OHSU (Oregon Health & Science University) OMFS Program Overview Update

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OHSU OMFS Program Overview

OHSU has not had a full program update on here for a while now, so we wanted to share this information on behalf of our program. We will share some general info first, and then take you through our program chronologically. We do hope this program update provides a clear breakdown on how diverse our case load is (i.e. not just oncology), clearly defines our OHSU/Legacy relationship, and characterizes the unique culture of our program. In addition, we hope future OMFS applicants, who might have thought this was not the right program for them, may consider OHSU after reading this detailed breakdown. We embedded some links for more info and photos.

Location: Portland, OR - Oregon Health and Science University campus is located on a hilltop overlooking the city of Portland, Mt. Hood, and Mt. St. Helens. OHSU is no doubt one the most beautiful medical campuses in the country and offers a truly amazing landscape. Nowhere else in the country can doctors and medical staff take an aerial tram up to the hospital after parking their bike in the free bike valet at the waterfront at the base of tram. Don’t worry you can also just drive to the hospital. OHSU received a one billion dollar donation from Phil Knight (CEO of Nike) a couple years ago, which has spearheaded a lot of development in research and construction of new buildings including a state of the art surgical center on the waterfront.

Year 1:
  • WE GET A FULL RIDE TO MEDICAL SCHOOL (including health insurance)
    • We graduate from medical school in February of our 2nd year
    • This is the second shortest time spent in medical school of all OMFS programs
    • OHSU is an incredibly progressive medical school, a leader (top 3) in primary care (important metric for medical education), and incredibly nurturing. OMFS students have a very strong reputation at the school and, as such, are treated very well. This affords us a very streamlined, personalized curriculum that is quite unique compared to other OMFS programs. Brand new medical school building built in 2014.
  • Take Step 1 in early August, prior to starting medical school
  • Start medical school in mid-August with 2 months of didactics and clinical skills training
  • Complete six 4-week core rotations, of which we do Family Medicine, Internal Medicine, Neurology, OB-Gyn, Pediatrics, and Psychiatry
  • Take one 4-week elective surgery rotation of our choice (lots of options)
  • Many residents moonlight 1-2x month except during gen surg year and busy months on service. Jobs handed down year to year to new residents.
Year 2:
  • Finish up whatever rotations you have left from above
    • 6-8 weeks of built-in study time for Step 2 and Shelf exams
  • 2-3 months of OMFS service as a medical student in fall of year 2
    • Can split time between OHSU/Shriners and Legacy/Providence
  • Graduate from medical school at the end of February
  • Start anesthesia in March
    • Paid PGY-1 resident salary
    • 4 months to finish off the academic year
Year 3:
  • 9 months as an R1 on general surgery
    • Includes one month of pediatric anesthesia (CODA requirement)
    • OHSU is considered one of the strongest General Surgery programs in the country. OMFS has a great relationship with the General Surgery department (i.e., good rotations)
  • 3 months on OMFS service
Year 4:
  • 3 months as an R2 on General Surgery
    • Get 2 years of ACGME General Surgery certificate. A 2-year certificate is needed to be licensed as an MD in nearly 20 states (with more requiring this each year). This is a new trend that has affected graduates from 1-year certificate programs. You cannot just petition the medical board for an additional year
  • 9 months on OMFS service
    • 3-4 months of which are with HNSA at Legacy-Emanuel, Providence Portland, and Good Samaritan hospitals
Year 5:
  • 12 months on OMFS
    • 3-4 months of which are with HNSA at Legacy-Emanuel, Providence Portland, and Good Samaritan hospitals
Year 6:
  • 12 months on OMFS
  • 6 months of which are with HNSA at Legacy-Emanuel, Providence Portland, and Good Samaritan hospitals
Total time spent on OMFS service: minimum of 38 months

