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The Health Sciences >   School of Dental Medicine >   Postgraduate Education >   GRP Program

wGENERAL PRACTICE RESIDENCY
GENERAL INFORMATION
Students watching instructor with patient Program Director: Sylvia R. Rice, DDS
Telephone no.: 631-632-6904
E-mail: srice@notes.cc.sunysb.edu

Secretary: Ms. Pamela Burger
Telephone no.: 631-444-2557
Email: pburger@notes.cc.sunysb.edu


The Stony Brook University's General Practice Residency Program
was established at University Hospital in 1980. The GPR Program has 14 fully accredited one- and two-year positions commencing approximately July 1 of each year. In addition to training in all areas of hospital dentistry; the residents receive an advanced program of didactic and clinical training in implant, fixed, and removable prosthodontics with the support of dedicated laboratory technicians; instruction in the management of medically compromised geriatric patients, phobic patients, and individuals with developmental disabilities; and didactic and clinical experience in the implementation of IV sedation techniques. The majority of time is spent providing patient care in a state of the art dedicated ADEC operatories staffed by dental assistants and clerks simulating a small multi-individual group dental practice.


Procedures Performed by Residents

Program Years 2000-2004
  Avg # of procedures per resident
Single Crowns 29
Fixed Bridge Units 25
Fixed Implant Units Single/Bridge 12
Complete Dentures 15
Cast Partial Dentures 20
Root Canal Therapy (# of canals) 38
Extractions 175
Surfaces of Composite 195
Surfaces of Amalgam 80

 

w GPR Program Goals and Objectives

PGY 1

  1. To graduate professionals who can manage the delivery of comprehensive oral health care to a diverse population of ambulatory and hospitalized patients
On program completion residents will be:
    1. Knowledgeable in the delivery of OR dentistry
    2. Able to provide emergency dental care
    3. Able to provide hospital in-patient consultation
    4. Cognizant of concerns related to dental care for the medically compromised, disabled/special needs, phobic and geriatric patients.

  1. To graduate professionals, who are able to consult with health professionals and understand the implications of systemic disease and chronic medical conditions in treatment of the dental patient.

On program completion residents will be:

    1. Able to recognize and address medically relevant components of patient history.
    2. Conversant in medical terminology and communicate effectively with health care providers.
    3.  Able to write accurate and concise medical consultations in patient records.

  1. To advance the residents knowledge and clinical ability in the management, assessment, diagnosis, treatment planning and treatment of complex restorative cases utilizing technologies that are components of contemporary general dentistry.
On program completion residents will be:
    1. Knowledgeable in clinical assessment, diagnosis, and management of advanced dental cases.
    2. Able to present treatment options to patients taking into account their diverse needs.
    3. Cognizant of concerns related to complex dental cases and understand the role of the specialist and referrals.

  1. To advance the residents knowledge and clinical ability in physical assessment.
On program completion residents will be:
    1. Knowledgeable in medical risk assessment and preoperative evaluation.
    2. Able to record and interpret a medical history
    3. Able to interpret and perform a physical examination and understand the terms and techniques (inspection, palpation, percussion, auscultation).
    4. Knowledgeable in laboratory studies and diagnostic tests for systemic disease

  1. To advance the resident’s knowledge and clinical ability in techniques used for pain and anxiety control including oral and intravenous sedation techniques.
On program completion residents will be:
    1. Able to evaluate and assess pain and anxiety relevant to the dental setting.
    2. Conversant in pharmacological and non-pharmacological techniques to manage pain and anxiety.
    3. Able to discuss the pharmacology of the drug(s) selected for pain management as well as the precautions, indications, contraindications and adverse reactions.
    4. In possession of an armaterium of local anesthetic techniques (ie. Gow-Gates and AMSA).
    5. Able to list and discuss advantages and disadvantages of parenteral sedation.
    6. Able to administer parenteral sedation in a safe & effective manner and knowledgable in the prevention, recognition and management of associated complications.
    7. Aware of the abuse potential, occupational hazards associated with pain medications.
    8. Able to describe and demonstrate the technique of venipuncture and other parenteral techniques.
    9. Able to manage a protocol for emergencies in the dental office and list and discuss emergency drugs and equipment required for management of life-threatening situations.
    10. Conversant on the principles of advanced cardiac life support.

