General
Practice Residency Program Clinical Rotations
Hospital Dentistry
Rotation |
Duration |
Coordinating Faculty |
| Anesthesia |
3 weeks |
Dr. Jose Melendez/Dr. Hawkins
UCD School of Medicine
Dept. of Anesthesiology |
| Emergency Medicine |
1 week |
Dr. Bruce Evans
University of Colorado Hospital
Emergency Department |
| ENT |
2 weeks |
Dr. Mona Abaza
Program Director
Otolaryngology |
| Salud Clinics |
6 weeks |
Dr. John McFarlund
Director, Salud Clinics |
| Children's Hospital |
1 week |
Dr. Ulrich Klein
Director, Pediatric Dentistry |
| Elective |
1 week |
This is reserved for specific
electives in the hospital, SOD or with faculty, (Dr. Kishore Shetty). |
| |
RESPONSIBILITIES
Contact the Coordinating Faculty or other listed staff member one week prior to your rotation. The Coordinating Faculty member will assign your schedule and responsibilities for the duration of your rotation.
Meeting Attendance: While on off-service rotation, all off-service literature reviews, seminars, conferences, and special meetings will be attended by the General Practice Resident. In addition, residents are expected in attendance at all GPR seminars, literature reviews, etc. Exceptions must be arranged with the program director.
UCD: You may be assigned additional responsibilities in Sands House Clinic or elsewhere during your regular off-service rotations at the discretion of the Program Director. Additional responsibilities include checking of hygiene patients, seeing hospital consults and other clinic referrals. A consult resident (On call) is assigned weekly, however it is expected that all residents “pitch in” to help during busy times. We stress a teamwork environment in the clinic.
HOLIDAYS/VACATIONS
Holidays/Vacation during rotations: UCD holidays are observed according to the schedule of the service on which you are rotating. You will not receive makeup vacation for holidays which you are required to work during rotations. Vacations must be arranged with the approval of the Program Director/schedule coordinator. In addition, all vacation days must be approved in writing in advance by the director. Time-off request slips are available from Dr. Shetty or Miss Pamela Colosacco. See “Holidays/Time Off” in RESIDENT POLICIES Section in the manual for more information.
EVALUATIONS
Coordinating Faculty will complete evaluations of the rotating resident toward the end of the rotation. The rotating resident will also complete evaluations on each rotation. See “Evaluations” in RESIDENT POLICIES Section in the manual for more information.
CLINICAL ROTATIONS AND OBJECTIVES
ANESTHESIA
Objectives:
Upon completion of this rotation, the resident will: |
1. |
Participate in the management of acute medical emergencies such as: airway obstruction, blood pressure changes, respiratory depression and arrest. |
2. |
Be familiar with nasal and oral intubations and the indications for each. |
3. |
Be able to manage airways in patients by utilizing nasal airways, oral |
4. |
Be able to place intravenous catheters for fluid infusion. |
5. |
Be able to evaluate a patient's physical status and relate that to the procedures employed in sedation and general anesthesia. |
6. |
Understand the basic pharmacology of commonly used sedative and general anesthetic agents. |
Content:
During this three week rotation, general practice residents actively participate in the care of surgery patients via assignment to the Department of Anesthesiology of the University of Colorado School of Medicine. While on anesthesia rotation, clinical instruction is provided by the attending and resident staff of the Anesthesia Department of University Hospital. Residents will receive experience in: |
1. |
Physical evaluation of the pre-anesthetic patient. |
2. |
Starting and maintaining intravenous lines. |
3. |
Oral and nasal intubation. |
4. |
Anesthetic induction/administration of anesthetic agents. |
5. |
Monitoring vital signs on sedated and general anesthetic patients. |
6. |
Maintaining an optimum airway during anesthetic procedures. |
7. |
Utilizing various equipment/instrumentation for monitoring the anesthetized patient. |
8. |
Procedures and protocols for assisting and monitoring the patient during recovery. |
| In addition to this clinical training, residents are required to attend all seminars, lectures, etc., sponsored by the Anesthesia service. |
Program Coordinator:
Program Director Department of Anesthesiology
OTOLARYNGOLOGY
Objectives:
Upon completion of this rotation, the resident will: |
1. |
Recognize common diseases of the head and neck, and their management |
2. |
Become familiar with treatment modalities utilized in managing head & neck cancer |
3. |
Gain an understanding of clinical anatomy as it applies to head and neck disease |
Content:
During this two week rotation, general practice residents actively participate in the care of patients via assignment to the Department of Otolaryngology of the University of Colorado School of Medicine. While on rotation, clinical instruction is provided by the attending and resident staff of the Otolaryngology Department of University Hospital. The goals of the rotation are: |
