Download GPR Brochure - University of Toledo

GENERAL PRACTICE RESIDENCY
PROGRAM BROCHURE
UNIVERSITY OF TOLEDO
COLLEGE OF MEDICINE
GENERAL PRACTICE RESIDENCY IN DENTISTRY
The General Dentistry Postgraduate Program has as its primary goal the preparation of
general practice which encompasses clinical, didactic, and research skills. The
Advanced Education Program in General Dentistry is a 12-month hospital based
program and is designed to offer a balanced clinical and didactic curriculum in general
dentistry. The faculty will provide a full range of clinical experiences in general dentistry
which is supported by an in-depth, critical, and scholarly appraisal of the specialties
knowledge base.
Our mission is to provide each resident extensive clinical opportunities in behavior
management, hospital dentistry, general anesthesia, pediatric medicine, emergency
medicine, care of developmentally and medically compromised patients, trauma
management, and other special areas. The clinical experiences are supported by a
structured didactic seminar designed to encourage critical thinking appropriate to
specialty level education in general dentistry.
The overall curriculum is designed to prepare our graduates with the knowledge base
and clinical skill level which allows successful entry into the contemporary practice
setting of general dentistry.
The program has been planned in accordance with the guidelines for postdoctoral
education of the American Dental Association Council on Dental Accreditation. Upon
completion of the program the resident receives a certificate in general dentistry.
Program Director
Charles R. Fahncke, D.D.S., M.S.
University of Toledo
College of Medicine
Health Science Campus
3000 Arlington Ave
Mail Stop 1092
Toledo, Ohio 43614
[email protected]
Program Coordinator
Brandi Hendrickson
419-383-3504
[email protected]
ADMISSIONS
Starting Date – July 1
Application Fee – None
Degree/Certificate Offered – Certificate
Length of the Program – 12 months
Enrollment – 6
Admission Criteria - D.D.S or D.M.D. from an accredited U.S. or Canadian Dental
School
SALARY STIPEND
2016 - 2017 1ST Year
$51, 384
PERCENTAGE OF RESIDENT TIME
Didactic
20%
Clinical Experience 65%
Research
10%
Teaching
5%
POSTDOCTORAL PROGRAM IN GENERAL PRACTICE
Accreditation
The General Practice Residency Program is designed to meet the educational
standards of the American Academy of General Dentistry. Upon completion, the
resident receives a certificate in General Dentistry. The program is accredited by the
Commission on Dental Accreditation.
Program Description
The Division of Dentistry offers a residency program for postdoctoral dentists who seek
additional training in general dentistry. The development of skill in clinical general
dentistry is the primary program objective.
Curriculum
The program involves clinical exposure and didactic coursework that provides the
resident the educational activities recommended by the American Dental Association
Commission on Dental Accreditation. The didactic curriculum consists of a series of
interrelated seminars about basic general dental care, care of the handicapped and
chronically ill, and diagnosis and treatment of occlusal problems in primary, mixed and
adult dentitions.
The residents will complete clinical rotations in the Emergency Room, Anesthesiology
Surgery and Pediatric Medicine.
Admission Requirements
Completed application
Three letters of recommendation (one must be from the Dean or his/her designee )
Official Dental School Transcripts
Personal interview
Goals and Objectives
The training program has been developed within approved hospital dental services by
nationally promulgated American Dental Association standards. The Dental Service is
approved by the Council on Hospital Dental Service of the American Dental Association.
The goals of the University of Toledo General Practice Residency Program is to prepare
each resident to:
1. To act as a primary care provider for individuals and groups of patients.
To achieve this goal the resident provides emergency care in the emergency room
of the hospital and in the dental service on the 2nd floor of the outpatient building. To
provide comprehensive oral care the resident are involved in the examination of
each patient and help in the treatment planning process. The treatment planning
conference is held each week from 12:00 p.m. to 1:00 p.m. in the ENT/Dental
conference room. Each patient is reviewed from the medical standpoint and the
dental standpoint. They have had a full series of x-rays taken and mounted study
casts. At the consultation appointment the resident discusses disease prevention
activities and necessary care with each patient. The necessary advanced dental
treatment will be prepared in the OR or Dental and patient setting.
2. To plan and provide multidisciplinary comprehensive oral health care for a wide
variety of patients including patients with special needs.
To achieve this goal the residents work with patients and their referring physicians
from the Northwest Ohio Developmental Center, regular and emergency patients
from the dental service at the Medical College, patients from the homeless VA
program, and patients with special needs. Patients are also referred to the dental
service from the solid organ transplant center, radiation therapy, and the HIV special
clinic. A resident and attending plan and carry out the necessary care in the OR or
outpatient dental service.
3. To manage the delivery of oral health care by applying concepts of patient and
practice management and quality improvement that is responsive to a dynamic
health care environment.
