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Advanced Education in General Dentistry (AEGD)

Goals and Learning Objectives

The Advanced Education in General Dentistry program is designed to improve and refine the skills and knowledge in the practice of general dentistry. The program’s goals and objectives emphasize general dentistry, resident education, patient care and community service

Goal #1 General Dentistry

The AEGD Program goals are to prepare a graduate to:

Act as a primary care provider who can plan and provide a high caliber of comprehensive dental services for a wide variety of patients including patients with special needs, complex medical conditions and financial barriers. These services will include: emergency and multidisciplinary comprehensive oral health care, patient centered care coordinated by a general practitioner, health promotion and disease prevention activities, and dental treatments using advanced modalities.

Objectives:

1a. Provide residents with a patient "family" for which they must provide multidisciplinary              comprehensive oral health care.

1b. Provide residents with broad clinical experiences including patients with special needs, complex medical conditions and financial barriers.

1c. Provide residents with experiences in providing emergency oral health care for patients.

1d. Provide residents with experiences and instruction in health promotion and disease prevention.

1e. Provide residents with experiences using advanced treatment modalities.

Goal #2 Resident Education

Apply scientific principles and critical thinking to learning and oral health care, including evidence-based clinical decision-making.

Objectives:

2a. Provide residents opportunities to access and apply current scientific knowledge to patient care situations through a review of current literature and working in both real and simulated problem-solving activities.

2b. Provide instruction in managing patients with special needs and complex medical conditions.

2c. Provide residents opportunities to discuss patient care situations in the context of seminars and case reviews by applying evidence-based clinical decision making.

Goal #3 Patient Care

 Effectively manage oral health care delivery, including patient management, practice management and quality improvement activities to meet the needs of a dynamic health care environment. Effectively function as a member of a multidisciplinary health care team to promote total body health.

Objectives:

3a. Provide residents instruction in oral health care delivery, patients and practice management.

3b. Provide instruction in information technology and oral health care delivery systems.

3c. Provide residents with information and experiences participating in a quality improvement program.

3d. Provide residents with experiences working with other health care professionals in dental and medical clinics.

Goal #4 Community Service

Promote the value of professional ethics, lifelong learning, patient centered care, service to the community and diversity in professional dental practice. Promote understanding of the oral health care needs of communities and actively engage in community service to promote oral health.

Objectives:

4a. Promote professional ethics by providing residents opportunities to discuss patient care situations in the context of seminars and case reviews.

4b. Provide residents the opportunity to provide oral health care and health promotion activities for patients from economically diverse populations.

4c. Provide residents with a broad exposure to faculty, staff, patients and colleagues with a diverse background.

4d. Provide residents with experiences in community-based clinics.

4e. Provide residents with opportunities to serve the community and participate in health promotion activities.

AEGD Overall Goals and Objectives Year 2

The second year is designed to further build on skills and knowledge gained in the PGY1 year.

The goals of the optional second year program include the overall PGY1 program goals with additional goals of preparing a graduate to:

Goal #1 General Dentistry

Act as a primary care provider who can plan and provide a high caliber of comprehensive dental services for a wide variety of patients including patients with special needs, complex medical conditions and financial barriers. These services will include: emergency and multidisciplinary comprehensive oral health care, patient centered care coordinated by a general practitioner, health promotion and disease prevention activities, and dental treatments using advanced modalities.

Objectives:

1a. Provide residents with greater clinical exposure to complex dental cases, and comprehensive patient-centered care.

1b. Provide residents with additional training in oral implantology, oral medicine, orthodontics, periodontics and/or any other area of specialty interest.

Goal #2 Resident Education

Apply scientific principles and critical thinking to learning and oral health care, including evidence-based clinical decision-making.

Objectives:

2a. Provide residents with customized curriculum and rotations to allow the second year resident to pursue areas of special interest.

Goal #3 Patient Care

Effectively manage oral health care delivery, including patient management, practice management and quality improvement activities to meet the needs of a dynamic health care environment. Effectively function as a member of a multidisciplinary health care team to promote total body health.

Objectives:

3a. Provide residents with clinical experience in the screening of dental patients, triaging emergencies, and making clinical judgments based on case complexity and patient assignment.

Goal #4 Community Service

Promote the value of professional ethics, lifelong learning, patient centered care, service to the community and diversity in professional dental practice. Promote understanding of the oral health care needs of communities and actively engage in community service to promote oral health.

