Perio residency experience?

[Faux]

Just looking to hear how the residency experience is in perio. Is it as stressful didactically as pre-doc? Do you feel like there's time to work afterwards due to lack of lab work(Prosths)?

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[PreDentTechySon]

Just looking to hear how the residency experience is in perio. Is it as stressful didactically as pre-doc? Do you feel like there's time to work afterwards due to lack of lab work(Prosths)?

Great question. I’d be curious to find out too, although I’ve heard most down time is spent in lit review or working on a Masters thesis.

 

[Combine33]

From what I know, residency in general is more difficult than undergrad dental school. Makes sense because you are choosing to become a master of a particular subject. In OS, you're treating trauma and in the OR, in perio you're sedating and performing surgery, and even though the length of the program seems long, its not enough time to get every single thing. If you have free time, you should be reading lit or working on something else.

 

[P7898]

From what I know, residency in general is more difficult than undergrad dental school. Makes sense because you are choosing to become a master of a particular subject. In OS, you're treating trauma and in the OR, in perio you're sedating and performing surgery, and even though the length of the program seems long, its not enough time to get every single thing. If you have free time, you should be reading lit or working on something else.

Do you guys get a lot of sedation experience?

 

[maxFax2020]

You’ll be doing a lot of SRPs and BOP charting as a perio resident. Also, managing periodontal disease with hygiene instructions and frequent cleanings. When not scaling and root planing , you’ll be thinking of different ways to chart pocket depths.

 

[Combine33]

You’ll be doing a lot of SRPs and BOP charting as a perio resident. Also, managing periodontal disease with hygiene instructions and frequent cleanings. When not scaling and root planing , you’ll be thinking of different ways to chart pocket depths.

Typical OMFS reaction to anything that isnt OMFS

 

[Combine33]

Do you guys get a lot of sedation experience?

It depends on the program. To my understanding, the minimum is 20 per resident. I know at San Antonio, you were expected to do 75-80 to qualify for graduation.

 

[AONLINE]

You’ll be doing a lot of SRPs and BOP charting as a perio resident. Also, managing periodontal disease with hygiene instructions and frequent cleanings. When not scaling and root planing , you’ll be thinking of different ways to chart pocket depths.

But this is so true. As a dental student we frequently have to rotate through perio and chart for the residents. Also we have to refer any >6mm PDs to Perio.


Sent from my iPhone using SDN

 

[Faux]

It depends on the program. To my understanding, the minimum is 20 per resident. I know at San Antonio, you were expected to do 75-80 to qualify for graduation.

What was your impression of University of Washington?

 

[Eli Manning]

It depends on the program. To my understanding, the minimum is 20 per resident. I know at San Antonio, you were expected to do 75-80 to qualify for graduation.

as an omfs resident you'll do >500 sedations between your anesthesia rotation and omfs clinical sedations. I think I know who I'd rather have sedating me for a procedure...

 

[navirpid]

How many sedations do anesthesia residents do?

Dental anesthesia residents do 1500-2000+ cases over three years. Combination of intubated and open airway cases, everything from 3 year olds to special needs patients to ASA 4 adults.

 

[P7898]

Dental anesthesia residents do 1500-2000+ cases over three years. Combination of intubated and open airway cases, everything from 3 year olds to special needs patients to ASA 4 adults.

Yeah I would rather have this guy sedating me Eli.....

 

[Combine33]

What was your impression of University of Washington?

I think the biggest take away from any perio program is that youll learn the fundamentals and become the surgeon the program wants you to become. I did an AEGD so I didnt really care for the bells and whistles like Boston University, (they have a YOMI ROBOT!!) but at a crazy tuition premium. I'd rather go to a program that has the fundamentals of perio down, reasonable tuition, produces good specialists, and I can learn the newest stuff on my own in practice.

 

[navirpid]

Yeah I would rather have this guy sedating me Eli.....

I think oral surgeons are highly trained and fully capable of doing their own anesthesia. They have more than enough training to know who to sedate and who not to, and they get more operator-anesthetist residency training than anyone. Dental anesthesiologists exist to work with all dentists, including pediatric dentists, periodontists, oral surgeons, endodontists, restorative dentists, etc. We work a lot with pediatric dentists. Slowly but surely, I think we are seeing more and more oral surgeons wanting to bring in an anesthesiologist for patients/cases they would rather outsource the anesthesia so they can focus on the surgery. The same is true for periodontists.
What dentists/surgeons notice is that when they hire an anesthesiologist, the cases go smoothly because we are so well trained, and as a result, the dentist/surgeon's efficiency and production actually increases. Magically, they start calling their local DA more often. Regardless of who you are (DA, OMFS, Perio, GP), ambulatory anesthesia can be performed safely with proper case selection, training, and safety protocols.

