Curriculum

The following statements describe the graduates of MMC GPR programs. They are intended to communicate the expectations of the faculty to the resident and serve as a basis for evaluation of resident’s satisfactory completion of the program.

Dental Medicine Residency Program

Definitions

In order to facilitate reading this list of statements, certain terms have bee predefined so they could be used in the manual without repetitive definition. These definitions are listed in the next section of this manual. In general, the definitions proposed by Chambers and Gerrow have been followed, although some new definitions have been added and some definitions modified. In situations where it is expected that the GPR program graduate will be able to, and likely to, actually perform the necessary procedures, the terms “perform”, “provide”. “restore”, or “treat” have been used. In circumstances where the graduate may perform some treatment but is more likely to oversee treatment or refer, the term “manage” is used. The term “appropriate” is not used in these statements to eliminate repetitive verbiage. It is assumed that all knowledge, skills, and procedures described will be performed for appropriate reasons, in appropriate circumstances and in an appropriate manner. In this manual each statement is designated as either an area of competency ( C ) in which graduates are expected to have little experience at the beginning of their programs, or as an area of proficiency ( P ) in which graduates are expected to be competent at the beginning of their programs and gain further experience, skill and judgment as the program progresses.

A Graduate of MMC GPR Program will:

PGY1
PGY2

In regard to planning and providing comprehensive multidisciplinary oral health care:

1. Function as a patient’s primary, and comprehensive oral health care provider

( P )

( P )

2. Explain and discuss with patients, or parents or guardians of patients, findings, diagnoses, treatment options, realistic treatment expectations, patient responsibilities, time requirements, sequence of treatment, estimated fees and payment responsibilities in order to establish a therapeutic alliance between the patient and care provider.

( C )

( P )

3. Integrate multiple disciplines into an individualized, comprehensive, sequenced treatment plan using diagnostic and prognostic information for patients with complex needs.

( P )

( P )

4. Modify the treatment plan, if indicated, based on unexpected circumstances or patient’s individual needs.

( P )

( P )

5. Diagnose and manage a patient’s occlusion.

( C )

( P )

6. Treat uncomplicated diseases and abnormalities of the pediatric patient.

( C )

( P )

7. Use proper hospital protocol when treating and managing patients in a hospital environment.

( C )

( P )

8. Provide dental treatment in an operating room.

( C )

( P )

9. Perform dental consultations and request medical consultations for hospitalized patients and patient in other health care settings.

( C )

( P )

In regard to health care delivery:

10. Treat patients efficiently in a dental practice setting.

( C )

( P )

11. Support the program’s mission statement by acting in a manner to maximize patient satisfaction in a dental practice.

( C )

( P )

12. Use and implement accepted sterilization, disinfections, universal precautions and occupational hazard prevention procedures in the practice of dentistry.

( C )

( P )

13. Provide patient care by working effectively with allied dental personnel, including performing sit down, four handed dentistry.

( C )

( P )

14. Provide dental care as a part of an inter-professional health care team such as that found in a hospital, institution, or community health care environment.

( C )

( C )

15. Practice and promote ethical principles in the practice of dentistry and in relationships with patients, personnel and colleagues.

( C )

( P )

In regard to information management and analysis:

16. The resident will be able to apply scientific principles to learning and oral health care using critical thinking, evidence-based or outcomes-based clinical decision-making and technology-based information retrieval systems.

( C )

( C )

17. Maintain a patient record system that facilitates the retrieval and analysis of the process and outcomes of patient treatment.

( C )

( C )

18. Analyze the outcomes of patient treatment to improve that treatment.

( C )

( P )

19. Participate in the management of a system for continuous quality improvement in a dental practice.

( C )

( P )

In regard to oral disease detection and diagnosis:

20. Select and use assessment techniques to arrive at a differential, provisional and definitive diagnosis for patients with complex needs.

( C )

( C )

21. Obtain and interpret the patient’s chief complaint, medical, dental and social history and review systems.

( P )

( P )

22. Obtain and interpret clinical, medical and radiographic data and additional diagnostic information from other health care providers or other diagnostic resources.

( P )

( P )

23. Use the services of clinical, medical and pathology laboratories and refer to other health professionals for the utilization of these services.

( P )

( P )

24. Perform a limited history and physical evaluation and collect other data in order to establish a risk assessment for dental treatment and use that risk assessment in the development of a dental treatment plan.