Objectives:

4a. Provide residents with leadership opportunities within the program, including teaching undergraduate dental students.

4b. Provide residents with opportunities for mentoring relationships with experienced general dentists.

4c. Encourage residents to act as a mentor to first year AEGD residents and/or undergraduate dental students.

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    General Information

    This 12 month, optional 24 month residency will accept a total of seven dental student graduates who have fulfilled all admission requirements and applied though the PASS application service.  The program will start with orientation the last week of June and end on June 30 of the following calendar year.  Each resident will receive a stipend and benefit package consistent with St. John Providence Health (Ascension) PGY1 or PGY2 level.  Each graduating resident will be awarded a certificate of program completion.

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    Educational Program

    The AEGD curriculum is designed to meet program goals, objectives and CODA Standards which lead to competence by providing both didactic and clinical learning opportunities for residents.

    Didactic educational opportunities are provided in addition to clinical experiences. Many of the courses are Master's level courses and include material and participation of residents from other specialty programs. The courses are offered to the AEGD resident as additional educational experiences; however, residents are not subject to the same grading criteria as the specialty program residents and will not receive credit towards a Master’s degree. Most courses are taught as seminars, focusing on case-based discussions. Continuing education courses (CE) are included whenever possible to cover required topics and promote networking with dental professionals from a variety of backgrounds and practices.

    After the first year, two second-year positions may be made available to graduating residents. The total number of residents shall not exceed 7. The decision to pursue the second year must be made by the end of the first six months of year one. A PGY 2 "chief resident" position will contribute to the enrichment of the academic curricula and offer interested candidates access to administrative and academic development programs. In addition to serving as a liaison between administrative faculty and first year residents, the chief resident will be provided with advanced training as a second year resident. Each second year resident, has the opportunity to teach in the pre-doctoral clinic in the Fall and Winter semester, one clinic session per week. The second year resident will be asked to pursue an area of specific interest (e.g. research, public health, a particular clinical discipline, etc). Concentrated instruction will be provided to promote development in the chosen area.

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    Admissions

    Applicants to the AEGD program at Detroit Mercy School of Dentistry must have a DMD/DDS from a dental education program in the United States or Canada which is accredited by the Commission on Dental Accreditation (CODA). At this time the program does not accept graduates from international dental programs.

    Applicants should have successfully completed Part I of the National Board Examination prior to applying for admission and must complete part II before they can begin the program. Candidates for admission should possess good academic credentials (GPA not less than 2.8) and should demonstrate a definite interest in post-graduate training.

    The program is limited to seven total residents. The application process requires the completion of a PASS application available at www.adea.org. Applications must be completed and filed with the PASS application service by November 1. Applications will not be considered until all records and fees have been received. After the October 1 deadline, applicants should notify contact Ms. Sheila Gandy in the Division of Practice Essentials & Interprofessional Education they will be completing a paper application.

    The completed PASS application should include all documents requested by PASS. The PASS website has a connecting link to the University of Detroit Mercy's AEGD program.

    Please note, the Detroit Mercy AEGD program REQUIRES:

    1. $75.00 application fee paid directly to the University of Detroit Mercy AEGD Program, 2700 Martin Luther King Jr. Blvd, Detroit, MI 48208-2576, attention Sheila Gandy.
    2. 2"x2" photograph (with name printed on the back) sent directly to the University of Detroit Mercy AEGD Program, 2700 Martin Luther King Jr. Blvd, Detroit, MI 48208-2576, attention Sheila Gandy

    Please send these items directly to the Detroit Mercy AEGD program by October 1.

    Failure to include these required materials will result in the delay of application consideration.

    The University of Detroit Mercy is committed to the principle of equal opportunity for all regardless of age, sex, race, creed, national or ethnic origin, handicap, weight, or sexual preference.

    Application

    Paper application should be completed ONLY if applicant has missed the October 1 PASS deadline.

    All other applicants must complete the PASS application (www.adea.org).

    AEGD Application

    Paper application should be completed ONLY if applicant has missed the October 1 PASS deadline.

