General Practice Residency Program

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General Practice Residency Program

• The University of Texas
• Health Science Center at Houston
• Dental Branch
• and
• Memorial Hermann Hospital

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Integration of Dentistry into Medicine

• Medical risk assessment
• Recognition and treatment of medical conditions
  that affect the oral cavity
• Prevention and management of systemic
  manifestations of oral disease
• Advanced clinical dentistry

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Program Goals Objectives

• Advanced training in the clinical practice of
  dentistry
• Diagnosis and treatment planning in a problem
  based manner using total patient evaluation
• Proficiency in interdisciplinary interaction in
  outpatient, hospital and didactic settings
• Clinical hospital experience in comprehensive
  emergency oral care to a wide range of patients
• Simulation of the practice of dentistry in a
  private practice setting
• Engage in the practice of dentistry based on a
  critical review and presentation of the literature

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Curriculum

• Clinical Dentistry and Advanced Treatment
  Planning
• Implant Dentistry
• Prosthodontics
• Periodontics
• Inpatient Care / Hospital Administration
• Medical Risk Assessment
• Oral Medicine, Oral Pathology and Oral Radiology
• Oral and Maxillofacial Surgery
• Pain Control and Anesthesiology
• Special Patient Care
• Trauma and Emergent Dental Care

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2007 Residents
PGY1 (5)
Dr. Sharcola Vaughn
Dr. Angel Roman
Dr. Randa Taqieddin
Dr. Jae-Hyuck Kwak
Dr. Sara Ekhlassi
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Clinical Phase

• On-service rotations (8.5 mos)
• General Dentistry Service
• Clinic (University Dental Center)
• Hospital (UDC, MHH, TIRR)
• Off-service rotations (3.5 mos)
• Anesthesiology (1 mos)
• Internal Medicine (1 mos)
• Oral and Maxillofacial Surgery (1 mos)
• Otolaryngology (0.5 mos)

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Rotations

• Anesthesiology
• Memorial Hermann - 1 month
• Internal Medicine
• Memorial Hermann 1 month
• Oral and Maxillofacial Surgery
• Ben Taub Hospital - 1 month
• Otolaryngology (ENT) 1 month
• Mobile Dental Van
• 4-5 days

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Scope of Patient Care

• Emergency Room Patients
• Geriatric Patients
• Hospital Inpatients
• Medically Compromised
• Mentally Handicapped
• Physically Handicapped
• Well Patients

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Medically Compromised Patients

• Autoimmune Disease
• Bleeding Disorders
• Cardiovascular Disease
• Endocrine Disease
• Liver Failure
• Neoplastic Disease
• Renal Failure

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Hospital Experience

• In-Patient Consultations
• Memorial Hermann and TIRR
• Average 250 per year
• Necessary examination and treatment performed
  either at bed-side, UDC during their admission or
  after discharge, or in the OR
• Coordination with primary admitting team

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Hospital Experience

• Emergency Center Memorial Hermann
• Average 75 calls/year

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Hospital Experience

• Operating Room Memorial Hermann
• Average 120-150 cases/year

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Clinical Experiences at the GPR
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Implant surgery
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Crown and Bridge
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Crown and Bridge
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Veneers
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Veneers
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IV Sedations
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OR Dentistry
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Biopsies
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Third Molar Extractions
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Pathology
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Pathology
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Didactic Curriculum

• History and Physical Examination
• Conscious Sedation and Pharmacology
• Periodontics
• Endodontics
• Graduate Implant Course
• Prosthodontics
• Biomaterials and Restorative Dentistry
• Oral Medicine, Pathology and Radiology
• Orofacial Pain
• General Medicine

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Resident Scholarly Activity

• Journal Club
• Resident Presentations
• Scientific Paper
• Table Clinics
• Clinical Research

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Program Faculty

• General Dentists
• Full time director
• Part-time attendings
• Prosthodontists
• Periodontist
• Other Specialty Resources (UTDB)
• Dental Anesthesiology, Endodontics, Oral
  Pathology, Oral Surgery, Pediatric Dentistry,
  Periodontics, Orthodontics

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Program Faculty
Dr. Raymond Simmons, Associate Professor, GPR
Program Director

• 1993 Graduate of Howard University College of
  Dentistry
• 1994 1-yr Harvard Medical School/Brigham and
  Womens GPR Program
• 1999 5-yr Doctoral Program/Oral Medicine Program
• 2001 2-yrNIH Post-doctoral Research Fellowship
• 2003 2-yr Assist Professor Diagnostic Sciences
  UTHSC-San Antonio
• 2007 4 yr Assist Professor Clinical
  Sciences/Clinical Medicine UNLV School of Dental
  Medicine

