My OMFS Externship Journey

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Hello SDNers....

I noticed that this thread of mine received a 5-STARs status! Thanks for everyone that voted! 🙂

Alright, I just got back from another 35+ hours of work. Arrived at the hospital at 6:50 AM on Monday (yesterday) and got back home (dorms) around 4:30 PM today. I was on-call again last night (Monday night). Let me start with what I did on Monday.

Monday, it was so long ago and I did so much crap, I can't really remember what I did really. The only cases that I recall are these for Monday:

1) 45 y/o patient presents to the clinic with left facial swelling that has gone down because of antibiotics that he received over the weekend. The swelling is odentogenic (origin from tooth), after a thorough intraoral exam, I found that tooth #18 only has a root left and #19 has a gross carious clinical crown with lingual and buccal gingival abscess. Treatment plan was extract #18 root and #19. Anesthetized the patient, extracted #18 root with ease and after extracting #19, the abscess drained like a muthafuc#!! Blood and exudate just leaked all over in the mouth and I drained and irrigated the extraction site like crazy! Put the patient on Pen V and comfirmed hemostasis and discharged that SOB!

2) 36 y/o aaf presents to clinic with a palatal mass on the left palate. This was the same patient we saw in the ER (Accident Room) two weeks ago (I believe I've metioned her in one of my earlier posts). The mass does not cause pain, it's indurated, and well-defined. The mass was elongated, about 4 inches long and 3 inches wide positioned in an anterior-posterior position. It has been growing in size in the last year. It was diagnosed as PLEOMORPHIC ADENOMA (a benign salivary gland tumor). I cut a piece of the tumor and send it in for biopsy to be sure it's not carcigenic. I anesthetized the palate by giving her a incisive canal block and simply injection LA posteriorly to where I made the incision right into the mass right to the bone (you don't want to inject LA in the site of incision for the piece of the biopsy, it will cause distortion). After numbing the patient, I made a eliptical shaped piece of biopsy including some healthy and tumorous tissue (about 20 mm). I also used sutures to tag the health portion of the biopsy. I sutured her mass back together where I took the biopsy and send her away.

Of course during Monday, I extracted some more teeth and did a bunch of other stuff which I can't really recall at this time. Monday night I was on-call with a 4th-resident. WE DIDN'T GET BEEPED AT ALL! Got an OK night sleep.

Tuesday (today) was pretty cool. It was dental clinic all day because the two OR cases were either cancelled or no-shows (cases were a septorhinoplasty and a mandible fracture w/ infection today). In clinic, I extracted more teeth all due to gross caries and pain, but the highlight was that I did a case where I learned how to extracted bony horizontal impacted 3rd molars today!! I took out #32 and #17 (mandibular 3rds) and both were bony impacted. Patient was done under LA and I did the whole procedure under a 5th-year guidance.

1) Anesthetized patient bilaterally with IAN block and buccal nerve. I also injected some LA right in the surrounding PDL mesial to the 3rd molars
2) made a flap with a vertical incision mesial the the 3rd molars, distal the the 2nd molars and a horizontal incision along the free-gingival margin to the mesial of the 2nd molars (incision made on buccal aspect of the tooth to avoid the lingual nerve)
3) peeled the flap open/away from the bone w/ the periosteum, retract with a "beaver tail" or a "minnesota"
4) with the high-speed drill, make a buccal-distal trough (4-5 mm deep) along the 3rd molar crown & root
5) use elevators to see if you can get it loose
6) I sectioned the crown from the buccal groove (buccal-lingually)
7) elevated the distal root and then the mesial root

[DISCLAIMER: there are obviously many ways to get these 3rds out, but the above procedure sequence is just how I got it out!]

Beside extracting a lot of teeth (including my first bony impactions) today, not much else really happened, but it was an entire day of work (8 AM - 4 PM). Tomorrow, I have to present a patient and her case during the morning rounds to all the residents and faculty at 6:45 AM so I plan to go to the hospital around 6 AM and read her chart and study her case. God knows that I will be "pimped" like crazy! This will be my first patient presentation!