    Send completed application (as stated in page 4 of application) to:

    Division of Practice Essentials & Interprofessional Education
    ATTN: Sheila Gandy, AEGD Application
    University of Detroit Mercy School of Dentistry
    2700 Martin Luther King Jr. Boulevard
    Detroit, MI 48208-2576

    Contact

    For further information, please contact:

    Phone: 313-494-6629

    Dr. Mary Parise, Program Director, AEGD
    Division of Practice Essentials & Interprofessional Education
    University of Detroit Mercy
    School of Dentistry
    2700 Martin Luther King Jr. Boulevard
    Detroit, MI 48208-2576
    parisema@udmercy.edu

    Dr. Rista Urukalo, Assistant Program Director, AEGD
    Division of Practice Essentials & Interprofessional Education
    University of Detroit Mercy
    School of Dentistry
    2700 Martin Luther King Jr. Boulevard
    Detroit, MI 48208-2576
    urukalri@udmercy.edu

    Sheila Gandy, Administrative Assistant
    Division of Practice Essentials & Interprofessional Education
    University of Detroit Mercy
    School of Dentistry
    2700 Martin Luther King Jr. Boulevard
    Detroit, MI 48208-2576
    gandysa@udmercy.edu

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    AEGD Curriculum

    The AEGD curriculum is designed to meet program goals and objectives which lead to competence by providing both didactic and clinical learning opportunities for residents.

    Presentations

    • Periodontics Case Review
    • Dental Management of Compromised Patients
    • Treatment planning Case Review

    Rotations

    • Pediatric Dental Clinic
    • Oral and Maxillofacial Surgery
    • Family Medicine

    Projects

    • Community/Outreach Service Projects

    Didactics

    (One year curriculum June 26 to June 30th of first year. Second year optional, see Program Director.)

    Summer Term - First Year
    Course Title Course Director
    Advanced General Dentistry Seminar M. Parise
    Head and Neck Anatomy M. Ahmad
    Evidence-Based Dentistry N. Sleiman
    Management of Medically Compromised Patients I M. Parise
    Fall Term - First Year
    Course Title Course Director
    Advance General Dentistry Seminar M. Parise
    Oral Pathology J. Ojha
    Periodontics Case Review B. Kinaia/M. Parise
    Evidence-Based Dentistry M. Parise/N. Sleiman
    Advanced Periodontal Surgery Seminar I B. Kinaia/M. Parise
    Dental Management of Medically Compromised Patients I M. Parise
    Winter Term - First Year
    Advanced General Dentistry Seminar M. Parise
    Periodontics Case Review B. Kinaia/M. Parise
    Ethics & Professional Responsibility P. Zarkowski
    Dental Management of Medically Compromised Patients I M. Parise
    Advanced Periodontal Surgery Seminar II B. Kinaia/M. Parise
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    AEGD Course Descriptions

    Course and Seminar Descriptions

    AEGD COURSE DESCRIPTIONS

    YEAR 1

    The AEGD curriculum is designed to meet program goals and objectives and to lead to the development of program competencies by providing both didactic and clinical learning opportunities to residents. This document provides descriptions of program courses which are correlated to overall program goals as indicated. Please refer to AEGD 1 term schedules for timing of courses in the program.

    COURSE AND SEMINAR DESCRIPTIONS:

    Advanced General Dentistry Seminar

    The goal of this course is to cover a broad range of topics related to general dentistry and to provide information that will help residents develop skills in providing comprehensive patient-centered oral health care for their patients. It will focus on clinical care as well as practice management, information technology, ethical decision making, advanced treatment modalities and community service. This course will address issues of patients with special needs and understanding complex medical conditions and their effect on dental care. It will cover treatment planning and sequencing and will stress the role of oral health care providers and acting in a team approach to promote prevention of disease and total body health. This is a yearlong course which will also address disciplines of general dentistry that are not represented in other program courses including endodontics, prosthodontics, pediatric dentistry, orthodontics, emergencies, oral medicine, oral surgery, therapeutics, pharmacology, esthetic dentistry, preventive dentistry, dental materials and laboratory procedures. Guest lecturers who are experts in these disciplines will be utilized for many lectures.

    This portion of the curriculum provides time for patient care and treatment planning conferences. Residents present patient cases they are currently treating. Residents will take clinical photographs and provide case histories and review pertinent literature prior to presentation. Presentations will focus on diagnosis, treatment planning, progress of clinical treatment and treatment outcomes. Specific aspects of the case may be assigned by the program director such as ethics, patients with special needs, health promotion/disease prevention, aspects of practice management or use of an advanced treatment modality.

