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General Practice Residency Program

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  1. General Practice Residency Program The University of Texas Health Science Center at Houston – Dental Branch and Memorial Hermann Hospital

  2. 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

  3. 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

  4. 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

  5. 2007 Residents PGY1 (5)

  6. 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)

  7. 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

  8. Scope of Patient Care • Emergency Room Patients • Geriatric Patients • Hospital Inpatients • Medically Compromised • Mentally Handicapped • Physically Handicapped • “Well” Patients

  9. Medically Compromised Patients • Autoimmune Disease • Bleeding Disorders • Cardiovascular Disease • Endocrine Disease • Liver Failure • Neoplastic Disease • Renal Failure

  10. 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

  11. Hospital Experience • Emergency Center – Memorial Hermann • Average 75 calls/year

  12. Hospital Experience • Operating Room – Memorial Hermann • Average 120-150 cases/year

  13. Clinical Experiences at the GPR

  14. Implant surgery

  15. Crown and Bridge

  16. Crown and Bridge

  17. Veneers

  18. Veneers

  19. IV Sedations

  20. OR Dentistry

  21. Biopsies

  22. Third Molar Extractions

  23. Pathology

  24. Pathology

  25. 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

  26. Resident Scholarly Activity • Journal Club • Resident Presentations • Scientific Paper • Table Clinics • Clinical Research

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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

  32. Program Faculty Dr. Philip Cimo, Part-time Faculty • 2000 Graduate University of Texas Dental Branch • National Naval Medical Center, GPR - 2001

  33. Program Faculty Dr. Sanjeev Gopalakrishna, Part-time Faculty • 2004 Graduate University of Texas Dental Branch • St. Anthony’s hospital, GPR - 2005

  34. 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.

  35. Program Faculty • 1997 Graduate UT - San Antonio • Certificate in Prosthodontics UT - San Antonio. • Private practice in The Woodlands, TX Dr. James Lutonsky, Prosthodontics

  36. 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

  37. Program Faculty Dr. Sheila Koh, Operating Room • UT Houston – 1993 • 1-yr GPR at UT Houston – 1994 • Former Director, AEGD – 1993-1995

  38. Program Auxiliary Staff • Residency Coordinator • Office Manager • Dental Hygienist – Clinical Supervisor • Dental Assistants • Front office staff • Department Staff Support from UTDB

  39. 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)

  40. 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

  41. 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

  42. 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

  43. 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

  44. 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