Dentistry and Oral Surgery Residency Program Description

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Dentistry and Oral Surgery Residency Program Description

  1. 1. Dentistry and Oral Surgery Dentistry and Oral Surgery Residency Program Description The Dentistry and Oral Surgery Service at the Matthew J. Ryan Veterinary Hospitalof the University of Pennsylvania (MJR-VHUP) provides a full range of dental and oraldiagnostic and treatment options for clients from a wide area. There is an extensive teachingprogram in place for residents, interns, technicians and students. In addition to these clinicalservice and teaching components, funded research projects on several aspects of dentistry andoral surgery in companion animals are conducted. Penn’s involvement with veterinary dentistry and oral surgery began about 40 years agoas an informal case-based collaboration between MJR-VHUP staff and staff from Penn’s DentalSchool, which is one block from MJR-VHUP. The discipline of dentistry and oral surgery waspart of the Soft Tissue Surgery Service and was spun off as a separate clinical service, with itsown residents, about 20 years ago. MJR-VHUP has had a dental hygienist on staff since the early1980s.General Information The Dentistry and Oral Surgery Service currently consists of three AmericanVeterinary Dental College (AVDC) certified faculty members, three residents, oneregistered dental hygienist (RDH), one RDH that is also a veterinary technician, and twoveterinary technicians that are certified with the Academy of Veterinary DentalTechnicians (AVDT): Alexander M. Reiter, Dipl. Tzt., Dr. med. vet., Dipl. AVDC, EVDC, Assistant Professor of Dentistry and Oral Surgery, Chief of the Dentistry and Oral Surgery Service John R. Lewis, VMD, Fellow AVD, Dipl. AVDC, Assistant Professor of Dentistry and Oral Surgery, Director of the Dentistry and Oral Surgery Residency Program Colin E. Harvey, BVSc, FRCVS, Dipl. ACVS, ECVS, AVDC, EVDC, Professor of Surgery and Dentistry Bonnie Miller, RDH, BS, Staff Dental Hygienist Jeanette Hernandez, RDH, CVT, Staff Dental Hygienist and Veterinary Technician Jodi Kristel, CVT, VTS (Dentistry), Staff Veterinary Dental Technician Pat March, CVT, VTS (Dentistry), Staff Veterinary Dental Technician Viacheslav Eroshin, DVM, Resident in Dentistry and Oral Surgery (July 2006 – July 2009) Kristin Walker, DVM, Resident in Dentistry and Oral Surgery (July 2007 – July 2010) Sarah Bonner, DVM, Resident in Dentistry and Oral Surgery (July 2008 – July 2011) The Dentistry and Oral Surgery Service at MJR-VHUP is an American Veterinary DentalCollege (AVDC) approved residency site. One resident position is available each year. Theresidency program is three years, full-time. The resident’s schedule is structured so that allrequirements for a successful AVDC credentials application can be completed and submitted by
  2. 2. Dentistry and Oral Surgerythe resident at the end of the second year. This allows the third year of the residency to includetime for preparation for the AVDC examination (usually held in March) and time for completionof research or clinical investigation project(s), plus clinical time for a Chief Resident service.The aim of the three year program is to produce well-rounded AVDC-certified veterinarydentists and oral surgeons who have participated in and published results of a research project. Aresidency certificate will not be provided if the resident does not complete the full three years ofthe program. The residency program will commence with a general orientation for all new MJR-VHUP residents usually one day prior to the residency start date. The residency is designed toprovide experience in the discipline of dentistry and oral surgery through exposure to clinicaldentistry and oral/maxillofacial medicine and surgery, research related to these disciplines, andteaching. The training program at MJR-VHUP is approved by the AVDC, and residents enteringthe program will register with the AVDC and are expected to submit the reports required by theAVDC to maintain their AVDC eligibility. Progress to the second and third year of the program is dependent on satisfactorycompletion of the first and second year, respectively. The resident’s performance will beevaluated twice annually by his/her supervisors. The major responsibilities of the resident are to receive patients, perform dental andoral/maxillofacial diagnostic and treatment procedures on and carry out the postoperativemanagement of patients admitted to the hospital. The resident receives guided instruction onclient communication and patient care and performs clinical procedures under supervision. Theextent of instruction and supervision is matched to the experience and abilities of theresident. Residents also instruct veterinary students and interns and share responsibilities fordental emergencies and weekend and holiday coverage with staff members. The resident’sresponsibility for patient care and teaching increases as training progresses and is dependentupon a demonstrated level of proficiency. The residency also provides opportunities forlaboratory practice, reading of relevant literature, and discussion of residency-related topics. Theresident is expected to participate in one or more research projects that can be completed duringthe three-year residency period. Residents generally have one day every other week forlaboratory practice and professional development. The annual MJR-VHUP dental, oral/maxillofacial surgery, and oral medicinecaseload is approximately 550 animals anesthetized for treatment, and another 150-200 seen asconsultations only. This caseload produces the potential for approximately 1000 AVDC caseprocedures each year. The caseload consists predominantly of dogs and cats with periodontaldisease, tooth fractures and other conditions requiring endodontic treatment, chronic oralinflammation, and tooth resorption. Extensive oral and maxillofacial surgical procedures(trauma, congenital defects, neoplasms) and advanced endodontic and restorative procedures arewell represented. Though malocclusion consultations are common, few active orthodonticmovement procedures are performed.