    This seminar supports AEGD program goals 1, 2, 3, 4.

      Advanced Periodontics Seminar

    The goal of this course is to focus on the clinical periodontal literature related to periodontal examination, diagnosis, prognosis and treatment including surgical and non-surgical therapy and implant dentistry. Residents will be required to read background material for each session which will then be discussed and moderated by the course director. While the sessions will predominately use clinical slides in somewhat of a lecture format, residents are encouraged to actively participate in the discussions.

    This seminar supports AEGD program goals 1, 2, 3.

    Evidence-Based Dentistry Seminar

    This course provides residents with information regarding the role of scientific inquiry and evidence in clinical decision making and includes literature reviews and discussion regarding clinical topics. Methods of scientific inquiry, the role of science versus experience in clinical dentistry, ways to conduct literature reviews and collect evidence and guidelines for the assessment of the quality of published articles will be discussed. The importance of life-long learning will be emphasized. Residents will conduct literature reviews and lead discussions related to topics representing many aspects of clinical dentistry and oral health care delivery.

    This seminar supports AEGD program goals 1, 2.

     

    Head and Neck Anatomy Seminar

    The goal of this course is to study the structure and function of the tissues of the human head and neck. The course assumes the residents will have basic knowledge of human anatomy however the following areas will receive special emphasis in this course: the skull, injection sites, the muscles of mastication and of facial expression, cranial nerves, the oral cavity with emphasis on its neurovascular supply, sunmandibular space, pharynx, autonomic nervous system as it pertains to the face, lymphatic drainage of facial structures and spread of infection and fascial planes. This course will also give residents the opportunity to place implants in cadaver heads as a hands on experience prior to clinical experiences.

    This seminar supports AEGD program goals 2.

    Dental Management of Medically Compromised Patients Seminar

    This course will provide residents with information regarding oral medicine with a focus on current issues affecting the practice of dentistry, including the needs of underserved populations who are medically complex. The importance of life-long learning will be emphasized. Residents will conduct literature reviews of topics in oral medicine that have relevancy to clinical dentistry and oral health care delivery. Most discussions with be cased based and a review of patients currently receiving care in the AEGD clinic. The residents will present the conclusions in a seminar and participate in discussions facilitated by the course directors. 

    This seminar supports AEGD program goals 1, 2, 3, 4.

     

    Oral Pathology Seminar

    Residents will learn how to critically evaluate the literature while determining the differential diagnosis, definitive diagnosis, management of oral lesions and systemic conditions affecting dental medicine. This seminar incorporates lectures and resident case presentations.

    This seminar supports AEGD program goals 1, 2.

     

    Periodontal Case Review

    This portion of the curriculum provides time for residents to present patient cases they are currently treating with an emphasis on periodontal therapy and/or advanced treatment modalities. Resident case presentations include clinical photographs, medical and dental histories, clinical data, diagnosis, treatment planning and treatment outcomes. Residents are required to include relevant scientific literature in these presentations to support treatment planning and treatment techniques. Residents are encouraged to lead discussions during the presentations.

    This supports AEGD program goals 1, 2, 3, 4.

     

    Ethics and Professional Responsibility

    The purpose of this course is to review introduce ethical concepts as a foundation for an ethical decision making model that applies ethical principles to frequently encountered dilemmas.  In addition, legal principles including tort, contract and regulatory concepts will be introduced to enhance the student's understanding of their application to resolving or responding to issues encountered in private practice, education, and research.  Dilemmas analyzed and discussed will include those related to the academic environment, research, patient care and practice management.  This supports AEGD program goals 1, 2, 3, 4..

     

    TMJ Lecture Series

    This lecture series will present the resident with an overview of current-day philosophy regarding the diagnosis and management of temporomandibular dysfunction problems. Included in this series will be information regarding TMJ anatomy, evaluation, etiologic factors, and diagnosis. In addition, management of muscle and intracapsular disorders, non-odontogenic tooth, neurovascular and neuropathic pain will be discussed. This series will finish with recommendations on how and when to refer as well as case presentations to demonstrate possible modalities of treatment. This supports AEGD program goals 1, 2.

