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 12month 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
William J. Davis, D.D.S., M.S.
University of Toledo
College of Medicine
Health Science Campus
3000 Arlington Ave
Mail Stop 1092
Toledo, Ohio 43614
ADMISSIONS
Application Deadline – February 1
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
2010 - 2011 1ST Year
$44,097
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
Davis/Kaechele 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)
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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
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:
William J. Davis, D.D.S., M.S.
Program Director
General Practice Residency Program
University of Toledo
3000 Arlington Ave. Mail Stop 1092
Toledo, Ohio 43614