OMFS Programs Overview

[noodles9]

Any updates from Kentucky? The only one I can find is 10 years old, would love to know anything more recent than that

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[schmoob]

We do not post private information that include names and contact information. Please refrain from posting such spreadsheets as it is a violation of our TOS.

 

[deleted913442]

Anyone have anything on Jefferson? Can't seem to find anything

 

[deleted913442]

University of Pennsylvania OMFS Program Overview​

Structure:
I. 6-year combined OMFS/MD program

• Currently 3 chief system until June 2021, 4 chiefs starting July 2021

PGY-1: 6 months OMFS (July-Dec), 6 months Med School (Jan-June: Systems)
PGY-2: 2 months OMFS (July-Aug), 10 months Med School (Sep-Dec: Systems, Jan-June: Clerkship)
PGY-3: 8 months Med School (July-Dec: Clerkship, Feb-Mar: Electives), 1 month OFF in January to study and take Steps 1 and 2, 3 months OMFS (Apr-June)

• Must pass Steps I, II (CS and CK) as part of med school graduation requirement
• M.D. awarded from University of Pennsylvania Perelman School of Medicine in May

PGY-4: 1 month OMFS, 4 months Adult Anesthesia, 1 month Pediatric Anesthesia, 2 months Plastics, 1 month Neurosurgery, 2.5 months as General Surgery (GS) PGY-1, 2 weeks OFF*

• 1 month Plastics spent on Craniofacial service.
• Expected to take Step III this year, but can technically take before graduating from the program.

PGY-5: 7 months OMFS, 2 months Plastics, 2.5 months as General Surgery (GS) PGY-2, 2 weeks OFF*

• Spend majority of time operating while on GS
• 1 month Plastics spent on Craniofacial service
• 2-year GS certificate awarded at the conclusion of the year (5 months GS, 4 months Plastics, 1 month Neurosurgery)

PGY-6: 12 months OMFS

* OFF time can be utilized for vacation, research or however one prefers.


II. Optional DSc degree

• New program that was initiated this past year. It is a 2-year program on top of 6-year OMFS/MD program with heavy focus on translational science and/or clinical research.
• Applicants accepted at PGY-4 for those interested.
• No one has done it, but it’s available.

Scope
We are considered a full traditional scope program with good balance of dentoalveolar, implants, trauma, orthognathics, TMJ, pathology and reconstruction. As mentioned above, our weaknesses are in cosmetics and most of our craniofacial experiences come while rotating through Plastics (yes, we get to cut on their service). Our H&N oncology program is growing, but we are not a ‘cancer’ program by any means and the expansion of the H&N service won’t take away one’s time from core OMFS. Over the past 4 years, we have hired 4 attendings and we are continuing to grow in all aspects. Our younger attendings are all eager to build their practice and staff any cases possible. We have 9 attendings, and in the process of hiring 2 more attendings. As a result, our caseload has increased every year for the past few years and we will be ready to accommodate the first 4-chief system in 2021. Overall, with the exception of dentoalveolar and implants, it’s a relatively top-heavy program. Sedations are often done with 2 residents cutting/pushing drugs with the attending observing most of the time.


Hospitals/Clinics/Rotation Sites
All of our sites are under the umbrella of Penn Medicine. All hospitals are within 5-15 minutes of each other with many sites located within walking distance.

Hospital of the University of Pennsylvania (HUP)
Nation’s 1st teaching hospital. This is our main base and we perform the majority of our elective cases such as orthognathics, TMJ, and benign pathology cases. Most of our attendings operate here and we have block time every Mondays and Thursdays with multiple rooms, and occasionally on Tuesdays and Fridays as well. Clinic is all 5 days a week with occasional office-based procedures including sedations, biopsies, and other office-based procedures. Chief service with plenty of interns and junior residents rotating.

Penn Presbyterian Medical Center (PPMC)
Trauma level 1 center with plenty of assaults, MVCs, falls, and GSWs. Most of our trauma experience comes from here. Trauma call is split between OMFS, ENT and Plastics unless if patient comes through the ED, which will be taken by OMFS 24/7. Clinic is 3 days a week with at least 3-4 sedations and other minor procedures per day as well as numerous patients coming in for consults and follow-ups. The service is run by a PGY-5 or 6 and is a busy service. We have block time every Tuesday where we run multiple rooms, as well as plenty of add-ons during the remainder of the week.

Pennsylvania Hospital (PAH)
Home to the 1st surgical amphitheater and medical library in the States. Our oncology experience comes from Dr. Shanti who mainly operates here and has a dual OMFS-ENT appointment. One PGY-5 or 6 staffs his oncology cases on Mondays and Tuesdays. The inpatient cases are combined OMFS-ENT cases, but the OMFS resident is the senior-most resident in Dr. Shanti's case, participating in neck dissections, free flap harvests, and assisting under the microscope. Block time every Monday and Tuesday. H&N clinic every Wednesday. We do not have an admitting service for anything that comes to the ED, but we would get consults and then transfer to our other sites as deemed necessary.

Children’s Hospital of Philadelphia (CHOP)
Nation’s 1st children’s hospital. We cover facial trauma every other month, split with Plastics. Block time every Thursday for Pediatric OMFS doing mostly dentoalveolar and pathology cases. Craniofacial is not our strength, but we spend 2 months of our residency operating within the craniofacial service under Plastics doing cranial vaults, clefts, distractors, etc.

Philadelphia VA Medical Center (VAMC)
A busy VA service with Drs. Panchal and Ford. It is predominantly a PGY-2 through 5 rotation site, usually staffed by 1-2 residents. We get most of our implant and graft cases here and perform all sorts of implant or graft cases (including zygomatic implants). Thanks to the VA, residents have unlimited resources to the various types of implants and graft materials: BMP2, BMAC, alloderm, literally anything. Our residents place implants as early as PGY-2 and we have enough cases to go around that the chief residents do not come over to snag implants. Most residents place over 100 implants at the end of their 4th year and finish with ~200 by their chief year. Often there are implant and/or grafting cases all 5 days a week with opportunities to schedule multiple cases a day. Residents control the schedule. Cosmetics is not our strength, but there is some exposure to cosmetics including Mohs recon, rhinoplasties and otoplasties. Block time every Thursday and every other Friday. OMFS takes face call 24/7 and consults are initially seen by GPR residents.

University of Pennsylvania School of Dental Medicine (SDM)
Your typical oral surgery clinic that runs 8 am to 5 pm. It is predominantly a PGY-1 through 4 rotation site, usually staffed by 1 resident. It is a resident run clinic with opportunities to run sedations as early as PGY-1. On a rare incident, the junior resident is paired with a PGY-5 to do more complex cases. The majority of cases are dentoalveolar, some pre-posthetics, and a few implant cases here and there. Only when the resident cases are over, the resident on rotation would often help bail out dental students with difficult extractions. It is a great site for our first years to work with their hands or for the junior residents to brush off the rust from being in med school rotations.

Penn Faculty Practice (PFP)
These are 2 sites. 4 of our attendings each spend a few days of the week at Penn’s faculty practice. This clinic runs from Mon to Fri with multiple operatories to allow at least 3 sedations per day with occasional implant cases. We are always welcomed by the attendings and as a result, the clinic is often staffed by 2-3 residents (often 1 intern, 1 junior, and 1 senior) at a time. Most attendings are hands off and often help push drugs while we are taking our thirds. The clinic is state of the art and set up just like a private practice. There are several dental assistants assisting and turning over chairs to seat the next patient.


Call
Primary call is taken predominantly by our PGY-1 and non-categoricals and is roughly q4-5. Our PGY-2 and -3 also take primary call occasionally while in medical school. Residents take a few OMFS calls a month while in medical school in order to maintain PGY status. Facial trauma call is in house and we have our own call room at every site. PPMC and CHOP are Level 1 Trauma hospitals.

1. Facial Trauma

• HUP: split with Plastics and ENT every 3 weeks
• PPMC: 24/7 if patient comes through ED, but if patient comes through the trauma bay then we’ll split with Plastics and ENT every 3 weeks for an entire week
• CHOP: split with Plastics every other month
• VAMC: OMFS 24/7 but GPR takes 1st call in all consults

2. Dental: 24/7 everywhere but other services are great at filtering what needs to be seen by OMFS

• CHOP: Peds Dental takes dental and dental trauma calls
• HUP: Oral Medicine takes dental clearance consults
• VAMC: GPR takes 1st call for anything dental

Faculty
Anh Le, DDS, PhD: Chair, leader in translational and stem-cell research
Helen Giannakopoulos, DDS, MD: Program director; full scope
David Stanton, DMD, MD: Cosmetics trained; well-respected faculty in our field; full scope
Lee Carrasco, DDS, MD: Chief of HUP; full scope particularly orthognathics
Eric Granquist, DDS, MD: full scope, probably has one of the highest TMJR volumes in the country
Neeraj Panchal, DDS, MD: Chief of PPMC and VA; full scope particularly reconstructive cases
Rabie Shanti, DMD, MD: H&N/MORS trained, dual appointment with ENT
Steven Wang, DMD, MD: Director of SDM OS; full scope
Brian Ford, DMD, MD: full scope; place a lot of implants with him
Brian Chang, DDS: Maxillofacial prosthodontist


Didactics

• Lectures: every Thursday 7-8 am, occasionally on Tuesday 7-8 am.
  • Includes treatment planning conference, pathology conference, journal club, OMSITE review, etc
• Department Grand Rounds: every Thursday PM with guest speakers frequently invited.
• Penn Dental Interdisciplinary Grand Rounds: monthly; combined conference between OMFS, Orthodontics, Prosthodontics and other dental departments
• Center for Human Appearance: monthly; combined conference between OMFS, Plastic Surgery, ENT, Dermatology, and Oculoplastics

Tuition and Stipend
Tuition
Residents are responsible for 2.5 years of med school tuition from 2nd half of PGY1 to the end of PGY3. This amount sums out to an estimated total of $149,775 ($59,910 per year) in 2019.

Stipend **
Residents get paid throughout all 6 years of training based on their respective PGY status. The stipend is enough to cover the living expenses and to help alleviate the cost of medical school tuition.

• 1st year: $45,567 (9 months of PGY1 salary)
• 2nd year: $52,381 (10 months of PGY2 salary)
• 3rd year: $65,978
• 4th year: $68,661
• 5th year: $71,614
• 6th year: $74,027

** Numbers are from 2019. The program is currently working to obtain full stipend during 1st and 2 years.


Culture
We have a very diverse group of residents from various parts of the U.S. as well as Canada and Asia. We have a great balance between male and female residents. Some residents have families while others are single. We do not have one ‘malignant’ attending and everyone is approachable including our chair, program director and other senior attendings. There are plenty of social events hosted by the department for social gatherings.


Other Information
The program is located in the heart of Philadelphia, a metropolitan area with rich history. The city is conveniently located between New York (2 hours) and Washington D.C. (2.5 hours) for a weekend trip. Most of our residents live in Center City, which offers plenty of good food with affordable restaurants, nice parks and waterfront. A few residents with families live in the suburbs that are within 15-30 minute commute.

Penn’s Perelman School of Medicine is an ivy league institution and considered a top 3-5 medical school in the nation. The school provides tremendous support for our residents as they undergo their medical training. We get a great medical education. In addition, Penn Health System and the Children’s Hospital are both well-resourced and offer a great working environment for any employee including residents.


Recent Graduates
Most graduates pursue private practice, but our recent graduates have matched into craniofacial and cosmetic fellowships. Every year is different, but our most recent graduates are in fellowships.


Internship
4 non-categorical interns are taken each year. Our non-categorical interns are treated just like our categoricals with equal responsibilities as well as call distribution. Interns at Penn match well to categorical positions. our recent interns have successfully matched into the following programs: Penn, West Virginia, Jefferson, Montefiore, MUSC, Medstar, Minnesota, Mt. Sinai, Tufts, etc. More information regarding the internship can be found at the following link:

Internships - Penn Dental Medicine


Externship
There’s no better way to learn about a program other than visiting a program through an externship. We offer 1- to 2-week externships any dental or medical students who are interested in the program. We recommend that you visit us to learn more about what the program has to offer. This is predominantly an observership, but our externs will work alongside residents at HUP, PPMC, CHOP, PAH and dental school, participating in rounds, OR or clinic. The VA does not accommodate students at this time. More information regarding the extenship can be found at the following link:

Externships - Penn Dental Medicine


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Thanks for your attention. PM me with any questions.

Tried PMing you but it says I don't have access to!

Just curious but is it common for the residents to moonlight? Specifically during the medical school years? If so, do they usually make enough to pay off most of the medical school debt?

 

[Pennywisdom]

Tried PMing you but it says I don't have access to!

Just curious but is it common for the residents to moonlight? Specifically during the medical school years? If so, do they usually make enough to pay off most of the medical school debt?

Residents are allowed to moonlight. You get a good annual stipend as med students and it all depends on how often you moonlight and how hard you hustle for your money. Not easy to completely off set, but in my opinion the debt becomes much more manageable.

We also about to hire a craniofacial attending and will likely be adding another VA hospital. Come for an externship.

 

[cementoenamel junction]

Not much info on Canadian OMFS programs on this board

McGill

Positions:
- 1 North American position/year; must be eligible for a Quebec license, so applicants must pass the NDEB (6 year MD,CM program)
- 1 Saudi position every other year (4 year program)
- 1-2 internship positions each year (1 North American +/- 1 Saudi)
- 1 MORS fellow
Generally GPR or internship experience is preferred, however we have one resident without either atm
70 on the NBME is required

The MUHC is an English speaking institution, however French is a plus as some patients don't speak English (thus, don't need to wait for a translator)
There are no shortage of cases, as the MUCH services the greater Montreal area as well as Northern Quebec

We cover 3 hospitals:
- Montreal General Hospital (main base / level 1 trauma centre)
- Royal Victoria Hospital
- Montreal Children's hospital

6 year overview:
- First 6 months OMFS
- Year 0.5 - 3 Medical school (6 months of OMFS during this time)
- Year 4 General Surgery
- Year 5 and 6 OMFS

Scope:
- Program is quite balanced and very busy
Clinic
- Busy dentoalveolar clinic with a high volume of extractions, implants (majority of which are multi-implant cases), sedations, 8's, biopsies, malignant/benign path etc
- Juniors start off with extractions + sedations, straight forward implant placements, biopsies, etc
- Seniors supervise Juniors and do cases they're interested in as well as more complex implant cases, arthrocentesis, etc
Trauma
- Alternates every week with plastics
- OMFS responsible for everything frontal bone and below
- Good variety of cases, however light on GSWs (it's Canada...)
Orthognathics
- 2-8 cases per week; TONS of orthognathic cases
- Seniors will have cut well over 100 by the time they graduate
Pathology
- LOTS of benign and malignant pathology
- 1 flap case per week for malignancies; we do a ton - fibulas, radial forearms, scaps, ALTS, pecs, etc; if you like microvascular you'll get tons of exposure here
- We always operate in a 2 team approach; flaps and resections are all done by OMFS
- Tons of neck dissections; seniors do a lot of resections and neck dissections
Cleft/craniofacial
- We have 2 attending with cleft craniofacial training, however at this time the program is only involved with 2ndary repairs
TMJ
- Although not as common there are a few complete TMJ replacements each year
Cosmetics
- One of the weaker aspects of this program, as there is very little cosmetics exposure
- A few septos/rhinos and zygomatic implants each year
- Lots of hip grafts / alveolar recons
Didactics
- Teaching rounds once per week
- Resident lectures once per week after hours
- Majority of learning occurs through self-directed reading at home, similar to most other OMFS programs

Staff - 7 attendings:
- Dr. Makhoul: Director of the division. Very personable attending who is microvascular trained out of Michigan
- Dr. El-Hakim: Former program director. Our other microvascular attending trained out of Maryland
- Dr. Chiasson: Current program director with cleft-craniofacial training
- Dr. Chehade: one of the best in the city in dentoalveolar and orthognathics
- Dr. Iera: Undergraduate director with cleft-craniofacial trading
- Dr. Emory: bread and butter
- Dr. Pompura: bread and butter + lots of TMJ

This program practices full scope OMFS. Needless to say, it is quite busy and can go toe to toe with the best programs.
Hopefully this helps, as information on Canadian programs is scarce.

Thank you for this! I plan on applying to McGill in a few years, and really am in love with McGill’s OMFS Program. Cheers

 

[bonzDDS]

Any info on Mt Sinai BI/Jacobi? Heard it is a very strong program just don’t know much specifics

 

[C.elegans]

Any info on Mt Sinai BI/Jacobi? Heard it is a very strong program just don’t know much specifics

Mount Sinai BI/ jacobi merged with Mount Sinai Uptown and they are now one program. 4 spots per year for the 6yr program. Med school is at Albert Einstein. The main sites they cover are Mount Sinai West, Mount Sinai St Luke’s, Mount Sinai BI and union square, Mount Sinai Hospital, Jacobi, North central bronx, bronx VA, Elmhurst and Jamaica hospital. It is a great program with badass attendings and super smart and nice residents.

Im sure the current residents can write a more comprehensive review of all the details but this is the first year of the merger so they were still figuring out the ropes when I interviewed. I recommend externing once this pandemic is over bc I personally had a great experience.

 

[deleted972255]

Does anyone have any info about King's County/Downstate 6 YR program? I can't even find a website for their residency program...
Would appreciate any info about scope, breakdown on what each of the 6 years involve, etc.
Thanks

 

[BYU4you]

If anyone wants info on Loma Linda program, shoot me a message. I will start here in a couple months, but I know a lot from going to the dental school. I will do a new update on here once I get all my facts and numbers confirmed.

 

[moozoutz]

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.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:

• 6 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)
• 2 months on ENT head/neck service
• 4 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.

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

I'm just checking the website for the OMS program at OHSU, and it says the program chair is a periodontist...? Is that a mistake?

 

[Chomski]

Any updates from Kentucky? The only one I can find is 10 years old, would love to know anything more recent than that

I'm working on an update now for us. I hope to have it posted sometime next week. Pretty sure I'm the only resident in our program who ever goes on this site, sorry for things being so out of date

 

[noodles9]

I'm working on an update now for us. I hope to have it posted sometime next week. Pretty sure I'm the only resident in our program who ever goes on this site, sorry for things being so out of date

No worries! I appreciate you taking the time, I'm not sure how much time I'd spend on SDN either. Thanks in advance

 

[Chomski]

University of Kentucky


Doesn’t look like we’ve updated our information in a while so here is some more recent information about UK. Please feel free to let me know if you all have questions or need clarification.

6 year program; 36 months on service

3 residents per year. 1 non-catagorical intern


Year 1:
This is your traditional intern year. This year is split between 9 months at UK clinics and 3 months at the VA. For 9 months of the year you are running the UK clinic. This clinic is a major strength of our program and is one place where you get a lot of experience. I did over 200 sedations my intern year and my co-residents had similar numbers. Probably about half of those cases were 3rd molars and about half were other extractions. During these 9 months interns are also assigned to the OR to assist or cut cases, and also to faculty clinic where you still take out teeth and do sedations. Drs. Cobetto, Erena, and Dominguez primarily run the clinic. All three are great and experienced surgeons, but they shine in being patient and loving to teach residents to become better surgeons.

For the other 3 months of the year you are at the VA with our attending Dr. Murphy and a fifth year resident. This clinic is a bit slower paced and allows for a lot of one on one time with Dr. Murphy. He was a private practice Oral Surgeon for a long time before coming to the VA and is a great resource for teaching dentoalveolar. As an intern I did 50 implants, and most of these were at the VA clinic. We also do botox for migraine headaches at the VA which was a pretty cool experience. I did about 15 of these cases as well.

During the whole year you take Q4 call which works out to be 7-8 days of call per month for each intern. As a service we rotate with plastic surgery and ENT taking full facial trauma call so every 3rd day we are covering facial trauma. UK and Louisville are the only level 1 trauma centers in the state of Kentucky, so we cover all the trauma from the east side of the state and Louisville does the west. It is common to get patients from 2-3 hours away in our emergency room because we are the only game in town. This can make for some very busy trauma nights.

Year 2:
Second year of medical school. Systems based curriculum you take classes with the M2s. You have no OMS obligations during this time. Classes end in March so you have April, May and June to study for Step 1 and then chill. This is a pretty relaxed year. You qualify for in state tuition for this and third year of medical school even if you are not from Kentucky.

Year 3:
Third year of medical school (rotations in surgery, medicine, neurology, etc). Take Step 2 CS and Step 2 CK. Third year rotations typically end in mid-May and you then have June off before starting 4th year. After finishing in May you are awarded your M.D. from the UK College of Medicine.

Year 4:
General Surgery and Anesthesia year. This year we do 7 months of general surgery and 5 months of anesthesia. In general surgery we rotate 1 month each on the following rotations: Trauma ICU, Trauma floor, Vascular, ENT, Plastic Surgery, Pediatric Surgery, and Endocrine Surgery. During the 5 months of anesthesia you very quickly progress to running your own room and performing all your own intubations/extubations etc.

Year 5:
5th year is divided up into three 4 month rotations: cancer/trauma service, outpatient clinic, and VA clinic. The cancer/trauma rotation is currently spent training one on one with Dr Yeoh in the operating room focusing mainly on pathology and trauma but with some dentoalveolar, orthognathics, TMJ surgery as well. Dr. Yeoh is our microvascular surgeon and chair and enjoys getting 5th years in the OR so he can teach them to operate. Our free flap reconstructions are mainly for malignant path but also occasionally for benign path or trauma. Dr. Yeoh does not have a fellow and does not want one, which means the 5th year gets to operate a lot in these surgeries. This ends up being a great operating experience as you learn to excise pathology, perform neck dissections, harvest free flaps and perform anastomoses.

The UK outpatient clinic consists of high volume IV sedations, dental extractions including wisdom teeth, expose and bond, implants, and bone grafting. The fifth year is in charge of the clinic and runs it in conjunction with a clinic attending.

The VA outpatient clinic focuses on dentoalveolar surgery, preprosthetic surgery, implant surgery, and bone grafting. It includes some IV sedations in clinic and approximately 4 OR days per month. 5th years take backup call and currently have no call responsibilities while at the VA.

Year 6:

Our chief year is divided between rotations with Dr. Van Sickels, Dr. Tucker, and another rotation with Dr. Yeoh. The rotation with Dr. Van Sickels is very heavy in orthognathic but also includes some trauma, pediatric surgery (distractions etc), dentoalveolar, and implants. Dr. Van Sickels brings a wealth of knowledge to our program and is a pillar in the orthognathic surgery community. Our orthognathic cases often involve large and complex moves but working with Dr. Van Sickels makes them seem routine. Chiefs often graduate with 50-70 jaws completed after their time on this rotation. Dr. Van Sickels cuts half the case and the resident the other half.

Dr. Tucker practiced in private practice for years before joining UK. He brings a wealth of knowledge regarding complex prosthetic reconstructive techniques. Our chiefs this year graduated having completed 10-20 All on X cases each, and between 5-10 zygomatic implants each. Not only does he teach the surgical technique in placing these implants but he also is well versed in the prosthetic side which is extremely important if you want to go into private practice. Dr. Tucker also enjoys taking call so as his chief you will operate on lots a trauma and infections as well.

