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GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
GPR_Program_2007-08.p - General Practice Residency Program
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GPR_Program_2007-08.p - General Practice Residency Program

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  • 1.  
  • 2. General Practice Residency Program The University of Texas Health Science Center at Houston – Dental Branch and Memorial Hermann Hospital
  • 3. Integration of Dentistry into Medicine <ul><li>Medical risk assessment </li></ul><ul><li>Recognition and treatment of medical conditions that affect the oral cavity </li></ul><ul><li>Prevention and management of systemic manifestations of oral disease </li></ul><ul><li>Advanced clinical dentistry </li></ul>
  • 4. Program Goals & Objectives <ul><li>Advanced training in the clinical practice of dentistry </li></ul><ul><li>Diagnosis and treatment planning in a problem based manner using total patient evaluation </li></ul><ul><li>Proficiency in interdisciplinary interaction in outpatient, hospital and didactic settings </li></ul><ul><li>Clinical & hospital experience in comprehensive & emergency oral care to a wide range of patients </li></ul><ul><li>Simulation of the practice of dentistry in a private practice setting </li></ul><ul><li>Engage in the practice of dentistry based on a critical review and presentation of the literature </li></ul>
  • 5. Curriculum <ul><li>Clinical Dentistry and Advanced Treatment Planning </li></ul><ul><li>Implant Dentistry </li></ul><ul><li>Prosthodontics </li></ul><ul><li>Periodontics </li></ul><ul><li>Inpatient Care / Hospital Administration </li></ul><ul><li>Medical Risk Assessment </li></ul><ul><li>Oral Medicine, Oral Pathology and Oral Radiology </li></ul><ul><li>Oral and Maxillofacial Surgery </li></ul><ul><li>Pain Control and Anesthesiology </li></ul><ul><li>Special Patient Care </li></ul><ul><li>Trauma and Emergent Dental Care </li></ul>
  • 6. 2007 Residents PGY1 (5)
  • 7. Clinical Phase <ul><li>On-service rotations (8.5 mos) – </li></ul><ul><ul><li>General Dentistry Service: </li></ul></ul><ul><ul><ul><li>Clinic (University Dental Center) </li></ul></ul></ul><ul><ul><ul><li>Hospital (UDC, MHH, TIRR) </li></ul></ul></ul><ul><li>Off-service rotations (3.5 mos): </li></ul><ul><ul><li>Anesthesiology (1 mos) </li></ul></ul><ul><ul><li>Internal Medicine (1 mos) </li></ul></ul><ul><ul><li>Oral and Maxillofacial Surgery (1 mos) </li></ul></ul><ul><ul><li>Otolaryngology (0.5 mos) </li></ul></ul>
  • 8.  
  • 9. Rotations <ul><li>Anesthesiology: </li></ul><ul><ul><li>Memorial Hermann - 1 month </li></ul></ul><ul><li>Internal Medicine: </li></ul><ul><ul><li>Memorial Hermann – 1 month </li></ul></ul><ul><li>Oral and Maxillofacial Surgery: </li></ul><ul><ul><li>Ben Taub Hospital - 1 month </li></ul></ul><ul><li>Otolaryngology (ENT) – 1 month </li></ul><ul><li>Mobile Dental Van </li></ul><ul><ul><li>4-5 days </li></ul></ul>
  • 10. Scope of Patient Care <ul><li>Emergency Room Patients </li></ul><ul><li>Geriatric Patients </li></ul><ul><li>Hospital Inpatients </li></ul><ul><li>Medically Compromised </li></ul><ul><li>Mentally Handicapped </li></ul><ul><li>Physically Handicapped </li></ul><ul><li>“ Well” Patients </li></ul>
  • 11. Medically Compromised Patients <ul><li>Autoimmune Disease </li></ul><ul><li>Bleeding Disorders </li></ul><ul><li>Cardiovascular Disease </li></ul><ul><li>Endocrine Disease </li></ul><ul><li>Liver Failure </li></ul><ul><li>Neoplastic Disease </li></ul><ul><li>Renal Failure </li></ul>
  • 12. Hospital Experience <ul><li>In-Patient Consultations </li></ul><ul><ul><li>Memorial Hermann and TIRR </li></ul></ul><ul><ul><li>Average 250 per year </li></ul></ul><ul><ul><li>Necessary examination and treatment performed either at bed-side, UDC during their admission or after discharge, or in the OR </li></ul></ul><ul><ul><li>Coordination with primary admitting team </li></ul></ul>
  • 13. Hospital Experience <ul><li>Emergency Center – Memorial Hermann </li></ul><ul><ul><li>Average 75 calls/year </li></ul></ul>
  • 14.  
