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Curriculum In addition to clinical experience and hospital rotations, residents will be participating in a variety of courses and seminars throughout the residency year. The courses and seminars supplement the clinical experience in order to assure that the program's purpose and objectives are achieved. Residents are required to attend didactic lectures on dental traumatology, maxillofacial trauma, prosthodontics, implants, intravenous sedation, dental office emergencies, and treatment of medically compromised patients. Endodontic and periodontic consultants lecture, demonstrate and supervise clinical procedures on a regular basis. Residents are also required to attend a History and Physical course given at the University of Minnesota. They attend several CE courses outside the facility as part of their curriculum. Tuition is provided. Residents may elect to complete the curriculum required for conscious sedation certification in the State of Minnesota. Competencies A graduate of Hennepin County Medical Center's 1st Year General Practice Residency Program will be able to: General Practice Management • Function as a patient's primary and comprehensive oral health care provider. • Treat patients efficiently in a dental practice setting. • 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. Diagnosis
and Prevention of Disease • Select and use assessment techniques to arrive at a differential, provisional and definitive oral diagnosis for patients with complex needs. • Obtain and interpret the patient's chief complaint, medical, dental and social history, and review of systems. • Perform a medical and dental history and head and neck evaluation and collect other data to establish a risk assessment for use in the development of a dental treatment plan. • Perform a medical and dental history and physical evaluation and collect other data to establish a risk assessment for the use of general anesthesia. Treatment Planning of Oral Disease • Develop and carry out dental treatment plans for special patients in a manner that considers and integrates those patients' medical, psychological and social needs. • Obtain informed consent for dental treatment by discussing with patients, parents, or guardians of patients, the following: findings; diagnoses, the risks, benefits, alternatives, and process of various treatment options. • Integrate multiple disciplines into individualized, comprehensive; sequenced treatment plans for patients with uncomplicated and complex needs. • Modify the treatment plan, if indicated, based on therapeutic outcomes, unexpected circumstances or the patient's individual needs. General Clinics • Treat patients with a broad variety of acute and chronic system disorders and social difficulties including patients with special needs. • Diagnose and manage oral manifestations of systemic disease. • Use pharmacological agents in the treatment of dental patients. • Provide control of pain and anxiety in the conscious patient through the use of psychological interventions, behavior management techniques, local anesthesia and oral and nitrous oxide conscious sedation techniques. Hospital Dentistry: • Use proper hospital protocol when treating/managing patients within a hospital environment. • Provide dental treatment in an operating room. • Provide comprehensive management and care for inpatients or same-day surgery patients. • Perform dental consultations and request medical consultations for hospitalized patients and patients in other health care settings. Related to Oral and Maxillofacial Surgery and Medical and Dental Emergencies • Treat patients with uncomplicated intra-oral emergencies and infections. • Evaluate and initially manage patients with extra-oral and complex oral facial emergencies and infections. • Anticipate, prevent, diagnose, and provide initial treatment and follow-up management for medical emergencies that may occur during dental treatment. • Perform simple extraction of teeth. • Perform uncomplicated surgical extraction of teeth. • Extract simple impacted wisdom teeth. • Perform biopsies of oral tissues. • Perform initial treatment and management of extra oral facial trauma. • Evaluate and manage intra-oral hard and soft tissue lesions of traumatic origin. • Manage patients with complications related to intraoral surgical procedures. Related to Management of Oral and Facial Pain • Assess
and manage facial pain. • Diagnose and non-surgically treat uncomplicated temporomandibular disorders. Related to Restorative Dentistry • Treat patients with missing teeth requiring uncomplicated removable restorations. • Restore teeth using a variety of materials and techniques. • Treat patients with missing teeth requiring fixed restorations. • Diagnose and manage a patient's occlusion. Related to Endodontics • Diagnose and treat pain of pulpal origins. • Perform nonsurgical endodontic therapy on single and multi-rooted teeth. • Treat uncomplicated endodontic complications.
Related to Pediatric Dentistry • Manage complicated diseases and abnormalities of the pediatric patients. • Perform pediatric pulpal therapy. • Restore intra- and extra-coronal defects in the primary dentition. • Use behavior management skills with the pediatric patient. Related to Periodontics • Diagnose & treat early periodontal disease using surgical & nonsurgical procedures. • Diagnose and treat moderate periodontal disease using surgical and nonsurgical procedures. • Manage advanced periodontal disease. • Evaluate the results of periodontal treatment and establish and monitor a periodontal maintenance program.
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