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/Institutions/University-of-Maryland-School-of-Dentistry/json/Clinic-Manual/Advanced-Education-in-General-Dentistry.json

Advanced General Dentistry Course Organization

I. Patients - You are responsible for all phases of patient care.

1. Necessary documentation for complete cases and case presentations (monthly and end of year case conferences)
   1. six basic photographs - intraoral anteriors, right and left posteriors (retracted and unretracted); mandibular and maxillary occlusals; and full face (lips in repose – profile); (photographs only for case presentations)
      1. masticatory system assessment
      2. periodontal chart, plaque index
      3. full mouth radiographs and panoramic
      4. complete verified dental record
      5. medical history updated - blood pressure
      6. consultations if applicable
      7. written treatment plan
      8. mounted study casts
2. Accept patients from other departments or residents only after going through AGD faculty first.
3. Type of patients you will be treating:
   1. carry over from previous years, there will be a very small amount
   2. emergency patients.
   3. two multidisciplinary cases
   4. “Least experience” areas in which you desire more exposure
   5. list of patients who are available on short notice
   6. follow-up patients who present interesting clinical situations
   7. minor teeth movement cases
   8. radiation, infectious disease, and special patients

II. Course Format/Outline

1. Seminars/Literature Review/Case Conferences (every Monday afternoon 1:00PM to 5:00PM)
   1. planning and providing comprehensive multidisciplinary oral health care
   2. patient assessment and diagnosis
   3. hard and soft tissue surgery
   4. periodontal therapy
   5. pulpal therapy
   6. restoration of teeth
   7. replacement of teeth using fixed and removable appliances
   8. pediatric dentistry/orthodontics
   9. practice management
   10. Miscellaneous
       1. obtaining informed consent
       2. promoting oral and systemic health and disease prevention
       3. sedation, pain and anxiety control
       4. treatment of dental and medical emergencies
       5. medical risk assessment
   11. Digital Dentistry – Cerec/Iterro
   12. Esthetic Dentistry

III. Duties and Responsibilities

1. Administrative Duties
   1. Become proficient with Axium (Dental School’s computer program).
   2. Complete accurately filling out all appropriate documentation
   3. Portfolio
   4. Treatment plans on all patients signed by faculty, resident and patient and entered into Axium.
   5. Financial/Insurance forms
   6. Assistant evaluations
   7. Complete Implant Programs/Order Forms
   8. Complete Quality Assessment Audits and chart audits
2. Miscellaneous Responsibilities
   1. The physical upkeep and cleanliness of the clinic spaces is the responsibility of everyone. Each week a resident will be assigned responsibility for the cleanliness of the laboratory. If you see areas needing attention, report them to the dental assistant supervisor. IF YOU MAKE A MESS, ESPECIALLY IN AREAS LIKE THE LABORATORY, YOU ARE RESPONSIBLE FOR THE CLEAN UP.
   2. Most laboratory work will be sent to the Restorative Dental Laboratories. All work must be accompanied by a completed laboratory form, signed by an instructor. *Must be signed off by the office manager once financial arrangements have been made. 50% must be paid before work is sent to the lab.

IV. Specialty Coverage (see posted Faculty Coverage Schedule)

1. Periodontics - specified times/on call
2. Prosthodontics - specified times/on call
3. Endodontics - specified times/on call
4. Orthodontics - on call if needed
5. Oral Surgery - specified times/on call
6. All others available on call through AGD staff

V. Critiques and Evaluation By Residents

1. Critiques by Residents
   1. Curriculum Review/Instructor Feedback forms on short courses, lectures and seminars
   2. Complete an on-line program critique at the end of the year.
   3. Faculty Evaluation by students.
   4. Tri-annual critique of program by residents found in the tri-annual Evaluation of Resident.
   5. One year post graduation follow-up critique/outcomes assessment (recent resident survey).
   6. Exit interview with Dental School administration
      1. quality and relevance of classroom instruction
      2. quality and relevance of seminars
      3. quality and amount of clinical instruction
      4. clinical and laboratory support
      5. staff’s approach
      6. faculty’s approach
2. Critiques by Faculty
   1. Tri-annual evaluation of resident
   2. Quality Assessment Audit

VI. Quality Assessment Audit - One mechanism of outcome measurement is to regularly evaluate the degree to which goals and objectives of the Advanced General Dentistry program are being met.

1. Purpose:
   1. To assess the quality of work being performed
   2. To verify the timely and sequential delivery of treatment as prescribed by a formal treatment plan developed by residents and faculty.
2. Mechanism:
   1. To be performed at a final appointment, upon completion of treatment of comprehensive care patients and prior to placement into the recall system, or at any time at the discretion of the faculty or request of the resident.
   2. At least one faculty member and resident will:
      1. Review chart to insure uniformity of organization and presence of all appropriate forms (chart audit).
      2. Review post-treatment radiographs if indicated.
      3. Completely fill out quality assessment audit sheet and file in portfolio.