Advanced education in general dentistry orientation information



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PLANNED SEMINAR OBJECTIVES IN EACH PROGRAM AREA


(all objectives may not be covered during the course of the year)
1. Planning and providing comprehensive multidisciplinary oral health care:

a. Construct and judge treatment plans insuring integration of all applicable

medical/dental specialties following a total patient approach. Assume

responsibility for all phases of dental treatment.

b. Properly request and evaluate consultations to/from physicians and other health

care providers.

c. Participate in monthly case conference.
2. Patient assessment, diagnosis and medical risk assessment:

a. Interview patients and obtain a complete health history.

b. Perform necessary diagnostic procedures and devise a differential diagnosis for oral conditions using clinical presentation, demographic information, historical findings and radiographic, laboratory and physical examination.

c. Arrive at definitive diagnosis when histopathologic findings are correlated with the above.

d. Recognize the oral manifestations of systemic diseases and understand their effect on the oral cavity.

e. Order and interpret the clinical and/or medical laboratory tests necessary in the diagnosis and treatment of oral conditions.

f. Prescribe pharmacological agents properly and understand the mechanism of action and effects of drug interaction.

g. Perform treatment procedures when necessary and refer patients with oral/systemic pathology when indicated.


3. Hard and soft tissue surgery:

a. Maintain the “CHAIN OF STERILITY” when performing surgery in the dental operatory and the hospital operating room.

b. Discuss the anatomy and physiology of the respiratory, circulatory and nervous systems and their response to various pharmacologic agents used in preoperative medication, conscious sedation, local anesthesia and pain control.

c. Demonstrate the techniques of head and neck examination utilized by the oral surgeon.

d. Monitor respiration and circulation as well as manage the patient’s airway.

e. Perform resuscitative technique and demonstrate proficiency in the early management of medical emergencies in the dental office.

f. Diagnose, treatment plan and manage patients with non-complex surgical problems in such areas as exodontia, biopsy and infection.

g. Discuss basic principles in the management of patients with facial injuries.


4. Periodontal therapy:

a. Perform a periodontal evaluation on all patients treated.

b. Employ preventive dentistry principles in your personal dental care and in all phases of your dental practice.

c. Supervise auxiliaries in the performance of patient education procedures; prescribe treatment to be rendered by the dental hygienist.

d. Diagnose and treat all but the most complex cases of periodontal disease while applying the principles of preventive dentistry.

e. Diagnose and treat HIV/AIDS associated periodontal abnormalities.

f. Utilize the basic periodontal literature in order to defend your treatment.
5. Pulpal therapy (endodontics):

a. Diagnose pulpal and periradicular pathosis.

b. Use the principles of sterile technique, chemotherapy, bacteriology and preventive dentistry in endodontic treatment.

c. Treat traumatic, acute and chronic endodontic emergencies.

d. Perform conservative endodontic therapy in uncomplicated and selected complex cases with consideration of patients with infectious diseases.

e. Assist in surgical endodontic therapy when indicated.

f. Choose appropriate endodontic equipment, materials and methods for the clinical situation in which each is indicated.
6. Restoration of teeth:

a. Determine the clinical situations in which the different restorative materials may be used.

b. Appraise new and established dental materials to determine their usefulness in clinical situations.

c. Perform operative treatment with full consideration of the principles of preventive dentistry and periodontics with consideration of patients with infectious diseases.

d. Appraise teeth preparations and finished restorations from the standpoint of improving technique.

e. Apply the principles of esthetic dentistry to operative procedures.


