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• Fox Valley Technical College in Appleton recently unveiled a $2.1 million expansion to its dental training program, part of $20 million set aside by the Legislature specifically to target the state’s shortage of dental workers. 

• Officials identified the shortage before the COVID-19 pandemic and explored the issue after an influx of dental workers retired during the pandemic. 

• The issue? The state’s dental training programs were at capacity with long waiting lists. 

• They took their findings to lawmakers and lobbied for funding to expand training opportunities. 

• It will be a few years before students earn their credentials and get into the workforce.

It took Allison Beining and Kaitlyn Weyenberg almost three years to get accepted into Fox Valley Technical College’s dental hygiene program. While they inched up the waiting list for one of the coveted 15 spots, they completed dental assisting training, which taught them to operate radiographic equipment and sterilize medical instruments, among other skills.

Now, as the two students prepare to graduate and begin working as hygienists, the Appleton-based college is debuting a $2.1 million expansion to oral health training — so future students won’t have to wait as long to enroll. Across the state, 13 more campuses are unveiling similar projects. 

Following a $20 million investment from the Legislature, Wisconsin’s technical colleges are trying to solve the state’s dental worker shortage by revamping their oral health programs, constructing upgraded labs and enrolling hundreds more students. 

“We know that this is a need, and this expansion allows us to serve more students in these programs than we had previously, which means more hygienists, more assistants into the community and into the workforce quicker,” FVTC Chief Academic Officer Jennifer Lanter said.

Wisconsin’s dearth of dental workers has been well documented in recent years. Forty-two of Wisconsin’s 72 counties are impacted by the scarcity, according to the Rural Health Information Hub. 

Dentists are poorly distributed across the state, with an uneven share practicing in metropolitan areas and too few in rural regions. Too few dental hygienists and assistants — largely trained by technical schools — have entered the field to replace those who have retired in recent years.

Officials at nearly every Wisconsin technical college are looking to respond by expanding their training capacity. The technical college system trains about 2,200 students in oral health professions each year, and the new state funding will allow colleges to increase enrollment by about 10%, System President Layla Merrifield said. 

An influx of students graduating and entering the workforce should make booking oral health care appointments easier, industry officials say. 

“Not only was it a workforce issue for our dentist offices, but it was starting to impact patient care — access to care — where patients weren’t able to get their cleanings and their routine work done,” said Wisconsin Dental Association Executive Director Mark Paget. “It became a health issue for us, and thankfully, the Legislature understood the problem.”

‘It always boils down to money’

Industry leaders began staring down the barrel of a dental worker shortage roughly seven years ago. Then, an influx of hygienists retired during the COVID-19 pandemic, “throwing gasoline on the fire,” Paget said.

The dental association created a task force with the state’s technical college system, the Office of Rural Health and the Workforce Development Association to discuss solutions. 

It quickly identified a major snag keeping new workers from entering the profession: The state’s eight dental hygiene training programs were all at capacity, with students stuck on waiting lists to participate. 

“We met with the technical colleges several times and said, ‘OK, what would it take to increase your class sizes?’ Because that’s obviously where the problem is. There’s just not enough capacity for the schools to teach the classes,” Paget said. “The technical college said the magic words. It’s always money, right? It always boils down to money.”

Merrifield said the steep cost of installing equipment, such as chairs and tools, was a major barrier to colleges educating more students.

In FVTC’s case, that meant some of the dental lab spaces were physically cramped, which allowed room for fewer learners and sometimes led to errors. 

“The sterilization room … it was so small,” Beining, the student, recalled. “Things would get lost, people would get frustrated.”

In 2023, the dental association’s advocacy team lobbied the Legislature for more money to increase training capacity. Lawmakers allocated $20 million in that year’s budget to expand the oral health care workforce, such as increased class sizes, new programs and investments in equipment.

The funds flowed to the technical college system, which dispersed portions to schools as grants. Fourteen out of 16 colleges received a share, Merrifield said. 

