Advanced Dental Education
General Practice Residency Certificate Program
The General Practice Residency (GPR) Program at Winthrop University Hospital is a twelve-month program with second-year option. The GPR program is accredited by the Commission on Dental Accreditation and has been granted the accreditation status of “initial accreditation”. The Commission is a specialized accrediting body recognized by the Unites States Department of Education. The Commission on Dental Accreditation can be contacted at (312) 440-4653. The Commission’s web address is www.ada.org/100.aspx Successful completion of the program will result in the awarding of a Certificate of Completion.
Our program participates in the National Post-Doctoral Dental Matcing Program (MATCH) and the Post-Doctoral Application Support Service (PASS).
The mission of the general practice residency program is to provide residents with advanced knowledge and skills that will enable them to perform evidence-based, comprehensive oral care in a professional and ethical manner to a culturally-diverse patient population including those with special needs.
Residency Program Educational Goals and Objectives
The overall educational goals and objectives of the residency at Winthrop University Hospital will prepare graduates to:
- Successfully practice high quality, comprehensive oral health care in any setting.
- Develop in residents the ability to function in the hospital setting as a member of the health care team.
- To emphasize the application of the basic science to the clinical practice of dentistry. Appreciate the benefits of lifelong learning to continuously improve knowledge, competency and performance.
- To provide a broad understand of the inter-relationship of dental and medical care to the physical, social and economical needs of patients. Base clinical decisions and care plans on the best scientific evidence, published guidelines, and available outcomes data.
- To ensure competency & proficiency in the practice of dentistry through a standardized curriculum so as to be able to endorse dental licensure.
- Provide culturally-sensitive oral health care to a diverse patient population in Nassau and surrounding counties, including those with special needs.
- Demonstrate the application of the principles of ethical reasoning, ethical decision making and professional responsibility as they pertain to the academic environment, research, patient care, and practice management.
Program Competency Statements
The GPR program has a structured didactic and clinical experience that will address the following Competencies required areas for dental practice.
PLANNING AND PROVIDING COMPREHENSIVE MULTIDISCIPLINARY ORAL HEALTH CARE:
- Function as a patient's primary, and comprehensive, oral health care provider.
- Explain and discuss with patients, or parents or guardians of patients, findings, diagnoses, treatment options, realistic treatment expectations, patient responsibilities, time requirements, sequence of treatment, estimated fees and payment responsibilities in order to establish a therapeutic alliance between the patient and care provider.
- Integrate multiple disciplines into an individualized, comprehensive, sequenced treatment plan using diagnostic and prognostic information for patients with complex needs.
- Modify the treatment plan, if indicated, based on unexpected circumstances or patient's individual needs.
- Diagnose and manage a patient's occlusion.
- Use proper hospital protocol when treating and managing patients in a hospital environment.
- Provide dental treatment in an operating room.
- Perform dental consultations and request medical consultations for hospitalized patients and patients in other health care settings.
- Treatment complicated diseases and abnormalities of the pediatric patient.
HEALTH CARE DELIVERY:
- Treat patients efficiently in a dental practice setting.
- Use scheduling systems and insurance and financial arrangements to maximize production in dental practice.
- Support the program's mission statement by acting in a manner to maximize patient satisfaction in a dental practice.
- Use and implement accepted sterilization, disinfection, universal precautions and occupational hazard prevention procedures in the practice of dentistry.
- Provide patient care by working effectively with allied dental personnel, including performing sit-down, four-handed dentistry.
- Provide dental care as a part of an inter-professional health care team such as that found in a hospital, institution, or community health care environment.
- Practice and promote ethical principles in the practice of dentistry and in relationships with patients, personnel, and colleagues.
- Participate in organized dentistry.
- Participate in organized dentistry – use scheduling systems.
INFORMATION MANAGEMENT AND ANALYSIS:
- Evaluate scientific literature and other sources of information to determine the safety and effectiveness of medications and diagnostic, preventive, and treatment modalities, and make decisions regarding the use of new and existing medications, procedures, materials, and concepts.
- Take advantage of available information technology and evaluate state-of-the-art information systems as they are developed.
- Maintain a patient record system that facilitates the retrieval and analysis of the process and outcomes of patient treatment.
