General Practice Residency in Dentistry - Hampton VA Medical Center
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Hampton VA Medical Center

 

General Practice Residency in Dentistry

Program Goals and Objectives

This General Practice Residency is designed to provide oral health care training beyond the level of pre-doctoral education using applied basic and behavioral sciences. The program is based on the concept that oral health is an integral and integrated part of total health. This program is designed to expand the scope and depth of the graduates’ knowledge and skills to enable them to provide comprehensive oral health care to a wide range of patients.

 

The program will prepare the graduate to:

 

  1. Act as the primary dental care provider for a variety of individuals and groups of patients. This includes: providing emergency and multidisciplinary comprehensive oral health care; providing patient focused care that is coordinated by the general practitioner; directing health promotion and disease prevention activities; and using advanced dental treatment modalities.
  2. Plan and provide multidisciplinary oral health care for a wide variety of patients, including patients with special needs and or unique medical conditions.
  3. Manage the delivery of oral health care by applying concepts of patient and practice management and quality improvement that are responsive to a dynamic health care environment.
  4. Function effectively within the hospital and other health care environments.
  5. Function effectively within interdisciplinary healthcare teams.
  6. 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.
  7. Utilize the values of professional ethics, life long learning, patient centered care, adaptability, and acceptance of cultural diversity in professional practice.
  8. Understand the oral health needs of communities and engage in community service.  
  9. An experienced and capable teaching staff of general dentists and specialists, from all disciplines, will aid the resident in refining previously learned skills and techniques in clinical dentistry. The full time and part-time attending staff will provide an expanded understanding of the important inter-relationships between underlying or associated medical disorders to oral disease and dental treatment. The hospital setting permits and mandates that the dental resident communicate effectively and work directly and cooperatively with other health professionals.

Aside from an active clinical experience, the general practice resident will be involved, and be expected to participate, in a structured academic program. This consists of formal lectures, seminars, teaching rounds, conferences, and rounds.  At all levels, there will be a hierarchy of support and  backup when needed.  A combined or team approach to care delivery and consultation is stressed.

 

Off Service Rotations

 

In order to fulfill the Accreditation Standards as set forth by the American Dental Association Commission on Dental Accreditation, a General Practice Resident at the Hampton VAMC will complete the following off-service rotations.

 

GENERAL ANESTHESA – This rotation is 4 weeks in length and will expose the resident to the principles of Anesthesiology.

 

INTERNAL MEDICINE – This rotation is 4 weeks om length and will expose the resident to the principles of General and Internal Medicine.

 

INPATIENT/OUTPATIENT SURGERY – This rotation is will expose the resident to the principles of Dental Care in an Outpatient and/or Inpatient setting.

 

 

Here's what you'll find on this page:

Program Goals and Objectives

This General Practice Residency is designed to provide training beyond the level of pre-doctoral education in oral health care, using applied basic and behavioral sciences. The program is based on the concept that oral health is an integral and interactive part of total health. This program is designed to expand the scope and depth of the graduates’ knowledge and skills to enable them to provide comprehensive oral health care to a wide range of population groups.

The program will prepare the graduate to:

  1. Act as primary care provider for individuals and groups of patients. This includes: providing emergency and multidisciplinary comprehensive oral health care; providing patient focused care that is coordinated by the general practitioner; directing health promotion and disease prevention activities, and using advanced dental treatment modalities.
  2. Plan and provide multidisciplinary oral health care for a wide variety of patients, including patients with special needs.
  3. Manage the delivery of oral health care by applying concepts of patient and practice management and quality improvement that are responsive to a dynamic health care environment.
  4. Function effectively within the hospital and other health care environments.
  5. Function effectively within interdisciplinary healthcare teams.
  6. 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.
  7. Utilize the values of professional ethics, life long learning, patient centered care, adaptability, and acceptance of cultural diversity in professional practice.
  8. Understand the oral health needs of communities and engage in community service.
    An experienced and capable teaching staff of generalists and specialists from all disciplines will aid the resident in refining previously learned skills and techniques in clinical dentistry. The full time attending staff and part-time staff members will provide an improved understanding of the important inter-relationships between underlying or associated medical disorders to oral disease and dental treatment. The hospital setting permits and actually mandates that the dental resident communicate effectively and work directly with other health professionals.

Aside from an active clinical experience the general practice resident will be involved and be expected to participate in a structured academic program. This consists of formal lectures, seminars, teaching rounds, conferences and house rounds. At all levels there will be adequate backup of more senior residents, attending staff and specialists when needed. A combined or team approach to care delivery and consultation is stressed.

