General Practice Residency Program
Goals and Objectives
The training program has been developed within approved hospital dental services by nationally promulgated American Dental Association standards. The Dental Service is approved by the Council on Hospital Dental Service of the American Dental Association.
The goals of the University of Toledo General Practice Residency Program is to prepare each resident to:
1. To act as a primary care provider for individuals and groups of patients.
To achieve this goal the resident provides emergency care in the emergency room of the hospital and in the dental service on the 2nd floor of the outpatient building. To provide comprehensive oral care the resident are involved in the examination of each patient and help in the treatment planning process. The treatment planning conference is held each week from 12:00 p.m. to 1:00 p.m. in the ENT/Dental conference room. Each patient is reviewed from the medical standpoint and the dental standpoint. They have had a full series of x-rays taken and mounted study casts. At the consultation appointment the resident discusses disease prevention activities and necessary care with each patient. The necessary advanced dental treatment will be prepared in the OR or Dental and patient setting.
2. To plan and provide multidisciplinary comprehensive oral health care for a wide variety of patients including patients with special needs.
To achieve this goal the residents work with patients and their referring physicians from the Northwest Ohio Developmental Center, regular and emergency patients from the dental service at the Medical College, patients from the homeless VA program, and patients with special needs. Patients are also referred to the dental service from the solid organ transplant center, radiation therapy, and the HIV special clinic. A resident and attending plan and carry out the necessary care in the OR or outpatient dental service.
3. To manage the delivery of oral health care by applying concepts of patient and practice management and quality improvement that is responsive to a dynamic health care environment.
To achieve this goal residents participate in a weekly conference with the dental staff to manage the practice as a team within the dental service. A quality improvement format is used to respond to the changing needs of the dental service and hospital environment. Practice management methodology has been based on the teachings of the Pankey Institute. The textbook used for discussion is, “A Philosophy of the Practice of Dentistry,” by L.D. Pankey.
4. To function effectively within the hospital and other health care environments.
To achieve this goal residents are appointed to the hospital as house officers and do rotations in the emergency room, anesthesiology, and ENT.
5. To function effectively within interdisciplinary health care teams.
To achieve this goal residents along with attendings participate in a wide variety of interdisciplinary health care teams to provide care for patients within the hospital. They answer consults in the dental service and on the floors of the Medical College of Ohio hospital. They work with other residents and attendings on their rotations in the ER, Anesthesiology and Medicine.
6. To apply scientific principles to learning and oral health care. This includes using critical thinking, evidence or outcomes-based clinical decision-making and technology based information retrieval systems.
To achieve this goal, the residents participate in an outcomes measurement tool developed by the division of dentistry. Critical thinking is developed during the weekly journal club, grand rounds, and treatment planning sessions. Each resident has access to a Dental/ENT library and the Mulford Library, which are both connected to the internet. The library gives the residents the use of technology based information systems.
7. To utilize the values of professional ethics, lifelong learning, patient centered care, adaptability, and acceptance of cultural diversity in professional practice.
To achieve this goal residents participate in a weekly journal club and grand rounds in which they will discuss reviews of current literature in the areas of professional ethics and specialized patient care. In addition, during hospital orientation the residents receive training from the Associate Dean for Clinical Affairs and Medical Director, in Ethics, Pain Management, Computer Order Entry, Lab Viewer, Inpatient Lab, Cost Containment and Resource Utilization.
8. To understand the oral health care needs of communities and engage in community service.
To achieve this goal the residents participate in an annual table clinic meeting with the Toledo Dental Society. Also upon request during the year, the residents go to local schools and provide teaching of oral health care procedures to grade school students. The pediatric dentistry faculty provides information and education on health care needs to the community.