ORAL AND MAXILLOFACIAL SURGERY

The Graduate OMS Program

 

The Oral and Maxillofacial Surgery residency is a six-year medical degree certificate program with openings for two positions per year. The six-year course of study is designed to integrate the advanced biological basic sciences into progressive clinical training.

 

There is an excellent balance between inpatient admissions and out patient visits encompassing dentoalveolar surgery, maxillofacial trauma, pathology, orthognathic, preprosthetic, temporomandibular, and reconstructive surgery. There are approximately 10,000 outpatient procedures performed annually in the oral surgery clinic and 450 hospital admissions.

 

Emphasis is placed on total health care of the hospitalized patient. Residents are expected to become competent in overall patient management including physical diagnosis, fluid and electrolyte administration, medication, interpretation of laboratory data, etc. Other activities that are used to supplement hospital clinical oral and maxillofacial surgery experiences and rotations include a dental school assignment, emergency room duty, special clinics, conferences and teaching rounds.

 

While assigned to the Oral and Maxillofacial Surgery service residents rotate for six months in the Dental School outpatient Surgery Suite. The Surgery Suite is a fully equipped outpatient operating facility with general anesthesia capabilities in two of the three operating rooms. Residents participate in an extensive number and variety of cases that are beyond the capability of undergraduate dental students. These cases include, but are not necessarily limited to, impactions, biopsies, other dent alveolar procedures and benign oral lesions, implants, scar revisions, osteotomies and fractures. It also provides an opportunity for clinical teaching experience with dental students and other dental specialties.

 

A very active emergency room, at our Level 1 trauma center (city-county) University Hospital, provides extensive experience in the management of maxillofacial injuries, hemorrhage, shock, and acute medical crises. Residents are "on call" approximately every fourth night and must physically answer each request for consultation. A written agreement exists which outlines the primary responsibility of the service which participates in maxillofacial trauma call (OMS and Otorhinolaryngology and Plastic Surgery).

 

Hospital clinical experience is supplemented with the use of special clinics and conferences. Special clinics include orthognathic surgery, preprosthetic surgery, temporomandibular joint surgery and pain control. Conferences are used to supplement these clinical experiences and include weekly basic science reviews in Physiology, Anatomy, Microbiology, Pharmacology and Pathology.

 

The department has an orthodontist who is actively involved in clinical practice and resident training. Residents work closely with the orthodontist in screening and preoperative evaluations of orthognathic patients as well as during postoperative care.

 

The department also has a prosthodontist who works with the residents in the diagnosis and treatment of patients who require prosthetic reconstruction with dental implants.

An intense didactic program exposes residents to multiple aspects of oral and maxillofacial surgical practice including seminars in: oral pathology, dentofacial deformities, prosthetics, anesthesiology, and the other surgical aspects of the specialty. Journal club is once a month. Combined meetings with the Air Force and Army OMS training programs occur approximately 6 times each year.

 

The first year starts in the Department of Oral and Maxillofacial Surgery. After one month of ward service, the resident is enrolled in The University of Texas Health Science Center at San Antonio Medical School beginning in the sophomore year, which is approximately 10 month in length. While not in class, the resident participates in oral and maxillofacial surgery rotations, lectures and conferences.

 

The second year of residency involves clinical clerkships (48 weeks). At this time the resident/junior medical student is assigned to medical and surgical rotations. As time permits, he/she also attends conferences and rounds with the oral and maxillofacial surgery service.

 

During the third year of training the resident is in his senior year of medical school and serves as a junior resident in oral and maxillofacial surgery. He/she gains experience in outpatient dentoalveolar surgery, doing physical examinations and case presentations of orthognathic surgery patients. Toward the end of this year and successful completion of medical school requirements, a medical degree is awarded at medical school graduation (usually at the end of May). Approximately 6 weeks are spent in medical school for Internal Medicine and Emergency Medicine classes and rotations. ACLS is part of this rotation. A one-month rotation in a discipline in Medicine, such as Sleep Medicine, is also required.

 

The fourth year of residency is a general surgery internship. Rotations on various general surgery services are designed to learn basic general surgery techniques, and surgical management, particularly pre- and postoperative care. This includes general surgery, thoracic surgery, vascular surgery, head and neck surgery, and neurosurgery. ATLS is obtained during this year. Following the successful completion of the internship the resident is eligible to take the state licensure examination in medicine.

 

During the fifth year the resident serves as senior assistant in oral and maxillofacial surgery where he/she is provided increasing latitude for independent action that is commensurate with knowledge and skills.

 

During the sixth chief resident year all aspects of oral and maxillofacial surgery are performing and he/she is responsible for running the oral and maxillofacial surgery hospital service. This year is divided between the University Hospital, the Dental School, and private practices in San Antonio.

 

 

Research

 

Residents are encouraged to participate in research during their training. This includes clinical research projects but there may also be opportunities for basic science research. The products of these efforts are expected to be papers submitted to journals for publication and abstracts for presentation at professional meetings.

 

 

Expenses

 

Medical tuition for years two, three and four is approximately $18,000 per year. The parking fee is approximately $60 per year.

 

 

Salary

 

The resident is paid an annual salary while he/she is providing resident service. MSII and MSIII years will not receive a salary. In the third year of residency, residents are currently expected to receive a $30,000 salary, with annual increases through the duration of the program.

 

 

Eligibility of Application

 

All applicants for the Oral and Maxillofacial Surgery residency program must be graduates of dental schools in the United States or Canada which are accredited by the Commission on Dental Accreditation. The application should have demonstrated outstanding academic ability, maturity, judgment and ambition.

 

 

Application Procedure

 

The Oral and Maxillofacial Surgery residency program participates in the Postdoctoral Application Support Service (PASS) for application and the National Dental Matching program for selection. You can receive information by writing:

PASS
1625 Massachusetts Ave., NW Suite 101
Washington, DC 20036
(202) 332-8790

 

 

Full-Time Graduate Faculty

 

Edward Ellis III, DDS
Professor and Chairman

 

David G. Leibold, DDS, MD
Associate Clinical Professor

 

Patricia Lopez, DDS
Clinical Assistant Professor

 

Daniel Perez, DDS
Assistant Clinical Professor

 

Concepcion Barboza, DDS
Prosthodontist/Periodontist

 

 

Part-Time Graduate Faculty

 

Robert K. Bourquein, DDS
Clinical Assistant Professor and Staff Orthodontist

 

Thomas S. Jeter, DDS, MD
Clinical Professor

 

 

If you have any questions regarding the residency program please write or call:

 

 

Department of Oral and Maxillofacial Surgery
UT Health Science Center at San Antonio
Mail Code 7908
7703 Floyd Curl Drive
San Antonio, Texas 78229-3900

 

Tel: (210) 567-3460
Fax: (210) 567-2995

 

E-mail: Lynn Mendoza, Academic Coordinator, mendozalb@uthscsa.edu