To GPR or not to GPR

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biggezzz

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Hey Guys,
I have a question, What do you guys thinks about GPR's. Every since I started school I have known that I wanted some additional training after school. None of the specialties really appealed to me so I decided to pursue a GPR. All of my classmates however are trying to talk me out of it. They tell me that all the experience I need I will get when I start working. My thought is that I would rather do complicated cases under someone elses licence then my own. What do you guys think?

Thanks
 
Then do it..
You see , we all are not the same.
Some of us may want to practice right a way.. and some like me like to learn more do lots of training before I truly say that I think I can venture on my own..

You will never regrets what you decide to do if you truly belief it is what you should do..

I hope I was helpfull

Good luck
 
Originally posted by biggezzz
Hey Guys,
I have a question, What do you guys thinks about GPR's. Every since I started school I have known that I wanted some additional training after school. None of the specialties really appealed to me so I decided to pursue a GPR. All of my classmates however are trying to talk me out of it. They tell me that all the experience I need I will get when I start working. My thought is that I would rather do complicated cases under someone elses licence then my own. What do you guys think?
I think you're right about the amount of experience you'll gain in your GPR. Something else to consider; if you associate, what do you suppose are the chances you'll get anywhere near the same number of complex cases? The more involved a case, the more profitable, and the higher the chances the employing dentist will keep it for himself.
 
At our school, a number of students pursue GPRs, so it is not uncommon. A number go straight into work. It's really the student's personal choice. I do know that at some dental schools, the majority of the class goes straight to work, so maybe that why your classmates are ragging on you for wanting to do a GPR. It seems to be a regional trend, with more graduates of the northeast doing GPRs, and and more southern/western graduates going straight to work.

Here are my reasons for doing a GPR.
1. New location - I want to practice in a different part of NY where I currently know zero dentists. By doing a GPR there, I can meet many dentists over the course of the year before I decide which dentist I want to join as an associate. I don't want to join a private practice where I get to do all the simple operative & hygiene check while the owner dentists does all the endo & fixed; it'll take time to find the right practice and a year during my GPR will at least let me look for a good match.

2. I have no mentor - If I was to go straight to work, I'd like to work with someone who will show me ropes of transitioning to private practice. Although I'll be slow initially (straight out of dental school), I need to work for someone who is willing to be patient till I catch up in speed. I don't know anyone who is willing to take a chance on me like that straight out of school, so back to reason #1. Many students have parent/relative/friend dentists they are going to work for straight out who will be patient with them and help them transition.

3. No pressure to produce - Any private practice you join, you will be under pressure to produce. Time is money in a private office. They're not going to look favorably on you if you take 2 hours to do a 2 surface amalgam. Not that your residency wants you to take 2 hours to do that amalgam either, but in the event you did, your salary isn't going to be affected because you didn't produce enough.

4. Learn new techniques - Having done 1 crown lengthening surgery in dental school, there is no way I can be expected in private practice to be put in a room with a patient and do my second crown lengthening on my own. I have no clue what went on during the first one, and I know I'd need to ask questions during the second one. Again, the dentist in the private office may not like me wasting his/her time asking questions during those procedures where I'm a little hesitant or unfamiliar. Also, many residencies will teach you procedures you don't do in school, such as bony impactions, implant surgeries & restorations, roundhouse crown & bridge, rotary endo, etc. A residency will also give you cases to become more proficient in things you did learn in school but didn't do enough of, like crown lengthening surgeries, molar endo, esthetic veneers, etc.

5. A year to hang out - This is my personal reason and I know I have many classmates that do not have the luxury of time to do this. I really just want my year right after dental school to somewhat stress-free. The last 4 years were just brutal and I wouldn't mind a year to relax and pursue some of my non-dental interests while I do some dentistry in my GPR on the side.

6. A year to build my resume for residency - I intend to apply to specialize in a future application cycle. Many GPRs will allow you to tailor your GPR experiences if you are going to specialize to help your skills & resume out. Many programs in different specialties want to see a GPR prior to accepting the student.

