Oral Medicine Program

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rarm1

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Here is information on Carolinas OM program. Most OM programs want a GPR first:


Oral Medicine Residency


The Department of Oral Medicine also provides an Oral Medicine Residency Program. The faculty and administration at Carolinas Medical Center feel that the discipline of oral medicine—the nonsurgical aspects of dental education, practice, and research—is the major interface of medicine and dentistry. As a result, our department has enjoyed strong support in its educational and research efforts.
Oral medicine has two distinct activities: 1) the dental management of medically compromised patients; and 2) the diagnosis and management of the wide variety of nonsurgical entities including facial pain, salivary gland disorders, vesiculobullous diseases, and other oral soft tissue lesions that may be either primary in origin or oral manifestations of systemic disease. Our residency in oral medicine emphasizes the interrelationship between oral disease and systemic health, both in nonambulatory and hospitalized people and in those who are otherwise healthy.
Carolinas Medical Center has the clinical facilities, patient population, faculty, clinical research component, and other essentials to provide a unique and innovative training program in oral medicine. Patients are treated in our hospital-based 10-operatory dental clinic or our community-based 17-operatory Oral Health Center. Both clinics are staffed by full-time faculty dedicated to the training of residents. All of our full-time faculty have postdoctoral, hospital-based training, and they are committed to the field of oral medicine.
Oral medicine residents must complete at least one year of our GPR program, during which they continue to develop their clinical skills in general dentistry. Selected graduates of other one-year, North American GPR programs would complete the second and the third year of training (see figure). Our approach to GPR training emphasizes medically-related dental training throughout our 12- and 24-month programs, with a major commitment to postdoctoral-level didactic and clinical dental experiences. They are completely immersed in both the inpatient and outpatient arenas of the medical center, and they function in a position of parity with other house officers. These formal rotations, along with a variety of other valuable training experiences, give our residents a strong medical and didactic background.
The PGY-2 year of this program is a modified second year of our GPR and represents the first year of the oral medicine residency. It includes six months of clinical dentistry, focused on the management of medically compromised patients and on patients with a wide variety of nonsurgical maxillofacial problems, such as facial pain, oral lesions, and salivary dysfunction. The first year of the oral medicine residency also includes hospital-based rotations, identification of a longitudinal research project, participation in oral medicine patient care, and literature review seminars. The final year of oral medicine training (PGY-3) includes formal hospital-based rotations at CMC and other institutions, to include rotations in several medical subspecialties. This allows for a deeper understanding of pathophysiology and the management of oral medicine as it relates to systemic disease. Rotations include internal medicine, cardiology, psychiatry, hematology/oncology, endocrinology, dermatology, hepatology, nephrology, and infectious disease. A three-week rotation in the UK provides training in a clinical environment and with faculty unavailable to trainees in the United States. There, additional experience is obtained in the management of patients with mucosal disease (including aphthous stomatitis, pemphigoid, pemphigus, and lichen planus), mucosal infections (fungal, bacterial, and viral), salivary gland disorders, and chronic orofacial pain syndromes. All faculty have formal dental as well as medical training.
The didactic component of this residency program includes a practical course on evidence-based medicine and skills necessary to interpret the literature, oral medicine literature review seminars, monthly behavioral medicine seminars, and patient care conferences that review teaching cases from the department. Additional didactic material includes, but is not limited to, the following topics: management of acute/chronic pain, oral pathology, oral radiology (principles, techniques, and interpretation), oral manifestations of systemic disease, management of medically complex patients, pharmacology, salivary gland dysfunction and pathology, nutrition, and clinical photography.
Clinical research is an integral part of the mission of our department and a critical element in the training of clinicians who must keep up with and interpret the important literature in their field. Early on in their training, oral medicine residents will identify one or more areas of clinical research to pursue on a longitudinal basis with faculty supervision. Training includes exposure to grant, abstract, and manuscript writing as well as the development and implementation of clinical research studies. In an effort to support the didactic component of training, the hospital makes available $1,900 per resident for travel expenses to meetings. Oral medicine residents will receive full benefits and stipend as listed in this brochure.
Graduates of the program will be qualified to challenge the Board of the American Academy of Oral Medicine and FDS, Royal College of Surgeons, Edinburgh, Scotland (RCSEd).












