The purpose of monthly rotations is to provide the residents with the most comprehensive Oral & Maxillofacial Surgery training possible. The above rotations have been developed within the guidelines of the AAOMS. Residents are given some flexibility within these guidelines to take other rotations based on their individual interests.
Residents work individually with one of the department’s anesthesiologists to learn airway management, support of the anesthetized patient, regional anesthesia, respiratory care and care of ICU patients. Challenging cases are discussed at monthly conferences.
Introduction to Graduate Oral and Maxillofacial Surgery
First-year residents learn treatment of outpatients, ward rounds, operating room procedures and attend clinical conferences. During this period, residents assist at operations, receive instruction and guidance in admissions and discharge of patients, perform minor surgery, and are introduced to the management of facial trauma and the role of the oral and maxillofacial surgeon in the hospital.
Residents work with neurosurgeons on diagnostic evaluation of neurosurgical patients, including interpreting angiography, CT and MRIs and assisting at major neurosurgical operations. Residents have maximum exposure to neurosurgical trauma patients and management of serious disorders of the brain and spinal cord.
Physical Diagnosis and Clinical Medicine
Residents are assigned to the chief resident in medicine, participating in the Department of Medicine’s rounds and conferences. General medicine has four inpatient services, each with an attending physician who changes every three weeks. Each service averages 15 patients with two admissions per day and four to nine on night call. The emphasis for oral surgery residents is on cardiovascular and pulmonary medicine.
Plastic and Reconstructive Surgery
Experience is gained in diagnosis, treatment, and management of patients in both facial and general plastic surgery, including aesthetic surgery, head and neck reconstructive surgery and microvascular free flaps. The department is staffed by a facial plastic surgeon and a general plastic surgeon.
Experience is gained in intubation, ventilator management, pulmonary artery line and arterial line placement and interpretation of pulmonary function tests. The primary care/consultation service averages 25 patients per day, including three patients on a respirator and two others in critical care who are not. The service averages two inpatient admissions and two consultations daily. A pulmonary teaching conference is held monthly and a pulmonary work conference weekly.
Call Schedules, Vacation & Conference Time
Residents are on call no more than every third or fourth night and may take call from home. They have one weekend a month off from hospital responsibility from Friday evening until Monday morning. Residents in the trauma and emergency center work five 10-hour shifts per week for a month and have two days off each week. Three weeks of vacation and one week of conference time (maximum one week per month) can be taken any month except during General Medicine, Pulmonary Medicine, Intensive Care Unit or Neurosurgery. For more information, view the benefits.