Interview with a Specialist

Podcast Interview with Dr. Jevae Nelson, 
General Practitioner and Public Health Dentist



HUCDPHD:       Hello. I'd like to welcome Dr. Jevae Nelson to our interview in her area of expertise as a dentist, a recent graduate of Howard University, and introduce her as a public health specialist. Welcome, Dr. Nelson. How are you? ... Dr. Nelson?

Dr. Nelson:       Yes, ma'am.

HUCDPHD:       Hello, I'd just like to welcome you to our interview. You are of a public health specialist. First, I'll start off with what dental school did you attend?

Dr. Nelson:       I went to the illustrious Howard University College of Dentistry.

HUCDPHD:       Wonderful. Wonderful. And how recent of a graduate are you?

Dr. Nelson:       I graduated in 2016.

HUCDPHD:       Wonderful. Wonderful. You are a public health dentist, or a general dentist specializing in public health right now.

Dr. Nelson:       Yes.

HUCDPHD:       Can you tell us what were some of your reasons for becoming a public health dentist?

Dr. Nelson:       Well, I wanted to make a difference, and I love kids, and I was actually in between public health and pedo. I had thought I wanted to be a pediatric dentist my entire life, and I actually went to one that then participated in a research project there where we were focusing our studies on first graders. And so that kind of exposed me to the fact that I could be involved with children and dentistry and public health all in one, with this specialty. And so I kind of went the public health route. And, mostly, I thought that I wanted to make a difference, just like any other dentist, but on a large scale, so I wanted to be a part of the groundbreaking discoveries that help to revolutionize dentistry and like the way that we practice, if you look at fluoride or silver diamine fluoride and things like that. But it took public health dentists, paired with other dentists and engineers, to come up with those things. That was my, I guess, interest in becoming a public health dentist.

HUCDPHD:       That's great. Wow, that sounds really interesting. What are the additional training requirements that are necessary to become a public health dentist, and how long is the additional training?

Dr. Nelson:       To become a public health dentist, to become a board certified public health dentist, you have to have at least an MPH, so that could be one to two years training. And, in addition to that, before you can take the last part of the exam, you have to have practice in the field for one year. The board certification that is required for this is two parts. There's an oral part and there is a written part.

HUCDPHD:       Okay. Okay. Very interesting. And where are you undertaking your Masters in Public Health courses?

Dr. Nelson:       Well, I am at Harvard University. Wouldn't be there without Howard. But at Harvard, it's a little bit different. I'm actually never going to get an MPH. I'm getting a Masters in Medical Science. And the coursework that we have and the opportunities that they provide us fulfill all of the requirements for an MPH, but they are just special and so they have a different name for it.

HUCDPHD:       I see. I see. I see. You'll still be able to go through at whole accreditation process, right?

Dr. Nelson:       Of course, yes. That's a requirement for a program. You have to take the written part while you're there, and then since you have to wait one year, they really strongly suggest that you take the oral defense portion as well.

HUCDPHD:       Okay. Oh, wow. Okay. Are there any specific state licensing required?

Dr. Nelson:       It's the same as a dentist. You would do the same thing as a general dentist, as far as licensure.

HUCDPHD:       Okay. Okay. And what would be the typical day as a public health dentist? What do you foresee yourself doing on day to day?

Dr. Nelson:       Well, a typical day for a public health dentist varies so vastly, which is part of the reason why I joined this profession because I get bored doing the same things over and over. Although I do love dentistry and I love practicing, I like to have diversity. For example, a few weeks ago, I spent a lot of my time down at the city hall, and there were some bills going on about dental therapists, as well as some other bills that probably are applicable to you about the board exam and making it not clinical with live patients. But I spent my entire day down there advocating for things that I believe in and so you could do something like that in policy, or you could choose a more academic route, or you could have a research strength, or you could just work for the government and do more like a community approach.

HUCDPHD:       Okay. Do you foresee yourself incorporating clinical practice?

Dr. Nelson:       Do I foresee myself incorporating public dental health dentistry?

HUCDPHD:       Or clinical practicing?

Dr. Nelson:       Oh yeah. I currently practice.

HUCDPHD:       Oh okay. Wonderful.

Dr. Nelson:       Yeah, so just because you’re a public health dentist does not mean that you give up what you’ve worked so hard for. So that should be very clear.

HUCDPHD:       Wonderful.

Dr. Nelson:       You have the option- oh excuse me. You have the option to do really whatever you want. You can make your schedule however you want it.

HUCDPHD:       Wonderful. Wonderful. So to you what is the most rewarding part about being a public health Dentist?