Alright peeps, the other extern just called me and informed me that he's got to wire another mandible fracture. I'm going to go in and help him so I can get him out of there so we can all go to eat (dinner). Also, my new suite mate just showed up two days ago. Cool guy, 4th year medical student from Midwestern University, Arizona College of Osteopathic Medicine (AZCOM) doing his ER rotation at Charity for the month. How crazy is that? I did my post-bac at AZCOM and he's a student at AZCOM. It turns out that we know a lot of the some medical students there! He's 28, I'm 29, we both graduated in 1994 from HS and his going to Miami for his next rotation in Internal Medicine and I'll be back in Fort Lauderdale. Man, what a small world! I'm glad that I got a cool suite mate, I was worried about that at first!

Alright, I'm off to the Accident Room!
 
So Andy,
Had you extracted any teeth prior to your externship? When did you enter the clinic?
 
I've extracted maybe 5 teeth prior to my current externship! All my previous extraction experiences were at Univ. MN. Now, at the end of my externship here, I could very well be close to 100 extractions....no lie!
 
Yah-E
Just wanted to say thanks. This is the best thread I have read.
 
Did you need the nova malpractice insurance at MN for those "mini" externships? I guess what I'm trying to ask is will I be able to extract at my externship this summer if they didn't ask for proof of malpractice insurance?
 
Ladies & Gents:

I've reached the hump day of my week 3! I can't believe how fast time flies (especially when you're having fun)!! Today was another good day, here's what I did. Well, first the clinic got done early this afternoon because there were no sedation cases.

At 6 AM, I went to the hospital and read/study up this patient that I was presenting during morning rounds. At 7 AM, the whole clan showed up and I gave my progress notes and the patient case. This was a 35 y/o aaf female patient who was admitted back on June 15th for mandible right fracture and later infected leading to an abscess. We I&D her several times and there were several problems with this patient:

1) she had a compliant problem where she cut herself out of the elastic bands from her IMF (intermaxillary fixation). We never booked her in the OR and we thought she would be cool just was IMF AND we thought she would be cool with elastics so we don't use metal wires to wire her jaws together.

FYI: elastic bands or metal wires both hook on "arch wires", arch wires are wired to your max & mand arches with metal wires into your gingival tissue between the teeth (like threading needles in sewing). LA are need to wire mandibles.

So anyways, she would cut herself out of the elastic bands so she could go out and eat Burger King (there's a BK right across the street from the hospital). BTW, she's an in-patient. She would cut the elastic bands and then put some on her herself. It's funny because we (OMFS department people) all know what our work looks like (how we put the bands on) so when we see incorrect placement of bands, we would know right away. When the elastic bands are placed properly, a patient will not be able to open at all! She was talking to us with these loosely attached rubberbands on with her mandible moving all over the place. We're looking at her going, "uh-huh....cut yourself out again didn't you?"

We thought about using metal wires to lock her mandible in, but we decided to give her just this one last chance. We told her that if she cut herself out of the bands again, we would not treat her anymore. She's now compliant for the moment, but we'll see.

2) She has hypertension and usually a Stage II hypertenstion (>160/>100). We placed her on IV Clonidine, didn't work, then we place her on Lopressor with po HCZT.

At any rate, finally today, we decided that this patient is stable and we discharged her! Consulted her to social services and Internal Med. services. I was questioned ("pimped") on drugs, her lab reports, her case history and bunch of other stuff. I guess this is what medical school 4th-year students do, they present patient cases over and over and over doing rounds. Writing Progress notes/charts is also another very important task (H&P)

In dental clinic today, I worked on 6 patients:

Patient One: 77 y/o hispanic man with three root reminants in the mandibular arch, #s 20, 21, and 28. Extracted them all, no probs! LA, elevators, and ASH forceps.

Patient 2: 21 y/o aaf with upper L facial pain due to carious tooth #15. Clinical crown missing due to gross caries. LA, elevators, sectioned roots mesio-distally, extracted mesial buccal and distal buccal roots first and then the palatal root.

Patient 3: 56 y/o wm with full mouth extraction for RPDs. Generalized periodontitis, horizontal/veritcal bone loss over 70%, extracted upper right quadrant only and scheduled for future appointments for other quadrants. Extracted #s 4, 5, and 6. LA, elevators, 150 forceps. No probs.

