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:
of the effects of behavioral and pharmacologic techniques;
of the use of pharmacologic agents;
and treatment of anesthetic emergencies; and
of patient recovery from anesthesia
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
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:
Upon completion of his Emergency Medicine rotation, the
dental resident should demonstrate:
in wound management and treatment of lacerations.
in radiographic interpretation.
in physical diagnosis skills.
in the recognition and management of medical emergencies.
Improvement in patient interviewing techniques
Oncology Enrichment Week
1. To expose
the resident to inpatient unit operations and the management of patients.
enhance the residents understanding of the medical management of cancer
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
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.
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