Dental Medicine - Residency Program

Program Description

Fourteen first-yea residents along with three second-year residents and pediatric residency positions are available for this program of intensive training.

Residents can expect a curriculum carefully structured for increasing responsibility during the course of the year. Training is conducted in the operating and emergency rooms, with the majority of time spent at the hospital's Dental Care Center located at University Hospital's north campus.

The program has been fully accredited by the American Dental Association Council on Dental Education since 1970. Because the hospital is a major affiliate of the State University of New York Health Science Center and North Shore Health System, residents in General Practice Dentistry are integrated into the hospital's overall teaching program. This facilitates professional interactions and presents opportunities to fine tune clinical judgment.

There is ample opportunity for exchange with residents in the surgery, medicine, ob-gyn, and pediatric teaching programs, as well as with residents and fellows on rotation from the medical schools in the departments of anesthesiology, rehabilitation medicine, psychiatry, pathology, radiology and emergency room medicine. This interaction is important in learning the relationship between the various disease processes and the patients' dental and overall physical status.

The General Practice Resident Program is supported by GPR chief residents, second-year residents, a Pediatric Resident Program, an oral and maxillofacial surgery chief resident, dental hygienist, an administrative director, resident coordinator, dental practice coordinator, 2 dental care coordinators, 18 dental assistants, 15 registrars and 2 financial coordinators.

Residents' activities include, but are not limited to, direct patient care. The direct care includes sections in periodontics, orthodontics, pedodontics, endodontics, removal prosthetics, fixed prosthetics, implant prosthetics, special care, cleft lip and palate team and oral and maxillofacial surgery. Each section is lead by a Board Certified or Board Eligible Specialist. Dental care is rendered 5 days a week in the Dental Care Center at 475 Seaview Avenue, in the 57 Bay Street facility, and during off hours in the hospital's Emergency Department, which serves Staten Island and Brooklyn as a designated trauma center.

Dental residents provide 24-hour emergency coverage on a rotation basis.

The dental resident rotates in the Emergency Department on a full-time basis, participating in the treatment of all types of medical and dental emergencies.

Residents assist or perform general dental, pediatric, periodontic, oral and maxillofacial surgery procedures in the operating suites with the use of general anesthesia. Enough experience is gained so that the resident is permitted to perform a substantial range of procedures under supervision.

Residents gain experience in admission and discharge procedures, as well as in routine performance of histories and physicals on all admitted patients.

Dental residents attend inpatient rounds with the director and members of the attending staff daily.

All residents rotate through the anesthesiology department, to learn the theory and the practice of pain control.

Rotations are scheduled through the medical intensive care units and the medical ambulatory care units.

The rotation programs are designed for residents to sharpen skills in physical evaluation and medicine.

General practice residents prepare for certification in advanced cardiac life support during the orientation period.

A program is in place for patients requiring general anesthesia for routine dental care. The program is especially important for children and for difficult patients. In these cases, anesthesia is administered in the surgical suites by anesthesiologists.

Cleft lip and/or palate patients have the benefit of a team of specialists that include an oral surgeon, pediatric dentists and orthodontists, who carry out a birth-to-adulthood treatment plan with the hospital's speech therapists, pediatricians, plastic surgeons, social workers and geneticist.

Dental procedures for cancer patients are carefully coordinated with members of the oncology team. Team members integrate the expertise of oral surgeons and prosthodontists, creating an environment in which the most up-to-date reconstructions can be attempted.

An effort is made to assign one to two such special study cases to each resident during the year. Sophisticated interventions for special cases, e.g. (complex fixed and/or removable prosthetic cases, amelogenesis imperfecta, children born with no tooth enamel) are treated as special case studies and serve as models for therapies that involve cost beyond the family's means.