To ensure that dental education and services are considered when academic institutions evaluate their role in a changing health care system, the committee recommends that dental schools coordinate their strategic planning processes with those of their academic health centers and universities.


To respond to changes in roles and expectations for providers of outpatient health services including dental school clinics, the Commission on Dental Accreditation and the American Association of Dental Schools should

  • reexamine processes for assessing patient care activities in dental schools and ensuring the quality of care, and
  • begin to evaluate new options such as eventual participation by dental schools in separate accreditation programs for their ambulatory care facilities.


To consolidate and strengthen the mutual benefits arising from the relationship between universities and dental schools, each dental school should work with its parent institution to

  • prepare an explicit analysis of its position within the university and the academic health center;
  • evaluate its assets and deficits in key areas including financing, teaching, university service and visibility, research and scholarly productivity, patient and community services, and internal management of change; and
  • identify specific objectives, actions, procedures, and time-tables to sustain its strengths and correct its weaknesses.


To provide a sound basis for financial management and policy decisions, each dental school should develop accurate cost and revenue data for its educational, research, and patient care programs.

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