7. Replacement of teeth using fixed and removable appliances (prosthodontics):

a. Identify the clinical situations in which fixed or removable prostheses are required.

b. Treat a complex case using a semi-adjustable articulator employing fixed and/or removable prostheses.

c. Teamed with other specialty residents, treat a case using osseointegrated implants.

d. Construct complete dentures for problem cases, i.e., atrophied ridges, Class III jaw relations, minimal interocclusal space, gaggers, etc.

e. Use the science of color and optical illusion to produce esthetic restorations.

f. Perform prosthodontic treatment with full consideration of the principles of preventive dentistry and periodontics with consideration of the special requirements of the infectious disease patient.

g. Evaluate your own laboratory work as a basis for improving your skills and helping others to improve theirs.

h. Appraise the work of dental technicians from the standpoint of improving communications with the laboratory.

i. Evaluate and organize the clinic laboratory to manage cases for high-risk infectious disease patients.

j. Appraise mouth preparations and finished prostheses from the standpoint of improving technique.

k. Occlusion:

1. Use the technique of masticatory system assessment to determine the features of a patient’s occlusion.

2. Use occlusal adjustment to improve a patient’s occlusion when specifically indicated.

3. Determine when each mode of occlusal treatment is indicated.

4. Diagnose and treat patients with temporomandibular disorders using a multidisciplinary approach.

5. Illustrate the functions and limitations of the major types of articulators.
8. Pediatric dentistry/orthodontics:


  1. Recognize a developing or established malocclusion.

  2. Correct selected malocclusions amenable to treatment by a general dentist.

  3. Use selective orthodontics as an adjunct to treatment when indicated.

  4. Understand the limitations of orthodontics in general practice, act as a primary diagnostic resource and refer when indicated.

  5. Be able to manage pedodontic and orthodontic treatment with full consideration of the principles of preventive dentistry and periodontics with consideration of infectious disease patients.

  6. Apply the principles of esthetic dentistry to pedodontic and orthodontic procedures.

9. Practice management included the following topics:

a. Management of auxiliaries and other office personnel.

b. Quality of management.

c. Principles of peer review

d. Business management and practice development

e. Principles of professional ethics, jurisprudence and risk management (Refer to #14)

f. Alternative health care delivery systems

g. Managed care

h. Obtaining informed consent

10. Management of Pain and Anxiety

a. Use Nitrous oxide sedation in treatment of patients

b. Understand the concepts of I.V. and I.M. sedation

c. Understand basic concepts of Oral sedation (to exposure level)

d. Understand basic concepts of Pharmacology of conscious sedation

e. Perform Basic Life Support

f. manage pain and anxiety in delivering outpatient care using behavioral and

pharmacological modalities beyond local anesthesia.


11. Promoting Oral and Systemic Health and Disease Prevention:

a. Use the principals of prevention in the everyday practice of general dentistry.

b. Understand current concepts of in oral hygiene and hygiene instruction.

c. Use fluoride and other antimicrobic agents in treatment of patients.

d. Understand the technique for preventive resins and use in practice.

e. Understand and use the PSR recall system.


12. Miscellaneous:

a. Lead seminar discussions and make formal case presentations at monthly case

conferences.

b. Evaluate the content, validity and reliability of journal articles.

c. Establish a reference file of dental literature with consideration of infectious diseases.

d. Make oral presentations before a group.

e. Instruct auxiliaries and other practitioners on the management of infectious disease patients.

f. Evaluate quality assurance programs to continually raise the level of patient care.

g. Utilize performance logic in the delivery of dental care.

h. Evaluate your own intraoral photography as a basis for improving your skills and helping others to improve theirs.

i. Use the computer to improve the quality of dental practice.

j. Evaluate infection control procedures insuring maximum possible sterility in all

phases of treatment with emphasis on barrier and sterilization techniques in

treating infectious disease patients.

k. Evaluate hazard control procedures insuring maximum possible safety in all

phases of treatment.

l. Certify in CPR level C

m. Obtaining informed consent

n. Medical risk assessment

o. Treatment of dental and medical emergencies


13. Lunch and Learn Seminars

      1. Residents are responsible for scheduling these.

14. Ethics and Professionalism

a. Demonstrate the application of the principles of ethical reasoning, ethical decision making and professional responsibility as they pertain to the academic environment, research, patient care and practice management.
CASE PRESENTATION FORMAT
All residents are required to present one fully photo-documented comprehensive case at the end of the year. The cases should be presented in Powerpoint and should include at least three of the following disciplines: oral surgery, endo, perio, operative, fixed prosthodontics, removable prosthodontics or osseointegrated technology.
These cases will be compiled in photographic sequential format to be submitted as a final requirement prior to receiving the certificate for graduation.
The case presentation includes:
1. Typed Patient History and physical, dental examination, and treatment summary.

