Rotation Goals and Objectives

Rotation Goals and Objectives

Rotation Goals and Objectives of OMS Training Program
  • Anesthesia - UMMC Fairview

    (4 months the first year at the University of Minnesota Medical Center-Fairview)

    Objectives

    • Patient evaluation and determination of anesthetic risk
    • Evaluation and treatment of anesthesia or emergencies such as CPR, airway maintenance, management of transfusion reactions, etc.
    • Review basic pulmonary and cardiovascular physiology in dynamic situations
    • Evaluation of pharmacologic agents utilized in anesthesia and sedation management
    • Knowledge of rapid sequence induction as well as standard induction and intubation techniques
    • Practical skill of general and regional anesthetics including the use of ventilators for patient management
    • Exposure to the management of both geriatric and pediatric patients in the normal course of anesthesia delivery at a large university training institution

    Duties:

    In order to meet the objectives of the rotation, the residents spend four continuous months on general anesthesia at the University of Minnesota Medical Center-Fairview. The oral and maxillofacial surgery resident, after a suitable period of supervision as determined by the anesthesia faculty, is assigned their own room and given the responsibility for pre-operative patient evaluation and inter-operative management of patient general anesthetic. The oral and maxillofacial surgery resident on the anesthesia rotation is generally recognized with the responsibilities of an anesthesia resident. They take call on a regular rotation with the other anesthesia residents.

  • Medicine - UMMC Fairview

    (2 month rotation during the PGY-1 year at the University of Minnesota Medical Center-Fairview. The OMS resident typically rotates on a cardiology service for one month and a general medicine team for one month.)

    Objectives:

    • To gain experience in physical diagnosis and treatment of patients with a variety of medical conditions
    • To gain experience in preoperative evaluation and risk of surgery in patients with a variety of medical conditions
    • To gain experience in identifying and obtaining appropriate laboratory or other diagnostic tests, interpretation of these tests, and developing treatment strategies based on the interpretation/diagnosis

    Duties:

    The OMS resident should function at an intern level. The resident should be assigned patients that they should manage in conjunction with a senior resident, fellow, or faculty person. The OMS resident will take call per the service that he/she is rotating. The resident should perform admission history and physicals, participate in diagnosis and comprehensive management of the patients assigned. The rotating OMS resident will attend all seminars and conferences as per the Medicine Department schedule while rotating on the Medicine service.

  • Oral & Maxillofacial Surgery - U of MN School of Dentistry "On-Service"

    (1st - 4th years when not on an off-service rotation.)

    Objectives:

    • To gain experience in outpatient oral and maxillofacial surgery procedures including management of simple and surgical extractions and impacted teeth
    • To gain experience in the management of patients under general anesthesia using inhalation anesthesia
    • To gain experience managing patient airway under general anesthesia
    • To gain full scope oral and maxillofacial surgery experience in the OR
    • To understand diagnosis, staging, methods of treatment and malignant head and neck tumors
    • To gain experience in the operative management of head and neck tumors including oral cancer and salivary gland disease

    Duties:

    One chief resident at 4th year level with junior residents. The Chief Resident will bear the responsibility of managing all things related to the clinic schedule, OR schedule, core curriculum and administrative tasks. All residents take call and participate in didactic venues.

  • Oral & Maxillofacial Surgery - HCMC

    (10-12 months total in their 1st – 4th years at Hennepin County Medical Center, Minneapolis, MN)

    Objectives:

    • To gain experiences in the management of the multi-system trauma patient at a Level I Trauma center
    • To gain additional experience in outpatient oral and maxillofacial surgery procedures including the management of simple and surgical extractions, impacted teeth and outpatient anesthesia
    • To gain exposure to the management of patients within the operating room
    • To gain experience in the management of wound care and wound healing

    Duties:

    One chief and one junior resident rotate at HCMC at a time. Both residents take call and respond to the emergency room and the surgical intensive care units for facial trauma on alternating weeks during the month. The residents are involved in patient work ups and patient management during their hospital stay. They participate at conferences on a regular basis at HCMC and on Thursday afternoons core curriculum at the University.