While roughly half of the colleges offer dental hygiene programs, some funding went to assistant training and creating Expanded Function Dental Auxiliary certificate programs, which give advanced training to dental assistants. FVTC used grant funds to introduce an EFDA certificate this year.

Light at the end of the tunnel

Inside Lakeshore College’s dental lab, it might be easy to forget you’re on a college campus and not inside a dentist’s office. The space is outfitted with a reception desk and waiting room, 11 sleek dental chairs and a locker room for students to dress in their scrubs.

The college, based in Cleveland, Wisconsin, used its $1.2 million in grant funds to renovate its dental lab, upgrade equipment and introduce a dental hygiene associate degree. 

Previously, Lakeshore College offered only a semester-long dental assistant certificate. Now, the college will increase to training 15 assistant students each semester and enroll 10 more in the hygiene program. 

“There’s definitely a need in this area,” said Christina McGinnis, Lakeshore’s dental program coordinator. “Often when you call the dentist, it takes a long time to get in. So having more chairs, more students can definitely help fill that void in the local community.” 

Inside a newly constructed classroom, three stations are equipped with mannequin heads with wide-open mouths. The students will practice using their suction and cleaning instruments on the dummies before they work on real people. The simulators are just one of the technology upgrades the college was able to purchase with the grant funds, and they will help students become familiar with the tools they’ll use in the industry.

“(We’re) trying to stay on top of what’s out there, for what our students are going to be seeing when they go out to the community, working as assistants or hygienists,” McGinnis said. “They know what they’re going to be exposed to here, and then they’ll also see that in the dental world.”

Almost all Lakeshore College dental assisting students have a full-time job lined up when they graduate, McGinnis said, and it’s typical for students to enter the field earning $20 per hour. The college is waiting for a dental program accreditor to approve the hygienist degree. Officials hope it will launch in the fall of 2026.

Other Wisconsin technical colleges are starting programs tailored to needs in their service areas. For example, Madison Area Technical College recently renovated its lab and added an EFDA certificate program. Northcentral Technical College in Wausau, surrounded by rural counties with severe shortages, is introducing the state’s first dental therapist training. 

“If you’re growing up as a kid on Medicaid in the Northwoods, you almost never see a dentist. It’s very, very difficult to even see a hygienist,” Merrifield said. “So the idea with that particular program is to produce these professionals — not that they’re gonna compete with dentists because they can’t do everything that a dentist can do — but they can expand that access and make it a little bit easier.”

In the meantime, the industry just has to get through the next year or two before the additional students start graduating from the programs and filling the many empty jobs, Paget said. 

“The system works exactly how the system was supposed to work,” he said. “The technical colleges, the Legislature, the governor, everybody came together to solve a problem.”

This story was updated with the correct name for Lakeshore College. Wisconsin Watch regrets the error.

Miranda Dunlap reports on pathways to success in northeast Wisconsin, working in partnership with Open Campus.

Long wait for a dental appointment? Wisconsin tech colleges are working to fix that is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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• A new analysis finds that Wisconsin ranks 46th in college affordability. 

• The report, published annually by the nonprofit National College Attainment Network, focuses on each state’s “affordability gap” – the difference between the cost of public college and what students and their families can pay.

• Spokespeople for the Universities of Wisconsin and the Wisconsin Technical College System say leaders at their respective institutions know students have unmet needs and are working to support them. 

• As a result of Wisconsin lawmakers spending less on higher education, some experts think tuition promise programs will be part of the solution.

Public college is less affordable in Wisconsin than in nearly every other state, according to a new analysis of 2022-23 school year data. The nonprofit National College Attainment Network, which advocates for college access, reports annually on each state’s “affordability gap” between the cost of college and what students and their families can pay. 

The analysis included 28 Wisconsin colleges, finding that all of the state’s public four-year schools and nearly 90% of the technical colleges were unaffordable.  

