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- Feb 3, 2002
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Today marks the end of my first month as a resident in the GPR program at Mt. Sinai Medical Center in New York City. There are always so many debates on the board about "Should I do a GPR?" or "Isn't it just like another year of dental school?" of "You make way more if you go straight into private practice, a residency is a waste of time." So I figure I'll give you my insight on what it's like to be here.
#1 priority - I LOVE NYC!!! It's fantastic living here. The hospital provides sorta-subsidized housing on the Upper East Side and it is about a 20 minute walk to the hospital from here.
Who are we - There are 7 first year GPRs, one second year GPR, 2 pediatric dental residents in the new Pedo program, 12 Oral Surgery residents in the 6-year MD/OMS program, and 2 dental anesthesiology residents in a 2-year Dental Anesthesia program.
Clinical - The majority of the patients who walk in are Medicaid. However, we get a number of private-pay patients as well. It's not busy to the point where I feel overworked, but enough where I am doing more than I did in dental school. There are enough patients here to get experience in what you want - pedo, endo, ortho, OMS; perio, fixed, & implant if you look for it.
On-call - Because this is not a Level 1 trauma center, our on-call isn't bad. There is some crazy stuff that walks in, but nothing to the point where I would say I dread being on-call. We don't have to stay in-house at my program, just have to stay in the vicinity. We do monitor ("round") every morning and evening the in-house patients who have had surgeries in the head & neck, so this has been my first exposure to how a hospital functions.
What's cool - I've seen stuff here that we've only read about in dental school. Some stuff I've came across this month alone includes ameloblastoma, rhabdomyosarcoma, Steven-Johnson's syndrome, tetralogy of fallot, hemifacial microsomia, Ludwig's, Ewing's sarcoma. Sound familiar? I had to go home and look some of these up b/c learning them in school, I never thought I'd actually ever come across some of this stuff.
What I've gotten out of it so far - I like that I am taking my time to transition into clinical dentistry. I still have so much to learn, for example, my school did so little in teaching us to treatment plant implants, but they are a HUGE part of where dentistry is heading. Lasers in dentistry, especially perio surgery, not covered at my dental school. Treating patients under IV sedation - again, not at school. Yet these are all things done out in private practice that are good to know to make me a better a practitioner.
I am definitely learning patient management - the patients here are a whole different level than the ones I saw in school at Buffalo. I've got some very nice motivated patients, but I also have seen patients who refuse to let me treat them and want to switch doctors. Being on emergency today, I had 2 patients walk in adamant about not having hopeless teeth with raging infections extracted, so it was upto me and my patient management skills to show them that their way isn't the best solution to the problem.
Overall, I am really happy with my decision to do this GPR. There are negatives - inefficient staff and big hospital administration being at the top of my list, but I am opting to make the best of the situation and have a good year. My friends in residencies where there are no specialty programs may be doing more, however, I am happy in having OMS and Pedo specialists around for consults if you need it.
It all depends on what you want. You really have to make a list of priorities of what you want to get out of a GPR, and then do some of your own research into finding one that will be a good fit for you.
As always, I am around to help out if anyone has questions about residencies or what to do after dental school (GPR/AEGD/specialize/private practice).
#1 priority - I LOVE NYC!!! It's fantastic living here. The hospital provides sorta-subsidized housing on the Upper East Side and it is about a 20 minute walk to the hospital from here.
Who are we - There are 7 first year GPRs, one second year GPR, 2 pediatric dental residents in the new Pedo program, 12 Oral Surgery residents in the 6-year MD/OMS program, and 2 dental anesthesiology residents in a 2-year Dental Anesthesia program.
Clinical - The majority of the patients who walk in are Medicaid. However, we get a number of private-pay patients as well. It's not busy to the point where I feel overworked, but enough where I am doing more than I did in dental school. There are enough patients here to get experience in what you want - pedo, endo, ortho, OMS; perio, fixed, & implant if you look for it.
On-call - Because this is not a Level 1 trauma center, our on-call isn't bad. There is some crazy stuff that walks in, but nothing to the point where I would say I dread being on-call. We don't have to stay in-house at my program, just have to stay in the vicinity. We do monitor ("round") every morning and evening the in-house patients who have had surgeries in the head & neck, so this has been my first exposure to how a hospital functions.
What's cool - I've seen stuff here that we've only read about in dental school. Some stuff I've came across this month alone includes ameloblastoma, rhabdomyosarcoma, Steven-Johnson's syndrome, tetralogy of fallot, hemifacial microsomia, Ludwig's, Ewing's sarcoma. Sound familiar? I had to go home and look some of these up b/c learning them in school, I never thought I'd actually ever come across some of this stuff.
What I've gotten out of it so far - I like that I am taking my time to transition into clinical dentistry. I still have so much to learn, for example, my school did so little in teaching us to treatment plant implants, but they are a HUGE part of where dentistry is heading. Lasers in dentistry, especially perio surgery, not covered at my dental school. Treating patients under IV sedation - again, not at school. Yet these are all things done out in private practice that are good to know to make me a better a practitioner.
I am definitely learning patient management - the patients here are a whole different level than the ones I saw in school at Buffalo. I've got some very nice motivated patients, but I also have seen patients who refuse to let me treat them and want to switch doctors. Being on emergency today, I had 2 patients walk in adamant about not having hopeless teeth with raging infections extracted, so it was upto me and my patient management skills to show them that their way isn't the best solution to the problem.
Overall, I am really happy with my decision to do this GPR. There are negatives - inefficient staff and big hospital administration being at the top of my list, but I am opting to make the best of the situation and have a good year. My friends in residencies where there are no specialty programs may be doing more, however, I am happy in having OMS and Pedo specialists around for consults if you need it.
It all depends on what you want. You really have to make a list of priorities of what you want to get out of a GPR, and then do some of your own research into finding one that will be a good fit for you.
As always, I am around to help out if anyone has questions about residencies or what to do after dental school (GPR/AEGD/specialize/private practice).