Hospitals We Cover: All hospitals are within 10-15 minutes of each other. Many residents even bike to the hospital.
  • Oregon Health Sciences University
    • Level 1 trauma center
    • We share facial trauma with ENT, PRS 1:1:1
    • Located on the hill
  • Doernbecher Children’s Hospital
    • Level 1 children’s trauma center.
    • Located on the hill
  • Shriners Hospital for Children
    • Located on the hill
    • No ENT/plastics residents rotate here
    • We cover all head and neck cases which include cleft orthognathics, primary and secondary CLP repairs, rhinoplasty, staged otoplasty, etc.
  • Legacy Emanuel Medical Center
    • Level 1 trauma center
    • No ENT or Plastics residency programs, so we take face call 365 days/year
    • We cover all head and neck emergencies including those which ENT may cover at other hospitals. This includes all airway emergencies, peritonsillar abscesses, epistaxis, anyone needing airway scopes
  • Providence Portland Medical Center
    • Located in NE Portland
    • We recently began covering level 2 facial trauma at this site as part of the HNSA rotation
  • Providence St. Vincent Medical Center
    • Located in Beaverton
    • We somewhat rarely go here for cancer or trauma cases that can’t be covered at OHSU for insurance reasons
  • OHSU Dental School Clinic
    • Located at the base of the hill
    • New building and surgical suites built in 2014
    • Where we do our sedations for implants and outpatient dentoalveolar
    • We do not cover predoc clinic. Dental school clinic days are only high quality procedures/sedations/implants/etc for resident level. No point and pull that clogs up resident time
    • We have a resident clinic ~7 half days per week
    • Resident clinics are covered by a combination of OHSU full-time faculty as well as part-time community oral surgeons.
  • Head & Neck Surgical Associates (HNSA)
    • https://head-neck.com
    • Private practice setting
    • In-office GA cases performed here such as zygoma implants
OHSU Faculty:
  • Engelstad, M.D., D.D.S, M.H.I.: Full scope OMS, alveolar clefts, orthognathics (orthognathic fellowship trained)
  • Hughes D.D.S.: Full scope OMS, TMJ replacement, orthognathics
  • Petrisor, D.M.D., M.D., F.A.C.S.: Oncology, nerve repair (did oncology fellowships at both Shreveport and Jacksonville)
  • Mann, D.D.S., M.D.: Implant director at the dental school, also in trauma pool
  • New full scope OMS faculty will be starting this July at OHSU
  • Stavropoulos D.D.S.: Pre-doc OMS director
HNSA Faculty:
  • Bell, M.D., D.D.S, F.A.C.S.: Oncology, orthognathics, very active in immunotherapy research, TMJ, craniofacial, TORS (robotic surgery). Director, Providence Oral, Head and Neck Cancer Program and Clinic, Providence Cancer Center
  • Dierks, M.D., D.M.D., F.A.C.S., F.A.C.D, F.R.C.S.(Ed): ENT dual boarded, oncology, zygoma implants, facial cosmetics, truama, craniofacial. A godfather of OMS
  • Cheng M.D., D.D.S, F.A.C.S: Oncology + full scope OMS: orthognathics, TMJ, craniofacial
  • Patel M.D., D.D.S, F.A.C.S: Oncology + full scope OMS: orthognathics, TMJ, TORS, craniofacial
  • Amundson D.D.S.: Full scope OMS, trauma. Former trauma fellow
  • Main point: HNSA does not just do oncology. Truly a full scope practice. Growing area of practice is pediatric craniofacial surgery
  • Fellows at HNSA
    • 1 trauma fellow at LEH (who we share call with at Legacy)
    • 2 cancer fellows (1 ablative, 1 microvascular)
Shriners Faculty:
  • Nguyen M.D.: Plastic surgeon but also OMFS trained. Cleft lip/palate, pharyngoplasties, rhinoplasty, otoplasty, basically does everything. We are the only resident team that rotates with him. 1-2 operating days per week
  • Johnson M.D. D.M.D.: OHSU grad from 2013, orthognathic fellowship trained, comes once a month to do cleft orthognathics
Program Culture: We have an incredibly down to earth and friendly service. Classic PNW culture. It’s not uncommon for the entire service including attendings, fellows, and significant others to go to a local brewery on Friday nights. Residents take weekend trips to the coast, go backcountry skiing, backyard BBQ, and home brew together. Our program director loves to load up his Sprinter Van with mountain bikes on weekends and hit the trails with residents. One of the driving factors for many of us choosing OHSU was the culture. It is very unique. Disclosure: we did have unmatched spot last year. This was the first time in the programs history per our PD. In the past, we had interviewed a select group of applicants (12-14). This year, we only ranked 8 people. Obviously, we learned our lesson. This had nothing to do with program culture, malignancy, etc as this program is the opposite of that. Just bad luck like applicants choosing other areas of country due to significant others, family, etc.

