General Practice Residency Training Program In Dentistry
The University of British Columbia, in conjunction with Vancouver General Hospital (VGH), a tertiary care facility and trauma center, offers positions in a one-year hospital based dental residency program (GPR) beginning in June of each year.
The VGH Oral Health Centre dental service, the divisions of Oral Medicine and Oral and Maxillofacial Surgery, and the GPR program are integrated to provide essential services in the emergency department and handle the priority needs of admitted hospital and medically complex patients referred from the community.
VGH Oral Health Centre Clinic
The GPR program and all affiliated resident activities occur primarily at VGH in the Oral Health Centre, the wards, the operating rooms and the Emergency Department.
The Oral Health Centre has undergone a complete reorganization and is now solely dedicated to the needs of the medically complex. The GPR program has also undergone an exciting and complete reorganization to optimize the resident educational experience.
The emphasis of the residency is on the provision of care to patients requiring a hospital environment for the safe execution of their care. In turn, resident activities in the GPR program are hospital-based and relate to the evaluation and provision of care to patients who require the operating theatre for maxillofacial surgery or dental care under general anesthetic, are medically complex, are hospitalized, have complex oral-facial problems outside the typical scope of a community practice, or who have come to the VGH Emergency Department.
At the VGH Oral Health Center, each resident is assigned to a rotation specific, “Dental Hospitalist” tasked with supervising, educating and offering essential training tips in the Emergency Department, on the wards and in the ambulatory clinic. Additionally, residents will participate in outpatient clinics such as orofacial pain, oral mucosal disease, organ transplant support, geriatrics, periodic clinics encompassing complex prosthodontics reconstruction, endodontics and pedodontics, and regular oral and maxillofacial surgery clinics.
A regular day would include hospital rounds, pre-clinic case reviews, attendance in a clinic or the Operating Room, evening rounds, ward consults or Emergency Department visits, as required, and approximately one night out of three and one weekend out of three on call.
Residents will attend to emergencies in the Emergency Department with the mentoring of an experienced staff person who will be on-site for complex assessments or required procedures. This is a new initiative and an unprecedented opportunity for residents to experience the Emergency Department in a 100% supported manner.
The community clinic program has been completely revised and is now limited to a few carefully pre-selected, 100% on site, mentored opportunities that offer the best educational and training experiences. Residents can expect to spend approximately 5-10 days throughout the year in a community environment in and around Vancouver or in an associated rural environment, such as Haida Gwaii.
A number of residents may also be selected to participate in a 2-week rotation in Vietnam. This international experience will broaden the scope of learning to include an understanding of regional disease processes, treatment approaches and cultural competency.
Off Service Medical Rotations
The in-hospital general dentist functions alongside the Oral Maxillofacial surgeons and Oral Medicine/Pathologists to provide a unique service within the complex mosaic that makes up the modern hospital. By necessity, this often includes treating patients with multiple medical or surgical problems and utilizing the typical multidisciplinary team approach that constitutes the current standard of care.
The hospital general practice residents must work with numerous other hospital specialists and are required to have a broader and expanded knowledge base than a community dentist may typically possess. On that basis, we consider it essential that residents attend off service rotations in select hospital specialties. We have assessed the types of multidisciplinary cases our service treats and based on that, have arranged rotations in Plastic Surgery, ENT, Anesthesiology, Oral Maxillofacial Surgery, Internal Medicine and Emergency Medicine. Residents will receive orientations and pre-qualifying examinations to prepare for, and enhance, these experiences.
Residents will regularly spend time in the VGH and UBC hospital Operating Rooms. Residents will have the opportunity to observe or assist in major elective Maxillofacial reconstructive surgery and participate in emergency Operating Room procedures, including incision and drainage of major face and neck infections as well as treatment of fractures, cysts and tumours. While the schedule will vary, on average, residents can expect to spend a day or more per week in the Operating Room in major surgical cases and a day every two weeks in the Operating Room doing general dental procedures under General Anesthetic (not including emergency cases).
Orientation and Educational Components
The initial orientation period is rigorous and focused on bringing residents up to the level required to function within our hospital environment. After the initial orientation sessions, residents can expect to have approximately 70 additional hours of seminars, labs and lectures during the first few weeks. The curriculum includes training in:
- total history and physical examination (including heart, lung and abdomen);
- ordering and interpretation of blood and other lab tests;
- ordering and interpretation of CT scans;
- managing orofacial infections;
- appropriate antibiotic use (oral and IV);
- oncological care;
- emergency care;
- management of dental alveolar trauma;
- hospital protocols;
- proper procedure for hospital ward, Intensive Care Unit and Emergency Room consults;
- ECG Interpretation;
- enhanced Advanced Cardiac Life Support (ACLS);
- IV administration; and
- nitrous oxide lectures and labs.