Patient 4: 34 y/o aaf with erupting mandibular 3rd molars. Tooth #s 17 and 32 are completely erupted, but with little gingival tissue covering the distal portion of the clinical crown. She was biting on that and it's inflammed and irritated. Patient elected to have extraction done. LA, elevators, 151 forceps. No probs.

Patient 5: refered from Tulane ENT, patient presents to clinic with upper R facial abcess with PA radiolucency on tooth #2. Extracted #2 with I&D. Discharge from OMFS perspective back to Tulane ENT service.

Patient 6: Boating accident patient fractured his mandible. IMF (wired his mandible) with elastics and discharge!

So my friends, that is a total of 10 more teeth I've extracted in this externship and wired another mandible (I'm on like 10 mandibles now or something). All this was done by 1 PM and then we all went to lunch. A 4th-resident bought all of us lunches.

OTHER NEWS:

1) found out today that LSU one of the least MD school requirement out of all the 6 year OMFS/MD programs out there. They have 3 years of OMFS training (i.e. very strong clinically). Programs like Kansas City (KUMC) OMFS requires you to do all 4 years of medical school and only < 2 years of OMFS training. Kentucky OMFS has 3 years of MD training.

2) we have 4 OR cases tomorrow starting at 7 AM

3) I'm going to lift/workout today with my new suite mate.

4) thanks to everyone that finds this thread interesting. My intentions are to inform and stimulate bright minds. I knew that I didn't know what OMFS externships were like back when I first started dental school or browsing through SDN, but now with this, at least you'll have some idea. Basically, if you can perform at the level of an intern (take calls, write notes, perform procedures, and present cases), your externship will be a success and you will be looked upon heavily by the residents and faculty. Now, please keep in mind, every externship experiences will be different even at the same externship. So please don't believe that your externship experiences will be just like mine. It maybe better! Now, I can guarantee you this, if you want a great, heavy, intensive clinical experience, LSU NO is right up there! Don't expect to go to some "fill in the blank" OMFS externship and expect the same thing from what I have shared here. All this is just to give you a taste of what an extern could do at an OMFS externship, in my case, I did it all, plus I have one more week!

That's it for now....
 
UNLV:

I didn't need my malpractice insurance proof at MN because it was unofficial. I was able to extract because the residents allowed me and I was supervised. In reality, they don't even care at the time or it's something that they don't really think about. The resident that I shadowed and worked with at MN (Hennepen County Medical Center HCMC) knew me from the year before and he was very excited to teach me even though I wasn't an official extern there at the time.

For you, you must find out yourself if you're cool to work on patients and if you need liability/malpractice insurance at whereever you go to do your "unofficial" externship.
 
Oh great! Where are you doing one? If they didn't require one, then great! Don't say anything...you must be covered!
 
Yah-E
Did you mention a bit ago that there is an OMFS program that will allow you to do an externship after the first year of dental school. If it wasn't you don't worry.

Steve
 
Yes, there are couple.

University of Minnesota
University of Florida, Jacksonville Health Science Center

I'm sure there are more!
 
I'm doing 2 weeks at Loma Linda in August. The main reason I'm going there is because they didn't require board scores in the application, since I won't have them until Sept. I'm pretty sure that they would take anyone after their first year.
 
UNLV OMS WANABE said:
I'm doing 2 weeks at Loma Linda in August. The main reason I'm going there is because they didn't require board scores in the application, since I won't have them until Sept. I'm pretty sure that they would take anyone after their first year.
Click to expand...

PLEASE update us on how this goes for you. When do you start? I'm really interested in doing this, especially at that location.
 
Ladies & Gents:

Alright, alright, alright...I'm finished with my 3rd week of externship, what a great week....again, I rate it:

👍 👍 👍 👍 👍

Lets talk about Thursday:


Thursday morning I started at 7 AM and I scrubbed in on an OR case. This was the Septorhinoplasty and hardware removal case that was cancelled on Tuesday morning. At any rate, this patient had previous facial trauma where his nasal septum was deviated to the left after healing. This caused him having a difficult time breathing out of his left nostril. Also, he complaint about a sharp poking feeling out of his right cheek area from time to time and he believes it's his previous surgical mandible plate & screws that maybe loose that is causing all this discomfort. So we made an intraoral incision and went in to look for the old plate, found it, but everything looked intacted and fine. We found no roughage, protuberance, or pointy objects sticking out anywhere! Instead we found this patients zygomatic arch malpositioned where from previous facial trauma (zygomatic arch fracture) that had healed improperly. This malpositioned healing formed this sharp protuberance projecting inferio-laterally which caused a sharp poking sensation. We took a drill to it and a rongeur, smoothed it out and sutured the guy back together! 2.5 hours of surgery (from prep to closing).