 

[Combine33]

I think oral surgeons are highly trained and fully capable of doing their own anesthesia. They have more than enough training to know who to sedate and who not to, and they get more operator-anesthetist residency training than anyone. Dental anesthesiologists exist to work with all dentists, including pediatric dentists, periodontists, oral surgeons, endodontists, restorative dentists, etc. We work a lot with pediatric dentists. Slowly but surely, I think we are seeing more and more oral surgeons wanting to bring in an anesthesiologist for patients/cases they would rather outsource the anesthesia so they can focus on the surgery. The same is true for periodontists.
What dentists/surgeons notice is that when they hire an anesthesiologist, the cases go smoothly because we are so well trained, and as a result, the dentist/surgeon's efficiency and production actually increases. Magically, they start calling their local DA more often. Regardless of who you are (DA, OMFS, Perio, GP), ambulatory anesthesia can be performed safely with proper case selection, training, and safety protocols.

Well said. I know both perio and OMS practices that have DA or NA doing their anesthesia

 

[aspiring123]

Is it even worth to do residency in schools where the tuition fee is more than a 100,000/ year? Can we repay these loans back?

 

[Combine33]

Is it even worth to do residency in schools where the tuition fee is more than a 100,000/ year? Can we repay these loans back?

No

 

[P7898]

But this is so true. As a dental student we frequently have to rotate through perio and chart for the residents. Also we have to refer any >6mm PDs to Perio.


Sent from my iPhone using SDN

.... as you should... or you can wait until there is >6mm pockets everywhere... they are here to help you

 

[P7898]

Is it even worth to do residency in schools where the tuition fee is more than a 100,000/ year? Can we repay these loans back?

nope

 

[katthenomad]

Is it even worth to do residency in schools where the tuition fee is more than a 100,000/ year? Can we repay these loans back?

And that's where the beauty of REPAYE / PAYE / IBR plans come in... 😉 Dental students of the next generation won't even be aiming to pay back all of their students loans. That's just not practical and/or possible if the loans are more than 3/4/5x their annual salary. I'm happy to set aside < 10% of my discretionary income as education "mortgage" for the next 20-25 years and be done with it (considering all loans are federal; otherwise you might as well be doomed).

 

[Combine33]

If you're smart about it, it could work. Pay the 10% every month, and set aside money in the form of a high yield savings or investment account to pay the tax bomb at the end. Dont forget about the tax bomb.

 

[katthenomad]

If you're smart about it, it could work. Pay the 10% every month, and set aside money in the form of a high yield savings or investment account to pay the tax bomb at the end. Dont forget about the tax bomb.

Exactly! But even with the tax bomb, most people whose loans are in the mid to high six-figures will be paying the same amount in totality as someone who chooses to pay off everything in 5, 7, 10 years while struggling. With IDR plans, you're essentially getting a 60-70% discount on the balance of the forgiven loans - which is probably > 50% of your entire loan amount. That's a win, in my opinion. The only caveat is that for most people, their lifestyles tend to get more and more expensive with the relative increase in income. Bad idea if you're an overspender and can't control your impulses. Unless of course that tax bomb goes away eventually over time with new congress bills. 25 years is still a loooong way and the higher education bubble will most probably have burst by then. Maybe, hopefully.... 😉

 

[Combine33]

Exactly! But even with the tax bomb, most people whose loans are in the mid to high six-figures will be paying the same amount in totality as someone who chooses to pay off everything in 5, 7, 10 years while struggling. With IDR plans, you're essentially getting a 60-70% discount on the balance of the forgiven loans - which is probably > 50% of your entire loan amount. That's a win, in my opinion. The only caveat is that for most people, their lifestyles tend to get more and more expensive with the relative increase in income. Bad idea if you're an overspender and can't control your impulses. Unless of course that tax bomb goes away eventually over time with new congress bills. 25 years is still a loooong way and the higher education bubble will most probably have burst by then. Maybe, hopefully.... 😉

I like your style. Yea the way I see it is I'll be on REPAYE after perio and contribute approx. what the normal payment on a 25 year repayment plan to my investment and savings account. When the tax man comes thru, I'll just pay the bill from my savings and move on with my life.

 

[katthenomad]

I like your style. Yea the way I see it is I'll be on REPAYE after perio and contribute approx. what the normal payment on a 25 year repayment plan to my investment and savings account. When the tax man comes thru, I'll just pay the bill from my savings and move on with my life.

Atta boy! And THAT is exactly how it's done. Enough of the doom and gloom naysayers. Corporate America runs on high leverage debt anyway. We might as well hop in on the bandwagon.

 

[Combine33]

Atta boy! And THAT is exactly how it's done. Enough of the doom and gloom naysayers. Corporate America runs on high leverage debt anyway. We might as well hop in on the bandwagon.

This forum is full of people who are scared at every turn to spend money on anything that isnt free. It costs money to be successful. Ya gotta pay to play, and there are programs like IBRs that help out.

 

[P7898]

I am the cheap guy lol. But I love when people have sound plans and realistic visions. Keep grinding

 

[katthenomad]

This forum is full of people who are scared at every turn to spend money on anything that isnt free. It costs money to be successful. Ya gotta pay to play, and there are programs like IBRs that help out.

Pay to play! I like that. Life is a gamble anyway, so we might as well play at the high stakes table with low-risk federal loans as playing chips. Can't get that kind of cushy protection anywhere else.

 

[SilkyJ]

It depends on the program. To my understanding, the minimum is 20 per resident. I know at San Antonio, you were expected to do 75-80 to qualify for graduation.