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Program Faculty

• Dr. Steven Vaughan, Assistant Director
• 2004 Graduate of UT San Antonio
• 1-yr AEGD at VA-San Antonio, 2005
• Full time private practice
• Special interests cosmetics, implants
  (placement and restoration), prosthodontics,
  CAD-CAM restorations, IV-sedation

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Program Faculty

• Dr. Michael Chan, Part-time faculty
• UT San Antonio, 1998
• 2-yr GPR at UT Houston
• Full time private practice
• Special interests cosmetics, IV-sedation,
  hospital dentistry, OR dentistry

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Program Faculty

• Dr. Seema Varghese, Part-time
• Faculty

• 2005 Graduate of UT-Houston Dental Branch
• 1Year GPR at University of Michigan, 2006
• Full time private practice
• Special interests implant restoration, CAD-CAM
  restorations, oral surgery, hospital dentistry

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Program Faculty
Dr. Philip Cimo, Part-time Faculty

• 2000 Graduate University of Texas Dental Branch
• National Naval Medical Center, GPR - 2001

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Program Faculty
Dr. Sanjeev Gopalakrishna, Part-time Faculty

• 2004 Graduate University of Texas Dental Branch
• St. Anthonys hospital, GPR - 2005

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Program Faculty
Dr. Sudarat Kiat-Amnuay, Prosthodontics

• 1994 Graduate of Khon Kaen University, Thailand,
• 1999 Graduate (MS) of the University of
  Louisville in prosthodontics.
• Maxillofacial Prosthetics from the UT M.D.
  Anderson Cancer Center
• Diplomate of the American Board of
  Prosthodontics.

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Program Faculty

• Dr. James Lutonsky, Prosthodontics

• 1997 Graduate UT - San Antonio
• Certificate in Prosthodontics UT - San Antonio.
• Private practice in The Woodlands, TX

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Program Faculty

• Dr. John A. Valenza, Executive Associate Dean

• UT Houston - 1981
• Completed 1-yr GPR at Univ. of Tennessee
• Founding GPR director
• Special interests hospital dentistry, medically
  compromised patients, OR dentistry, computers in
  dental practices

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Program Faculty

• Dr. Sheila Koh, Operating Room

• UT Houston 1993
• 1-yr GPR at UT Houston 1994
• Former Director, AEGD 1993-1995

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Program Auxiliary Staff

• Residency Coordinator
• Office Manager
• Dental Hygienist Clinical Supervisor
• Dental Assistants
• Front office staff
• Department Staff Support from UTDB

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Facilities

• University Dental Center
• Memorial Hermann Hospital
• The University of Texas Dental Branch at Houston
• The Institute for Rehabilitation and Research
• Texas Medical Center Libraries
• Rotational Sites (i.e. Ben Taub Hospital)

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University Dental Center

• UT Professional building
• 7 open bays
• 1 closed room
• 3 oral surgery suites
• 2 consult rooms
• Electronic charting and digital radiography
• Residents office
• Laboratory

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Memorial Hermann Hospital

• Established 1925
• Primary teaching hospital of The University of
  Texas Health Science Center at Houston
• Category I trauma center
• Home to Hermann Life Flight
• Licensed for over 600 beds

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The University of Texas Dental Branch at Houston

• Founded 1905
• One of 6 HSC schools
• DDS Class Size 84
• DH Class Size 40
• Advanced Education Programs
• AEGD, Endodontics, GPR, OMFS, Orthodontics,
  Pediatric Dentistry, Periodontics, Prosthodontics

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Texas Medical Center

• 42 institutions (hospitals and schools)
• Largest medical center in the world
• 13 hospitals
• 2 medical schools, 4 nursing schools, DB, public
  health, pharmacy

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Advanced Student Benefits

• Health, dental, disability, life
• Meal Tickets
• Current Stipend 38,000
• Texas Medical Center
• UT Housing / Recreation Center
• Paid Leave
• 10 days
• 5 days over Christmas holidays
• Statutory holidays

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Advanced Student Expenses(estimated for 2006-07)

• Malpractice Insurance 950
• Parking (approx. 65 per month)
• Tuition and Fees (in state) approx. 700
• (out of state) approx. 1600
• Note There is no charge for health insurance
  for the resident.
• Family members (spouse, children) are
  additional.

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Optional 2nd-year Program

• Affords resident the opportunity to expand on
  1st-yr experience
• Customized to preferences of resident
• Teaching of undergraduates at Dental Branch
• IV sedation experience
• Chief resident
• Moonlighting allowed

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Questions / Comments?

• Raymond Simmons, DDS, DMSc
• Program Director
• General Practice Residency Program
• Raymond.Simmons_at_uth.tmc.edu

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http//www.db.uth.tmc.edu/gpr/index.htm