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University of Colorado Denver

University of Colorado Denver School of Medicine
 

General Practice Residency (GPR)

General Dentistry (Sands) Clinic Rotation


General Dentistry Clinic

Objectives:

Upon completion of this rotation, the resident will:

  1. Interact with various medical departments of University Hospital by providing consultative and treatment services for hospitalized patients, including dental care for kidney, heart, lung and bone marrow transplant patients. Request referrals, based on the medical and dental complexity of the patient’s needs.
  2. Provide general dental treatment at a level beyond that achieved in dental school, including advanced restorative, prosthodontic, periodontal, endodontic, osseous implants and oral surgical procedures.
  3. Act as primary care provider by formulating and executing a comprehensive treatment plan for a wide range of medically complex ambulatory patients.
  4. Incorporate a preventive program into each treatment plan and into the total care of each patient.
  5. Diagnose and treat dental emergencies and provide immediate, palliative treatment for pain and infection.
  6. Follow recognized infection control guidelines while providing treatment for patients with chronic infectious diseases.
  7. Understand various aspects of practice management such as: appointment scheduling, efficient utilization of auxiliaries, patient and staff rapport, effective time management, impact of financial considerations on treatment planning, and risk management. Understand fundamentals of associateship contracts.
  8. Complete dental laboratory prescriptions, interact with commercial dental labs and evaluate the quality of the work provided by such labs.
  9. Participate in the oral health needs of the local and/or state communities.

Content:

Residents are based at Sands House Clinic for approximately 7-8 months. The majority of time is spent in hands-on patient treatment so residents may gain a wide variety of experience by providing more complex dental treatment on the medically complex ambulatory patient.

The concept of comprehensive care is stressed, with an emphasis on the "whole" patient (medical, financial and social status, patient motivation and desires). Patient needs are assessed and taken into consideration when formulating the treatment plan and performing treatment.

Techniques of efficient time management are stressed to prepare residents for the transition from dental school to private practice and the efficient use of a hygienist is also taught. Residents are encouraged to utilize a wide variety of materials and techniques, with focus on those not commonly taught in dental school. Although direct faculty supervision is always present, residents are encouraged to use their own judgment in making patient care decisions. Morning huddles, which meet daily at 7:30am and are mandatory, act as a conduit to evaluate the patient’s medical history and treatment plan and to clarify ongoing care.
Residents are given performance feedback:

  • Daily by attending faculty
  • Weekly from faculty and other residents during Tuesday resident conferences
  • Monthly during the resident's production figures review with the Program Director.

Residents are also formally evaluated by the Program Director one month into the residency program and then at six month and eleven-month intervals.

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