Typical Resident Curriculum
|
| 1st Year | OMS - 9 months integrated with: | |||
| Anesthesia-2 months | ||||
| Graduate Head and Neck Anatomy | ||||
| Graduate Oral Pathology Course | ||||
| Introduction to Clinical Medicine | ||||
| Dermatology | ||||
| Clinical Pathology | ||||
| Pass Step I of Medical National Boards | ||||
| 2nd Year | Clerkships of 3rd academic year - LSU Medical School | |||
| 3rd Year | Clerkships of 4th academic year - LSU Medical School | |||
|
||||
| 4th Year | General Surgery 1 | |||
|
||||
| 5th Year | OMS, 12 months | |||
| Graduate Orthognathic Surgery Course | ||||
| 6th Year | OMS, 12 months | |||
| Certificate Awarded |
Teaching Institutions
Medical Center of Hospital of Louisiana (U)
Earl K. Long Hospital of Baton Rouge (E)
LSU School of Dentistry (L)
Carolina Healthcare System (NC)
LSU School of Medicine (M)
Our Lady of the Lake (OLOL)
East Jefferson Hospital (EJ)
Children’s Hospital (C)
| 1st Year– Rotations | Introduction to Clinical Medicine (M) |
| Clinical Pathology (M) | |
| Dermatology (M) | |
| Science and Practice of Medicine (M) | |
| Oral and Maxillofacial Surgery (U) – 9 months | |
| Anesthesia (U,C) – 2 months | |
| 2nd Year– Rotations | Medical School (M) |
| 3rd Year– Rotations | Medical School (M) |
| Oral and Maxillofacial Surgery (U) –3 months | |
| Anesthesia (U) – 2 months | |
| Other Elective (U) | |
| 4th Year– Rotations | General Surgery (U) – five months |
| Neurosurgery (U) – 3 - 4 months | |
| Oral & Maxillofacial Surgery (E, OLOL) – 3 – 4 months | |
| 5th Year– Rotations | Oral and Maxillofacial Surgery (U) – 4 months |
| Oral and Maxillofacial Surgery (L) – 4 months | |
| Carolina Healthcare System (NC) – 4 months | |
| 6th Year– Rotations | Oral and Maxillofacial Surgery (U) – 4 months |
| Oral and Maxillofacial Surgery (L,EJ) – 4 months |
|
| Oral and Maxillofacial Surgery (OLOL) – 4 months |
PGY1 – Oral and Maxillofacial Surgery (OMS)
Immediate Supervisor: PGY3 and PGY 4
Faculty Supervisory: Program Directory and Attending Staff
Resident Duties: Residents will provide patient care in the Oral and Maxillofacial Surgery outpatient clinic and operating room under the auspices of LSU Department of Oral and Maxillofacial Surgery, with appropriate supervision as determined by the attending faculty member and chief resident responsible for the service. Residents will be supervised by senior level residents (PGY3 & PGY4) when on call and when initially answering consults until their clinical competence has been adequately established. Once it has been determined by the Program Director that the resident has demonstrated adequate clinical judgment, the resident will have the responsibility of providing appropriate emergency care including clinical and surgical scheduling and management while waiting for approval of a more senior member of the service. Residents will post daily surgical schedules as approved by the senior level resident and serve as scribe for the didactic experiences involving patient presentations. Residents will be introduced to the more common clinical presentations and surgical procedures such as dentoalveolar cases, uncomplicated facial trauma and infections and assist on more involved Oral and Maxillofacial Surgery procedures. Residents are required to read and understand assigned surgical and medical journals and texts by the Program Director, attending weekly preoperative surgery seminars, weekly Oral and Maxillofacial Surgery seminars, CPC’s, Applied Surgical Anatomy course, Oral Pathology courses, Journal Club and others. Residents will prepare for and complete the Oral and Maxillofacial Surgery In-service Training Examination conducted by AAOMS and successfully pass Part I of Medical National Boards within 4 months following the conclusion of PGY1.