The second rotation with Dr. Yeoh is designed to let chief residents operate more independently and get more experience with all aspects of OMS. The chiefs will often run Dr. Yeoh’s second room. By this point you will have had ample trauma and infection experience, so this rotation lets you operate more independently and develop your operating style. Chiefs will often help out with cancer cases if they have time which makes the cancer cases go more quickly. Chiefs may harvest the flap while Dr. Yeoh and the 5th year perform the ablation and neck dissection.


Total 36 OMS months on service, 7 months on general surgery, 5 months anesthesia


Program Chair: Melvyn Yeoh, DMD, MD, FACS

Program director: Joseph Van Sickels, DDS, FACS

OMS Faculty:

Gregory A. Cobetto, DMD

Enif A. Dominguez-Fernandez, DDS

Gregory R. Erena, DMD

Justin R. Kolasa, MD, DMD

Steven R. Tucker, DMD

Didactics: We have weekly lectures with Dr. Van Sickels for part of the year learning orthognathic principles, as well as monthly meetings and joint presentations with our orthodontics department. Additionally we have M&M monthly to review and improve upon operative complications. Overall not too didactic heavy.

Program Culture: We are a relaxed program in a sense where all the residents hang out with each other and the attendings. We will go out for beers together, do holiday parties, and backyard barbeques. While at the hospital everyone works hard but we still like to hang out outside of work. Lots of people have spouses and families and they bring them when we all go out so in a sense it becomes like one big family. If you interview with us our metric is, “does this seem like someone I could go out for a beer/dinner with?”

Scope: Pretty broad. Lots of trauma, malignant path, benign pathology, orthognathic, tons of in clinic sedations, third molars extractions, implants. We do not do much cosmetic surgery other than post traumatic (i.e. post traumatic rhinoplasty). Regarding craniofacial we don’t do primary cleft lips or palates but we do the alveolar cleft repair and we do a handful of distraction cases a year for craniofacial syndromes. Dr. Van Sickels also takes 1-2 residents on a Cleft Lip and Palate mission trip yearly where they are able to perform the primary surgeries.

Call: As interns we take q4 call. We rotate trauma call with ENT and Plastics so we cover trauma call one out of every 3 days. It works out to 7-8 days of call a month with 2-3 days of those being trauma days. We do power weekends (intern is on call Friday, Saturday, Sunday) which get exhausting but then each intern is only on call 1 weekend a month. 5th and 6th years do not take primary call and usually will be on for a week at a time and then off for 4 weeks or so.

Research: We don’t do much. We present some case reports intern year which fulfills the CODA research requirement. A few of us have published a paper or two in residency but the majority of residents do not do much research. Attendings are always willing to take part and mentor you if you have a research interest but they don’t force it on us.

UK Hospital: The hospital is right on the undergraduate campus and is in a very safe area. We cover the VA and Children’s hospitals as well but they are all connected so at most you have to walk 10 minutes to get from one side of the hospital to another. We also cover Good Samaritan hospital which is a 5 minute drive away but we do not get many consults there. You will likely only have to go there once or twice a year.

Lexington: It’s a great city. Extremely safe and tons to do. Lots of breweries, distilleries, restaurants and events to go to. You can get anywhere in the city in about 20 minutes and living here is extremely affordable. Most residents end up buying houses because housing prices are so low. If you come here you will come to love horseracing and bourbon. We have horseraces at Keeneland every October and April and people love to get dressed up and go watch the races. We also just started a yearly music festival (Railbird) with big bands that come and perform. UK is also a big basketball school so everyone here goes nuts supporting UK come March. The hospital itself is right integrated with the undergrad campus which definitely helps with the UK spirit.

My personal impression of our program: While I am biased, I wanted to do this write-up because I honestly believe we are one of the best programs in the country. I don’t know of many others that get the same dentoalveolar experience with third molars, sedations, and implants. We combine this with a very strong operative experience where you will operate a ton on full facial trauma, cancer, orthognathic, TMJ and others. In addition to this, residents get along very well and love to hang out which makes all the hard work a lot easier to put in.

Thank you for taking the time to read this and feel free to contact me directly for any questions or concerns regarding this update. The easiest way to reach me is via email because I am not on SDN often. Feel free to contact me at [email protected]

 

[UC OMFS]

University of Cincinnati Oral and Maxillofacial Surgery Program (Updated 2023)


48-month OMFS Certificate Program with Optional MD Certificate

3 residents per year plus 1 non-categorical intern

Rotations:

32 + 4 months on OMFS service

6 months Anesthesia (4 months UCMC, 2 months Children’s Hospital)

4 months Surgery (2 months Trauma, 1 month SICU (currently trialing 6 weeks and 6 weeks), and 1 month Gen Surg

2 months Medicine

1 month ENT, 1 month Plastics, 1 month ED, 1 month India rotation (elective Cleft rotation in Bangalore)

Our hospital rotations are on 4-week blocks. So this essentially gives us 13 blocks per year, which is why the above rotations add up to 52 “months.” This adds 4 extra weeks per year for OMFS.

Contact:

Program Website: Oral and Maxillofacial Surgery Residency | Surgery | UC Cincinnati College of Medicine - ..WB1PRD01W-Med.uc.edu

Instagram: @ucomfs

Yvonne Hawkins – Program Coordinator ([email protected])


Full-Time Attendings:

Deepak Krishnan, DDS, FACS - Chief of Oral & Maxillofacial Surgery (Residency: Emory) ABOMS board of directors

Mike Grau Jr., DMD – Program Director (Residency: University of Cincinnati)

Hether Khosa, DDS (Residency: University of Maryland)

James Phero, DDS, MD (Residency: University of North Carolina)

David Morrison, DMD (Residency: Parkland) AAOMS vice president 2022-23, AAOMS President 2023-24



Part-Time Attendings (for didactics and maybe the occasional call coverage, but not for clinic/OR)

Jimmie Harper, DDS- Attending at CCHMC pediatric clinic, Didactics, Medicine/Anesthesia Course, Cadaver Lab sessions

Andres Flores, DDS, MS- Oral and Maxillofacial Pathologist - Pathology Didactics

Randall Stastny, DMD - Didactics - Pathology/Board Review

Gary Robins, DMD - TMJ and Orofacial Pain specialist

Mi Young Kim, DDS - Oral and Maxillofacial Prosthodontist

Richard Campbell, DMD, MS - Orthodontist and Dentofacial Orthopedics

Krishnamurthy Bonanthaya - MBBS, MDS, FDSRCS, FFDRCS - Oral and Maxillofacial/Craniofacial Surgeon - Bangalore, India

Staff:

Yvonne Hawkins - Program Coordinator ([email protected])

Kassie Hooker - Clinical Research Coordinator

Tad Peeples - Assistant Director, Business & Administration

Clinics:

Faculty Practice Clinic: 3 operatories, 2 consult rooms, 1 RN, 2 surgical assistants, 1 NP that see's exams and discharges patients from the hospital, implant coordinator, 1 maxillofacial prosthodontist, 1 TMD-orofacial pain specialist, 1 oral and maxillofacial pathologist

Cincinnati Children's Hospital Clinic: Soon to open (2023) and will be staffed by Dr. Harper. Currently we do pediatric sedations/breath downs at our faculty practice (MAB), but the goal is to have a dedicated clinic at CCHMC for pediatric patients. We have 2 anesthesia machines in this clinic and it will likely be 1 day/week.

Holmes Hospital Clinic: 4 operatories, 3 consult rooms, 3 RN's, 4 surgical assistants, insurance coordinator, research coordinator, 2 OR schedulers

Structure:

1st Year:

Mostly on OMFS Service (1 month ED, 1 month Medicine, 1 month Anesthesia CPC)

Interns are the work-horse of the clinic: seeing consults, post-ops, lots of extractions and biopsies under local. There is always an intern scrubbed in the OR as well, they typically alternate weeks, so you’ll be in the OR for the entire week at a time. While in the OR, you will be primary operator for extraction cases and other simple cases. For orthognathics, trauma, TMJ cases, you not only assist but help close the case. Interns run the VA clinic as well. We do not close reduce mandibles (wire shut) in the ED, nor do we take out teeth or drain minor infections in the ED - they just follow-up in clinic the next day. There is a non-categorical intern that joins the first year class and they are considered the same as our categorical intern and get equal treatment and experience- OR and clinical experience is the same as other interns. They also rotate to the VA where they place implants.

2nd Year:

Mostly off-service (5 months Anesthesia, 1 month Medicine, 2 month Trauma, 1 month SICU, the rest on OMFS)

Second year residents are pretty much never around. We occasionally forget they’re a part of the program until they randomly show up for free food. All-in-all, it’s a pretty good year. Anesthesia is nice, you don’t take any call, and you have every weekend off for 5 straight months. While you’re on Anesthesia, you function independently and completely as one of their residents, run your own room, get tons of intubations, lines, etc. You’ll do 4 months total at UC and 2 months at Children’s Hospital (#1 ranked Children's Hospital nationally). Our anesthesia experience (both hospital based and clinic based) is definitely one of the highlights of our residency. At UC you will be the anesthesia provider for various surgeries ranging from ICU level of care with multiple drips to quick and easy outpatient surgeries. Often you will be the anesthesia provider for the OMFS cases. Although this isn't always preferred since many OMFS cases require nasoendotracheal intubation (oral intubation is preferred for airway experience). You will be comfortable with every type of anesthesia: TIVA, GETA, LMA, Open airway. The attending is only around for induction and wake up. Since attendings have multiple rooms and residents, sometimes they won't be around for wakeup. During your 2 months at Children's Hospital you will far surpass the required number of pediatric anesthesia case requirements. You will intubate babies only a few weeks old, sevo breath downs every day, place IV's in babies, ketamine darts and anything that comes with pediatric anesthesia. You will be the provider for very medically complex children at CCHMC. Patient's travel from across the world to be treated at CCHMC. We have recent grads that have limited their practice to pediatrics and routinely perform general anesthetics on 2 year olds.

Our Trauma, SICU and Medicine rotations are probably on par with other programs. We have a very busy general surgery trauma service. You will be closing lacs and GSW's not only on the face, but everywhere you can imagine. You place several chest tubes and occasionally go to the OR with your senior if you are caught up with notes/junior tasks.

While on service, your responsibilities increase. After you’ve finished your anesthesia rotation, you are able to perform sedations in clinic. One of our 2nd year residents logged over 80 sedations in 3 months this year. You take the occasional call night, cover cases in the OR (especially at Children’s where it’s just you and the Attending operating), help keep the interns in line, etc.

3rd Year:

Back on service for the most part (1 month ENT, 1 month Plastics, 1 month Gen Surg, 1 month India Cleft rotation, the rest on OMFS).

While on service, the third years have increased responsibilities such as running the faculty-clinic and the resident-clinic. You will do a lot of office-based procedures/sedations. By the end of your third year, you have easily surpassed the minimum required on service anesthesia cases needed to graduate. Third year residents do about 50 IVS/GA cases per month, so they will finish third year with 400-500 IVS/GA cases as both the surgeon and anesthesia provider. Cases are never split. The only time we use a two provider anesthesia model is when we are using an anesthesia machine with LMA/intubated patient. You will be the main operator with OMS attending at Thursday CCHMC OR cases and Friday UCMC OR cases. You also take back-up/senior-level call on occasion when the chief residents cannot, including covering their OR cases if needed. At the faculty clinic, third years are doing all of the procedures with faculty supervision as needed. Occasionally the attending will help out if you need a bail out or if you are getting behind in the schedule. The faculty clinic has only 1 third year resident and on average 8-10 surgeries scheduled per day (more advanced ambulatory cases implant/dentoalveolar/TMJ/occasional cosmetic procedure) so by the end of third year you will be very fast/efficient and would be able step right into private practice and produce from day 1. Occasionally during the year, especially near the end of the year, third years will start splitting big cases (orthognathic/trauma/TJR) with the chief or taking the lead on the case.

On plastics residents get exposure to rhinoplasty, primary CL&P, blephs, free flaps, facial trauma, burns etc
The entire month on ENT is on the Head and Neck service so residents will see flaps and neck dissections every day. The Head and neck service is here is very busy and routinely does 2-3 flaps daily.
The India cleft rotation exposes residents to prenatal counseling, nasoalveolar moulding, nutritional counseling, primary CL&P surgery, alveolar cleft grafting, revision surgery for lip and palate, cleft nose rhinoplasty, cleft orthognathics, distraction osteogenesis. The india rotation is at the Smile Train Leadership Center in India which completes over 800 cleft related surgeries per year. The volume of clefts seen here is far greater than most places in the United States. Residents can expect to log over 50 major cleft surgeries during their month in India.

4th year:

12 months OMS. The chief resident has three main responsibilities: being the main operating resident, being the clinic-chief for the resident clinic, and being the chief-resident senior on call. You alternate between these roles on a weekly basis. For example, one week you will be covering all the operating room cases, the next you will be on call/operating in the VA/emergent cases, the next you will be in the resident clinic strictly doing sedations/procedures. In general, if you have a bigger case that you have worked-up (orthognathic, TJR, etc) in the faculty-clinic, you will get to operate on that case regardless of the week. While on call, you’re responsible for overseeing admitted patients and consults, while operating any emergency cases that come in overnight. No chief residents struggle to reach any of their minimums for graduation.

Strengths of the program:

- Anesthesia experience - while on your off-service rotation, you are treated as an independent anesthesia resident. You rotate through Cincinnati Children’s (which is #1 ranked Children's Hospital nationally) where you are treated as a second year anesthesia resident. You mostly start doing your own sedations as a second year. By the end of your residency, you can easily reach 1,000+ anesthesia cases (ambulatory sedations and OR general anesthesia cases) depending on how hungry you are. One of our current outgoing chiefs logged over 1,200 during his 4 years. While doing sedations, you are doing the procedure and the anesthesia alone, just as you would in private practice. We do 26-28 IVS/GA cases at the resident clinic daily and 4-5 IVS/GA cases at the faculty clinic daily. Attendings are not in the room during sedations. The resident has full autonomy over type of sedation desired. You have propofol, ketamine, fentanyl, versed (and precedex at the MAB) at your disposal as well as any ancillary medication you want. We have propofol pumps and an anesthesia ventilator (sevo) in our clinic. You will be comfortable tailoring your sedation techniques to the medically complex: opioid use disorder on opioid blocking agents, obese (which is becoming increasingly important), psychiatric pt, pediatric pt, renal failure pt, liver failure pt, cardiac pt, etc.

- Orthognathic/TMJ - Our faculty has a well-established high volume orthognathic practice. During the busy months of the year, we have 4-5 orthognathic cases a week, and usually have 1-2 orthognathic cases during the slower months of the year. There is no shortage of orthognathic cases since none of the Cincinnati community OMS do orthognathic surgery. We get cases from all over Ohio since both Case and Ohio State do not take Medicaid insurance. Additionally, three of our 5 faculty do orthognathic surgery. The resident is involved in every aspect of the orthognathic surgery from initial consult/eval, VSP meeting, surgery and follow-ups. All of our orthogs are VSP. We do several temporomandibular joint replacement surgeries a year, as well as various TMJ surgeries. Four of our faculty perform TMJ surgery. Keep in mind, we do not see and manage many patients with chronic TMJ pain in our clinic. We’re lucky to have Dr. Robins here, who is an orofacial pain specialist and manages the TMJ patients in his private clinic. Once a patient fails conservative therapy, he then refers them to us for surgical treatment.

- Dentoalveolar - you’ll become an expert tooth shucker, edentulate way too many people, and be proud of it. No matter what size, shape, and place, you’ll be able to do it well. You'll be doing full bony thirds in under 15 minutes by chief year.

- Trauma - since we are the primary facial-trauma team for all of the secondary/tertiary hospitals in the tri-state area, we get a lot of mandibular fractures and a decent amount of midfacial trauma. We are on call at these hospitals 365 (every day), but we don't have to physically travel to the hospital we just take the call and have the pt follow-up in clinic for evaluation. So we get good trauma numbers with less call burden. We also split facial trauma call at UCMC (the only level I trauma center in the region) with plastics and ENT every third day. You will get your fair share of lacs, GSWs, avulsions, dog bites, etc as an intern. You will feel more than comfortable managing the OMS trauma patient.

- Off-service experience - there is a heavy focus on medicine/anesthesia in this program. It starts in our first year with Dr. Harper, who runs an extraordinary weekly anesthesia/medicine course for the residents. Since you have a near full year on service as an intern you are able to essentially get a condensed/high yield med school education from Dr. Harper- system by system (cardiac, pulmonary, renal, etc) week by week. Then when you go off-service you are knowledgeable and gain the respect of the off service attendings. While off-service, you have the same responsibilities as any resident on that service (Medicine, Anesthesia, General Surgery). Thus, you have a lot of one-on-one time with Attendings, and you get great clinical experiences. But that also comes with increased responsibilities and more intensive rotations. For a non-MD based program, you will receive a great medical education, one that is clinical and focused on relevant knowledge.

- Pediatrics - You’ll get really comfortable treating kids. You’ll get exposure to office based pediatric anesthesia (sevo breath downs) at our faculty clinic (this will transition to CCHMC clinic this year). We also serve on the CCHMC Craniofacial Anomolies Team in the role of cleft bone grafting and cleft orthognathic surgery. Around 10-20% of our orthognathic cases are at CCHMC on cleft patients. In addition to orthognathic and cleft care, we operate at CCHMC weekly for dentoalveolar, pediatric mandible trauma and pathology surgeries.
We do a rotation in Bangalore, India, where we get heavy exposure to one of the busiest cleft lip/palate surgery units in the world. You will do a few primary lips/palates and cleft rhinoplasties when on your Plastic surgery rotation, but the majority of these surgeries will be done in India. Obviously, you won’t finish the program being able to do primary cleft lip/palate surgery, but you’ll get a great exposure that would prepare you for a fellowship if desired.

- Culture - for the most part, we enjoy going to work. We have a non-malignant environment. Our attendings are very approachable and friendly. The residents take care of each other and help each other out. We encourage that residents have a life outside the program, and many of our residents have families. We’re a diverse group from many different backgrounds and parts of the country/world. It’s a great environment to be a part of and work in. The attendings usually split the advanced procedures with the chief resident early in the year (meaning orthognathic, tmj, reconstructive etc), then after a few months they let the resident do the whole thing depending on the resident’s proficiency level and the type of case. It would be untrue to say that our attendings aren’t involved with the surgery from the treatment planning to the execution of it. You will never be in a situation as the chief resident where you do not take the lead on the case. Our attendings do like to teach while doing the surgery with you and show you the pearls as you are the main surgeon cutting.

- Job opportunities - Our graduating residents are well-prepared to pursue private practice or academics. 3rd and 4th year residents routinely do 10-12 sedations in a day. You will be fast and competent to step into a busy private practice schedule or if you pursue academics you will be very comfortable with orthognathic, trauma and benign pathology. In general, our alumni are located throughout the country (East to West coast) and are not restricted to the Cincinnati/Kentucky area. Several of our recent graduates have pursued academics without issues, although most tend to work in private practice. Dr. Krishnan is very active and well-regarded in the field and prioritizes his residents succeeding after they graduate. Dr. Morrison is also very well connected as he is very active in OMS legislation serving as AAOMS Vice President and President. If you want to do a fellowship you will have no problem getting into a craniofacial, cosmetic or general OMS fellowship. (although you will be comfortable with traditional scope OMS and won't need to do a fellowship for it).

- Geographic advantage - Our program primarily operates out of five locations: Holmes Hospital, Medical Arts Building, the VA, UC main hospital and Children’s Hospital. All five of these locations are walking distance from each other and our parking garage. A typical day consists of rounding on inpatients at UC main hospital, attending lecture/OMS Grand Rounds in Holmes Hospital, then either remaining at the Holmes Hospital resident clinic/OR or walking over to one of the other locations if you are rotating there. The Holmes Hospital OR’s are on the same floor as our resident clinic less than 40 steps away. This allows residents quick access between the OR and resident clinic. If an OR case gets delayed, the chief can easily head over to the resident clinic to finish up a note, eat lunch or even do a quick sedation. This also makes it incredibly convenient for interns to pre-op OR patients then jump back over to seeing consults or doing locals in the resident clinic. Overall, this makes for a highly efficient work day. We should mention that on some Wednesday’s we operate out of West Chester Hospital which is 20 miles north of the University of Cincinnati Medical Center. Typically only a chief and junior level will drive up there for the case. We do not round at West Chester, and it is the only location we drive to. Finally, we have blocked OR time 4 full days a week at Holmes Hospital, 2 full days a week at CCHMC, 1 (sometimes 2) full day a week at UCMC, 1 full day a week at WCH, 1 day a month at VA. Since we have ample block time we rarely have to operate late into the night as "add on" or "catch-up" cases. The only cases we have to book as add-on are emergent trauma cases and neck infections, the rest can be scheduled in block time.


Weaknesses of the program:

- Implantology/prosthodontics - We are not affiliated with a dental school, which actually has many advantages on its own, but it does mean our implant case load is not as high as we would like it to be. Our implant cases come from either the faculty clinic (private practice dentists) or the VA. In the past, we have only been in the VA on a weekly basis and go to the operating room there once a month. However, we recently hired an attending who spent many years in the Navy who is planning on expanding our VA program, and we are currently moving to 2 days per week at the VA clinic. Also, Dr. Kim (prosth) has started working at the VA 1 day/week and has started working up more full arch implant cases. Additionally, now that we have 5 full time attendings accepting implant referrals and a full time prosthodontist at the faculty practice we have increased implant numbers there. We do more implants at our faculty practice than we do at the VA now. We also recently received a Nobel grant of 40 free implants per year to give to our patients. The chiefs that graduated last year doubled their chiefs implant numbers, so this is quickly becoming less of an issue. In reality we probably do an average amount of implants for an OMFS program, but since we do far above average numbers in all of the other categories we don't feel as comfortable with implants as say orthognathic, trauma, dentoalveolar and anesthesia.

- Cancer - this could be an advantage or a weakness, depending on what you’re looking for in a program. We do not have a head and neck cancer surgeon on our team, nor do we plan on hiring one. We deal with a lot of benign pathology that require non-microvascular reconstruction. We’ll deal with dysplasia or pre-cancerous lesions but not actual malignancies, which typically get referred to ENT, who have a strong head/neck program here at Cincinnati. If you’re looking to get heavy head and neck oncology/microvascular exposure, you won’t get it here. We rotate with the ENT head and neck cancer team for a month during 3rd year, which is as much exposure as you’ll have to head/neck cancer. We do enough surgical airways/trachs through our trauma cases and off-service rotations that you’ll be able to do it when you finish. Keep in mind though that you won’t feel comfortable doing ablative/microvascular surgery coming out of most programs without a fellowship. Regardless, if you want to practice head and neck ablative/microvascular surgery you should try to pursue a program that does that routinely.

- Cosmetics - we do not have a cosmetic trained surgeon on our team. We do the occasional scar revision, otoplasty, post-trauma reconstruction/revision. You will do cosmetics on plastics and in India. But in general, we do not do cosmetic facelifts/neck lifts, blepharoplasties, etc. Dr Phero hosts Friday-afternoon free botox/filler sessions for the residents to get more experience. The program does send its residents to cosmetic courses to become familiar with these procedures. Additionally, because of our strong orthognathic training, we feel comfortable with bony reconstructions. You will get enough exposure to cosmetics to know if you would like to do it after residency. Major facial cosmetics (rhino/facelifts) is another area of OMS that you will need to complete a fellowship to seriously/competitively practice (especially if you want to market yourself as a DDS/DMD).