- nitrous oxide lectures and labs.
The ongoing educational opportunities throughout the year focus on practical and clinically relevant hospital based skills and activities. This includes resident or staff seminars, grand rounds, morbidity and mortality rounds and case presentations. There will also be monthly training and simulations in Basic Life Support and ACLS including regular mega code scenarios. Note: Due to the complex nature of our patients and the off service rotations, it is the policy of this residency that all residents must remain current and proficient in ACLS and general emergency management. Residents are routinely tested during planned and surprise mega code resuscitation events throughout the residency year.
Didactic lectures will be available on single drug IV sedation as well opportunities for qualified residents to gain clinical experience in administration. The residency does not offer a set certification course for IV sedation, however, it is possible for a highly motivated resident to become certified in single drug sedation. The qualified resident would have to have outstanding clinical skills, pass the IV sedation examination and ongoing ACLS mega code practical examinations and treat the required number of patients.
Important Information for Candidates
It is important that applicants clarify in their minds what type of experience they are seeking and ensure that applications align with their expectations. This is not an Advanced Education in General Dentistry (AEGD) program and the VGH dental service is not a dental office located in a hospital. On the contrary, residents will become part of a dental service team working alongside dental hospitalists, Oral Maxillofacial surgeons, Oral Medicine specialists and other medical and surgical specialties providing front line care for complex and challenging patients in a busy tertiary care hospital.
We are looking for exceptional candidates who are highly motivated and excited to expand their knowledge and skill sets. In exchange, residents will have a unique experience that builds clinical assessment and treatment skills they did not know existed and experience a sense of personal and professional growth that is a once in a lifetime experience.
Residents successfully completing this program will be prepared to comprehensively and confidently consult, treat or refer patients with any amount of medical complexity and any emergency from minor dentoalveolar fractures to life threatening lateral pharyngeal space infections.
Additionally, all residents successfully completing this program should be qualified to enter any advanced graduate program, to work within a hospital dental service, practice in an urban or remote area utilizing a hospital, the Emergency Room and Operating Room, and be able to work collaboratively with other specialists to ensure their future patients, receive the best care anywhere.
Applicants For a Second Year Residency
The VGH dental service will also consider applications for a second-year General Practice Residency. The applicant must be enrolled in or have completed a one-year GPR/Internship or have had considerable experience in hospital dental service. The second year training will be focused in one or more areas of interest selected by the resident from Oral and Maxillofacial Surgery or Oral Medicine.
Candidates must satisfy the requirements of the College of Dental Surgeons of B.C. for registration. Graduates of all Canadian and American dental schools are eligible to apply.
Foreign dentists, other than U.S. trained graduates, must possess a certificate issued by the National Dental Examining Board of Canada and must meet immigration requirements
The General Practice Residency program is now under the direction of Dr. Larry Goldstein, an Oral and Maxillofacial Surgeon.
There are no facilities for housing residents at any of the hospitals.
The stipend for a Resident I is $48,565.20 per annum. When applicable, payment per month is added for “on-call” services plus allowances for travel. Additional benefits include the provision of uniforms and 20 days of vacation (four weeks), medical, dental, extended health, on-call travel allowance, long-term disability, and life and malpractice insurance plans. All vacation requests must be submitted in writing for approval.
The residents selected are registered as graduate students in the Faculty of Dentistry and with the College of Dental Surgeons of B.C. for which separate fees are paid. Membership in the Professional Association of Residents is required. There is an ACLS course and textbook fee and a GPR program fee.
Application and Information
English Proficiency Requirements
Applicants who received their dental degree from a school where English was not the primary language of study must present evidence of proficiency in English. One of the following tests of English proficiency is acceptable:
The minimum TOEFL score required is 580 paper-based or 93 internet-based, taken within twenty-four (24) months prior to the time of submission of the application. TOEFL score sheets must be sent directly from the Educational Testing Centre in sealed and official envelopes. Photocopies of test scores are not acceptable.
A minimum overall band score of 6.5 is required with a minimum score of 6.0 in each component of the academic (not general) IELTS test. IELTS score sheets must be sent directly from source in sealed and official envelopes. Photocopies of test score are not acceptable.
General enquiries and requests for application forms can be directed to:
Mrs. Vicki Beretanos Koulouris
Manager of Admissions
Faculty of Dentistry
The University of British Columbia
2199 Wesbrook Mall
Vancouver, B.C. V6T 1Z3
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