|
Clinical teaching
House staff perform most services offered in Saint Raphael's outpatient Oral and Maxillofacial Clinic - a spacious, state-of-the-art facility that sees a wide range of patients and is fully equipped to provide the full scope of OMS ambulatory surgery and anesthesia. Many patients come from poor, inner city neighborhoods and face multiple health issues. Saint Raphael's Smiles to Go mobile dental clinic, which provides dental care to needy schoolchildren and others in the area, refers many patients to the clinic. Thus, Saint Raphael's offers OMS residents a broad and thorough medical education.
Residents provide hands-on care from the beginning, although responsibilities are based on skill and experience. Supervised operating experience is encouraged, with the complexity of the case matching the resident's ability.
On most days, formal teaching rounds take place in the morning,
followed by clinical instruction, conferences, lectures and
seminars. The chief resident conducts afternoon work rounds.
All residents involved in patient care consult faculty both
formally and informally.
Range
of experiences
The residents provide a full range of ambulatory services in a modern outpatient clinic with teaching and supervision provided by more than 20 Board-certified voluntary faculty from the community who supplement the teaching provided by the full-time faculty. Clinical experience is also gained in the Emergency rooms and operating rooms of both the Hospital of Saint Raphael and Yale-New Haven Hospital so that each resident receives a progressive experience in both major and minor oral and maxillofacial surgery.
While most of each of the four years is spent in the Saint Raphael OMS Clinic, residents gain added expertise from rotations through Anesthesia, Medicine, Emergency Medicine, General Surgery, Otolaryngology, Plastic Surgery and Oral Pathology. Each of these areas focuses on the following objectives:
Anesthesia (four months in PGY 1): Manage emergencies and complications related to anesthesia, including establishing and maintaining an airway; maintaining respiration and circulation; and performing both basic and advanced life support. Competence in managing both perioperative and post-anesthesia recovery - including prevention, early detection and management of possible problems - is stressed.
Medicine (two months in PGY 1): Develop patient evaluation skills, focusing on body systems and functions, along with tools used to diagnose illness - particularly electrocardiography, general radiography and clinical laboratory tests.
Emergency Medicine (one month in PGY 2): Evaluate, admit and work up patients with a wide range of acute surgical and medical conditions.
General Surgery (four months in PGY 2): Knowledge of general principles of surgery - including tissue handling and wound care - will be a focus, as well as preoperative assessment and management. Peri- and postoperative management of fluids, electrolytes, blood products and surgical nutrition will be stressed, along with preventing and managing common postoperative complications.
Otolaryngology (one month in PGY 2): Working at Yale-New Haven-Hospital with Yale ENT surgery residents, develop competency in performing complete ENT examinations, including use of the otoscope and nasal speculum and performance of indirect laryngoscopy.
Plastic Surgery (one month in PGY 2): Conducted at Yale, the general principles and pathologies of plastic surgery are learned as residents experience the pre-, intra- and postoperative management of patients undergoing a variety of plastic surgery procedures, with emphasis on craniofacial.
Oral Pathology (one month in PGY 3): Conducted at the accredited oral pathology training program at the Long Island Jewish Medical Center in New Hyde Park, N.Y., examine and evaluate patients; prepare specimens for histopathologic examination; review histopathology specimens; and present findings to supervising faculty.
There are no specific electives in the program. Each block is scheduled with specific specialty-related rotations.
Lectures/seminars
Weekly
lectures, conferences and seminars are conducted by physicians
and dentists on the Saint Raphael staff, by faculty of Yale
University School of Medicine and by guest lecturers. These
include:
- Mondays: Journal club, case
conference and orthodontic conference, as well as a tumor
board and cranofacial conference at Yale-New Haven Hospital.
- Tuesday afternoons: OMS lecture
series.
- Wednesday mornings: Surgical
morbidity and mortality conference and surgical grand rounds.
There's also an implant conference every second Wednesday
afternoon.
- First Thursday: Afternoon
tumor conference.
- Third Thursday:
Pathology review and OMS grand rounds.
- From September to November and March to May, an oral pathology course also takes place from 7:30 to 10:30 a.m. on six Saturday mornings.
Residents,
with the help of a faculty preceptor, are also expected to
participate in a scholarly project during each year of training,
with a goal of publishing and presenting the results of their
work before the end of the fourth year. At the conclusion
of every year, each resident presents a paper for the Resident
Research Competition.
To further understand the field, residents are given the opportunity
to attend appropriate regional and national conferences, workshops
and courses. Such educational benefits include a course in
Head and Neck Surgical Anatomy for the Oral and Maxillofacial
Surgeon, as well as various conferences conducted by the American
Association of Oral and Maxillofacial Surgeons. Additional
seminars and conferences are decided upon individually, particularly
when a resident has had a paper accepted for presentation
at a major national meeting.
Recent graduates
A
partial list of where recent graduates have gone after completing
our OMS program includes private practices in California, Louisiana,
Connecticut and Montana.
Our most recent department self-study showed that each fourth-year
resident:
- Managed 60 traumatic injuries
and pathologic conditions
- Performed 2,435 dentoalveolar
surgeries
- Placed 41 dental implant
devices
- Performed over 200 outpatient
anesthetics
- Participated in more than 175 major operating room cases
All applications for positions in this residency program are made
through the Postdoctoral Application Support Service (PASS) for he
American Dental Association. Contact PASS at www.adea.org for further
information.
All selections for residency are made through the Postdoctoral Dental
Matching Program, contacted through www.natmatch.com/dentres/
For
further information
If you have any questions, please contact
John Kelly, D.M.D.
Chief, Section of Oral and Maxillofacial Surgery
Hospital of Saint Raphael
1450 Chapel Street
New Haven, CT 06511
(203) 789-3156
jkelly@srhs.org
 Back to Residencies
Return Home
|
