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Second Year General Practice Residencies

Goals of the second year general practice residency: Centennial

This position is unique from traditional 2nd year positions. The resident has the opportunity to gain extensive crown and bridge experience not only for natural teeth, but also acquire a substantial knowledge base restoring and maintaining implants. Dr. Richard Kraut, a world renowned oral surgeon, has in previous years placed 3600 implants in a two year period.

In past years, residents have each restored over 200 implant crowns, over 100 natural tooth crowns, as well as gaining valuable general dental experience with both full time and part time attending staff. This position allows the resident to restore dual arches with both natural teeth and implants working directly with experienced staff guiding the resident through these innovative processes.

The primary educational goals of the second year of the General Practice Residency at Montefiore Medical Center are to prepare the residents to be competent hospital trained general dentists, to be able to practice in an interdisciplinary health care setting and to prepare for a career as practicing general dentists.

Objective 1: To train to competency in the delivery of parenteral conscious sedation.
This includes the ability to administer benzodiazepines, narcotics and barbiturates. A minimum of twenty five patients will be sedated by the resident under the direct supervision of the Oral and Maxillofacial Surgery staff to document competency in this area.

Objective 2: To train to competency in the treatment planning and restoration of endosteal implants. The resident will be trained to competency in the area of restoring single tooth implant restorations, multiple tooth fixed restorations, and restoration of edentulous arches. Assurance of achieving these goals will be via the requirement for the resident to restore a total of seventy-five endosteal implants under the direct supervision of the Oral Surgery attending staff. The implant portion of the resident’s education will include the resident learning how to treatment plan edentulous and partially edentulous patients. The resident will learn how to develop and prepare surgical guides for the above developed treatment plans. The resident will also learn the proper imaging requirements when working up candidates for dental implants to include both pantographic and CT imaging. The resident will learn how to interpret CT data relative to implant treatment plans. The resident will gain exposure to endosteal implants. This will be under the direct supervision of the Oral & Maxillofacial service. Following observation of placement of endosteal implants the resident may complete the placement of twenty five implants during the course of their second year of residency training. An interdisciplinary approach will be employed.

Goals of the second year (Chief Resident) general practice residency: Concentration in the O.R.

The primary educational goals of the second year of the General Practice Residency at Montefiore Medical Center are to prepare the residents to be competent hospital trained general dentists, and to be able to practice in an interdisciplinary health care setting and to prepare for a career as practicing general dentists.

Attendings:

Dr. Jade Duncan (951 Prospect Avenue/ Mondays)

Goal 1: The goal of the Dental Anesthesia concentration is to graduate residents who are competent in the practice and delivery of parenteral conscious sedation with some experience in general anesthesia inclusive of:

preoperative evaluation
assessment of the effects of behavioral and pharmacologic techniques
venipuncture technique
patient monitoring
airway management and intubation
administration of pharmacologic agents
prevention and treatment of anesthetic emergencies; and
assessment of patient recovery from anesthesia.

Overview

The residents will be exposed to various methodologies in anesthesiology. During the first year of training the residents will be rotated into the General Operating Room for general anesthesiology training, observing and training in various types, modalities and disciplines of anesthesiology at Montefiore North, and through the dental clinic to deliver and manage cases in oral surgery, periodontal surgery and general dentistry, and IV Sedation at Centennial (Friday).

The anesthesia residents are expected to interact with residents in all disciplines to aide and assist in the administration of anesthesia and management of difficult patients and/or cases.

The secondary objective of the second year of General Practice-Anesthesia concentration is to provide experience in a leadership role relative to restorative dentistry done in the operating room. We service the community by performing dentistry in the operating room for mentally and physically disabled patients.

The resident will be charged with the responsibility of completing the workup on all cases going to the operating room for restorative care. The resident will learn how to work within today’s managed care and fee for service insurance coverage to assure a smooth flow of patients from the clinical setting to the operating room and be available for all follow-up needs emergent or not.

Teaching Program

Teaching experiences are a part of the program and suggested for all residents. Teaching PGY1 dental residents provides second year residents with experiences that may be a motivating factor in the inclusion of education as part of their career plans.

Goals of the second year (Chief Resident) general practice residency: Concentration in Endodontics

The primary educational goals of the second year of the General Practice Residency at Montefiore Medical Center are to prepare the residents to be competent hospital trained general dentists, and to be able to practice in an interdisciplinary health care setting and to prepare for a career as practicing general dentists.

Attending:

- Dr. Larry Genser, Director of Endodontics

CENTENNIAL *Monday, Tuesday*
3332 Rochambeau Avenue
Bronx, New York 10467

WAKEFIELD*Wednesday ,Thursday, Friday*
4234 Bronx Boulevard
Second Floor
Bronx, New York 10466

Goal 1: The goal of the Second Year Program (Endodontic concentration) is to graduate residents who can practice the specialty of Endodontics and participate in research

Goal 2 : To train to competency in the delivery of parenteral conscious sedation under the direct supervision of the Oral and Maxillofacial Surgery staff to document competency in this area.

Goal 3: To recognize and understand oral health in relation to total health.

Goal 4: To recognize and understand disease and abnormalities.

Goal 5: To prevent and treat, in light of current knowledge, oral and systemically related diseases within the limits of their capability, including consultation and/or referral to other specialists when indicated.

Goal 6: To employ scientific methodology in solving problems of dental practice.

Goal 7: To recognize the dynamic and expanding nature of knowledge.