PGY 2 – OMS, 4th Year Medical Student
Immediate Supervisor: PGY3 and PGY4
Faculty Supervisor: Program Director and Attending Staff
Resident Duties: Assigned to either Oral and Maxillofacial Surgery Anesthesia Service
Resident Duties: Residents will provide patient care in the Oral and Maxillofacial
Surgery outpatient clinic and operating room under the auspices of LSU Department of
Oral and Maxillofacial Surgery, with appropriate supervision as determined by the
attending faculty member and chief resident responsible for the service. Residents will be
supervised by senior level residents (PGY3 & PGY4) when on call and when initially
answering consults until their clinical competence has been adequately established. Once
it has been determined by the Program Director that the resident has demonstrated
adequate clinical judgment, the resident will have the responsibility of providing
appropriate emergency care including clinical and surgical scheduling and management
while waiting for approval of a more senior member of the service. Residents will post
daily surgical schedules as approved by the senior level resident and serve LSU Oral and
Maxillofacial Surgery Residency as scribe for the didactic experiences involving patient
presentations. Residents will be introduced to the more common clinical presentations
and surgical procedures such as dentoalveolar cases, uncomplicated facial trauma and
infections and assist on more involved Oral and Maxillofacial surgery procedures.
Residents will gain LSU Oral and Maxillofacial Surgery Residency clinical and surgical
skills necessary to begin to manage moderately difficulty clinical presentations.
Residents are required to read and understand assigned surgical and medical journals and
texts by the Program Director, attending weekly preoperative surgery seminars, weekly
Oral and Maxillofacial Surgery seminars, CPS’s and others. Residents will prepare for
and complete the Oral and Maxillofacial Surgery In-service Training Examination
conducted by AAOMS.
PGY2 - Oral and Maxillofacial Surgery
General Surgery year with rotations on General Surgery and subspecialties,
Neurosurgery, Anesthesia, and Oral and Maxillofacial Surgery.
Immediate Supervisor: Chief Resident
PGY3 – Oral and Maxillofacial Surgery
Immediate Supervisor: PGY4 Chief Resident
Faculty Supervisor: Program Director and Attending Staff
Resident Duties: Residents will provide patient care in the Oral and Maxillofacial
Surgery outpatient clinic and operating room under the auspices of LSU Department of
Oral and Maxillofacial Surgery, with appropriate supervision as determined by the
attending faculty member and chief resident responsible for the service. Residents will
gain clinical and surgical skills necessary to begin to manage more difficult Oral and
Maxillofacial Surgery presentations. Residents will be responsible for assisting the
faculty in resident and student teaching on hospital rotations and LSUDS and play an
active role in the development and implementation of patient care plans as assigned by
Chief Residents. Residents are required to read and understand assigned surgical and
medical journals and texts by the Program Director, attending weekly preoperative
surgery seminars, weekly Oral and Maxillofacial Surgery seminars, CPC’s and others.
Residents will prepare for and complete the Oral and Maxillofacial Surgery In-service
Training Examination conducted by AAOMS.
PGY4 – Oral and Maxillofacial Surgery (Chief Resident)
Immediate Supervisor: Program Director/Attending Staff
Faculty Supervisor: Department Head
Resident Duties: Residents will provide patient care in the Oral and Maxillofacial
Surgery outpatient clinic and operating room under the auspices of LSU Department of
Oral and Maxillofacial Surgery, with appropriate supervision as determined by the
attending faculty member.
Residents will gain and master clinical and surgical skills necessary to manage difficult Oral and Maxillofacial clinical problems to include: extensive maxillofacial hard and soft tissue facial trauma and reconstruction; orthognathic, craniofacial, and cleft surgery; temporomandibular joint disorders; facial cosmetic surgery; advanced dentoalveolar problems; and ambulatory outpatient general anesthesia. Residents will be responsible for assisting the faculty in resident and student teaching, and play an active role in the development and implementation of patient care plans.