(Standard Format)


2. 1 or 2 photos of radiographic examinations (Panorex and periapical surveys).
3. Preoperative state photos*.
4. Treatment photos with temporization, surgery, or preparations*.
5. Final treatment results*.

*Centric occlusal view, maxillary arch view, mandibular arch view, both lateral buccal views, whenever possible.


Copy of the presentation should be submitted on a CD to be kept in the resident’s portfolio.

ADVANCED EDUCATION IN GENERAL DENTISTRY PROGRAM

CURRICULUM REVIEW/INSTRUCTOR FEEDBACK GUIDE
Date: ___________ Time: __________ Hours: ________________
Title/Topic: _____________________________________________________________

_____________________________________________________________


_____________________________________________________________
Presenter: ________________________________________


Format:




Seminar




Literature Review







Lecture




TX Planning Conference







Hands-on






Learning Objectives:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Comments/Critique:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Number in attendance: ________ Use of audiovisual aids: Yes or No

Chair’s Signature: __________________________

This form is to be completed during session observed.
Rate the following items using a scale of 0-3: 0=poor; 1=fair, 2=good; 3=excellent. If a question does not pertain to a particular session, record N/A.
1. _____ Instructor started promptly.
2. _____ Instructor effectively deal with student questions.
3. _____ Instructor expressed self clearly and concisely.
4. _____ Instructor used time well.
5. _____ Instructor seemed prepared.
6. _____ Instructor showed interest and enthusiasm for material taught.
7. _____ Instructor ended session promptly.
8. _____ Educational objectives were adequately covered.
9. _____ Behavioral objectives were adequately covered.
10. _____ Instructor exhibited flexibility to adapt to unplanned contingencies.
11. _____ Content level was appropriate to class.
12. _____ Content was scientifically accurate.
13. _____ Audio-visual aids were used effectively.
14. _____ Material organized in a systematic and logical manner.
15. _____ Students were attentive during the lecture.
16. _____ Students asked questions.
What one thing, if any, could you suggest to the instructor that might have improved this session, or might improve subsequent presentations?

_____________________________________________________________________


_____________________________________________________________________
_____________________________________________________________________

Example of How Objectives Are To Be Entered In The Curriculum Review Form
EVALUATION OF ROOT CANAL TREATMENT
SEMINAR OUTLINE
Dr. El Fayez February 26, 1991
I. Learning Objectives: Each participant should analyze the factors that significantly influence prognosis following root canal therapy, and evaluation of criteria for success.

  1. Describe the consequences of over instrumentation and over filling in root canal therapy.

  2. Identify the clinical practices which contribute to a favorable prognosis.

  3. Defend the criteria for determining success or failure.

  4. Relate clinical and radiographic findings to healing and success.

  5. Explain the conclusion that radiographic interpretation is subjective in nature.

II. Comments/Critique (main points):


A. Factors that significantly influence prognosis following root canal therapy

1. Endodontic “Triad”.

2. Local factors influencing healing.

3. Systemic factors influencing healing.

B. Criteria for success

1. Radiographic

2. Clinical

3. Types of regeneration


C. Factors influencing success or failure
D. Causes for failure

1. Indications

2. Causes
E. My criteria for success

1. Absence of pain or swelling

2. Disappearance of a sinus tract

3. No loss of function

4. No evidence of tissue destruction

5. Roentographic evidence of an eliminated or arrested area of rarefaction

after a post-treatment interval of 6 months to 2 years.
V. EVALUATIONS

TRI-ANNUAL RESIDENT EVALUATION

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