  3. 3. Dentistry and Oral Surgery Additional experience in clinical dental disciplines may be obtained during laboratorypractice and extramural visits by the resident to other Diplomates of the AVDC, and by visits tothe Philadelphia Zoo and other regional exotic animal collections including the New Jersey StateAquarium. The Special Species Service at MJR-VHUP provides opportunities for diagnosis andtreatment of oral conditions in small mammals, birds and reptiles. The University LaboratoryAnimal Resources Service uses the MJR-VHUP Dentistry and Oral Surgery Service forconsultations, which results in opportunity for clinical experience with primates and andoccasionally other species. When practical, residents visit New Bolton Center (the School’sLarge Animal Hospital, 35 miles southwest of MJR-VHUP) when equine oral and dental casesare treated. MJR-VHUP is part of the main University of Pennsylvania campus in West Philadelphia.It specializes in treatment of companion animals and is adjacent to the basic science classroomsand research laboratories of the School of Veterinary Medicine. MJR-VHUP is a full-service,tertiary care companion animal veterinary hospital. The clinical staff consists of about 140veterinarians and 100 veterinary nurses, plus many other technical, business andadministrative support staff. MJR-VHUP has a very active 24/7/365 Emergency Service andIntensive Care Unit. A comprehensive range of diagnostic and treatment facilities is available.A total of about 30,000 patient visits to MJR-VHUP were recorded in 2007. Teaching, patientcare and research are enhanced by opportunities for interaction with the Penn’s medical anddental schools and the five other medical schools and one other dental school in Philadelphia. Equipment and supplies available for the residency program include high-speed dentalunits, micromotors, ultrasonic scalers, wall-mounted and mobile dental radiographic units (all ofwhich are compatible with our computed dental radiography system), electro-surgical units,amalgamators, cement vibrators, light curing guns, and an extensive collection of periodontic,endodontic, restorative and orthodontic hand instruments, equipment and supplies, as well as afull range of orthopedic, general surgery and oral surgical instruments. CO2 and diode lasers areshared by the three services in the Surgery Section.Proposed Resident Program ScheduleYear One 40 weeks MJR-VHUP Dentistry and Oral Surgery Service rotations* 4 weeks Anesthesia, soft tissue/orthopedic surgery, and radiology rotations 6 weeks External rotations and/or project work** 2 weeks VacationYear Two 42 weeks MJR-VHUP Dentistry and Oral Surgery Service rotations* 8 weeks External rotations and/or project work** 2 weeks VacationYear Three 32 weeks MJR-VHUP Dentistry and Oral Surgery Service rotations* 8 weeks External rotations and/or project work ** 8 weeks Preparation for AVDC examination, spread over Sep-Feb 4 weeks Vacation
  4. 4. Dentistry and Oral Surgery* MJR-VHUP Dentistry and Oral Surgery Service rotationMonday: Clinic appointments, rounds, laboratory session for studentsTuesday: Clinical/surgical procedures under anesthesia, roundsWednesday: Clinic appointments, rounds, laboratory session for studentsThursday: Clinical/surgical procedures under anesthesia, roundsFriday: Emergency or over-booked dental and oral/maxillofacial surgical procedures,reading/project day, rounds, laboratory session or extramural visit**Follow-up care of hospitalized cases on weekends is required occasionally. Weekend andholiday coverage of current cases or emergencies is split between the residents, and clinicianback-up is provided.