About the residency program
Goals
The overall goals of the AIMMC Dental Anesthesiology Residency Program are the following:
1. Deliver anxiety and pain control services for emergency and comprehensive multidisciplinary oral health care.
2. Plan and provide anesthesia-related care for the full range of dental patients, including patients with special needs.
3. Manage the delivery of oral health care by applying concepts of patient and practice management and quality improvement that are responsive to a dynamic health care environment.
4. Function effectively within the hospital, dental office, ambulatory surgery center, and other health care environments.
5. Function effectively within interdisciplinary health care teams.
6. Apply scientific principles to learning and anesthesia-related oral health care. This includes using critical thinking, evidence- or outcomes-based clinical decision-making, and technology-based information retrieval systems.
7. Utilize the values of professional ethics, lifelong learning, patient-centered care, adaptability, and acceptance of cultural diversity in professional practice.
Competency Requirements
Upon completion of the 3-year dental anesthesiology residency program at AIMMC, Residents shall demonstrate competency in the following:
a. Residents will be able to demonstrate advanced, comprehensive knowledge of human anatomy and physiology in relation to the effects pharmacologic agents used in anxiety and pain control have on the body.
b. Residents will demonstrate an in-depth knowledge of the medical co-morbidities and the associated pathophysiology that may affect the selection and use of pharmacologic agents for patient treatment.
c. Residents will become competent in developing anesthetic treatment options based on patient’s medical, psychological and surgical requirements and potential response and risk.
d. Residents will become competent in performing comprehensive pre-anesthetic evaluation, providing post-operative instructions and obtaining informed consent.
e. Residents will become competent in the use of anesthesia-related equipment for anesthesia delivery, patient monitoring and emergency management.
f. Residents will become competent in the use and administration of local anesthesia, sedation and general anesthesia as well as psychological management and behavior modification as they relate to anxiety and pain control for dental treatment.
g. Residents will become competent in managing anesthetic and perioperative emergencies and complications which includes immediate airway management and maintenance of respiration and circulation.
h. Residents will become competent in the diagnosis and non-surgical treatment of acute head and neck pain.
i. Residents will become familiar with the diagnosis and treatment of chronic orofacial pain
j. Residents will demonstrate an in-depth knowledge of current dental anesthesiology literature.
Curriculum Overview
First year dental anesthesiology residents participate in a one week hospital and Department of Dentistry orientation the last week of June prior to formally beginning the program July1. Clinical and didactic anesthesia training the first year will primarily take place on rotation at AIMMC, Department of Anesthesiology, functioning essentially as a CA-1 anesthesia resident. Dental anesthesia residents will take call with anesthesia residents and fully participate in the RRT teams that are responsible for all cardiopulmonary resuscitation and intubation calls throughout the hospital. AIMMC is a Level 1 Trauma hospital with an extremely busy ED. Dental Anesthesia residents will receive the same intensive training in pre-anesthetic patient evaluation and assessment, experience in anesthesia administration in the OR on a daily, scheduled basis, post anesthesia case management in the PACU, SICU and extensive experience on emergency call.
Dental anesthesiology residents will also assist in the delivery of general anesthesia for pediatric and special needs dental cases in the outpatient dental center anesthesia suite for two half days per week during year one of training.
The second year of training will include AIMMC based rotations in pediatric anesthesia (2 months), management of chronic pain in the Pain Clinic (2 months), internal medicine (1 month) and cardiology (1 month). A one month rotation in pediatric medicine will take place at Advocate Children’s Hospital – Lutheran General Hospital. The remaining five months will be divided between additional in hospital anesthesia training and outpatient sedation/anesthesia training all AIMMC based.
A three-four month rotation during the third year of the Dental Anesthesia Program to the Ambulatory Surgery Center, UIC-COD, is being developed to provide dental anesthesia residents extensive training in outpatient pediatric and OMFS Sedation/GA. Dental anesthesia residents will also participate in a one month rotation through the OFP/TMD Clinic at UIC-COD. Third year residents will also rotate at AIMMC Dental Center and inprivate practice offices
Didactic education will include instruction in applied biomedical sciences foundational to dental anesthesiology, physical diagnosis and evaluation, behavioral medicine, methods of anxiety and pain control, complications and emergencies, pain management and critical evaluation of literature.
Instruction in all of the above categories will be provided through the AIMMC Anesthesia Core and Advanced Lecture Series, through the Dental Anesthesiology Program Lecture Series, through the Oral Surgery Sedation/GA lecture series, through the OFP/TMD lecture series, through both the GPR and Anesthesia based Journal Clubs and finally through the AIMMC Anesthesia Residency Problem Based Learning Discussions and Case Discussions, M & M Conferences, and simulation lab experiences. Please see Exhibit 7.
Rotations
Dental anesthesiology residents will participate in four clinical rotations aside from the preoperative anesthesia rotation that is part of the hospital anesthesia 12-month rotation. These rotations will take place primarily in year two of the program. Residents will receive additional training in adult focused medicine through a one month AIMMC Hospitalist/Internal Medicine service rotation and in pediatric focused medicine through an Advocate Children’s Hospital-Lutheran General Hospital (ACH-LGH) one month rotation in pediatric medicine. AIMMC has a very active Section of Cardiology with a residency program and Fellows in a Cardiovascular Diseases Fellowship Training Program and a Clinical Cardiac Electrophysiology Fellowship Training Program. Dental anesthesia residents will spend one month on cardiology service. AIMMC also has a highly recognized Pain Clinic directed by the Department of Anesthesia Chair, Dr. Ken Candido. Dental Anesthesia residents will gain extensive experience in the management of both acute and chronic pain during their two-month rotation in the Pain Management Clinic.