  1. To develop practitioners with the ability to critically review the scientific literature and have the potential to give back to the profession as educators/practitioners
On program completion residents will be:
    1. Able to critically review the scientific literature that applies to the practice of clinical dentistry.
    2. Inclined to give back to the profession through involvement in the education of future professionals

  1. To graduate professionals who utilize self assessment and strive for self improvement in all aspects of patient care.
On program completion residents will be:
    1. Able to critically self assess and implement improvement in all aspects of clinical practice
    2. Monitor own practices in compliance with federal and state regulations regarding the practice of clinical dentistry

  1. To graduate professionals understand the essentials of practice administration and utilize a team approach to working with auxiliaries and dental laboratories.
On program completion residents will be:
    1. Able to enter the private practice setting with an understanding of the structure and finances.
    2. Able to utilize auxiliary personnel effectively
    3. Conversant in patient case management with laboratory technicians.

  1. To graduate professionals who have served the community and provided care to the underserved/ disadvantaged/ low socioeconomic populations.
On program completion residents will be:
    1. Able to discuss the issue of socioeconomic barriers to care and know of services available to enhance access.
    2. Able to discuss the issue of socioeconomic barriers to care and know of services available to enhance access.
    3. Understanding of physical and mental conditions that limit care and approaches to management.
    4. Knowledgeable on providing screening exams in the community setting.

  1. To provide a postdoctoral program of clinical and hospital dentistry in a dynamic learning environment that meets the professional and educational needs of the new dentist.
On program completion residents will be:
    1. Able to expect a satisfactory overall educational experience.

Additional PGY2

  1. To provide a postdoctoral experience in dental education and administration.
On program completion residents will be:
    1. Experienced in leadership
    2. Knowledgeable in the administration and educational techniques used in didactic and clinical dental education

  1. To graduate professionals experienced in the management of complex restorative cases.
On program completion residents will be:
    1. Knowledgeable in clinical assessment, diagnosis, and management of complex dental cases.
    2. Able to present treatment options to patients taking into account their diverse needs.
    3. Cognizant of concerns related to complex dental cases and understand the role of the specialist and referrals.

  1. Graduate professionals with advanced specialty training in a selected area of interest.
On program completion residents will be:
    1. More experienced in the clinical assessment, diagnosis, and management of cases in selected specialty area.
    2. More experienced in the clinical assessment, diagnosis, and management of cases in selected specialty area.
    3. More knowledgeable in the literature and teachings of selected specialty area.

 

GPR Residents Rights and Responsibilities
GPR residents are enrolled in the program for a period of one year and as employees of the State of New York are subject to the rules and regulations governing employees as listed in State University of New York at Stony Brook: Faculty and Professional Employee Handbook.  As employees it is expected that each GPR resident conduct themselves in a professional and ethical manner in their dealings with faculty, staff, other residents and patients of the Dental Care Center.  It is expected that GPR residents will demonstrate appropriate professional behavior and dress during all aspects of their training and serve as role models to the predoctoral dental students. The attitude and professionalism expected by the residents will be discussed at orientation with the residents by the Program Director.  Performance evaluations completed quarterly will critique the resident’s professionalism.

wCompliance with state and federal laws pertaining to drugs, alcohol, weapons, discrimination, physical abuse, and racial, sexual, or sexual preference harassment is expected.  State law prohibits tampering with state property including fire safety equipment, i.e., fire alarms, fire extinguishers, fire bells, etc.  It is impossible to separate the concept of resident freedom or rights from resident responsibility. To this end, it is imperative that residents desiring respect for their rights must also accord other segments of the community the same respect.  To obtain a copy of the State University of New York at Stony Brook: Faculty and Professional Employee Handbook or information regarding campus regulations and disciplinary proceedings as well as procedures for filing a complaint, contact the university hearing officer in the office of the resident judiciary.

Assignments
Attendance is mandatory.  All residents are expected to:

  1. Report on time for patient care, rotations, assignments, and didactic programs.
  2. Complete all necessary lab work in a timely manner (this will necessitate working before and after clinic hours and didactic lectures)
  3. Read all assigned articles and present articles as per assignment.
  4. Attend all assigned meetings (this includes selected nightly meetings sponsored by the Department of Hospital Dentistry).
  5. Attend the end of the year certificate ceremony.
  6. Participate in Postdoctoral Case Presentation - A formal case presentation must be completed in May (date to be assigned); case to be presented must be approved by Program Director.  The presentation must include slides.  Deadlines for selection and completion will be given by the Program Director.

A clinic schedule and listing of assignments and rotations for the GPR residents will be distributed monthly.  A separate schedule for orientation is generated because it differs markedly in content from the remaining 11 months of the GPR Program. The GPR residents are scheduled for educational activities or patient treatment during the School of Dental Medicine's calendar year (July through June). When the doctoral students are not scheduled during the winter recess period there will be no activities scheduled expect emergency clinic on an assigned basis.

