PROGRAM GOALS & OFF SERVICE ASSIGNMENTS

The overall goals of the General Practice Residency Program at Wake Forest School of Medicine flow from the general missions of the Medical Center and the Department of Dentistry. These are to:

  • Provide a full range of general dentistry and specialty services to patients referred from within the Medical Center and from the community.
  • Educate GPR residents to be able to do the following:
    • Provide high quality, comprehensive, general dental care for healthy and medically compromised patients.
    • Integrate mature diagnostic ability, judgment, treatment planning and confidence in each area of general practice using principles of scientific method and evidence-based dentistry.
    • Act as the primary dental care provider for a group of healthy and medically compromised patients and direct the services of dental specialists and other health care providers in the appropriate management of patients.
    • Function effectively in the management of hospital patients, including consultation with other health care professionals, reviewing a medical history and physical exam, using clear and concise written and verbal communication and proper medical terminology.
    • Function effectively and confidently in treating special needs patients, including triage of suitable patients and care delivery settings, sedation and general anesthesia cases, anxious patients, and medically and mentally-compromised patients.
    • Exhibit scientific and professional writing and presentation skills along with the ability to critically search and evaluate professional literature through a variety of media.
    • Exhibit practice management skills, including setting production goals through selective scheduling and time management.
    • Model the values of professional ethics, integrity, and responsibility in all interactions with patients and colleagues.
  • Provide high quality patient care in the context of an educational program and community service program.
  • Serve the region as a resource for provision of dental services for individuals with special needs including developmental disabilities, complex medical problems and significant physical limitations. 

    • ANESTHESIA ROTATION

       Goals

      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.

      Objectives

      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.

      Goals

      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.

      Objectives

      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

       Goals

      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.

      Radiation Oncology

      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

       

                                      Monday             Orthodontics

                                      Tuesday             Periodontics

                                      Wednesday        Pediatric Dentistry

                                      Thursday            Endodontics

                                      Friday                 Oral Surgery

       

Quick Reference

School of Medicine
Student Admissions

336-716-4264

medadmit@wakehealth.edu

Student Financial Planning

336-716-2889

finaid@wakehealth.edu

Student Affairs

336-716-4271

stuserv@wakehealth.edu

Location:
3rd Floor Watlington Hall
Wake Forest Baptist Medical Center
Medical Center Blvd.
Winston-Salem, NC 27157-1090
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Last Updated: 10-22-2014
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