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General Practice Residency Program The University of Texas Health Science Center at Houston – Dental Branch and Memorial Hermann Hospital Integration of Dentistry into Medicine Medical risk assessment Recognition and treatment of medical conditions that affect the oral cavity

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General Practice Residency Program

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General Practice Residency Program

The University of Texas

Health Science Center at Houston –

Dental Branch

and

Memorial Hermann Hospital


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Integration of Dentistry into Medicine

  • Medical risk assessment

  • Recognition and treatment of medical conditions that affect the oral cavity

  • Prevention and management of systemic manifestations of oral disease

  • Advanced clinical dentistry


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Program Goals & Objectives

  • Advanced training in the clinical practice of dentistry

  • Diagnosis and treatment planning in a problem based manner using total patient evaluation

  • Proficiency in interdisciplinary interaction in outpatient, hospital and didactic settings

  • Clinical & hospital experience in comprehensive & emergency oral care to a wide range of patients

  • Simulation of the practice of dentistry in a private practice setting

  • Engage in the practice of dentistry based on a critical review and presentation of the literature


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Curriculum

  • Clinical Dentistry and Advanced Treatment Planning

  • Implant Dentistry

  • Prosthodontics

  • Periodontics

  • Inpatient Care / Hospital Administration

  • Medical Risk Assessment

  • Oral Medicine, Oral Pathology and Oral Radiology

  • Oral and Maxillofacial Surgery

  • Pain Control and Anesthesiology

  • Special Patient Care

  • Trauma and Emergent Dental Care


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2007 Residents

PGY1 (5)


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Clinical Phase

  • On-service rotations (8.5 mos) –

    • General Dentistry Service:

      • Clinic (University Dental Center)

      • Hospital (UDC, MHH, TIRR)

  • Off-service rotations (3.5 mos):

    • Anesthesiology (1 mos)

    • Internal Medicine (1 mos)

    • Oral and Maxillofacial Surgery (1 mos)

    • Otolaryngology (0.5 mos)


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Rotations

  • Anesthesiology:

    • Memorial Hermann - 1 month

  • Internal Medicine:

    • Memorial Hermann – 1 month

  • Oral and Maxillofacial Surgery:

    • Ben Taub Hospital - 1 month

  • Otolaryngology (ENT) – 1 month

  • Mobile Dental Van

    • 4-5 days


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Scope of Patient Care

  • Emergency Room Patients

  • Geriatric Patients

  • Hospital Inpatients

  • Medically Compromised

  • Mentally Handicapped

  • Physically Handicapped

  • “Well” Patients


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Medically Compromised Patients

  • Autoimmune Disease

  • Bleeding Disorders

  • Cardiovascular Disease

  • Endocrine Disease

  • Liver Failure

  • Neoplastic Disease

  • Renal Failure


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Hospital Experience

  • In-Patient Consultations

    • Memorial Hermann and TIRR

    • Average 250 per year

    • Necessary examination and treatment performed either at bed-side, UDC during their admission or after discharge, or in the OR

    • Coordination with primary admitting team


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Hospital Experience

  • Emergency Center – Memorial Hermann

    • Average 75 calls/year


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Hospital Experience

  • Operating Room – Memorial Hermann

    • Average 120-150 cases/year


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Clinical Experiences at the GPR


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Implant surgery


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Crown and Bridge


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Crown and Bridge


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Veneers


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Veneers


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IV Sedations


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OR Dentistry


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Biopsies


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Third Molar Extractions


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Pathology


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Pathology


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Didactic Curriculum

  • History and Physical Examination

  • Conscious Sedation and Pharmacology

  • Periodontics

  • Endodontics

  • Graduate Implant Course

  • Prosthodontics

  • Biomaterials and Restorative Dentistry

  • Oral Medicine, Pathology and Radiology

  • Orofacial Pain

  • General Medicine


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Resident Scholarly Activity

  • Journal Club

  • Resident Presentations

  • Scientific Paper

  • Table Clinics

  • Clinical Research


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Program Faculty

  • General Dentists

    • Full time director

    • Part-time attendings

  • Prosthodontists

  • Periodontist

  • Other Specialty Resources (UTDB)

    • Dental Anesthesiology, Endodontics, Oral Pathology, Oral Surgery, Pediatric Dentistry, Periodontics, Orthodontics


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Program Faculty

Dr. Raymond Simmons, Associate Professor, GPR Program Director

  • 1993 Graduate of Howard University College of Dentistry

  • 1994 1-yr Harvard Medical School/Brigham and Women’s GPR Program

  • 1999 5-yr Doctoral Program/Oral Medicine Program

  • 2001 2-yrNIH Post-doctoral Research Fellowship

  • 2003 2-yr Assist Professor Diagnostic Sciences UTHSC-San Antonio

  • 2007 4 yr Assist Professor Clinical Sciences/Clinical Medicine UNLV School of Dental Medicine