    YEAR 2

    The second year AEGD curriculum is designed as an optional continuation of the first year for residents who want to develop general dentistry skills on a more advanced level. Each second year resident is asked to pursue an area of specific interest (teaching, research, public health, a particular clinical discipline, etc.). Concentrated instruction and clinical experiences will be provided to promote development in the chosen area. This document provides descriptions of program courses which are correlated to overall second year program goals as indicated. Most courses support overall first year goals as well. Please refer to AEGD 2 term schedules for timing of courses in the program.

    COURSE AND SEMINAR DESCRIPTIONS:

    Advanced General Dentistry Seminar

    The goal of this course is to provide the second year resident an opportunity to explore a broad range of topics related to general dentistry. Advanced literature review are expected of the second year resident to focus on clinical care as well as practice management, information technology, ethics, advanced treatment modalities and community service. Second year residents are also expected to lead group discussions with first year residents on general dentistry topics.

    This portion of the curriculum provides time for patient care and treatment planning conferences. Residents present patient cases they are currently treating. Residents will take clinical photographs and provide case histories and review pertinent literature prior to presentation. Presentations will focus on diagnosis, treatment planning, progress of clinical treatment and treatment outcomes. Specific aspects of the case may be assigned by the program director such as ethics, patients with special needs, health promotion/disease prevention, aspects of practice management or use of an advanced treatment modality. Second year residents are assigned treatment cases that are more complex and beyond the level of a first year resident. Second year residents are also encouraged to act as leaders during discussion of clinical situations.

    This seminar supports AEGD 2 program goals 1, 2, 3, 4.

     

    Independent Study

    The goal of this course is to allow the second year resident to pursue a specific area of interest. These areas may include teaching, research, public health or a particular clinical discipline. Residents are mentored by qualified faculty in each area of interest and are monitored by the Program Director on an ongoing basis.

    This activity supports AEGD 2 program goal 2.

    Dental Management of Medically Compromised Patients Seminar

    The goal of this course is to provide residents with information regarding oral medicine with a focus on current issues affecting the practice of dentistry, including the needs of underserved populations who are medically complex. Second year residents will conduct advanced literature reviews of topics in oral medicine that have relevancy to clinical dentistry and oral health care delivery. Second year residents are also expected to lead group discussions during presentations with first year residents on topics related to oral medicine. Many discussion will focus on cases of patients currently receiving care in the AEGD clinic.

    This seminar support AEGD 2 program goals 1, 2, 3, 4.

     

    Periodontal Case Review

    This portion of the curriculum provides time for residents to present patient cases they are currently treating with an emphasis on periodontal therapy and/or advanced treatment modalities. Resident case presentations include clinical photographs, medical and dental histories, clinical data, diagnosis, treatment planning and treatment outcomes. Residents are required to include relevant scientific literature in these presentations to support treatment planning and treatment techniques. Residents are encouraged to lead discussions during the presentations. In addition, second year residents are expected to lead group discussions.

    This seminar supports AEGD 2 program goals 1, 2, 3, 4.

     

    Physiology of Bone and Tooth Movement

    The goal of this course is designed to familiarize the residents with the normal physiology of hard tissues such as bone and cementum and to assist the student in understanding and connecting events relevant to biomechanical therapy, growth and skeletal adaptation. Lectures will include topics such as hard tissue types and cells, contributing factors to calcium hemostasis, dynamic nature of the bone modeling and remodeling at a cellular and molecular level, the interaction of the genome with the mechanical load and how that affects bone morphology, periodontal ligament adaption to the mechanical load, how the various factors interact at the cellular and molecular level, tooth movement and root resorption. This course is in lecture format however residents are encouraged to participate in discussions.

    This seminar supports AEGD 2 program goal 2.

     

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    Tuition and Fees

    Upon acceptance into the Detroit Mercy AEGD Program, a non-refundable fee of approximately $700 must be paid to ensure your position in the program. This fee will cover your administrative costs for the year.

    Each resident will receive a stipend at the PGY 1 level and will be provided with a benefit package consistent with St. John Providence Health first year residents.

    *All Post-Graduate Students must have Health Insurance Coverage or must enroll in the university plan provided through Aetna Health Insurance Policy; for the Waive/Enroll process go to: www.aetnastudenthealth.com.  Fees are subject to change without notice. It is anticipated that the costs of tuition and books will increase commensurate with inflation, budget needs, or similar affecting factors. Current costs are available upon request.

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