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  1. 1. GENERAL PRACTICE RESIDENCY (GPR) and ADVANCED EDUCATION IN GENERAL DENTISTRY (AEGD) PROGRAMS (2008-2009) CO-SPONSORED BY THE UNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY AND THE UNIVERSITY OF ALABAMA HOSPITAL UNIVERSITY OF ALABAMA AT BIRMINGHAM Birmingham, Alabama 1. BACKGROUND: The General Practice Residency (GPR) and the Advanced Education in General Dentistry (AEGD) merged in July of 2000 to form a single program known as the General Dental Residency (GDR). This is a two-track program with a GPR track with four 4 residents and an AEGD track with 2 residents. Both programs share clinical facilities, have the same auxiliary staff, utilize the same attending faculty and share didactic lectures. All 6 GDR residents rotate in OMFS for 8-9 eight weeks divided into two three week rotations or 1 two week rotation; Emergency Medicine for 2 weeks; a rotation of 2 weeks to post- graduate periodontics; a rotation for two weeks in Otolaryngology (added in 2007-08) and have a 1 week elective rotation in a medical or dental specialty. The 4 GPR track residents rotate in Anesthesia for 3 weeks and the AEGD track residents rotate in Pediatric Dentistry for 3 weeks. We believe this merger emphasizes the strengths of both programs – comprehensive general dentistry on patients with complex medical histories. A second year in either program is offered each year for one resident. At the successful completion of the GDR program each resident will receive either a GPR certificate or an AEGD certificate depending upon the track selected. 2. PURPOSE The General Dental Residency (GDR) Program is a postdoctoral educational program designed to provide essential skills, attitudes, and abilities related to the contemporary practice of advanced general dentistry, with emphasis on total patient care. The program provides the recent graduate the opportunity to augment his/her knowledge of oral disease and his/her diagnostic and therapeutic skills in dentistry. Treatment of oral disease in the medically complex patient and/or hospitalized patient is emphasized. A private practice environment is maintained throughout the program to assist the recent dental school graduate in the transition from academics to “real world dentistry”. January 2008
  2. 2. 3. GOALS AND OBJECTIVES The formal goals and objectives are: 1. To prepare residents to provide comprehensive general dentistry services at a level beyond that achieved in dental school through both didactic and clinical experience. 2. To improve the resident’s ability to treat a wide variety of patients with complex medical histories. 3. To improve the resident’s ability to provide dental care in the hospital and other health care environments. 4. To apply scientific principles to learning and oral health care. 5. To utilize values of professional ethics, lifelong learning, patient centered care, adaptability, and acceptance of cultural diversity in professional practice. 6. To understand and participate in the oral health needs of communities and engage in community service. 4. RESIDENCY PROGRAM Program Length: The GDR Program co-sponsored by the University of Alabama-Birmingham School of Dentistry and the UAB Hospital consists of 12 months of advanced dental education in clinical dentistry, and is conducted primarily within a hospital environment. An optional second GPR or AEGD year is available on a competitive basis. This latter position is generally limited to one position per year and is dependent upon qualifications. Program Dates: In 2008-09 the program begins June 24th and concludes June 30th. In general, entering residents are required to report 1 week early to for UAB Hospital orientation and help in patient transition. Assignments: University Hospital Dental Clinic (GPR/AEGD) 7.5 Months Residents spend 7.5 months at the recently upgraded University Hospital Dental Clinic (UHDC), where the majority of time is spent providing hands-on patient treatment. The 7.5 months is spread out during the entire year to assure continuity of care. During this time residents gain a wide variety of experiences by providing complex dental treatment for both hospitalized and ambulatory patients. The concept of comprehensive care is stressed, with an emphasis on considering the "whole" patient. Opportunities exist for providing comprehensive dental care, including fixed and removable prosthodontics (implant restoration), rotary endodontics, periodontics (implant placement), oral surgery, and advanced esthetic operative dentistry. Residents also gain extensive experience in evaluating hospital patients and providing dental consultations. January 2008
