Student Community Service Protocol

  1. For all Educational community service, virtual (pre-recorded) programs, or outreach activities that do not involve screenings, fluoride varnish, etc. a UMSOD Faculty member does not need to oversee the event. The following is needed 2 weeks prior to the event:
    • Student Education Activities Form: NON CLINICAL/EDUCATIONAL ONLY Form
    • Submit the signed for to the Director of Medical Credentialing & Quality Assrance, Ms. Elyse Markwitz (
      1. A list of student names need to be submitted to the Director of Medical Credentialing and Quality Assurance 2 weeks prior to the event stating what the students will be doing at the event
      2. Faculty is to notify students if they will NOT be assisting at the event and doing other volunteer tasks (such as: setting up, etc.) 
  2. For Clinical community service outreach activities and health fairs that involve screenings, fluoride varnish, etc., A faculty member with a current Maryland State Dental License must accompany any community service event which includes patient evaluation, screening, prevention or treatment. It is not necessary to have a faculty member with you if you are limited to patient instruction or education only. A UMSOD Faculty member must be overseeing the event. The following is needed 2 weeks prior to the event for Liability Insurance reasons:

For both educational and clinical community service outreach, all forms must be completed including the and sent to Ms. Elyse Markwitz ( two weeks before the outreach event so that it may be reviewed and approved by Dr. Louis G. DePaola. For clinical outreach activities, please provide the completed Template Sign-In Sheet and Consent following the event.  This is necessary for the event to be covered by our liability policy.

For more information regarding Community Service Events Procedures, please refer to the Clinic Manual.