Portland, Oregon:
TripAdvisor: “You’ll wonder why you don’t live in Portland after you’ve visited this laid-back and friendly city. With a reputation for manicured parks, eclectic nightlife, fine micro-breweries and distilleries, and nature that cuts right into the city, Portland’s a Pacific Northwest must-visit. Don’t miss the famous Japanese Garden, one of the largest and most beautiful of its kind outside of Japan.”
Lonely Planet: “One of the world's great towns for beer, weirdness, cheap food, funky neighborhoods, forest hikes and much more, Portland is the kind of city you visit for two days and then move to. Endlessly entertaining and intriguing, it's easily walked and explored by bike.” “Portland has an almost unfair abundance of natural beauty – perfect parks, leafy trees, vibrantly flowering shrubs lining pretty residential streets, the Willamette River meandering through town, and Mt Hood on the horizon.”
Travel Portland video

Scope: We do it all and more. Broad of the broad scope. And, yes, that includes dentoalveolar. More importantly, we are at the frontier of our specialty given the caliber of attendings on both sides of the river. We are busy enough to be trained the full scope of OMS. However, certain things like no flap checks, PA’s and NP’s for our service, strong faculty relationships, and no predoc point and pull clinic allow us to still enjoy all that Portland and the greater PNW area have to offer. Our program director is incredibly focused on resident education, has written several op-eds in OMS journal articles regarding resident education, and makes it his priority to have residents get the highest caliber/quality training.

Research: 1 required submission focused on craniomaxillofacial trauma. Dr. Dierks works directly with you on this project. There are plenty of research opportunities on both sides of the river, but they are otherwise not required. Dr. Bell is an excellent resource and is at the forefront of OMS research, specifically looking at immunotherapy and oncology. Whether it is resident education, immunotherapy, trauma, oncology, or surgical planning, all of our attendings are involved in some aspect of research.

Alumni: In the past couple years, we have had residents go on to complete craniofacial fellowships in Oklahoma, England, and Australia, orthognathics fellowships in North Carolina, head and neck fellowships, and ENT micro fellowships. At the same time, we have had other residents start or join successful private practices throughout the country. OHSU has an incredible network. Some of the biggest names in the field, including several program directors, fellowship directors, and research leaders, have been in Portland for residency or fellowship. This definitely gives us a huge advantage in fellowship and job networking.

Externship: Want the OHSU experience first hand?
More information on applying to externship can be found by clicking on link.

Thank you for taking the time to read this, and feel free to contact me directly with any questions or concerns regarding this update.

Best,
Residents of OHSU

Members don't see this ad.
 
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If I wasn't International this sounds like an absolute beast of a program! All the best.
 
OHSU OMFS Program Overview

OHSU has not had a full program update on here for a while now, so we wanted to share this information on behalf of our program. We will share some general info first, and then take you through our program chronologically. We do hope this program update provides a clear breakdown on how diverse our case load is (i.e. not just oncology), clearly defines our OHSU/Legacy relationship, and characterizes the unique culture of our program. In addition, we hope future OMFS applicants, who might have thought this was not the right program for them, may consider OHSU after reading this detailed breakdown. We embedded some links for more info and photos.

Location: Portland, OR - Oregon Health and Science University campus is located on a hilltop overlooking the city of Portland, Mt. Hood, and Mt. St. Helens. OHSU is no doubt one the most beautiful medical campuses in the country and offers a truly amazing landscape. Nowhere else in the country can doctors and medical staff take an aerial tram up to the hospital after parking their bike in the free bike valet at the waterfront at the base of tram. Don’t worry you can also just drive to the hospital. OHSU received a one billion dollar donation from Phil Knight (CEO of Nike) a couple years ago, which has spearheaded a lot of development in research and construction of new buildings including a state of the art surgical center on the waterfront.