Another cool thing I learned from this OR case was that I learned how to and did a foley! I know some of you may laugh, but I thought it was a cool experience. A foley is when you stick a urine tube up someone's urethra. This patient was a male. One of the resident joking said to me, "Now, don't be getting too used to this now!" (meaning putting in a foley into a male). New interns are forced to do this all the time, so I heard (watch out River13)! :laugh:

So after that OR case was done, I went down to the dental clinic. As usuall, I pulled more teeth. One case in particular that I want to share with you all is a pretty cool case. So this 46 yo wf came into the clinic with lower right jaw pain. She had this pain for months. Actually her upper right jaw hurts as well, but lower right was her chief complaint. After an intraoral exam, I took her H&P. As soon as I looked into her mouth, I knew why she was in pain! She had no enamel on her teeth # 30 & 31 and all her crown dentin (yellowish in color in comparison to enamel) were exposed! All her enamel on those teeth eroded away! I look at tooth # 3, same thing, looked at some other teeth, same thing! Right away congenital diseases came to mind that has enamal hypoplasia associated with it, then after I took her H&P, I knew exactly why she presented this particular condition. This patient suffers from G.E.R.D.!

I extracted her #30 & 31 and scheduled her to return for further extractions that is causing her pain. I informed her of what GERD can do to her teeth and why her teeth are the way they are. I warned her about her current teeth that are not yet affected by her systemic disease, but it may very will be in the future months or years! I recommended her to purchase artificial saliva to buffer her intraoral acidicity from GERD daily and to consult her family physician for treatment of GERD. Poor lady, she'll eventually loose all her teeth, but in a painful way literately!

Thursday night I was on call again with a 3rd year resident. We had a mandible fracture case where I wired him up, a consult from ENT services, and another case where we went into the OR. We started the OR case at 9:30 PM and operated until 1:30 AM.

29 y/o wm inmate got in a fight and got punched in his right TMJ area. This inmate had a previous mandible fracture when he was 17 on the left body of the mandible. At that time, his mandible fracture was fixed by a plate and screws. Now when he got punched, his old fracture site fractured again and at another site, right subcondylar fracture. So this patient now has a bilateral mand. fracture. This was OR case because we could not approximate the mandible back together due to the old plate being in the way (inadequate reduction of mandible). The case took a while in the OR because we had a little difficulty unmounting the old plate (2-2, 4 holes). We had to drill it out. We, then, placed a 2-3, 6 hole compression plate to reduce the mandible. After the plating, we wired this inmate's jaws shut with arch wires and elastic bands for stability.

Luckily after this OR case, no more calls were required for us to go down to the Accident Room. We did get beeped at 3:45ish, but we didn't need to get up. At times, we get beeped for just answers.

Friday, this morning I got up are 6:30 and went to the dental school building where I scrubbed in for a facial comestic case. A faculty member here at LSU OMFS did his OMFS training here and did a year of Comestic Fellowship in Texas, performs facial comestic surgeries at the dental school building. Today's case was a 62 y/o wf who wanted an entire face rejeuvination. I assisted the comestic case for lower eyelids (blepharoplasties), endoscopic brow lift and a face lift (rhytidectomy). The endoscope was pretty cool, this whole damn procedure was pretty damn cool! The case started at 9:30 AM and it ended around 2:30 PM. What an experience and way to end the week!

Alright, I'm off to help a resident move tonight....more later!
 
have you met the new first year residents Yet? If I am correct one is from marquette.

Aug. 12 I am having lefort 1/ palatal expansion/bisaggital split done - I am so pumped! 😀
 
Rob:

The interns start on this Thursday, July 1st. I've met one and that's River13 so far because of the fishing trip. There are 4 new residents coming in on July 1st and 3 1-year "internship"ers. I will meet them on Tuesday night (tomorrow) during orientation.
 