- Craniofacial - we do not have a craniofacial trained surgeon on the team. The plastics-craniofacial team does the primary cleft lip/palate cases here at Cincinnati Children’s, and we rotate with them for a month. Additionally, we spend a month in India with one of the busiest cleft palate/lip teams in the world. We do several cases during the year for alveolar cleft repairs and orthognathic for cleft lip/palate patients. As mentioned earlier, our cleft presence is expanding, but probably not to a degree that you would be comfortable doing primary CL&P. Again, fellowship.

- Top heavy - based on structural design, you will - for the most part - not do major OR surgeries until your chief year (occasionally 3rd year). By the end of your third year, you will become more involved with advanced cases (trauma, orthognathic, TMJ reconstruction, etc) but not to any significant level. The true learning happens in the last year of the program, which can be frustrating for a junior level resident. Our program is forced to operate this way because our clinic schedule is so demanding. Between the Holmes Hospital Clinic and the faculty practice we have around 27,000-30,000 outpatient visits yearly. Clinic visits are the life source for OMS programs- if you don't have a busy clinic schedule then unfortunately you probably don't have many clinic procedures or OR procedures. We do 30+ sedations daily between our clinics, so we need third year residents (anesthesia capable residents) in clinic more than the OR. Due to multiple OR's running on the same day (Wednesday's and Thursday's, occasionally Tuesday's) there are some days we only have 2 residents to tackle all 26 sedations at Holmes Clinic. For this reason interns go to the OR to assist the chief. However, this also means that you get the best possible experience as a chief resident. For example, during their first week, one of our new chief residents cut four orthognathic cases, including double tmj replacement surgeries along with the regular trauma and benign path cases. You will be a proficient surgeon by the end of the four years, even though you might not feel that way three years into the program. It’s just not how the program is designed.

Call Schedule:

Interns take primary call while on service, which typically works out to about 6-9 total days per month (including 2-3 face calls) depending on how many residents are on service that month. You’ll work hard as an intern, but our structure is set up in a way that you won’t get beat down your first year. You typically will get 1-2 full weekends off call (Friday-Sunday) per month, again depending on how many residents are on service that month. Call is home call, which is really nice. Although you’ll have the occasional tooth-call night that you spend in the call room because every Cincinnatian decides to have a large submandibular abscess all at the same time.

We split Facial Trauma call with ENT and Plastics, so it works out to about 9-10 days per month as a service (2-3 face/trauma calls per intern per month). Per institutional/ACS requirements, trauma call is ‘technically’ in-house call. We’re the primary consultant for facial trauma for many of the surrounding level 2 and regional hospitals. This works out nicely for the program because it adds a tremendous amount of trauma cases to our caseload (and works out nicely for the resident on call because we don’t travel to any of these hospitals, just take the page and have them follow-up in the clinic- you will find out that most facial trauma does not require immediate intervention). As a result, we actually end up doing far more trauma cases than ENT and Plastics here.

Research:

Each resident is required to be involved in some sort of research project. We have a full time research coordinator who helps the residents with their research projects. We have over a dozen research projects usually happening at once, and our young attendings are very motivated to get published. Residents can get involved as much or as little as they want. Research is definitely not a centerpiece of the program, and we do not publish as much as other institutions, but it is definitely not absent. Our research program continues to grow, and we tend to publish several articles yearly.

Didactics:

We meet daily for didactic sessions. On Mondays, we have pathology case review with Dr. Stastny. On Tuesdays, we have mock oral board review with Dr. Krishnan. On Wednesdays, we have OMS Grand Rounds, where we discuss our cases for the week/past week and have special lectures from either guest speakers/attendings/residents. On Thursdays, we have anesthesia/medicine/anatomy course with Dr. Harper. On Fridays, we have resident led discussions. We have monthly journal club and orthographic conference. Dr. Krishnan routinely sends residents to conferences nationwide all expenses paid. We meet with Dr. Damm, a world-renowned and famous oral pathologist, four times a year to learn oral pathology. There is definitely an emphasis on board preparation, and all of our graduates become accredited/pass boards. Didactics is heavy in our program and can sometimes be a bit much, but it does not take away from clinic time. Dr. Harper assigns weekly articles/chapters that mimic *relevant* medical school curriculum thus he is an invaluable adjunct faculty for a 4 year certificate OMS program to have. We have a 15-year running streak of 100% board certification amongst our alumni.

Living in Cincinnati:

In general, Cincinnati is a nice place to live. It is a really affordable city to live in, especially if you’re coming with a family. Not much traffic except during rush hour crossing the bridge to Kentucky on a Friday. There are many living options ranging from downtown to the suburbs. Most residents choose to live outside of downtown, about 10-15 minutes from the hospital. This gets you more space for your money and usually in a nicer/quieter neighborhood. Although a few residents/attendings live in the downtown or Over-The-Rhine areas as well. Some of us live across the river in Northern Kentucky, which has several great walkable communities and is super close to downtown and to the hospital.

There are plenty of parks and places to hike throughout the city, and many of the residents spend time out on the Little Miami River and bike trail during their free time. Red River Gorge or Hocking Hills is a short drive away and a great place to spend the weekend if you’re into rock climbing, hiking, camping etc. If you’re not as much into outdoor activities, our geographical location makes it easy to get to Chicago, Indy, Louisville, Lexington, Columbus, or even Nashville, the Great Lakes, Asheville etc for the weekend. The restaurant scene is actually pretty decent, although the New Yorkers in our program will tell you the pizza here sucks, and the brewery scene is great as well. It’s definitely not NYC/Chicago/Boston as far as restaurants and amenities go, but it’s not a bad city overall, and there is always plenty to do. Keep in mind that as a resident, your free time is limited, so you don’t need an infinite number of dining and nightlife options within a block from your house. That being said, Cincinnati still has enough action to keep you busy when you have a break from resident life.

The airport isn’t a major flight hub like Dallas/Atlanta/Chicago, but it has direct flights to most major cities, and connection flights to most other cities via Chicago/Atlanta, including international flights. The airport is approximately 15-20 minutes from downtown Cincinnati.

Oh, and Cincinnati sports teams are making history and are turning Cincinnati into a sports town.
Burrow took the Bengal's to the Super Bowl in 2021 and ended one game short of the Super Bowl in 2022.
The Red's are currently leading the National League Central and on a 12 game win streak (longest since 1957)
FC Cincinnati's TQL Stadium is a brand new stadium built in 2021 and hosts many international matches including the 2022 FIFA World Cup qualification match USA vs Mexico 2021 and USA vs Morocco in 2022. The Gold Cup Quarterfinals will be hosted here in 2023. Also, FC Cincinnati is currently ranked 1st in the MLS Eastern Conference and will host Inter Miami and Messi in the US Open Cup semifinals.

Vacation:

Per hospital policy, each resident is required to take 4 weeks of vacation per year. There is not a 'don’t ask, don’t tell' policy here, everyone must take their full vacation. We typically are able to get each weekend on either side of our week off, so this works out to 9 days off for each of our vacation weeks.

The rundown on our program:

- Strong broad scope core OMS program (orthognathic, TMJ, trauma, benign path, dentoalveolar)
- Strong anesthesia experience
- Strong off-service experience
- 4 full days OR block time Holmes Hospital, 2 full days CCHMC, 1 full day WCH, 1 full day UCMC, 1 day a month VA
- Good, non-malignant, diverse, and friendly culture amongst attendings/residents
- Chief residents aren’t holding sticks, they’re cutting, but the attendings are always available to teach
- Call schedule is not that bad, work vs life balance achievable (but wouldn’t consider it a country-club program)
- Main facilities are walking distance, so there’s not much driving
- Elective Craniofacial India Rotation (Bangalore) - all expenses paid. Great surgical and cultural experience.
- No cancer/little cosmetics
- No shortage of attendings (five full-time currently)
- We can do better with implants, our PD knows this is a desire of the residents and this is one of his main priorities. I suspect this won't be an issue in 1-2 years
- A lot of didactics and the department sends residents to conferences all over the country all year long, expenses paid
- MD option if desired
- Cincinnati is a cheap/easy/nice place to live with little traffic and surprisingly good pro-sports teams

 

[Sl1d3r]

I'm just checking the website for the OMS program at OHSU, and it says the program chair is a periodontist...? Is that a mistake?

That is correct. It’s purely an administrative position. They are the perio chair as well and took on the position after the old omfs chair was done.

 

[UofLOMFS]

University of Louisville 6 Year OMFS Program

6-year program, 2 residents per year, no non-cats

Given that everything is going virtual this year, I figured it was time we did too. I’m a newly minted intern but I got plenty of input from the squad while I was writing this.

Year 1: Relatively conventional intern year. You work hard, do procedures under local, take call, and facilitate the upper levels OR cases. First two months are Q2 buddy call with an upper level, then solo Q3. Trauma call rotates everyday between ENT, plastics, and OMFS and is usually very busy. Non-trauma call is usually relatively quiet, usually just handling issues with patients admitted to our service. GPRs take care of simple dental infections and dentoalveolar fractures in the ED. First nine months spent on OMFS. Two months are spent on anesthesia. You get a month off near the end of this year to study and take Step 1. Interns take a ski trip with the chiefs for a one week anesthesia course during winter break.

Year 2: You’re a third-year med student and do all the standard clerkships. 8 weeks internal medicine, 8 weeks general surgery, 6 weeks ob/gyn, 6 weeks peds, 6 weeks family med, 4 weeks psych, 4 weeks neuro. You come back on service during some vacations and during Christmas break to allow the rest of the program to take a ski trip. You get in-state tuition and receive a $6k stipend during med school for your time on service. 4 weeks of electives

Year 3: Fourth year of medical school. You do get to complete four clerkships, including a 1 month acting internship, 1 month surgical/periop, 1 month ambulatory care, and 1 month AHEC. You spend your 4.5 months of electives on OMFS service and spend 4 months back on anesthesia. Our medical school curriculum is great -- minimal medical school fluff and just the required clerkships/exams. Also, due to our program scholarships and stipends during medical school, it is only 35k in-total for your medical degree.

Year 4: Gen surg year. Only 2 months on trauma, 2 months ENT, 1 month neurosurgery, 1 month orthopedics, 1 month emergency medicine, 5 months back on OMFS.

Year 5 and 6: You operate and sedate. Our resident clinic runs like your own private practice clinic. Chiefs run the service. 24 straight months OMFS. Part-time faculty operate at Jewish Hospital located on the same medical campus one to two times per week and you will go operate with them regularly.

Program Culture: In my opinion, the best part of the program. Tight knit group of really supportive people. Everyone is equally happy cracking jokes in the resident room as they are taking care of business in the hospital and clinic. Autonomy is huge, attendings hold sticks for the most part and you become comfortable calling the shots.

Scope: We are a full-scope program with excellent numbers for dentoalveolar, implants, orthognathic, TMJ, infections, non-malignant pathology, reconstruction, and trauma. Cosmetics is limited (chief-dependent) and we don’t do malignant path. OMFS is part of craniofacial clinic and we have good numbers of alveolar cleft grafting, palatoplasty, mandibular distraction cases, and orthognathic surgery on craniofacial patients. We do tons of trauma, with a high prevalence of the MVA and assaults in Louisville. We have an excellent relationship with our prosthodontic, orthodontic, and periodontic departments, as well as with ENT and plastics. We have OR block time Tuesday and Thursdays while doing occasional cases during the week and weekend as needed. Our outpatient procedure clinic is MWF where we perform procedures such as third molars, implants, expose and bonds, biopsies, dentoalveolar procedures, etc. Upper level residents run sedations. Our outpatient procedure clinic is setup very similar to a private practice model and residents get excellent procedural and sedation numbers. Residents of all levels have great autonomy and get excellent hands-on surgical experience. Part-time faculty help to staff clinic and offer advice when needed.

Call: Q2 buddy call with an upper level for the first two months, then Q3. Med school guys come back on service to cover holidays and give other people a break. Trauma call is in-house. Back up call is provided by the chiefs who typically rotate every two weeks who is trauma chief. We are always on call for our inpatients, post op calls, hospital consults, and ED tooth call (infections and dentoalveolar trauma). We do have a GPR who see all the dental trauma/infections that don't require going to the OR, so most non facial trauma nights are pretty quiet. We get meal vouchers for nights that we are on call and the cafeteria isn’t half bad.

Didactics: Every Monday afternoon from 12-2 we have conferences with rotating topics. We meet once a month with Ortho, once with Prosth, we have one anesthesia lecture, and the 4th week is free to discuss whatever anyone is interested in. Wednesday mornings from 7:30 to 8:30 are our grand rounds. Fridays we have informal presentations given by the residents on topics of their choosing.

Research: Largely up to you whether you want to pursue research heavily. Some residents have dozens of publications and some have none. Minimum requirement is some form of scholarly activity. Research support is substantial and all presentations are fully funded by the department.

Hospitals: All of the hospitals that we cover are located on the same campus and are within easy walking distance of each other. The oral surgery clinic is located in the Ambulatory Care Building on the medical campus, separate from the dental school. The primary hospital is University of Louisville Hospital, a busy 400 bed level 1 trauma center. These two buildings are connected via a skybridge. We also take call at Norton Children’s Hospital, a level 1 pediatric trauma center which is on the same campus and about a 2 minute walk away. We have garage parking at the campus free of charge.

Louisville: Impression of our program: Stable program with a great group of people. Everyone works hard and the training is top-notch. Big selling points for me personally were the ability to moonlight after your intern year, lots of time on service, no traveling to outside hospitals, over 40 months on OMFS service, cheap med school (35k total), and cheap cost of living in Louisville.

Program Chair: George Kushner, DMD, MD

Program Director: Robert Flint, DMD, MD

Professor: Brian Alpert, DDS

Website: Oral & Maxillofacial Surgery Residency — School of Dentistry

 

[Broward/NSU-OMFS]

Broward Health / Nova Southeastern University OMFS:

Our department of Oral and Maxillofacial Surgery offers a four-year certificate program which is fully accredited by the Commission on Dental Accreditation for the training of three residents per year. Delivering comprehensive facial trauma and oral & maxillofacial surgical coverage for two level-one trauma centers and two children’s hospitals 365 days a year, residents are exposed to the breadth of the specialty and well prepared for the rigors of specialty board examinations.


Off service rotations provide residents with opportunities unique to our program. A high volume pediatric surgical facility, Joe DiMaggio Children’s Hospital provides comprehensive experience in pediatric anesthesia and airway management. PGY-I residents will get early, hands-on experience with 4 months of adult and 1 month of pediatric anesthesia. PGY-II residents will complete 6 months of General Surgery/Trauma Surgery rotations in which they will develop their surgical skills operating alongside staff trauma surgeons as first assistant, enhance their medical and critical care knowledge managing patients in the trauma ICU and floor, and develop confidence in managing critical emergency situations by utilizing ATLS, ACLS, and PALS during trauma alerts and codes. During the PGY-IV year, residents spend one month in a private practice learning the intricacies of facial cosmetic surgery under the tutelage of Dr. Curtis Schalit.


Residents will work out of two, busy outpatient clinics that are unique in patient population and procedural opportunities. Nova Southeastern University College of Dental Medicine provides a steady referral stream for third molar surgery, cosmetic surgery, botox, dental implants, and orthognathic surgery. Broward Health Medical Center outpatient clinic provides a consistent stream of pathology, dentoalveolar and pre-prosthetic surgery, and trauma cases.


Residents are trained in the comprehensive management of benign and malignant pathology of the maxillofacial complex, with residents intimately involved in the process of diagnosis, operative planning, and surgical management. Reconstructive training includes the breadth of conventional bone grafting techniques as well as microvascular reconstruction.


NSU Oral and Maxillofacial surgery functions as a core service on the Joe DiMaggio Children’s Hospital Craniofacial Team. Through this affiliation, our residents are exposed to cleft lip and palate surgery, alveolar cleft grafting, cranial vault remodeling, and cleft orthognathic surgery.


Our program embraces the implementation of cutting edge techniques and technologies into surgical planning and execution. With an in-house 3-d printer, CT scans are quickly converted into three-dimensional models for use in operative planning. Virtual surgical planning and custom milled hardware are used to guide both orthognathic surgery and tumor resection/reconstruction.

Attending Physicians:

Steven Kaltman, DMD, MD - Chairman
Shawn A. McClure, DMD, MD - Program Director
Anastasiya Quimby, DDS, MD
Curtis Schalit, DDS - Facial Cosmetics Rotation

Curriculum Structure

PGYI:
Five Months - OMFS
Four Months - Adult Anesthesia
One Month - Pediatric Anesthesia
Two Months - Internal Medicine

PGYII:
Six Months - OMFS
Six Months – Trauma/General Surgery

PGYIII:
Eleven Months – OMFS
Two weeks – Dental implant surgery and bone grafting
One week – Board review course

PGYIV:
Four Months – Chief Resident of Broward Health Medical Center OMFS
Four Months – Chief Resident of NSU/Memorial Regional Hospital OMFS
Three Months – OMFS
One Month – Facial Cosmetic Surgery

For more information, please do not hesitate to contact our program coordinator, Arisleyda Infante, at:
(954) 468-8932
[email protected]

Or visit our webpage at:

Oral and Maxillofacial Surgery Program | Broward Health

gme.browardhealth.org

 

[dentOMFS]

Update on Loma Linda University OMFS

Update on Loma Linda University OMFS Program

I am a current resident at Loma Linda and wanted to give an update on our Oral and Maxillofacial Surgery program. The program is currently phasing out the 4-year track and is only accepting applicants to the 6-year combined OMS/MD program. In the 13 years since the above post was written, there have been many changes! First, our program continues to be very strong in orthognathics and facial trauma. We currently have 3 attendings who routinely perform orthognathic surgery. Facial trauma surgery also continues to be a strong point. We currently cover facial trauma 24/7 for Arrowhead Regional Medical Center (ARMC), and every 3rd week for Loma Linda University Medical Center, rotating call with plastics and ENT. We treat full-scope facial trauma, including dentoalveolar trauma, mandible fractures, LeFort fractures, orbital fractures, ZMC fractures, NOE fractures, frontal sinus fractures, complex nasal bone fractures, as well as treating soft tissue injuries to the face including scalp, ears, and nose.

The culture of our program is a supportive, faith-based, and family-friendly environment, where residents can learn, grow, and become excellent clinicians. Our program continues to provide a much-needed service to the community in performing hospital-based dentoalveolar surgery for medically compromised patients. We continue to treat benign maxillofacial pathology and have recently begun treating malignant maxillofacial pathology with the addition of a microvascular-trained OMS attending, performing free-flap surgery for patients with malignancies and other acquired defects of the head and neck.

One of the unique strengths of Loma Linda’s OMS program is that as residents we run the ENT inpatient service at ARMC along with ENT attendings, and this brings a greater depth to our training than at many other programs. We learn to manage and treat pharyngeal and tonsillar abscesses, and infections and pathology of the ears/nose/and throat.

We continue to run a basic OMS clinic at ARMC, providing services such as follow ups and surgical planning, in addition to basic extractions and soft tissue biopsies. Our Loma Linda clinic continues to perform routine dentoalveolar surgery under local anesthesia. We also perform 3rd molar extractions, expose & bond, supernumerary/impacted teeth extractions, and soft and hard tissue biopsies under in-office general anesthesia. (Prior to COVID-19, we were performing up to 60 IVGA procedures a month). As a first-year resident, you will have the opportunity to learn how to work up medically complex patients for procedures in clinic and the operating room, and will have invaluable experiences on call, including draining abscesses of multiple facial and neck spaces, repairing scalp lacerations and facial lacerations, splinting teeth, and performing many extractions. (As a reference, I treated at least 36 abscesses and 98 lacerations, and performed 6 splints and 78+ extractions during my 13-month intern year, many of which were on-call, not including many clinic extractions I did not log).

Finally, our academic opportunities on-service include weekly case conference with our attendings, weekly didactic sessions including orthognathics and pathology, and opportunities to teach dental students in our predoctoral OMS clinic. The medical school education as part of the 6-year program emphasizes whole-person care, and provides a strong academic and clinical basis in medicine for the rest of your surgical career. Emerging areas of opportunity in our residency include craniofacial surgery rotations with plastic surgery.

If you want to work hard, grow academically, provide service to many underserved patients, and work with a group of talented and friendly residents, then Loma Linda is the place for you!

Residency Program Webpage
(Attached is a video from several years ago, highlighting one of our current attendings)

 

[cwruomfs2025]

Case Western Reserve University Oral & Maxillofacial Surgery Program Update

60 month combined OMFS/MD program (the only 5-year MD program in the country)
3 residents per year plus 1 non-categorical intern

Contact:
Program website: OMFS Residency Program | School of Dental Medicine | Case Western Reserve University

Instagram: case.oms

Program Coordinator: Andrea Lisaula [email protected]

Attendings:

University Hospitals/CWRU School of Dental Medicine

• Dale Baur, DDS- Department Chair
• Faisal Quereshy, MD, DDS, FACS- Program Director
• Keith Schneider, DMD, FACS
• Donald Lewis, DDS, CFE
• Jaclyn Tomsic, DMD, MD, FACS
• Robert Heckel, DMD

VA Medical Center

• Michael Horan, MD, DDS, PhD, FACS – Clinic Director
• Jon Bradrick, DDS
• John Brokloff, DDS

MetroHealth Medical Center

• Dr. Alan Martinez, DDS – Department Chair
• Dr. Justin Clemow, DMD, MD, FACS

Program Structure:

After Matching/Preparation for USMLE Step 1

• February through June: Self-study
• Late June: CBSE administered by CWRU School of Medicine
  • Requires a score of 70 to pass and become eligible to take Step 1
  • If necessary additional study time may be permitted to pass CBSE
    • 3 attempts will be permitted to pass the CBSE exam
• July: Take Step 1

1st year: Intern Year (August 1 – July 31)

• Oral & Maxillofacial Surgery Service: 10 Months
  • University Hospitals/CWRU School of Dental Medicine (~6-7 Months)
    • Time will be spent on the primary service helping manage our busy inpatient hospital service, as well as working in our dentoalveolar, implant, and sedation clinic at CWRU.
    • This rotation provides an opportunity to learn from the upper level residents how to effectively manage inpatients and specifically pertaining to OMFS procedures.
    • You will also be running an intern clinic with a broad variety of procedures. This will all be within the brand new CWRU School of Dental Medicine and our state of the art clinic.
  • Veterans Administration Hospital (~3-4 Months)
    • Our VA rotation is unmatched, as an intern you will have the rare opportunity to work one on one with three attendings who combined have an unmatched level of implant knowledge and experience.
    • This is where you will greatly improve your speed and comfort doing large dentoalveolar procedures. You will also have the chance to place more implants in a few months than most residents do their entire residency.
• Anesthesia – 2 Months
  • University Hospitals
    • The first 2 months of your anesthesia rotation will be spent on adult anesthesia. This rotation will involve working direct with a nurse anesthetist.
    • Initially working on airway management then progressing to management and emergence from anesthesia, you will progress rapidly as you are exposed to a broad variety of cases.
• CWRU School of Medicine: Physical Diagnosis
  • Throughout the course of your first year, you will have a responsibility to attend monthly sessions of Physical Diagnosis. This is with other medical students, where you learn how to perform a standardized patient exam and perform the variety of physical exam and interview methods necessary to pass Step 2 Clinical Skills.