Year 1:
  • WE GET A FULL RIDE TO MEDICAL SCHOOL (including health insurance)
    • We graduate from medical school in February of our 2nd year
    • This is the second shortest time spent in medical school of all OMFS programs
    • OHSU is an incredibly progressive medical school, a leader (top 3) in primary care (important metric for medical education), and incredibly nurturing. OMFS students have a very strong reputation at the school and, as such, are treated very well. This affords us a very streamlined, personalized curriculum that is quite unique compared to other OMFS programs. Brand new medical school building built in 2014.
  • Take Step 1 in early August, prior to starting medical school
  • Start medical school in mid-August with 2 months of didactics and clinical skills training
  • Complete six 4-week core rotations, of which we do Family Medicine, Internal Medicine, Neurology, OB-Gyn, Pediatrics, and Psychiatry
  • Take one 4-week elective surgery rotation of our choice (lots of options)
  • Many residents moonlight 1-2x month except during gen surg year and busy months on service. Jobs handed down year to year to new residents.
Year 2:
  • Finish up whatever rotations you have left from above
    • 6-8 weeks of built-in study time for Step 2 and Shelf exams
  • 2-3 months of OMFS serviceas a medical student in fall of year 2
    • Can split time between OHSU/Shriners and Legacy/Providence
  • Graduate from medical school at the end of February
  • Start anesthesia in March
    • Paid PGY-1 resident salary
    • 4 months to finish off the academic year
Year 3:
  • 9 months as an R1 on general surgery
    • Includes one month of pediatric anesthesia (CODA requirement)
    • OHSU is considered one of the strongest General Surgery programs in the country. OMFS has a great relationship with the General Surgery department (i.e., good rotations)
  • 3 months on OMFS service
Year 4:
  • 3 months as an R2 on General Surgery
    • Get 2 years of ACGME General Surgery certificate. A 2-year certificate is needed to be licensed as an MD in nearly 20 states (with more requiring this each year). This is a new trend that has affected graduates from 1-year certificate programs. You cannot just petition the medical board for an additional year
  • 9 months on OMFS service
    • 3-4 months of which are with HNSA at Legacy-Emanuel, Providence Portland, and Good Samaritan hospitals
Year 5:
  • 12 months on OMFS
    • 3-4 months of which are with HNSA at Legacy-Emanuel, Providence Portland, and Good Samaritan hospitals
Year 6:
  • 12 months on OMFS
  • 6 months of which are with HNSA at Legacy-Emanuel, Providence Portland, and Good Samaritan hospitals
Total time spent on OMFS service: minimum of 38 months