Another long shift.....

I was on-call last night and today was another long day....

You know guys, I can't remember everything I did just a day ago, my days all run together when I'm doing call nights. This last week, I will just highlight all the cool stuff. Monday, more extractions and wired more mandible fractures. During the night of the call night, I wired another mandible fracture at 4 AM. The guy broke his jaw in a fight. Couple of odontogenic abscesses. We had to admit one of the patient because he had SBP of 193 and DBP of 135. Got this guy on labetolol and some other stuff and we I & D him in the OR.

Today, Tuesday, I did a OR case at 7 AM, I scrubbed in as the second surgeon with a 4th-year and a 6th-year resident. Another mandible fracture where we did the open-reduction (cut him open and fixed the mandible). We used 2-2 compression plates. This was an intraoral procedure. Went back down to the dental clinic around 10 AM and treated more patients and pulled more teeth. Tonight was orientation night for all the new incoming interns and residents (7 total - 4 new residents and 3 1-year interns). It was cool meeting them all.

Another new extern showed up this week, he's a 4th-year dental student from UNC. He's also here for a month. So right now, there are 3 of us externs, but this is my last week. I've also been designated to be the "Chief Extern" by the residents and faculty. How funny huh? :laugh: Alright ladies and gents, I'm off to watch Nip/Tuck!

More later....
 
I was wondering if you could find out some of the stats from the intership guys, just to get an idea of what kind of stats WON'T get you in.
 
Great thead Yah-e! Very informative. I feel like I went through the externship myself.
 
Bill:

Unfortunately, I don't have that information and I don't intend to gather that information from those interns that didn't match. If we end up talking about it, then great, but I will not sit there and ask about numbers. That particular topic can be a tad sensitive. Plus, I refuse to get people's info and then turn around announce it to the world of SDN. If it was my info, then I don't care, but for someone else's, it's not my place. I hope you understand.

Bigdental:

Thanks for reading my thread. I'm glad that you enjoyed it. That is exactly my intention, to share with you all what an OMFS externship "CAN BE" like. Just remember, every externship even at the same residency will be different for different people. I have two more official days to go.

Today, nothing really happened in the clinic. We were done by 12:30 PM really. I extracted 1 tooth, treated 2 mandible fracture follow-ups and some other departmental things. The new OMFS team is all here now, the new Chief (6th-year), the new 5th-year and all the 1st-years. Starting tomorrow, the new 1st-years will be taking calls which means I'm done with call nights (shoot, I only have two days left anyways!). Tonight a group of us are going to see Spiderman 2 and Friday, I have my exit interview with the department residency director.

more later as usuall....
 
Andy,

When you drive home you should stop in Tallahassee and we'll have lunch or something. PM me if you want to get togather.
 
Andy, you have a good point. I wouldn't want someone else divulging my information either. I'm just curious. After looking at that "Board Scores and Specialties" thread I'm kind of worried. Maybe someone else has some ballpark stats about interns.
 
Well boys and girls....today, we met at 6 AM and did morning rounds at 6:45 AM. We had 16 people did rounds this morning! The biggest group since I've been here! There is this new extern from Seria today so there are 4 externs right now here. The new Chief is really excited, organized and cool to work with. Today I didn't do much for two reasons:

1: All the new 1st-years and interns were there so I didn't want to fight for patients

2: I'm in the "I'm done" mood

Although I didn't do much, but I showed two new-comers how to admit patients for OR procedures. All it is, is bunch of paperwork. I'm ready to be done and for tomorrow I will do the morning rounds and have two exit interviews with two faculty, then my month-long externship will come to an end! My next post will be the closing post and I'll summarize how I feel about the whole entire ordeal.

more later....
 