  • Oral & Maxillofacial Surgery - VA

    (Approximately 4 - 6 months total during their 2nd – 3rd years at the VAMC, Minneapolis, MN)

    Objectives:

    • To develop proficiency in outpatient oral and maxillofacial surgery procedures in an active clinic setting, including the management of simple and surgical extractions, impacted teeth, preprosthetic procedures and endosseous dental implants
    • To gain exposure to the management of patients within the operating room
    • To gain experience in the management of medically compromised oral and maxillofacial surgery patients
    • To gain experience in the management of wound care and wound healing

    Duties:

    The junior oral and maxillofacial surgery resident will assume the responsibilities as the primary resident on rotation. They will be directly responsible to the attending faculty. The resident will gain experience in the management of patients undergoing operative procedures as the first assistant. As such, they are involved in patient work ups and patient management during their hospital stay. On Thursdays, the resident participates in the core curriculum at the U of MN School of Dentistry.

  • General Surgery - HCMC (Gen. Surgery, Neuro., ICU)

    General Surgery Rotation - 2 months of second year at Hennepin County Medical Center (total of 6 months combined with neurosurgery and ICU)

    Objectives:

    • To gain experience in the pre-operative evaluation of the surgery patient
    • To gain experience in pre-operative, inter-operative, post-operative patient care including fluid and electrolytes status, pulmonary care, cardiovascular function and wound care
    • To gain experience in the application of surgical principles of dealing with wound care, wound healing, and wound infection
    • To gain technical skills in the insertion of a central line, insertion and utilization of chest tubes and general surgical skills and techniques

    Duties:

    The residents rotate as surgery residents and function as a member of the resident team. They are scheduled in the general surgery rotation so that when they are present on-service, they are given the responsibilities of the general surgery resident. This is generally at a time when resident coverage of the service may be somewhat short handed thereby ensuring the oral and maxillofacial surgery resident will have an adequate case load. The resident performs admission history and physical examinations and assists in the management of all team duties. The resident teaches medical students and takes call. The resident plays a major role in the perioperative management of the team's patients and participates in operating room activity. The resident answers all trauma calls when their team is assigned trauma.

    Neurosurgery Rotation

    (3 months during the 'surgery' rotation at Hennepin County Medical Center)

    Objectives:

    • The resident will gain experience and recognition in the early management of acute neurology injury
    • The resident will gain experience in the interpretation of cervical spine films
    • The resident will gain experience in the interpretation of other imaging methods
    • The resident will gain experience with the management of critically ill patients within the neurosurgical intensive care unit

    Duties:

    The oral and maxillofacial surgery resident functions as a junior neurosurgery resident. They assume a significant level of responsibility with respect to direction of activity in the neurosurgery intensive care unit including patient management under the supervision of the neurosurgery faculty. The oral and maxillofacial surgery resident takes call on neurosurgery service and answers consultation requests.

    ICU Rotation

    (1 month during the 'surgery' rotation at Hennepin County Medical Center)

    Objectives:

    • The resident will gain experience in the management of the complex post surgical care patient
    • The resident will gain experience in the placement and management of central venous access lines
    • The resident will actively participate in ventilator management
    • The resident will gain experience in management of the acute trauma patient

    Duties:

    The oral and maxillofacial surgery resident functions as a junior surgery resident. They assume a significant level of responsibility with respect to direction of activity in the surgical intensive care unit including patient management under the supervision of the surgery faculty.