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Program Faculty

Dr. Steven Vaughan, Assistant Director

  • 2004 Graduate of UT San Antonio

  • 1-yr AEGD at VA-San Antonio, 2005

  • Full time private practice

  • Special interests: cosmetics, implants (placement and restoration), prosthodontics, CAD-CAM restorations, IV-sedation


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Program Faculty

Dr. Michael Chan, Part-time faculty

  • UT San Antonio, 1998

  • 2-yr GPR at UT Houston

  • Full time private practice

  • Special interests: cosmetics, IV-sedation, hospital dentistry, OR dentistry


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Program Faculty

Dr. Seema Varghese, Part-time

Faculty

  • 2005 Graduate of UT-Houston Dental Branch

  • 1Year GPR at University of Michigan, 2006

  • Full time private practice

  • Special interests: implant restoration, CAD-CAM restorations, oral surgery, hospital dentistry


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Program Faculty

Dr. Philip Cimo, Part-time Faculty

  • 2000 Graduate University of Texas Dental Branch

  • National Naval Medical Center, GPR - 2001


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Program Faculty

Dr. Sanjeev Gopalakrishna, Part-time Faculty

  • 2004 Graduate University of Texas Dental Branch

  • St. Anthony’s hospital, GPR - 2005


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Program Faculty

Dr. Sudarat Kiat-Amnuay, Prosthodontics

  • 1994 Graduate of Khon Kaen University, Thailand,

  • 1999 Graduate (MS) of the University of Louisville in prosthodontics.

  • Maxillofacial Prosthetics from the UT M.D. Anderson Cancer Center

  • Diplomate of the American Board of Prosthodontics.


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Program Faculty

  • 1997 Graduate UT - San Antonio

  • Certificate in Prosthodontics UT - San Antonio.

  • Private practice in The Woodlands, TX

Dr. James Lutonsky, Prosthodontics


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Program Faculty

  • UT Houston - 1981

  • Completed 1-yr GPR at Univ. of Tennessee

  • Founding GPR director

  • Special interests: hospital dentistry, medically compromised patients, OR dentistry, computers in dental practices

Dr. John A. Valenza, Executive Associate Dean


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Program Faculty

Dr. Sheila Koh, Operating Room

  • UT Houston – 1993

  • 1-yr GPR at UT Houston – 1994

  • Former Director, AEGD – 1993-1995


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Program Auxiliary Staff

  • Residency Coordinator

  • Office Manager

  • Dental Hygienist – Clinical Supervisor

  • Dental Assistants

  • Front office staff

  • Department Staff Support from UTDB


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Facilities

  • University Dental Center

  • Memorial Hermann Hospital

  • The University of Texas Dental Branch at Houston

  • The Institute for Rehabilitation and Research

  • Texas Medical Center Libraries

  • Rotational Sites (i.e.: Ben Taub Hospital)


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University Dental Center

  • UT Professional building

  • 7 open bays

  • 1 closed room

  • 3 oral surgery suites

  • 2 consult rooms

  • Electronic charting and digital radiography

  • Residents’ office

  • Laboratory


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Memorial Hermann Hospital

  • Established 1925

  • Primary teaching hospital of The University of Texas Health Science Center at Houston

  • Category I trauma center

  • Home to Hermann Life Flight

  • Licensed for over 600 beds


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The University of Texas Dental Branch at Houston

  • Founded 1905

  • One of 6 HSC schools

  • DDS Class Size: 84

  • DH Class Size: 40

  • Advanced Education Programs:

    • AEGD, Endodontics, GPR, OMFS, Orthodontics, Pediatric Dentistry, Periodontics, Prosthodontics


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Texas Medical Center

  • 42 institutions (hospitals and schools)

  • Largest medical center in the world

  • 13 hospitals

  • 2 medical schools, 4 nursing schools, DB, public health, pharmacy


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Advanced Student Benefits

  • Health, dental, disability, life

  • Meal Tickets

  • Current Stipend: $38,000

  • Texas Medical Center

  • UT Housing / Recreation Center

  • Paid Leave:

    • 10 days

    • 5 days over Christmas holidays

    • Statutory holidays


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Advanced Student Expenses(estimated for 2006-07)

Malpractice Insurance$950

Parking (approx. $65 per month)

Tuition and Fees (in state) approx. $700

(out of state) approx. $1600

Note: There is no charge for health insurance for the resident.

Family members (spouse, children) are additional.


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Optional 2nd-year Program

  • Affords resident the opportunity to expand on 1st-yr experience

  • Customized to preferences of resident

  • Teaching of undergraduates at Dental Branch

  • IV sedation experience

  • “Chief resident”

  • “Moonlighting” allowed


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Questions / Comments?

Raymond Simmons, DDS, DMSc

Program Director

General Practice Residency Program

Raymond.Simmons@uth.tmc.edu


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http://www.db.uth.tmc.edu/gpr/index.htm


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