2nd year: Medical School (August 1 – June 30)

• Flex Month – 1 Month
  • This month is spent on an elective as chosen by the resident. Residents in years past have performed additional anesthesia rotations, Surgical ICU rotations, and even spent the month learning from a prominent oral & maxillofacial surgeon.
• Core Clerkships – 10 Months
  • This essentially makes up 3rd year of medical school, you will go through all core clerkships required by the medical school This time is protected, you are off service and deemed a medical student.
  • Core Clerkships
    • Core I (12 Weeks)
      • Medicine
      • Family Medicine
      • Geriatrics
    • Core II (12 Weeks)
      • Pediatrics
      • Obstetrics and Gynecology
    • Core III (8 Weeks)
      • Neuroscience
      • Psychiatry
    • Core IV (8 Weeks)
      • Surgery
      • Emergency Medicine

3rd year: Mid-Level Resident (July 1 – June 30)

• Oral & Maxillofacial Surgery Service: 9 Months
  • University Hospitals
    • As a 3rd year resident, you will return to our primary hospital as a mid-level, working in tandem with the chiefs to manage the service. This time will be spent in the operating more, assisting initially and progressing to begin doing cases with the chiefs.
    • While in clinic you will be doing higher yield dentoalveolar procedures such as sedations, grafts, and implants. As you begin to develop autonomy you will run your own sedations with attending oversight.
    • You will also act as the point person for attending clinic patients, dealing with more complex surgical patients, seeing consults and follow ups. This will prepare you for chief year when you begin to operate heavily.
  • MetroHealth Medical Center
    • When rotating at MetroHealth you will work in a high acuity level one trauma center, with an extraordinarily busy dentoalveolar clinic. You will perform many sedations with our Metro attendings.
    • You will also help manage an inpatient service with a wide variety of trauma, orthognathic, sleep apnea, and TMJ patients.
    • You will also work with the two yearly non-categorical residents at metro, who’s primary duty is to manage the clinic.
• Anesthesia – 3 Months
  • University Hospitals
    • Pediatric Anesthesia (1 Month)
      • Provides experience in both a high volume pediatric OR at Rainbow Babies and Children’s Hospital, and experience in the pediatric sedation unit. While in the sedation unit you will perform many pediatric sedations prior to imaging, dental procedures, and proton or radiation therapy.
    • Adult Anesthesia (2 Months)
      • You return and begin working with CRNAs until you develop your comfort level. Eventually acting as a front liner (the only person in the room running anesthesia) for cases.

4th year: General Surgery (July 1 – June 30)

• Oral & Maxillofacial Surgery Service: 3 Months
  • University Hospitals/MetroHealth
    • As a 4th year resident your time spent on OMFS will generally be spent as acting chief at Metro, or rotating at University Hospitals. This time will be spent with a heavier operative exposure, operating either with attendings directly on cases or splitting cases with chiefs. This year is spent preparing you for the upcoming chief year.
• Otolaryngology: 3 Months
  
  • This time will be spent on the head & neck service of ENT. Providing significant exposure to head and neck cancer patients. This is a valuable time to help master your knowledge on tracheostomy management, diagnosis and management of head and neck cancer, and additional exposure to facial trauma.
• Plastic Surgery: 3 Months
  
  • During this rotation, you will receive additional experience with cosmetic patients, graft and flap reconstruction, and craniofacial patients.
• General Surgery: 3 Months
  • Trauma Surgery
    • You will be a resident on the general surgery’s trauma service, you will learn how to initially evaluate and subsequently manage a trauma patient. During this time, you will also have exposure to emergency trauma surgical cases.
  • Trauma/Surgical ICU
    • During your ICU rotation, you will learn to manage critically ill post-surgical and post traumatic patients. This time is critical to improve your knowledge of critical care patient management.
  • Pediatric Surgery
    • You will be rotating on the pediatric surgery service, improving your knowledge of pediatric pre-and post-surgical management.

5th year: Chief Resident (July 1 – Mid-June)

• Oral & Maxillofacial Surgery Service: 12 Months
  • University Hospitals/MetroHealth
    • During chief year, you will work exclusively on the Oral & Maxillofacial Surgery services of our two primary hospitals. During this time, you will be a chief resident, which entails choosing which cases to operate as well as a high yield clinical experience.
    • As the only two tertiary referral centers in north east Ohio and much of western Pennsylvania, which includes a population of over 5 million people, we receive a wide variety of surgical cases. Our residents leave our program comfortable in performing all surgical procedures, and they commonly translate that their future practice.
    • You will also be gaining experience in our dentolaveolar doing exclusively high yield procedures, implants, grafting, 3rd molar extractions, and sedations. Our clinical experience is broad and supportive of residents, so if there is a case you want to do you will be able to do it.

Call Schedule:

• University Hospitals
  • Facial Trauma call every 3rd week for 7 days
    • Facial trauma switches every week with OMFS, ENT, Plastics
  • Infection call every day
    • The CWRU AEGD and Pediatric Dental programs cover all dental consults as well as minor infections and minor dental trauma
    • We cover all operative infections, and any more extensive infections that the GPR residents may not feel comfortable addressing in the ED
  • ~Q3-4 primary call (Depending on number of residents on service)
    • Split amongst fellow interns, 3rd year residents on service, and the non-categorical intern
  • Backup call
    • Chiefs and 3rd year residents take backup call
• VA Medical Center
  • The rotating resident generally covers call for the month, however the pager is covered by another resident if the VA resident is unable to hold the pager (vacation or outside commitment).
  • The VA GPR residents cover all primary call, and it is extraordinarily rare to be paged.
  • The VA pager tends to go off roughly 5 times a month
• MetroHealth
  • Facial Trauma call every 3rd week for 7 days
    • Call is split with OMFS, ENT, and Plastics as well
  • Infection call every day
    • Primary dental and infection call is covered by the MetroHealth GPR program
  • 2 non-categorical interns take the majority of primary call, however the rotating resident(s) will help cover primary call as well as backup call.

Locations:

• University Hospitals
• Case Western Reserve School of Dental Medicine
• MetroHealth Hospital
• VA Medical Center

Salary:

• PGY I: $60,150
• PGY II: No Stipend during PGY-2 year
• PGY III: $65,000
• PGY IV: $67,300
• PGY V: $69,500

Tuition (Medical School Tuition)

• PGY II: $53,550
• PGY III: $55,080

Vacation:

• PGY 1: 3 weeks
  • Taken in 1 week blocks
  • Generally protected weekends are given (the weekend before and the weekend after vacation)
• PGY 2:
  • Dependent on the medical school calendar
  • All major holidays and breaks between clerkships
• PGY 3-5: 4 Weeks
  • Taken in 1 week blocks

 

[Ivy.ch]

Deleted

 

[GimmeTheScalpel]

Busy med student here so won’t try to find all the procedure numbers, curriculum and salary (you will get this information if you interview), but feel free to reach out via DM about Michigan OMFS.

#1 program in the country and will list a few of many reasons why:

1. Operative volume. On average we have 20-30 cases per week, sometimes more sometimes less. You’re exposed and cutting on everything pertaining to maxillofacial surgery. Chiefs cut close to 100 orthognathic procedures (not cases) and you’ll do all VSP here. The craniofacial surface here does lots of cleft palates, fewer lips but you’ll still do multiple lips per year on service (you won’t do them at the majority of places around the country). You do a good amount of maxillary and mandibular distraction cases and several rhinoplasties as well. In terms of oncology, we do plenty of free flaps and local flaps, but don’t drown in them. PA’s/NP’s do the flap checks, residents don’t. Residents will be involved in the neck dissection and have sometimes been under the microscope if they express interest. We have a readily available micro lab that’s used by residents as well to practice. You can do as much TMJ as you want at this program, total joints, arthroscopies, arthroplasties, etc. We hired Joe McCain’s (the leader in arthroscopy) newly graduated fellow. You’ll do a good amount of soft and hard tissue trauma bad well. Had several ZMC fractures, mandibles, ear avulsions/lacerations, and frontal sinus since I’ve been here (bicoronal approach). We meet implant and dentoalveolar numbers here but it’s not the primary strength of the program. Sedation numbers are the weakness of the program. You’ll meet your numbers but won’t do a great deal extra.

2. Med School/Hospital: Top 10 in the country. Rich culture and pride in being leaders in most fields in medicine and surgery. Everyone is collaborative. The department pays for half your med school tuition also (ends up being around 50K). You do 1 year pre clinical and 1 year clinical clerkships. Pre clinical is pass fail and you take quizzes and exams over the weekend whenever you want from Friday to Sunday. If you don’t like your score, you take it again. Everyone here does well on Step because of the top quality medical education you get. When you’re on clerkships you are learning from the best in their respective fields. There is a House Officers Association that looks out for resident interests and wellness. You don’t exceed 80 hours a week typically on clerkships or general surgery (if you want).

3. General Surgery: you complete rotations on HPB, ACS, trauma, SICU, etc at a PGY1 and PGY2 level and complete 2 months of PRS and ENT here. Again, the hospital tries to meet the 80 hour work limit and you get a 2 year certificate for general surgery. You have floor duties and operative responsibilities in some services as well. Surgery department at Michigan was ranked Top 5 in the country.


4. Attendings: Almost all our attendings are leaders in OMFS both in clinical and academic capacities. Dr. Ward and Dr. Moe sit on multiple committees and are highly respected in the field. They publish regularly in oncology, reconstruction and other subjects. Dr. Moe was one of few who started the COVID collaborative. She’s an extremely supportive pro-resident program director. Dr. Edwards is one of the most well known OMFS/craniofacial surgeons in the country. He also has many leadership roles and is well connected and well published. Dr. Aronovich is a giant in TMJ and orthognathic surgery also and is craniofacial trained at Pitt along with Dr. Edwards. Dr. Hakim is the new attending here who completed his TMJ fellowship with Dr. McCain at MGH and will focus on minimally invasive maxillofacial surgery. Dr. Romeo is our new predoctoral director and is former chief and program director at LIJ. He is also craniofacial trained at Pitt. Dr. Hsung and Dr. Chin also take care of outpatient and inpatient procedures and cover a lot of the sedations and the residents love working with them. Dr. Helman, former Chair, is a pioneer and staple in head and neck oncology and reconstruction and still lectures to the department. Dr. Feinberg, former chair, is a pioneer in tissue engineering and has a basic science lab. He still is involved with the department. Every attending is extremely talented in the operative setting and very well published and well connected while still being very close to the residents and incredibly invested in mentorship.

5. Research: If you’re interested in it, we have plenty. I was lucky to have a strong research background coming into residency and was interested in places that would push me to keep publishing and stay involved academically. As I mentioned, every attending here publishes. They’re leaders of the specialty and publish novel papers that transform practice in head and neck oncology diagnosis and management, neck dissection protocols, free flap surgery, orthognathic surgery, cleft surgery, obstructive sleep apnea, maxillofacial trauma, distraction osteogenesis, education, and more. If you want to present an abstract at a conference, your trip will be supported. Residents frequently get involved in research and publish and present on an national platform. Lots of us work together and multiple projects and have a team based approach.

6. Residents and Alum: One of the main reasons I chose the program. Everyone is incredibly nice and gets along. Residents make it a priority to hang out almost weekly, sometimes attendings will join events throughout the year. We are collaborative and everyone works well together. You will def get family vibes here, especially with your on-service cohort (PGY4-6 are usually on service together while 1-3 are off service). Alumni have great pride in the program and are involved with the department’s growth. In terms of distribution of graduates, we have among the highest fellowship match rates in the country, whether you’re interested in head and neck, craniofacial, cosmetic, etc, our attendings will support your and you’ll get the exposure. Last year all 3 of our chiefs went to fellowship. Many also choose private practice and are thriving in that setting. Many Michigan grads stay in academics. Some notable people associated with the program include Drs. Ed Ellis, Brent Ward, Sean Edwards, Ray Fonseca, Rod Kim, Fayette Williams, etc.

7. Ann Arbor: Beautiful city, especially in summer. Vibrant college town with plenty of indoor and outdoor restaurants of all varieties, bars, parks, etc. Very outdoors and bike friendly city. Plenty of trails for hiking and biking and rivers/lakes for water activities. Football Saturdays are famous here of course. Multiple orchards, botanical gardens, etc in the area as well if that’s what you’re interested in! Detroit is 40 minutes away and Chicago is 3.5 hours away. Residents will sometimes go to the Lakes east of Detroit of go up north for family or friend vacations.

Again, if I missed anything please DM. We realize how hard it will be interviewing and getting to know programs over a virtual platform and subsequently ranking those programs. Here to help!

 

[UMN OMFS]

University of Minnesota Program Overview

4-year CODA-accredited program
4 categorical residents per year
1 non-categorical position

Attendings/sites:

University of Minnesota SOD/Medical Center (UMMC) - Level II

• Robert Nadeau, DDS, MD – Chair and Program Director
• Rachel Uppgaard, DDS
• James Swift, DDS
• In process of hiring another full-time faculty member
• A number of part-time outside private practice faculty who provide clinic coverage

Hennepin County Medical Center (HCMC) - Level I

• Lance Svoboda, DDS
• Louis Christensen, DDS
• Marcus Urza, DDS

North Memorial Medical Center - Level I

• Ketan Patel, DDS
• Jacob Yetzer, DDS, MD

VA Medical Center - level II

• Coverage varies with part-time staff and outside docs

Yearly schedule:

PGY-1:

• 3 months medicine (1 month Internal medicine, 1 month Cardiology, 1 month Infectious Disease)
• 4 months Anesthesia
• 5 months OMFS (UMMC)

PGY-2:

• 6 months OMFS (3 months UMMC, 3 months HCMC)
• 6 months General Surgery (3 months Neurosurgery, 2 months Trauma Surgery, 1 month Surgical ICU)

PGY-3:

• 9 months OMFS (3 months North Memorial, 3 months HCMC, 3 months North Memorial)
• 2 months Plastic Surgery at Regions Medical Center (St. Paul level I trauma center)
• 1 month Pediatric anesthesia

PGY-4:

• 12 months OMFS (3 months VA, 3 months UMMC, 3 months North Memorial, 3 months HCMC)

Call:
As you can see we cover quite a few hospitals but only take call at the hospital we’re rotating at. Call rotation varies per site based on the number of residents, but in general 2nd and 3rd years will take some degree of primary call at any given site to share the load with the 1st years.

Face trauma call is split ENT on an alternating weekly basis at UMMC, HCMC, and the VA. Plastic surgery does not take trauma call at these sites. Plastic surgery covers Facial trauma at Regions (St. Paul level I) where we do our plastics rotation. OMFS covers all face trauma call at North Memorial, which is a busy level I. All sites are home call, aside from HCMC on trauma weeks due to volume of calls as it’s also a busy level I trauma center (though home call has been more acceptable by staff since COVID started). There are GPR residents at each hospital who cover simple tooth call and dental clearance for cardiac patients.

Case load:
Anesthesia: There have been a number of residents each year that have finished all of their anesthesia numbers by the end of first year, but typically everyone has all of their cases by the end of 2nd year or start of 3rd year. There is a huge volume of IV GA cases to be scheduled (most of them at UMMC), so no concerns with case numbers and great overall anesthesia experience.

Our chiefs haven't had any problems meeting major case numbers (orthognathic, trauma, pathology, TMJ, etc) in the last several years, and our overall major case volume has been consistently trending up every year (even with COVID this year). UMMC is typically more bread and butter OMFS with the clinic being great experience in dentoalveolar, IV GA sedation, and implants. The OR being mostly Orthognathic, benign pathology, TMJ, trauma, infections. We recently added North Memorial as a rotation site for 3rd and 4th years in which OMFS is the primary head & neck cancer and also facial trauma service, providing senior residents with another great opportunity for surgical experience. This site does have a head/neck cancer fellow also. It is mostly cancer/flaps and trauma, however, ICU nurses do all of the flap checks as there is a good system in place. HCMC is busy level I trauma center where there as a higher volume of trauma and infections, but with plenty of dentoalveolar, benign pathology, and a slightly lower volume of orthognathic, IV GA sedation, TMC, etc due to the type of hospital and patient population. The VA is a little more relaxed rotation - tons of implants/dentoalveolar, and a decent volume of other major cases as well.

Didactics:
We have weekly didactic conference between all of the hospitals with residents on service, ongoing pathology course for 1st and 2nd years, and weekly cleft and craniofacial conference. 1st year residents also complete head & neck anatomy and H&P courses over the first 6 weeks that provide a great review/foundation for the rest of residency. We also have a monthly journal meeting at our program directors place.

City and Culture:
My class gets together for happy hour about once a week in addition to hanging out on weekends. The city is really young and active, and has a great food/drink scene. There are a lot of great breweries, and the lakes are a plus in the summer. You really do get all 4 seasons here in Minnesota, summer and fall are amazing. The winters do get very cold, but there are a ton of activities and festivals that go on in the winter. After acclimating and learning how to dress and whatnot, the winters are fine and the culture in Minnesota provides quite a lot of activities centered around the colder weather. The city is very drivable, not bad traffic, easy to park, so it is very easy to have a car.


Contact:
Program Coordinator, Chelsey Favretto: [email protected] .

Instagram: uofmn_omfs

 

[RoquanSmith03]

Does anyone know anything about Denver? Can DM me if you want to keep it private

 

[Texas Ag]

I'm a PGY-2 at Augusta University OMFS. Here is my synopsis; hope it helps:

August University / Dental College of Georgia Program Overview

The Augusta University OMFS residency is a 4-year accredited program currently accepting two residents per year and three non-categorical interns. Some highlights of the program include:

-An excellent mix of major surgical procedures including pathology/reconstruction, cosmetics, cleft / craniofacial, trauma, etc.

-We oversee a cleft & craniofacial team. Dr. James and Dr. Newman both did craniofacial fellowships, and they perform a variety of procedures including craniosynostosis / cranial vault procedures.

-One faculty Board Certified in Facial Cosmetic Surgery

-Four faculty Board Certified in Oral and Maxillofacial Surgery

-All residents who have completed anesthesia training (including first years) generally perform multiple IV sedations every clinic day

-Implants are placed by residents at all levels, even first years. Chiefs place implants on nearly all clinic days.

-The Dental College of Georgia Ambulatory Surgical Center (ASC) is a complete operating suite with a pre-op area, PACU, and two fully equipped operating rooms. This facility is connected to the OMFS clinic (separated by a single door) and is used for outpatient surgeries (orthognathic, cosmetic, dentoalveolar, etc.). It is common for one OMFS resident to be performing a surgery while another OMFS resident administers general anesthesia. In addition, Pediatric Dentistry performs multiple surgeries a week in the ASC, and OMFS residents provide general anesthesia for these cases as well. Hence, AU OMFS residents perform both adult and pediatric general anesthesia not only during their anesthesiology rotations, but during all four years of residency.

-Good operating schedule: we have two teams. On any given day, one team will be dedicated to the clinic and one team will be dedicated to the OR (this is true for all four years of residency - you will have a mixture of OR and clinic every week). We have block time five days out of the week (two days at AUMC, two days at ASMP, and one day at the ASC).

-When possible, clinic is modeled after private practice, with the intention of having continuity of care with providers. That is, if you do the evaluation, you do the surgery and the follow-up. This doesn’t always work out since residents go off-service periodically, but it’s nice when it does.

-We participate in head & neck oncology cases with ENT, but currently don't have a cancer surgeon in OMFS (which may change in the future). Otherwise, I can't think of much we don't do. Tracheotomies, craniofacial cases, cosmetics, etc.

-We have a multi-disciplinary TMJ clinic on one Friday afternoon a month. This is beneficial in multiple ways: it concentrates all TMJ workups to a single afternoon, you get the benefit of hearing different perspectives from other dental disciplines, and it relieves the OMFS service from doing non-surgical management of TMJ-related disorders. This allows us to focus only on surgery.

-Beautiful facilities. The DCG clinic (our home base) is fairly new and quite nice.

-Augusta State Medical Prison (ASMP): AU OMFS residents provide both clinical and OR surgeries at ASMP 2-3 days / week. Inmates from all around the state of Georgia are treated at this medical facility, and we get a significant amount of trauma, pathology, and dentoalveolar cases from here.

-Children's Hospital of Georgia is very nice and is conveniently connected to the main hospital

-All call is taken at a single location. No late night traveling is necessary while on call. In addition, many minor dentoalveolar problems are consulted on by the GPR program, so OMFS call is usually restricted to more serious maxillofacial conditions.

-Charlie Norwood VA: VA patients are seen at the Dental College of Georgia clinic instead of the VA's dental clinic. Lots of implant experience in the convenience of our main clinic.

-Augusta is a nice place. Evans (where a few residents live) just got rated the #1 place in America to live. Residents with families will especially enjoy it here.

-Frequent Tiger Woods sightings (several of our residents have made it out to the Masters). Applicants are guaranteed a matched position if they get us tickets (just kidding...)

-Friendly environment - this is not a malignant program. People are happy here. Residents hang out together outside of work frequently.

Attendings:

• Mark Stevens, DDS - Chairman
• Jeffrey James, DDS, MD, FACS, FAACS - Program Director
• Henry Ferguson, DMD
• Marshall Newman, DMD
• Joe Ivory, DDS
• Andrew Jenzer, DDS
• John Sowell, DDS
• Ann Holzhauer, DDS
• John Hawkins, PhD, CRNA

Yearly schedule:

PGY-1:

• 4 months adult anesthesia, 1 month pediatric anesthesia (all contiguous)
• 1 month general medicine
• 1 month MICU
• 5 months OMFS

PGY-2:

• 1 month ED
• 1 month ENT
• 1 month Plastics
• 1 month ACS (general surgery)
• 1 month Trauma Surgery
• 1 month Neurosurgery
• 6 months OMFS

PGY-3:

• 12 months OMFS

PGY-4:

• 12 months OMFS

Didactics:

Tuesday afternoons we have a 1.5 hour didactic block where we present pre-op and post-op presentations. Thursday afternoons are completely blocked out for conference (1-5 PM), which is mostly case-based. On months that have a 5th Thursday we do a "resident outing" in lieu of academics (e.g. movie, Top Golf, hatchet throwing, etc...).



On my first day here, one of my upper levels told me this program is a jewel. I agree. We are very happy to be here and are getting a great OMFS education. I highly recommend it to applicants.

 

[tothepark]

Here is an updated overview of UAB’s OMFS program. This is an updated/edited version of a previous post.


University of Alabama at Birmingham (UAB) OMFS Program Overview

This program is one that is rich in tradition and history. We are one of the oldest 6 year OMFS programs in the country. If you search UAB in these forums, you will see the high praise of the program throughout the years. There has not been an overview of this program for many years now so this is for future applicants and externs to learn more about us! Especially in the era of COVID-19, information about programs is hard to come-by. In the last 6 years, we have made proud strides and have increased the number of OR cases and have almost doubled the number of faculty as our service continues to grow. Our program has evolved a ton that it is different from what it was even 4 years ago.

