Rotation Goals & Objectives

Anesthesia - UMMC Fairview

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

Program Chair - Micheal H. Wall, MD, FCCM
mhwall@umn.edu / 612-624-9903

Residency Director - Mojca Konia, MD, PhD
konia012@umn.edu / 612-624-9990

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.)

Division Director: Bradley Bensen, MD
gimadmin@umn.edu / 612-624-3189

Staff: Alisa Duran-Nelson, MD
duran012@umn.edu / 612-626-4603

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.)

Division Director: Harold K. Tu, MD, DMD
hktu@umn.edu / 612-624-9959

Residency Director: James Q. Swift, DDS
swift001@umn.edu / 612-624-7937

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)

Chief of General Dentistry: Mary Seieroe, DDS
612-873-6963

OMS Faculty: Dr. Lance Svoboda, DDS, Dr. Louis Christensen, DDS

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.

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)

Dr. Joan Van Camp, MD
Dr. Ashley Marek, MD, 612-873-2849

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.

Oral & Maxillofacial Surgery - VA

(Approximately 4 - 6 months total during their 1st-4th years at the VAMC, Minneapolis, MN)

Robert Templeton, DMD, 612-467-2093
Larry Palmersheim, DDS, 952-435-0310

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.

Plastic Surgery - Regions Hospital

(3 months during the third year at Regions Hospital)

James Fletcher, MD / 952-967-7977
Warren Schubert, MD / 952-967-7977
Martin Lacey, MD / 651-290-8707

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.

Pediatric Anesthesia, U of M Masonic Children's Hospital

(1 month during 3rd year)

Tae Kim Kim, MD
twkim@umn.edu / 612-624-9990

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.