SIUH GPR TOXIC DO NOT GO

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Avengerlad55

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The program is a hospital-based dental clinic composed of 11 ops. The ops are designated as follows:
2 chairs for Emergency walks in
2 chairs for Hygiene / Treatment planning
2 chairs for special needs patients
1 chair for overflow patients
4 chairs for scheduled patients

Considering you have about 4 weeks of specialty service rotations outside the clinic and take on-call, this means that for the duration of the program, you will spend less than 30% of your time performing standard dental procedures. From that 30%, the breakdown of the scheduled patients is as follows:
--Block system scheduling--Monday: Perio, Tuesday: Endo...ect
--Perio: 0 advanced procedures. Perio probing is its own appointment as it is not completed during hygiene appointments. Every appointment is either perio probing or SRP
--Endo: There is no rotary system. You must use hand files. There are no master cones. Canals are fitted with fine-fine, medium-fine, or large cones.
--OS: In order to use a surgical burr you must ask for permission.
-- Removable: Standard 5 visit removable dentures using traditional impression technics
--Pros: The only available option for pros appliances are PFM. A single crown takes 4 visits: prep&temp, final impression, coping try-in, and delivery. You must use jet acrylic and suck down stent for temp. You must use double cord packing and a 2-step impression technique.
--Operative: ALL POSTERIOR TEETH MUST BE FILLED WITH AMALAGAM. Composite is only for anterior teeth.

Call schedule: The call is in-house, meaning you must be physically present in the hospital for your call shift. Call is divided by week and weekend call. For the week call you will have a 12 hour overnight shift in the hospital for 1 week every 10 weeks. For weekend call you will have either a 16-hour saturday call shift or a 17-hour sunday call shift. The typical work-week without call is 50 hours, with call it is 66 hours.

There is no electronic medical record. All notes are hand-written and kept on paper charts. Radiographs are traditional film, nothing in this clinic is digital.

After all this, there is a thick air of toxicity in the program, perpetuated by the administration. There are formal competencies that were designed specifically by the program, that are not in line with NYS. For example, NYS requires a GPR resident to complete 2 crowns. At SIUH you must formally challenge the designated 4 steps of a crown as a competency for both an anterior and posterior crown. This means that in order to complete your crown competency, you must successfully get through 8 pros appointments. Endo is the same, you must individually challenge access, instrumentation and then obturation for an anterior and a posterior tooth. Meaning it will take 6 endo appointments to get through it. Program leadership will dangle this over your head and mentally abuse you with this fabricated leverage of power. Leadership has bragged about not matriculating residents, meaning it will be possible, that at the end of your year, you will not be given credit for residency. The matriculation rate is not publically available, however, it is certainly far from 100%.

Generally speaking, the program is a hospital-based residency where the majority of your time will be spent managing emergency walk-in patients and being mentally abused by admin.

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Can you elaborate on the matriculation rate? How is that possible
The program has to formally sign your papers for both certificate of completion and NYS license (if using GPR to satisfy state requirements) …which for many people, they just don’t do that. So yes, you absolutely can waste a year there.
 
Thanks for posting about this program. This sounds worse than D3 year. No rotary files? Competency for each step of a denture and crown? That sounds like a disservice to the patient. I thought a GPR is supposed to be a little more fast paced than that.
 
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