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About the ACT Curriculum

Janet Guthmiller talking to a group of students in a lecture hall during orientation

ACT Overview

The Advocate-Clinician-Thinker (ACT) curriculum is where innovation meets tradition to shape the next generation of dental professionals. At the Adams School of Dentistry, we prioritize an immersive learning experience that not only equips learners with the clinical skills necessary for dental practice but also fosters a deep-rooted commitment to advocacy and critical thinking. Our curriculum is designed to inspire and challenge learners, providing them with the tools they need to excel in a rapidly evolving healthcare landscape.

Through a blend of hands-on clinical training starting in the first year, interactive seminars, and real-world experiences, our program empowers learners to become advocates for health equity and change-makers in their communities. We believe that dentistry is not just a profession but a calling, and our curriculum reflects this ethos by emphasizing the importance of compassionate patient care, evidence-based practice, and lifelong learning. With integrated content across three streams of science (Biomedical, Clinical & Behavioral, and Health Systems), we are committed to nurturing the intellectual curiosity of each learner, preparing them to thrive in the dynamic field of dentistry with confidence and excellence. Join us on this transformative journey towards a brighter, healthier future.

portrait of sean ahn

Curriculum by Phase

Each phase of the curriculum has been carefully designed to enhance the development of essential competencies for future dental professionals, ensuring they are well-prepared to meet the evolving needs of communities.

Basecamp sets expectations for professional engagement, prepares learners for success, and contextualizes knowledge of biomedical and social sciences for clinical practice. This six-week phase is intended to provide the basics of dental education for the learner.

Foundations of Practice (FOP) encompasses the first two years of the curriculum, focusing on developing foundational knowledge and skills through integrated experiential learning and early clinical exposure. This phase prepares learners to deliver person-centered care, apply foundational sciences for sound clinical decision-making, and develop essential psychomotor and clinical techniques.

Starting in the spring of their first year, learners join assigned practice groups (‘offices’), working alongside upper-level classmates in patient care. By summer, they receive their first primary provider-patient assignment. In the second year, the curriculum expands to include specialized areas of care, emphasizing the application of clinical skills in patient treatment.

Guided Advanced Clinical Practice (GAP) entails the clinical phase of the curriculum. The goals of GAP are to aid learners as they support person-centered care in clinical practice, refine the use of effective clinical decision-making, and develop advanced psychomotor skills and clinical techniques.

The clinic model replicates both current and future clinical environments, with two main practices housing three vertically integrated offices. Faculty preceptors lead each office, collaborating with specialists to promote care teams. At the end of each six-week block, offices conduct a ‘practice review,’ an element of practice management focused on key parameters essential to effectively managing a dental practice and office operations.

Learners rotate through a variety of intramural specialty-focused rotations. The extramural service rotation, or Dentistry in Service to Community program (DISC), rotating for four weeks throughout diverse and underserved North Carolina communities.

Seminars in the third and fourth years are designed to simulate residency training through hands-on and interactive learning. These include topics such as diagnosis and treatment planning, critical thinking with case-based learning, and specialty seminars. The leadership seminar, in collaboration with the Bell Leadership Institute, provides leadership training during each six-week block, culminating in a focused two-day event in the summer between the third and fourth years.

Individualization allows learners to explore various aspects of dentistry and outside the profession, offering learners experiences with electives, certificates, and special shadowing experiences in multiple areas of dentistry.

Entrustable Professional Activities (EPAs)

EPAs comprise a series of tasks learners are expected to repeatedly perform safely and independently prior to graduation, offering a bridge between competency-based assessment and clinical practice. These tasks are nested into four core EPAs: assessment, plan of care, collaborative care, and provision of care.

Assessment

  • Diagnostic Tests
  • Patient History
  • Patient Examination

Plan of Care

  • Diagnosis and Risk Assess
  • Treatment Plan
  • Informed Consent
  • Re-evaluation

Collaborative Care

  • Consult
  • Referral

Provision of Care

  • Ancillary Therapy
  • Preventive Care
  • Non-surgical and Surgical Care
  • Emergent and Urgent Care

View the EPA document in its entirety.

How to install the app on a phone:

  • Go to your web browser and enter https://dentalschool.unc.edu/epas/ and click the share icon at the bottom of the screen.
  • Scroll down and click “Add to Home Screen”
  • Click Add. A new icon will be added to your home screen so you can quickly view the EPA data. 

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