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Goals and Objectives

1. Patient Assessment and diagnosis:

Objectives/Outcomes of Training: Instruction in this discipline will enable the resident to gain knowledge and experience in: A) Diagnosing oral and systemic disease
B) Differential diagnosis of normal and abnormal physical findings
C) Differential diagnosis of oral and systemic disease
D) Conducting appropriate oral/physical examination
E) Determining assessment after reviewing findings.
This training should enable the resident to diagnose or appropriately refer patients with oral or systemic disease.

2. Planning and providing comprehensive multidisciplinary oral health care:

Objectives/Outcomes of training: Instruction in this discipline will enable the resident to gain knowledge and experience in:
A) Treatment planning for cases that involve medical and dental complexity
B)  Dealing with medial professionals and dental specialists in determining the most appropriate treatment plan for each individual patient
C) Provision of comprehensive oral health care.  This training should enable the resident to plan and provide comprehensive oral health care or refer as appropriate.

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3. Obtaining informed Consent:

Objectives/Outcomes of Training: Instruction in this discipline will enable the resident to gain knowledge and experience in:
A) Ethical and legal issues involved in obtaining informed consent
B) Obtaining informed consent from patients prior to initiation of care. 
This training should enable the resident to gain a fuller understanding of the issues involved with and the obtaining of informed consent prior to initiation of care.

4. Promoting oral and systemic health and disease prevention:

Objectives/Outcomes of training: Instruction in this discipline will enable the resident to gain knowledge and experience in:
A) Modern concepts in promoting oral and systemic health
B) Modern concepts in disease prevention.
This training should enable the resident to gain a fuller understanding of the issues involved in promotion of oral and systemic health and disease prevention.

5. Pain and Anxiety Control and Sedation:

Objectives/Outcomes of training: Instruction in this discipline will enable the resident to gain knowledge and experience in:
A) Control of the conscious patient through the use of behavior management and local anesthesia.
This training should enable the resident to gain a fuller understanding of the issues involved in the administration of local anesthesia.

6. Restoration of teeth:

Objectives/Outcomes of training: Instructions in this discipline will enable the resident to gain knowledge and experience in:
A) Restoration to form and function of cariously involved, fractured, or esthetically challenged teeth using a variety of materials and techniques.
This training should enable the resident to provide simple and complex restorative care to patients.

7.  Replacement of teeth using fixed and removable appliances:

Objectives/Outcomes of training: Instruction in this discipline will enable the resident to gain knowledge and experience in:
A) Diagnosis and treatment planning using fixed and removable prostheses.
B) Preparation of teeth
C) Impression technique
D) Temporization
E) Occlusion
F) Restoration of fixed and removable restorations using dental implants as abutments.
G) Design of removable prostheses
This training should enable the resident to treat or appropriately refer fixed or removable prosthetic cases.

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8. Periodontal therapy:

Objectives/Outcomes of training: Instruction in this discipline will enable the resident to gain knowledge and experience in:
A) Understanding periodontal tissues in health and disease.
B) Epidemiology, etiology, and pathogenesis of periodontal disease.
C) Diagnosis and treatment planning of periodontal disease.
D)  Treatment of periodontal disease using a variety of treatment modalities including conservative therapy, pharmacological therapy, and surgical therapy, including guided tissue regeneration and bone grafting techniques.
E) Treatment planning and placement of dental implants
F) Behavior modification and maintenance of periodontal health.
G) Placement of dental implants
This training should enable the resident to diagnose, manage and treat periodontal disease. The resident will be able to appropriately refer those cases that require treatment by a specialist.  The resident will receive sufficient training and experience to decide if placement of dental implants should be referred or kept within the practice.

9. Pulpal Therapy/Endodontics:

Objectives/Outcomes of training: Instruction in this discipline will enable the resident to gain knowledge and experience in: 
A) Diagnosing endodontic problems.
B) Treating simple and complicated endodontic cases.
C) Endodontic techniques.
D) Endodontic surgeries.
E) Endodontic emergencies.
This training should enable the resident to diagnose and treat endodontic problems using a variety of techniques. The resident should develop the knowledge to decide to refer cases as indicated.

10. Hard and soft tissue surgery:

Objectives/Outcomes of training: Instruction in this discipline will enable the resident to gain knowledge and experience in:
A) Surgery involving soft tissues in the oral cavity.
B) Surgery involving hard tissues in the oral cavity.
This training should enable the resident to diagnose the need for and perform surgeries involving both hard and soft tissues of the oral cavity. This training should enable the resident to appropriately refer particularly complex cases.