Figure: Oral Medicine Residency at CMC

Dental School


GPR Year 1(PGY-1)* GPR Year 1(PGY-1)*
Carolinas Medical Center (CMC) Alternate Site


Year 2 (PGY-2)
Oral Medicine at CMC


Year 3 (PGY-3)
Oral Medicine at CMC

*The first year of this three-year program can be accomplished at either Carolinas Medical Center (CMC), or another ADA-accredited GPR program

Carolinas Medical Center
Department of Oral Medicine
Oral Medicine Residency


Overall Program Goals

1. Provide the didactic knowledge and clinical experience necessary to become proficient to treat chronic, recurrent, and medically related disorders of the oral and maxillofacial region that constitute the practice of oral medicine.

2. Provide the training and experience to become proficient at delivering oral health care by applying concepts of patient and practice management and quality improvement that are responsive to a dynamic health care environment.

3. Provide the skills to become proficient at functioning effectively and efficiently in multiple health care environments and within interdisciplinary health care teams.

4. Provide the didactic and practical skills to apply scientific principles to learning and oral health care to become proficient at evidence-based clinical decision making and to become competent to conduct clinically-related research.

5. Utilize the values of professional ethics, lifelong learning, patient centered care, adaptability, and acceptance of cultural diversity in professional practice.

6. Understand the oral health need of communities and engage in community service.











Competency and Proficiency Requirement
for Carolinas Medical Center Oral Medicine Program



Proficiency in physical and medical risk assessment in medically complex patients and making recommendations for impact and appropriate modifications of dental treatment
Proficiency in understanding the pathophysiology and attainment of skills to diagnose and treat soft tissue lesions
Proficiency in attainment of skills to biopsy soft tissue intra-oral lesions
Proficiency in understanding the pathophysiology and attainment of skills to diagnosis and manage salivary gland dysfunction
Proficiency in understanding the pathophysiology and attainment of skills to diagnosis and manage chemosensory disorders

Proficiency in understanding the pathophysiology and attainment of skills to diagnosis and manage facial pain conditions

Proficiency in understanding the pathophysiology and attainment of skills to diagnose and manage viral and fungal infections of the oral cavity

Proficiency in critical appraisal of research studies and competency in design/execution of a clinical study



Rotation Goals and Objectives

Service:__Internal Medicine__

Length of Rotation or Experience (in weeks):___4_____

Number of Hours per Week:___70_____

a) Understand the pathophysiology of common disease states.
b) Understand mechanism and rationale of medication use in common disease states.
c) Gain a deeper understanding of laboratory tests used to diagnose and monitor disease activity of patients on service.
d) Understand the signs/symptoms of common disease states.
e) Understand the medical consequence of long-term immunosuppression.
f) Gain an understanding and be able to perform a more complete history and physical evaluation of patients


Service:____Psychiatry___

Length of Rotation or Experience (in weeks):____2______

Number of Hours per Week:____40______

a) Understand common diagnoses in a psychiatric clinical practice.
b) Gain an understanding and be able to perform a more complete psychological evaluation of patients.
c) Understand the mechanism of medications used in psychiatry.
d) Understand the drug interaction and side effects of medications used to manage psychiatric patients.



Service:___Cardiology___

Length of Rotation or Experience (in weeks):____2______

Number of Hours per Week:____40_______


a) CHF: recognition of signs and symptoms
b) Ischemic Heart Disease: Treatment medications
c) Valvular Dysfunction: recognition of signs and symptoms
d) Congenital heart defects: Physiological consequence and recognition of signs and symptoms
e) Infective Endocarditis: recognition of signs and symptoms
f) Recognize cardiac disease by physical exam.
g) Recognition of dysfunction, a strong understanding of risks involved with providing invasive/stressful dental procedures to patients with certain cardiac diseases (e.g. ischemic heart disease) is a goal.




Service:__Infectious Disease___

Length of Rotation or Experience (in weeks):__2___

Number of Hours per Week:____40_______

a) Describe the intended objectives of this rotation or experience
b) Understand the signs/symptoms and treatment of septicemia.
c) Understand the diagnostic tests utilized for infections (bacterial, viral, fungal).
d) Understand signs/symptoms and treatment of infective endocarditis.
e) Gain an appreciation for the infectious processes in AIDS patients.
f) Understand treatment regimens (and potential side effects/drug interactions) for patients with HIV.
g) Gain an understanding for the rationale for antibiotic use in various bacterial infections.
h) Gain an understanding of infectious processes important in immunocompromised patients.