  • 15. Hospital Experience <ul><li>Operating Room – Memorial Hermann </li></ul><ul><ul><li>Average 120-150 cases/year </li></ul></ul>
  • 16. Clinical Experiences at the GPR
  • 17. Implant surgery
  • 18. Crown and Bridge
  • 19. Crown and Bridge
  • 20. Veneers
  • 21. Veneers
  • 22. IV Sedations
  • 23. OR Dentistry
  • 24. Biopsies
  • 25. Third Molar Extractions
  • 26. Pathology
  • 27. Pathology
  • 28. Didactic Curriculum <ul><li>History and Physical Examination </li></ul><ul><li>Conscious Sedation and Pharmacology </li></ul><ul><li>Periodontics </li></ul><ul><li>Endodontics </li></ul><ul><li>Graduate Implant Course </li></ul><ul><li>Prosthodontics </li></ul><ul><li>Biomaterials and Restorative Dentistry </li></ul><ul><li>Oral Medicine, Pathology and Radiology </li></ul><ul><li>Orofacial Pain </li></ul><ul><li>General Medicine </li></ul>
  • 29. Resident Scholarly Activity <ul><li>Journal Club </li></ul><ul><li>Resident Presentations </li></ul><ul><li>Scientific Paper </li></ul><ul><li>Table Clinics </li></ul><ul><li>Clinical Research </li></ul>
  • 30. Program Faculty <ul><li>General Dentists </li></ul><ul><ul><li>Full time director </li></ul></ul><ul><ul><li>Part-time attendings </li></ul></ul><ul><li>Prosthodontists </li></ul><ul><li>Periodontist </li></ul><ul><li>Other Specialty Resources (UTDB) </li></ul><ul><ul><li>Dental Anesthesiology, Endodontics, Oral Pathology, Oral Surgery, Pediatric Dentistry, Periodontics, Orthodontics </li></ul></ul>
  • 31. Program Faculty Dr. Raymond Simmons, Associate Professor, GPR Program Director <ul><ul><li>1993 Graduate of Howard University College of Dentistry </li></ul></ul><ul><ul><li>1994 1-yr Harvard Medical School/Brigham and Women’s GPR Program </li></ul></ul><ul><ul><li>1999 5-yr Doctoral Program/Oral Medicine Program </li></ul></ul><ul><ul><li>2001 2-yrNIH Post-doctoral Research Fellowship </li></ul></ul><ul><ul><li>2003 2-yr Assist Professor Diagnostic Sciences UTHSC-San Antonio </li></ul></ul><ul><ul><li>2007 4 yr Assist Professor Clinical Sciences/Clinical Medicine UNLV School of Dental Medicine </li></ul></ul>
  • 32. <ul><li>Dr. Steven Vaughan, Assistant Director </li></ul><ul><ul><li>2004 Graduate of UT San Antonio </li></ul></ul><ul><ul><li>1-yr AEGD at VA-San Antonio, 2005 </li></ul></ul><ul><ul><li>Full time private practice </li></ul></ul><ul><ul><li>Special interests: cosmetics, implants (placement and restoration), prosthodontics, CAD-CAM restorations, IV-sedation </li></ul></ul>Program Faculty
  • 33. <ul><li>Dr. Michael Chan, Part-time faculty </li></ul><ul><ul><li>UT San Antonio, 1998 </li></ul></ul><ul><ul><li>2-yr GPR at UT Houston </li></ul></ul><ul><ul><li>Full time private practice </li></ul></ul><ul><ul><li>Special interests: cosmetics, IV-sedation, hospital dentistry, OR dentistry </li></ul></ul>Program Faculty
  • 34. <ul><li>2005 Graduate of UT-Houston Dental Branch </li></ul><ul><li>1Year GPR at University of Michigan, 2006 </li></ul><ul><li>Full time private practice </li></ul><ul><li>Special interests: implant restoration, CAD-CAM restorations, oral surgery, hospital dentistry </li></ul>Program Faculty Dr. Seema Varghese, Part-time Faculty
  • 35. <ul><li>2000 Graduate University of Texas Dental Branch </li></ul><ul><li>National Naval Medical Center, GPR - 2001 </li></ul>Program Faculty Dr. Philip Cimo, Part-time Faculty
  • 36. <ul><li>2004 Graduate University of Texas Dental Branch </li></ul><ul><li>St. Anthony’s hospital, GPR - 2005 </li></ul>Program Faculty Dr. Sanjeev Gopalakrishna, Part-time Faculty
  • 37. <ul><ul><li>1994 Graduate of Khon Kaen University, Thailand, </li></ul></ul><ul><ul><li>1999 Graduate (MS) of the University of Louisville in prosthodontics. </li></ul></ul><ul><ul><li>Maxillofacial Prosthetics from the UT M.D. Anderson Cancer Center </li></ul></ul><ul><ul><li>Diplomate of the American Board of Prosthodontics. </li></ul></ul>Program Faculty Dr. Sudarat Kiat-Amnuay, Prosthodontics
  • 38. <ul><li>Dr. James Lutonsky, Prosthodontics </li></ul>Program Faculty <ul><ul><li>1997 Graduate UT - San Antonio </li></ul></ul><ul><ul><li>Certificate in Prosthodontics UT - San Antonio. </li></ul></ul><ul><ul><li>Private practice in The Woodlands, TX </li></ul></ul>
  • 39. <ul><li>Dr. John A. Valenza, Executive Associate Dean </li></ul>Program Faculty <ul><ul><li>UT Houston - 1981 </li></ul></ul><ul><ul><li>Completed 1-yr GPR at Univ. of Tennessee </li></ul></ul><ul><ul><li>Founding GPR director </li></ul></ul><ul><ul><li>Special interests: hospital dentistry, medically compromised patients, OR dentistry, computers in dental practices </li></ul></ul>
  • 40. <ul><li>Dr. Sheila Koh, Operating Room </li></ul>Program Faculty <ul><ul><li>UT Houston – 1993 </li></ul></ul><ul><ul><li>1-yr GPR at UT Houston – 1994 </li></ul></ul><ul><ul><li>Former Director, AEGD – 1993-1995 </li></ul></ul>
  • 41. Program Auxiliary Staff <ul><li>Residency Coordinator </li></ul><ul><li>Office Manager </li></ul><ul><li>Dental Hygienist – Clinical Supervisor </li></ul><ul><li>Dental Assistants </li></ul><ul><li>Front office staff </li></ul><ul><li>Department Staff Support from UTDB </li></ul>
  • 42.  
