schedule during OMFS

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futuredoctor262626

Justanotherstudent
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I'm a D1 looking into OMFS. I really love the field, and want to get a better feel for what the residency training is like. I understand that residents have a very long day. Is this because of the sheer amount of procedures that are scheduled, or emergency procedures that come up in your day? Also, I understand that OMFS does a lot of trauma, and often need to be on call, for sure at least during residency; how does being on call work? Last, I'm honestly curious: is a Sunday or Saturday a lighter day during residency than a standard workday? Or are you busting all day everyday? I just want to understand how the mechanics of the residency programs work; not trying to step on any toes. Thanks so much 🙂
 
I'm a D1 looking into OMFS. I really love the field, and want to get a better feel for what the residency training is like. I understand that residents have a very long day. Is this because of the sheer amount of procedures that are scheduled, or emergency procedures that come up in your day? Also, I understand that OMFS does a lot of trauma, and often need to be on call, for sure at least during residency; how does being on call work? Last, I'm honestly curious: is a Sunday or Saturday a lighter day during residency than a standard workday? Or are you busting all day everyday? I just want to understand how the mechanics of the residency programs work; not trying to step on any toes. Thanks so much 🙂
You need to spend more time with the residents
 
I'm a D1 looking into OMFS. I really love the field, and want to get a better feel for what the residency training is like. I understand that residents have a very long day. Is this because of the sheer amount of procedures that are scheduled, or emergency procedures that come up in your day? Also, I understand that OMFS does a lot of trauma, and often need to be on call, for sure at least during residency; how does being on call work? Last, I'm honestly curious: is a Sunday or Saturday a lighter day during residency than a standard workday? Or are you busting all day everyday? I just want to understand how the mechanics of the residency programs work; not trying to step on any toes. Thanks so much 🙂
Look at fifteenblades on IG. She also has a YouTube channel. Has some insight on the residency and she does a “ day in the life“ type video.
 
The best way to understand what day to day life is like in a residency is to do an externship somewhere (I know that’s a difficult right now).

Most residency programs will have you working in the range of 70-90 hours depending on the week. The meaning of “being on call” depends on what level you’re at in your program (chief vs junior vs intern). For interns/junior residents it will likely mean being available to see emergencies at the hospital any hour of the night or day, every third or fourth night. For a chief, it more likely means being available to guide junior residents, manage emergency OR cases, and communicate with attendings all hours of the night and day, for several weeks at a time.

At most programs Saturdays and Sundays will be lighter, but not a single weekend goes by that I’m not doing some work at some point. Many residents use weekends to catch up on studying, research, or prep for the coming week.

It’s a busy, but fantastic way to spend a few years of your life.
 
The best way to understand what day to day life is like in a residency is to do an externship somewhere (I know that’s a difficult right now).

Most residency programs will have you working in the range of 70-90 hours depending on the week. The meaning of “being on call” depends on what level you’re at in your program (chief vs junior vs intern). For interns/junior residents it will likely mean being available to see emergencies at the hospital any hour of the night or day, every third or fourth night. For a chief, it more likely means being available to guide junior residents, manage emergency OR cases, and communicate with attendings all hours of the night and day, for several weeks at a time.

At most programs Saturdays and Sundays will be lighter, but not a single weekend goes by that I’m not doing some work at some point. Many residents use weekends to catch up on studying, research, or prep for the coming week.

It’s a busy, but fantastic way to spend a few years of your life.
I second this. Well said, go do some externships and actually take trauma call ( preferably at a level 1 trauma center). You will see what it is like, its a great experience doing externships at solid programs. SilkyJ said it well though, I can't add a whole lot!
 
Hopefully, I can give you some idea of my program which is probably not reflective of other programs as a whole. The schedule is highly specific to every program. Some are busier than others and some take home call and have no trauma.

On a non-head and neck rotation - wakeup 445, preround at 530/start notes, morning report at 615-630, afterwards write notes, do tasks for patients as directed, etc. Then, ORs start at 7 (which run every day), clinics start at 8 (multiple clinics which run everyday as well). If you arent on call, you would be done with clinic around 5pm - see if anyone needs help with postopping patients, pending consults or any other tasks. Depending on the clinic you may be writing notes like 6pm. You're done whenever the OR is done, depending on the cases sometimes you'd finish in the afternoon 3-5, but then you'd head to the dental school to see patients in the point and pull clinic til it closes at 5 and bail dental students out on extractions.

On a head and neck rotation - In the beginning I was prerounding 430-445/making head and neck list. Eventually 5 was a good start for me as I got up to speed. Round around 6 w/ head and neck team, attend morning report if possible/on call. Clinic days you'd be out around 5pm and probably write ntoes til 6pm. On OR days, the ORs start at 7. You could finish anywhere from 5pm-7pm on average and a few nights you'd get unlucky and go late into the night.

If you were on call, you stay overnight til the next day and work through the next day. If you're on trauma, expect multiple consults to come in that night. Non-trauma w/ tooth call is dependent, you might get some odontogenic abscesses, random crap from childrens, and patients that had some issue with their surgery. Sometimes OR cases will keep going into the night so if you're on call you'll take over for the intern that isn't on call.

My busiest call days were on Fridays, Saturdays and Sundays (makes sense that's when people go out, get drunk, do drugs, drive around etc) - I would preround and make the list at 630 and then team round at 7. Then, I would write notes and put in orders and there would be a lull where I would get some chill time and sometimes have to return some calls/pages. Then, I would be seeing face consults, evaluating fractures and repairing lacerations from 1pm-1am on the busiest days. There would be a lull and then maybe an orbit or mandible would come in around 3-4am. (for some reason, these patients love coming in then). There were a few rare times I had consults come in through the night and I had to finish a laceration after rounds. Some saturdays there would be an infection case in the morning. Sometimes, a laceration at childrens would have to go to the OR. There were days where I had 10-15 consults with many being lacerations (a large laceration can take hours) and was just working throughout my entire call.