To achieve this goal residents participate in a weekly conference with the dental staff
to manage the practice as a team within the dental service. A quality improvement
format is used to respond to the changing needs of the dental service and hospital
environment. Practice management methodology has been based on the teachings
of the Pankey Institute. The textbook used for discussion is, “A Philosophy of the
Practice of Dentistry,” by L.D. Pankey.
4. To function effectively within the hospital and other health care environments.
To achieve this goal residents are appointed to the hospital as house officers and do
rotations in the emergency room, anesthesiology, and ENT.
5. To function effectively within interdisciplinary health care teams.
To achieve this goal residents along with attendings participate in a wide variety of
interdisciplinary health care teams to provide care for patients within the hospital.
They answer consults in the dental service and on the floors of the Medical College
of Ohio hospital. They work with other residents and attendings on their rotations in
the ER, Anesthesiology and Medicine.
6. To apply scientific principles to learning and oral health care. This includes using
critical thinking, evidence or outcomes-based clinical decision-making and
technology based information retrieval systems.
To achieve this goal, the residents participate in an outcomes measurement tool
developed by the division of dentistry. Critical thinking is developed during the
weekly journal club, grand rounds, and treatment planning sessions. Each resident
has access to a Dental/ENT library and the Mulford Library, which are both
connected to the internet. The library gives the residents the use of technology
based information systems.
7. To utilize the values of professional ethics, lifelong learning, patient centered care,
adaptability, and acceptance of cultural diversity in professional practice.
To achieve this goal residents participate in a weekly journal club and grand rounds
in which they will discuss reviews of current literature in the areas of professional
ethics and specialized patient care. In addition, during hospital orientation the
residents receive training from the Associate Dean for Clinical Affairs and Medical
Director, in Ethics, Pain Management, Computer Order Entry, Lab Viewer, Inpatient
Lab, Cost Containment and Resource Utilization.
8. To understand the oral health care needs of communities and engage in community
service.
To achieve this goal the residents participate in an annual table clinic meeting with
the Toledo Dental Society. Also upon request during the year, the residents go to
local schools and provide teaching of oral health care procedures to grade school
students. The pediatric dentistry faculty provides information and education on
health care needs to the community.
ROTATION OBJECTIVES
It is important for the dental residents to be able to understand the interrelationship of
medicine and dentistry in order to continually provide high quality comprehensive dental
care for their patients. The dental resident must be able to develop a good working
relationship with other professionals in the hospital setting. In the final analysis this
aspect of the residency may be the most important in the learning process geared
toward providing your patients with the best possible care.
This material has been organized according to the overall goals of the American Dental
Association and the Medical College of Ohio, Graduate Dental Education Program.
Dental Service
In order to meet The Standards for Advanced Education Programs in a General
Practice Residency Program the following guidelines will be met:
A. When presented with a patient in the dental service, the resident will demonstrate
comprehensive dental care in the following manner:
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Review medical and dental histories.
Perform oral examination and cancer examination.
Mount cast to articulator.
Plan a detailed course of dental treatment for the patient.
Evaluate findings and consult with the patient about the results of the
examination.
B. When presented with a patient in the dental service, the resident will demonstrate
proficiency in skills and techniques related to:
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Endodontics
Periodontics
Oral Surgery
Restorative dentistry (to include fixed and removable prosthodontics)
Pain Control
Methods of behavior modification and stress management needed when
providing dental care to children and adults.
Completion of dental outpatient charts
C. Resident will demonstrate competency in evaluating and managing dental
emergencies, trauma and acute oral pathological conditions
Hospital Rotation
When presented with a patient on this rotation, the resident will demonstrate proficiency
in skills and techniques related to:
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Admitting and discharging patients
Obtaining medical history and physical examination with the attending physician
Prescribing pre-operative and post-operative medications with emphasis on the
actions, interactions, indications, contraindications, and toxic reactions of those
drugs.
Methods of handling tissue to minimize trauma
The initiation, development, and completion of the patient's chart, including:
- Soap notes
- Writing progress notes
- operative reports
- discharge summaries
Assisting in the performance of surgical procedures
Post-operative care and evaluation of patients including:
- Changing dressings
- Prescribing appropriate medications for pain and infection control under
the direction of the ENT attending
treating patients with multiple medical problems and severe communication
deficits
function in multiple institutional settings, hospital, nursing home, institution for
physically and mentally handicap patients
communicating with physicians and other medical professionals regarding patient
care
managing in-patient and out-patient surgery under general anesthesia
treating patients with a blood/bone diseases (Hepatitis, HIV)
having exposure to other disciplines including Radiation Therapy and Speech
Therapy
A. Residents must be able to demonstrate competency in requesting and responding to
requests for consultations from physicians and other health care providers
B. Residents must be able to demonstrate competency in the management of pain and
anxiety in delivering outpatient care using behavioral and pharmacological
modalities beyond local anesthesia
C. Residents must be able to demonstrate competency in physical evaluation and
medical risk assessment, including:
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taking, recording and interpreting a complete medical history
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understanding the indications of, and interpretations of laboratory studies and
other techniques used in the diagnosis of oral and systematic diseases
understanding the relationship between oral health care and system diseases
interpreting the physical evaluation performed by a physician with an
understanding of the process, terms and techniques employed
using the techniques of physical examination
D. Residents must be able to demonstrate competency in understanding of hospital
organization, functioning and credentialing process.
