Curriculum Goals

General Practice Residency in DentistryThe overall objective of the hospital-based residency program at Danbury Hospital is to produce general dentists with a high level of clinical competency that will allow them to care for patients who require an increased reliance on total patient evaluation, alongside their medical colleagues in the health care community. 

This broad objective has the following specific goals that each resident is expected to demonstrate upon successful completion of the residency program.

Educational Goals and Objectives

  1. Diagnosis and treatment planning relating to a diverse population with special emphasis on development of prognostic skills, risk / benefit and its effectiveness within a framework of informal consent.
  2. Perform effectively as a dental and interdisciplinary team member in caring for patients at the interface of medicine and dentistry in a hospital setting.
  3. Critical evaluation of professional literature including presentation to attending staff.
  4. To attain experience in the medical assessment of patients, which will allow resident to make decisions on hospital admissions, patient management under general anesthesia in the hospital operating room, and the need for consultation.     
  5. To provide additional responsibilities that broadens resident interest and experience in teaching, administration, research and continuing education.
  6. Provide the general practice of dentistry consistent with the general/specialty attending staff didactic presentations and clinical supervision.
  7. Function as an education resource in the treatment or referral for patients as a community service.

Clinical Goals and Objectives

Rotations

Anesthesia

Residents undergo supervised teaching and performance of goals and objectives while on Anesthesia rotation. These include:

  • Preoperative evaluation
  • Assessment of the effects of behavioral and pharmacological techniques
  • Venipuncture technique
  • Patient monitoring
  • Airway management
  • Administration of pharmacological agents
  • Prevention and treatment of anesthetic emergencies
  • Assessment of patient recovery from anesthesia

Emergency Medicine

The goals and objectives of the Emergency Medicine rotation are designed to evaluate the resident’s ability to:

  • Attain a comprehensive medical assessment
  • Perform physical examination
  • Review data and laboratory studies
  • Arrive at therapeutic decisions based on available evidence, sound judgment and patient preferences
  • Demonstrate respect, compassion, integrity and honesty, always considering the needs of patients, families and colleagues

Medicine

The program provides formal instruction and supervised clinical experience in physical evaluation and medical risk assessment, including:

  • Taking, recording and interpreting a complete medical histor
  • Understanding the indications of and interpretations of laboratory studies and other techniques used in the diagnosis of oral and systematic diseases
  • Understanding the relationship between oral health care and system diseases
  • Interpreting the physical evaluation performed by a physician with an understanding of the process, terms and techniques employed
  • Using the techniques of physical examination (i.e., inspection, palpation, percussion, and auscultation)

Dental Specialties

Endodontics

Goals & Objectives
  • Identify indications and contraindications for endodontic therapy
  • Identify risk and benefits of treatment options
  • Perform endodontic therapy for a wide-ranging population having multiple dental needs
  • Become proficient in rotary endodontics
  • Understand the need for and rationale to pediatric pulpal therapy
  • Referral to specialist when appropriate for assistance or treatment
Outcomes 
  • Identify indications and contraindications for endodontic therapy
  • Identify risk and benefits of treatment options
  • Perform endodontic therapy for a wide-ranging population having multiple dental needs
  • Demonstrate rotary endodontics
  • Understand the need for and rationale to pediatric pulpal therapy
  • Referral to specialist when appropriate for assistance or treatment

Oral Surgery

Goals and Objectives
  • Obtain useful medical history, access vital signs, perform routine examination, order tests and lab work, and interpret those portions of the medical record necessary to satisfactorily comprehend the patient’s medical status and provide safe, appropriate dental management
  • Provide appropriate treatment for dental care taking into consideration medical, dental and psychosocial components of a diverse patient population
  • The resident will be competent in:  medical history taking, history and physicals, orders and dictation, admission planning, scheduling procedures and interacting with outside agencies
  • Become proficient in prescribing medications at appropriate therapeutic levels for a broad-based patient population
  • Resident will be able to visually see and demonstrate implant prosthetics on models; choose fixture types and find restorations
  • Discern the rationale for implant placement
  • Medical history review for implant placementdeal placement of implants
  • Types of fixtures
  • Fixed and removable implant uses
  • Order and understand and assess lab values
  • Perform routine exodontias
  • Demonstrate proficiency in 3rd molar extraction
  • Identification of oral pathology
  • Recognize need for referral
Outcomes
  • Assess patient status (medical, dental, psychosocial)
  • Treat the anxious patient via oral or inhalation therapy in combination with local anesthetics

Orthodontics

Goals & Objectives
  • Recognize and classify the dentition
  • Placement of molar bands for space maintenance
  • Recognize the rational and timing for interceptive orthodontics
  • Recognize and utilize the need for removable appliances
  • Perform minor tooth movement as directed
Outcomes
  • Residents will be able to recognize orthodontic needs in a variety of patient populations
  • Clinical assessment, diagnosis classification, referral, and simple removable appliances are expected outcomes

Pedodontics

Goals & Objectives
  • Identify emergency treatment, dental anatomy
  • Use of pediatric antibiotics and analgesic therapy
  • Proficiency in pediatric O.R. protocols
  • Identify and treat nursing bottle syndrome
  • Proficiency in pedodontic medical risk assessment
  • Interpret the need and use of sedative agents
Outcomes
  • Pediatric patient diagnoses ranging from simple operative to advance operating room treatment are taught throughout the year
  • Residents will be able to demonstrate management techniques, restorative care and indicate patient referrals
  • Utilize behavior management techniques

Periodontics

Goals & Objectives
  • Understand, recognize healthy and disease periodontium
  • Formulate a treatment plan to treat simple to advance cases
Outcomes
  • Accurately describe the histological, anatomical, and physiological characteristics of periodontal disease
  • Diagnose the extent of the disease process, development a treatment plan, implement treatment and evaluate outcomes at a satisfactory level
  • Demonstrate satisfactory proficiency in the following procedures:
        - Debridement:  scaling and curettage, management of infections
        - Periodontal surgery:
                a.  Full and partial thickness mucogingival flaps
                b.  Free gingival grafts
                c.  Sliding flaps
                d.  Papilla grafts
                e.  Tissue contouring (soft, osseous)
                f.   Root amputations/hemisections
                g.  Stabilazation of teeth
                h.  Suturing and packs
        - Occlusal adjustments
        - Preventive services personally and via the use of auxiliary personnel




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