Ladies & Gents:

Well, I am back in Fort Lauderdale, FL and all set to return to Nova Dental Clinic to start my 3rd year. Looking back my last month experiences, I can only smile and think of how much of a rewarding journey that was. I learned and gained a lot in the practice of LSU N.O. OMFS residency, but surely not all what that specific residency offers. Here is the summary of my month-long externship experience: (main points)

1) Learned exodontia technigues and methods
2) Learned how to treat (open & closed), evaluate, and identify mandible fractures
3) Learned how to provide proficient local anesthesia to the whole mouth effectively and efficiently
4) Learned hospital protocols in treating various types of patients
5) Learned a CRAP load of medical terms, slangs, and abreviations used in a hospital setting
6) Interacted with other health professionals:
- MDs (Anesthesiologists, ENTs, Plastic surgeons, Neurosurgeons, Int. Meds., Emergency Meds., Gen. surgeons, CT surgeons)
- Nurses (RNs and CRNAs)
- Students (allopathics, osteopathics, CRNA students, students from Germany, from Austria, from Panama)
7) Learned how to complete a lot of hospital paper work:
- admitting patients (emergency, 1-day stay)
- doctor orders
- Interdisciplinary progress notes
- Procedure notes (SOAP)
- Post-op orders
8) Endured the residency intensity by:
- taking calls once every 3rd night
- staying at the hospital during call nights
- always arrive early and be last to leave
9) Learned how to interview and interact with patients properly and effectively (in dental clinic, in rounds [morning, pre-op, etc.], in OR, etc.)
10) Learned how to scrub in OR and its etiquettes/traditions
11) Spent roughly $1,500 the entire month (food, social, gas, room, etc.)
12) Met everyone in the LSU NO OMFS program
13) Previewed what medical and OMFS residents experience in a hospital setting
14) Learn to function as an OMFS intern as an extern
15) Gotten fatter

Q: Why did you do an OMFS externship?
A: My goals to this externship were:
- to gain a thorough exposure to the scope of practice in an OMFS residency, specifically LSU NO
- to meet LSU NO OMFS faculty and residents
- to place a positive impression for future application and interactions

Q: Was one month too long at one OMFS externship?
A: Yes and no! Yes, it can be too long because I felt that by the end of 3 weeks, I've already learned and done a lot. Things are beginning to become routine in 3 weeks. Further, if you're a 4th-year dental student and you haven't really done any OMFS externships yet and this is your first one, then it's good to do two-weekers to spread yourself out and see other residencies. No, it's not too long because I was having fun and interacting with all the residents, faculty and friends that I've met. Further, since I'm only a 3rd-year dental student, I have the time to do one-monthers and make my CV strong. One month is a great length for residents and faculty to get to know you.

Q: What can an OMFS externship do for you?
A: An OMFS externship can provide answers to many questions or function such as:
- Should I go into OMFS?
- What does that particular OMFS residency look for in their applicants?
- What is it like to be a resident at a particular OMFS residency?
- Place a positive OR a negative impression for application purpose
- Meet your future interviewers from a particular residency
- Letters of recommendation (a + impression required)
- An edge for interview selection (a + impression required)

Personally for me, the LSU NO OMFS externship further affirmed my goal to become an OMFS resident and provided me the opportunity meet everyone in the program.

Q: How many/much externships total should I do?
A: The more the better! Usually if you have 3 on your CV, it will look strong. The longest length of OMFS externship that a person has done from what I've heard thus far is a total of 14 weeks (3.5 months) worth on his application & CV. I have 6 weeks worth so far between two residencies. I plan on doing another one over X-mas break this year and another one during my summer between 3rd and 4th year of dental school.

Q: When should I start my OMFS externship experience?
A: As soon as possible per your dental school and OMFS residency's permission and requirements. I suggest you start in the summer between your 2nd and 3rd year of dental school. Every person I spoke with that did that are OMFS residents at this time (they also have the numbers too though).

Q: Do I get paid by anyone during/for my externship?
A: No, no OMFS residency externships pay you! All OMFS externships are self-funded. I did hear some dental schools will help you in some finances.