E. Residents must be able to demonstrate competency in the management of
inpatients or same-day surgery patients, including:
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admitting and discharging patients
obtaining medical histories and conducting appropriate physical examinations
prescribing treatment and medication
providing care in the operating room
preparing the patient record, including notation of medical history, physical
examination, pre- and post-operative orders, description of surgical procedures
and discharge summaries
F. Residents must be able to demonstrate competency in the discussion of patient
diagnosis, treatment planning, and progress and outcomes of treatment.
G. Residents must be able to demonstrate competency in reviewing relevant scientific
literature.
Emergency Room Rotation
When presented with a patient on the emergency room rotation, the resident will
demonstrate proficiency in skills and techniques related to:
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anticipating, evaluating and managing systematic emergencies.
review medical histories to recognize factors which may have predisposed a
patient to systematic emergency.
help support respiration and/or circulation when a patient collapses.
evaluate and manage a patient with a seizure or sudden loss of consciousness.
help treat a patient who was suffering from an allergic reaction.
assist the emergency room attending and staff with the care of patients in the
emergency department.
All residents are certified in basic life support and advanced cardiac life support.
Residents also must have experience in the diagnosis and treatment of emergency
problems related to the oral cavity. They have skill and knowledge to diagnose and to
provide primary care for acute infection of oral origin, acute disorders of the oral
mucosa, hemorrhage of the oral cavity, and traumatic injuries to the dental and
maxillofacial structures.
Specific skills that residents acquire in order to diagnose and treat dental emergencies
include:
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Dental patient assessment (e.g., specification of needed radiographic and
laboratory data)
Wound debridement
Treatment of tooth fractures
Anesthesiology Rotation
When presented with a patient in the anesthesiology rotation, the resident will
demonstrate proficiency in skills and techniques related to:
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Assist in the preoperative evaluation of patients before surgery.
Assess the effects of pharmacologic agents on patients.
Assist in venipunture techniques and administered intervenous agents.
Monitored patients during general anesthesia.
Help manage the airway of conscious and unconscious patients.
Assist during anesthetic induction and intubation.
Give anesthetic agents.
Explain the theory of prevention and treatment of anesthetic emergencies.
Assist in the management of patients in the recovery room.
UNIVERSITY OF TOLEDO
COLLEGE OF MEDICINE
POST GRADUATE MEDICAL EDUCATION PROGRAM
DIVISION OF DENTISTRY
APLICATION FOR TRAINING STARTING:
____________________________________, 20____
Type of Training Desired: ________________________________________________________________
Name: _______________________________________________________________________________
Present Address: ________________________________________________________________________
Home Address: ________________________________________________________________________
Phone Number
___________________________________________
Birth Date:
_______________ Sex: _____ Visa Number: _________________________
Birthplace:
__________________________ Citizen of:
Marital Status:
____________________ Dependents: _______ Social Security #: _________________
Spouse’s Name: __________________________________
Notify in Emergency:
__________________________________
Occupation: _________________________
________________________________________________________________
Military Status: _______________________________________________________________________
Education History:
Undergraduate:
___________________________ Dates: ________________ Degree: _______
Dental School:
___________________________ Dates: ________________ Degree: _______
Other Graduate Training: ____________________ Dates: ________________ Degree: _______
Post Graduate Training:
Licensures:
__________________________________________ Dates:
______________
_________________________________________ Number: _____________________
State or Province
_________________________________________ Number: _____________________
State or Province
State Board Examination: ____________________ Results: ____________________________________
Date
Enrolled in National Dental Intern Resident Matching Program?
Yes: ___________ No: _________
Membership in scientific organizations:
_____________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Hospital Experiences (other than listed above):
___________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Research Experience:
________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Outline Future Objectives (Academic Dentistry, Private Practice, Specialty, etc.): ____________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
References (should be individual letters requested by applicant one must be from the Dean)
1.
_______________________________ ___________________________ _____________________
Name
Address
Title
2.
_______________________________ ___________________________ _____________________
3.
_______________________________ ___________________________ _____________________
Present State of Health (supplement where necessary): _________________________________________
Enclosures:
(1.) Photo (2 copies) (2.) Resume (3) Original Dental School Transcript
Applicant Signature ________________________________
Return Application to:
Charles R. Fahncke, D.D.S., M.S.
Program Director
General Practice Residency Program
University of Toledo
3000 Arlington Ave. Mail Stop 1092
Toledo, Ohio 43614