The General Practice Dental Residency Program at SBH

General practice residents receive clinical and didactic training from attendings representing all dental and medical specialties. The clinical curriculum emphasizes clinical techniques in general dentistry including restorative, periodontics, laser dentistry, implant dentistry, oral surgery, endodontics and pediatric dentistry. Residents are exposed to non-pharmacological behavior management, nitrous oxide sedation, oral conscious sedation, intravenous sedation, general anesthesia, and public health. St. Barnabas Hospital is a Level 2 Trauma Center, resulting in extensive exposure to trauma management. Hospital rotations include the emergency department, anesthesia, ObGyn, the cardiac clinic, and the diabetes clinic. Residents participate in outreach at community health fairs and school screenings.

Didactic Component

Residents attend daily lectures, seminars, and rounds provided through the Departments of Medicine and Pediatrics, as well as the Department of Dentistry. Topics include but are not limited to: physical medicine, internal medicine, sedation, oral pathology, anesthesia, special patient care, orthodontics, pain and anxiety control, implant dentistry, laser dentistry, continuous quality improvement (CQI), and practice management. The curriculum includes instruction on research methods. Residents are encouraged to pursue clinical research opportunities. CPR and ACLS are taken during orientation jointly with the medical residents. Residents are actively involved in case presentation sessions involving comprehensive treatment and implant treatment. The program is fully integrated with other existing residencies: internal medicine, family practice, pediatrics, radiology, emergency medicine, psychiatry and surgery.

First Year GPR Goals and Objectives

1. Develop the clinical judgment (outcomes-based clinical decision making), technology-based information retrieval, diagnostic ability, and clinical skill to provide comprehensive general dentistry.
2. Develop the ability to manage medically compromised hospital patients in ambulatory and inpatient settings and appropriately interact with and respond to consults from other services/health care professionals.
3. Develop patient and practice management skills.
4. Develop practitioners with strong ethical, moral and empathetic sensitivities, and with an appreciation for the multiple cultures present in our community. Instill the concept of responsibility of community service.
5. Participate in a research project or QA project, or present two large comprehensive case presentations at mid-year and end of year.
6. Resident education to enable the resident to evaluate the patient’s total oral health needs, provide a means of entry into the oral health care system, provide professional general dental care and refer the patient, when indicated, to appropriate specialists while preserving the continuity of care.
7. Offer a broad range of dental services, which can meet the needs of a diverse spectrum of patients, providing patient care including the elderly, handicapped, medically compromised, and hospital-based dentistry.
8. Educate the residents in hospital protocol and procedures through working in the ER, OR, and with physicians and other health professionals. Create a multidisciplinary learning environment, where dental residents both learn from and teach colleagues.
9. Meet the dental needs of underserved areas, which suffer from limited access to specialty services.

Second Year GPR Program Goals and Objectives

1. To enhance the resident’s ability to provide more complex and comprehensive quality restorative dental and oral health services for patients regardless of age and medical condition.
2. Gain proficiency on a higher level in an elective area of dentistry including: implantology, pediatric dentistry, sedation, practice management, endodontics, periodontics, maxillofacial surgery, and orthodontics.
3. To develop teaching, management and leadership skills, through responsibility in relation to first-year dental residents and hospital-wide committees.
4. To develop more advanced dental literature research, critical review of dental literature, presentation skill, and if selected, research skills.
5. If selected, to further develop proficiency in the use of behavioral methods and administration of pharmacological agents for the comprehensive control of pain and apprehension.

Off-Service Rotations

Emergency Department Rotation

Objectives

• Provide instruction and clinical experience in medical risk assessment
• To become familiar with diagnosis and treatment of medical emergencies

Goals

• Improve techniques in risk assessment, physical diagnosis, and management of emergency medical conditions, (airway management, controlling hemorrhage, evaluating cardiac problems, treating allergic reactions, etc.)
• Function as a member of an emergency medical team

At the end of the rotation, the resident will have an understanding of:

• Recording/interpreting medical hx
• Interpretation of common lab studies
• Interpretation of common radiographs
• The medical consultation process
• The use of physical diagnosis

Anesthesia Rotation

Objectives

• Provide knowledge and clinical experience in physical assessment, airway management, monitoring techniques, and the recognition/treatment of anesthetic complications

Goals

• Understand the basic approaches and mechanics involved in general anesthesia
• Become familiar with operating room protocol and functioning of operating room personnel
• Intubate patients
• Start an IV line
• Become familiar with pre-op preparation
• Objective management and post-op care in the OR
• Perform more thorough physical exams

At the end of the rotation, the resident will have an understanding of:

• ASA classification system
• Common drug interactions and use of pre-anesthetic medications
• Basic anesthesia techniques such as endotracheal intubation, venipuncture, mask and bag airway
• Assessing recovery from anesthesia
• Anesthetic complications

Three Professional Evaluation Forms (PEF is a traditional letter of evaluation. It is an optional addition to the application. Up to two PEFs are allowed for each program designation.)

ADEA PASS Evaluations

Program Specific Requirements
Must upload a CV/Resume to the ADEA PASS application: Yes
Must submit a photocopy or a notarized copy of your dental school diploma to the program: No
Must submit ADAT scores to program: Optional
Must submit a 2″ x 2″ photo to the program: Yes
Must contact program for additional requirements: No
Must visit program website for additional requirements: No

General Requirements
Must have passed Part 1, National Dental Board Examination: Yes
Must have passed Part 2, National Dental Board Examination: Yes
Must have earned a DMD/DDS degree, or equivalent: Yes

Background
Must be a U.S. Citizen: No
Can be a permanent resident: Yes
Permanent residents must show proof of residency: Yes
Will accept Canadian citizens: Yes
Must be a graduate of a U.S. or Canadian dental school: Yes

Additional Requirements for International Applicants
Will accept foreign

• Professional liability coverage for all activities that are approved components of the resident program
• Medical and dental insurance
• Disability insurance
• Prescription drug plan
• Uniforms
• Reduced parking rates

Vacation: 20 days
Sick days: 1 day per month in the first year and twelve per year thereafter
Stipend: Annual stipend of $650
Salary: Commensurate with post-graduate year as stipulated in the CIR Collective Bargaining Agreement