Q: How do you feel about LSU NO OMFS program?
A: I absolutely loved my stay and participation there at LSU NO OMFS. I remain giving 👍 👍 👍 👍 👍 to my experiences there. From clinical training to social atmosphere to program "tight" ness (it's like a family with everyone there, a special group of people). I achieved my goals (listed above) and I've met and interacted with some real cool people during my month there. LSU NO OMFS is a strong OMFS residency and the upper residents there KNOW their ****! I've seen many LSU OMFS resident's OMSNC (their procedural logs), just to give you an idea, a recent graduated Chief had over 500+ procedures performed and logged during his last year of residency. Out of every category to the scope of practice of OMFS, LSU NO graduates lacks none! Just a phenomenal residency to be trained in. Plus it has the smallest amount of medical school training (< 2 yeras)to earn that MD degree which means more OMFS training (> 3 years). LSU NO OMFS program selects residents who they feel that will fit there the best based on numbers, experiences, and an instinct of how successful you will be. It will be an honor and a privilege to be selected for your OMFS training there. This is a big time, fast paced, and top OMFS residency program, it's not for everyone. Some externs I worked with already said that they wouldn't apply to LSU NO because of the fast pace. The facilities (Charity hospital) are older, but it grows on you. I went from "man, look at this place!" to a place where I call "home"! I plan to apply there next year.

Alright peeps, this is it for my externship journey! I thank you all for reading and hope you all have your own OMFS externship(s) as fun and rewarding as mine. 😎
 
Yah-E with all these stories about patients getting hurt in some stupid way you are verifying my theory that stupidity provides job security. :laugh:
 
My chances of matching at LSU NO?

We'll have to see next year when I apply, but first....restorative dentistry and 3rd year of my dental school! I still need to continue to work hard and do well in my 3rd year of dental school. Nothing is for certain!
 
Yah-E,

Okay man, I've enjoyed reading this post. It's entertained me immensely. I've externed at Charity, and I've gone through the OMFS application process successfully so I like hearing about your experiences.

[TOS violation]

The thing is, this post has the aura of a total tool. I hope you were humble when speaking to residents and didn't annoy them with your thoughts on treatment, residency, etc. Speaking from experience, no one likes those type of externs. Next time, don't post that you went drinking with the on-call resident. I'll bet he'd love to know that you pasted that all over the internet. OMFS residents are usually down to earth and realists and this post just doesn't fit in. I don't know what it is ; I mean, I can't put my finger on it but this post just screams "I'm a tool, a red-shirt in the making".

Next, I've got to tell you NO and Parkland are, at best, #2 and 3 in overall OMFS residency ranking, especially if clinical exposure is your gold standard.
Finally, don't let Dr. Block blow too much smoke up your skirt b/c most guys I know that talked with him came out feeling like they were "in". Obviously, they aren't all "in".
 
Yah-E,
I have been lurking on your experience the entire time. This guy may think you are a "tool", but I totally enjoyed your candor. For those of us that havn't done an externship yet, this thread was a great encouragement! Information about getting into this specialty is so sparse. I hope you cotinue to be so open with your hoops that so many of us hope to jump through.
👍
 
TX OMFS:

I'm glad you enjoyed my thread here! Keeping on posting. "Tool" or not, I had a great time. As far as mentioning socializing with residents, I didn't mention any specific names and some do know about Student Doctor Network so I believe I am fine there.

The purpose of this thread was to open an externship experience up and share what an externship experience is like. Every externship will be different. You read this and take it how you like, it's only a reference.

I believe in the bridges I've built and the relationships I've made at LSU NO, blowning "hot air" or not, at least I have met all the faculty there. My chances at NO remains questionable since I have another year left before I apply, you just make sure you keep on cheering on the "tool"!

2thSx:

I'm glad you've enjoyed this thread! I appreciate your kind words. You should definitely try to experience one yourself if you wish to specialize in OMFS.
 
Man, I agree with TXOMS [TOS violation]. You act like you have all this clinical knowledge and your barely a third year. I can imagine you struggling for three hours on a single extraction only to be bailed out time and time again by residents and more able externs. And as for posting about drinking while on call, It wouldn't take much work to look at your posting date and look at the call schedule and put the two together.
 
Daisy and TX OMSF,

You two are hilarious! I like you guys......hehe 😀

TxOMFS - which program in tx are you currently in?
 
"Hello, Ma'am. My name is Andy. Would you like to buy some of my wonderful tool products?" Andy, you better start practicing that line.

All you geeks who think that Andy is your guiding light into OMFS better get a clue. If you extern or interview somewhere and act like this you will not have an ice cube's chance in hell of getting in.

Here's the thing: Andy, you probably just can't see what I'm talking about. I hope you figure it out before you interview. I will complement you, though, by saying that your post is an accurate representation of an OMFS residency/externship. You did a good job of sharing the info with younger guys, but you've got to lose the complex.
 