( C )

( P )

25. Manage intra-oral soft tissue lesions of non-traumatic origin.

( C )

( C )

26. Diagnose and manage oral manifestations of systemic disease.

( C )

( P )

27. Diagnose and manage common oral pathological abnormalities.

( C )

( P )

In regard to promoting oral and systemic health and disease prevention:

28. Participate in community programs to prevent and reduce the incidence of oral disease.

( C )

( P )

29. Use accepted prevention strategies such as oral hygiene instruction, nutritional education, and Pharmacologic intervention to help patients maintain and improve their oral and systemic health.

( P )

( P )

In regard to medical risk assessment:

30. Treat patients with a broad variety of acute and chronic systemic disorders and social and social difficulties including patients with special needs.

( C )

( P )

31. Develop and carry out dental treatment plans for patients with special needs in a manner that considers and integrates those patient’s medical, psychological and social needs.

( C )

( P )

In regard to sedation, pain and anxiety control:

32. Use Pharmacologic and non-Pharmacologic behavior management skills with the pediatric patient.

( C )

( P )

33. Use Pharmacologic agents in the treatment of dental patients.

( P )

( P )

34. Provide control of pain and anxiety in the conscious patient through the use of psychological interventions, behavior management techniques, local anesthesia and oral anti-anxiety agents and nitrous oxide.

( C )

( C )

35. Describe the indication and contraindication of various drugs utilized in sedation including P.O., IV, and inhalation agents.

( C )

( P )

36. Monitor the sedated patient.

( C )

( P )

37. Prevent, recognize and manage complications related to use and interactions of drugs and local anesthesia.

( P )

( P )

In regard to restoration of teeth:

38. Restore single teeth with a wide range of materials and methods.

( P )

( P )

39. Place restorations and perform techniques to enhance patient’s facial esthetics.

( P )

( P )

40. Restore endodontically treated teeth.

( P )

( P )

41. Restore intra and extra-coronal defects in the primary dentition.

( P )

( P )

In regard to placement of teeth using fixed and removable appliances:

42. Treat patients with missing teeth requiring removable restorations.

( P )

( P )

43. Treat patients with missing teeth requiring uncomplicated fixed restorations.

( P )

( P )

44. Treat patients with missing teeth with implants.

( C )

( P )

45. Communicate case design with laboratory technicians and evaluate the resultant prosthesis.

( C )

( P )

In regard to periodontal therapy:

46. Diagnose and treat early and moderate periodontal disease using non-surgical and surgical procedures.

( C )

( P )

47. Manage advanced periodontal disease.

( P )

( P )

48. Evaluate the results of periodontal treatment and establish and monitor a periodontal maintenance program.

( P )

( P )

In regard to pulpal therapy:

49. Diagnose and treat pain of pulpal origin.

( P )

( P )

50. Perform uncomplicated non-surgical anterior Endodontic therapy.

( P )

( P )

51. Perform uncomplicated non-surgical posterior Endodontic therapy.

( C )

( P )

52. Treat uncomplicated Endodontic complications.

( P )

( P )

53. Manage complex Endodontic complications.

( C )

( P )

54. Perform pediatric pulpal therapy.

( P )

( P )

In regard to hard and soft tissue surgery:

55. Perform uncomplicated surgical procedures on pediatric patients.

( C )

( C )

56. Perform surgical and non-surgical extraction of teeth.

( C )

( C )

57. Extract uncomplicated impacted wisdom teeth.

( C )

( C )

58. Perform uncomplicated socket preservation surgery.

( C )

( C )

59. Perform uncomplicated pre-prosthetic surgery.

( P )

( P )

60. Perform uncomplicated implant surgery.

( C )

( C )

61. Perform biopsies of oral tissue.

( C )

( P )

62. Treat patients with complications related to intra-oral surgical procedures.

( C )

( C )

In regard to treatment of dental and medical emergencies:

63. Treat patients with intra-oral dental emergencies and infections.

( C )

( P )

64. Anticipate, diagnose and provide initial treatment and follow-up management for medical emergencies that may occur during dental treatment.

( C )

( C )

65. Treat intra-oral hard and soft tissue lesions of traumatic origin.

( C )

( C )

In regards to Temporalmandibular disorders and facial pain:

66. Obtain and interpret clinical data and pain history.

( C )

( C )

67. Diagnosis and manage common causes of facial pain through pharmacological agents and appliance therapy.

( C )

( C )