Hospitals We Cover:
All hospitals are within 10-15 minutes of each other. Many residents even bike to the hospital.
  • Oregon Health Sciences University
    • Level 1 trauma center
    • We share facial trauma with ENT, PRS 1:1:1
    • Located on the hill
  • Doernbecher Children’s Hospital
    • Level 1 children’s trauma center.
    • Located on the hill
  • Shriners Hospital for Children
    • Located on the hill
    • No ENT/plastics residents rotate here
    • We cover all head and neck cases which include cleft orthognathics, primary and secondary CLP repairs, rhinoplasty, staged otoplasty, etc.
  • Legacy Emanuel Medical Center
    • Level 1 trauma center
    • No ENT or Plastics residency programs, so we take face call 365 days/year
    • We cover all head and neck emergencies including those which ENT may cover at other hospitals. This includes all airway emergencies, peritonsillar abscesses, epistaxis, anyone needing airway scopes
  • Providence Portland Medical Center
    • Located in NE Portland
    • We recently began covering level 2 facial trauma at this site as part of the HNSA rotation
  • Providence St. Vincent Medical Center
    • Located in Beaverton
    • We somewhat rarely go here for cancer or trauma cases that can’t be covered at OHSU for insurance reasons
  • OHSU Dental School Clinic
    • Located at the base of the hill
    • New building and surgical suites built in 2014
    • Where we do our sedations for implants and outpatient dentoalveolar
    • We do not cover predoc clinic. Dental school clinic days are only high quality procedures/sedations/implants/etc for resident level. No point and pull that clogs up resident time
    • We have a resident clinic ~7 half days per week
    • Resident clinics are covered by a combination of OHSU full-time faculty as well as part-time community oral surgeons.
  • Head & Neck Surgical Associates (HNSA)
    • https://head-neck.com
    • Private practice setting
    • In-office GA cases performed here such as zygoma implants
OHSU Faculty:
  • Engelstad, M.D., D.D.S, M.H.I.: Full scope OMS, alveolar clefts, orthognathics (orthognathic fellowship trained)
  • Hughes D.D.S.: Full scope OMS, TMJ replacement, orthognathics
  • Petrisor, D.M.D., M.D., F.A.C.S.: Oncology, nerve repair (did oncology fellowships at both Shreveport and Jacksonville)
  • Mann, D.D.S., M.D.: Implant director at the dental school, also in trauma pool
  • New full scope OMS faculty will be starting this July at OHSU
  • Stavropoulos D.D.S.: Pre-doc OMS director
HNSA Faculty:
  • Bell, M.D., D.D.S, F.A.C.S.: Oncology, orthognathics, very active in immunotherapy research, TMJ, craniofacial, TORS (robotic surgery). Director, Providence Oral, Head and Neck Cancer Program and Clinic, Providence Cancer Center
  • Dierks, M.D., D.M.D., F.A.C.S., F.A.C.D, F.R.C.S.(Ed): ENT dual boarded, oncology, zygoma implants, facial cosmetics, truama, craniofacial. A godfather of OMS
  • Cheng M.D., D.D.S, F.A.C.S: Oncology + full scope OMS: orthognathics, TMJ, craniofacial
  • Patel M.D., D.D.S, F.A.C.S: Oncology + full scope OMS: orthognathics, TMJ, TORS, craniofacial
  • Amundson D.D.S.: Full scope OMS, trauma. Former trauma fellow
  • Main point: HNSA does not just do oncology. Truly a full scope practice. Growing area of practice is pediatric craniofacial surgery
  • Fellows at HNSA
    • 1 trauma fellow at LEH (who we share call with at Legacy)
    • 2 cancer fellows (1 ablative, 1 microvascular)
Shriners Faculty:
  • Nguyen M.D.: Plastic surgeon but also OMFS trained. Cleft lip/palate, pharyngoplasties, rhinoplasty, otoplasty, basically does everything. We are the only resident team that rotates with him. 1-2 operating days per week
  • Johnson M.D. D.M.D.: OHSU grad from 2013, orthognathic fellowship trained, comes once a month to do cleft orthognathics
Program Culture: We have an incredibly down to earth and friendly service. Classic PNW culture. It’s not uncommon for the entire service including attendings, fellows, and significant others to go to a local brewery on Friday nights. Residents take weekend trips to the coast, go backcountry skiing, backyard BBQ, and home brew together. Our program director loves to load up his Sprinter Van with mountain bikes on weekends and hit the trails with residents. One of the driving factors for many of us choosing OHSU was the culture. It is very unique. Disclosure: we did have unmatched spot last year. This was the first time in the programs history per our PD. In the past, we had interviewed a select group of applicants (12-14). This year, we only ranked 8 people. Obviously, we learned our lesson. This had nothing to do with program culture, malignancy, etc as this program is the opposite of that. Just bad luck like applicants choosing other areas of country due to significant others, family, etc.