LSU Oral and Maxillofacial Surgery Residency
Residents will assist faculty in administrative duties including management of human and clinical resources, and developing academic and clinical weekly schedules. Residents will prepare for and complete the Oral and Maxillofacial Surgery In-service Training Examination. At the conclusion of the PGY4 year, the Program Director will undertake a final evaluation of the resident’s performance and communicate to the Department Head the candidate’s qualification for completion of the program and ability to function in private practice with recommendation to sit for the American Board of Oral and Maxillofacial Surgery Written Qualifying Examination.
The resident has the opportunity to learn general anesthesia in the uncomplicated setting with close staff guidance. Personal awareness of the subject can increase the types of cases handled. Cases handled include those in Oral and Maxillofacial Surgery, GU, Gyn, Orthopedic, ENT, Plastic Surgery, General Surgery, Ophthalmology and limited Pediatric, Neurosurgery and Vascular Surgery. As experience is gained, cases involving more complicated surgery and less healthy patients can be requested and are assigned. The majority of these cases require knowledge of specific monitoring techniques of which there is an abundance of case material.
Besides general anesthesia, the interested individual can learn a variety of regional block techniques primarily used for OB and orthopedic purposes.
Daily conferences on specific subjects of interest in anesthesia are attended. A weekly conference is also held to expound upon complications, which have occurred during the preceding week.
Regardless of specific areas and interests an individual wishes to pursue, a thorough knowledge of intubation and anesthetic pharmacology is achieved when dealing with a variety of medically compromised patients.
4 months
First, Third years
This rotation involves 12-hour shifts, six days a week, and is an intensive learning experience. Usually 4-6 doctors are on each 12-hour shift. All trauma and trauma-related complaints are triaged to the accident room.
In major trauma cases, the resident functions as a team member in initial evaluation and stabilization. Management of these life-threatening problems is included within the team. Acute non-life-threatening problems are dealt with on a one-to-one basis, where the resident treats or works up the patient for consultation or admission.
Minor trauma is dealt with by assignment with treatment and release reviewed by charge residents.
Skills learned in the accident room include physical evaluation, rapid assessment procedures, advanced life support, central and peripheral IV’s, intubation, and suturing.
1 month
Third year
While rotating on the general surgery service residents function exclusively as a general surgery resident. Comprehensive patient care is assumed by the resident in the emergency room, operating room, outpatient clinics, intensive care units and the floor. Residents actively participate in emergent as well as elective cases in the operating room. Resident rotations while on the general surgery service also include all subspecialties of surgery. Residents may have the opportunity to rotate in general surgery, trauma surgery, ICU, vascular surgery, cardio-thoracic surgery, plastic surgery, pediatric surgery, surgical oncology, colo-rectal surgery and burn surgery. Residents gain valuable experience on surgical technique as well as management of critically ill patients. As always, call for any service will be covered on a regular basis and may be in-house call or home call depending on the rotation.
4-5 months
Fourth year
The rotating residents assume many of the responsibilities of a neurosurgery resident, taking first call every fourth night and house call (on Tulane admit nights) every fourth night. Patient care on the wards, including the intensive care unit, provides the residents experience with critically ill patients and patients who have suffered complicated head trauma. The residents actively participate in the operating room in emergency and in elective cases. Many tracheotomies are performed by the oral and maxillofacial surgery resident on the service. By providing an active role on the neurosurgery service, the oral and maxillofacial surgery resident gains valuable insight into care and diagnosis of patients with neurosurgical problems.
3-4 months
Fourth year
The University Hospital rotation is the major teaching service in oral and maxillofacial surgery. There are usually 5-6 residents on service at a time. The call schedule is staggered with first year residents taking calls 8-10 times a month; 2nd year residents 7-8 times a month; 3rd year residents 6-7 times a month; 4th year 5-7 times a month.