Service:__Nephrology___

Length of Rotation or Experience (in weeks):___2____

Number of Hours per Week:___40____

1. Describe the intended objectives of this rotation or experience.
1) Understand the pathophysiology of renal disease.
2) Gain a deeper understanding of laboratory tests used to diagnose and monitor disease activity of renal disease.
3) Understand signs and symptoms of renal insufficiency and renal failure.
4) Understand the rationale and mechanism of peritoneal and hemodialysis.
5) Understand the medical consequence of immunosuppression in patients that have received a renal transplant.




Service:___Neurology__

Length of Rotation or Experience (in weeks):___2_______

Number of Hours per Week:____40_______

Describe the intended objectives of this rotation or experience.
Understand the anatomical and pathophysiologic basis of neuropathic pain.
Become proficient in the development of a differential diagnosis of neuropathic pain.
Understand the role of imaging techniques and diagnostic tests utilized in a neurology practice.
Understand signs and symptoms (e.g. cranial nerves) of neoplastic processes involving the head and neck..
Understand treatment options for patients with neuropathic pain conditions.



Service:_____Rheumatology_____

Length of Rotation or Experience (in weeks):_____2_____

Number of Hours per Week:____40_______


a) Understand the pathophysiologic basis of autoimmune and connective tissue disease.
b) Gain a deeper understanding of laboratory tests used to diagnose and monitor connective tissue diseases.
c) Understand signs and symptoms of connective tissue disease.
d) Understand treatment options for connective tissue disease.
e) Become proficient in the diagnosis of primary and secondary Sjögren’s syndrome.



Service:_____Dermatology_______

Length of Rotation or Experience (in weeks):___0.5_______

Number of Hours per Week:____5 morning sessions_______

a) Understand the pathophysiology of conditions that affect skin and mucosal surface.
b) Become more proficient in obtaining a history and physical evaluation of patients.
c) Understand extra-oral physical findings of vesiculoerosive diseases.
d) Understand the rationale of diagnostic tests utilized in a dermatology practice.
e) Understand the rationale for the use of topical vs. systemic medications for vesiculoerosive diseases.




Service:___Hematology/Oncology____

Length of Rotation or Experience (in weeks):____1______

Number of Hours per Week:___40________



a) Understand the mechanisms of chemotherapeutic agents
b) Understand the rationale for the timing of chemotherapy delivery
c) Understand the range of side effects with chemotherapy
d) Understand the potential drug interactions of chemotherapeutic agents
e) Understand the pathophysiology of malignancies treated in the clinic.




Service:____Oral Pathology/Oral Radiology____

Length of Rotation or Experience (in weeks):___3_______

Number of Hours per Week:____40_______

Understand terms utilized in describing histological specimens.
Understand the pathophysiology associated with common oral lesions.
Be able to differentiate benign vs. malignant histopathological changes.
Understand different laboratory techniques to identify microbiological agents
Have exposure to immunofluorescence staining and the rationale for its use.
Understand terms utilized in describing radiographs.
Be able to provide a differential diagnosis of bony lesions.
Be able to recognize abnormalities with CT and MRI.
Differentiate benign vs. malignant radiographic changes



Service:____UNC Oro-facial Pain__

Length of Rotation or Experience (in weeks):__3__

Number of Hours per Week:___40___


a) Become proficient in the interview of patients with facial pain
b) Gain expertise in head/neck clinical examination of patients with facial pain
c) Be able to perform and understand the rationale for diagnostic tests
d) Become proficient in the differential diagnosis of facial pain conditions
e) Understand the pathophysiology of facial pain
f) Become proficient in providing appropriate treatment options for patients with facial pain
g) Understand rationale and mechanism of medications used to treat facial pain


Service:___UK Oral Medicine____

Length of Rotation or Experience (in weeks):__3___

Number of Hours per Week:___40_____

a) Establish a differential diagnosis for oral mucosal disorders, salivary gland disorders, acute and chronic orofacial pain, and orofacial neurosensory disorders.
b) Utilize appropriate diagnostic tests to establish a diagnosis for oral mucosal disorders, salivary gland disorders, acute and chronic orofacial pain, and orofacial neurosensory disorders.
c) Understand the rationale for different management strategies for oral mucosal disorders, salivary gland disorders, acute and chronic orofacial pain, and orofacial neurosensory disorders.
d) Evaluate treatment response and adverse effects of therapy for oral mucosal disorders, salivary gland disorders, acute and chronic orofacial pain, and orofacial neurosensory disorders.
e) Understand the relationship of a patients underlying medical condition with oral mucosal disorders, salivary gland disorders, acute and chronic orofacial pain, and orofacial neurosensory disorders.

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Hello rarm1,
do you have any idea if they accept international students who are not permanent residents of usa in the program
 
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