  • Plastic Surgery - Regions Hospital

    (3 months during the third year at Regions Hospital)

    Objectives:

    • To gain experience in the management of general plastic surgery patients
    • To gain experience in the management of wound care and wound healing
    • To gain experience in the management of head and neck trauma patients from a plastic surgeons perspective
    • To gain experience in microvascular reanastamosis techniques
    • To gain experience in the management of extremity injury and microsurgical techniques
    • To gain experience in cosmetic and esthetic surgery

    Duties:

    The oral and maxillofacial surgery resident will assume the responsibilities of a plastic surgery resident on rotation on the plastic surgery service. They will be directly responsible to the plastic surgery attending faculty. The oral and maxillofacial surgery resident will take call on the plastic surgery service and respond to the emergency room and the surgical intensive care units as a plastic surgery resident. The oral and maxillofacial surgery resident will be involved in patient work ups and patient management during their hospital stay. The resident will also gain experience in the management of patients undergoing cosmetic or esthetic surgery by performing procedures with plastic surgery faculty at affiliated institutions.

  • Trauma On-Call - North Memorial

    (Months will vary but will take place primarily during the 3rd year of training and some during the 4th year of training when scheduled to be on rotation “On-Service” at the University of Minnesota.)

    Objectives:

    • To gain experience in the evaluation and treatment of patients in the emergency department
    • To gain experience in the management of minor and complex lacerations and fractures of the maxillofacial region
    • To gain experience in the evaluation and treatment of patients with emergency orofacial infections

    Duties:

    The designated OMS resident will carry a pager from North Memorial at all times and respond to trauma call 24 hours/day. The resident will be supervised by the assigned faculty on call for North Memorial who will include University of Minnesota appointed faculty in the Division of Oral and Maxillofacial Surgery. The emergency department faculty of North Memorial Medical Center may provide additional education and supervision. The oral and maxillofacial surgery resident will be involved in coordinating treatment and follow up care for the emergency patient. This rotation will allow them an opportunity to experience working with other medical disciplines in coordinating care and providing treatment for the trauma patient.

  • Foreign Rotation - Scotland, Aberdeen Royal Infirmary

    (ELECTIVE – 8 weeks in 4th year of residency)

    Objectives:

    • To enhance resident education by providing additional and complementary experiences in oral and maxillofacial surgery.
    • To expose residents to other residency programs and cultures

    Duties:

    Residents would be expected to be in attendance for all activities requested by the rotating service. Participation in clinics, surgeries, rounds and seminars is to be determined by the faculty of the rotating service. Residents are expected to perform all necessary preparatory work for these activities. A written record of all operating room cases where the resident participated on the rotation including the case, case type and date, needs to be maintained. While these cases cannot be used towards accreditation, they are important to monitor the experiences of the rotation. Resident will provide a copy of this list to the Advanced Training Program Director upon their return to the University of Minnesota

  • Pediatric and Cosmetic Oral & Maxillofacial Surgery Outpatient Rotation

    (Done in a private practice setting. Weekly (Fridays 7 a.m. to 9 a.m.) during the fourth year (or 3rd year if 4th year is not available) Oral and Maxillofacial Surgery rotation at University of Minnesota)

    Objectives

    • To gain experience in the management of children under general anesthesia using inhalation anesthesia (sevoflurane)
    • To gain experience managing the pediatric airway under general anesthesia
    • To perform minor surgical procedures (extractions, biopsies) in children being managed with inhalation general anesthesia
    • To gain experience in cosmetic facial surgery including CO2 laser and microdermabrasion procedures
    • To participate in the evaluation, work-up and follow-up of patients undergoing cosmetic surgery procedures
    • To observe the role of an esthetician in a cosmetic practice

    Duties:

    The oral and maxillofacial resident will be guided by the faculty in surgical and anesthetic management of pediatric oral and maxillofacial surgery procedures. Differences in pediatric anatomy and emergency protocols for this patient population will be reviewed during the rotation. Facial cosmetic surgery is also performed at the private practice facility. Primarily skin resurfacing procedures are performed by both oral and maxillofacial surgeons and a certified esthetician. The resident will participate directly in the evaluation of these patients in the perioperative period and be directly involved during the performance of these procedures.

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  • Last modified on June 25, 2012