1 truman medical center lakewood general practice residency in dentistry
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Truman Medical Center Truman Medical Center LakewoodLakewood
General Practice Residency in DentistryGeneral Practice Residency in Dentistry
General Practice Residency in Dentistry
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Information about what happens at the
Truman Medical CenterLakewood GPR
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Please take a few minutes to review this information about our program. Hopefully this will stir some
interest in our program.All of the photos in this presentation are of
procedures performed byformer residents of the program.
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The vision and goals of theGeneral Practice
Residency program
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To provide residents advanced training in To provide residents advanced training in the full use the resources of the hospital as a the full use the resources of the hospital as a site for the practice of dentistry. In doing so site for the practice of dentistry. In doing so
provide experiences in management of provide experiences in management of patients with medical, mental, and physical patients with medical, mental, and physical problems that would challenge the routine problems that would challenge the routine
delivery of dental treatment. delivery of dental treatment.
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In order to accomplish this the resident will receive In order to accomplish this the resident will receive instruction and experience providing dental instruction and experience providing dental
treatment experience to advance their skills beyond treatment experience to advance their skills beyond their dental school training to enable thetheir dental school training to enable the
residents toresidents to::
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Diagnose oral and maxillo-facial diseases and Diagnose oral and maxillo-facial diseases and provide dental care in the context of each provide dental care in the context of each patient’s total health care needs.patient’s total health care needs.
Communicate and function effectively with other health care professionals in a variety of health care settings and understand the role of these professionals and the organization and function of the settings.
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Plan and provide both routine and complex Plan and provide both routine and complex dental care for a wide variety of patients by dental care for a wide variety of patients by applying advance knowledge and clinical skills.applying advance knowledge and clinical skills.
Pursue individual areas of interest and achieve career goals.
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Structure of theEducational Program
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The following is an estimate the percent of time devoted by the The following is an estimate the percent of time devoted by the residents to each of the following:residents to each of the following:
HoursHours % of Year % of YearAmbulatory Patient Care Services Ambulatory Patient Care Services 12471247 6363Seminars (during business hours)Seminars (during business hours) 9696 4.64.6Seminars (over lunch hour or after hours)Seminars (over lunch hour or after hours) 3636 **Departmental off Service RotationsDepartmental off Service Rotations 560560 2727OtherOther 112112 5.35.3
Total 100%Total 100% 20802080 (vacations etc)
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Competency Patient assessment and diagnosis
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Obtain a patient’s chief complaint (CC), history of present illness (HPI), past medical history (PMH), social history (SH) and Review of Systems (ROS)
Order and interpret appropriate laboratory and radiographic tests
Perform problem based physical evaluation, and determine medical risk of dental procedures
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Competency
Planning and providing multidisciplinary comprehensive
dental care
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Plans treatment that includes Plans treatment that includes multiple disciplines into multiple disciplines into comprehensive treatment plan comprehensive treatment plan
Develop and carry out dental Develop and carry out dental treatment for compromised treatment for compromised patients accounting for the patients accounting for the patient’s medical, mental and patient’s medical, mental and
social needs.social needs.
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ObtainingInformed consent
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Presents and discusses proposed treatment Presents and discusses proposed treatment with patients. with patients.
Determines who has guardianship status if Determines who has guardianship status if patient lacks ability to make treatment patient lacks ability to make treatment decisions. decisions.
Presents reasonable expectations, detailsPresents reasonable expectations, detailsrisks of procedures and of not completing risks of procedures and of not completing procedures.procedures.
Involves the patient (parent/guardian) in the Involves the patient (parent/guardian) in the
treatment description/consent procedures.treatment description/consent procedures.
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Competencysedation, pain and anxiety control
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Correctly evaluates and determines Correctly evaluates and determines the patient’s need for the use of the patient’s need for the use of behavioral and/or pharmacologic behavioral and/or pharmacologic modalities in the management of modalities in the management of pain and anxiety based on patient’s pain and anxiety based on patient’s reaction to clinical procedures. reaction to clinical procedures.
Coordinate with patient’s Coordinate with patient’s physician, care takers and family physician, care takers and family to determine appropriate to determine appropriate medications or behavioral medications or behavioral management techniques that would management techniques that would be effective for this patient.be effective for this patient.
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Demonstrates an understanding Demonstrates an understanding of medications used to achieve of medications used to achieve sedation or anxiolytic state. sedation or anxiolytic state.