Just four states ranked lower than Wisconsin in the share of their colleges considered affordable: Delaware, New Hampshire, North Dakota and Rhode Island. Nationwide, nearly half (48%) of all public four-year colleges and more than a third (35%) of community or technical colleges were affordable, the report found. 

“We saw (Wisconsin) stand out as particularly unaffordable as compared to our national average and to the other states in the region,” said report author Louisa Woodhouse, a senior associate for the organization.

To estimate what students could pay at each school, Woodhouse added up the average grants, loans and work study payments they receive, as reported in a federal database. She added that to an estimate of summer wages — based on full-time work at the state minimum wage — and an “expected family contribution” using average Pell grant awards. 

Woodhouse compared those figures with each school’s published cost of attendance. That included tuition, fees and estimated costs of items like housing, food, books and transportation. She added a flat $300 for emergency expenses. 

The report considers a college affordable if attendance and emergency expenses totaled less than income and aid.

The study included 13 Wisconsin public colleges or universities that grant bachelor’s degrees, as well as 15 of the state’s 16 technical colleges. It excluded Madison College, which belongs to the technical college system but is classified as a four-year school in federal data.

None of the four-year schools and just two technical colleges were affordable, Woodhouse found.

Wisconsin technical college students face an average affordability gap of $1,336, nearly triple the $486 national average, Woodhouse calculated. 

Students at Wisconsin’s four-year schools experienced a $3,549 gap, more than twice the national average of $1,555. 

Calling affordability and accessibility “cornerstones of our mission,” Universities of Wisconsin spokesperson Ethan Schuh noted that the system charges the lowest average tuition rates in the Upper Midwest. 

“We recognize there can be affordability gaps,” Schuh said in an email, adding that the report’s “novel datasets and methodologies” might “unintentionally disadvantage universities with low tuition and limited aid,” like those in the UW system.

Schuh attributed cost issues raised in the report to broader national trends, which “underscore the need for continued investment in financial aid and student support.” 

“While we are not immune to these challenges, we are actively working to address them,” Schuh said. 

Wisconsin Technical College System spokesperson Katy Pettersen said the report “raises important concerns about affordability.” But she questioned whether the study’s methodology accurately evaluated the state’s tech colleges, where students often attend school part time while working full time. Many earn above minimum wage in Wisconsin’s competitive labor market, Pettersen said. 

Meanwhile, Pettersen said, Wisconsin’s technical colleges work differently than counterparts in other states, making them hard to compare. Wisconsin’s tech colleges emphasize hands-on education in technology-intensive labs, while many community colleges elsewhere prioritize lower-cost classroom education, Pettersen said. 

“We acknowledge that many students face unmet financial needs. Addressing these challenges is a priority, and we continue to explore ways to support students beyond tuition,” Petterson said in an email. “Affordability is a multifaceted issue, and while we recognize the challenges, we remain committed to providing high-value education and supporting students in every way we can.” 

Shrinking state funding for higher education

Wisconsin college costs are partially the result of state and federal policy decisions. Like many of their Midwestern peers, Wisconsin’s public colleges rely heavily on tuition, Woodhouse said.

Wisconsin’s state government allocates nearly 17% less funding per full-time student than it did in 1980, according to the State Higher Education Executive Officers Association — a trend UW system leaders are closely watching.

Today, the state provides just 20% of the system’s budget, half the share it covered in 1985, Schuh said.

About 60% of university revenue now comes from tuition and fees, nearly triple the previous levels, Schuh added. 

“This shift has placed a growing financial burden on students and families, limiting access to the same educational opportunities that have long defined Wisconsin’s public universities,” Schuh said. 

Paying for college in Wisconsin could get more difficult in the coming years, Woodhouse said, pointing to recent federal cuts to food aid, Medicaid and other safety net programs. States often  fill the gap in those services by diverting money from education.

Colleges, in turn, may raise tuition to patch budget holes, putting college further out of reach. 

”That’s just another argument towards the importance of investing in higher education funding, both operational support for public institutions and also need-based aid in the years to come,” Woodhouse said.

