Dental Normal Follow Residency Program | VA Maryland Well being Care

Delly Bezoss
  1. Residents finishing this system will have the ability to present basic dentistry in a complete care setting.
  2. Residents finishing this system will perceive that training is a seamless and profession lengthy course of.
  3. Residents finishing this system will have the ability to deal with sufferers in each the emergent and complete care setting.
  4. Residents finishing this system will have the ability to present multidisciplinary well being care.
  5. Residents will take part in a group service venture whereas in this system.
  6. Residents finishing this system will have the ability to present oral well being care throughout the hospital setting.

Upon completion of this system the resident will have the ability to act as a major oral well being care supplier for:

  1. Offering emergency and multidisciplinary complete oral well being care.
  2. Acquiring knowledgeable consent.
  3. Functioning successfully inside interdisciplinary well being care groups, together with session and referral.
  4. Offering patient-focused care that’s coordinated by the overall practitioner.
  5. Directing well being promotion and illness prevention actions.

Upon completion of this system the resident will have the ability to assess, diagnose and plan for the availability of multidisciplinary oral well being take care of all kinds of sufferers with particular wants. (These sufferers whose medical, bodily, psychological, or social conditions make it needed to change regular dental routines in an effort to present dental remedy for that particular person). These people embody, however usually are not restricted to, folks with developmental disabilities, complicated medical issues and vital bodily limitations.


Upon completion of this system the resident will have the ability to handle the supply of patient-focused oral well being care regarding the affected person’s social, cultural, behavioral, financial, medical and bodily standing.


Upon completion of this system the resident will have the ability to present the next at a sophisticated degree of talent and complexity past that completed in pre-doctoral coaching.

A. Operative Dentistry

  1. Diagnose and remedy plan the necessity for restorations through oral examination, radiographic interpretation and different diagnostic knowledge.
  2. Decide the suitable restorative materials and method.
  3. Carry out complete operative dentistry.
  4. Diagnose and deal with operative emergencies.
  5. Show proficiency as evidenced by employees value determinations and self value determinations.

B. Restoration of the edentulous area

  1. Diagnose and remedy plan the necessity for mounted and/or detachable home equipment.
  2. Make and assess preparations for mounted and detachable home equipment.
  3. Make and assess impressions for mounted and detachable home equipment.
  4. Assemble provisional/interim restorations.
  5. Design, request and consider the fabrication of prosthetic work carried out by lab technicians.
  6. Consider and ship the ultimate prosthesis.
  7. Show proficiency as evidenced by employees value determinations and self value determinations.

C. Periodontal Remedy

  1. Diagnose, chart, classify, remedy plan, assess and handle the remedy of periodontal illness.
  2. Present complete periodontal care utilizing chemical and non-surgical method.
  3. Present primary periodontal remedy and acknowledge the necessity for referral of difficult and superior circumstances.
  4. Handle surgical periodontics and superior or difficult circumstances.
  5. Assess and consider the prognosis and effectiveness of remedy.
  6. Diagnose and deal with periodontal emergencies.
  7. Show proficiency as evidenced by employees value determinations and self value determinations.

D. Endodontic Remedy

  1. Diagnose pulpal and periapical pathology and decide/remedy plan the necessity for endodontic remedy
  2. Diagnose and supply preliminary remedy/referral of endodontic emergencies.
  3. Acknowledge the necessity for session/referral of difficult or superior circumstances.
  4. Carry out uncomplicated conventional or rotary endodontics.
  5. Handle difficult or superior endodontic circumstances.
  6. Show proficiency as evidenced by employees value determinations and self value determinations.

E. Oral Surgical procedure

  1. Diagnose, remedy plan and carry out uncomplicated extractions and uncomplicated surgical extractions to incorporate alveoloplasty.
  2. Diagnose and deal with/handle (primarily based on complexity) the necessity for preprosthetic surgical procedure.
  3. Diagnose and deal with/handle (primarily based on complexity) the necessity for I & D of abscess.
  4. Diagnose and deal with/handle (primarily based on complexity) the necessity for biopsy
  5. Diagnose, remedy plan and handle the remedy of difficult or superior surgical extractions
  6. Present preliminary remedy and acceptable referral for oral surgical procedure emergencies.
  7. Acknowledge the necessity for session or referral.
  8. Diagnose and deal with/handle postoperative issues.
  9. Show proficiency as evidenced by employees value determinations and self-appraisals.

F. Analysis and remedy of dental emergencies

  1. Diagnose and supply remedy for uncomplicated dental emergencies.
  2. Diagnose and supply preliminary remedy of difficult/superior dental emergencies, after which handle these emergencies by means of acceptable session and referral.
  3. Acknowledge the necessity for session and/or referral of dental emergencies.
  4. Show proficiency as evidenced by employees value determinations and self-appraisals.

