During this rotation, the dental resident will obtain an overview of anesthesiology as a medical specialty and will focus on those aspects of anesthesiology important in the safe practice of dentistry. The emphasis in the resident's learning experience will be on risk assessment and the knowledge of requisite clinical pharmacology, with exposures to airway management and patient monitoring.
Residents must be assigned to an anesthesia rotation with supervised practical experience in the following:
a) preoperative evaluation;
b) assessment of the effects of behavioral and pharmacologic techniques;
c) venipuncture technique;
d) patient monitoring;
e) airway management;
f) understanding of the use of pharmacologic agents;
g) recognition and treatment of anesthetic emergencies; and
h) assessment of patient recovery from anesthesia
EMERGENCY MEDICINE ROTATION
The hospital-based dentist sees a significant number of patients, who are medically compromised, have sustained physical injury, or both. Such patients are seen for both consultation and treatment. Medical emergencies are more likely to occur in the hospital dental facility than in a typical office practice. The hospital-trained dentist must be able to identify patients who are prone to certain types of complications so that he is able to rationally prescribe treatment which will place the patient at minimal risk, and also initiate prophylactic measures during treatment to prevent adverse events. A significant number of patients with chronic disease are seen by the dentist on a continuing care basis. The dentist must be able to recognize signs and symptoms of decompensation of various organ systems so that appropriate and timely consultation can be initiated and medical crisis averted.
The hospital-trained dentist must have the ability to manage minor and commonplace problems such as vasovagal syncope and hyperventilation. He/she must be able to distinguish minor problems from potentially life threatening emergencies. In the event of a life threatening emergency, the dentist and their staff must be able to appropriately support and sustain the patient until help arrives or the patient has been safely transferred to the appropriate section of the hospital.
The judgment and skills necessary for the hospital-trained dentist to provide professional care can only be developed through a carefully designed program which combines selected didactic material with clinical experience. The purpose of this rotation is to gain experience in emergency medicine with an emphasis on patient assessment, and interventions appropriate to the resident's level of experience.
A. Knowledge Base
During the Emergency Medicine rotation, the dental resident should increase his knowledge and understanding of various pathophysiologic entities and their management by means of self-study, one-on-one interaction with the professional staff and hands-on experience.
The resident should gain exposure to the Emergency Room management of patients presenting with:
1. Cardiopulmonary arrest
2. Septic shock
3. Allergic reactions
4. Toxic drug overdose
5. Multiple traumas
6. Performance Skills
Upon completion of his Emergency Medicine rotation, the dental resident should demonstrate:
1. Improvement in wound management and treatment of lacerations.
2. Improvement in radiographic interpretation.
3. Improvement in physical diagnosis skills.
4. Improvement in the recognition and management of medical emergencies.
5. Improvement in patient interviewing techniques
Hematology and Oncology Enrichment Week
1. To expose the resident to inpatient unit operations and the management of patients.
2. To enhance the residents understanding of the medical management of cancer patients.
3. To enhance the residents understanding of laboratory values.
Head and Neck Cancer Enrichment Schedule
Goals and objectives of enrichment week:
ENT Clinic-Cancer Center
To expose the resident to the clinical presentations of head and neck cancer
Head and Neck Cancer Surgery
To expose the resident to and the surgical resection and/or reconstruction.
To provide the resident with observations in the diagnosis and treatment planning of radiation therapy for head and neck cancer patients and to observe delivery of treatment.
Specialty enrichment 2nd year
Full day observational visits to specialty areas of dentistry outside of UDA designed to enhance the residents understanding of the development of professional relationships for their future private practice. 40 hours
Wednesday Pediatric Dentistry
Friday Oral Surgery