- Analyze the outcomes of patient treatment to improve that treatment.
- Design and implement a system for continuous quality improvement in a dental practice.(P)
ORAL DISEASE DETECTION AND DIAGNOSIS:
- Select and use assessment techniques to arrive at a differential, provisional and definitive diagnosis for patients with complex needs.
- Obtain and interpret the patient's chief complaint, medical, dental, and social history, and review of systems.
- Obtain and interpret clinical and radiographic data and additional diagnostic information from other health care providers or other diagnostic resources.
- Use the services of clinical, medical, and pathology laboratories and refer to other health professionals for the utilization of these services.
- Perform a limited history and physical evaluation and collect other data in order to establish a risk assessment for dental treatment and use that risk assessment in the development of a dental treatment plan.
- Manage intraoral soft tissue lesions of non-traumatic origin.
- Diagnose and manage oral manifestations of systemic disease.
- Diagnose and manage common oral pathological abnormalities.
PROMOTING ORAL AND SYSTEMIC HEALTH AND DISEASE PREVENTION:
- Participate in community programs to prevent and reduce the incidence of oral disease.(C)
- Use accepted prevention strategies such as oral hygiene instruction, nutritional education, and pharmacologic intervention to help patients maintain and improve their oral and systemic health.
- In regard to assessment of medical risk: Treat patients with a broad variety of acute and chronic systemic disorders and social difficulties including patients with special needs.
- Develop and carry out dental treatment plans for patients with special needs in a manner that considers and integrates those patient's medical, psychological, and social needs.
SEDATION, PAIN, AND ANXIETY CONTROL:
- Use pharmacologic and non pharmacologic behavior management skills with the pediatric patient.
- Use pharmacologic agents in the treatment of dental patients.
- Provide control of pain and anxiety utilizing behaviour and/or pharmacological techniques.
- Prevent, recognize, and manage complications related to use and interactions of drugs, local anesthesia, and conscious sedation.
- Restore single teeth with a wide range of materials and methods.
- Place restorations and perform techniques to enhance patient's facial esthetics.
- Restore endodontically treated teeth.
REPLACEMENT OF TEETH USING FIXED AND REMOVABLE APPLIANCES:
- Restoration of the edentulous space
- Communicate case design with laboratory technicians and evaluate the resultant prostheses.
- Perform and maintain uncomplicated endosseous implant restorations.
- Restore intra and extra-coronal defects in the primary dentition.
- Diagnose and treat early and moderate periodontal disease using non-surgical and surgical procedures.
- Manage advanced periodontal disease.
- Evaluate the results of periodontal treatment and establish and monitor a periodontal maintenance program.
- Diagnose and treat pain of pulpal origin.
- Perform uncomplicated non-surgical anterior endodontic therapy.
- Perform uncomplicated non-surgical posterior endodontic therapy.
- Manage post-treatment endodontic complications.
- Manage complex post-treatment endodontic complications.
- Perform pediatric pulpal therapy.
HARD AND SOFT TISSUE SURGERY:
- Perform uncomplicated surgical procedures on pediatric patients.
- Perform surgical and nonsurgical extraction of teeth.
- Extract uncomplicated impacted wisdom teeth.
- Perform uncomplicated pre-prosthetic surgery.
- Perform biopsies of oral tissues.
- Treat patients with complications related to intra-oral surgical procedures.
TREATMENT OF DENTAL AND MEDICAL EMERGENCIES:
- Treat patients with intra-oral dental emergencies and infections.
- Anticipate, diagnose and provide initial treatment and follow-up management for medical emergencies that may occur during dental treatment.
- Treat intraoral hard and soft tissue lesions of traumatic origin.