Demonstrate an understanding of Demonstrate an understanding of prevention, recognition and prevention, recognition and management of complications management of complications related to the use and related to the use and interactions of drugs used to interactions of drugs used to sedate patients and control pain sedate patients and control pain and anxiety.and anxiety.
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Competencyrestoration of teeth
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Restores single teeth using Restores single teeth using a functionally acceptable a functionally acceptable range of materials and range of materials and methods.methods.
Place restorations and Place restorations and perform techniques to perform techniques to enhance dental estheticsenhance dental esthetics
Restore intra and extra Restore intra and extra coronal defectscoronal defects
Restore endodontically Restore endodontically treated teethtreated teeth
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Competencyreplacement of teeth
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Treat patients with Treat patients with missing teeth requiring missing teeth requiring uncomplicated removable uncomplicated removable and/or fixed prosthesesand/or fixed prostheses
Communicate care design Communicate care design with laboratory with laboratory technicians and evaluate technicians and evaluate the resultant prostheses the resultant prostheses
Recognize and manage Recognize and manage cases requiring cases requiring complicated prosthesescomplicated prostheses
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Competencyperiodontal therapy
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Demonstrate ability to Demonstrate ability to diagnose periodontal diagnose periodontal conditions conditions
Evaluate patients with Evaluate patients with periodontal conditions periodontal conditions and propose effective and propose effective treatment plans treatment plans
Provide both non-surgical Provide both non-surgical and surgical periodontal and surgical periodontal treatment for patients with treatment for patients with periodontal diseaseperiodontal disease
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Competencypulpal therapy
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Diagnose and treat pain Diagnose and treat pain of pulpal origin of pulpal origin
Perform uncomplicated Perform uncomplicated non-surgical endodontic non-surgical endodontic therapytherapy
Diagnose need for Diagnose need for surgical endodontic surgical endodontic therapytherapy
Recognize and manage Recognize and manage endodontic complications endodontic complications and emergenciesand emergencies
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Competencyhard and soft tissue surgery
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Perform surgical and non-Perform surgical and non-surgical extraction of surgical extraction of teethteeth
Perform soft tissue biopsyPerform soft tissue biopsy Perform uncomplicated Perform uncomplicated
pre-prosthetic surgery pre-prosthetic surgery Recognize and manage Recognize and manage
surgical emergencies and surgical emergencies and complicationscomplications
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Competencytreatment of medical and
dental emergencies
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Anticipate, diagnose and Anticipate, diagnose and provide initial treatment provide initial treatment and follow up for medical and follow up for medical emergencies that may emergencies that may occur during dental occur during dental treatmenttreatment
Diagnose and manage Diagnose and manage dental emergencies dental emergencies
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Competencymanagement of compromised
patients
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Select and use assessment techniques to form a Select and use assessment techniques to form a differential , provisional and /or definitive differential , provisional and /or definitive diagnosis for patients with complex needsdiagnosis for patients with complex needs
Treat patients with a acute and systemic Treat patients with a acute and systemic conditions and/or social disorders modifying conditions and/or social disorders modifying treatment plans and modalities to meet their treatment plans and modalities to meet their
special needsspecial needs
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Competencyrequest and respond to requests for
consultations
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Identify needs and make referrals to appropriate health Identify needs and make referrals to appropriate health care providers for the treatment of physiologic, care providers for the treatment of physiologic, psychological and social problems presented by dental psychological and social problems presented by dental patients.patients.
Perform dental consultations and request medical Perform dental consultations and request medical consultations for hospitalized patients and patients in consultations for hospitalized patients and patients in other health care settings.other health care settings.
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Competencyprovide dental services utilizing the
hospital setting for patient care.
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Perform dental treatment Perform dental treatment utilizing the operating utilizing the operating room, completing the room, completing the necessary pre and post -necessary pre and post -operative assessments and operative assessments and reports.reports.
Admit and discharge a Admit and discharge a patient from the acute patient from the acute hospital. Completing the hospital. Completing the necessary daily notes necessary daily notes as well as admission as well as admission and discharge notes or and discharge notes or reportsreports. .
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Resident Experiences
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Each resident has at least one Each resident has at least one teaching case a year. teaching case a year.
They select a challenging They select a challenging
patient with multidisciplinary patient with multidisciplinary needs.needs.
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Residents Place Implants!
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Manage Other Prosthetic Challenges
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