** To be determined by the resident’s supervisors The program includes one-week rotations through the services of anesthesia, softtissue surgery, orthopedic surgery, and radiology to fulfill the AVDC training programrequirements. Additional rotations through the services of oncology, special species, intensivecare, and clinical and surgical pathology may be scheduled on an individual basis. Laboratorysessions provide instruction in and practice of clinical procedures prior to applying them on livepatients. The resident will have access to a computerized, veterinary dental and oral surgical,bibliographic database, various other electronic databases of the university’s libraries, and anextensive collection of relevant books, journals and videotapes. Both the Dental School Libraryand the Biomedical Library are close to MJR-VHUP (one block away). Although the programspecializes in treatment of small animals (dogs, cats, plus other species seen through MJR-VHUP’s Special Species Service), regional exotic animal collections, New Bolton Center and touniversity research animal facilities are included. Time for visits to other veterinary dentalpractices and to human dentists and oral/maxillofacial surgeons is provided. Teaching, patientcare, and research are enhanced by interaction with the medical and dental schools at theUniversity of Pennsylvania. Funds will be provided to enable the resident to attend the AnnualVeterinary Dental Forum (the nation’s largest veterinary dental meeting). The resident will be encouraged to present clinical case reports at veterinary dentalmeetings and to participate in ongoing research or to develop a research project that will bepresented at MJR-VHUP Grand Rounds. The salary for a first year resident will be $27,000 per year. Health insurance,professional liability insurance, and other personal benefits are provided or significantlydiscounted. On-site parking is provided free of charge for residents.Application Requirements and Process
  5. 5. Dentistry and Oral Surgery The University of Pennsylvania participates in the American Association of VeterinaryClinicians (AAVC) Veterinary Intern and Resident Matching Program (VIRMP). Thisrequires that applicants submit a rank order form to VIRMP (usually due in the second or thirdweek of January) in addition to submitting application materials described below to theUniversity of Pennsylvania (usually due in the first week of December). Please visit the VIRMPweb site at www.virmp.org for information on the VIRMP application process and an applicationpackage. Applicants will be notified of the results of the matching process usually in the firstweek of March. There are no citizenship or licensure requirements for residents at MJR-VHUP, exceptthat applicants must be graduate veterinarians who have completed (by the date ofcommencement of the residency) a one-year internship; employment in a multi-veterinariancompanion animal or mixed veterinary practice for one year or more may be acceptable asequivalent to an internship – please provide details of the practice experience. The Universityof Pennsylvania is an equal opportunity/affirmative action employer. The deadline for receipt of the complete application is usually in the first week ofDecember. To apply, submit a letter indicating your reasons for wanting to participate in aveterinary dentistry and oral surgery residency program, and include your curriculum vitae andveterinary school transcript. Also include a list of three or more individuals who will providereferences on your behalf, and request that, by the first December week deadline, they send aletter directly to:Dr. John LewisMJR-VHUP #31093900 Delancey StreetPhiladelphia, PA 19104 USA Faxed (215-898-9937) or e-mailed (jrlewis@vet.upenn.edu) reference letters areacceptable. The reference letters should mention the extent of interaction of the writer with theapplicant, clinical experience and skills of the applicant, interpersonal and client interaction skillsof the applicant, and an assessment of the suitability of the applicant for entry to our residencyprogram. For individuals who do not have English as their primary language, indicate your levelof proficiency in spoken and written English. Foreign veterinarians do not require the US and/or State veterinary medicine license inorder to practice veterinary medicine at MJR-VHUP. However, foreign nationals should beprepared to pay US $1,000 to the Citizenship and Immigration Services (CIS) for expedited H-1B visa processing, in addition to the standard visa fee. Visits by prospective residency applicants are encouraged. Please contact Dr. Lewisfor further information:Phone: (215) 746-0135Email: jrlewis@vet.upenn.edu

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