Michael E. DeBakey VA Medical Center - Houston, Texas

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General Practice Residency in Dentistry: Clinical Rotations

 

Five weeks of Dental Oncology at MD Anderson Cancer Center
The objectives for the Dental Oncology rotation are:

    1. Gain experience in the diagnosis and treatment of oral cancer
    2. Learn how a hospital dental service supports an oncology service
    3. Evaluation and treatment of patients undergoing chemotherapy and XRT for ontological disease

Four weeks of Anesthesiology
The objectives are to gain instruction and experience in:

    1. Pre-anesthetic evaluation
    2. Pharmacology of anesthetic and sedative agents
    3. Venipuncture and techniques of administration of intravenous and anesthetic agents
    4. Patient monitoring and airway management
    5. Anesthetic induction and intubation
    6. Post anesthetic care (recovery)
    7. Prevention and management of anesthetic emergencies

Two weeks of Emergency Room Medicine
The objectives are to:

    1. Anticipate medical emergencies
    2. Recognize medical emergencies that may happen during dental procedures
    3. Gain experience in the treatment of medical emergencies
    4. Gain experience in obtaining and interpreting the patient’s chief complaint, medical, and social history, and review of systems
    5. Gain experience in obtaining and interpreting clinical and other diagnostic data from other health care providers
    6. Gain experience in using the services of clinical, medical, and pathology laboratories
    7. Gain experience performing a history and physical evaluation and collect other data in order to establish a medical assessment

12 weeks of Oral and Maxillofacial Surgery
The objectives of this rotation are to gain instruction and experience in:

    1. Simple and complex exodontia
    2. Pre-prosthetic surgery
    3. Operating room procedures
    4. Physical exam and diagnosis
    5. Admitting procedures
    6. Sedation and anesthetic technique
    7. Evaluation and treatment of facial trauma
    8. Medical risk assessment
    9. Participation in rounds

24 weeks of General Dentistry:
The objectives of this rotation are to:

    A. Periodontics 

      1. Demonstrate competency in diagnosis of periodontal disease
      2. Demonstrate competency in treatment planning of periodontal disease
      3. Demonstrate competency in non-surgical periodontal procedures (e.g. probings, scaling/root planning, etc.)
      4. Demonstrate competency in surgical periodontal procedures (e.g. flap design, crown lengthening, gingivectomies, etc.).

    B. Endodontics

      1. Demonstrate competency in diagnosis of endodontic disease
      2. Demonstrate competency in treatment planning of endodontic disease
      3. Demonstrate competency in nonsurgical endodontic procedures (e.g. pulpectemies,obturation of canals probings, etc.)
      4. Demonstrate management in surgical dodontics procedures (e.g. flap design, apicoectemies, etc.)

    C. Removable & Fixed Prosthodontics, Operative and Treatment of Dental Emergencies

      1. Demonstrate competency in problem solving (Application of Knowledge to clinical situation)
      2. Demonstrate competency in caliber of patient work-ups
      3. Demonstrate competency in caliber of patient treatment plans
      4. Demonstrate competency in overall technical ability.