This is specific to my program though so take it with a huge grain of salt. I know a lot of programs you're just chilling on call because I would facetime some buddies every now and then when we were both on call. Overall, how busy your day will be dependent on a lot of factors - call, OR cases going, clinic schedule, number of interns and noncats, day of the week, what season it is (summer is busiest), what region you're in (the south is warm at least 9 months of the year so people go outside and get hurt).
 
My experience externing and observing residents is that a lot of the time was spent doing administrative work for the department and various other tasks not directly related to patient care. The senior residents had a better schedule and were actually learning to do their future job. Unfortunately, they also had a lot of administrative tasks too including teaching. Honestly, it seemed like a really inefficient way to train people but worth it if this is the specialty you desire.

I’m sure residents or surgeons can give you a better breakdown but I just wanted to chime in to say you will have a lot of duties as a resident that do not directly contribute to your education and seemed to really annoy residents at the programs I visited.
 
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My experience externing and observing residents is that a lot of the time was spent doing administrative work for the department and various other tasks not directly related to patient care. The senior residents had a better schedule and were actually learning to do their future job. Unfortunately, they also had a lot of administrative tasks too including teaching. Honestly, it seemed like a really inefficient way to train people but worth it if this is the specialty you desire.

I’m sure residents or surgeons can give you a better breakdown but I just wanted to chime in to say you will have a lot of duties as a resident that do not directly contribute to your education and seemed to really annoy residents at the programs I visited.
Wherever you externed sounds like a ****ty program if you really found that they spent a significant time on administrative tasks
 
Where I extended there was no ent/plastics residency, OMFS took everything in a pretty dangerous city. While I was there the on call resident never slept. Maybe it was a particularly busy week, but I got the sense it was pretty standard. It also seemed like a point of pride for these residents. To my dental school eyes they seemed like machines. An externship Will likely endear you to the specialty or scare you away.
 
So much of this is program dependent. The best way yo get an idea of residency is to extern at several programs if possible. There is such a huge variation on the types of programs and responsibilities assigned to residents at each program. If you attend a dental school that has a program then make sure you spend time in that clinic and during vacation weeks with the residents, if possible. As a PD and Chairman it is always my goal to make sure that residents had as little "admin" responsibility as possible but there is some inherent learning in performing administrative tasks, especially for younger residents.

OMS programs with full H&N cancer/recon faculty/fellowships are going to be busier than those that do not have that scope. Its the nature of the beast. If H&N cancer/recon is a goal of residency for you, then those are good programs to you to try and get into. Otherwise as it is such a niche area of OMS it certainly is not a needed component to a residency program. At my program I have residents who rotate for 3 months during years 3 and 4 with H&N fellowship trained OMS's to get a good experience and flavor for that area of our specialty. But I would probably never make it a full time part of my training program. It seems to take over the program and a lot of other areas of training suffer. I see it time and time again when I do OMS program site visits. Its great training for something almost no one will do after graduating.

And lastly, anything that takes work usually has a good reward at the end. I love what I do and I loved being a resident, even with the hours and work involved. I trained with a great group of residents, we got along, we worked hard and we played hard. I would do it again today if I had to.
 
Wherever you externed sounds like a ****ty program if you really found that they spent a significant time on administrative tasks
I'd disagree. The busier the program and the more surgery they are doing, the more administrative **** there is to do. The more your attendings operate, the busier their clinics will be and the more notes you'll be writing. You'll have more inpatients, which means more time doing orders, notes, rounding. If you have a busy H&N component too you'll have to routinely deal with social work and post discharge orders and what not.
Good programs will typically have some PAs or NPs that help do some of the note writing in attending clinics, billing ****, and preop stuff. Really good programs will have people to handle insurance issues and to help coordinate with other docs for stuff like cardiac clearance, radiation, chemo, SLP, PT/OT.
Some programs are so busy that they have a PA or 2 to manage basic floor patient stuff and see really simple consults. This is a huge benefit to the residents because you can focus on higher level stuff.
In most cases, the majority of the admin **** will fall on the interns so the upper levels can reap the rewards of everything that is being worked up.
 
I'd disagree. The busier the program and the more surgery they are doing, the more administrative **** there is to do. The more your attendings operate, the busier their clinics will be and the more notes you'll be writing. You'll have more inpatients, which means more time doing orders, notes, rounding. If you have a busy H&N component too you'll have to routinely deal with social work and post discharge orders and what not.
Good programs will typically have some PAs or NPs that help do some of the note writing in attending clinics, billing ****, and preop stuff. Really good programs will have people to handle insurance issues and to help coordinate with other docs for stuff like cardiac clearance, radiation, chemo, SLP, PT/OT.
Some programs are so busy that they have a PA or 2 to manage basic floor patient stuff and see really simple consults. This is a huge benefit to the residents because you can focus on higher level stuff.
In most cases, the majority of the admin **** will fall on the interns so the upper levels can reap the rewards of everything that is being worked up.
I agree if that’s what he meant by admin work. I don’t consider notes, rounding, setting up dcs as admin work but I could see how a first year dental student might. Maybe that’s what the op meant.
 
Thank you so much for all these great replies. My dental school has a solid OMS department. When should I approach the residents/attendings and ask to spend time in that clinic? I would be super down to spend a vacation week in the OR that would honestly be awesome.
 
I agree if that’s what he meant by admin work. I don’t consider notes, rounding, setting up dcs as admin work but I could see how a first year dental student might. Maybe that’s what the op meant.
Clinical duties vs non clinical duties.
 
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