Overview:
6-year MD integrated program with 4 residents per year

• Attend UAB med school #31 nationally ranked medical school (UAB has been ranked in the 20s- 30s depending on the year). UAB SOM graduates have a great reputation among various residency programs, and the students routinely match into competitive programs across the country. Tuition for med school is currently ~34k/yr (You are paid for the months on service in 3rd year)
• UAB is an impressive hospital. One of the largest academic medical campuses in the country. The medical campus is in the heart of the city, and Birmingham is the life source for the state. Alabama’s success is very closely tied to UAB’s success, so it’s always on the cutting edge. Check out the rankings for specialties within UAB hospital (US News) – it is a medical hotspot in the Southeast. Anything ranked is impressive because there are hundreds of med residencies per specialty. Most hospitals in the country (especially southern hospitals) do not have a vast majority of their specialties ranked or in a high performing category.
• The reputation of the residents within the hospital is excellent. Many attendings and services say that the OMFS residents are the best residents in the hospital because they’re responsive, willing to go the extra mile, are friendly, and provide good quality work. Our department is well respected and our OR privileges prove it.

The Numbers:
We do it all. We are a total scope program with heavy dentoalveolar, trauma, orthognathics, reconstruction, cosmetics, craniofacial (secondary clefts), and head and neck cancer We can perform full IV sedation cases as first years after a sedation course in July of intern year (only 1-2 other programs have this) and our implant numbers are high. Interns can place around 40+ with increasing numbers as you rise the ranks – Most leave having placed between 100-200 implants, but some place more than that.

• We have multiple clinics and multiple ORs running simultaneously every single day! We work at University Hospital, UAB Highlands, Birmingham VA medical center, Children's Hospital of Alabama, Callahan Eye clinic, The Kirklin Clinic and UAB dental school.
• Children’s and UAB are all Level one trauma hospitals.
• CODA Procedure Categories:
  Trauma - 517
  Pathology – 1305*
  Orthognathic - 238
  Reconstruction/Cosmetics – 1342
• OR Procedures per Chief – 850.5 (CODA requires 175/chief)
• Other Categories:
  Outpatient Visits – 55,615
• Implants placed/year - 1432

Unique Features:

• Our service treats 5s and 6s as “chiefs” (6s have the administrative responsibilities to run the service) so they will NEVER be in the same OR together. There is essentially 8 chiefs on different rotations. As a 6, you will make the schedule and be allowed to choose your rotations and decide on what services you will want to rotate on. You are required to do only 1 month of the head and neck service as a chief but you may do more months if you are interested.
• As interns, you are split into 1) OR/Clinic, 2) VA, 3) School of Dentistry and 4)Head&Neck. You spend a month on each at a time. This structure allows interns to have great exposure to H&N without sacrificing the other important aspects of OMFS.
• Dentoalveolar - Our dentoalveolar experience is unrivaled. In our VA rotation first year, you run the VA service as an intern with NO upper level and do full dentoalveolar - IV sedation of full bony impacted 3rds, sinus lifts, all on 2s. We can do full IV sedations with propofol, fentanyl, versed, ketamine after taking our sedation course with Dr. Louis in July of intern year. On top of this you are on a separate dental school rotation as the only intern with one upper level seeing 30-40 patients a day also doing full dentoalveolar - it is a very busy day. The chiefs will usually take the more complicated/interesting cases such as multi implant cases.
• Head & Neck: We have one of the highest free flap numbers in the country along with one of the highest malignant/benign pathology numbers. Our young attendings Dr. Morlandt and Dr. Ying have grown our H&N service to be an amazing experience and its reputation has been on the rise. We do as many free flaps overall as our ENT Service (#29 ranked in the country so it is a strong program). On top of this, we actually do more fibula free flaps than our ENT brethren. We account for 80-90% of bony flaps for our insitution. Our rotations are 1-month at a time so you will only rotate on H&N every 4 months. We have one fellow that does not take away the experience on cancer like other programs.
• We have a PA for Dr. Louis’ TMJ clinic/ day consults and a PA for our H&N clinic/OR. We have RNFAs that assist in the OR as well.
• Trauma: We are on face call twice as much trauma call as Plastics and ENT so we receive a majority of the trauma cases. UAB is considered the only ATLS level 1 trauma center in the state. The ED beds are maxed out day to day so only the most mutilating and heavy trauma come our way.
• No tooth call. Hospital dentistry will take care of this. We will, however, handle odontogenic infections, isolated alveolar ridge fractures.

Schedule:

• Year 1: Oral and Maxillofacial Surgery Internship (12 months OMFS which includes 4 rotations - H&N, VA, Dental School, OR/Clinic) Get 6 weeks off in the Spring to finish studying for and take/Pass Step 1. This allows you to skip the first two years of medical school.
• Year 2: Third year of medical school (Clerkships)
• Year 3: July to March - Fourth year of Med school (8 months – 3 are mandatory acting internships, 5 are electives (20 weeks) of your choosing like Craniofacial, Occuloplastics, ENT etc) March to June – 4 months of OMFS on service as a Junior resident
• Year 4: General Surgery Internship (7 months General Surgery, 4 months Adult Anesthesia, 1 month Peds Anesthesia)
• Year 5: Oral and Maxillofacial Surgery Senior (12 months OMFS)
• Year 6: Oral and Maxillofacial Surgery Chief (12 months OMFS)

Research:
All residents are expected to participate in at least one project and produce a publishable product.

• Many research opportunities - UAB hospital is #21 nationally in NIH funding.
• Affiliated UAB dental school has the #1 NIH research funding in the country among dental schools

Resident School demographics:
Our current residents come from UPenn, Michigan, UCSF, UNC, Maryland, UAB, UConn, UT San Antonio, UT Houston, USC, Tennessee, Ohio State, Western, SUNY Buffalo, Louisville, UNE, Columbia.

OMS Full-Time Faculty (One of the largest full time faculty staff):

• Interim Program Chair (Former Program Director): Dr. Patrick Louis, DDS, MD
  • One of the longest reigning program directors in the country. Dr. Louis has made great strides for the service and for the field of OMFS. Well known for complex TMJ surgery, orthognathic, trauma, and zygomatic implants. Trained at UAB.
• Interim Program Director (Former Program Asst Director: Dr. Kathlyn Powell, DMD, MD
  • Trained UAB with subsequent pediatric fellowship under Dr. Waite at UAB. Focuses on a broad scope of pediatric OMFS.
• Former Program Chair: Dr. Peter Waite, MPH, DDS, MD, FACS, Charles A. McCallum Endowed Chair
  • One of the biggest minds in OMFS of our generation and the longest tenured OMFS chairs in the country– he is well known for Cosmetic Surgery and orthognathic surgery. One of the 4 editors of Peterson’s OMFS. Past President of the American Academy of Cosmetic Surgery. Trained at UAB.
• Dr. Somsak Sittitavornwong, DDS, DMD, MS
  • Trained at UAB and Chulalongkorn University, Bangkok, Thailand. Known for trauma, TMJ, nerve repairs.
• Dr. Anthony Morlandt DDS, MD
  • Trained at UAB with a subsequent head and neck fellowship at UF Jacksonville. Now is the UAB Chief of Oral Oncology, and is a fellowship director.
• Dr. Yedeh Ying, DMD, MD
  • Trained at MGH with a subsequent head and neck fellowship at OHSU. Another very busy attending on our H&N service.
• Dr. Terry Whatley, DMD
  • Trained at Oklahoma. Specializes in trauma.
• Dr. Warren Arrasmith, DMD
  • Trained at UAB. Director of undergraduate clinic.
• Dr. Shaundra Kelly Pringle, DMD, MD
  • Trained at UAB. Director of OMFS at the VA.
• Dr. Brian Kinard, DMD, MD
  • Our newest faculty. Trained at Emory with a subsequent advanced orthognathics fellowship at Georgetown under Dr. Posnick. Focus on orthognathics and complex orthognathics cases involving syndromic children.
• Dr. Michael Kase, DMD
  • Trained at UAB Prosthodontics with subsequent Maxillofacial Prosthetics and Oncology fellowship at Memorial Sloan-Kettering Cancer center. One of the only full time Maxillofacial Prosthodontists in the country.

Program Culture:
UAB is a program deeply rooted in southern hospitality. The residents are all genuinely nice and hang out. We are a diverse group of residents. Residents grab dinner, grab beers, etc. We are a social program with the policy of work hard, play hard. With 4 residents per year, we have a diverse group of residents (People come from all over and are all sorts of ethnicities) - some have families and some are single. This is also reflected in the diversity of ethnicities and cultures seen in our faculty as well. The staff are also great and as generous as they come. It is very easy to fit in with our motley crew.

Call/Hospitals:
We cover 4 main hospitals on call-University Hospital, UAB Highlands Hospital, Children’s Hospital of Alabama, and the Birmingham VA medical center. We operate at these 4 and operate at Callahan Eye hospital (outpatient procedures).

Call is taken by the interns on a roughly a q4 basis. We are always on for call odontogenic infections, and take trauma call 2.5 weeks every month. We take call on the 8th-14th and 22nd-end of the month every single month. Trauma call is basically split ½ OMFS, ¼ ENT, ¼ Plastics. Call is to taken in the hospital for 1st call providers and can be very busy. (especially on trauma call), Our call rooms are pristine and are extremely comfortable to stay in. There is a large bathroom with a shower, and an overnight room with coffee/snacks down the hall.

Birmingham:
Birmingham will defy your previous conceptions about Alabama. Please do not write Birmingham off the list because it is in Alabama. The city is nice, clean, has great facilities and has an awesome vibe. There are tons of breweries, restaurants and a great night life. Birmingham is very different from the rest of the state. Major changes have been happening to the city with more restaurants, bars, breweries opening. Tech is starting to move to here as well – Read WSJ and Forbes article on Birmingham’s tech renaissance. On top of this, people are very friendly and it is a very racially accepting city. Residents typically buy houses and are able to sell easily when they leave. Mortgage for a 3 bedroom house can be as low as $1200 per month. We are 1 hour 45 minutes from Atlanta, 2 hour and 30 mins from Nashville, 4 hours from Pensacola and Destin Beach and 5 hours from New Orleans. In the suburbs south of Birmingham, there is an extremely affluent area with old money and new money. (This is also a plus in that people can afford all on 4s/all on 6s) The education systems are insane and consistently send kids to prestigious schools.

Notable Alumni Currently involved in OMFS:
These are the alumni in top academic positions who are currently active outside of UAB.

• Dr. Rui Fernandes, DMD, MD, FACS, FRCS – Chief, Division of Head and Neck Surgery, UF Jacksonville Oral and Maxillofacial Surgery
• Dr. Luis Vega, DMD - Program Director of Vanderbilt Oral and Maxillofacial Surgery
• Dr. Dane St. John, DMD, MD - Former Program Director of LSU New Orleans Oral and Maxillofacial Surgery
• Dr. Daniel Meara, DMD, MD, FACS - Program Chair of Christiana Care Oral and Maxillofacial Surgery
• Dr. Lewis Jones, DMD, MD - Assistant Professor at University of Louisville Oral and Maxillofacial Surgery with a focus in Craniofacial surgery
• Dr. Angelo Cuzalina, DDS, MD – Cosmetic Surgeon and fellowship director at Tulsa Surgical Arts. Past President of American Academy of Cosmetic Surgery and American Board of Cosmetic Surgery. Practices full body cosmetics with reconstructing with flaps anywhere on the body.
• Dr. Dina Ameen, DDS, Assistant Professor at Emory University Oral and Maxillofacial Surgery and Director of Oral and Maxillofacial Surgery, Grady Memorial hospital
• Dr. Todd Hanna, DDS, MD - Head and neck surgeon based at Lennox Hill hospital - Double fellowship trained (OMFS and ENT fellowships) Head and neck recon and cosmetics

Externship (ON HOLD DUE TO COVID-19):
Our externs will see a wide scope and OMFS and get their hands dirty. They will work alongside residents in our Kirklin clinic, in the operating room, and participate in taking tooth and trauma call. We invite all 3rd and 4th year dental students (2nd year if you have done injections) to come and spend time at our program to see and judge for themselves how UAB may be a fit for them and to see a great program. This is a hands-on externship and we expect externs to work hard and to take call when they are here. You may stay with a resident the entire time so this is a relatively cheap externship!

More information can be found by exploring the site and contacting the program coordinator at [email protected]:


Conclusion:
If you train at UAB, you will be exposed to every aspect within and beyond OMFS without sacrificing bread & butter OMFS – this is as full scope as you can be. The expectation is that you will work your ass off for 6 years because there are so many cases at this program and you will be trained at such a high level by the end. On top of this, you will live in an amazing city and come out in an absolutely amazing financial situation due to the cheap cost of med school, cheap cost of living, and the ability to buy a house and accumulate capital during residency. Don’t forget about that BBQ and juicy fried chicken!

 

[Rotoplasty]

Could someone do a write-up on the current Nebraska OMS residency?

 

[nade0016]

If any residents from the following programs read this, I think you could easily convince many more applicants to apply to your program this year with a quick update. There isn't much up-to-date information out there among applicants.

- Carle
- Minnesota
- Indiana
- Kings College
- Mississippi
- Thomas Jefferson
- Brookdale
- New York Medical College
- Cook County

Go to their websites, lazy.

 

[Ragnarock]

Has no one put all of this amazing info into some kind of excel spreadsheet in the 13 years of its existence?

 

[bergus95]

Has no one put all of this amazing info into some kind of excel spreadsheet in the 13 years of its existence?

you can start

 

[Ragnarock]

you can start

Im just not good enough, dad

 

[StealBloodandTears]

Anything on Ascension Macomb? Can send me a DM if you prefer.

Thank you!

 

[Omfs2022]

Anything on Ascension Macomb? Can send me a DM if you prefer.

Thank you!

I would love more info on this program also if anyone has it? Thanks!

 

[Ivy.ch]

Case Western Reserve University's OMFS Program

Hello current and future applicants! It’s time for Case to push out another program update since tomorrow is our first interview day. We are truly proud of our program and we wanted to post this as a reference for you all during the busy application season. I ran this by the rising chief, so without further ado…

Case Western Reserve University has the nation’s only 5-year OMFS program. We match 3 residents per year, plus a variable number of non-cats (usually ~2).

Follow us @case.oms

Our website is outdated, but here’s the link anyway: OMFS Residency Program | School of Dental Medicine | Case Western Reserve University

You can check out last year’s update here: OMFS Programs Overview

Year 1 (7 months UH OMFS, 3 months VA OMFS, 2 months Anesthesia)
Before you arrive in Cleveland, you will take the CBSE again. Once you prove you can pass >70, you will take STEP 1. It is very nice to get STEP 1 out of the way before starting the program.

Pretty routine intern year. On service, you will work hard. You are the backbone of clinic and the ORs. We are a very resident-run program, which comes with a lot of benefits, but also requires a strong work ethic. In the hospital, you will manage our inpatients and learn how they are managed pre- and post-operatively. In clinic, you will do all the procedures under local - that means impacted teeth, grafting, biopsies, consults, etc. You will also be in charge of overseeing (and rescuing) the dental students. As a VA resident, your dentoalveolar experiences will be unmatched. You will be in charge of similar procedures as on-service, but will be placing loads of implants (~50-200 during our first year VA rotation). At the VA, you’ll have much more supervision, and residents appreciate the close relationship with the faculty who serve as our personal coaches. Interns take the most call of all the residents (see details below). On anesthesia, you’ll be rotating in University Hospital. By the end, management and emergence will be routine. When off-service, you are not expected to participate in any service duties such as call and lectures. Throughout first year, you will have various medical school seminars learning how to do full H&P’s and you’ll be tested with actors in simulation exams. This is generally once per week during the evening. Not bad for getting to skip MS1 and MS2.

Year 2 (11 months medical school, 1 month flex)
You are a third year medical student. Medicine, Pediatrics, Surgery, Emergency Medicine, etc. You have no clinic responsibilities. This is generally a light year that makes way for the potential for lots of reading. During your flex month, you choose your elective rotation. Could be shadowing an OMFS somewhere else, an additional anesthesia rotation, research, or whatever.

Year 3 (6 months UH OMFS, 3 months Metro OMFS, 3 months Anesthesia including 1 month dedicated pediatric anesthesia)
You are a midlevel resident, spending most of the time on OMFS service. You will be neck deep in IV sedations in the clinic while commonly 2nd operator in the OR. You are also placing implants on service. You are taking call, but notably less than intern year. This is technically your 4th year of medical school, but besides staking STEP 2, you have no medical school responsibilities. Sometimes 3rd years rotate at the VA for an extra month. As Metro’s midlevel, you will be extraordinarily busy in both their dentoalveolar clinic as well as in the OR. On anesthesia, you’ll have experience in pediatric sedation and will eventually be running your own rooms.

Year 4 (3 months UH OMFS, 3 months ENT, 3 months Plastics, 3 months GenSurg)
At most programs, this is full “GenSurg year”. At Case, you will spend 3 months on home service continuing your responsibilities as a midlevel. While we do not do malignant cancer on OMFS, you’ll get the exposure with our head and neck colleagues on your ENT rotation. Plastics rotation is at Cleveland Clinic for 3 months where you’ll get more exposure to flaps and reconstruction. The final 3 months are a month each of TICU, Trauma, and Pediatrics. You will also be receiving your MD during your 4th year. We receive 2 years of ACGME credit. YES, 2 full years of ACGME credit!

Year 5 (12 months OMFS)
As chief, you will be rotating as UH Chief, Metro Chief, and Clinic Chief. You are head honcho here, responsible for training the midlevels in the OR, running the clinics, and turning your interns into real residents.

Total 34 months of OMFS

Scope
We are a full-scope program, including ample training in dentoalveolar, implants, sedations/anesthesia, orthognathic, pediatric cases, TMJ, infections, benign pathology, reconstruction, trauma, and cosmetics.

We do not do malignant pathology - we have our excellent ENT colleagues for those cases. Oftentimes they will have us come in to place implants in their fibula flap cases. Most of us residents appreciate that we do not manage malignant pathology on our service and can refer these patients to ENT, and we see it as a blessing of the program.

Where we excel more than anywhere else is our clinic training. We run a very busy clinic, including lots and lots of IV sedations. Most of the residents here plan to go into private practice, so excellent clinic training is important to us all. IV sedations 5 days a week, every week, is something we’re looking into for our future.

Facilities
Our home is the first floor of the dental school building next to the Cleveland Clinic. The building is just under 2 years old. Ask anyone who has externed with us - we have beautiful facilities! TV in every patient room, modern chairs and lights, clean and well lit interiors, wonderfully helpful staff, and plenty of space. We have a laboratory, pre-op/post-op areas, storage rooms, a resident room, a conference room, and much more. We have an entire army of dental students, Ortho residents, and AEGD residents upstairs who are a constant stream of referrals to us. Some programs have issues competing with Perio and GPR - both are very low-key here and we receive almost all the implant referrals. The new Samson Building where we hold lectures and have medical school lectures is next door to our dental school.

Our clinic has 2 ORs. Yes, full-blown OR rooms. We are currently completing the process of credentialing these as ambulatory ORs so we can start operating at our home base. We’re hoping to have these up and running by the end of the academic year. We’re really excited about opening these, because it means we can move all of our tooth cases out of the UH ORs and replace the block time with bigger cases.

Our OR home is University Hospital, a Level 1 trauma center, about a 5 minute drive down Euclid Ave. We operate out of Mather OR (UH’s main OR) and Prentis OR (UH’s pediatric OR).

MetroHealth is a Level 1 trauma center on the west side of Cleveland and is a hub for heavy trauma. When at Metro, you are considered “off-service” and will not be expected to take call at UH.

The Louis Stokes VA Medical Center is a 3 minute drive from the dental school. This is where you rotate 1st year. We do not operate at the VA.

We currently operate out of Ahuja Medical Center and Beachwood Medical Center as well. We never have problems filling our block time and we’re always looking to expand.

Call
Interns take the most call, generally ~q4. The on-service midlevels take call as well, but notably less. The non-cats also pick up some non-trauma days to help out. We take trauma call every 3rd week. It can be VERY busy on trauma nights. Any laceration, trauma, fracture, or god-knows-what to the head will be lighting up your pager. Thankfully, we have an amazing AEGD team who takes all the tooth calls. Sometimes AEGD will call us in for an infection they don’t think they can handle, but they always go see the patient first to screen out a lot of the nonsense tooth calls other programs sometimes have to deal with. So generally non-trauma days are generally pretty quiet. We have a dedicated call room and we receive a food stipend. The VA has a pager but it rarely goes off. When you are on Metro’s service, you carry the Metro pager and will not be on the UH call schedule.

Faculty
Dr. Dale A. Baur, DDS. Program Chair. Dr. Baur does just about everything. He is also very involved in the dental school, serving as vice dean among other roles.

Dr. Faisal A. Quereshy, MD, DDS, FACS. Program Director. @facesurgeon. Dr. Quereshy operates broadly, but is most famous for his cosmetic work. He runs a successful private practice in Ohio to which he sometimes has chiefs rotate.

Dr. Keith Schneider, DMD, FACS. Dr. Schneider covers a lot of our trauma and is honestly one of the calmest, nicest people we’ve ever met. He also runs a very successful private practice in Ohio. He brings many patients from his private practice to our service for surgeries.

Dr. Jaclyn Tomsic, DMD, MD, FACS. @doctorjacci. Dr. Tomsic covers a lot of our trauma as well. She’s adored by our whole crew due her positive attitude and work ethic. Dr.Tomsic also works in private practice and will bring patients from there to our service.

3/4 of our operating faculty on service are young and have private practice experience, which we see as a huge positive for our program.

Our VA attendings are…
Dr. Michael Horan, MD, DDS, PhD, FACS - Clinic Director
Dr. Jon Bradrick, DDS
Dr. John Brokloff, DDS

Our MetroHealth attendings are…
Dr. Alan Martinex, DDS - Department Chair
Dr. Justin Clemow, DMD, MD, FACS
Dr. Petra Olivieri, DMD, MD (Case grad from last year)

We also have various faculty who cover our clinic and act as mentors to us. They include…
Dr. Robert Heckel, DMD
Dr. Donald P. Lewis, DDS, CFE
Dr. James Perhavec, DMD

We have dedicated staff, including our nurse manager, John Hays, who is a blessing to have around. Lots of programs have staff issues - we definitely do not. They assist in scheduling patients, seating patients, turning over rooms, taking patients to radiology, organizing cabinets, stocking supplies, starting tricky IVs, and maintaining our medication room.

Finances
You are paid a stipend ~$65,000 every year except 2nd year.
You pay tuition (~$55,000) 2nd and 3rd year.
Financial aid is available from Case Western Reserve University.

Lectures/Didactics

We have set lecture series which occur in the mornings. We jokingly refer to these as our “Morning Roast”. While we do get questioned heavily by attendings, it’s all in good spirits. Our lecture series include…

• Case presentations (We review the upcoming 2 weeks of cases. What are we doing? How are we doing them? What concerns do we have?)
• OMFS Lecture Series (We split up the chapters in Petersons and Fonseca and we take turns giving lectures about the chapters)
• Orthognathic Conference with the Orthodontics Department
• AEGD Conference with the AEGD Department
• Oral Pathology with our resident oral pathologist
• On Fridays, it’s usually a miscellaneous lecture, could be an extra OMFS Lecture, M&M Conference, Clinic Emergency lecture, etc.