Wisconsin tech college tuition over the last decade has risen no faster than inflation, Petterson said. At UW system campuses, tuition rose 4% to 5% this year, following a 10-year tuition freeze.

Political debates are swirling around the value of college, with Republicans increasingly asking whether pursuing a degree is worthwhile. Carole Trone, executive director of the Wisconsin-based Fair Opportunity Project, wants more bipartisan scrutiny of those high price tags.

“Are colleges doing everything they can do to keep the college costs down?” asked Trone, whose organization offers online counseling to help students nationwide apply to and pay for college. 

Some studies show inflation-adjusted tuition rates have plateaued or even declined, Trone said, but rent and other living costs are soaring. 

“The cost of college keeps going up because of all those other costs that, in some cases, are outside of a college’s control,” Trone said. 

Meanwhile, federal aid doesn’t stretch as far as it used to. Federal Pell grant awards, for instance, have increased more slowly than inflation. In 1975, they covered more than three-quarters of the average cost to attend a public, four-year university, according to the National College Attainment Network. That’s compared to just one-third of average attendance costs today.

UW ‘promise’ aims to fill gap for higher-need students

A growing number of Wisconsin students are eligible to have their full tuition and fees covered with the help of “promise” programs, which pick up remaining costs after eligible students use federal financial aid and scholarships. 

UW-Madison’s Bucky’s Tuition Promise, launched in 2018, helps students with household incomes of $65,000 or less. It covers most costs but excludes expenses like rent, groceries or textbooks.

The UW system expanded the program to other campuses in 2023 but cut it the next year due to budget woes. 

The system resumed the program this fall with private funding: Madison-based student loan guarantor Ascendium Education Group will cover costs for students in households making $55,000 or less. 

Until the program has stable funding, Woodhouse said, eligible students may hesitate to enroll in college for fear of being stuck with costs in future years.

Democratic state lawmakers want to allocate nearly $40 million to provide that stability. They introduced legislation on Thursday to extend the Wisconsin Tuition Promise program with state dollars, covering costs for students of all UW schools except UW-Madison whose families make $71,000 or less. 

“Higher education powers Wisconsin and cost should not prevent students from families in every income bracket in Wisconsin from having the opportunity to earn a degree,” Senate Democratic Leader Dianne Hesselbein, D-Middleton, said in an emailed statement.

Schuh said the proposal would allow Wisconsin to compete as other states take steps to lower college costs. 

“It would eliminate the affordability gap for thousands of students and restore the promise of higher education as a public good,” Schuh said. “It would ensure that the opportunities available to past generations remain accessible to all Wisconsinites today and into the future.”

Disclosure: Ascendium Education Group is a donor to Wisconsin Watch but has no control over its editorial decisions. A complete list of donors and funders, as well as donation acceptance policies, can be found on our funding page. 

Natalie Yahr reports on pathways to success statewide for Wisconsin Watch, working in partnership with Open Campus. Email her at nyahr@wisconsinwatch.org.

Study: Wisconsin trails most states in college affordability is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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• Northeast Wisconsin Technical College is part of a growing trend of technical colleges moving to shorter courses, and it’s among few to offer classes almost exclusively in an eight-week semester model.

• Administrators and instructors say the intensive pace helps students perform better and prevents them from dropping out when they face hardships outside of school.

• NWTC’s retention and graduation rates have improved since the college began offering shorter courses.

Halfway through his Monday morning class at Northeast Wisconsin Technical College’s Green Bay campus last month, Patrick Parise instructed his Introduction to Ethics students to hold up their fingers: one if they’re confused about the lesson, 10 if they’ve mastered it. When met with a sea of “jazz hands,” he moves on to review the next chapter.  

The students will take their final exam several days later, after absorbing major ethical theories and key philosophers’ views in just eight weeks — half the length of the traditional 16-week college course. 

