent A. Knowledge background in the field: -High 35 70.0 2-Moderate 3 6.0 No Response 2 24.0 A2. Technical knowledge: -High 34 68.0.5-Moderate to High 2.0 2-Moderate 3 6.0 No Response 2 24.0 A3. Level of basic skills initially demonstrated: -High 3 62.0.5-Moderate to High 2.0 2-Moderate 6 2.0 No Response 2 24.0 A4. Length of time necessary to become oriented to job responsibilities: -High 22 44.0 2-Moderate 9 8.0 3-Low 6 2.0 No Response 3 26.0 A5. Initial ability to complete assignments within the required time frame: -High 24 48.0.5-Moderate to High 2.0 2-Moderate 22.0 3-Low 2 4.0 No Response 2 24.0 Page 22

Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Dental Hygienist Evaluation Background and Professionalism Number Percent A6. Abilty to work cooperatively and efficiently with the dental team: -High 30 60.0.5-Moderate to High 2.0 2-Moderate 6 2.0 2.5-Low to Moderate 2.0 No Response 2 24.0 A7. Ability to achieve effective dental team relationships: -High 3 62.0 2-Moderate 5 0.0 2.5-Low to Moderate 2.0 3-Low 2.0 No Response 2 24.0 A8. Ability to maintain effective dental team relationships: -High 33 66.0 2-Moderate 3 6.0 2.5-Low to Moderate 2.0 3-Low 2.0 No Response 2 24.0 A9. Abilty to relate to patients: -High 32 64.0.5-Moderate to High 2.0 2-Moderate 5 0.0 No Response 2 24.0 A0. Ability to serve patients needs: -High 36 72.0 2-Moderate 2.0 3-Low 2.0 No Response 2 24.0 Page 23

Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Dental Hygienist Evaluation Background and Professionalism Number Percent A. Application of ethical and professional standards: -High 35 70.0 2-Moderate 2.0 3-Low 2.0 No Response 3 26.0 A2. Interest in professional development activities: -High 32 64.0 2-Moderate 4 8.0 No Response 4 28.0 A3. Ability to problem solve: -High 32 64.0 2-Moderate 4 8.0 3-Low 2.0 No Response 3 26.0 A4. Ability to apply knowledge to clincial settings: -High 28 56.0.5-Moderate to High 2.0 2-Moderate 7 4.0 3-Low 2.0 No Response 3 26.0 A5. Understanding and adherence to ethnical standards: -High 35 70.0 2-Moderate 2 4.0 No Response 3 26.0 Page 24

Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Dental Hygienist Evaluation Entry Level Clinical Skills and Abilities Number Percent B. Taking health histories: 2-Moderate 7 4.0 3-High 29 58.0 No Response 4 28.0 B2. Extra and intra-oral examination: 2-Moderate 6 2.0 2.5-Moderate to High 2 4.0 3-High 26 52.0 No Response 6 32.0 B3. Dental Charting: -Low 2.0 2-Moderate 3 6.0 2.5-Moderate to High 2.0 3-High 32 64.0 No Response 3 26.0 B4. Periodontal probing and charting: 2-Moderate 5 0.0 2.5-Moderate to High 2.0 3-High 32 64.0 No Response 2 24.0 B5. Educating patients: -Low 2.0 2-Moderate 3 6.0 2.5-Moderate to High 2 4.0 3-High 32 64.0 No Response 2 24.0 Page 25

Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Dental Hygienist Evaluation Entry Level Clinical Skills and Abilities Number Percent B6. Detecting calculus: 2-Moderate 2 4.0 2.5-Moderate to High 2 4.0 3-High 34 68.0 No Response 2 24.0 B7. Removing calculus: 2-Moderate 5 0.0 2.5-Moderate to High 2 4.0 3-High 3 62.0 No Response 2 24.0 B8. Root smoothing: 2-Moderate 4 8.0 2.5-Moderate to High 2 4.0 3-High 3 62.0 No Response 3 26.0 B9. Polishing dentition: 2-Moderate 3 6.0 2.5-Moderate to High 2.0 3-High 34 68.0 No Response 2 24.0 B0. Polishing restorations: -Low 2.0 2-Moderate 5 0.0 2.5-Moderate to High 2.0 3-High 23 46.0 NA 2.0 No Response 9 38.0 Page 26

Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Dental Hygienist Evaluation Entry Level Clinical Skills and Abilities Number Percent B. Detecting caries: -Low 2.0 2-Moderate 22.0 2.5-Moderate to High 2.0 3-High 24 48.0 No Response 3 26.0 B2. Applying floride: 2-Moderate 3 6.0 3-High 35 70.0 No Response 2 24.0 B3. Exposing radiographs: -Low 2.0 2-Moderate 2 4.0 2.5-Moderate to High 2.0 3-High 29 58.0 NA 2.0 No Response 6 32.0 B4. Mounting radiographs: 2-Moderate 2.0 3-High 24 48.0 NA 2 4.0 No Response 23 46.0 B5. Interpreting radiographs: 2-Moderate 7 4.0 2.5-Moderate to High 2.0 3-High 28 56.0 No Response 4 28.0 Page 27

Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Dental Hygienist Evaluation Entry Level Clinical Skills and Abilities Number Percent B6. Aseptic/sterile technique: 2-Moderate 2.0 3-High 35 70.0 No Response 4 28.0 B7. Maintaining equipment: -Low 2.0 2-Moderate 4 8.0 3-High 3 62.0 No Response 4 28.0 B8. Nutritional counseling: -Low 2.0 2-Moderate 7 4.0 2.5-Moderate to High 2.0 3-High 24 48.0 No Response 7 34.0 B9. Pit and fissue sealant placement: -Low 4 8.0 2-Moderate 4 8.0 3-High 5 30.0 NA 2.0 No Response 26 52.0 B20. Ultrasonic scaling: -Low 2.0 2-Moderate 2 4.0 2.5-Moderate to High 2.0 3-High 34 68.0 No Response 2 24.0 Page 28

Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Dental Hygienist Evaluation Entry Level Clinical Skills and Abilities Number Percent B2. Sharpening instruments: -Low 2 4.0 2-Moderate 2 4.0 2.5-Moderate to High 2 4.0 3-High 3 62.0 No Response 3 26.0 B22. Placing periodontal dressings: -Low 2.0 2-Moderate 2.0 2.5-Moderate to High 2.0 3-High 8 6.0 NA 2 4.0 No Response 37 74.0 B23. Removing periodontal dressings: -Low 2.0 2-Moderate 2.0 2.5-Moderate to High 2.0 3-High 7 4.0 NA 2 4.0 No Response 38 76.0 B24. Administering local anesthetics: 2-Moderate 6 2.0 2.5-Moderate to High 2 4.0 3-High 28 56.0 3.5-High + 2.0 No Response 3 26.0 Page 29

Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Dental Hygienist Evaluation Entry Level Clinical Skills and Abilities Number Percent B25. Selecting dose and type of anesthetic drug: 2-Moderate 6 2.0 2.5-Moderate to High 2.0 3-High 29 58.0 No Response 4 28.0 B26. Maintaining profound anesthesia: 2-Moderate 5 0.0 3-High 29 58.0 No Response 6 32.0 Delivery of nitrous oxide: 2-Moderate 2 4.0 3-High 22.0 No Response 37 74.0 B28. Maintenance of nitrous oxide equipment: -Low 2 4.0 3-High 0 20.0 No Response 38 76.0 Page 30

