Program Details

Program Goals and Objectives

Clinic Rotations & Dental GPR Schedule

The patients seen in our clinic offer a wide range of clinical experiences. Unlike some programs where mostly emergencies are treated, our program allows residents to provide our patients with comprehensive care. Residents are able to schedule patients with specialists in all areas of dentistry and have a unique opportunity to focus on areas of weakness and or interest. Residents also have the opportunity to admit and take patients to the Operating Room where dental treatment is rendered under general anesthesia.

Dental Schedule

• Clinic Assignment: Monday through Friday 8 AM to 4:30 PM
• Quarterly Department Meetings
• Case Presentations: Two per Resident per year
• Medical Rotation: 80 hours (16 of which are formal) as arranged by the Department of Medicine
• Pediatric Rotation: 16 hours as arranged by the Department of Pediatrics
• Anesthesia Rotation: 70 hours as arranged by the Department of Anesthesiology
• Journal Club: Once every month
• Practice Management / Jurisprudence Symposiums: Once every month
• Full Day Continuing Dental Education: nine days
• Operating Room Schedule: as assigned
• On Call Schedule: Every fifth week
• Vacation Days: 20
• Holidays: 6

Department of Anesthesiology

The objectives of the assignment in Anesthesiology are as follows:

• To familiarize the residents with the Operating Room facility at the Jersey Shore University Medical Center.
• To familiarize the residents with all of the general anesthesia procedures available in the modern hospital.
• To assist the Anesthesiologist in whatever capacity he/she is permitted.
• To become familiarized with such techniques as intubation, resuscitation and intravenous induction of patients in the Operating Room.
• To obtain training while under the supervision of the Anesthesia Department that may serve as a credential for the resident in the event that he/she should wish to apply for operating room privileges after he/she has finished his/her year of residency
• To obtain a working knowledge of the operating room facility that may very well direct our residents towards further formal training in oral surgery.

The resident is under the direct supervision of the Department of Anesthesiology while he/she is assigned to that Department. Needless to say, other members of the Department of Anesthesiology are involved with the training program, but the Director is in charge during this period of assignment to the Anesthesiology Department.

Department of Emergency Medicine

This rotation is designed to provide the dental resident with training and experience which will facilitate his/her ability to anticipate, diagnose, and treat emergencies that may occur concurrently with dental procedures.

The objectives are:

• To gain experience in anticipation, evaluation, and management of medical emergencies.
• To enhance skills and knowledge in taking a medical history and to better recognize factors which may predispose a patient to a systemic emergency during dental treatment.
• To learn the organizational structure and protocol of the emergency room.
• To learn the procedures for processing a patient through the emergency room.
• To develop an understanding of the patient triage process.

Department of Medicine

This rotation will provide for formal didactic and clinical training in physical diagnosis and Medical Risk Management. This training shall include the following:

1. The residents shall be under the supervision of the Director of the Department of Medicine.
2. During the resident’s rotation in the Department of Medicine, it is expected that he/she will have an opportunity to participate in rounds with the attendings in both a learning and consulting capacity.
3. It is expected that the residents will become familiar with a good variety of systemic diseases and gain knowledge in not only the treatment of illnesses but also in the specific dental management of such patients. Ideally, the following important areas will be covered so that the resident will be competent to provide dental care for patients falling into these categories:a. Diabetes
   b. HIV patient and their various complications
   c. Patients undergoing chemotherapy
   d. Cardiac patients/Hypertensive patients
   e. Pulmonary patients
   f. Renal patients
   g. Liver Patients
4. The resident shall have experience in performing H&Ps during this rotation. Said H&Ps shall include the following:

• Chief Complaint: The patient’s reason for seeking medical service.  A question of a general nature is frequently necessary. “What can I do for you?”  “Please tell me about your trouble.”
• History of Present Illness: A full account, in the patient’s own terms of his/her illness. All facts believed associated with the complaint should be brought out and the patient should be encouraged to give his/her feelings about the symptoms. Avoid rambling. A patient who has several complaints should be asked which seems to be the most important. Next, interview should proceed methodically to analyze the complaint within the following framework: mode of onset and chronology; location and if applicable, radiation of the symptom; character (or quality) of the symptoms; intensity (or quantitative aspects) of the complaint; prescriptions or aggravating factors; environmental factors; environmental factors; personal or relevant family medical history pertaining to the complaint and evolution of the illness and its effects on the patient.
• Personal and Past Medical History: Information about  previous illnesses, operations and accidents, preferably in chronological order, with the dates and locations of occurrence, the name of the physician involved, and the treatment applied.
• Social History: Occupation, marital status, habits (smoking: amount, time; drinking: amount, time).
• Family Medical History: The health of family members should be ascertained.Diseases with hereditary or environmental factors should be mentioned specifically. Knowledge of the ethnic origin of the parents and of any consanguinity may me important.
• Review of Systems: At this point, the interviewed specifically checks each system from head to extremity to make certain that neither physician nor patient has overlooked any symptom of sign or significance:
  • Basis Procedures
  • Skin
  • Head and Neck
  • Eyes
  • Ears and Nose
  • Oral Cavity and Pharynx
  • Chest
  • Heart
  • Peripheral Vascular System
  • Abdomen
  • Musculoskeletal System
  • Nervous System
                       

At the end of this rotation, residents will be asked to evaluate the program, summarize what they have learned, and make suggestions as to how the program might be improved.

Department of Pediatrics

It is under the supervision of the program director that the residents will serve during his/her training period in the Department of Pediatrics.

It is expected that the dental residents will have an opportunity to participate in rounds with the Attendings in both a learning and consulting capacity. He/She will have an opportunity to examine children in the Pediatric Department and will, in consultation with the physicians, have an opportunity to increase his/her knowledge with regard to the management of the infant and the young child while under the supervision of well-trained personnel.

It is expected that the residents will familiarize himself/herself with various systemic conditions which occur in children and how these conditions might relate to his/her management of this patient in his/her capacity as a dentist.

During this rotation, the residents shall learn to perform H&P. Further, the resident shall be exposed to knowledge in the following:

• Common communicable disease and any possible intraoral manifestation.
• Congenital heart defects-prescription for prophylactic antibiotics
• Commonly utilized medications in Pediatrics.
• Management of the Pediatric patient admitted for surgical procedures-fluid maintenance.