Portland, Oregon:
TripAdvisor: “You’ll wonder why you don’t live in Portland after you’ve visited this laid-back and friendly city. With a reputation for manicured parks, eclectic nightlife, fine micro-breweries and distilleries, and nature that cuts right into the city, Portland’s a Pacific Northwest must-visit. Don’t miss the famous Japanese Garden, one of the largest and most beautiful of its kind outside of Japan.”
Lonely Planet: “One of the world's great towns for beer, weirdness, cheap food, funky neighborhoods, forest hikes and much more, Portland is the kind of city you visit for two days and then move to. Endlessly entertaining and intriguing, it's easily walked and explored by bike.” “Portland has an almost unfair abundance of natural beauty – perfect parks, leafy trees, vibrantly flowering shrubs lining pretty residential streets, the Willamette River meandering through town, and Mt Hood on the horizon.”
Travel Portland video

Scope: We do it all and more. Broad of the broad scope. And, yes, that includes dentoalveolar. More importantly, we are at the frontier of our specialty given the caliber of attendings on both sides of the river. We are busy enough to be trained the full scope of OMS. However, certain things like no flap checks, PA’s and NP’s for our service, strong faculty relationships, and no predoc point and pull clinic allow us to still enjoy all that Portland and the greater PNW area have to offer. Our program director is incredibly focused on resident education, has written several op-eds in OMS journal articles regarding resident education, and makes it his priority to have residents get the highest caliber/quality training.

Research: 1 required submission focused on craniomaxillofacial trauma. Dr. Dierks works directly with you on this project. There are plenty of research opportunities on both sides of the river, but they are otherwise not required. Dr. Bell is an excellent resource and is at the forefront of OMS research, specifically looking at immunotherapy and oncology. Whether it is resident education, immunotherapy, trauma, oncology, or surgical planning, all of our attendings are involved in some aspect of research.

Alumni: In the past couple years, we have had residents go on to complete craniofacial fellowships in Oklahoma, England, and Australia, orthognathics fellowships in North Carolina, head and neck fellowships, and ENT micro fellowships. At the same time, we have had other residents start or join successful private practices throughout the country. OHSU has an incredible network. Some of the biggest names in the field, including several program directors, fellowship directors, and research leaders, have been in Portland for residency or fellowship. This definitely gives us a huge advantage in fellowship and job networking.

Externship: Want the OHSU experience first hand?
More information on applying to externship can be found by clicking on link.

Thank you for taking the time to read this, and feel free to contact me directly with any questions or concerns regarding this update.

Best,
Residents of OHSU

Hey everyone,
We just wanted to continue with last year's update and add some exciting new faculty hires, curriculum/schedule changes, etc. All the above information is still up to date so feel free to give that a read as well.

Faculty: In addition to the previously listed faculty, we have some great new additions/directions:
  • Akshay Govind, MD, DMD, MPH: Joined OHSU faculty after completing craniomaxillofacial trauma fellowship with HNSA in 2018. Full scope OMFS (specific interest in trauma, orthognathic, TMJ (full joint, arthrocentesis, botox, etc), benign pathology). Dr. Govind is young and hungry, loves to teach, holds weekly morning discussions, and is a natural academic leader.
  • Caitlin Magraw MD, DDS: Dr. Magraw is currently finishing her fellowship with Dr. Ruiz in Orlando in Cleft/Craniofacial. She will be part of the HNSA team starting in August focusing on cleft/craniofacial at Randall Children Hospital at Legacy Emanuel (another Level 1 children's hospital in Portland). The entire Portland family is very excited for her arrival! She will be a wonderful additional and will add even more unique cleft/craniofacial exposure.
  • HNSA has a growing sleep apnea practice: procedures like hypoglossal nerve stimulator (Inspire), MMA, DISE, etc.
  • Both sites have full-time PA's. It cannot be overstated how much their presence helps an OMFS service.
  • There will likely be another full-scope fellowship trained hire at OHSU in the next several months. Will keep you updated...
Curriculum/Schedule:
  • Not only is medical school free, but we also get reimbursed for all study material for Steps.
  • With schedule tweaks and improvements, most of us are on track for 40+ months on service.
  • Beautiful new surgery center at OHSU. Direct views of Mt. Hood and Mt. St. Helens.
Graduates:
  • Both of our current chiefs will be doing fellowships next year. One is going to the highly competitive Carolina fellowship for major reconstructive and orthognathic surgery. The other will be heading to Australia for a craniomaxillofacial surgery fellowship and will be joining a full-scope private practice when he returns the following year.
Hope this new information helps! Please don't hesitate to message if you have any more specific questions. Thanks!
 