1. |
Exposure to ENT medical and clinical practices. |
2. |
Learn the interrelationship between the oral cavity, oropharynx, ears and nasal cavity |
3. |
Exposure to reading CT scans |
4. |
Observation of OR surgeries |
5. |
Attendance and participation of ENT tumor board and weekly meetings |
| In addition to this clinical training, residents are required to attend all seminars, lectures, etc., sponsored by the Otolaryngology service. |
Program Coordinator:
Program Director Department of Otolaryngology
CHILDREN'S HOSPITAL
Objectives:
Upon completion of this rotation, the resident will: |
1. |
Gain experience in the delivery of pediatric care in a hospital setting, including ambulatory care, in-patient care and same-day surgery care. |
2. |
Become familiar with behavioral modalities, such as P.O sedation techniques, utilized in delivering pediatric dental care. |
Content:
During this one week rotation, general practice residents actively participate in the care of patients via assignment to the Department of Pediatric Dentistry at Children’s Hospital, Denver. While on rotation, clinical instruction is provided by the attendings of the Advanced Pediatric Dentistry Childrens Hospital.
During this time they perform both comprehensive and emergency treatment for pediatric dental inpatients and outpatients. Emphasis is placed upon prevention of oral disease in the child and adolescent, management of dental emergencies, treatment of the phobic or disruptive patient via behavioral management, oral and inhalation sedation, or general anesthesia.
In addition to this clinical training, residents are required to attend all seminars, lectures, etc., sponsored by the Pediatric Dentistry service. |
Program Coordinator:
Program Director Department of Advanced Pediatric Dentistry
EMERGENCY MEDICINE
Objectives:
Upon completion of this rotation, the resident will: |
1. |
Be able to assist in a history and physical on patients presenting for minor emergencies and medical care and assign priorities to various injuries and illnesses. The residents will perform, under physician supervision, and complete at least 5 ambulatory H&Ps during their one week stay in the Walk In Clinic. |
2. |
Be able to order, in consultation with the attending physician, laboratory tests and other diagnostic tests which are necessary to the diagnosis of common medical emergencies. |
3. |
Be familiar with the management of common medical emergencies, including the selection and administration, of medications used for emergency medical treatment, especially pain and infection. |
4. |
Be familiar with emergency room protocol and patient record management. |
5. |
Be exposed to the medical care of an economically underserved urban and rural population of patients. |
Content:
During this one week Emergency Medicine rotation, general dental residents will actively participate in the care of patients presenting to the University Hospital Walk In Clinic (WIC) and Emergency Room (ER). The University Hospital WIC serves as a primary care provider for an indigent and medically underserved population of patients.
The “state of art” ER serves as a major urban Level I trauma center, thus residents are exposed to a wide variety of urgent and emergent medical situations. Both during their WIC and ER time, the residents will be assigned to different shifts to maximize their time in both locations. In addition, they are encouraged to attend all seminars and lectures sponsored by the Department of Emergency Medicine while they are on rotation. |
Program Coordinator:
Program Coordinator
Department of Emergency Medicine
GENERAL DENTISTRY (Sands) CLINIC
Objectives:
Upon completion of this rotation, the resident will be able to: |
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, prosthetic, 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 for approximately 7.5-8 months at Sands House Clinic, where the majority of time is spent in hands-on patient treatment. During this time, residents 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 in considering the "whole" patient (medical, financial, and social status, and patient motivation and desires) during the formulation of the treatment plan and the actual performance of treatment. Techniques of efficient time management are stressed so that residents will realize that they are in a transition state between dental school and private practice. Effective use of a hygienist will be taught. Also, residents are encouraged to utilize a wide variety of materials and techniques, especially 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 on going care. Residents are given feedback on their performance by the following mechanisms: continuous feedback is available from the daily attending faculty, weekly feedback from faculty and other residents during Tuesday resident conferences, and monthly feedback by review of the resident's production figures with the Program Director.
Residents are also formally evaluated by the Program Director one month into the residency program and then at six months and eleven-month intervals. |
|