That’s because NWTC leaders have overhauled nearly every course in recent years, accelerating them to move twice as quickly. Administrators and instructors say the intensive pace helps students perform better and prevents them from dropping out when they face hardships outside of school.

NWTC is part of a growing national trend of colleges moving to shorter courses, but it’s one of fewer to offer eight-week classes almost exclusively. Many others have recently flirted with the idea by piloting a smaller share of shortened course options. 

“Everybody wants shortened learning. Nobody wants to be in a class for 16 weeks anymore. That’s not the pace of learning,” said Kathryn Rogalski, the college’s vice president of academic affairs and workforce development. “That faster pace, that more intensive time together, I think, is making the difference.”

The schedule at NWTC splits the traditional semester in half — for example, rather than taking four classes over the course of 16 weeks, a student would complete two speedier classes in the first eight weeks, then complete two more in the latter half of the semester. 

Proponents of the approach say juggling fewer classes allows students to focus better while some worry the brisk pace makes it easier to fall behind. 

The transition required a heavy lift, which came with challenges. Some students say the swift pace required a learning curve, and administrators acknowledge that starting a new slate of courses every eight weeks can be intense. 

But data suggests the switch has brought positive change to the 23,000-student college. Retention rates are up, meaning fewer students are dropping out. Students are earning higher grades on average. More are graduating on time. 

Parise, who has taught at NWTC since 2007, says his students engage more in shorter courses. In the 16-week model, he would have taught the ethics students once a week. Now he sees them twice weekly, which reduces the material students forget between classes and strengthens relationships, he said. 

“I find classes develop a far better sense of a learning community,” Parise said. “That’s huge … in the classes that I teach, creating an environment where students feel safe and comfortable and share ideas and ask questions — I don’t know that you can teach somebody ethics without having an environment like that.”

Shortening courses to limit ‘stopping out’

In 2018, NWTC leaders contemplated how they could reduce the number of students who were “stopping out,” or withdrawing from their studies with the intention of returning later, at the six-week mark. 

At least one in three NWTC students rely on federal financial assistance to afford college costs, and many have jobs and families — meaning nonacademic challenges can easily derail the semester.

College leaders wanted these students to be able to “take a break when they needed to, but then not have to be gone a whole semester or a whole year before they could start back,” Rogalski said.

Breaking the semester up into smaller pieces could help, they realized. National research and data from a few short courses they already offered suggested students persist better in accelerated courses. Meanwhile, the eight-week course model was beginning to gain momentum at community colleges in Texas, showing promising results. 

“If (students) are in week six of eight, they can figure out those last two weeks of, ‘How do I figure out that child care? How do I find some transportation?’ And they can finish the courses that they started,” Rogalski said. “If they’re in week six of 16 weeks, it’s really hard for 10 more weeks to figure out how to make it through.”

So NWTC leaders went all in. By 2020, they shifted roughly half of classes to the model. By 2021, 93%. The college exempted select courses, such as clinical rotations in hospitals for nursing students, but otherwise asked all instructors to get on board. 

That sweeping overhaul across nearly every program is vital to seeing results, but it’s a feat few colleges have accomplished, said Josh Wyner, vice president of education nonprofit The Aspen Institute.

“That’s really one of the things that we’ve appreciated about Northeast Wisconsin for years, is that they went to scale when they found something that worked,” Wyner said. “If the data show that students will benefit, they ask themselves the question … ‘Why would we continue to offer things in other formats?’”

Overhauling courses isn’t easy

Accelerating college courses comes with speed bumps. 

A sick student absent for a week misses double the instruction. Financial aid payment schedules must be retooled. Some high schoolers taking dual enrollment classes must manage the condensed schedule. Instructors must revamp their courses. 

Many colleges make the mistake of “simply trying to take 16 weeks of coursework and squeeze it into eight weeks,” Wyner said. 

“It can’t be the same class when it was in 16 weeks as it is in eight weeks. It has to look different,” Rogalski said. “I don’t think any college could be successful at this if they just shrunk their curriculum and just did exactly what they were doing, but did it twice as fast.”

