The mission of the Oral and Maxillofacial Surgery Residency Program at David Grant USAF Medical Center is to provide integrated training in didactic, clinical, and research areas for resident education. The primary objectives of this education are to prepare the residents to practice the full scope of oral and maxillofacial surgery, to become board certified, and to produce a surgeon capable of practicing a broad spectrum of services in the United States Air Force and upon deployment.
PURPOSE
The purpose of the Oral Maxillofacial Surgery Residency Program is to provide a four (4) year program of postgraduate education in Oral and Maxillofacial Surgery. The training provides a sequential surgical and patient management experience that is hospital based. The surgical experience is integrated into a comprehensive study of basic biomedical sciences and clinical medical rotations. The goal is to ensure the resident is capable of providing total patient care. The program is designed to meet the educational criteria established in the following guidelines and regulations. It is fully accredited by the Commission on Dental Accreditation, American Dental Association.
1. The David Grant Medical Staff Guide
2. The Commission on Dental Accreditation, American Dental Association
3. The American Association of Oral and Maxillofacial Surgeons
4. The American Board of Oral and Maxillofacial Surgery
The program is further structured to meet unique military requirements: the management of acute maxillofacial combat injuries plus their long range reconstruction and rehabilitation, operating in the austere deployed hospital, delivery of general anesthesia in the field environment, and providing the graduate with the experience to function as a military dental or surgical executive in time of peace and war.
SELECTION PROCEDURES
Formal applications for USAF Oral & Maxillofacial Surgery Residencies are made in accordance with Air Force Instruction (AFI) 41-117 to AFPC/DPAMD, Randolph AFB, Texas 78150. Resident selections are made by a centralized board comprised of the Special Consultant to the Surgeon General for Oral and Maxillofacial Surgery, and the Program Chairmen and Directors of each of the respective AF OMS residencies. The selection board convenes at the USAF Dental Education Meeting in September/October of each year at Randolph AFB, TX. Residents are encouraged to have rank appropriate PME prior to starting training.
FACILITIES AND RESOURCES
The Oral and Maxillofacial Surgery Flight is a division of the 60th Dental Squadron, David Grant USAF Medical Center, Travis Air Force Base, California. The Oral and Maxillofacial Surgery Clinic consists of one fully equipped operating room, a three bed recovery room, seven treatment rooms, a large conference room, staff lounge, staff and resident offices, storage, central supply, contaminated and clean instrument sterilization rooms, and administrative space. Monitoring equipment in the operating room, recovery and treatment rooms is state-of-the-art. Auxiliary personnel are assigned to support the teaching and clinical requirements.
DGMC is a referral center for military bases in the western United States and as such provides a variety of oral and maxillofacial cases and related abnormalities. The department shares the beds assigned to the Department of Surgery and is scheduled for two and a half days per week in the eight room operating suite. Anesthesia support is provided by anesthesiologists, certified nurse anesthetists, nurse anesthesia residents, and Oral and Maxillofacial Surgery residents rotating on the Anesthesia service. An eight-bed fully equipped Intensive Care Unit is adjacent to the surgical suites and available as required.
RESEARCH
The Clinical Investigative Facility (CIF) at David Grant USAF Medical Center is an outstanding facility and very supportive of research or investigative efforts of both staff and residents. Original research is encouraged and supported by the staff. When indicated formulate research protocols with staff to include parameters, methods, objects, materials, equipment, literature search, write-up, etc. Research projects should be presented at the formative stage to the full staff at a weekly OMS Conference for possible input and advice. Residents are required to submit a minimum of one article; either related to his/her original research, a detailed and pertinent literature search and review, or a case study to one of the national journals in Oral and Maxillofacial Surgery.
FIRST YEAR RESIDENT (PGY-1)
In the first year the resident is oriented to the hospital environment and hospital protocols. They spend the majority of this year on off-service rotations. The goal for the first year resident is to become competent in the performance of a physical examination and the administration of general anesthesia
PGY-1 ROTATIONS
1. Inpatient Medicine - two (2) months
2. Cardiology - one (1) month
3. Anesthesia - four (4) months
4. Oral and Maxillofacial Surgery (DGMC) - five (5) months*
*includes one month with expanded experience in Oral Pathology and one month with expanded experience in Neuroradiology.
SECOND YEAR RESIDENT (PGY-2)
The second year consists of instruction, training and experiences on a more advanced level designed to increase depth of knowledge in medicine and surgery. Emphasis is placed on surgery and surgical subspecialties. The second year resident is responsible for the delivery of a significant portion of the outpatient general anesthetics.
PGY-2 ROTATIONS
1. Otolaryngology/Head and Neck- one (1) month
2. General Surgery - two (2) months
3. Oral and Maxillofacial Surgery (DGMC) - six (6) months
4. Oral and Maxillofacial Surgery / Research (DGMC) - one (1) month
5. Oral and Maxillofacial Surgery Trauma (UMC Fresno) - two (2) months
THIRD YEAR RESIDENT (PGY-3)
The third year resident assumes increasing responsibilities on the Oral and Maxillofacial Surgery Service. The resident is now the primary or first assistant surgeon for many cases taken to the operating room and is responsible for managing all of the implant cases being treated by the department. The Senior Project should be well underway during the PGY-3 year. Abstract submissions must comply with established deadlines for the respective conference.
PGY-3 ROTATIONS
1. Oral and Maxillofacial Surgery (DGMC) - seven (7) months
2. Oral and Maxillofacial Surgery Trauma (UMC Fresno) - two (2) months
3. General Surgery Trauma / Surgical Intensive Care (UMC Fresno) - two (2) months
4. Neurosurgery - one (1) month
FOURTH YEAR RESIDENT (PGY-4, Chief Resident)
The fourth year resident assumes the administrative responsibilities as the Chief Resident of the Oral and Maxillofacial Surgery Services. The resident is responsible for coordination of the operating room and clinic schedules. He/she assumes greater teaching/guidance duties for junior residents on service and medical rotators. The resident is the primary surgeon for the majority of cases performed in operating room. Complete and submit the Senior Project for publication. It is highly desirable for the resident to present this project as an abstract at the Annual AAOMS Scientific Session
PGY-4 ROTATIONS
1. Oral and Maxillofacial Surgery (DGMC) - eight (7) months
2. Oral and Maxillofacial Surgery Trauma (UMC Fresno) - two (2) months
3. Plastic Surgery - one (1) month
4. Surgical Elective - one (1) month
5. Otolaryngology/ Head and Neck - one (1) month
Contact Information:
Oral and Maxillofacial Surgery Program Director
David Grant USAF Medical Center
101 Bodin Circle - Bldg 777
Travis AFB, CA 94535-1800
Program Director of Resident Education, Oral and Maxillofacial Surgery
Phone: (707) 423-7085
DSN: 799-7085