G. Ache and anxiousness management using behavioral and pharmacological strategies.

  1. Diagnose and consider the affected person’s degree of ache and/or anxiousness.
  2. Remedy plan and supply management of ache and anxiousness by means of native, behavioral and pharmacological strategies.
  3. Decide when to refer the affected person for administration of the suitable degree of ache and anxiousness management.
  4. Decide the power of the affected person to soundly endure the suitable sort of ache/anxiousness management by means of acceptable medical danger evaluation and/or session.
  5. Anticipate, stop, diagnose and deal with/handle issues and medical emergencies arising from ache and anxiousness management.
  6. Show proficiency as evidenced by employees value determinations and self-appraisals.

Upon completion of this system the resident will have the ability to handle (diagnose and remedy plan the necessity for care and coordinate the supply of that care) the next:

A. Medical emergencies

  1. Anticipate, stop, diagnose and handle potential medical emergencies by means of medical danger evaluation.
  2. Anticipate the affect of systemic illness on dental remedy and the impact of dental remedy on medical well being.
  3. Anticipate, diagnose and supply preliminary remedy for medical emergencies to incorporate BLS.
  4. Handle medical emergencies after preliminary diagnose and remedy has been carried out.
  5. Show proficiency as evidenced by employees value determinations and self value determinations

B. Implants

  1. Diagnose and remedy plan the necessity for implants together with acceptable affected person choice.
  2. Place and restore uncomplicated implant circumstances.
  3. Handle the position and restoration of difficult or superior implant circumstances to incorporate directing ideally suited implant placement and evaluating of the standard of remedy offered by the referral.
  4. Diagnose and deal with implant emergencies for preliminary care, then handle through referral.
  5. Show proficiency as evidenced by employees value determinations and self value determinations.

C. Oral mucosal illnesses

  1. Diagnose and remedy plan the necessity for analysis of irregular mucosa lesions and irregular radiographic look.
  2. Acknowledge the necessity for session/referral of lesions.
  3. Diagnose and remedy plan the necessity for biopsy. Carry out uncomplicated/easy biopsies and handle, difficult/troublesome biopsies.
  4. Diagnose and deal with issues of oral mucosal illness remedy and biopsy.
  5. Acknowledge the oral manifestation of systemic illness.
  6. Show proficiency as evidenced by employees value determinations and self value determinations.

D. Temporomandibular dysfunction

  1. Diagnose and handle temporomandibular dysfunction.
  2. Diagnose and handle occlusal issues
  3. Diagnose and supply minor occlusal adjustment
  4. Present conservative remedy to incorporate development of an occlusal equipment.
  5. Acknowledge the necessity for session and referral for circumstances involving greater than minor occlusal issues to incorporate full mouth equilibration, orthodontic and orthognathic issues
  6. Consider and assess the standard of care given by the supplier to whom the referral was made.
  7. Show proficiency as evidenced by employees value determinations and self value determinations.

E. Orofacial ache

  1. Diagnose and handle orofacial ache.
  2. Acknowledge the necessity for session and referral.
  3. Consider and assess the standard of care given by the supplier to whom the referral was made.
  4. Show proficiency as evidenced by employees value determinations and self value determinations.

Targets and Goals for off-service rotations

Anesthesia

  • The resident will obtain supervised sensible expertise within the following;
  • Preoperative analysis
  • Evaluation of the consequences of behavioral and pharmacologic strategies
  • Venipuncture method
  • Affected person monitoring
  • Airway administration
  • Understanding the usage of pharmacologic brokers
  • Recognition and remedy of anesthetic emergencies
  • Evaluation of affected person restoration from anesthesia

Major Care Medication

  • The resident will obtain supervised sensible expertise within the following;
  • Acquiring and deciphering the affected person’s chief grievance, medical and social historical past, and assessment of programs.
  • Acquiring and deciphering scientific and different diagnostic knowledge from different well being care suppliers.
  • Utilizing the providers of scientific, medical, and pathology laboratories.
  • Performing a historical past and bodily analysis and amassing different knowledge in an effort to set up a medical evaluation.

This system will present the resident with formal instruction in bodily analysis and medical evaluation to incorporate:

  1. Taking, recording, and deciphering a whole medical historical past.
  2. Understanding the indications of and interpretations of laboratory research and different strategies used within the analysis of oral and systemic illnesses.
  3. Understanding the connection between oral well being and systemic illness.
  4. Decoding the bodily analysis carried out by a doctor with an understanding of the way it impacts on proposed dental remedy.
  5. Appropriately interacting with different well being care suppliers.

This system will present the resident with instruction within the rules of apply administration.

This system will present the resident with an understanding of hospital group, operate and the credentialing course of.


The resident will obtain coaching and expertise within the administration of inpatients or same-day surgical procedure sufferers to incorporate:

  1. Reviewing medical histories and bodily examinations.
  2. Prescribing remedy and drugs.
  3. Offering care within the working room.
  4. Making ready the affected person report, together with notations of medical historical past, assessment of bodily examination, pre- and post-operative orders and outline of surgical procedures.

This system will make sure that college students/residents are in a position to exhibit the applying of the rules of moral reasoning, moral resolution making {and professional} accountability as they pertain to the tutorial surroundings, analysis, affected person care, and apply administration.

 

https://www.va.gov/maryland-health-care/work-with-us/internships-and-fellowships/dental-general-practice-residency-program/

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