Rotations

Internal Medicine Rotation

The General Practice Dentistry Resident will spend two full weeks under the direct supervision of a Hospital Internal Medicine Attending Physician who will oversee and assess the resident's education in medical history record-taking; physical examination; ordering of appropriate radiographs and laboratory body fluid analyses; diagnosis; patient admissions; daily in-patient treatment and progress notes; and, patient discharges from the Hospital. The purpose of this rotation is to give the resident first-hand experience in the medical management of patients; to learn to integrate medical and dental correlations where applicable; to gain more experience in evidence-based learning; and, to improve the resident's ability to communicate effectively with their medical colleagues.

Emergency Medicine Rotation

The General Practice Dentistry Resident will spend two full weeks in the Emergency Department under the supervision of an Emergency Room Physician who will oversee and assess the resident's education in triage; medical history recording; physical examination; pain assessment; treatment of mostly non-acute emergency cases that present to the emergency room, including cases that may require hospital admission; and, discharge and follow-up with appropriate medical service(s). The purpose of this rotation is to train the resident to recognize obvious and subtle signs of medical and mental instability of patients; improve diagnostic, physical examination, and referral skills; and, to improve the resident's ability to communicate effectively with their emergency medicine colleagues.

Pediatric Medicine Rotation

The General Practice Dentistry Resident will spend one week in the Pediatric Primary Care Center under the supervision of Pediatricians who will oversee and assess the resident's education in history-taking from parents and children; physical examination of children; diagnosis; and, medical management of childhood diseases which may include inpatients and outpatients. The purpose of this rotation is to give the resident training in the medical management of children; to be able to recognize obvious and subtle signs and symptoms of medical and mental instability in the pediatric patient; to improve the resident's diagnostic and appropriate referral skills; and to improve the resident's ability to communicate with their Pediatric Medical colleagues. This Rotation is done in conjunction with a rotation in Pediatric Dentistry.

Pediatric Dentistry Rotation

The General Practice Dentistry Resident will spend three weeks in the Pediatric Dentistry Center, one of which will be in the Pediatric Primary Care Center, under the direct supervision of Pediatric Dentists who will oversee and assess the resident's education in the dental treatment of children and their parents. All dental services offered for the dental management of children will be taught including pain management using chemical agents beyond local anesthesia. The purpose of this rotation is to give the resident familiarity, comfort, knowledge, and expertise in comprehensive dental care of children and their parents; to learn to correlate and coordinate appropriate dental treatment with the age of the child taking into consideration and monitoring the growth and development of the child; to make appropriate referrals when indicated; and, to improve the resident's communication with their Pediatric Dentistry colleagues.

Anesthesia Rotation

The three-week Anesthesia Rotation will provide Residents with an overview of the scope of medical anesthesia and its application in dentistry. The goal of the anesthesia rotation is to train residents in operating room procedures and protocol, including oral and nasal intubation. Emphasis will also be placed on pre-operative preparation and post-operative management of patients. Additional anesthesia emergencies, pharmacological and physiologic action of general anesthesia agents will be covered. The rotation consists of lectures, demonstrations, and operating room duties. The Anesthesia Rotation also affords the resident the opportunity of working with the staff anesthesiologist in the operating room performing inhalation and spinal anesthesia, intravenous sedation techniques, and to learn pain management beyond the use of local anesthesia.

Oral and Maxillofacial Surgery Rotation

The two-week Oral and Maxillofacial Surgery totation will provide the Reisent with direct insight and overview of new advances in the treatment of maxillofacial surgery. The Resident will discuss treatment options for the pathologic conditions of the maxillofacial region, develop a comprehensive evaluation of a trauma patient, identify approaches for treatment and options of managing post-operative pain. The Resident will learn to evaluate and assess dentoalveolar surgeries, different types of dental implants, and will learn to recognize the impact of systemic disases on patient management.

Oral and Maxillofacial Surgery Rotation

Senior OMFS Residents from the Hospital of St. Raphael share this rotation at YNHH's Department of Dentistry for a period of one year. The purpose of this rotation is to enable the OMFS Residents to learn to diagnose, treat, and manage complex OMFS, medically compromised, and trauma cases. The goals of this rotation are for the OMFS resident to perform OMFS procedures in clinic(s) and operating room(s) under the direct supervision of OMFS Attendings of YNHH Departments of Dentistry, Plastic Surgery, and Otolaryngology when on rotations in those respective departments. The OMFS residents gain experience in teaching by serving as Chief Resident for and helping to train GPR and Pediatric Dental Residents in basic OMFS under the direct supervision of OMFS Attendings. This will enable the OMFS resident to develop communication skills for working in a team of OMFS surgeons, general dentists, orthodontists, endodontists, periodontists, maxillofacial prosthodontists, and other physician colleagues in hospital patient care.