Dr. Nelson:       I will say that the most rewarding part is... I think that it would be similar to any other dentist. Just that feeling that you get when you know that you’ve made an impact and you’re making a difference. I guess for the public health I just have the option of not limiting myself to my clinical abilities but also helping to provide breakthroughs to research and advocacy and policy changes.
                          Right now, I’ve been assimilating a lot of work towards Congress concerning CHIP, which is a children’s health insurance program, and the fact that they didn’t reinstate it. And really trying to almost lobby but just provide them information so that they know the seriousness of this and the fact that almost 9,000,000 children depend on it and just trying to advocate for the dental needs and the dental benefits for everyone. So it’s really about health equity as a dental public health specialist. It’s not that you wanted to give everyone an equal amounts of benefits but you want to have everyone on an equal level so I’m just trying to help those who are underserved and underrepresented, and give them the same opportunities that everyone else has. That’s kind of what drives me and I guess that would be what’s rewarding about the profession.

HUCDPHD:      That’s a commendable body of work that you’re undertaking right now.
                            So in your clinical practice what types of patients are you seeing?

Dr. Nelson:      Well currently I work for Forsyth Kids and that is a private organization, but they see children who take state insurance. So I spend a lot of my time with underserved and under-represented youth and treating them. Just trying to educate them so that they can help themselves and not have to come and get a filling or restoration or a crown or anything like that continuously. We try to empower them so that they can take control of their oral health, as well as their overall health. Right now I’m seeing children, which is perfect because like I said I wanted to work with children at first but you can see whatever type of patients that you wanted clinically if that were your desire. Because after all you still are a dentist. 

HUCDPHD:      So in your public health and that kind of aspect of your life, do you deal with any lobby, state legislators, and federal legislatures? Do you also work with other community oral health advocacy groups?

Dr. Nelson:      I work with community advocacy groups, but as far as oral health I think that us public health dentists are really the advocates as far as oral health. The ADA has their health policy institute and there's people there for sure and there's policy people all over but specific to dentistry, I think that it would be us.
                          But for instance, on Monday I was at this breakfast and it was the health law advocacy group and it was lawyers, and medical doctors, and dentists, and mental health workers and a group of over 7,000 that came together to brainstorm and really work towards advocating for others and at this particular instance we were talking about those who were DACA immigrants or DACA recipients. And just advocating for people that come, I mean minorities, there's different forms of minorities and immigrants are one of them. We try to advocate for everyone.

HUCDPHD:      Interesting. Interesting. Very interesting. Let's see. Are there any local organizations that public health dentists should join, recommend joining, or that you yourself are a member of?

Dr. Nelson:       I'm already a member of the American Association of Public Health Dentistry. With that they have something called the National Oral Health Conference that's like a sister, just a conference part of the APHD. In addition, there's the American Association of State and Territorial Dental Directors, which is a TDD, an integral part of the public health community. I would say APHD, American Association of Dental Directors, or State and Territorial Dental Directors, those are excellent starters. There's also, you could dive into specific programs as you see the need.

HUCDPHD:       Okay, interesting. What is, I think I might know this based on what you talked about earlier, but what is your most important dental related public health issue that you want to spend your time fighting for?

Dr. Nelson:       I really am fighting for equity. I wish this was in person, I could show you a picture or even draw a picture of what it really means. Maybe you could Google it - health equity versus health equality just so that you could see what the difference is and what were striving for. That's something that's really important for me. Just equipping people with literacy skills as well to understand their own health and how it effects their oral and overall health. That's something that's important.

HUCDPHD:       Okay. What advice would you give a D1 student who might have some type of interest but is not really sure about public health? What type of advice would you give them?

Dr. Nelson:       I would first say keep an open mind because like I said, I wanted to be a dentist at five and before I came to dental school, while I was in college, I just knew I wanted to be a pediatric dentist. It wasn't until my third year in dental school, when I studied abroad in London, that I really exposed myself to the opportunity of doing something other than pediatric dentistry. That was pretty late in the career because you have to apply for residencies shortly after. I actually did get into a residency that was public health and it was three years. It was a paid position, but I really found my love for public health dentistry. I really want to fight to change the world of dentistry so that everyone can have an equal opportunity. I would tell a D1 to keep your options open. I loved endo, I was great, and I had a great relationship with all my prof professors so I had options. I just followed my heart. Follow your heart because at the end of the day you want to be happy with what you do and you want to go to work and you don't want to feel like its work. Enjoy what you do and then that can help you.

HUCDPHD:      Well I just want to thank you Dr. Nelson for your time, and for your advice, and the words that you spoke. I wish you the best.

Dr. Nelson:       One other thing if you don't mind. If anyone is interested and they just want to talk a little more, they want to find out anything more, I definitely bleed blue, the Howard Blue, I would be interested in answering any concerns, any questions or helping to mentor anyone. That's a definite important part of our development in our career. I just want to make that known so that you can let others know what this is. Some people might not look into it because its not very lucrative if you are trying to be a millionaire really, really quickly. If you want that internal satisfaction, then definitely let them contact me.

HUCDPHD:       I will do that. Thank you very much, Dr. Nelson.

Dr. Nelson:       Okay. Thank you.

HUCDPHD:       I look forward to talking to you soon. Thank you.

Dr. Nelson:       Bye, bye.

HUCDPHD:       Bye, bye.