Gpr/aegd - many questions!! Help!

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daddsboy

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HI EVERYONE,

I am a student that is in his last year...I have a couple of questions that appear to be common but hard to answer.



1.What are the BEST GPRs in the States (NY, Michigan, Cali, Arizona, NJ, Mass)

2.IF you do NOT want to specialize...are GPRs still recommended?

3.For those who have done GPRs ... do you really feel you got to do much more than an associateship (implants, surgeries..etc)

4.In GPRs do you get to do a lot of hands-on difficult cases that normally would be referred?

5.Are GPRs like dental school - is there an instructor always on hand?

6.What's the avg income for a GPR?

7.What do you need for a good GPR program (scores, gpa, research - i have none)...?

8.When are the deadlines?



THANKS A LOT ALL!!!!!!!! I NEED THE HELP!!

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Greetings! I am currently an AEGD resident at UDM and I really like my program (although none of them are perfect). This question is one that depends on what you want long term. Let me begin by explaining the difference between an AEGD and a GPR. Traditionally GPRs are hospital based while AEGDs tend to be involved more in complex dentistry. I chose an AEGD over a GPR because I wanted to become more proficient at basic dental procedures like we learned in dental school (crowns, fillings, RCT, etc) while at the same time learn new techniques and procedures. We are taking classes for implants and perio surgeries for example. By the end of this program, I will have the opportunity to do many implants and surgeries. I want to go into endo, and my program provided great opportunities for that career choice as well. My program is very well rounded. I did not want to do a GPR because I was not interested in compromised patient care and hospital based dentistry. However I know several dentists who are VERY successful treating these types of patients. I also didn't want a large basis of oral surgery. Both types of programs tend to pay in the 30s - 40s however NY probably pays more. My best advice is to decide your career goals, and pick a program based on that. It also wouldn't hurt after researching programs, email the directors to let them know that you are interested and ask them for info about their program. This may help you decide too. Deadlines are usually Oct or later. There are many programs and a lot of them don't fill all of their spots, so I think that you will get into one, but it may not be your first choice. I would highly recommend doing one though. I have already learned a lot that you can't get in dental school.
 
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These are some good questions that do get asked a lot. I tried my best to answer generically based on my experiences after completing two years of GPR and now OMFS internship.

1.What are the BEST GPRs in the States (NY, Michigan, Cali, Arizona, NJ, Mass)

This is a subjective question and everyone will give different answers, it really comes down to what you are looking to get out of a program to determine what would be your best program. The best way to figure this out is determine the area you want to do your residency in and start calling programs and ask to talk to one of the residents. In my experience, this is the best source for reliable information.

2.IF you do NOT want to specialize...are GPRs still recommended?

Absolutely, GPR/AEGD programs will likely soon become standard to be competitve coming out of dental school. Another growning trend is states making GPRs a requirement for licensure (NY).

3.For those who have done GPRs ... do you really feel you got to do much more than an associateship (implants, surgeries..etc)

At my first GPR (Long Beach VA), I placed 10-15 implants and restored just as many if not more. I scrubbed into the OR several times, managed sedation cases for impacted 3rd cases, performed my own CL and pocket reduction surgeries, socket preservations etc. You will be hard pressed finding a good associateship these days as they are sort of a myth. Most of my classmates who searched for associateships ended up getting 3-4 part time jobs scaling teeth and hygiene procedures while the owner did all the lucrative dental work. This is a real pet peeve of mine where dentists are hiring new grads for hygiene and paying them less than a hygienist. It happens a lot when it shouldn't happen at all. Anyone who disrespects on their fellow colleagues this way should be ashamed. Sorry for the tangent, but GPR/AEGD is uncomparable to an associateship.

4.In GPRs do you get to do a lot of hands-on difficult cases that normally would be referred?

Yes, that is the idea of a GPR/AEGD. Some consider it a 5th year to dental school, but it is really more than that. Confidence, speed, treatment planning (most important thing to learn) and greater foundation of knowledge is what you will walk away with from a decent GPR/AEGD.

5.Are GPRs like dental school - is there an instructor always on hand?

Depends on the program. GPRs are supposed to be hopital based and AEGD are supposed to be more private practice geared but in reality, some GPRs are more AEGD in nature and some AEGD are more GPR in nature. Again, figure out what you want from a program and make some visits and phone calls. If yod don't know what you want, do what I did, find a program that does alittle of everything.

6.What's the avg income for a GPR?

most GPRs get GME funding which ranges on location from 35000-55000 (palo alto supposedly pays really well). My AVG in Long Beach, West LA and now Chicago all have been about 42,000-45,000/yr. AeGDs tend to pay worse as they are not GME funded, avg 20000 if that. good luck trying to pay loans, live and eat on that.

7.What do you need for a good GPR program (scores, gpa, research - i have none)...?

GPR is not OMFS or ORTHO, you don't need to be a academic superstar, but good stats don't hurt. Research is nice as it shows ambition and motivation, but to be honest, in the GPR rink - my directors haven't cared about research. OMFS is different.

8.When are the deadlines?

You better get moving as alot of dealines are Sept/Oct/Nov with interviews in Nov/Dec. See https://portal.passweb.org/ most if not all programs go through PASS and MATCH which is another beast in itself. Follow the link to program search engine to seach for programs.

Hope this helps in making your decision.
 
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3.For those who have done GPRs ... do you really feel you got to do much more than an associateship (implants, surgeries..etc)

This is a real pet peeve of mine where dentists are hiring new grads for hygiene and paying them less than a hygienist. It happens a lot when it shouldn't happen at all. Anyone who disrespects on their fellow colleagues this way should be ashamed. Sorry for the tangent, but GPR/AEGD is uncomparable to an associateship.


Here's my 2 cents to this common complaint about new associates relegated to S/RP and not developing clinically as fast as a resident. The point is mostly an economic one. Any dentist who is making you do hygiene while he takes all the lucrative stuff, isn't likely making a decision on your ability but is admitting he/she doesn't really have the work to justify paying you as an associate. If he/she truely had more than they could handle, they would gaurantee you $100,000 and in doing so they'd make sure you earned the practice enough gross income (presumably from your C & B) to pay your salary.

An associate in a busy practice is brought on by a $$ gaurantee in writing and makes the practice money. An associate in a slow practice is brought on by a handshake, a backslap over beers and big promises and then is made to do hygiene.

I suspect this situation would not suddenly change after a residency. You may be better, but the same dentist who doesn't have the volume and is willing to stick you with hygiene as a new grad is the same dentist that doesn't have the volume and is willing stick you with hygiene as new resident grad. With this hiring denitst, its simple economics. Perhaps a confident new resident grad would simply reject this out of hand as they are strokin' it by the time they come out of their residency.
 
if you're thinking Michigan do NOT go to the GPR at the U of Michigan Hospitals, we rotate thru their during d-school and i would not recommend it. However i have heard good things about the VA hospital GPR in ann arbor. I know the director and he wants students to get a good experience, lots of endo, prosth, etc...
 
if you're thinking Michigan do NOT go to the GPR at the U of Michigan Hospitals, we rotate thru their during d-school and i would not recommend it. However i have heard good things about the VA hospital GPR in ann arbor. I know the director and he wants students to get a good experience, lots of endo, prosth, etc...

why can't you recommend the gpr at u of mich? i've been thinking about that one because I like ann arbor but I don't know anything about it. what's so bad about it?
 
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