The outpatient service sees 15,000 patients a year. The inpatient service operates 4 full days a week. The scope of surgery is vast and includes all aspects of trauma, reconstruction, TMJ, pathology, pre-prosthetic, orthognathic, salivary gland and infection type surgery.
The outpatient clinic is segmented into general clinics, work-up clinics, and sedation clinics.
The residents have primary care of all patients on this service. There are staff rounds daily to aid in patient evaluation.
3-10 months
First, Third, Fifth and Sixth Years
The rotation at Earl K. Long, an hour from New Orleans, is an out-of-town stay, wherein the Oral and Maxillofacial surgeon is the primary consultant for all facial trauma and pathology in that hospital. Surgery involves all types of facial fractures including dental, mandibular, Lefort I, II and III with isolated zygomaticomaxillary complex fractures, and naso-orbital ethmoid fractures. Close cooperation with the Pathology Department allows a combined approach to the interpretation of all forms of oral and facial neoplasms. Surgery of head and neck malignancies often occurs in concert with the General Surgery Department.
Four Board certified OMFS staff actively participate in training of the residents at EKL and at private hospitals in the Baton Rouge area. Orthognathic surgery comprises a large percentage of surgical cases and a weekly conference with staff provides necessary input into surgical treatment planning. The resident is intimately involved in all orthognathic and reconstruction work-ups and assists at all major surgical procedures on staff cases and private hospitals as well. Cosmetic experience is gained at EKL and the Williamson cosmetic center.
All forms of dentoalveolar surgery and pre-prosthetic surgery are conducted at EKL. Maxillary and mandibular osteotomies with bone grafts and skin grafts are utilized to facilitate normal ridge relations.
Temporomandibular joint pathology and internal derangements cases are done with contemporary techniques. Cosmetic surgery experience is gained at both the Williamson Cosmetic Center and EKL Hospital.
The resident is encouraged to attend all major seminars at the main teaching center and gives lectures on Oral and Maxillofacial Surgery to the hospital staff. Teleconferencing with the New Orleans residents occurs on Tuesday night seminars.
3-4 months
Fourth and Sixth year
The rotation in Charlotte, NC is a combined hospital/private practice experience. Hospitals covered by the resident include Carolina’s Medical Center, University Hospital, the Presbyterian Hospital in Charlotte, and Northeast Medical Center in Concord. Five Board Certified Oral and Maxillofacial surgery staff actively participate in training of the residents and provide clinical and didactic instruction.
Orthognathic surgery is a major component of this experience, representing 150-200 cases per year. The resident is intimately involved in the treatment planning, surgical work-up, surgery, and post-operative management of these patients. One-on-one staff instruction is provided for each case.
Management of temporomandibular disorders is also a large part of this experience. Non-surgical management includes splint and pharmacologic therapy “oral medications and botox muscle injections”, and office management with physical therapy. Surgical procedures range from arthrocentesis – arthroscopy – arthroplasty, including total joint reconstruction.
All aspects of hard and soft tissue pre-prosthethic surgery including bone frats and sinus lifts are performed both as outpatients and inpatients. A variety of implants systems are utilized for broad exposure to this aspect of treatment.
Facial cosmetic surgery is also currently available on a limited basis. Trauma and advanced dentoalveolar surgery round off this experience. Ambulatory anesthesia is performed routinely on all types of patients from the pediatric to geriatric age groups. The resident is give the option to pick and choose available experiences during their stay, since many times there will be more than one activity running simultaneously.
The resident is provided with housing and is expected to take call on a regular basis for both office and hospital cases. Leave time is available by request.
