Curriculum

Educational Objectives

The curriculum consists of outpatient and inpatient clinical experience and rotations in the Departments of Emergency Medicine, Anesthesia, and Medicine and is aimed at providing a broad understanding of the interrelationships of dental and medical care to the physical, social, and emotional needs of the patient. We also provide visitation to attendings’ private practices. The didactic program consists of seminars, meeting, lectures, case presentations, and journal study clubs.

The residents are prepared in the management of total oral health care by instruction and experience in the delivery of such care to a full range of ambulatory and hospitalized patients. In addition, the residents are afforded the opportunity to appreciate the relationships between oral and systemic diseases.

The Clinical Curriculum

Outpatient Dental Service Curriculum
The outpatient dental curriculum provided the residents with experience in all phases of dentistry. Each resident is provided with his/her personal schedule for the year upon entering the Residency Program. The daytime O.P.D. schedule divides the day into a morning and afternoon session of 3 ½ hours each. Each 3 ½ hour session is devoted to the teaching and clinical application of principles of General Practice, Endontontics, Orthodontics, Periodontics, Pedodontics, Oral Surgery, and Prosthodontics. Each session is attended to by members of the dental staff under direction of the section chief. The receptionist with the aid of the resident schedules the patients according to their dental needs.

Inpatient Dental Curriculum
In the inpatient dental service, the residents participate in the total management of the hospitalized dental patient. The inpatient dental population is composed of patients referred by the private sector and service patients. The residents training on private inpatients consists of writing or dictating the admitting orders, acting as first assistant in the operating room and following the patient’s hospital course by means of daily progress notes. Their training on service patients consists of performing the full admissions procedure and pre-admission testing orders, obtaining medical consultations, and acting as primary surgeon under direct supervision of the attending, writing the operative note, writing progress notes, and determining when the patient is ready for discharge.
Each year the resident will manage approximately 75 oral trauma cases including approximately 40 fractured mandible and maxillas and 35 soft tissue injuries. 20 physically and mentally handicapped compromised patients are managed as inpatients to better monitor and control their medical problems during oral treatment. The resident’s participation in the inpatient service increases their ability to treat patients in their entirety and enables them to function in a multidisciplinary environment. This exposure increases their ability to coordinate specialist participation and act as the primary practitioner of the patient’s treatment.

Inpatient Medical and Surgical Curriculum
Dental residents actively participate in pre-admissions testing. Aiding the Cardiology Department in Medical/Dental clearance of risk patient populations prior to surgery in addition residents will activate and aid the Anesthesia Department in assessing risk to the dentist prior to intubations. This will be the responsibility of the On-Call Resident for the week. During this rotation the residents are exposed to the diagnosis and clinical management of a variety of major and minor medical problems. This enables the residents to better evaluate, coordinate and manage their dental patients.

Residents rotate through Internal Medicine that provides a setting for the residents’ medical training. The dental residents accompany the medical residents on their daily rounds and also attend all departmental conferences and seminars, including Medical Grand Rounds. During this rotation, they should learn the principles of physical diagnosis and the significance and interpretation of laboratory data. This training is designed to give the residents a better understanding of medical diseases and their influence on the oral health and management of the dental patient and to provide the residents with exposure to medical conditions not frequently seen in the other areas of their training.
Dental residents provide approximately 500 consultations to the medical and surgical services for patients with oral problems. The patient is examined and evaluated by the resident and the attending is contacted for complete discussion, diagnosis, and to determine the treatment to be rendered. This participation increases the residents’ appreciation for the interrelationships between medicine and Dentistry, and increases the residents’ ability to manage these patients.

Emergency Department Curriculum
The Emergency Department curriculum provides the dental residents with two distinct experiences. The first responsibility that the residents fulfill is to the Department of Dentistry where they provide twenty-four hour daily coverage to the Emergency Department for emergency dental crises. Each of the five dental residents are on-call once every fifth week to treat the acute and trauma-induced dental problem. The Emergency Department at RWJUH is an extremely active trauma center and as such affords the residents a unique and valuable learning experience. The residents must contact the attending on-call prior to rendering any dental treatment and are primarily responsible to the Oral Surgeon and secondarily responsible to the Emergency Department physician.

In addition, each resident rotates for a minimum of 70 hours through the Department of Emergency medicine. Here the residents participate in the diagnosis and treatment of approximately 240 medical, 170 surgical and 150 dental emergencies each year. The residents are exposed to the full range of local and systemic medical surgical emergencies. This affords the residents the opportunity to participate in the management of emergencies not normally seen in the outpatient setting. This type of exposure is invaluable in creating a clinician that is confident and capable in his approach to the dental outpatient. As part of the Emergency Medicine Rotation residents obtain the ACLS certification.

Anesthesia Curriculum
The anesthesia training consists of a minimum of 80 hours in the operating room. The curriculum trains the resident to perform the following duties:
  • Perform a pre-anesthetic evaluation of the patient
  • Determine the need for pre-medication
  • Monitor patients adequately during an anesthetic procedure
  • Be familiar with drugs and equipment in current use for anesthetic management
  • Supervise the post-anesthetic phase of patient recovery and determine when a patient may be safely discharged from the recovery room
  • Perform venipuncture
  • Manage the airway of an unconscious patient
In addition, this training results in a level of knowledge that includes utilization of all agents and techniques commonly available for the anesthetic management of patients, the performance of nasal and oral endotracheal techniques, and the recognition and management of related complications and emergencies that may arise during the anesthetic management of a patient.

Community Health Screenings Curriculum
The Dental Health Services Program for local schools includes:
  • Provide a dental lecture series
  • Provide educational material and lectures to teachers and other educators within each school
  • Provide patient, parent and staff education with respect to oral hygiene and nutritional requirements for good health
  • Screen children for oral disease and make appropriate referrals