Research
We are expected to “participate in research activity” as mandated by accreditation. What you do is largely up to you. The upper levels have no problems finding projects that let them go to conferences and have a good time.

Externships
We try to always have an extern scheduled each week. It’s the best way to see our facilities and get a feel for our program culture. Externs tend to enjoy the week with us. When you’re here, we try to get you to every OR case we can. You are our guest and we do our best to treat you well. We always call you for any trauma which rolls in to get you involved.

Cleveland
It’s definitely not as bad as you’ve heard. Our university has a beautiful, private school campus feel and while there are bad parts of Cleveland, you will have zero reasons to go there. Looking to live close? Try University Circle or Little Italy. Looking to live somewhere hip and exciting? Try Ohio City or Tremont. Looking for a nice suburban neighborhood? Try Shaker Heights.

In the Summer, downtown always has a pool party somewhere. For the outdoors people, Cayahoga National Park is a common spot to hike or you can visit Edgewater Park and sit on the beach. For the cultured types, we have the famous Cleveland Orchestra and Cleveland Museum of Art, or you can take a stroll down Little Italy for a fancy dinner and ice cream. Sports fans will enjoy the Cleveland Browns, Cleveland Cavaliers, and Cleveland Guardians (formerly the Indians) games. And if you really need to get away, the Cleveland airport is not too far.

Residents
Our team of residents come from all over the country, of all different cultural backgrounds. Half of us are single and mingling, half are married with or without kids. Half are dog people, half are cat people. In common, we are all hard working with easygoing personalities. We joke more than we should and we spend lots of time together, inside and outside of work.

In summary, we love this program. Every resident I know here ranked Case #1 on his/her match list which says all you need to know about our program. We are truly proud of our setup.

Negatives
There’s honestly not much to complain about. We have to pay 2 years of tuition, but so do most MD programs. We don’t take full advantage of our facilities yet, but hopefully our clinic ORs will be up and running soon. We could probably use more digital technology, but 99% of our orthognathic cases are VSP, so we’re definitely not old fashioned. Not everything is within walking distance on the same campus, but nothing is more than a 20 minute drive. UH doesn't use Epic's EMR system yet, but we're supposedly converting to Epic within the next 2 years.

Positives

• Resident culture which blends hard work ethic with easygoing personalities.
• Resident-driven program.
• Heavy clinic and dentoalveolar training.
• Young attendings with private practice experience.
• Limited MedSchool and GenSurg time.
• Strong associations with a dental school, a VA, and surrounding OS private practices.

Looking forward to meeting you all during interviews!

 

[MountSinaiOMFS]

Mount Sinai / Jacobi /Einstein OMFS Program Overview​

I am currently a 2/6 at Sinai and would love to give a quick overview of our program. I know many of you had a tough time getting to know programs during COVID so please feel free to ask me anything.

6-year program; 4 residents a year​

Brief Overview: We are a very busy wide scope program with lots of full time and part time attendings. We cover hospitals in 3/5 NYC Boroughs which means we get excellent training, but our program is not for the faint of heart. We are also unique in that we are affiliated with two large academic health systems in NYC along with three hospitals that are a part of the New York City Health and Hospitals (NYC HHC) Corporation furthering our scope and exposure to what is likely the most diverse city in the world. We are the definition of a collab ☺

Hospitals and Academic Affiliations


Mount Sinai Health System:​

Mount Sinai Hospital (MSH) is a Level II trauma center located in Manhattan (upper east side) with three full-time OMS surgeons and approximately 20 part-time OMS surgeons. You will see a full spectrum of OMS with exposure to general trauma reconstruction, pathology, orthognathic surgery, TMD, and intravenous sedation for dentoalveolar cases as well as head and neck reconstruction cases with various types of flaps and microsurgeries.

Mount Sinai West (MSW) is a Level II trauma center located in Manhattan (upper west side) where we operate on most of our head and neck cancer cases alongside ENT/Microvascular surgery (We have a case every Monday and sometimes even twice a week). Our operative experience here also includes general trauma reconstruction, pathology, orthognathic surgery, temporomandibular joint dysfunction, and dentoalveolar cases. This site is exclusively an OR site and our patients are seen at our clinic at Mount Sinai Downtown Union Square (MSDUS). OMFS is responsible for all face trauma at MSW. Mount Sinai Beth Israel (MSBI) is a nearby hospital that historically we used to operate at and now are only responsible for face trauma call.

NYC HHC
Please note hospitals in this cooperation may also be teaching hospitals/affiliates of one of our academic institutions:​

Elmhurst Hospital is a busy level I trauma center located in Queens (affiliated with Mount Sinai residencies). You will see a full spectrum of OMS with exposure to general trauma reconstruction, pathology, intravenous sedation, dentoalveolar surgeries, management of medically complex patients, and orthognathic surgery. You will spend time in the outpatient clinic and main hospital to see a wide variety of OMS problems. The outpatient clinic is extremely busy with 50+ sedations a month.

Jacobi Medical Center (JMC) is a busy level I trauma center located in the Bronx (Originally built and functionally one of the AECOM teaching hospitals). We have an extremely busy clinic where you will see a full spectrum of OMS with exposure to general trauma reconstruction of the face, pathology, orthognathic surgery, dentoalveolar surgery, cosmetic surgery, and intravenous sedation. We also work alongside our surgical orthodontic fellows led by Dr. Timothy Levine on every orthognathic surgery case. Dr. Levine is directly involved in the education of OMFS residents on surgical orthodontics. We get an unparalleled education in orthodontics for orthognathic surgery. This is key to future success as an OMFS that works with community orthodontists on orthognathic cases.
We are also part of the craniomaxillofacial institute (CSI) at Jacobi. CSI is a multidisciplinary approach to the treatment of all types of serious head and neck diseases or conditions. These include traumatic injuries from assaults, gunshot wounds, vehicular accidents and the like, neoplastic conditions involving benign and malignant tumors, and congenital problems such as cleft palates. We work alongside ENT and Plastic surgery.


North Central Bronx Hospital (NCB) is part of the NYC Health and Hospital system. We have a small clinic and mainly do trauma and dentoalveolar surgery. This is a smaller site and is functionally an extension of JMC.

Independent Institutions:
​

James J. Peters VA Medical Center (part of the veterans association, residents affiliated with Mount Sinai rotate here.) located in the Bronx, is a large referral from upstate New York. The chief of the OMS service guides all residents in basic and complex reconstructive challenges of the oral and maxillofacial region. This requires in-depth knowledge on implant dentistry, bone grafting, and dentoalveolar reconstruction. Under the supervision of the OMS attendings, you are given more responsibility, which include managing the service and performing cases in the operating room and clinic.

Jamaica Hospital Medical Center (independent institution) is a busy level I trauma center located in Queens. Complex maxillofacial trauma including gunshot wounds, and panfacial injuries and maxillofacial infections are common. A busy outpatient clinic with intravenous sedation and complex dentoalveolar cases makes it a valuable site rotation.

Med School:​

Albert Einstein College of Medicine (AECOM): The school and OMFS program works tirelessly to make sure we are getting the best medical and OMFS education. We are constantly evolving to ensure the best experience for our residents. There is an abundance of support from the medical school during our first three years of training. All medical school rotations are completed at AECOM affiliated hospitals. Tuition is the responsibility of the resident for the duration of medical school. Estimated cost: $180,294. Financial aid and scholarships are available. There are many different grants that are available through the medical school for specific expenses during your tenure as a medical student (I.e., childcare grant) please inquire at interview day.

Call Responsibilities:
In general, call is Q3. There are ten non-categoricals between all our sites and 4 categorical residents per year. Some non-cats are specific to specific sites. They work together to ensure all our hospitals are covered.

Call is split by borough:
Manhattan call (MSH, MSW, MSBI)
Bronx call (Jacobi, NCB)
Queens call (Elmhurst and Jamaica)
VA is rotation specific and call here is very minimal

You will of course be taking calls on all three “teams” throughout training but only cover one borough per evening. At some sites we cover almost all face trauma calls, at others we split with ENT and Plastics.

Program Culture:
We have a friendly warm growth-oriented environment. We frequently have program sponsored dinners and get-togethers. For those that experienced our interview day dinner, you know what I am referring to! We are very proud of our culture and are looking for residents that can keep the bar high.
Our current residents represent nine different dental schools including: Columbia, Harvard, NYU, UCLA, USC, McGill, Penn, Stonybrook, Rutgers and the list includes others in the past. Some of our residents have families and some come from non-traditional backgrounds, and others are more traditional. We are just looking for hard working smart people to train and become leaders in OMFS.

Housing: We understand that housing in NYC is expensive and therefore our program is proud to provide subsidized housing for ALL SIX YEARS of training! For years 1-3 (including 3) you are eligible for housing through AECOM, and for years 3-6 (including 3) you are eligible for housing through Mount Sinai Health System. That’s right! In year three you can decide which housing works for you! More details will be provided during the interview.
AECOM housing: studios-2BR apartments. Families are given priority for 2BR. Cost: $800 (studio) -$1400 (2BR). Please note if you are sharing an apartment the rent will be split equally among all tenants.
Sinai Housing: studios-2BR apartments. Lottery for apartments opens after Match Day. Cost: $1600 (studio) -$3500 (2BR). Please note if you choose to share an apartment the rent will be split equally among all tenants. Housing is located in Columbus Circle right near MSW or Upper East Side near MSH.

Alumni:
Alumni have completed some of the most prestigious fellowships in head and neck oncology/microvascular surgery (LSU), cosmetic surgery (facial plastics), full body cosmetic surgery, pediatric cranio-maxillofacial surgery (Posnick). Others have full time/part time academic appointments. Many have successful private practices in the NYC/NJ area and beyond.
We have previously accommodated and mentored residents that completed medical school prior to deciding on OMFS as a career, and needed assistance navigating attending dental school and OMFS residency and beyond. If this is relevant to you please reach out!

Year by Year Overview​

Year 1:
2 Months of OMFS from July 1st till end of August. You are part of the OMFS team at the level of an intern. The purpose of these two months is to get you connected with other residents and attendings. We pride ourselves on having a diverse group of residents with an excellent culture, so we look forward to getting to know our new residents during those months every year. We also have (pre COVID and hopefully soon!) dinners with the entire program at a NYC restaurant a few times a year to keep everyone connected regardless of what rotation you are on!
10 Months of AECOM:
You complete 6 months of MS2 didactics, then during Feb/March time you begin MS3 clinical rotations. Prior to beginning clerkships take USMLE step 1.

Year 2: Complete MS3 Rotations (*12 months).
Since the medical school curriculum has been changing over the last few years the didactic part of the OMFS programs has been getting shorter and shorter. Required to complete 2 sub-internships as part of the MS4 curriculum, can possibly be done during this year (TBD). Each sub-i is 4 weeks long (2 months total). Take all shelf exams with MD students; end of year 2/MS3 take USMLE step 2.

* AECOM is shortening the didactic component of their curriculum which is shortening our required time in medical school. Future residents may be on OMFS service for a few months more (exact amount TBD) in 2nd year.

Year 3/PGY1: Split year Anesthesia and OMFS
Start July 1st with Anesthesia as a CA-1 with the rest of the categorical anesthesia residents at MSW for 4 months. One month of pediatric anesthesia at New York Eye and Ear (Mount Sinai). We get excellent anesthesia training and start “at the same training level” as the anesthesia residents and are welcomed into the group of residents as one of their own. All four residents complete the six week CA-1 anesthesia bootcamp with the categorical anesthesia residents, then two will stay on anesthesia and two will begin on service OMFS, then alternate.

OMFS: Focus of these months is to get comfortable with outpatient OMFS and assist in the OR at the level of an intern. Time will be split between JMC and Elmhurst hospital. If sub-internships were not completed in year 2, they must be completed before graduation (end of year 3).

End of year 3: graduate from Albert Einstein College of Medicine

Year 4/PGY2:
12 Months of General Surgery at MSW. 2 months of general surgery will be on OMFS and count towards time on general surgery for medical licensure purposes. Time on OMFS is completed at MSH and MSW; this is specifically an OR rotation. Take USMLE step 3 at some point during general surgery.

Year 5/ PGY3:
12 Months OMFS: this year is split into four parts
3 months at MSH: this is an OR heavy rotation
3 months at NCB: every Friday will alternate between NCB OR and JMC OR.
3 months at VA: Chief rotation, very implant heavy. Every Thursday will cut orthognathic cases at JMC.
3 months at Jamaica Hospital. Chief rotation

On many of these rotations the 5th year is an acting chief.


Year 6/PGY4:
12 Months OMFS: split year (6 months at each hospital)

Chief resident at Mount Sinai Hospital and Jacobi Medical Center (2 residents)
or
Chief resident at Mount Sinai West and Elmhurst Hospital Center (2 residents)

Total:
33-35 months OMFS (depending on when sub-internships are completed/will increase with Med school curriculum change)
24 months of medical school (may become shorter in the future! TBD)
12 months of general surgery
5 months anesthesia

Attendings​

Daniel Buchbinder, DMD, MD: Chief of OMFS at Mount Sinai Health System, and founder of the Mount Sinai combined program. Wide scope OMFS with specific focus on benign and malignant path, head and neck cancer, orthognathic surgery. He is also heavily involved in research and has a special interest in technological innovations for craniomaxillofacial surgery. Dr. Buchbinder is a recognized leader in OMFS and has been involved in training residents for 35+ years. He is truly a wealth of knowledge and is an internationally renowned surgeon.

Michael Turner, DDS, MD: Chief of OMFS at MSH and program director: Before I talk about his OMFS accomplishments I want to mention that Dr. Turner's focus is resident education and training. It is constantly on his mind, and he is always coming up with new ideas to enhance our experience. He is a career academician, with significant contributions to our specialty. He practices full scope OMFS with a focus on dentoalveolar surgery, pre-prosthetic surgery, maxillofacial trauma, orthognathic surgery and has extensively written and considered an expert in salivary gland disease and sialendoscopy.

Benn Liberman, DMD: Chief of OMFS at JMC: Wide scope OMFS with specific focus on orthognathic surgery, outpatient anesthesia and dentoalveolar surgery and pre-prosthetic surgery. His ability to know exactly where each resident is holding in their training and what their needs are makes him an educator par excellence. He owns a private practice and now dedicates three days per week to resident education. He truly understands what it means to run a successful private practice while balancing it with an academic appointment. What most program directors hear from prospective residents today is that they want to “do private practice with an academic appointment” He excels in that role and serves as a role model for many residents.

Andre Montazem, DMD, MD: Chief of OMFS at Elmhurst Hospital. He is well recognized for his technical and surgical skills as well as his expansive knowledge of head and neck anatomy and medicine. He leads many didactic sessions and journal clubs.

Harry Sacks DDS, JD: Chief of OMFS at Jamaica Hospital. Fellowship trained, he is an expert in facial trauma management, benign pathology and implantology.

Trina Sengupta, DMD: Attending at Jamaica and Elmhurst Hospital. Practice is heavily focused on facial trauma, also very involved in resident education and mentorship.

Stanley Smith DDS: Chief of OMFS at the Bronx VA. Full scope OMFS with a special interest in implantology and complex full mouth pre-prosthetic surgery.

Timothy Levine, DMD: Director of Surgical Orthodontics, Jacobi Medical Center
He was the first fellow in surgical orthodontics and craniofacial orthopedics at JMC. Following his fellowship, he continued to work at Jacobi as Clinical Director of Orthodontics and is currently the Director of Orthodontics. He has focused his scope of orthodontic treatment to patients with congenital or acquired craniofacial deformities that require surgical intervention. He is the lead orthodontics for the Congenital Craniofacial Care Center, Jacobi's craniofacial team. We absolutely love having him on our team.

Jacobi Part Time Attendings​

Tasios Vakkas, DDS, MD: Attending at JMC. Involved in resident teaching in the OR. He is actively involved in resident and student education and training and is a published author. He has a special interest in orthognathic surgery.

Barry Langsam, DDS: Attending at JMC Also the Director of Dentistry and Chief of Oral Surgery at Sound Shore Medical Center in New Rochelle. He is the Chief of Section of Oral Surgery and out-patient Anesthesia at the Rose F. Kennedy Center, Albert Einstein/Montefiore Hospital Medical Centers.

Stephen Gelfman, DDS, MD: Attending at JMC He previously was the principal investigator at the National Institutes of Health in Bethesda, Maryland. He has been involved in dental education for his entire professional career.

Kerry McEntee, DMD, MD: Attending at JMC with a special interest in bone grafting, implant surgery, orthognathic surgery, dentoalveolar surgery, and anesthesia.

We have 20+ more amazing part time attendings affiliated with Mount Sinai Health System. Many are practicing OMFS surgeons with thriving private practices that want to be a part of resident education. The exposure we get to the greater OMFS NYC community is tremendous and can lead to future job offers…..!

Brief Summary: As you can see, we are a very busy and large program. Our patient population is extremely diverse and our training mirrors that diversity. We get excellent training in everything OMFS and beyond. Our relationships with ENT, Plastic surgery and multiple academic institutions speaks volumes about our leadership and subsequently our experience and training. Our graduates truly can do and are prepared to do anything within the very wide scope of OMFS, fellowships and academic appointments.

That being said, if you are looking for a more relaxed “country club” program we are not it. We get the best training you can imagine, but we travel, and work our assess off and try to have fun doing it.

We are constantly evolving and making small changes to enhance our program. We take our residents' feedback seriously and have implemented actual changes rather quickly based on feedback. Please ask any additional questions, I would be happy to help!

 

[OMaxFace]

The University of North Carolina at Chapel Hill – Oral & Maxillofacial Surgery Program

Overview
- Just updating the UNC OMFS post from a couple years back
- We are a 6-year MD track program with 3 residents per year plus 1 non-categorical intern with broad scope minus cancer.

Hospitals

UNC Hospital: The main benefit in our hospitals is that when you are on service you do not have to drive between multiple locations. All of our operations, whether they be in the children's or main hospital are essentially at the same place since the hospitals are connected and you can walk between them indoors. This includes the dental school. At UNC we have 5 OR days (double OR day on Thursday, no planned cases on Friday).

UNC Dental School: Your procedures will include third molars, impacted canines, expose and bonds, and pretty much whatever the dental students/other specialties treatment plan. There is no shortage of extractions and we have dedicated implant days.

Durham VA: We have complete control of the implants at the VA. The GPR residents do not place any. I would say about 30% are overdenture implants with the rest being single unit/bridge supported. You will also do all of the grafting ranging from lateral window sinus lifts to ramus block grafts. Whether you are PGY1 or PGY5, if you are able to present a competent treatment plan with appropriate reasoning the attending will allow you to do the case.

Asheville: When you rotate here you take Q2 call with a military resident. Since there is no ENT/Plastics here you gain a large exposure to full head and neck surgery since you cover call for all three services. You will also have the opportunity to be a part of any cases (thyroids etc) that interest you as long as you are free. It is extremely busy, but residents tend to love their rotation here.

Elective: During your elective month you can set up to go to an outside OMFS program, fellowship, or subspecialty within UNC. Examples in the past few years include Microvascular at OHSU, oculoplastics within UNC, implants with Dr. Sclar, arthroscopy with Dr. McCain. Some residents even choose to do international electives. This can be very advantageous if you are considering a fellowship.


Schedule

PGY1: 7 months OMFS: 5 at UNC, 2 at VA, 5 months Anesthesia. As an intern at UNC you will spend half of your time in the resident clinic and half in the OR. You will be retracting for most of the orthognathic/TMJ cases but will get to do the OR cases you work up such as infections, path, and trauma. In the resident clinic you are allowed to do everything from impacted canines, thirds, benign pathology, implants. During your anesthesia rotation you are a CA-1 so you run the cases by yourself with an attending that typically covers 1-3 rooms. You can run sedations once you're done your anesthesia rotation so some interns will do this when they come back on service after anesthesia.

PGY2: Take the USMLE Step 1. MS3 (clerkship) for remaining 11 months. You do not take any M1 or M2 classes.

PGY3: MS4 for first 6 months. MS4 is nice because it is almost all electives which most residents do on the head/neck service on ENT or plastics. 6 months OMFS from Jan-June: 4-5 months at UNC , 1-2 at VA. You will cover resident clinic, assist in the OR and begin to get bigger cases. You will also have extraction, trauma, and benign pathology cases in the OR. You will be able to run your own sedation extraction cases in clinic as well.

PGY4: 11 months of general surgery as a PGY-1 and 1 month OMFS elective. On general surgery you will rotate on surgical services like Plastics, Trauma/ACS, Burn, Pediatric, SICU, Colorectal, Vascular, Thoracic, etc. It’s a demanding year, but by the end of it you become significantly more competent and confident managing critically ill patients and navigating the hospital environment.

PGY5: 12 months OMFS: 4 months in Asheville, 6 at UNC, 1 month VA, 1 month OMFS elective. You will gain more complex cases in the OR, complex implant cases with prosth, and be more involved in the cosmetic clinic.

PGY6: 12 months OMFS: all at UNC. Your time is split as the chief for one of the attendings. You will attend either the LSU or Denver course for board preparation. You will typically cut half the orthognathic cases with the attending cutting the other half. You will cut the entire case when it is unilateral (pathology etc).

Total time (months): OMFS (38), Medical School (18), Anesthesia (5), General Surgery (11)


Full Time Attendings
George Blakey, DDS (Chairman): Primary scope includes orthognathic, trauma, benign pathology
Timothy A. Turvey, DDS (Former Chairman): Primary scope includes orthognathic, craniofacial
Elda L. Fisher, MD, DMD (Program Director): Primary scope includes cosmetics, and gender affirming surgery
Renie Daniel, DDS, MD: Primary scope includes craniofacial
Roger Moreira, DMD, MD, JD, PhD: Primary scope includes TMJ, orthognathic, cosmetics
Glenn J. Reside, DMD: Primary scope includes dentoalveolar, implants


Scope

Orthognathic: Our program is notorious for being very heavy on orthognathic surgery. Dr. Turvey and Dr. Blakey are very well known in this field and will often do 3 in one day.

Pathology: Dr. Blakey has a very large patient pool of benign pathology. We regularly have multiple KCOT procedures in a week as well as reconstructions for ameloblastoma. We do not no cancer at UNC but you will be involved with resections while at Asheville.

TMJ: Dr. Roger Moreira, who practices full scope OMFS, additionally will do the bulk of our TMJ cases. This includes everything from arthrocentesis to TMJR.

Trauma: Chapel Hill is not a dangerous area and we have a reputation for not being very trauma heavy because of this. At Asheville you take full face call q2 days. We take q3 month mandible call between plastics and ENT at UNC. Dr. Blakey has a contract with the corrections department so that all facial trauma from there is only seen by our service, which provides additional trauma cases without the extra burden on call. So overall, in my option we get a fair amount of trauma experience without it detracting from the rest of the scope the program offers.

Cosmetics: Dr. Fisher, who is fellowship trained, has a cosmetic clinic at UNC. She is also one of a handful of surgeons in the country offering gender-affirming surgery for the transgender community. So in addition to clinic cases (botox, fillers, micro-needling, etc), the more complex virtually-planned OR cases for gender-affirming care (fronto-orbital setbacks, lateral brow reduction, brow lifts, hair line advancements, gonial angle reductions, genioplasties) have been quite rewarding.