In case y'all haven't noticed, this is my thread and my own experiences. Why don't you two "SOOOO experienced" residents guide those dental students who are interested in OMFS and share your own experiences instead of criticizing my sh1t!

TX OMFS:
"Loose the complex!" WTF, what complex do/did you think I have? Do you think that I feel like I know everything? If you did, you've got the wrong impression. Do you think that I'm arrogant based on what I wrote in this thread? Do you think that I think I'm the sh1t now because I did one OMFS externship? Do you think that I wasted all that time typing every god damn day during my externship in this SDN thread to impress strangers on SDN? Man, if you said "yes" to any of the above questions, then you've got it all wrong. FYI, out of the 24+ residents I met at LSU NO, I can positively say nearly all of them enjoyed me learning from them and our time of interacting.

Dog:
Get off the bandwagon! Why don't you try contributing once in a while instead of criticizing, huh? Do you realize that, every single post of yours is some sort of criticism? No contribution what so ever. Every single one of them. 👎

Daisy:
"I act like I have all the clinical knowledge.." I'm sorry, I am not an actor. If I sounded like I knew all the sh1t, then I must sounded like I knew all the sh1t. I typed the truth and what "I" have experienced. Not hyped, exaggerated, claimed, or lied!

"I'm barely a 3rd year?"....shoot...last I checked, I am a 3rd-year.

If you are an OMFS resident, then I'm sorry that your residency is not as relaxed as others. Even though residents have a drink or two during dinner is not something new and uncommon! You make it sound like it's never done before anywhere! Sh1t, CT, Neuro, EM, General surgery residents, they all do it too. It's not like you're out there getting sh1t faced and can't even see!

Bottom line is this, y'all can think whatever you want, but this is not a thread on "bragging" or a thread on "how cool I am", man, all I wanted to do is share with people what an externship is like. Chill the **** out dudes!

I am only a 3rd year dental student
I don't know everything about OMFS
I just started clinics
I had a great time at LSU NO OMFS
I learned a sh1t load at LSU NO OMFS
I like to share with SDN dental
I don't claim sh1t
I post what I know and/or experienced

Now if that makes me a tool? Well, I'm a tool then!

Be constructive or helpful, your misunderstandings and misinterpretations is not welcomed. One last thing, don't call other people geeks, sh1t, we've never met in person and you never met any of these SDN people. I know you are an OMFS resident, but just remember, not all OMFS residents are cool either, some are geeks themselves!
 
Hey, Yah-e, just ignore those idiots; they're trolls. They're jealous of you because they're dorks that never go out to socialize. I feel sorry for them. They probably aren't even residents or else they wouldn't post like little teenage wussies, but instead would be more helpful. You criticizers need to actually get out and meet people you damn introvert recluse nerds! haha!!!
:laugh: 👍
 
TX OMFS said:
Big Dental, are you in second grade or did you are a really big kid now (third grader)?
Click to expand...

Nope, first grade, dork. You should know that. You post like one. 🙄
 
Yah-E said:
Dog:
Get off the bandwagon! Why don't you try contributing once in a while instead of criticizing, huh? Do you realize that, every single post of yours is some sort of criticism? No contribution what so ever. Every single one of them. 👎
Click to expand...



Too much stress getting to you, Yah-E? 😱

At what point was my "You two (TXOMFS and Daisy) are hilarious! I like you guys......hehe" a criticism to you? Stop venting your anger at me. I was just laughing at someone else's comments. I dont agree with many of your viewpoints, but the only one I've expressed thus far was your negative remarks regarding my columbia education. So just chill.... :scared:
 
In regards to Big Dental: Never argue with idiots; they drag you down to their level and beat you with experience. Obviously, I will not win this arguement.
 
G, Henna, and/or Dr. Richard:

I request this thread to be locked to prevent the continuous derogatory comments and posts. Thanks.
 
This thread is being closed due to TOS violations. Let me remind everybody that opinions are welcome but personal attacks directed at members are uncalled for and violate the user agreement.

Individuals comitting personal attacks will receive warnings via PM, and continued attacks could result in the banning of usernames or IP addresses.
 
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