Survey: Shasta College Dental Hygiene Employer Survey 2008-2009 Section: Dental Hygienist Evaluation Overall Assessment and Comments Overall, I would rate this Shasta College Dental Hygiene graduate as: Number Percent -Above Average 34 68.0 2-Average 6 2.0 4-Insufficient information to rate 3 6.0 No Response 7 4.0 Comments 32 64.0 M is not the ordinary hygienist. She is special! 2.0 We have employed 4 RDH from Shasta and are very pleased with the level of expertise as well as members of a great team. Thank you and keep up the great reputation set by these employee/team members. 2.0 Very please w/t 2.0 I did work w/yw RDHEF. Top Shelf hygenist on all accounts. She now works w/tm. The quality of your early applicants- AH, YW- was great based on their pre-rdh experience. 2.0 Hi C - This survey, as written, doesn't yet apply to me. SW work only a few days for me, but I can only say she did an excellent job based on those days. As you know, D is my only hygienist, but he went where you did. Good wishes, BD 2.0 You're doing a great job. Thank you! 2.0 Not applicable, but Please cut down on the number you graduate, as the are a is flooded with hygienist & my hygienist daughter can't find work in the area! I'd say you're doing too good of a job! 2.0 We love our hygientist 2.0 DS R.D.H. is an excellent hygiene. I am very impressed w/her ability, knowledge, attitude. Dr. BTM, DDS - Susanville 2.0 Ours went to Loma Linda & Bay Area colleges 2.0 C, Thank you so much for referring LR to our office! 2.0 Both are alumni of OIT. SCDH is a great program. It has raised the bar for hygiene in Shasta Co. Thank you. 2.0 Thank you so much! Pleasure to work with! 2.0 Never before hired a new grad. Used your grad as a 6 week temp only. 2.0 None here - occasional subs have done a good job - positive attitudes & good skills. Thanx, R 2.0 Since I do not employ a hygienist, I'm sorry I can't complete your survey. 2.0 RDH TA 2.0 All the hygienists, Shasta & elsewhere, are outstanding. 2.0 Page 3

EXHIBIT -.5 Shasta College Dental Hygiene Program Clinic Point of Service Survey Spring 2009 Q. Do you now have a better understanding of your oral health? Number of Responses Percent Yes 7 98.6 No response.39 TOTAL responses for this question 72 0 Q. Comments. 70 97.22 learned how to brush properly, & about tooth decay & periodontal disecte.39 Best & thoral & most informative..39 Q2. Do you know how to achieve better oral health? Yes 7 98.6 No response.39 TOTAL responses for this question 72 0 Q2. Comments. 69 95.83 will brush better & try to be better about my flossing,etc..39 Nicole was a great teacher of oral care..39 Best & thoral & most informative..39 Page 32

Shasta College Dental Hygiene Program Clinic Point of Service Survey Spring 2009 Q3. I found out about this dental clinic from (mark all that apply): Frequency Mentioned Percent Family/Friend 38 49.35 Shasta College Student 0 2.99 Shasta Community Health Dental 5 6.49 TV/Newspaper 4 5.9 Flyer 4 5.9 Brochure 2 2.60 Other: Can't remember.30 Other: Caring Choices.30 Other: Radio.30 Other: Dental Hygiene Student.30 Shasta Community Health Dental.30 WSWA.30 Other: Little yellow paper w/jessica's s#.30 family/friend/ Shasta College Student.30 Faculty/Staff.30 Dental Assistant @ Access.30 Market Fest.30 Other: Dr. Holpiech.30 Other: dentist.30 Other - in building of regular medical building old office.30 TOTAL responses for this question 77 0 Page 33

Shasta College Dental Hygiene Program Clinic Point of Service Survey Spring 2009 Q4. I would recommend the Shasta College Dental Hygiene Clinic to my friends. Number of Responses Percent Yes 69 95.83 Yes.39 Yes!.39 Yes, but they live far away..39 TOTAL responses for this question 72 0 Q4. Comments. 68 94.44 very good.39 Michelle is very friendly & makes it easy to be comfortable..39 most definetly.39 I have had excellent care..39 Q5. Do you have any additional comments about the care that you received at the Shasta College Dental Hygiene Program Clinic? Was a very good, helpful experience! Thank you!.39 best teeth cleaning I've ever had! Great staff..39 20 27.78 Excellent experience!.39 Was very happy with all of the experience.39 Very impressed with the clinic and the students..39 Kristina did a great job teaching me about dental care!.39 Everythings fine.39 She did an excellent job - it felt great!!.39 Amanda S. was super!.39 excelent job.39 Your student was very compassionate. Very determined in her approach to patients dental hygiene care provided..39 Marnie is fabulous..39 I am very impressed with the students and staff. They are efficieint and thorough! I will recommend to others always!.39 No.39 I'm very glad I came in..39 Page 34

