OMFS

EDUCATIONAL GOALS AND OBJECTIVES

The educational objectives for the Emergency Medicine resident while on the Oralmaxillofacial Surgery (OMFS) rotation are as follows:

Patient Care

  • Demonstrate ability to rapidly assess patients with dental and OMFS trauma.
  • Demonstrate ability to establish priorities in the initial management of dental & OMFS trauma.
  • Demonstrate ability to perform the following procedures:  dental and facial nerve blocks, drain facial or dental abscesses, reduce temporomandibular joint dislocation.
  • Demonstrate ability to diagnose and manage patients with facial fractures, dental fractures, subluxations, and avulsions.
  • Demonstrate ability to manage soft tissue injuries including lacerations, contusion, and hemorrhage.
  • Demonstrate appropriate use of analgesics and sedatives in controlling painful dental and oral maxillofacial conditions.
  • Demonstrate appropriate use of antibiotics in dental and oral maxillofacial infections.
  • Demonstrate ability to use and interpret imaging modalities in the evaluation of dental and OMFS patients.
  • Demonstrate the ability to evaluate and manage neck masses and soft tissue lesions of the oral cavity.
  • Demonstrate ability to arrange appropriate consultation and disposition of dental and OMFS patients.

Medical Knowledge

  • Discuss evaluation and treatment of dental and OMFS trauma.
  • Discuss the diagnosis and management of oral and dental hemorrhage.
  • Discuss the diagnosis and management of neck masses, dental & oral maxillofacial infections, sialolithiasis, TMJ dysfunction and dislocation.
  • Discuss the evaluation and management of post dental procedure complications.

Practice Based Learning and Improvement

  • Demonstrate ability to obtain and appraise medical literature applicable to Dental & Oral Maxillofacial Surgery.

Interpersonal and Communication Skills

  • Create and sustain a therapeutic and ethically sound relationship with patients
  • Use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills
  • Work effectively with others as a member or leader of a health care team

Professionalism

  • Demonstrate respect, compassion, and integrity
  • Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices
  • Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities

Systems-Based Practice

  • Understand how trauma care affect other health care professionals, the health care organization, and the larger society and how these elements of the system affect their practice of Emergency Medicine

The Emergency Medicine resident will accomplish these objectives in the following manner:

  • Attend and participate in OMFS teaching rounds
  • Attend all educational conferences given by the Department of Dental & Oral Maxillofacial Surgery. 
  • Evaluate and manage patients under the supervision of OMFS faculty and senior residents.  Progressive patient care responsibilities are at the discretion of the OMFS faculty, based on the resident’s clinical experiences, didactic knowledge, psychomotor skills, procedural abilities and credentialing.
  • Discuss and interpret results of all ancillary testing with supervisory faculty.
  • Perform procedures under faculty supervision commensurate with their post-graduate level of training and skill.

 

ROTATION INFORMATION

Where: OMFS clinic, adjacent to the dental clinic (On Ashland side of hospital)

When: Clinic begins at 9am

Supervisor: Harry Dym, DDS, Chair and Program Director

  • Email: hdym@tbh.org
  • Ext: 6429

Attire: Scrubs

Preparation: Learn the relevant anatomy and techniques for dental blocks. You can google the Medscape articles on dental blocks, which are very helpful.

Expectations: There should be plenty of opportunities to practice dental blocks. If you prove yourself capable the residents may allow you to do an extraction.