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As mentioned in our update, I feel that this is the greatest misconception of our program. Yes, we do plenty of big cases, but we still do plenty of core omfs procedures. The biggest advantage our program has in term of sedations, implants, and 3rds is our continuity clinic. For your entire 38-40 months on service you have your own patient clinic for 1-2 days a week. These are your patients and the vast majority are high quality, graduate level procedures. Again, no point and pull clinic and our hospital GPR takes the majority of the basic extractions on the medically complex patients. The majority of appointments are sedations, 3rds, ortho referrals (expose and bond, etc), and implants. Surgical suites are brand new. Two assistants per sedation.

Since we do anesthesia before we get on service, you can do sedations right away. I have several 1, 16, 17, and 32 sedations scheduled next week, and I still have 36+ months on service. Our current chiefs met their sedation requirements in their 5th year, and this aspect of our program has continued to improve in the last year or two.

We get both private practice and predoc referrals for implants. ~125-150 by time of graduation. Is it the most of any program? Probably not. But the advantage we have that some other programs do not is that these are our patients. We do the work up, we do the virtual planning, etc. Compared to other surgeries we do, placing an implant isn't the hardest, but the workup takes practice. In some programs, the attending calls the shots since it is "their" patient. We also have several implants systems at our disposal. We use Blue sky for most planning and have a dedicated implant focused faculty member who works with us on a weekly basis. Just anecdotal, but our chief this past Tuesday placed 4 implants on one patient, and sets of 2 implants on another two patients, all in one day. I find that satisfactory. X-nav and zygoma's with Dierks at HNSA as well.

Orthognathics. The legacy group (HNSA) is known for cancer, but they also do quite a bit of orthognathics, especially in the last year or two. Bell has his own orthognathics clinic on Tuesday's and is very busy during the summer and school vacation months. In addition, Patel and Cheng have been growing their sleep surgery practice with drug induced sleep endoscopy (DISE), hypoglossal nerve stimulator, MMA, etc. This summer, it's been 1-5 double (or triple) jaws a week over there. Residents get priority on orthognathics cases, as there are usually simultaneous free flaps or something going on for fellows. The addition of Magraw, a new craniofacial fellowship trained attending, will likely increase those numbers. While at OHSU, the chief has the option of going up to Seattle for 3 days 6-8 times a year to work with Dr. Bobek, a previous OHSU graduate and Carolina fellowship trained surgeon. He has an orthonathic focussed private practice, and while up there the chief has been doing 3-4 dbl jaws/day for 2 days and clinic (equally important) for one day. This rotation is currently optional but I think a huge plus because it exposes us to jaw surgery in a private practice setting. It also gives the 5th year an opportunity to be chief at OHSU for a couple of days. While currently not as robust as legacy side, Hughes, Engelstad, and Govind (and Johnson at shriners) all have orthognathic cases as well. Hughes and Govind also do total joints, of which we had 4 in the last 2 weeks. Of note, with all of our attendings we are involved in the VSP planning sessions. There are also a couple of things in the pipeline at OHSU that will likely increase our numbers there.

All in all, numbers are hard to quantify and put in the proper context. What I can say, is that we have an incredible exposure to every facet of OMFS. Yes, you get to cut a lot, but just as important we have faculty that love to teach and want us to develop sound surgical skills. In addition, with our unique logical progression of curriculum (med school, anesthesia first, <9 months of gen surg) we get nonstop repetition to develop and hone our surgical skills. There are no weird gaps to go back to med school or general surgery. There is no awkward intern year right out of dental school where your attention is more focussed on learning basic medicine and how to work in a hospital, instead of our specialty. All of this factors into what your experience will be. Hope this helps!
 
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As mentioned in our update, I feel like this is the greatest misconception of our program. Yes, we do plenty of big cases. But we still do plenty of core omfs procedures. The biggest advantage our program has in term of sedations, implants, 3rds is our continuity clinic. For your entire 38-40 months on service you will have your own patient clinic for 1-2 days a week. These are your patients and they are majority high quality, graduate level procedures. Again, no point and pull clinic and our hospital GPR takes the majority of the basic extractions on medically complex. The majority of appointments are sedations, 3rd's, ortho referral's (expose and bond, etc), and implants. Surgical suites are brand new. Two assistants per sedation.