Cleft/Craniofacial: We do both primary and secondary repairs. We also see a good amount of syndromic patients (hemifacial microsomia, Treacher Collins, etc) that require multiple procedures. Dr. Turvey, who is an expert in the field, and Dr. Daniel who is fellowship trained, do these cases with us

Implants: We have designated implant days and often use CBCT for treatment planning. You will place the majority of you implants as a PGY1 at the VA and increasing number at UNC as you progress through the program. We have conferences with the prosth department once a month

Cancer: We do not do any head and neck cancer at UNC but multiple residents who have an interest have spent their electives with ablation/microvascular fellowships.


Call
We take home call and there is a GPR that takes tooth/dentoalveolar fracture calls at UNC. When you are at the VA you take call there in addition to at UNC, but there tends to be very little call coming from the VA. First call is Q2-Q4 as a lower level (PGY1/3) depending on how many are on anesthesia. As an upper level (PGY5/6) call is Q4-Q5. Weekend call is grouped together so you are either on call Friday-Sunday or off the entire weekend. You do not take any call while you are on anesthesia or in medical school.

Didactics
1 hour every Wednesday morning that alternates between a resident run lecture on selected topics and mock boards held by faculty. Two hours every Friday by faculty both within our program and from outside departments. Examples include pathology by Dr. Blakey, Ophthalmology/Radiology by attendings from within UNC. There is also a guest speaker that comes in for a full day once a year. Last year we didn’t have one 2/2 COVID, but the year before it was with Dr. Tiwana. Grand rounds Friday after lecture to discuss cases for upcoming week along with resident run teaching during this time

Additional Benefits
You are allowed to moonlight while in med school. How much you do is up to you but average pay is about $1000 for working 9a-4p. There is an office position set up. You are given a textbook allowance each year. All Step I/II/III related costs and study materials are covered. You are given $150/month for cafeteria food while at UNC and unlimited free cafeteria food while at Asheville

Tuition/Salary
You will pay a prorated instate tuition for medical school for the 18 months you are a student. So one year is $35,000x1.5 for total of ~$52,000. You will be paid during all of your months on service including the 6 months during your PGY3 year that is split with medical school. Salary starts at $55,000 and increases a couple grand each PGY year

Research
UNC has many research opportunities with the majority of faculty currently having projects with residents. Not all residents choose to do research throughout the entire program and there is no formal requirement. That being said, the majority of residents present at AAOMS and have multiple publications. The program will pay for your transportation and hotel for any conferences that your research is accepted to present at.

Chapel Hill
Residents live within the triangle area (Raleigh, Durham, Chapel Hill). It is by no means a big city but there are plenty of things do/places to eat between the three areas. The beach is two hours east and the mountains are two hours west. Chapel Hill itself is a college town with bars and restaurants surrounding the campus. To give an idea of cost of living, a one-bedroom apartment in Chapel Hill costs $900/month. Living is significantly cheaper in Durham and is only 10-15 min drive from the hospital.

Residents
The residents get along well and meet up outside of work as a large group at least once a month for dinner/other outings. Due to us all having different schedules most will hangout outside of work in smaller groups. There are very few residents from the same dental school and are from all over the country. Approximately a third are married.

Externship
You will spend most of your time observing in the OR but can help extract teeth in the urgent care clinic if you would like. You will also be allowed to round on the inpatients and take call with the residents, but this is entirely up to you. At the end of the externship you will have a meeting with Dr. Blakey and Dr. Fisher to just review how your week went. You will have to arrange for your own housing and transportation. More information can be found on our website.

How to Contact Us
- Program Coordinator, Megan Avakian ([email protected])
- Social Media: DM @carolinaomfsurgery and one of the current residents will reply to you.

I hope this answers some of the basic questions about the UNC-OMFS program. Enjoy the upcoming interview season.

 

[blueberry101]

Any information about St. Josephs Health OMFS?

 

[Xtract]

Any recent update for University of Washington (6 year)? Looked around the forums, couldn't find much. Also checked the website but would like a more thorough breakdown. Thank you.

 

[Katzen7]

Does anyone have any updates on Cook County? I know they have undergone significant transition in the last five or so years.

 

[Cheez_Head]

Any updates on Boston University or MGH?

 

[ColumbiaOMFS]

Hi Everyone,

Our GPR program at Columbia/NewYork-Presbyterian Hospital was approved for an additional resident to start July 1st. Essentially the position act as OS non-categorical spots. You take OS call and are heavily involved with the OMFS team including the OR and in the clinic. Call is usually q7. Great opportunity for someone thinking about OMS but still wants a little exposure to general dentistry or someone who applied into OMS and did not get a spot this round looking for a non-cat spot. DM me if interested.

 

[RoquanSmith03]

"
University of Kentucky


Doesn’t look like we’ve updated our information in a while so here is some more recent information about UK. Please feel free to let me know if you all have questions or need clarification.

6 year program; 36 months on service

3 residents per year. 1 non-catagorical intern


Year 1:
This is your traditional intern year. This year is split between 9 months at UK clinics and 3 months at the VA. For 9 months of the year you are running the UK clinic. This clinic is a major strength of our program and is one place where you get a lot of experience. I did over 200 sedations my intern year and my co-residents had similar numbers. Probably about half of those cases were 3rd molars and about half were other extractions. During these 9 months interns are also assigned to the OR to assist or cut cases, and also to faculty clinic where you still take out teeth and do sedations. Drs. Cobetto, Erena, and Dominguez primarily run the clinic. All three are great and experienced surgeons, but they shine in being patient and loving to teach residents to become better surgeons.

For the other 3 months of the year you are at the VA with our attending Dr. Murphy and a fifth year resident. This clinic is a bit slower paced and allows for a lot of one on one time with Dr. Murphy. He was a private practice Oral Surgeon for a long time before coming to the VA and is a great resource for teaching dentoalveolar. As an intern I did 50 implants, and most of these were at the VA clinic. We also do botox for migraine headaches at the VA which was a pretty cool experience. I did about 15 of these cases as well.

During the whole year you take Q4 call which works out to be 7-8 days of call per month for each intern. As a service we rotate with plastic surgery and ENT taking full facial trauma call so every 3rd day we are covering facial trauma. UK and Louisville are the only level 1 trauma centers in the state of Kentucky, so we cover all the trauma from the east side of the state and Louisville does the west. It is common to get patients from 2-3 hours away in our emergency room because we are the only game in town. This can make for some very busy trauma nights.

Year 2:
Second year of medical school. Systems based curriculum you take classes with the M2s. You have no OMS obligations during this time. Classes end in March so you have April, May and June to study for Step 1 and then chill. This is a pretty relaxed year. You qualify for in state tuition for this and third year of medical school even if you are not from Kentucky.

Year 3:
Third year of medical school (rotations in surgery, medicine, neurology, etc). Take Step 2 CS and Step 2 CK. Third year rotations typically end in mid-May and you then have June off before starting 4th year. After finishing in May you are awarded your M.D. from the UK College of Medicine.

Year 4:
General Surgery and Anesthesia year. This year we do 7 months of general surgery and 5 months of anesthesia. In general surgery we rotate 1 month each on the following rotations: Trauma ICU, Trauma floor, Vascular, ENT, Plastic Surgery, Pediatric Surgery, and Endocrine Surgery. During the 5 months of anesthesia you very quickly progress to running your own room and performing all your own intubations/extubations etc.

Year 5:
5th year is divided up into three 4 month rotations: cancer/trauma service, outpatient clinic, and VA clinic. The cancer/trauma rotation is currently spent training one on one with Dr Yeoh in the operating room focusing mainly on pathology and trauma but with some dentoalveolar, orthognathics, TMJ surgery as well. Dr. Yeoh is our microvascular surgeon and chair and enjoys getting 5th years in the OR so he can teach them to operate. Our free flap reconstructions are mainly for malignant path but also occasionally for benign path or trauma. Dr. Yeoh does not have a fellow and does not want one, which means the 5th year gets to operate a lot in these surgeries. This ends up being a great operating experience as you learn to excise pathology, perform neck dissections, harvest free flaps and perform anastomoses.

The UK outpatient clinic consists of high volume IV sedations, dental extractions including wisdom teeth, expose and bond, implants, and bone grafting. The fifth year is in charge of the clinic and runs it in conjunction with a clinic attending.

The VA outpatient clinic focuses on dentoalveolar surgery, preprosthetic surgery, implant surgery, and bone grafting. It includes some IV sedations in clinic and approximately 4 OR days per month. 5th years take backup call and currently have no call responsibilities while at the VA.

Year 6:

Our chief year is divided between rotations with Dr. Van Sickels, Dr. Tucker, and another rotation with Dr. Yeoh. The rotation with Dr. Van Sickels is very heavy in orthognathic but also includes some trauma, pediatric surgery (distractions etc), dentoalveolar, and implants. Dr. Van Sickels brings a wealth of knowledge to our program and is a pillar in the orthognathic surgery community. Our orthognathic cases often involve large and complex moves but working with Dr. Van Sickels makes them seem routine. Chiefs often graduate with 50-70 jaws completed after their time on this rotation. Dr. Van Sickels cuts half the case and the resident the other half.

Dr. Tucker practiced in private practice for years before joining UK. He brings a wealth of knowledge regarding complex prosthetic reconstructive techniques. Our chiefs this year graduated having completed 10-20 All on X cases each, and between 5-10 zygomatic implants each. Not only does he teach the surgical technique in placing these implants but he also is well versed in the prosthetic side which is extremely important if you want to go into private practice. Dr. Tucker also enjoys taking call so as his chief you will operate on lots a trauma and infections as well.

The second rotation with Dr. Yeoh is designed to let chief residents operate more independently and get more experience with all aspects of OMS. The chiefs will often run Dr. Yeoh’s second room. By this point you will have had ample trauma and infection experience, so this rotation lets you operate more independently and develop your operating style. Chiefs will often help out with cancer cases if they have time which makes the cancer cases go more quickly. Chiefs may harvest the flap while Dr. Yeoh and the 5th year perform the ablation and neck dissection.


Total 36 OMS months on service, 7 months on general surgery, 5 months anesthesia


Program Chair: Melvyn Yeoh, DMD, MD, FACS

Program director: Joseph Van Sickels, DDS, FACS

OMS Faculty:

Gregory A. Cobetto, DMD

Enif A. Dominguez-Fernandez, DDS

Gregory R. Erena, DMD

Steven R. Tucker, DMD

Didactics: We have weekly lectures with Dr. Van Sickels for part of the year learning orthognathic principles, as well as monthly meetings and joint presentations with our orthodontics department. Additionally we have M&M monthly to review and improve upon operative complications. Overall not too didactic heavy.

Program Culture: We are a relaxed program in a sense where all the residents hang out with each other and the attendings. We will go out for beers together, do holiday parties, and backyard barbeques. While at the hospital everyone works hard but we still like to hang out outside of work. Lots of people have spouses and families and they bring them when we all go out so in a sense it becomes like one big family. If you interview with us our metric is, “does this seem like someone I could go out for a beer/dinner with?”

Scope: Pretty broad. Lots of trauma, malignant path, benign pathology, orthognathic, tons of in clinic sedations, third molars extractions, implants. We do not do much cosmetic surgery other than post traumatic (i.e. post traumatic rhinoplasty). Regarding craniofacial we don’t do primary cleft lips or palates but we do the alveolar cleft repair and we do a handful of distraction cases a year for craniofacial syndromes. Dr. Van Sickels also takes 1-2 residents on a Cleft Lip and Palate mission trip yearly where they are able to perform the primary surgeries.

Call: As interns we take q4 call. We rotate trauma call with ENT and Plastics so we cover trauma call one out of every 3 days. It works out to 7-8 days of call a month with 2-3 days of those being trauma days. We do power weekends (intern is on call Friday, Saturday, Sunday) which get exhausting but then each intern is only on call 1 weekend a month. 5th and 6th years do not take primary call and usually will be on for a week at a time and then off for 4 weeks or so.

Research: We don’t do much. We present some case reports intern year which fulfills the CODA research requirement. A few of us have published a paper or two in residency but the majority of residents do not do much research. Attendings are always willing to take part and mentor you if you have a research interest but they don’t force it on us.

UK Hospital: The hospital is right on the undergraduate campus and is in a very safe area. We cover the VA and Children’s hospitals as well but they are all connected so at most you have to walk 10 minutes to get from one side of the hospital to another. We also cover Good Samaritan hospital which is a 5 minute drive away but we do not get many consults there. You will likely only have to go there once or twice a year.

Lexington: It’s a great city. Extremely safe and tons to do. Lots of breweries, distilleries, restaurants and events to go to. You can get anywhere in the city in about 20 minutes and living here is extremely affordable. Most residents end up buying houses because housing prices are so low. If you come here you will come to love horseracing and bourbon. We have horseraces at Keeneland every October and April and people love to get dressed up and go watch the races. We also just started a yearly music festival (Railbird) with big bands that come and perform. UK is also a big basketball school so everyone here goes nuts supporting UK come March. The hospital itself is right integrated with the undergrad campus which definitely helps with the UK spirit.

My personal impression of our program: While I am biased, I wanted to do this write-up because I honestly believe we are one of the best programs in the country. I don’t know of many others that get the same dentoalveolar experience with third molars, sedations, and implants. We combine this with a very strong operative experience where you will operate a ton on full facial trauma, cancer, orthognathic, TMJ and others. In addition to this, residents get along very well and love to hang out which makes all the hard work a lot easier to put in."



2 years later and this is still 100% accurate. You will get H&N experience w/o a fellow, so many orthognathic cases to the point you will probably be sick of it, decent trauma, great dentoalveolar experience. As an intern and 2.5 month in, I have probably done 90+ cases as primary surgeon/anesthesiologist. The same for my co-interns as well. Great culture, Lexington is an amazing city, cost of living is low.

 

[FracturedFaceFixer]

Any updated info on UF Jacksonville?

 

[lOuDMoUTH]

Nebraska had recent faculty change, and some information that needed to be updated......so here it is!



University of Nebraska Medical Center (UNMC) 6 Year OMFS Program

6-year program, 2 residents per year, no non-cats

Program overview: UNMC is the oldest dual degree program where Dr. Davis, former program director, trained and became one of the first dual degree oral surgeons in the country. This history makes OMFS very stable and with a strong presence at the medical center. STEP 1 is taken anytime between Matching with us (January) and start of residency (July 1st). This essentially completes the 1st and 2nd years of med school which is also unique to our program.


Year 1: Fairly typical intern year with the exception of a few things that make our intern year standout. You do all local procedures at our different clinics, assist in the OR 1-2 days/week, and facilitate OR cases for the upper levels. Trauma call is handled by OMFS, ENT, and Plastics. Trauma call is Monday at 8 am to Monday at 8 am. ENT and OMFS alternate trauma every week and Plastics participates every 5th week so the majority of trauma is handled by OMFS/ENT. Tooth call is 24/7 OMFS with GPR handling vestibular abscesses and splinting teeth. As interns Tooth call is split by weeks at a time and trauma week is alternated each day between the two interns, as trauma tends to be busy.

We have 4 clinics (LOC, VP, VA, and Creighton) and the interns are assigned different clinics every week. UNMC covers Creighton dental school for OMFS coverage. Interns are responsible for Creighton coverage MWF. Creighton is a hidden gem at our program. It’s set up like a private practice so as an intern your cases will be Tee’d up and all you do is place the IV, run moderate sedation, and take out thirds/pathology/Full mouths. The learning curve is steep but by the 2nd or 3rd month you become much more confident removing fully bony impacted wisdom teeth.

As interns we cut cases when the attendings feel we’re ready. Orthognathics is our bread and butter and it is not uncommon to cut 5-10 Leforts/Sagittals by the end of intern year. Intern year is still the hardest year of residency but between Creighton and placing implants at the VA, everyone survives.

Year 2: Typical third-year med student with required clerkships. 6 weeks ob/gyn, 6 weeks psych, 8 weeks internal medicine, 8 weeks general surgery, 6 weeks pediatrics, 6 weeks family med. You have all the standard breaks as a medical student so most enjoy this year to catch your breath after intern year. You are not on service this entire year with tuition costing ~35K as in instate resident. This is the only year you do not receive house officer pay. Residents take STEP II at the end of this year.

Year 3: Fourth year of medical school. We pay for a full year of tuition again (35K) but we do receive half of the year’s house officer pay (~30K) during this year. You complete your med school with 4 months on OMFS service and 4 months on anesthesia, 1 month research, and 3 months to spend how you like. The 3 months you earn during med school is nice in that you can shape it however you’d like. Some of our resident’s shadow fellowships during this time or just take a nice break from residency and feel what it’s like to have a life outside residency. During service as a upper level you’ll be on call Q4-5, with interns being first call. You also spend more time in clinics where you’ll be running all of the morning sedations, if not, sharing it with the senior resident. You spend ~1-2 days/week in the OR and many times will be just you and the attending.

Year 4: Gen surg year, arguably the hardest year of residency. 2 months trauma, 1 month Neurosurgery, 1 month pediatric surgery, 1 month pediatric anesthesia, 2 months craniofacial surgery, 1 month medicine/neuro ICU, 1 month plastics, 1 month Vascular, 1 month EGS, and 1 month thoracic surgery.

At the end of this year, our grads receive a 12 month General surgery certificate (not “credits” ). We haven’t had any alumni who’ve faced difficulty receiving medical licensure.

Year 5: 6 months OMFS, 3 months Craniofacial surgery, and 3 months Head and Neck Surgery. Head and neck is another hidden gem at UNMC. We operate at Methodist with a well-established surgical team where we purely operate cutting half of the case. Most residents consider the head and neck portion an outstanding aspect of our program. The other 3 months are spent on Craniofacial with Dr. Miller performing cranial vault reconstruction, cleft lip and palate repair and ear reconstruction. These 3 months on craniofacial are fairly unique to UNMC. Dr. Miller is OMFS and Plastics trained. Additionally, we spend a large amount of time 5th and 6th year with Dr. Desa as part of the craniofacial team performing alveolar cleft bone grafts and maxillofacial/mandibular distractions.


Year 6: 12 months as chief resident on service with 6-10 sedations every clinic morning and 2-3 days in the operating room. The attendings expect you to run the service managing the interns and being first assist. It is common to see chiefs and senior residents cutting full cases while attendings just guide them.


Total: 34 months of OMS, 5 months of Craniofacial, 3 months of H&N, 9 months of Gen Surg, 5 months of Anesthesia, 12 months of medical school, 1 month of research and 3 months to spend time with your family/friends, shadow fellowships, or find a new hobby.

The nice thing about our program is how approachable our attendings are. If the residents’ plans are to do more cosmetics, orthognathic, or H&N then Dr. Desa will work with us early on to create a schedule that is conducive to our success in whatever our residents choose (given that it’s within reason).


Scope: Full scope with heavy Orthognathic, TMJ, Benign path, Cosmetics, Reconstruction and Dentoalveolar. Your craniofacial is with Dr. Miller and Malignant path with at Methodist with the H&N group. Our chiefs, on average, have performed >500 major OR procedures each (not including OR dentoalveolar). Our attendings are well recognized in the area, and have strong referrals with OR cases booked out 5-6 months in advance. With the recent addition of Bellevue medical center, we now have the full week with blocked OR time for OMFS.

Call: Tooth 24/7 with interns on primary call alternating each week and GPR to cover all the non-fascial space related abscesses. Trauma every other week except the 5th week. The interns alternate each day during trauma call, and we do a power weekend so that 1 intern gets the weekend off to rest/recharge which alternates.

Didactics: Case conference every Wednesday morning with Chiefs primarily presenting complex/unique cases they operated on with an educational session at the end of each case. Biweekly Implant lectures from Dr. Tucker who was part of a successful private practice before moving back to Nebraska (we have Nobel, Straumann, and 3I reps come and present as well). Friday mornings the residency didactics rotates between surgical approaches with patient mgmt and Pathology lectures. The interns also have a class (for the first 2 months) with Dr. Untrauer who will teach them how to perform a thorough H&P. Monthly journal club meetings that are usually more casual with residents and attendings hanging out and speaking on any one particular topic that the residents are interested in.

Research: Encouraged but not heavily emphasized.

Other Perks: $8/day for lunch (including wknds), $300 provided each year for educational expenses for textbooks or whatever you want to buy, and $150/month at the VA for food. The program also awards 15 credits for any resident who wants to enroll in undergraduate classes at UNL; UNK; UNO; or UNMC.

Externship: Nebraska isn’t a place where most people of dream of being, but this view quickly changes whenever we’ve had externs come out to hang with us for a week or two. We frequently place our externs in ORs whenever possible to see the attending/resident relationship firsthand and even scrub in on these cases. Externs who are D3’s or D4’s will also take cases in the OR where they scrub in and get to extract with the intern.

Externs are also given their own badge and have $10/day for food allowance. I'll repeat, YOU GET $10/DAY for food and free lodging at UNMC. The residents who've matched here have all externed and enjoyed the atmosphere and culture at UNMC.


Hospitals/Clinics:

Lauritzen Outpatient center (LOC): Main clinic at UNMC, newly constructed in 2015.

Village Point clinic (VP): West Omaha with private practice feel.

Boystown National Research hospital: This is where Dr. Desa attends craniofacial clinic with residents (typically chief/senior residents). This is also where senior residents will rotate with Dr. Miller and operate solo with him on craniofacial reconstruction and much more.

Bellevue Medical Center: 10 minutes from main campus, this the latest hospital we operate at, and so now we have OR blocks all 5 days of the week, including add-ons for the weekends.

VA: 3 blocks from main campus UNMC. Dentoalveolar with vast majority of implants being done here (including zygos). All residents place implants at the VA with the majority being guided. Chiefs will typically place anywhere between 10-15 zygomatic implants by the end of the year. We do most of our cosmetics here as well, with chiefs having done >30 cases of blepharoplasties and eyebrow lifts by the end of the year.

Creighton dental school: Interns only for IV sedation, 3rds, full mouths, and helping dental students who struggle with extractions.

Omaha impression:

Best zoo in the country, clean city with tons of food and a great night scene with places like old market, capitol district, Bensen, and Blackstone district. The winters are cold but the hospital has a sky tunnel that can be used from the parking garage to any corner in the hospital.

College world series is a great time in the summer, where NCAA baseball teams compete for the championship for 3 weeks and basically all of downtown is converted to a bar. College football is huge here with the Cornhuskers leading the front. Iowa, Iowa state, OU, K state are all within driving range if you want to experience the Midwest college football craze. Kansas City is 2 hours away where you can dabble around the NFL with the chiefs or the MLB with the royals. Housing is affordable with most residents owning a nice home, backyard, and a garage.

We all get along and have fun together. This is a non-malignant program where residents and attendings regularly spend time together. If you visit our program you’ll see the mutual respect between residents and attendings. Come out and extern to see if for yourself.



Program Director:

Valmont Desa, DDS, MD, FACS

Dr. Desa trained at UNMC and has been involved here ever since. Dr. Desa’s happy place is in the operating room with the residents. He is known throughout Nebraska and receives orthognathic referrals from throughout the Midwest. Dr. Desa loves barbeque and will smoke just about anything.

UNMC Attendings:

Jason Untrauer, DDS, MD, FACS

Dr. Untrauer trained at UCONN and has been at UNMC ever since. Dr. Untrauer is energetic and loves to operate. He is always willing to try new things if a resident has done the leg work and researched different approaches.