3-4 month
Fifth year
The resident’s rotation at the School of Dentistry encompasses the full scope of oral and maxillofacial surgery. Working independently in the outpatient clinic as well as closely with all the full time oral and maxillofacial surgery staff through the Intramural Practice, the resident picks up the necessary expertise to be able to handle a busy office/hospital practice. He is responsible for the outpatient clinic at the LSU School of Dentistry, which provides a wide range of dentoalveolar and implant surgery plus oral pathology. A significant number of cosmetic, orthognathic, and TMJ cases are done in the outpatient clinic at LSUSD before Katrina and Metairie Houma office after Katrina. In addition, he will actively participate in the preoperative, operative, and postoperative evaluation and management of all inpatients seen in the Oral and Maxillofacial Surgery Faculty Practice. The LSU faculty operate at all affiliated hospitals – EJGH, Children’s.
Inpatient exposure encompasses a wide spectrum of orthognathic, TMJ, pre-prosthetic, and trauma procedures performed in a private practice setting. Also, by virtue of the reputation of the Oral and Maxillofacial Surgery staff, the Faculty Practice acts as a referral center especially for difficulty TMJ cases requiring major reconstruction and a combination of orthognathic surgery and craniofacial surgery.
3-4 months
Fifth and Sixth year
During the residency program, a resident may wish to combine travel with education by participating in an exchange with a foreign resident who may have similar desires. Rotations are approved only if the LSU resident’s experience and responsibility opportunities in the foreign country are at least equivalent to those at LSU. The opportunities for this are available if investigated well in advance and may include such diverse locations as Australia, Great Britain, Germany, etc. If interested a resident must express this interest early in the third year so all the necessary arrangements may be made.
4-6 months
Sixth year
Anatomy, including Growth and Development
Postgraduate head and neck anatomy surgical course has 24 hours of lectures and 40 hours of laboratory format. Each class period has a lecture, clinical correlation, and laboratory segment. The laboratory segment consists of cadaver dissection covering the specific days’ topic. The entire head and neck is reviewed with emphasis on applied surgical anatomy plus selected areas of the thorax, abdomen, and pelvis are dissected as they relate to the surgical treatment of the OMS patents.
Physiology
This topic is incorporated in the medical school curriculum and applied specifically in the clinical pathology and clinical medicine course. Additional clinical instruction occurs daily on ward rounds as well as in outpatient and inpatient care on all services.
Pharmacology
This topic is incorporated in the medical school curriculum and applied specifically in the clinical pathology and clinical medicine course. Additional clinical instruction occurs daily on ward rounds as well as in outpatient and inpatient care on all services.
Applied pharmacology lectures are given in anesthesia, medicine and during selected oral and maxillofacial surgery seminars and lectures. Additional information on drug therapeutics and interactions are stressed daily on ward rounds for pre and postoperative care, in the outpatient clinic, and during inpatient surgery.
Microbiology
This topic is incorporated in the medical school curriculum and applied specifically in the clinical pathology and clinical medicine course. Additional clinical instruction occurs daily on ward rounds as well as in outpatient and inpatient care on all services. Additional discussions also are included on rotation on infectious diseases in the hospital.
Pathology
General pathology is incorporated in the medical school curriculum.
The advanced oral pathology courses include lecture format where selected topics are presented by members of the Department of Oral Pathology including a broad range of pathologic conditions. In addition, Dr. Brannon delivers a clinical pathology CPC every 6 weeks in our weekly conference schedule.
Additional instruction occurs on ward rounds and during inpatient and
Physical Diagnosis
The faculty of the LSU School of Medicine provide the training of our residents during their fist year of residency. The OMS residents are enrolled in the Introduction to Clinical Medicine Course, a formal second year course in the Medical School. This is a 180+ hour course which involves classroom lecture as well as clinical exposure to patients with closely supervised preceptor observation. Each resident is required to complete all of the course work and pass all examinations for this course in order to continue in the OMS program. The course is prerequisite to taking Part I of the National Medical Boards.
| Back to the LSU Health Sciences Center Homepage Send Comments or Questions to lsuwebmaster@pbhs.com Official Web Page of Louisiana State Univeristy Health Sciences Center. Copyright © 1999. All Rights Reserved. |
|
|