Goal 8: To be well versed in the following topics:

- Patient Medical History and Medicament History
- Diagnosis
- Pathogenesis of pulpal disease Pathogenesis of periapical disease
- Treatment of Acute Dental Pain
- Treatment of vital teeth

- Pulp capping
- Pulpotomy (apexogenesis)
- Pulpectomy

- Treatment of non-vital teeth

- open apex - apexification
- Microbiology
- healing of periapical inflammation

- Failures

- causes
- re-treatment
- endodontic surgery

General Description

The second year of residency training selects highly motivated candidates to receive one year of extensive clinical and biomedical education together with experience in teaching and research. The second year residency program is fully accredited by the Commission on Dental Accreditation of the American Dental Association.

Didactic Program

The didactic portion of the program consists of basic science, classic literature review, current literature review, and endodontic surgery. The didactic portion of the program emphasizes the biological basis of endodontics.

Clinical Program

The clinical component of the program covers an interdisciplinary approach to nonsurgical and surgical endodontics. Case conferences and interdisciplinary seminars are conducted. Varied instrumentation and obturation techniques are taught by faculty. Surgical cases of various types are part of the resident's clinical experiences. The Endodontic Clinic is equipped with surgical microscopes (endoscopes).

Research Program

Although research is not a requirement, residents have the opportunity to gain experience in research by participating in clinical or basic science research projects. Research advisers are selected from clinical or basic science departments.

Teaching Program

Goals of the second year general practice residency: Concentration in Periodontics

The primary educational goals of the second year of the General Practice Residency at Montefiore Medical Center are to prepare the residents to be competent hospital trained general dentists, and to be able to practice in an interdisciplinary health care setting and to prepare for a career as practicing general dentists.

Attendings:

Dr. Marie Tola-McKenzie (Monday, Wednesday amd Friday)
Dr. Patrick Nolan (Tuesday and Thursday)

Goals and Objectives

Goal 1: To create an environment between the resident and related dental professionals with the objective of developing knowledge and skills required to diagnose, understand the basis of and adequately interpret, treat, alone or in concert with other dental and medical practitioners, periodontal conditions and related diseases of the periodontium, restoring and maintaining the health of the periodontium, supporting structures and their replacements.

Objective 1: Provide the resident with in-depth knowledge of relevant biomedical sciences as they correlate to the theory and practice of Periodontology.

Objective 2: Provide the resident with a sufficient number of diagnostic, non-surgical and surgical clinical experiences

Objective 3: Prepare the resident to effectively treat medically compromised and special needs patients.

Objective 4: Provide the residents with the opportunity to present and discuss their clinical cases with the dental faculty and fellow residents.

Goal 2: To educate residents relative to knowledge and skills to enable them to critically evaluate and apply current technological developments and research into their clinical practice.

Objective: Prepare the residents to critically evaluate the dental literature

General Description

The second year of residency training selects highly motivated candidates to receive one year of extensive clinical and biomedical education. The second year residency program is fully accredited by the Commission on Dental Accreditation of the American Dental Association. Resident will refine the skills necessary to provide comprehensive periodontal care with a complete approach to the overall treatment of the patient. The program provides continuous and progressive opportunities for professional improvement and numerous opportunities to improve the resident’s quality of patient care and become proficient in: (1) providing periodontal and implant surgical care (2) Developing the capabilities necessary to participate as a member of a total health care team (3) Correlation of the dental and medical literature with clinical practice. (4) Participate in a multiple tract of activities to prepare for a career in clinical practice, education, research or a combination thereof.

Didactic Program

Clinical Program

The clinical component of the program covers an interdisciplinary approach to nonsurgical and surgical Periodontics. Case conferences and interdisciplinary seminars are conducted.

Research Program

Teaching Program

Goals of the second year (Chief Resident) general practice residency: assigned to one of (4) GPR site locations

Blondell - Dr. Baskas
Broadway - Dr. Distant-Johnson
Prospect - Dr. Reteguis
Schiff - Drs. Bursian, Martyniak and Melillo

This second year position is a continuation of the first year experience with emphasis on more complex cases to be completed within the residency year. Residents will have the ability to provide multi-disciplinary care at a degree of difficulty greater than that of the first year experience. There is an opportunity to work with Dr. John Dyer at Centennial on Saturdays as well as Dr. Leonard Mark on Wednesday evenings. Dr. Genser (Endo) is also available to assist in patient care. Chief residents assigned to a specific site assume a leadership teaching and supervisory role for first-year residents with respect to treatment planning and procedures. Additional duties may include:

guidance and overseeing the treatment of patients by the first year dental residents
scheduling lectures and seminars
coordination of I.V. sedation cases
coordination of the on-call schedule
working with Ms. Maldonado and New Innovations
enter Block Schedules of all Residents
enter Assignment Schedules of all Residents
duty Hours setup of all Residents
evaluations setup of all Residents

Length of the Program

The program is one full calendar year (12 months) beginning on July 1st of each calendar year.

Program Cost

The program cost for a second year general practice residency is $5,000.

Requirements

The requirements are completion of a 1st year residency and dental licensure in the state of New York, and a desire to improve in extensive crown and bridge dentistry in the backdrop of the greatest city in the world.

Benefits

Base Salary: $60,900 for PGY2/ $64,900 Chief differential (PGY2 assigned to the O.R., Blondell, Broadway, Prospect Avenue or Schiff)
$500 reimbursement for educational expenses (subject to Housestaff approval)
$15.00 daily meal stipend
BLS and ACLS training

Call (888) -700-6623 to schedule a consultation and learn more.