Karen Tucker, DDS, MD, FACS

Dr. Tucker finished training at UNMC and did private practice and has since returned to the program. Dr. Tucker is our attending who has brought more private practice experience and helps residents feel extremely comfortable with implants, implant planning, and all-on-four cases.

Adam Robinson, DMD, MD

Dr. Robinson was not only a previous resident at UNMC but is now our newest junior attending. Considering he just graduated, he is hungry and is ready to take on new surgical cases. With his interest in benign pathology, cosmetics, orthognathic, TMJ, and large reconstructions he has quickly ramped up his practice and continuing to grow and is a big advocate for the residents.

Jason Miller, MD, DDS (Full-time Plastics and Reconstructive Surgery)

Dr. Miller is dual board certified in PRS and OMFS. He also is fellowship trained in craniofacial reconstruction and well established in the region, gaining referrals from all over the country. Dr. Miller is full-time faculty for the PRS program at UNMC but frequently interacts with the OMFS residents, and even takes call with OMFS, when our attendings are on vacation. The senior residents value their time with Dr. Miller, as they operate solo with him, and gain the surgical skills and knowledge to work with cleft lip/palate, craniosynostosis, the occasional BBL, and much more.

Creighton Attendings:

Terry Lanphier, DDS

Dr. Lanphier is a passionate and caring exodontist, that has assumed the role and responsibility of Interim OMFS chair at Creighton University SOD. Though he is currently the Interim, he has been serving in this department for >15 yrs is invested helping the intern grow their surgical skills. He is very laid back and easy to talk to, and loves to take the residents to creighton basketball games as he is a proud season ticket holder!

Tod Rajchel, DDS

Dr. Rajchel is a dental anesthesiologist and also has some background knowledge in OMS, as he himself was an OMS resident before deciding to pursue Dental Anesthesiology. When interns first start at Creighton, Dr. Rajchel will run through moderate sedation with you, and will give you a better understanding of the planes of sedation, and how to manage the airway during your workflow.

 

[UPittOMFS]

University of Pittsburgh OMFS Program Overview

Pitt 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 are a traditional scope program and do just about everything except for cancer. If malignant pathology is your passion there are certainly avenues to explore that here by hanging with the ENT’s, but there might be better places out there for you.
Our program has both the 6-yr MD-integrated track (2 residents/yr) and the 4-yr (1 resident/yr) traditional track. This will offer a breakdown of each track by year. This will also give a breakdown of our hospital coverage and responsibilities.
We’ve also had some changes to the program faculty, and this will give a brief intro to both full-time and private practice faculty that we work with.

Location: Pittsburgh, PA- UPMC Presbyterian (flagship system hospital) and the Pitt School of Dental Medicine are both located in the Oakland neighborhood, which houses several other academic institutions including Carnegie Mellon and Carlow University. That is where we consider home base even though we do operate out of several other hospitals. UPMC is one of the largest hospital systems in the nation, so it boasts almost limitless resources and has a great academic environment for the surgeon in training. Most residents live in surrounding neighborhoods including the Strip District, Lawrenceville, Shadyside, or Squirrel Hill. Pittsburgh is a very affordable, livable, and drivable city. There is plenty to do around town ranging from checking out new places to eat/drink to many museums that are free or discounted to residents, 3 professional sports teams, and weekly throughout the seasons. Several other major cities such as Columbus, Toronto, Cleveland, DC, and Philadelphia are also within driving distance.


Hospitals and Clinics We Cover: All hospitals are within 10 minutes of each other and the dental school. You definitely need a car while in this program.

• Presbyterial Hospital
  • Level 1 trauma center
  • We share facial trauma with ENT, PRS 1:1:1
  • Busiest hospital of the UPMC system. All the craziest stuff comes here from all the way north to parts of New York state, south to parts of Maryland, some of Eastern West Virginia and east to the middle of PA.
  • Located in Oakland across the street from the School of Dental Medicine
• Mercy Hospital
  • Level 1 trauma center
  • Where we do the majority of our elective cases
  • Block time Tuesday through Thursday every week
  • We share facial trauma with ENT, PRS 1:1:1
  • Located closer to downtown PGH
  • Has the burn center for all of UPMC’s system so any trauma patient with burns gets transferred here.
• Children’s Hospital of Pittsburgh
  • Level 1 trauma center
  • Where we do our clefts, palates, and some other elective cases (orthognathics, 3rds in hemophilia patients, etc.)
  • Block time every Tuesday
  • We share facial trauma with PRS, we take 1 week, they take 2
  • Located in Lawrenceville
• Shadyside Hospital
  • Cancer center and smaller hospital
  • We cover all the trauma
  • We are starting to do some of our dental cases that require general anesthesia and possibly hospitalization pre/post op here
  • Located in Shadyside
• VA hospital
  • Located Oakland, up the hill from Presbyterian/dental school
  • Intern only rotation- will go there to do some OR cases, place implants etc
  • Face covered by either PRS or ENT
• University of Pittsburgh School of Dental Medicine
  • Our “home base”. Resident rooms are here (1 room with 4 computers primarily for interns and an adjacent room with 6 computers and a big central desk for juniors/chiefs).
  • Where we do our sedations for implants and outpatient dentoalveolar
  • Resident Clinic: daily schedule with multiple sedations (3rds or full mouth extractions) per morning, and usually 1-2 sedations in the afternoon. Consults for these cases or for local 3rds cases in the afternoon. Also see a few trauma and infection follow ups in this clinic. It is staffed by whichever residents are at SDM that day.
  • Implant Center is a big OMFS/Perio/Prosth clinic that all the implants for the dental school funnel into. Prosth residents do a couple single implants in their last year. Perio seems to get assigned most of the esthetic zone implants. OMFS gets basically all the full arch cases, anyone with comorbidities, anyone wanting sedation, needing any significant bone grafting, and some of the "regular/easy" one/two implant patients too. Overseen by a full time OMFS with 20 years private practice heavy implant experience, Dr. Vukas (see below).
  • Located in Oakland

Full-Time Faculty:

• Larry Cunningham, DDS, MD, FACS- Chairman and PD. Dr. Cunningham does it all, he doesn’t turn away anyone as a patient. His practice ranges from orthognathics, TMJ, trauma, botox injections, all the way to facial implants for nasal and ear reconstructions.
• Bernard Costello, DMD, MD, FACS- practice focused on pediatric OMFS and mainly operates out of the Children’s Hospital. Residents will do clefts, palates, hip grafts, orthognathics, 3rds and occasionally implants with him.
• MaryJane Anderson, DMD, MD- New faculty. She is building a practice including treating TMD, trauma, orthognathics, implants, dentoalveolar, benign path, botox/filler. She loves teaching and reviewing relevant literature with residents, gets them involved in cases, and her lectures are extremely well put together.
• Edward Adlesic, DMD- Outstanding anesthesia resource. Lectures nationally on anesthesia, ACLS, asthma, etc. Helps run the dental school student clinic along with Dr. Sosovicka.
• Mark Sosovicka, DMD- Very ‘real world’ style on dentoalveolar, implants, benign path, etc. He runs his sedations similar to how a lot of private practice surgeons do (smooth and effective, quick wake ups, etc.). Helps run the dental school student clinic along with Dr. Adlesic.
• Steven Vukas, DMD, MD- New addition to the team. Main surgery attending at the Implant Center. He came here after 20 years of private practice with heavy implant emphasis and loves implants and teaching. He is a big time energy guy and wants to do whatever it takes to get implants in patients (ridge splits, big sinus lifts, ramal grafts, etc.). He has a ton of practical experience working with restorative dentists / prosthodontists and is really helpful at planning and sequencing things like what type of guide may be beneficial, when to have prostho make interim dentures to establish VDO vs when to do implants primarily at time of extractions.
• Paul Schwartz DMD- President of AAOMS. He is under the department of dental anesthesiology and OMFS. He has recently been very busy with AAOMS commitments but is always fantastic to work with when he is around. He staffs a lot of the dental anesthesia intubated cases in clinic. He is always approachable and a great resource for local and national advocacy.

Private Practice Faculty: Our private practice faculty do a variety of cases with us with emphasis on orthognathics and trauma. They all provide great insights applications of our skills outside of residency and are extremely fun to work with.

• Mark Ochs, DMD, MD- One of the best in the biz when it comes to orthognathics and complex dental implants. Dr. Ochs loves to teach and enjoys having our residents join him for all of his orthognathic cases. Chief always cuts his/her half and Dr. Ochs will often let the other resident, even interns, cut his side. Many residents have cut their first orthognathic case with him.
• Daniel Pituch, DMD, MD
• Richard Bauer, DMD, MD
• Michael Kail, DDS
• Neil Robertson, DMD
• Brandon Humberger, DMD
• Samir Singh, DMD
• Christian Moore, DMD, MD
• Bryce Hartman, DDS

Program Culture:
Positive resident dynamics. For many of the residents, a large factor in choosing to come here is because of how well we all get along with each other. We aren’t the type of program to see our coresidents just during the work hours and love to hang out with each other outside of residency. We have regular potlucks with residents/spouses and significant others/kids always in attendance, dogs encouraged. These rotate between resident’s houses and apartment common areas, etc. The resident-attending relationships are nearly always positive. They expect things to be taken seriously in critical moments but overall everyone is very easy-going here. They really want you to learn and be competent as well as take your opinions seriously.

Scope:
Heavy orthognathic experience. Moderate trauma (including peds), implant, IV sedation, 3rds experiences. Fairly light pathology with no malignant path (ENT does all malignant path and nearly all salivary gland neoplasms). Light cosmetics. Light major craniofacial surgeries (cranial vault stuff)

Research:
Everyone does some scholarly activity. Recently these have included writing a book chapter, presenting at a national meeting, publishing case reports/studies, and there are opportunities for basic science bench research. For example one of the graduating chiefs is finishing a multiple year animal surgery project.

Externship:
Externs are always welcome. We focus on getting externs into the OR, meeting all the on-service residents and attendings. Externs are encouraged to take one night of trauma call.


PROGRAM YEAR BREAKDOWNS:

6-yr MD-Integrated Track
Year 1:

• OMFS Internship July-March
• Buddy call q4 days until September to allow you to get up to speed, then Q7 the remainder of the year (probably one of the more humane call schedules you’ll see anywhere)
• You’ll learn how the service functions this year, both in the clinic and in the hospital. You’ll get really efficient at seeing consults, working up cases, performing dentoalveolar surgery, IV sedations, and probably get to cut some orthognathics too
• Medical School April and May- you join your classmates when they start the systems blocks during that time. A fractionated medical school tuition will be charged during this year. You receive a FULL PGY salary the entire time you’re a resident at UPMC. In order to receive the PGY salary you take OMFS call 1Xweek -this has never been a problem to manage for residents in the past and is an awesome way to keep your skills sharp in med school.
• Back on OMFS service during summer months- good time to reflect on how much you’ve mastered during the year when the newbies show up now you are the “buddy” on-call

Year 2:

• MS-2 and Step 1 starting in August
• Finish learning the remainder of systems blocks
• Pay full tuition, however we all get scholarships through the program to help cover a substantial portion
• OMFS call Q7 either Monday or Tuesday. Continue to receive the FULL PGY salary
• Entire month of April off to prepare for Step 1, so if you take it early you can travel somewhere for vacation
• Start MS3 Clerkship Rotations in May/June

Year 3:

• MS3 Clerkship rotations, Step 2 when convenient
• Also pay full tuition this year. Still get the same scholarships as above.
• OMFS call q14 days. Continue to receive FULL PGY Salary (i know.. crazy but awesome)
• You basically only cover call at night once every other week, your time on each clerkship rotation is protected so one of the interns will cover the pager while you’re away.
• Graduate with your MD in May
• 2 month on OMFS before going off to be a general surgeon

Year 4:

• Eight 4-week rotations of General Surgery
  • Rotations include vascular, Endocrine surgery, ENT, ICU, nightfloat, Pediatric surgery, trauma, etc. Some are better than others but overall ok. You’ll operate a decent amount on some and very little on others. Our residents are generally very well liked and respected by other specialties, so they like to work with us and get us involved.
• 5 months of Anesthesia
  • 4 months of adult anesthesia at UPMC Mercy, 1 month of Pediatric anesthesia at UPMC Children’s.

Year 5:

• 1 additional month on General Surgery, 1 month in ICU, 1 month of Plastics/Head&Neck Recon
  • You get 2 years of ACGME General Surgery certificate following these rotations. A 2-year certificate is needed to be licensed as an MD in more and more states. 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
  • “Junior” year on service. Will spend more and more time in the OR doing major cases during this year as experience grows. Will also be doing many of the sedations/3rds along with chiefs in the clinic when not in OR. Cover some call as the senior on call and will do infections/traumas as primary with attending.
  • A lot of time is also spent at the Implant Center at the dental school. All the implants done at Pitt School of Dental Medicine (SDM) go through the implant center. Prostho residents place a couple simple single tooth implants. Perio residents place some esthetic zone implants. OMFS places the majority of implants including all the full arch cases for implant retained overdentures and for full arch fixed. Good learning experience for multi-disciplinary approach to implants

Year 6:

• 12 months on OMFS
• Chief year is split into 3 different rotations as coverage for different attending pairs. 1 Chief covers Dr. Cunningham’s service solo, the other 2 chiefs cover a combination of Drs. Adlesic/Anderson/Costello/Sosovicka/Ochs/Pituch and other part time attending OR cases for orthognathics, path, 3rds, etc. Exact coverage changes based on season and business of different attendings (example:: Dr. Ochs does a ton of orthognathics in May-August and December and requires more coverage)
• Chief call every 3rd week. Plenty of trauma and infections to keep busy on top of the elective cases.

Total time spent on OMFS service: minimum of 35 months (not counting call days as a 2nd/3rd year)


4-yr Traditional Track
Year 1:

• OMFS Internship .
• Start medicine rotation in May (2 total months)

Year 2:

• 1 additional month of Medicine rotation
• 5 months of anesthesia (same breakdown as the 6yr track for anesthesia)
• 6 months of general surgery (same pool of possible rotations as the 6yrs)

Year 3:

• 12 months on OMFS
• Same responsibilities as the 5th-yr in the 6yr track

Year 4:

• 12 months on OMFS as chief
• Same as above for the 6yr track

Total time spent on OMFS service: minimum of 34 months



Thanks,
Residents of UPMC

 

[krispybiscuits2017]

University of Iowa (UIHC) Oral and Maxillofacial Surgery Residency Program
4-yr certificate program

Program Chair: Kirk Fridrich DDS MS FACS
Program Director: Steven Fletcher DDS FACS

Location
Iowa OMFS residency is located in Iowa City, IA - on the eastern border of Iowa - it is within driving distance of Minneapolis, Chicago and Kansas City. The hospital is the primary tertiary care center for the entire state and often draws patients from Illinois, Minnesota, South Dakota and Missouri.
This is the only hospital we cover and it contains the main hospital and children’s hospital with all operating rooms. Our clinic attached to the hospital. The dental school is a 5 minute walk.
We do maintain hospital and admitting privileges with multiple nursing services that are familiar with post-operative care for our orthognathic and trauma/infection patients.
Iowa City is very much a college town – many restaurants, bars and breweries. Overall quite safe and easy to navigate. Parking at hospital can be challenging. Also during the winter it can get quite cold and icy which sometimes makes getting to work a little difficult.

Services
We provide broad scope OMFS including orthognathic, maxillofacial trauma, benign pathology, dentoalveolar, temporomandibular joint pathology. We also coordinate with ENT for management of cleft patients in addition to mandibular distraction osteogenesis for mandibular micrognathia.
We do not manage malignant pathology and we do not have a tracheostomy service.
Time is split between clinic (heavy focus on procedural sedation with dentoalveolar, implant and biopsy) and OR (heavy focus on orthognathic and trauma/infections).
Our program typically performs between 200-230 orthognathic cases per year.
Seniors typically have placed 80-100 implants by completion of residency.
First years have completed 100-120 clinic sedations, not including their off-service anesthesia experience. Seniors have typically completed >800 clinic sedations that range from conscious to deep. We also spend time at the dental school where we focus more on dentoalveolar and implants with occasional outpatient procedures such as botox, filler or cosmetic genioplasty
In clinic you do have your own schedule that you are responsible for, so junior residents do get the ability to do dentoalveolar procedures earlier than at other programs. Juniors do see more evaluation and follow-up appointments, but overall it is evenly spread among all residents. Seniors do get paired for more complex procedures with staff in clinic but still get to perform the entire case, i.e. fully guided implant cases, direct sinus lifts, sialolithotomy.

Rotations
Non-categorical: splits time between hospital and dental school. Takes call and essentially functions as R1 except for off-service rotations. Plenty of dentoalveolar and sedation experience
Rotations: 1 month basic science review, 1 month anesthesia

R1: 5 months OMFS: primarily dentoalveolar in clinic but plenty of experience with sedation. Not as much OR experience except when junior on call
Rotations: 1 month basic science review, 2 months medicine, 5 months anesthesia

R2: 8 months OMFS: expanded responsibility in clinic with more advanced procedures such as expose and bond or treatment of benign pathology.
Rotations: 4 months general surgery, 1 month neurosurgery, 2 weeks plastic surgery (Davenport,IA)

R3: 11 months OMFS: expanded responsibility including implants and deep sedation/general anesthesia in clinic, also begin taking back-up call for trauma/infection cases for 14 days at a time. Do split cases with R4 for orthognathic and other OR cases
Rotations: 1 month SNICU, 1 month ENT

R4: 13 months OMFS: runs the service, cuts entire case in OR with faculty assistance as needed. Spend more time in OR. Complex implant cases coordinated with prosthodontist at hospital or dental school. Still take back-up call for trauma/infection cases

Didactic
Monthly journal club and topic reviews assigned by staff
Weekly oral pathology review with Dr. Hellstein (oral pathologist at COD)
Monthly M&M
Monthly case review – functions as practice for oral board review
Yearly formal oral board review with private practice OMFS and faculty

Call
We only cover one hospital which includes the adult and children’s ED, you do not have to travel between multiple hospitals while on call. We do take home call
Juniors take 6-8 days of call depending on how many are on service. R3 take 1-2 days.
R4 only on back-up call for 14 days at a time.
Always on call for dentoalveolar and infections. GPR primarily takes call for dental trauma and localized infections. Call is variable based on time of year, can be surprisingly busy during warmer months due to large catchment throughout entire state of Iowa
We do share facial trauma with plastics and ENT (typically we are on facial trauma every other week or so) but we take all mandible fractures throughout the year

 

[teeth!]

I'm sure all current residents are super busy and this is the last thing they have time but any update on programs we haven't heard from in a long time helps applicants/future applicants a lot!

 

[nade0016]

I looked through but did not see an update for the University of Minnesota Training Program. So I thought it might be nice to put out an update. I liked Iowa's format so I will mimic that.

Program Length: 4 Year Certificate Program
Director: Robert Nadeau DDS, MD
Chairman: Robert Nadeau DDS, MD
Residents per year: 3/year but accredited for 4/year

Location: Minneapolis MN, Large 3 mil+ resident metropolitan area with all the amenities of any large major city. 16 largest overall metro area in the US. Program is based out of the University of Minnesota School of Dentistry which is part of the larger Academic Health Center (AHC). Patients come from Minnesota and all 4 surrounding states. Most residents live within 2-5 miles but living farther away is not problematic as long as you are OK driving or coming in at earlier hours.

Services:
The program provides a broad scope of all parts of OMS training except surgical cosmetics. The main procedures include orthognathic, maxillofacial trauma, benign pathology, dentoalveolar, temporomandibular joint pathology, participation with the cleft team and cleft grafting. We do manage malignant pathology and we do have a tracheostomy service at one of the major training sites and have a smattering of facial feminizations exposure.
Residents time on OMS service is split between 3 hospitals; University of Minnesota Medical Center (LVL 2), Hennepin County Medical Center (LVL1), and North Memorial Medical Center (LVL 1). A resident will also spend time at the School of Dentistry (Sponsoring institution).

Non-Cat Interns: 2 per year
4 days a week at the School of Dentistry clinic handling more complex dentoalveolar, simple path and helping cover dental student clinic. Call q4-5 days for the U of MN (LVL 2), shared with PGY1 and GPR's. Close working relationship w residents and faculty. No required rotations but participation in OMS didactics is required.

PGY1:
Adult Anesthesia 4 months, Medicine 3 months, OMS 5 Months. q4-5 days call, mostly dentoalveolar, implant and basic pathology.

PGY2:
Surgery 4 months (Neurosurgery 3 months, ICU 1 month), OMS 8 Months, sedations, cleft team, implants, minor OR dental cases. This year is really learning how perform sedations and hone the DA skills. Call is 1-2 nights a week depending on location. General surgery is much busier but was recently reduced from 6 months to 4 months due to CODA relaxing the requirements and some feedback from residents.

PGY3: This is where is gets interesting
Plastic surgery 3-4 months, Peds anesthesia 1 month, OMS 8 months. Mostly OR cases, heavy orthognathic, benign and malignant path, trauma, DA, and TMJ. When on plastics the OMS residents manages all the facial trauma at a hospital with no OMS service at the hospital. The plastics attendings give OMS residents a lot of responsibility and OR time for facial trauma. Clinical OMS is usually on non-OR days and is implant and sedation heavy. On OMS, PGY3 cuts half of case with chiefs discretion

PGY4:
3-4 Months at each major hospital as the chief resident. Managing the OMS service and patients as well as preparing and presenting at didactics. Chiefs cut cases with minimal staff/faculty help unless needed or more complex cases. The only exception is malignant path and free flaps, where the faculty does some of the flap portions.

Didactics:
Weekly half-day didactics presented by residents
Monthly Journal club
Monthly Ortho/Surg conference
Quarterly Peds/OMS/GPR conference
Quarterly SoD Multidisciplinary specialty treatment planning conference
Annual AAOMS Meeting for all chiefs residents and anyone who is presenting
Biannual Oral Path meeting
Annual Waite lectureship
Annual Mock Boards

Call: variable depending on institution. PGY3 and PGY4 take primary call at North Memorial as they are the only OMS residents there and OMS take 100% of facial trauma. Busy trauma service but have large amount of autonomy as a resident. No DA or "tooth" clinic so pre-op/post op only clinic.
U of MN 50% call shared with ENT but the hospital pulls from 12 other hospitals in the Twin cities area.

Future: Looking to add 2 more FT faculty at the U of MN and 2 more FT faculty at North memorial. This would bring the total to 10 FT at 3 institutions.

Positives: Strong PP connection and trained very well for PP. Residents are confident with DA, Orthog, Trauma, Path and Implants after graduating. There have been no residents to fail any portion of boards in 5 years, strong didactic program. Expanding program with more and more opportunities for resident training and exposure. Good resident interactions and camaraderie, approachable faculty with good focus on teaching and education. Great city for training and wonderful, local amenities for any person. All training locations within 7-9 miles. Parking provided.

Negatives: No surgical cosmetic exposure, mild cleft exposure/training, dental student clinic needing oversight at one location, GPR oversight at another location, smaller faculty size with to many responsibilities on these few faculty.

This is obviously biased as it is written by the program director. So take that as you will.

 

[The Kube of Kubes]

Could we get an update from the great UCSF Fresno? I’ll give you 10 bucks.

 

[Wisetoothshucker]

Could we get an update from Oklahoma please?