Shasta College Dental Hygiene Program Clinic Point of Service Survey Spring 2009 Number of Responses Percent Nicola was great and very helpful. Good job..39 great job.39 With right Pysc and personality and attitude was a great plus..39 Very good caring service..39 Wonderful!.39 Great job!.39 You did a good job. Thanks..39 Stacey rocks!.39 Nicole was wonderful & very knowlegable..39 I have been coming to this program from the beginning. I have recommended the program to many!.39 Excellent!!.39 Christine was wonderful. Thank you!.39 I felt the student did a great job..39 My dentist was nice.39 Nicole did a very good job..39 Excellent job.39 good job.39 Excellent.39 It was an interesting & enjoyable experience..39 Great student Amanda Steele.39 Wonderful job, very knowledgeable..39 Very competent, gentle, thorough dental care.39 Very thourough & happy w/care. Thanks..39 Excellent!.39 Amiee was terrific - so much TLC & professionalism..39 Very personable hygenist.39 Very efficient..39 Nicola was very good & explained things great..39 Page 35

Shasta College Dental Hygiene Program Clinic Point of Service Survey Spring 2009 Number of Responses Percent Jessica was wonderful both times, I came in. She is great @ what she does, caring, gentle & explained everything very well. A great personality, and very professional. She will go far in life..39 Dental referrals - you are wonderful & kind..39 Awesome.39 Thank you for saving my teeth..39 Nope.39 Wonderful program! Keep it up!.39 Good job!.39 So good, work excellent dental care. Thank you!.39 Top notch.39 TOTAL responses for this question 72 0 TOTAL PATIENT RESPONDENTS 72 0 Page 36

EXHIBIT -.6 General Grade Sheet SHASTA COLLEGE DENTAL HYGIENE PROGRAM Course: DNTL 20 Schedule: Thur. -5 Semester: Spring 09 Instructor: Cort / Browand Pg Student Name Assignment Date ASA MSA PSA PSA 2 IA PSA 2 AMSA PSA3 Total Total Pts Available 46 20 20 20 20 50 20 20 20 40 20 296.00 Student 42.00 9.00 8.00 9.00 2 42.00 2 2 7.00 28.00 2 265.00 Student 2 38.00 9.00 9.00 8.00 5.00 4 8.00 8.00 2 3 5.00 25 Student 3 3 5.00 6.00 7.00 9.00 38.00 6.00 8.00 2 34.00 7.00 24 Student 4 4 9.00 8.00 5.00 2 4 8.00 7.00 2 36.00 2 263.00 Student 5 34.00 9.00 8.00 2 2 42.00 2 9.00 2 36.00 8.00 266.00 Student 6 38.00 5.00 9.00 8.00 9.00 46.00 6.00 9.00 9.00 3 8.00 257.00 Student 7 42.00 2 6.00 2 9.00 44.00 9.00 2 2 38.00 2 278.00 Student 8 42.00 8.00 8.00 9.00 7.00 42.00 6.00 8.00 6.00 36.00 2 262.00 Student 9 4 9.00 5.00 2 9.00 46.00 9.00 9.00 2 32.00 2 269.00 Student 0 44.00 5.00 2 9.00 2 42.00 2 8.00 2 36.00 2 274.00 Student 44.00 2 8.00 2 5.00 44.00 9.00 6.00 2 38.00 2 274.00 Student 2 36.00 5.00 2 9.00 2 44.00 6.00 8.00 9.00 34.00 8.00 259.00 Student 3 46.00 9.00 2 9.00 9.00 42.00 2 8.00 8.00 38.00 2 279.00 Student 4 38.00 2 2 9.00 7.00 4 2 2 2 36.00 2 27 Student 5 44.00 2 2 2 2 48.00 2 9.00 9.00 36.00 9.00 285.00 Student 6 4 7.00 8.00 8.00 9.00 4 8.00 2 8.00 36.00 2 264.00 Page 37

