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Clinics and Rotations

School of Dentistry Clinic

This program is designed to provide each AEGD resident exposure to a variety of comprehensive and episodic care encounters within the framework of a group practice situation. Emphasis is placed on comprehensive care. It is anticipated that residents will avail themselves to the immediate access readily offered by the generalist faculty. The resident, prior to consultation with the patient, should include diagnosis and initial treatment planning. Once consultation is completed, a final treatment plan with alternatives, along with fee estimates and treatment sequencing should be presented to the patient and documented in the record. The resident will review the treatment plan with the patient, answer questions and obtain the patient's signature of acceptance and consent. The faculty will constantly monitor the progress of each resident through the approval of treatment plans and laboratory cases, potential record audits and evaluation of printouts showing quality, and types of procedures performed.

An important aspect of any dental practice is effective communication with laboratory personnel. During residency, each resident is expected to work with laboratory personnel. This will enhance the base knowledge of the process of fabrication of dental prostheses and increase their appreciation of laboratory personnel. The overall general supervision of the case will be the resident's responsibility in consultation with the generalist faculty.

Educational Objectives

1. Upon completion of training, the student/resident is prepared to:

• Act as a primary oral health care provider to include:

  1. Providing emergency and multidisciplinary comprehensive oral health care;
  2. Obtaining informed consent;
  3. Functioning effectively within interdisciplinary health care teams, including consultation and referral;
  4. Providing patient-focused care that is coordinated by the general practitioner;
  5. Directing health promotion and disease prevention activities;
  6. Assess, diagnose, and plan for the provision of multidisciplinary oral health care for a wide variety of patients including patients with special needs.
  7. Manage the delivery of patient-focused oral health care.

2. Upon completion of training the resident can provide the following at an advanced level of skill and case complexity beyond that accomplished in pre-doctoral training:

   1. Operative dentistry;
   2. Restoration of the edentulous space;
   3. Periodontal therapy;
   4. Endodontic therapy;
   5. Oral surgery;
   6. Evaluation and treatment of dental emergencies; and
   7. Pain and anxiety control utilizing behavioral and pharmacological techniques.

3. Upon completion of the program, the student/resident can manage the following:

   1. Medical emergencies;
   2. Implants;
   3. Oral mucosal diseases;
   4. Temporomandibular disorder and orofacial pain; and
   5. Occlusal disorders.

Jackson Medical Mall Clinic

The Jackson Medical Mall Dental Clinic (JMMDC) is a community-based clinic for the Department of Advanced General Dentistry of the University of Mississippi School of Dentistry. Additionally, the JMMDC serves the educational needs of the School of Dentistry predoctoral program, the School of Dentistry Dental Hygiene program, and the AEGD residency program. The clinic will provide the dental practitioners with primary dental experiences in diagnosing and treatment of the oral needs of patients who have medical, psychological, and/or physical problems. This clinic will also provide emergent and episodic care to patients with acute dental problems via the Emergent Dental Care Clinic.

Educational Objectives:

1. Upon completion of training, the student/resident is prepared to:

• Act as a primary oral health care provider within the scope of their training. This includes:

  1. Providing emergency and multidisciplinary comprehensive oral health care;
  2. Obtaining informed consent;
  3. Functioning effectively within interdisciplinary health care teams, including consultation and referral;
  4. Providing patient-focused care that is coordinated by the general practitioner;
  5. Directing health promotion and disease prevention activities; and
  6. Assess, diagnose, and plan for the provision of multidisciplinary oral health care for a wide variety of patients including patients with special needs.
  7. Manage the delivery of patient-focused oral health care.

2. Upon completion of training the resident is able to provide the following at an advanced level of skill and complexity beyond that accomplished in pre-doctoral training:

   1. Operative dentistry;
   2. Replacement of teeth using fixed and removable prosthodontics;
   3. Periodontal therapy;
   4. Endodontic therapy;
   5. Oral surgery;
   6. Evaluation and treatment of dental emergencies; and
   7. Pain and anxiety control utilizing behavioral and pharmacological techniques.

Emergency Dental Care Clinic (EDCC) Rotation at the Jackson Medical Mall Clinic:

Educational Objectives:

1. Upon completion of training, the student/resident is prepared to:

• Act as a primary oral health care provider within the scope of their training. This includes:

  1. Providing emergency oral health care;
  2. Obtaining informed consent;
  3. Functioning effectively within interdisciplinary health care teams, including consultation and referral;

2. Upon completion of training the resident is able to provide the following at an advanced level of skill and complexity beyond that accomplished in pre-doctoral training:

   1. Evaluation and treatment of dental emergencies; and
   2. Pain and anxiety control utilizing behavioral and pharmacological techniques.

Rotations:

Emergency Department:

This rotation coincides with the first week of night call responsibility. The resident will handle dental emergencies that arise while during this rotation, which runs for one week in the UMMC Adult Emergency Department. It begins typically at 6 p.m. and ends at 12 a.m. with each resident working five evenings per week. The rotation also assists the resident in becoming familiar with the emergency department's logistics.

Educational Objecives

The Department of Emergency Medicine will offer supervised experiences as follows:

1. taking, recording, and interpreting a complete medical history
2. understanding the indications of and interpretations of laboratory studies and other techniques used in the diagnosis of oral and systemic diseases
3. understanding the relationship between oral health care and systemic diseases
4. interpreting the physical evaluation performed by a physician with an understanding of how it impacts on proposed dental treatment

Anesthesia:

The residents rotate for two weeks. During the time, the resident will report to the anesthesia point of contact for daily assignments. The resident will gain exposure in intubation techniques and airway management.

Educational Objecives

The Anesthesia rotation will offer supervised experience in the following:

1. Preoperative evaluation;
2. Patient monitoring;
3. Airway management and intubation;
4. Prevention and treatment of anesthetic emergencies.