  • 43. Facilities <ul><li>University Dental Center </li></ul><ul><li>Memorial Hermann Hospital </li></ul><ul><li>The University of Texas Dental Branch at Houston </li></ul><ul><li>The Institute for Rehabilitation and Research </li></ul><ul><li>Texas Medical Center Libraries </li></ul><ul><li>Rotational Sites (i.e.: Ben Taub Hospital) </li></ul>
  • 44. University Dental Center <ul><li>UT Professional building </li></ul><ul><li>7 open bays </li></ul><ul><li>1 closed room </li></ul><ul><li>3 oral surgery suites </li></ul><ul><li>2 consult rooms </li></ul><ul><li>Electronic charting and digital radiography </li></ul><ul><li>Residents’ office </li></ul><ul><li>Laboratory </li></ul>
  • 45.  
  • 46.  
  • 47. Memorial Hermann Hospital <ul><li>Established 1925 </li></ul><ul><li>Primary teaching hospital of The University of Texas Health Science Center at Houston </li></ul><ul><li>Category I trauma center </li></ul><ul><li>Home to Hermann Life Flight </li></ul><ul><li>Licensed for over 600 beds </li></ul>
  • 48. The University of Texas Dental Branch at Houston <ul><li>Founded 1905 </li></ul><ul><li>One of 6 HSC schools </li></ul><ul><li>DDS Class Size: 84 </li></ul><ul><li>DH Class Size: 40 </li></ul><ul><li>Advanced Education Programs: </li></ul><ul><ul><li>AEGD, Endodontics, GPR, OMFS, Orthodontics, Pediatric Dentistry, Periodontics, Prosthodontics </li></ul></ul>
  • 49. Texas Medical Center <ul><li>42 institutions (hospitals and schools) </li></ul><ul><li>Largest medical center in the world </li></ul><ul><li>13 hospitals </li></ul><ul><li>2 medical schools, 4 nursing schools, DB, public health, pharmacy </li></ul>
  • 50. Advanced Student Benefits <ul><li>Health, dental, disability, life </li></ul><ul><li>Meal Tickets </li></ul><ul><li>Current Stipend: $38,000 </li></ul><ul><li>Texas Medical Center </li></ul><ul><li>UT Housing / Recreation Center </li></ul><ul><li>Paid Leave: </li></ul><ul><ul><li>10 days </li></ul></ul><ul><ul><li>5 days over Christmas holidays </li></ul></ul><ul><ul><li>Statutory holidays </li></ul></ul>
  • 51. Advanced Student Expenses (estimated for 2006-07) <ul><li>Malpractice Insurance $950 </li></ul><ul><li>Parking (approx. $65 per month) </li></ul><ul><li>Tuition and Fees (in state) approx. $700 </li></ul><ul><li> (out of state) approx. $1600 </li></ul><ul><li>Note: There is no charge for health insurance for the resident. </li></ul><ul><li>Family members (spouse, children) are additional. </li></ul>
  • 52. Optional 2 nd -year Program <ul><li>Affords resident the opportunity to expand on 1 st -yr experience </li></ul><ul><li>Customized to preferences of resident </li></ul><ul><li>Teaching of undergraduates at Dental Branch </li></ul><ul><li>IV sedation experience </li></ul><ul><li>“Chief resident” </li></ul><ul><li>“Moonlighting” allowed </li></ul>
  • 53. Questions / Comments? <ul><li>Raymond Simmons, DDS, DMSc </li></ul><ul><li>Program Director </li></ul><ul><li>General Practice Residency Program </li></ul><ul><li>[email_address] </li></ul>
  • 54. http://www.db.uth.tmc.edu/gpr/index.htm

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