EXHIBIT -.6 General Grade Sheet SHASTA COLLEGE DENTAL HYGIENE PROGRAM Course: DNTL 20 Schedule: Thur. -5 Semester: Spring 09 Instructor: Cort / Browand Pg 2 Student Name Assignment Date msa 2 ASA 2 IA 2 GP ASA 3 MSA 3 PSA 4 IA3 PSA5 AMSA2 LB Total Total Pts Available 20 20 20 20 20 20 20 20 20 20 20 56.00 Student 20 20 5 20 20 9 8 8 8 9 20 472.00 Student 2 20 5 8 5 6 20 20 5 20 20 20 449.00 Student 3 6 6 0 7 20 6 6 9 8 20 8 426.00 Student 4 9 9 5 9 20 9 8 8 8 20 8 466.00 Student 5 20 20 8 20 20 6 20 20 6 20 20 476.00 Student 6 20 9 9 20 9 8 9 6 8 20 8 463.00 Student 7 9 9 9 9 20 20 20 20 20 6 20 49 Student 8 8 7 5 6 20 5 5 8 9 9 20 454.00 Student 9 9 9 5 20 20 20 20 20 20 20 8 48 Student 0 20 20 20 20 20 20 20 20 20 20 20 494.00 Student 7 20 20 20 8 20 20 20 20 20 8 487.00 Student 2 9 8 9 20 20 20 20 20 8 20 9 472.00 Student 3 20 9 8 20 20 20 20 5 20 8 20 489.00 Student 4 20 20 6 8 20 20 8 20 8 20 20 48 Student 5 20 20 9 20 20 20 20 8 20 20 20 502.00 Student 6 7 20 7 8 20 20 8 20 20 8 20 472.00 Page 38

EXHIBIT -.6 General Grade Sheet SHASTA COLLEGE DENTAL HYGIENE PROGRAM Course: DNTL 20 Schedule: Thur. -5 Pg 3 Semester: Spring 09 Instructor: Cort / Browand Student Name Assignment Date IO IA LB IO IA LB Total Points Total Pts Available 04 20 20 20 680 Percent of Grade Letter Grade Student 00 7 7 20 626.00 0.92 Student 2 02 20 9 8 608.00 0.89 Student 3 98 6 6 20 576.00 0.85 Student 4 00 20 8 20 624.00 0.92 Student 5 04 20 20 9 639.00 0.94 Student 6 84 9 20 9 605.00 0.89 Student 7 94 20 8 20 642.00 0.94 Student 8 96 8 20 8 606.00 0.89 Student 9 90 20 20 20 63 0.93 Student 0 94 20 20 9 647.00 0.95 Student 95 8 20 20 64 0.94 Student 2 86 8 8 20 64.00 0.90 Student 3 96 20 8 20 643.00 0.95 Student 4 00 20 20 20 64 0.94 Student 5 00 20 5 20 657.00 0.97 Student 6 88 6 5 20 6.00 0.90 Page 39

