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South Texas Veterans Health Care System (STVHCS)

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Goals and Objectives

 

Goals and Objectives of Program

SOUTH TEXAS VETERANS HEALTH CARE SYSTEM
ADVANCED EDUCATION IN GENERAL DENTISTRY

 

THE COMMISSION ON DENTAL ACCREDITATION

The Advanced Education In General Dentistry Program is accredited by the Commission on Dental Accreditation and has been granted the accreditation status of Approval. The Commission is a specialized accrediting body recognized by the United States Department Of Education.

DESCRIPTION OF PROGRAMS

A. Goals and Objectives of Programs

Program objectives for the AEGD have been designed to coordinate with the guidelines for these programs as established by the Council on Education of the American Dental Association. In some areas, the ADA program guidelines are specific and allow no room for latitude. In other areas, the program director is allowed to design the program so that it both satisfies guidelines and demonstrates individuality.

1. AEGD Program Goals and Objectives

a. Goal 1 To train the dentist as a clinician.

1. Objective 1.1 Provide broad clinical experience in and didactic exposure to all aspects of general dentistry to educate residents in modern dental practice.

2. Objective 1.2 Provide sufficient clinical experience and the didactic background necessary to enable the resident to develop sound diagnostic rationale, confidently implement logical sequential treatment, and master the ability to assess treatment outcomes.

3. Objective 1.3 Provide interaction with specialty staff, enabling residents to develop confidence in coordinating total patient dental care.

4. Objective 1.4 To provide experience in practice management within the residency framework.

b. Goal 2 To train the dentist as a scientist.

1. Objective 2.1 Identify and instill within each resident the need to continuously learn.

2. Objective 2.2 Provide insight into the expanse of dental/ medical literature to enable the resident to recognize the necessity for continual advancement of dental education.

3. Objective 2.3 Instill in the resident the need for “Evidence Based Care.”

c. Goal 3 To train the dentist as an educator.

1. Objective 3.1 Participate in continuing dental education activities, including experience for each resident in public speaking, enhancing resident ability to communicate with confidence in a public forum.

2. Objective 3.2 Involve residents in community dentistry activities.

The faculty of the program feels each of the three goals is a necessity for today’s dental practice. The curriculum and clinical experiences have been specifically designed for the program. The faculty also believes the teaching of general dentistry residents can be best accomplished to a large degree by generalists and specialists in a comprehensive care setting. Our clinic supervision and patient pool allow us to produce broadly trained, highly competent general practitioners. Specialists are used in valuable roles to enhance the depth of the resident’s knowledge and skills.

The program faculty feels that the didactic and clinical training support the intellectual and psychomotor and fine motor skills development of the trainee. Another aspect of professional development is psychological or attitudinal. Residents often enter a rigorous program such as ours with too low an opinion of their own ability to deal with stress, deadlines and fatigue. Program activities and requirements will be directed toward helping the residents learn their capabilities and limitations. Residents will often be required to fulfill responsibilities that at first seem overwhelming. It will be at these times that the resident will learn their capacity for “getting the job done’. Residents must learn to prioritize their lives and plan ahead for responsibilities. Each faculty member has made these adjustments as part of their assumption of the responsibilities of a health professional.

Dental Clinical Objectives

1. Enhance resident’s diagnostic and treatment acumen and skills in all dental disciplines including:

a. Patient assessment and diagnosis

b. Planning and providing comprehensive multidisciplinary oral health care

c. Obtaining informed consent

d. Promoting oral and systemic health and disease prevention

e. Sedation and anxiety control

f. Restoration of teeth

g. Replacement of teeth using fixed and removable appliances

h. Periodontal therapy

i. Pulpal therapy

j. Hard and soft tissue surgery

k. Treatment of dental and medical emergencies

l. Medical risk assessment

2. Provide residents with numerous varied and complex cases requiring advanced skills in diagnosis, treatment planning and clinical treatment modalities.

3. Provide residents with the ability to comprehensively diagnose and treat dental disease reflecting a consideration of all dental disciplines and appropriate sequencing.

4. Train residents to formulate treatment plans, which reflect patient needs, patient desires and level of patient motivation, by employing sound principles of dental diagnosis and treatment.

5. Improve residents’ skills in the provision of advanced and comprehensive dental techniques to pediatric, adult and geriatric patients.

6. Require residents to serve as the first dentist of contact for their patients and to comprehensively treat and/or manage their patients’ dental and medical needs including referrals as necessary yet still managing patients’ care and coordinating all treatment planning.