11. Treatment of dental and medical emergencies:

Objectives/Outcomes of training: Instruction in this discipline will enable the resident to gain knowledge and experience in:
A) Diagnosis and provision of oral care for acute infections of oral origin.
B) Acute disorders of the oral mucosa.
C) Hemorrhage of the oral cavity and traumatic injuries to the dental and maxillofacial structures.
D) Anticipation, evaluation and management of medical emergencies.
E) Pharmacology and techniques of administration of drugs used in emergencies.
F) History and physical evaluation of emergency patients.
G) Interpretation of pertinent laboratory data.
This training should enable the resident to perform patient assessment, treatment of dental and soft tissues injuries, and initial management of maxillofacial fractures.  This knowledge should also enable the resident to anticipate, diagnose, and manage medical emergencies that may occur concurrently with dental procedures. 

12. Community Service Projects

Objectives/Outcomes: Recognize the many dental needs of a community by participating in providing dental related services to other than qualified veterans.

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13. Medical Risk Assessment:

Objectives/Outcomes of training: Instruction in this discipline will enable the resident to gain knowledge and experience in:
A) Recognition of deviations from normal health status that may affect dental management.
B) Forming judgments on the medical risk associated with the provision of dental care.
C) Understanding the relationships between oral health care and systemic disease.
D) The need for medical consultation.
E) Taking, recording and interpreting a complete medical history and physical examination using accepted techniques.
F) The indications for and the interpretation of laboratory studies and other diagnostic techniques used in diagnosis of oral and systemic disease.
G) Interpreting the H&P performed by a physician with an understanding of the process, terms, and techniques employed.

14. Patient assessment and diagnosis:

Objectives/Outcomes of training in this discipline will enable the resident to gain knowledge and experience in:
A) Assessment of individual patients, taking all pertinent medical and dental findings into consideration.
B) Arriving at appropriate oral and dental diagnoses.
This training should enable the resident to appropriately assess patients and arrive at accurate diagnoses.

15. Planning and providing comprehensive, multidisciplinary oral health care:
 Objectives/Outcomes of training in this discipline will enable the resident to gain knowledge and experience in:
A) Planning and providing comprehensive, multidisciplinary oral health care.
This training should enable the resident to meet the program goals as stated earlier in this manual.

16. Requesting and responding to Consultations:

Objectives/Outcomes of training in this area will enable the resident to interact appropriately with other health care providers. 

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Off-Service Rotations

In order to fulfill the Accreditation Standards as set forth by the American Dental Association Commission on Dental Accreditation, a General Practice Resident at the Hampton VAMC will complete the following off-service rotations.

General Anesthesa

This 4 week rotation is completed at Riverside Regional Medical Center and will aid the resident in understanding and respecting the principles of Anesthesiology and to gain practical experience in:

1. Airway management;
2. Placement and management of intravenous lines;
3. Endotracheal intubation;
4. Administration of local, sedative, and inhalation anesthetics.
5. To increase understanding of the indications and contraindications for various anesthetic techniques.
6. To become familiar with the pharmacological agents used in the practice of anesthesia.
7. To become familiar with various monitoring devices used in anesthetic practice (EKG monitor, Pulse oximeter, etc.).
8. To observe (from the anesthesiologist’s perspective) various types of operating room protocols and procedures.         
9. To increase understanding of the evaluation, monitoring, risk assessment, and emergency management of patients in the dental setting. 
10. To attend rounds and conferences while on the anesthesiology service.

Internal Medicine

This 4 week rotation is completed at the Hampton VA Medical Center and will enable the resident to:

1. Apply the principles used during the Physical Diagnosis Course including:
a. The performing, recording and interpretation of a medical history and physical examination
b. Increase understanding of the principles and techniques of physical evaluation including inspection, palpation, percussion and consultation as they apply to each body system.
c. The documentation of these findings in the appropriate format in the medical record.
2. Increase understanding in the indication for the ordering of laboratory test and other studies
3. increase understanding in the interpretation of various lab tests and findings
4. Consult appropriately with other medical or surgical specialties
5. Increase knowledge in Medical Risk Assessment.
6. Develop a familiarity with various pharmacological agents, their indications, contraindications and uses.
7. Increase understanding of the processes of medical diagnosis and management of various medical conditions.
8. To demonstrate competence in the admission, treatment, and discharge of a patient including all relevant documentation.

General Surgery

This 3 week rotation is completed at the Hampton VA Medical Center and will enable the resident to:

1. To demonstrate proper gowning and gloving techniques.
2. To demonstrate sterile technique in instruments, linens and protection of the sterile field.
3. To demonstrate proper preparation of patients in the operating room for dental procedures.
4. To demonstrate basic surgical techniques and improve suturing skills.
5. To know how to schedule a patient in the operating room for a dental procedure.
6. To demonstrate competence in pre- and post-operative management of patients undergoing sedation or general anesthesia.
7. To demonstrate competence in the admission, treatment, and discharge of a patient including all relevant documentation.

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Hampton VA Medical Center

Hampton VA Medical Center
100 Emancipation Drive
Hampton, VA 23667

Phone: (757) 722-9961

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