  3. 3. Oral Surgery (GPR/AEGD) 9 Weeks During the 9 week oral surgery rotation, residents perform numerous outpatient oral surgery procedures at the Oral Surgery Clinic located in the School of Dentistry. Routine and complex exodontia, pre-prosthetic surgery, and conscious sedation techniques are emphasized. Residents may participate in the care of hospitalized oral surgery patients. The three-week rotations are scheduled evenly throughout the year to allow for comprehensive care of restorative patients. Anesthesia (GPR only) 3 Weeks During this rotation, residents actively participate in the care of surgery patients via assignment to the Department of Anesthesiology at the University of Alabama Hospital. Residents receive experience in physical evaluation of the pre-anesthetic patient, starting and maintaining intravenous lines, oral and nasal intubation, monitoring vital signs, maintaining optimum airways, utilizing various equipment/instrumentation for monitoring the anesthetized patient, and patient recovery. Emergency Room (GPR/AEGD) 2 Weeks During this two-week rotation, residents actively participate in the care of patients presenting to the University Hospital Emergency Room and Walk-in-Clinic. The recently constructed and state-of-the art University Hospital ER serves as a major urban Level I trauma center; thus residents are exposed to a wide variety of emergency medical situations, from sprained ankles to severe trauma. The GDR residents are often assigned to an EM resident to maximize their rotation. Pediatric Dentistry (AEGD) 2 Weeks The GDR residents spend three weeks at Children's Hospital Dental Clinic and the School of Dentistry Pediatric Dentistry Clinic. During this time they perform both comprehensive and emergency treatment for pediatric dental inpatients and outpatients. Emphasis is placed upon prevention of oral disease in the child and adolescent, management of dental emergencies, treatment of the phobic or disruptive patient via behavioral management, oral and inhalation sedation, or general anesthesia. Otolaryngology (GPR/AEGD) 2 Weeks This two-week rotation is spent on service with division of Otolaryngology. The GDR resident will be primarily assigned to the head and neck cancer team. They will follow patients undergoing multidisciplinary management for head and neck cancer. Time will be spent in radiation oncology and medical oncology. Elective Rotation (AEGD/GPR) 1 Week This one-week rotation is completed in the second half of the year. Options include all of the specialty areas of dentistry, hospital departments or medical specialties and subspecialties. The resident is assigned to this area full or part time for the two week session. The elective must be approved at least one month prior to the scheduled rotation by both the GDR Program Director and a person responsible for the resident’s supervision during the elective. This rotation is usually taken during the last three months of the residency year. January 2008
  4. 4. Didactics: Formal postgraduate courses taken with other post-graduate dental students include Physical Diagnosis, Conscious Sedation, and Dental Management of the Medically Complex Patient. A portion of most Thursday mornings is set aside for resident seminars that range from formal lectures to treatment planning sessions. At these sessions other issues are discussed relating to the clinic practice (scheduling, emergencies, etc.). All GDR residents, including those on rotation, are required to attend these sessions. Space permitting, continuing education courses offered by the School of Dentistry are available for a minimal fee to postgraduate students. Approximately 30 courses are offered each year at UAB. Research: Although not required, opportunities for research are available for the interested resident. Time is limited, but several motivated residents have successfully participated in a variety of research endeavors. The program director can provide additional information. 5. FACILITIES University Hospital Dental Clinic The University Hospital Dental Clinic is a 13 chair modern, spacious dental facility located in the UAB Hospital. Each newly-equipped (2000) operatory has fiberoptic capability, high-volume suction, an intercom system, and nitrous oxide units. Digital radiography has recently been added (2007). There are three front-office staff, 4.5 dental assistants and one hygienist assigned to the GDR clinic full-time. Inpatient and outpatient needs are readily served by the clinic's convenient location. Convenient parking for patients is available. University Hospital The University of Alabama Hospital is a major teaching and service facility with a capacity of about 900 beds. This well respected tertiary care hospital serves patients regionally, nationally, and internationally. It is particularly well known for clinical care and research relating to cardiac surgery, cancer therapy, organ transplantation, and rheumatology. The University Hospital is consistently ranked as one of the best health science center hospitals in the United States. Children's Hospital of Alabama Children's Hospital is a 190 bed tertiary care facility providing care to an extensive population of pediatric patients from the southeast region. A new and expanded Children's Hospital Dental Clinic was recently opened. A full spectrum of services is provided for medically compromised and healthy pediatric patients. 6. CALL Residents participate in after-hours call in two ways. Throughout the year, they are on pager call while assigned as the consult resident. They triage patients of record and generally respond via telephone. Secondly, during one of their OMFS rotations, the January 2008