7. Train residents in advanced clinical techniques in pain and anxiety control.

8. Improve residents’ understanding of dental materials and their clinical applications.

Didactic and Research Objectives

9. Provide didactic classes in dental specialties and other clinical topics, which prepare the residents for advanced clinical training including:

a. Patient assessment and diagnosis

b. Planning and providing comprehensive multidisciplinary oral health care

c. Obtaining informed consent

d. Promoting oral and systemic health and disease prevention

e. Sedation and anxiety control

f. Restoration of teeth

g. Replacement of teeth using fixed and removable appliances

h. Periodontal therapy

i. Pulpal therapy

j. Hard and soft tissue surgery

k. Treatment of dental and medical emergencies

l. Medical risk assessment

10. Allow residents to augment their didactic education by attending continuing education courses presented at the U.T. Health Science Center, local military facilities, and the Texas Dental Association Meeting.

11. Provide residents with the understanding and skills needed to research a topic, critique the research quality, assimilate the information into a lecture, and present the lecture to their professional peers (Postdoctoral Lecture Series). These presentations require that residents develop audiovisual aid, outlines and bibliographies: hence, additional objectives include improving residents’ skills in developing audiovisual aids, developing handouts and in public speaking.

12. Enable residents to capably critique dental literature, including organization, presentation, writing style, research design, use of statistics and conclusions (Literature Review).

13. Enhance residents’ appreciation for the importance of dental research to patient care and dental education.

14. Acquaint residents with a variety of laboratory tests, testing machines and laboratory equipment used in biomaterials research in order to better teach them to evaluate published research design and results.

Practice Management Objectives

15. Improve residents’ practice management acumen by providing them with pragmatic practice management information.

16. In the clinic where residents treat the majority of their patients, approximate as closely as possible the private practice model used by the majority of private practitioners.

17. Provide residents with a modern clinic, managed by computer and office manager and allow them to participate in the efficient administration of the clinic.

18. Provide rotation experiences for residents in other clinical environments, which utilize alternative dental delivery systems.

Professional Relationships Objectives

19. Enhance residents’ ability to communicate, motivate, and cooperate with their peers and ancillary staff.

20. Enhance residents’ abilities to communicate and cooperate with fellow medical and dental specialists with regard to patient care and referrals, where appropriate.

21. Encourage and provide time for resident attendance at dental educational and professional organization meetings.

22. Require resident participation at scheduled community health clinics in which they render public professional service alongside public and private health professionals.

Behavioral Dentistry Objectives

23. Train residents to recognize behavioral obstacles to the delivery of dental care and to apply appropriate pharmacological or non-pharmacological means of behavioral management.

24. Teach the scientific principles that serve as the basis for modern pain and anxiety control therapy. Train the residents to competency in the use of adult intravenous conscious sedation.

Hospital Dentistry Objectives

25. Provide residents with a rudimentary understanding of hospital administration, hospital organization, and staff and operating room privileges.

26. Provide residents with the didactic and clinical skills to competently perform a screening history and physical examination.

27. Train residents in the importance of obtaining and documenting Informed Consent.

28. Require a Oral Surgery Rotation which acquaints residents with: hospital rounds, consultation service provided by hospital dentistry to other hospital services, and the protocol and procedures involved in outpatient operating room dentistry.

Compromised Patient Care Objectives

29. Enhance residents’ understanding of the diagnosis and treatment of medical illnesses of inpatients and outpatients.

30. Provide residents with an understanding of systemic medical illness and its impact on the diagnosis and treatment of dental disease.

31. Train residents to manage the dental needs of most medically, physically and mentally compromised patients.

32. Train residents in Physical Diagnosis, obtaining Medical History, and determining Medical Risk Assessment.

33.  Certify residents in basic life support and in advanced cardiac life support.

34. Provide residents with the knowledge and skill to recognize the potential for medical emergencies in dental patients and manage these patients preventively.

35. Provide residents with the knowledge and skill to recognize a medical emergency and to manage these events.

Community Service Objectives

36. Provide residents with the knowledge and skill to treat underserved patients in the community (University Hospitals Downtown Oral Surgery Clinic, Santa Rosa Hospital Children’s Clinic).

37. Provide residents with the knowledge and skill to treat homeless veterans.

38. Provide residents with the knowledge and skill to treat underserved veterans.

39. Provide residents with the knowledge and skill to treat underserved patients with HIV disease.

40. Provide residents with the knowledge and skill to treat patients with psychosocial disorders.

Ethics Objectives

41. Promote residents’ ethical behavior, patient empathy, and commitment to responsible, professional behavior.

42. Retain faculty mentors who demonstrate a work ethic consistent with that required of modern professionals in a health care facility, and who serve as role models in professional attitude and knowledge.