When Nick Bengry transferred to NWTC from Lawrence University in Appleton to save money on tuition, it came with a learning curve. The university used a lengthier semester schedule, so he worried about the transition to more rigorous courses at the technical college. In the last year he’s found “some (classes) that are a little bit rougher” than others in the eight-week format, but feels like the workload ultimately “ends up being similar.” 

“Some classes like, the medical terminology class, were really fast-paced because of the way they were designed,” said Bengry, who plans to transfer to the University of Wisconsin-Madison next year and eventually become an emergency room doctor like his father.

He also finds it easier to schedule the requirements he needs for his biomedical engineering major while juggling a job at Bellin Health. 

“It makes it easier to fit the courses you need into your semester,” Bengry said. “Each course being only half the length means that if I need to fit a course into this semester, there’s more spots — it could be the first half or the second half.”

When students do struggle with their coursework, college staff has half the time to get them back on track before their class ends.

For example, in Kristin Sericati’s developmental reading and writing class, which helps students with lower literacy skills, “resource navigators” visit the classroom during the first week to meet one-on-one with every student and advertise services like tutoring or financial assistance. The college also has an “early alert” system that enables staff to intervene with helpful resources immediately if a student isn’t showing up to class or scores poorly on an assignment.

“A student is not waiting two weeks to have some sort of support that they need, which is now a quarter of their learning experience in that class,” Matt Petersen, NWTC’s associate vice president for ​​institutional research and strategic analytics, said. “We just can’t afford that. Our students can’t afford that.”

As they’ve worked out the kinks, NWTC leaders have returned some classes to 16 weeks. One microbiology class changed back when eight weeks wasn’t enough time to grow the bacteria needed for the students’ research. Now, about 86% of courses are accelerated, fewer than the share in 2022, and administrators say they’ll continue evaluating what works best. 

Boosting retention and graduation 

Seven years after leaders conceived the overhaul, data shows it’s paying off. 

Retention for full-time students, or the share of students who stay enrolled or finish their program from one year to the next, has shot up by 19 percentage points since 2018, when the college introduced eight-week courses. Now, 77% of full-time NWTC students continue in their studies, federal data shows. Nationwide, full-time community college students had an average retention rate of 63% in 2023, according to the National Student Clearinghouse. 

Retention rates for part-time students have shown smaller growth, rising from 56% to 59%. Part-time students regularly have lower retention rates than full-time.

In addition, the share of NWTC students who graduate within three years of enrolling has risen 3% to 46% since 2018. That’s well above the national average of 35% — and a tough data point to budge, according to The Aspen Institute.

Petersen said the change also correlates with an improvement in students’ grades, with hundreds more students now receiving a “C” or above in their courses. 

Plus, students who do have to temporarily withdraw are having an easier time getting back to their studies, said Sericati, the developmental writing instructor. 

“Before, if a student is in five classes and they come up against a life issue in week six and drop out of all of their classes, they now are on (academic) warning. They failed all of these credits,” Sericati said. “Now, if a student comes up against a life issue, they likely can complete those two courses that they’re in and not have that issue when they rejoin us again in another eight-week session.” 

As colleges like NWTC share their success with shorter classes, the model is building momentum, said Karen Stout, CEO of Achieving the Dream, a nonprofit focused on community college success. For example, Western Technical College in La Crosse began transitioning to seven-week courses in the summer of 2024. 

“It is such a relief, actually, to see that this made a positive difference,” Rogalski said. “Students who probably never imagined that they could be successful in college …  They haven’t aspired to complete a degree or go on to a university, and now we’re seeing that these students have this hope that they didn’t have before. And within eight weeks, they’re seeing that they have been successful.”

Miranda Dunlap reports on pathways to success in northeast Wisconsin, working in partnership with Open Campus.

This college’s strategy for preventing dropouts? Classes half as long is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.