EXHIBIT -.7 Shasta College Dental Hygiene Program General Grade Sheet - DNTL 23 Course: DNTL 23 Schedule: M -3 Semester: Spring 09 Instructor: Henderson Pg Student Name Assignment Date q q2 q3 midterm q4 q5 q6 research final extr a Total Total Pts Available 40 50 38 72 44 70 53 00 34 60.0 0 Student 38.00 36.50 37.00 68.00 43.00 63.00 49.00 0 8.00 26.00 578.50 Student 2 38.00 34.00 33.00 68.00 35.00 53.50 46.50 9.00 0 28.00 527.00 Student 3 34.50 36.50 32.50 65.00 40.50 57.00 48.00 92.00 08.00 22.00 536.00 Student 4 33.00 33.50 35.00 67.00 43.50 64.50 44.00 0 07.00 28.00 555.50 Student 5 3 40.50 36.50 5.50 44.00 58.50 45.50 0 99.00 26.00 53.50 Student 6 35.00 38.00 37.50 6.50 38.00 63.50 48.00 9 26.00 547.50 Student 7 35.50 43.00 34.00 59.00 38.00 59.50 4.00 97.00 99.00 28.00 534.00 Student 8 32.00 34.00 37.50 64.00 43.00 57.00 35.50 92.00 22.00 58.00 Student 9 37.50 40.50 34.00 67.00 42.00 65.00 5 0 7.00 28.00 58.00 Student 0 36.00 36.00 32.00 65.50 4 64.50 47.00 99.00 8.00 26.00 564.00 Student 4 48.00 38.00 67.50 43.50 68.00 49.50 96.00 23.00 28.00 60.50 Student 2 38.00 4.00 33.50 58.50 34.00 59.00 49.00 99.00 04.00 22.00 538.00 Student 3 35.50 45.00 38.00 62.00 42.00 62.50 53.00 0 2.00 28.00 578.00 Student 4 39.00 4.50 37.50 68.50 42.00 62.50 5.50 97.00 09.00 28.00 576.50 Student 5 38.00 46.00 36.00 65.00 39.00 67.00 29.50 97.00 08.00 28.00 553.50 Student 6 32.00 4.50 34.50 57.50 35.50 63.00 46.50 9 07.00 26.00 533.50 Page 40

EXHIBIT -.7 Shasta College Dental Hygiene Program General Grade Sheet - DNTL 23 Course: DNTL 23 Schedule: M -3 Semester: Spring 09 Instructor: Henderson Pg 2 Student Name Assignment Date Total Total Pts Available 6 Student 578.50 Student 2 527.00 Student 3 536.00 Student 4 555.50 Student 5 53.50 Student 6 547.50 Student 7 534.00 Student 8 58.00 Student 9 58.00 Student 0 564.00 Student 60.50 Student 2 538.00 Student 3 578.00 Student 4 576.50 Student 5 553.50 Student 6 533.50 Page 4

EXHIBIT -.7 Shasta College Dental Hygiene Program General Grade Sheet - DNTL 23 Course: DNTL 23 Schedule: M -3 Semester: Spring 09 Instructor: Henderson Pg 2 Student Name Assignment Date Total Points Total Pts Available 60 Percent of Grade Letter Grade Student 578.50 0.96 A Student 2 527.00 0.88 B Student 3 536.00 0.89 B Student 4 555.50 0.92 A Student 5 53.50 0.88 B Student 6 547.50 0.9 B Student 7 534.00 0.89 B Student 8 58.00 0.86 B Student 9 58.00 0.97 A Student 0 564.00 0.94 A Student 60.50.00 A Student 2 538.00 0.90 B Student 3 578.00 0.96 A Student 4 576.50 0.96 A Student 5 553.50 0.92 A Student 6 533.50 0.89 B Page 42

Shasta College Dental Hygiene Program Graduate Survey 2008-2009 Section: Graduate Background Q. Year of Graduation 200 2002 2003 2004 2005 2006 2007 2008 Number Number Number Number Number Number Number Number Q. Year of Graduation 200 7....... 2002. 6...... 2003.. 4..... 2004... 6.... 2005.... 2... 2006..... 2.. 2007...... 7. 2008....... 7 Q2. When did you receive your license? 200 5....... 2002. 6...... 2003.. 3..... 2004... 6.... 2005.... 2... 2006....... 2007..... 5. 2008...... 7 2009....... 2003-Nevada....... Yes....... No response....... Q2. Days per week worked, 200 0....... to 2....... 2 to 3....... 3 to 4 3....... 4 to 5 2....... No response. 6 3 6 2 2 7 7 Q2. Days per week worked, 2002 to 2....... 2 to 3. 2..... 3 to 4 4 4...... 4 to 5 2....... Page 43