The money isn't a big deal to me. I don't have anyone to support but myself, so I don't need to jump into private practice and start earning $80,000 (or more) right away. For those who need the money, they may not be able to take the time to do a GPR and look for the right associate position. Going to work straight out will guarantee a larger paycheck than a GPR. But there is always a lag period between taking the licensing exam (NERB/SRTA/WREB/whatever) and getting your license. During that time, you are a dentist, but without your license, you cannot legally work as one. And who knows, if you fail the licensing exam on the first attempt (it happens, especially on the NERB), you have to wait for the next date to remediate it. Again, you're out of work as a dentist during this time, by now, 4 months have probably gone by. If you take the GPR, you start work on July 1 (don't need a license to start) and are earning a paycheck for as long as it is taking you to pass the licensing exam. And building your skills & speed while you're waiting, nothing bad about doing that.
 
Originally posted by biggezzz
They tell me that all the experience I need I will get when I start working. My thought is that I would rather do complicated cases under someone elses licence then my own.

I wanted to do a GPR out of school but ended up going into an associateship. I still wish I'd done a GPR even though it would have cost me about $60K.

Your friends are right that you will get experience in private practice but as far as learning and performing trickier procedures I think 1 year at a GPR is worth 3 in private practice. In a GPR you'll be trained by several specialists and GP's and get to place implants and learn to do IV sedation. In a GREAT assocatiship you might have one or two docs to go over stuff with you but it won't be as in depth or hands on.

I think the main benefit of a GPR comes when you want to open your own practice. When you just open the doors and cash flow is tight it will be a little bit easier if you don't have to refer out wisdom teeth, molar endo, etc....

In the end it boils down to what kind of dentist you want to be. There's nothing wrong with being a drill and fill dentist and referring out the hard stuff, a lot of dentists make a good living doing that. Not doing a GPR won't make it impossible to learn the more complex stuff but it will make it harder.

Griffin04 if you are looking for a stress free year you will likely not find it in a GPR. Most programs have you in class or clinic 8-5 (not counting the month or two you'll spend with the sleepless OMFS's) and then splitting call on the nights/weekends. Throw in the grand rounds and presentations you'll make and it'll be every bit as demanding as dental school.

JMHO
Rob
 
If you find a great mentor dds to work with - you will not need a gpr. I am in my second year and I have found a great mentor and feel like I have caught up to my friends skill wise in what a gpr has done for them.

My friend hated his gpr - being on call and all the hours - but appreciated the skills he acquired during the year.
 
Originally posted by no2thdk999
Griffin04 if you are looking for a stress free year you will likely not find it in a GPR. Most programs have you in class or clinic 8-5 (not counting the month or two you'll spend with the sleepless OMFS's) and then splitting call on the nights/weekends. Throw in the grand rounds and presentations you'll make and it'll be every bit as demanding as dental school.

I know, I know. I just keep telling myself that whatever I do after dental school (a GPR in my case), has to be less stressful than the four years of dental school. In any event, the paycheck (as meager as it is) and prospect of very little lab work will make it a little easier to tolerate whatever they throw at me. I can better make my case next week at this time when I will hopefully know which GPR I will be attending, b/c only 1 of my 3 choices had grand rounds and OMFS residents at the same location. The other 2 had no grand rounds and no complaints from the residents about on-call schedules.
 
I'm VERY interested in doing a GPR and most likely will (if I match somewhere). One thing I've been cationed about, however, are the programs I'm applying to.

I'm heard that there are quite a few programs where the residents don't receive much additional training, and don't broaden their horizons much at all. Of course, a GPR is an excellent tool if residents learn to quicken their skills and their critical thinking--but 12 months is a long time if ALL you are doing is routine and minor cases.

I guess my point is to carefully research the programs. I know griffin has done this extensively.
 
My friend did his Gpr at St. Lukes in Utica, NY - it was a very good program for general dentistry. Other friends did the AEGD at marquette and it was not very good. I have heard that any program through a VA will be a good experience.

If I could do it again, I would have done one in a place with nice climate - like florida!😀
 
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