[ ] GPR_Program_2007-08.p


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[ ] GPR_Program_2007-08.p

  1. 2. General Practice Residency Program The University of Texas Health Science Center at Houston – Dental Branch and Memorial Hermann Hospital
  2. 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>
  3. 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>
  4. 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>
  5. 6. 2007 Residents PGY1 (5)
  6. 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>
  7. 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>
  8. 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>
  9. 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>
  10. 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>
  11. 13. Hospital Experience <ul><li>Emergency Center – Memorial Hermann </li></ul><ul><ul><li>Average 75 calls/year </li></ul></ul>
  12. 15. Hospital Experience <ul><li>Operating Room – Memorial Hermann </li></ul><ul><ul><li>Average 120-150 cases/year </li></ul></ul>
  13. 16. Clinical Experiences at the GPR
  14. 17. Implant surgery
  15. 18. Crown and Bridge
  16. 19. Crown and Bridge
  17. 20. Veneers
  18. 21. Veneers
  19. 22. IV Sedations
  20. 23. OR Dentistry
  21. 24. Biopsies
  22. 25. Third Molar Extractions
  23. 26. Pathology
  24. 27. Pathology
  25. 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>
  26. 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>
  27. 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>
  28. 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>
  29. 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
  30. 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
  31. 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
  32. 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
  33. 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
  34. 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
  35. 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>
  36. 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>
  37. 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>
  38. 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>
  39. 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>
  40. 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>
  41. 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>
  42. 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>
  43. 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>
  44. 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>
  45. 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>
  46. 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>
  47. 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>
  48. 54. http://www.db.uth.tmc.edu/gpr/index.htm