Since we do anesthesia before we get on service, you can do sedations right away. I have several 1,16,17,32 sedations scheduled next week and I still have 36+ months on service. Our current chiefs met their sedation requirements in their 5th year, and this aspect of our program has significantly improved in the last year or two so i assume it will only get earlier.

We get both private practice and predoc referrals for implants. ~125-150 by time of graduation. Is it the most of any program? Probably not. But the advantage we do have that some other programs do not is that these are our patients. We do the work up, we do the virtual planning, etc. Compared to other surgeries we do, placing the implant isn't the hardest, but the workup takes practice. Some programs the attending calls the shots since it is "their" patient. We also have several implants systems at our disposal. Blue sky for most planning and a dedicated implant focused faculty member to teach us. Just anecdotal but our chief this past tuesday placed 4 implants on one patient, and set of 2 implants on another two patients, all in day. I find that satisfactory. X-nav and zygoma's with Dierks at HNSA as well.

Orthognathics. The legacy group (HNSA) is know for cancer, but they also do quite a bit of orthognathics, especially in the last year or two. Bell has his own orthognathics clinic on tuesday's and is very busy during the summer and school vacation months. In addition, Patel and Cheng have been growing their sleep surgery practice with drug induced sleep endoscopy (DICE), hypoglossal nerve stimulator, MMA, etc. This summer, it's been 1-5 double (or triple) jaws a week over there. Residents get priority on orthognathics cases, usually simultaneous free flap or something going on for fellows. The addition of Magraw, craniofacial fellowship trained, will likely increase those numbers. While at OHSU, the chief has option of going up to Seattle for 3 days 6-8 times a year to work with Dr. Bobek, previous OHSU graduate and Carolina fellowship trained. He has an orthonathic private practice and while up there chief has been doing 3-4 dbl jaws/day for 2 days and clinic (equally important) for one day. This rotation is currently optional but I think a huge plus because it exposes us to jaw surgery in a private practice model. It also gives the 5th an opportunity to be chief at OHSU for a couple of days. While currently not as robust as legacy side, Hughes, Engelstad, and Govind (and Johnson at shriners) all have orthognathic cases. Also, with all of our attendings we are involved in all of the VSP planning. There are a couple things in the pipeline too OHSU that will likely increase our numbers.

Numbers are always hard to quantify. But what I can say is that we have an incredible exposure to every facet of OMFS. Yes, you get to cut a lot but just as important we have faculty that love to teach and want us to develop sound surgical skills. In addition, with our unique logical progression of curriculum (med school, anesthesia first, <9 months of gen surg) we get nonstop repetition to develop our surgical skill. No weird gaps to go back to med school or general surgery. No weird intern year right out of dental school just trying to learn how a hospital works. All of this factors into what your experience will be. Hope this helps!
Could you comment on a competitive CBSE for your program? Did most/all current residents get 70+? Thanks for doing these write-ups, this kind of info can be hard to find.
 
Most got 70+, but a close/lower score doesn't preclude you from getting an interview
 
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Hey there, sorry for the late reply! It is true ohsu does not have a prosthodontics residency, but we do have three full-time prosthodontics faculty in the faculty dental practice that is the floor above our clinic. We get referrals from them for the procedures described above. In addition, we get referrals from our gpr and outside gp's since our rates are very competitive. Finally, we place the majority of implants in our fibula patients. In addition, as stated above, the patients are patients of the resident, so you do 100% of the surgery and planning. There is no bait and switch that sometimes happens at other programs with faculty assigned private patients. Hope this helps!
 
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Most got 70+, but a close/lower score doesn't preclude you from getting an interview
Looking at the OHSU.OMFS Instagram account, the three residents highlighted attended Harvard, Columbia, and UCSF. Are the majority of residents coming from these “top” programs?

Are there residents who attended OHSU School of Dentistry?
 
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