Residents in the GPR program will receive specialized training in the following off-service specialty areas:
- Medicine Service Rotation (Two Weeks Duration)
The resident will be assigned to a medicine teaching team consisting of medicine faculty, residents, and students. The resident will become proficient/competent in:
- Obtaining and interpreting the patient’s chief complaint, medical and social history and review of systems
- Obtaining and interpreting clinical and other diagnostic data from other health care providers
- Documenting the patient’s assessment, evaluation and treatment plan in the EMR
- Completing a routine physical examination
- Selecting, ordering and interpreting laboratory studies and other diagnostic procedures
- Establishing a medical risk assessment using the data from the history and physical examination
- Providing coordinated, patient-focused care among the medical specialties
- Caring effectively for diverse patients with special physiological, cultural and social needs
- Anesthesia Service Rotation (Four Weeks Duration)
The resident will be assigned to an anesthesia teaching team consisting of medicine faculty, residents, and students. The resident will become proficient/competent in:
- Preoperative patient evaluation
- Assessment of the effects of behavioral and pharmacologic agents used in anesthesia
- Venipuncture technique and administration of intravenous agents
- Patient monitoring
- Airway management, anesthetic induction and intubation
- Prevention and treatment of anesthetic emergencies
- Assessment of patient recovery from anesthesia
- Emergency Medicine Rotation (Four Weeks Duration)
The resident will be assigned to an emergency medicine teaching team consisting of medicine faculty, residents, and students. The resident will become proficient/competent in:
- Recognition and triage of medical emergencies
- Detection of signs and symptoms of the common dental crises
- Perform procedures and medications administered in medical emergencies for patient stabilization
- Treat patients with intra-oral dental emergencies and infections (P)
- Anticipate, diagnose and provide initial treatment and follow-up management for medical emergencies that may occur during dental treatment (C)
- Treat intraoral hard and soft tissue lesions of traumatic origin (C)
- Provide initial assessment and care for mild to moderate facial trauma
- Pediatric Hematology / Oncology Rotation (throughout academic year)
The resident will be assigned to a pediatric hematology / oncology team consisting of medicine faculty, residents and students. The resident will become competent in:
- To improve and develop confidence in basic clinical skill of history taking and physical examination.
- To begin the build a knowledge of pathogenesis and pathophysiology and principles of diagnosis and management of various hematologic and oncologic.
- To use these clinical skills and knowledge to develop the skill of problem-oriented differential diagnosis.
- To manage the oral healthcare of patients with hematologic/oncologic issues.
- Manage patients receiving chemotherapy and/or radiation therapy.
Our program offers a robust didactic conference schedule and special courses. Topics include but are not limited to:
- Anesthesia, Pain Control, and Pharmacology
- Asepsis, Infection and Hazard Control
- Clinical Dentistry
- Implant Dentistry
- Oral & Maxillofacial Surgery
- Oral & Maxillofacial Pathology
- Pediatric Dentistry
- Preventive Dentistry
- Restorative Dentistry
- Dental Oncology and Maxillofacial Prosthodontics
- Dental Photography
- Emergency Dental Care
- Emergency Medical Care
- Inpatient Care and Hospital Organization
- Laboratory Medicine
- Medical Risk Assessment
- Physical Evaluation
- Medically Compromised Patients
- Oral Medicine
- Oral Diagnosis and Treatment Planning
- Clinical Case Conferences
- Clinical Case Studies
- Practice Management
- Research and Individual Study
- Special Patient Care
- Patients with Disabilities
- Geriatric Patients
- TMD/Myofacial Disorders
To apply for the program, an applicant must fulfill the following requirements:
- Graduate from a pre-doctoral dental education program accredited by the Commission on Dental Accreditation.
- Be on track to graduate from a pre-doctoral program at the time of application.
- Graduate from a pre-doctoral dental education program in Canada accredited by the Commission on Dental Accreditation of Canada.
- Must have passed Part I, National Dental Board Examination. Candidate must pass Part II of the NDBE before enrollment into the program.
- Must be proficient in the English language.
In addition, applicants for advanced education programs are considered on the basis of the following general criteria:
- Completed Application
- Grade Point Average
- Class Standing
- Transcript/Pattern of Academic Achievement
- Board scores
- Experience and Training
- Personal Interview
Admission criteria are applied equally to all participants regardless of race, sex, color, national origin, or religion. Winthrop University Hospital and our program encourage minority student applications.
Disclosure of Terms
Applicants to Winthrop-University Hospital's GME training programs have full access to contractual terms and eligibility requirements, as well as information on specific benefits. Please contact the Office of Academic Affairs for any further information.
Sample Dental Contract
For More Information Please Contact
Kathleen L. Agoglia, D.D.S.
Department of Dental Medicine
Winthrop University Hospital
Mineola, New York 11501