lmc aegd

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Depends what you are looking for. I interviewed at a few LMC sites and honestly it didn't appeal to me. They are basically community clinics and they work you hard. You "learn" by reading papers and doing online quizzes, classes with all LMC residents via video conference once or twice a month, and class with all residents within a certain area once a week (depends on who the regional director is). As far as the work, community clinic means medicaid patients - you will do mainly restorations, crowns, endo, ext, and dentures. If you're looking to improve speed, LMC is the way to go. If you want to learn more new techniques and apply them to patients, LMC wont offer that because patients cant afford.
 
Im a current LMC resident. Every LMC clinic is different and there really is no way to know which one is good and which on is bad so you have to actually talk to residents there and maybe even visit.
For the most part, LMC AEGD programs are located in community health type clinics. Meaning that 85-90% of your pt's are on medicaid. What that means is that you will do ALOT of restorations, EXT, anterior ENDO and plenty of removable pros. Now how many of each is dependent on your clinic's pt pool.
My clinic actually places implants, which is not the norm for community clinics, but getting pts that will pay for it is hard to find. The other thing that is pretty lacking is Crowns. My pts simply cant afford them so you do the best you can with restorations.
Again, every clinic is different and so you will have a different experience in each one.
The course work is all online. It is a PPT with a voice offer of the profession going over the material. Each month there is a number of courses you need to compete. You can always go past the required amount. I finished all the course work by thanksgiving. After each course ppt there is a multiple choice quiz that you can retake as many times as you want. Some are pretty good and some are dry. Honestly, you get what you put in. Aside for that I learn a lot from my director and other doctors.
The biggest question is why do you want to do an AEGD? What do you want to get out of it?
I got into ENDO so I will be heading to that program once I am done with my AEGD.

I like my experience in my clinic but the biggest negative is PAY. This can be said about other AEGD and GPR. The pay compared to private practice is HUGE. For example, if your stipend is $40K that is before tax and benefits. Remember, this is no longer a lump check from student loans. $40K is really more like $25K after tax and insurances and then you have to break that down to a paycheck every 2 weeks. Welcome back to the life of an employee 🙁
 
what program are you currently at logs? And what do you like and dislike about it so far?
 
The biggest question is why do you want to do an AEGD? What do you want to get out of it?
I got into ENDO so I will be heading to that program once I am done with my AEGD.

I like my experience in my clinic but the biggest negative is PAY. This can be said about other AEGD and GPR. The pay compared to private practice is HUGE. For example, if your stipend is $40K that is before tax and benefits. Remember, this is no longer a lump check from student loans. $40K is really more like $25K after tax and insurances and then you have to break that down to a paycheck every 2 weeks. Welcome back to the life of an employee 🙁

But logs, wont you have to pay for endo? wont you be broke for 2 or 3 more years? would the 40k you get now even matter??
 
But logs, wont you have to pay for endo? wont you be broke for 2 or 3 more years? would the 40k you get now even matter??
The reality of my situation is I am just trying to survive until I graduate from Endo in 2 years from now 🙁
 
Every program is definitely different. I ended up doing an AEGD 1 and AEGD 2 residency with NYU/LMC for a variety of reasons. My first program was based out of a hospital in Phoenix, we did mostly fillings and extractions, and I got some really interesting exposure to hospital procedures and working in an operating room, but somewhat slow because our patients couldn't afford a lot of work. My second program was at one of the largest community healthcare centers in the country, in the CA central valley, and we did a TON of Endo, because root canals are more or less free for most of our patients. I probably did 50+ molar endos, and I'm not sure how many anterior and premolar. Because the second program had a much better sliding scale fee system, patients could afford more, and I ended up doing a much wider variety of things, including much more fixed and removable (crowns cost our patients as little as $300, so we end up doing more of them). Working at my LMC residencies got me passionate about working in public health, and so I stayed on at my second residency as a staff dentist, and now I'm actually the Residency Director. Another bit perk of NYU/LMC programs is that many are used as recruiting tools, something like 15-20% of NYU/LMC residents are hired on by their residency site after they finish.

Every program has strengths and weaknesses, and every program is not a good fit for every applicant. I wanted to get more experience with Endo, Oral Surgery, Restorative and Pros, and that's exactly what I got from my NYU/LMC program - our weakness is that you won't be doing a ton of crazy fancy cases and full mouth rehabs, since we are a healthcare center. I went into it expecting that I wasn't going to be placing implants, and honestly I was fine with that. There are NYU/LMC programs that do a lot of implants - I was speaking with one of the faculty of the NYU/LMC program at ASDOH, and one of their residents placed 20-25 implants last year.

On a related note, I'm recruiting for post-match spots for my AEGD program! We are Family HealthCare Network in Visalia, CA - which is a great family friendly growing city (130k population) smack dab in the middle of CA, ~2 hours from LA and San Fran, near Sequoia and Yosemite National Parks. The cost of living is fairly inexpensive, which makes your 40k Salary go much further. I pay $950 a month for a new 2 Bed 2 Bath 4-Plex Unit with an attached garage on a cul-de-sac. Having grown up in Southern California, one of my favorite things is that there is NO TRAFFIC! I've got an 8 minute drive to work in the morning.

As I mentioned above, one of our main strengths is Endo, you'll have regular hands on training with our other faculty instructor who is amazing with Endo, and get experience using an Endo Microscope if you're interested. We also do a lot of extractions, restorations, and removable, as well as a good share of fixed since our crown costs are very affordable. You'll also get a lot of experience triaging and managing dental emergencies. Most of our facilities are less than 5 years old, and we are fairly flexible with getting tools and instruments you might want. I'm working on getting a laser for next year, haha. My goal is to have our residents be comfortable seeing 10-15 patients a day by the end of their program, something I had no problem seeing after I finished the program.

If you're interested, or have any questions about the program, let me know, or send me a PM.

Michael De Coro, DMD
Staff Dentist and AEGD Program Director
Family HealthCare Network - Visalia, CA
 
I'm ready to get out of the cold, and go somewhere warm. I only want to apply to programs
 
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