Emergency Room On-call
Residents will receive the on-call schedule at the start of the resident year.  It is the resident’s responsibility to cover their assigned day or find coverage and inform the Program coordinator of any change.  Residents are on in-house call 7am -11pm and on beeper call within a 10 minute drive 11pm-7am.  If the resident lives further than 10 minutes away they are expected to stay in-house in the resident’s room.  Residents are to stay in-house until all dental emergencies are attended to. If a GPR resident requires assistance they are to call the Chief GPR resident first and then the attending on-call if necessary.  OMFS residents are to be called to assist in the management of maxillofacial trauma.  No extractions are done in the evenings in the ER.  On-call protocol will be detailed in the GPR orientation.

Paid Vacation Time
Each GPR resident will accrue 15 days paid vacation time, one week of which must coincide with the observed winter recess of the School of Dental Medicine, unless assigned to the emergency coverage.  The remaining vacation time may be taken at a time agreeable with the GPR Director and the Clinic Director.  Each resident will also be entitled all holidays observed by the UUP bargaining unit. The following are the State scheduled holidays to which the GPR residents are entitled unless a specific assignment or emergency coverage has been scheduled as part of the program on one of those days.  In those instances the GPR residents are entitled to compensatory time off in lieu of the day worked/assigned.  The holidays are: Labor Day, Columbus Day, Election Day, Veterans Day, Thanksgiving, Christmas, New Years Day, Martin Luther King, Jr. Day, Memorial Day, Independence Day and either Presidents Day.  It is expected that the residents take their vacation time so that it does not interfere with patient care or the educational program. Residents must be present for 230 days minimum to be considered for a certificate.

Sick Leave
GPR residents accrue sick days during the calendar year to be utilized for illness and medical issues.  In case of illness, please contact the GPR reception desk as soon as possible to allow for patient rescheduling.  Remember, qualification for a GPR Program certificate requires attendance for 230 days and should be planned for accordingly. 

Practice Privileges outside the GPR Program
Each GPR resident is expected to partake of all the academic and clinical experiences offered to them.  Employment as a dental resident by University Hospital prohibits employment outside the University and professional liability insurance coverage only applies to supervised treatment of patients at the Dental Care Center during clinic hours and at affiliated institutions.

Professional Liability Coverage
Residents are covered under the N.Y. State Master Insurance Policy and it is in force when working at the University with the appropriate supervision.

Stony Brook University Policies:
See Part II: The Manual for the School of Dental Medicine.  Any questions concerning this policy, or allegations of non-compliance, should be directed to:

Special Assistant to the President for Equal Opportunity and Affirmative Action
474 Administration Building
Stony Brook University
Stony Brook, NY 11794-0251
(631) 632-6280
www.sunysb.edu

Commission of Dental Accreditation Policies:
See General Practice Residency Education Program Standards www.ada.org (under education and Accreditation) any questions concerning this policy, or allegations of non-compliance, should be directed to:

Commission on Dental Accreditation
American Dental Association
211 East Chicago Avenue
Chicago, IL 60611-2678
(800) 621-8099 Ext. 4653
E-Mail:  www.ada.org

 

Attendings
Patient supervision is provided by seven full and part-time faculty. In addition residents interact on a regular basis with residents and specialty faculty in many of the Dental School's Departments and in the Department of Dentistry at the adjacent University Hospital complex.

• Dr. Robert DuBois

• Dr. Douglas Foerth

• Dr. Joseph Graskemper

• Dr. Ronald Haas

• Dr. John Lagner

• Dr. David Malkin

• Dr. Martin Pokorny

• Dr. Sylvia Rice

• Dr. Robert Reiner

• Dr. Mark Slovin

• Dr. Mary Truhlar

• Dr. Ling Xu

 

Stipend / Benefits
The GPR Program offers a competitive stipend plus state benefits (paid holiday and sick leave, medical insurance, dental and eye coverage, and prescription plan) and tuition/fee waivers.

Application and Selection Process
Applicants must have completed or anticipate completion of dental degree training from a School accredited by the American or Canadian Dental Association. SUNY at Stony Brook is an affirmative action, equal opportunity employer and educator and encourages the application of women and minorities. All applications must be processed using the Postdoctoral Application Support Service (PASS) of the American Association of Dental Schools and the Dental Matching Program. The application deadline is November 1st of the previous year.

Program codes are: PASS #626
Match # 8575

Additional Information

 



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Last Modified on 07/29/2008