  5. 5. residents are required to participate by staying “in-house” to gain experience in trauma management. Residents are required to live within 30 minutes of UAB Hospital in case they are needed for emergency management. 7. APPLICATION PROCESS General Selection of the residents is based on the following criteria: 1. Class standing, GPA and National Boards Part I. 2. Letters of recommendation. 3. Applicant essay. 4. Interview The GDR Admissions Committee is comprised of two full-time faculty, one part-time faculty and a current GDR resident. Applicants must be a graduate of a fully accredited North American Dental school. Successful completion of the National Boards Part 1 is required. Alabama state licensure is not required for admission. All application forms must be received by November 1, 2008 for admission in 2009 (completed PASS applications are to be received by October 15, 2008). UAB EQUAL EDUCATION OPPORTUNITY As an institution of higher education and in the spirit of its policies of equal employment opportunity, UAB hereby reaffirms its policy of equal educational opportunity. All applicants for admission will be considered without regard to an applicant’s race, color, sex, sexual orientation, age, natural origin, disability unrelated to program performance, disabled veteran status, or Vietnam-era veteran status. PASS Application Participation in the PASS application program is mandatory for all applicants. In order to meet the November 1, 2008 application deadline, completed PASS documents must be submitted to the PASS office no later than October 15, 2008. Late applications will not be reviewed. Application materials can be obtained from your dental school or by writing: PASS 1625 Massachusetts Avenue N.W., Suite 600 Washington, D.C. 20036-2212 Telephone: (202) 332-8795 MATCH Process Presently, both the GPR and AEGD programs are participants in the Postdoctoral National Matching Program. The administration of the Matching Program, including the performance of the match, is carried out by National Matching Services, as an independent contractor. January 2008
  6. 6. National Matching Services 595 Bay Street Suite 301 Toronto, Ontario Canada M5G 2C2 Telephone: (416) 977-3431 Fax: (416) 977-5020 7. FINANCIAL INFORMATION Stipend Each resident of the General Dental Residency Program receives stipend support as determined yearly by the administration of the University Hospital. The stipend compares favorably with those of other programs. Specific information is available from the program director. The current stipend is approximately $43,118 a year plus benefits (full insurance package, free parking and cafeteria discount). Moonlighting For all first year residents, the residency is to be a full-time endeavor. After hours practice of dentistry will not be permitted. The second year resident may moonlight on a very limited basis with the written permission of the program director. Deposit Individuals accepted for matriculation in the GDR program will be requested to forward a $200.00 deposit. This deposit will be refunded upon entering the program. 8. HEALTH POLICIES All newly-appointed residents must undergo a pre-employment physical examination. All newly appointed residents will be TB tested at no cost by Employee Health with in the first month of arrival. All newly-appointed residents are also screened for immunization of hepatitis-B and childhood diseases as part of the physical. 9. DISCLAIMER The contents of this prospectus represent the most current information available at the time of publication. It is possible that changes may be made with respect to this information without prior notice. Thus, the provisions of this prospectus are not to be regarded as an irrevocable contract between the school and the student. 10. ADDITIONAL INFORMATION For information concerning application status, or requests for application materials, or additional information about the University Hospital General Practice Residency and Advanced Education in General Dentistry Programs please contact: January 2008
  7. 7. Dr. John M. Coke Professor and Director, General Dental Residency Program University of Alabama School of Dentistry SDB 39 1530 3rd Ave S Birmingham, AL 35294-0007 Telephone: (205) 934-2559 FAX: (205) 975-6519 January 2008
  8. 8. January 2008