Shasta College Dental Hygiene Program Graduate Survey 2008-2009 Section: Graduate Background Q. Year of Graduation 200 2002 2003 2004 2005 2006 2007 2008 Number Number Number Number Number Number Number Number No response.. 3 6 2 2 7 7 Q2. Days per week worked, 2003 to 2....... 2 to 3. 2..... 3 to 4 4 4 2..... 4 to 5....... No response. 6 2 2 7 7 Q2. Days per week worked, 2004 to 2....... 2 to 3..... 3 to 4 4 5 2 5.... 4 to 5....... No response.. 2 2 7 7 Q2. Days per week worked, 2005 to 2....... 2 to 3.. 2... 3 to 4 5 5 4.... 4 to 5...... No response.. 2 7 7 Q2. Days per week worked, 2006 to 2. 2...... 2 to 3.. 2 5.. 3 to 4 5 3 3 2.. 4 to 5.. 3.. No response.. 2 7 7 Q2. Days per week worked, 2007 to 2. 2..... 2 to 3.. 3 3 2. 2 to 4....... 3 to 4 4 4 2. 5 2. 4 to 5.. 4.. No response 2... 7 Q2. Days per week worked, 2008 to 2. 2.. Page 44

Shasta College Dental Hygiene Program Graduate Survey 2008-2009 Section: Graduate Background Q. Year of Graduation 200 2002 2003 2004 2005 2006 2007 2008 Number Number Number Number Number Number Number Number 2 to 3.. 3. 3 4 3 to 4 4 4. 4 4 3 to 5....... 4 to 5.. 4 No response 2..... Q3. Number of employers since licensure.. 2. 2. other than temp jobs....... regular; 3 fill-in....... steady plus I temp a lot....... sub @ some....... -Shasta Comm. Dental temp Dr. Waitts, Dr. Norman....... 2 3 2 3 2 3 3 3 3. 2 2.. 3 (several temp jobs though)....... 3 2 temp, permanent....... 3 permanent, several temporaries....... 4...... 5.... 2 2. 6 (3 perm - 3 temp)....... Many....... No response....... Q4. Did you have difficulty finding a dental hygiene position?....... No 5 6 4 6 0 7 3 Yes... 2. 4 Q4. Explanation: Difficulty finding a position Had to temp for a few months........ I had about 00 resumes out. I traveled to Southern CA for an interview because it didn't seem that Id find a job in Northern California. I got hired Jan. 5, 2009 working 3 days/wk in Chico........ I had fill-in work immediately. But it took awhile to find permanent work and that is only two days a week........ Page 45

Shasta College Dental Hygiene Program Graduate Survey 2008-2009 Section: Graduate Background Q. Year of Graduation 200 2002 2003 2004 2005 2006 2007 2008 Number Number Number Number Number Number Number Number I have never had a problem........ I was a dental assistant for many years before hygiene school, I had a few Hygiene days available after school w/previous employers........ I worked as an RDA for the clinic prior to graduation & they hired me as an RDH after graduating........ I worked as an assistant for 2 of the Dentists & they offered me the position while I was in school & Dr. Clark approached me at our graduation party........ In Redding - more difficult to obtain permanent employment if wanting more than -2 days/week!!....... No positions open/too many RNH in Rdg. Area....... No response 5 6 4 3 9 5 Part time 4 months then full time at SCHC. No problem finding temp jobs - harder to find full time........ Redding area positions are all filled. It was even hard finding temporary work........ Sutter County at that time was in need of Hygienists. I had a job before graduation w/previous employer (worked as RDA), hired me as RDH........ The Redding area is saturated with hygienists. It took me a month and a half to find a job & -/2 yrs to finally get a full-time position........ The area is pretty saturated w/hygienists; however, I was hired after about 2 mos. of searching........ Too many graduates in Redding........ Would like more days a week but saturated in my area....... but I had to be willing to commute........ Q5. First job (General Practice) 6 5 4 6 2 7 7 (General Practice) as a temp (long term covered materinity le....... (General Practice), 4-Rural health clinic - Medi- Cal-Started....... (General Practice),4 (Indian Health)....... Q6. Current job (General Practice) 7 4 4 6 7 5 (General Practice) (Community Dental Center)....... Page 46