AEGD - Required Rotations

Emergency Rotation
Each resident has a 52 week rotation approximate (8 hours per week for First-Year Resident and 4 hours per week for Second-Year Residents) in emergency. Additional instruction is received through dental department seminars, literature reviews, case presentations, general practice presentations, and orientation lectures.

Objectives:

1. Develop skills in the evaluation and diagnosis of simple and complex dental emergency problems.
2. Become skilled in dental emergency problems including pulpectomies, extractions, excavating caries and placing temporary restorations.
3. Become skilled in time management when evaluating and treating emergency
   patients.
4. Become skilled in developing appropriate treatment plans for patients with
   emergency problems.

Oral Surgery Rotation at the Eastman Dental Center

Each resident has a 3 month rotation (8 hours per week) in Oral Surgery focusing on surgical removal of third molars (rotation can be extended). Residents receive additional instruction through department seminars, literature reviews, a pre-clinical course in oral surgery, a dental implant course, and general practice presentation.

Objectives:

1. To expose the residents to the complexities of Oral and Maxillofacial Surgery.
2. To enhance skills in acquiring adequate consultation with other medical and dental specialists for management of a patient requiring dental or surgical care.
3. To significantly improve skills in the surgical removal of partially impacted and soft tissue impacted third molars.
4. To enhance skills in pre-prosthetic and alveoplastic surgery.
5. To enhance skills in biopsy surgery.
6. To enhance skills in evaluating and treating post-operative complications.
7. To enhance skills in risk assessment of surgical procedures.

Oral Surgery Rotation at Strong Memorial Hospital

Each resident is required to spend two weeks with the Oral maxillo-facial surgery program at SMH. Residents will participate in the daily activities of the Division of Oral Surgery, under the direction of Dr. Lee Pollan (the Division Chief of OMFS). This will include rounds, patient consultation, medical risks assessment, patient care in the operating room, IV sedation and out-patient surgical procedures.

Objectives:

1. Increased skills in medical risk assessments of patients who will undergo oral maxillo-facial surgery procedures.
2. Increased understanding of hospital protocol and policies.
3. Increased skills in performing surgical procedures, including removal of partially bony and soft tissue implacted third molars, biopsies and alveoloplasty.
4. Increased skills in the management of the fearful patient with the use of conscious sedation.

Pediatric Dentistry Rotation

Each resident will participate in a rotation in the Pediatric Department at University of Rochester Eastman Dental Center. It is a four-week rotation (1/2 day per week, extended rotation is available). Additional instruction is provided through dental department seminars, literature reviews, case presentations, general practice presentations, and orientation lectures. Residents also participate in a formal course; Advanced Pediatric Dentistry.

Objectives:

1. The resident is expected to develop skills in the management and treatment of dental conditions as presented in a pediatric patient.
2. The resident is expected to become familiar with behavioral management techniques of the pediatric patient.
3. The resident is expected to have the knowledge and ability to appropriately administer local anesthetics to the pediatric patient.
4. The resident is expected to develop skills in diagnosing the need for placement of stainless steel crowns.
5. The resident is expected to be skilled in preventive therapy for a pediatric
   patient.

Research Rotation

Mandatory for residents in the 2 year program only. After completion of the Research Workshop, residents obtain 4 hours per week for 3 months to develop a research protocol. The protocol will be presented and discussed in the Research Seminar series. Upon completion and approval of the research protocol, residents obtain 8 hours per week to work on their research project for the remainder of their program (92 weeks), i.e. until the time of their results presentation. The selection of a research area is only limited by the availability of a research mentor. The execution of the project is supervised by the selected research mentor and progress is also monitored by an assigned research facilitator.

Objectives:

1. Select a research topic and formulate a research question.
2. Provide background and rationale for the project and design a research method.
3. Write a research protocol.
4. Execute and complete the research project.
5. Summarize and present results.

Comprehensive Care Rotation

Each resident will participate in this rotation. One-year residents will complete a 52 week rotation for 32 hours per week. Two year residents will complete a 104 week rotation, the first year will be for 32 hours per week, the second year will consist of 28 hours per week. The residents will be assigned to the comprehensive care clinic in the General Dentistry Program for the major part of their training. Residents have the opportunity to interact with specialists form other divisions including periodontology, orthodontics, endodontics, prosthodontics, oral surgery, and oral pathology. Specialists in these areas are available on floor in the clinics. The resident will develop skills in managing comprehensive care patients including maintenance phase and protocol.

Objectives:

1. To perform a comprehensive work-up of patient for dental care.
2. To provide high quality care in the areas of periodontology, restorative, fixed and removable prosthodontics, oral surgery, endodontics, and integrate this to a well sequenced treatment plan.
3. To develop skills to appropriately develop treatment plans for patients in need of comprehensive care.
4. To develop an appropriate maintenance plan for patients receiving comprehensive care.
5. To interact appropriately with specialists and ask for consultation when needed.

Community Dentistry Rotation

Each resident is required to complete a two week rotation (Monday – Thursday).

Objectives:

1. The resident is expected to become familiar with the function of community outreach program.
2. To become familiar with behavioral management techniques of the school age pediatric patient, as well as management of adult individuals with a multicultural, ethnic heritage.
3. The resident is expected to be skilled in preventive program from a public
   health stand point.

Developmental Disabled Clinic

Each resident is required to complete two sessions at the Developmentally Disabled Clinic at MCH.

Objectives:

1. To perform a comprehensive work-up of patients with developmental disabilities.
2. Assess oral health needs and then develop treatment plans, which are rational and appropriate for patients with developmental disabilities.
3. Perform indicated routine dental procedures.
4. When necessary, work with other dental and medical health care team members to carry out treatment protocols specialized for developmentally disabled patients.
5. Develop preventive oral care plans, which accommodate for reduced capabilities of the developmentally disabled
   

Geriatric Care at Monroe Community Hospital

Each resident is required to complete two sessions under the direction of Dr. Lin Saunders.

Objectives:

1. Identify pathologic and age-related oral conditions of nursing home residents who suffer form a variety of medical, physical, and mental status disorders.
2. Assess oral health needs and then develop treatment plans, which are rational and appropriate for geriatric patients.
3. Perform indicated routine dental procedures.

Periodontology

In the Periodontology program each resident is required to complete two sessions.

Objectives:
1. To enhance skills in Periodontal diagnoses
2. To enhance skills in Advanced Periodontal Surgery including grafting techniques.

Implantology

Surgical implant evaluation and treatment in the Periodontology program. Each resident is required to complete two sessions.

Objectives:
1. To enhance skills in treatment planning of dental implant patients.
2. To increase understanding of surgical procedure for placement of dental implants.
3. To be exposed to different implant systems and surgical techniques.

On-Call Service

All one-year AEGD residents (GME funded) are required to participate in five on-call sessions, four weekdays and one weekend session. The AEGD resident will be on call together with a GPR resident.

Objectives:
1. To increase the residents knowledge in regard to medical emergency room operation.
2. To increase skills in managing dental trauma

Administrative/Library Rotation

Each resident is assigned ½ day per week for administrative (chart documentation, treatment planning, laboratory work and library work). It is expected that every week at the end of this session:

1. All records should have been completed and returned to the record room.
2. All outstanding PVS’s forms returned to patient accounting office.
3. All outstanding pre-approvals completed and returned to patient-services.

Objective:
To better understand the administrative responsibilities of a private practice.