General Practice General Practice Residency ProgramResidency Program

The University of Texas The University of Texas Health Science Center at Houston – Health Science Center at Houston –

Dental BranchDental Branchand and

Memorial Hermann HospitalMemorial Hermann Hospital

Integration of Integration of Dentistry into Dentistry into MedicineMedicine

Medical risk Medical risk assessmentassessment

Recognition and Recognition and treatment of medical treatment of medical conditions that affect conditions that affect the oral cavitythe oral cavity

Prevention and Prevention and management of management of systemic systemic manifestations of oral manifestations of oral diseasedisease

Advanced clinical Advanced clinical dentistrydentistry

Program Program Goals & ObjectivesGoals & Objectives

Advanced training in the clinical practice of Advanced training in the clinical practice of dentistrydentistry

Diagnosis and treatment planning in a problem Diagnosis and treatment planning in a problem based manner using total patient evaluation based manner using total patient evaluation

Proficiency in interdisciplinary interaction in Proficiency in interdisciplinary interaction in outpatient, hospital and didactic settingsoutpatient, hospital and didactic settings

Clinical & hospital experience in Clinical & hospital experience in comprehensive & emergency oral care to a comprehensive & emergency oral care to a wide range of patientswide range of patients

Simulation of the practice of dentistry in a Simulation of the practice of dentistry in a private practice settingprivate practice setting

Engage in the practice of dentistry based on a Engage in the practice of dentistry based on a critical review and presentation of the literaturecritical review and presentation of the literature

CurriculumCurriculum

Clinical Dentistry and Advanced Treatment Clinical Dentistry and Advanced Treatment PlanningPlanning

Implant DentistryImplant Dentistry ProsthodonticsProsthodontics PeriodonticsPeriodontics Inpatient Care / Hospital AdministrationInpatient Care / Hospital Administration Medical Risk AssessmentMedical Risk Assessment Oral Medicine, Oral Pathology and Oral RadiologyOral Medicine, Oral Pathology and Oral Radiology Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery Pain Control and AnesthesiologyPain Control and Anesthesiology Special Patient CareSpecial Patient Care Trauma and Emergent Dental CareTrauma and Emergent Dental Care

2007 Residents2007 Residents PGY1 (5)

Clinical PhaseClinical Phase

On-service rotations (8.5 mos) – On-service rotations (8.5 mos) – – General Dentistry Service:General Dentistry Service:

Clinic (University Dental Center)Clinic (University Dental Center) Hospital (UDC, MHH, TIRR)Hospital (UDC, MHH, TIRR)

Off-service rotations (3.5 mos):Off-service rotations (3.5 mos):– Anesthesiology (1 mos)Anesthesiology (1 mos)– Internal Medicine (1 mos)Internal Medicine (1 mos)– Oral and Maxillofacial Surgery (1 mos)Oral and Maxillofacial Surgery (1 mos)– Otolaryngology (0.5 mos)Otolaryngology (0.5 mos)

ROTATION SCHEDULE General Practice Residency Program

The University of Texas Dental Branch at Houston 2007-2008

Dr. ROMAN Dr. Ekhlassi Dr. Kwak Dr. Taqieddin Dr. Vaughn

JUL C C C C C

AUG OS C C C C

SEP C OS C C C

OCT ENT/C C OS C C

NOV C ENT/C C OS C

DEC C C ENT/C C OS

JAN AN C C ENT/C C

FEB C AN C C ENT/C

MAR C C AN C C

APR C C C AN C

MAY C C C C AN

JUN C C C C C

Clinic (C) is the providing of general dental care the University Dental Center (UDC) Oral Surgery (OS) rotation is one month at Ben Taub General Hospital and with the UT OMS

service at other locations Otolaryngology (ENT) rotation is the first half-month (1st through 15th) with UT Medical School’s

Otolaryngology service Anesthesiology (AN) rotation is one month at Memorial Hermann Hospital

5-17-07

RotationsRotations

Anesthesiology: Anesthesiology: – Memorial Hermann - 1 monthMemorial Hermann - 1 month

Internal Medicine: Internal Medicine: – Memorial Hermann – 1 monthMemorial Hermann – 1 month

Oral and Maxillofacial Surgery: Oral and Maxillofacial Surgery: – Ben Taub Hospital - 1 monthBen Taub Hospital - 1 month

Otolaryngology (ENT) – 1 monthOtolaryngology (ENT) – 1 month Mobile Dental VanMobile Dental Van

– 4-5 days4-5 days

Scope of Patient CareScope of Patient Care

Emergency Room PatientsEmergency Room Patients Geriatric PatientsGeriatric Patients Hospital InpatientsHospital Inpatients Medically CompromisedMedically Compromised Mentally HandicappedMentally Handicapped Physically HandicappedPhysically Handicapped ““Well” PatientsWell” Patients

Medically Medically Compromised Compromised PatientsPatients Autoimmune Autoimmune

DiseaseDisease Bleeding DisordersBleeding Disorders Cardiovascular Cardiovascular

DiseaseDisease Endocrine DiseaseEndocrine Disease Liver FailureLiver Failure Neoplastic DiseaseNeoplastic Disease Renal FailureRenal Failure

Hospital ExperienceHospital Experience

In-Patient ConsultationsIn-Patient Consultations– Memorial Hermann and TIRRMemorial Hermann and TIRR– Average 250 per yearAverage 250 per year– Necessary examination and treatment Necessary examination and treatment

performed either at bed-side, UDC during performed either at bed-side, UDC during their admission or after discharge, or in their admission or after discharge, or in the ORthe OR

– Coordination with primary admitting teamCoordination with primary admitting team

Hospital ExperienceHospital Experience

Emergency Center – Memorial HermannEmergency Center – Memorial Hermann– Average 75 calls/yearAverage 75 calls/year

Hospital ExperienceHospital Experience

Operating RoomOperating Room – Memorial Hermann – Memorial Hermann– Average 120-150 cases/yearAverage 120-150 cases/year

Clinical Experiences Clinical Experiences at the GPRat the GPR

Implant surgeryImplant surgery

Crown and BridgeCrown and Bridge

Crown and BridgeCrown and Bridge

VeneersVeneers

VeneersVeneers

IV SedationsIV Sedations

OR DentistryOR Dentistry

BiopsiesBiopsies

Third Molar Third Molar ExtractionsExtractions

PathologyPathology

PathologyPathology

Didactic CurriculumDidactic Curriculum

History and Physical ExaminationHistory and Physical Examination Conscious Sedation and PharmacologyConscious Sedation and Pharmacology PeriodonticsPeriodontics EndodonticsEndodontics Graduate Implant CourseGraduate Implant Course ProsthodonticsProsthodontics Biomaterials and Restorative DentistryBiomaterials and Restorative Dentistry Oral Medicine, Pathology and RadiologyOral Medicine, Pathology and Radiology Orofacial PainOrofacial Pain General MedicineGeneral Medicine

Resident Resident Scholarly ActivityScholarly Activity

Journal ClubJournal Club Resident PresentationsResident Presentations Scientific PaperScientific Paper Table ClinicsTable Clinics Clinical ResearchClinical Research

Program FacultyProgram Faculty

General DentistsGeneral Dentists Full time director Full time director Part-time attendingsPart-time attendings

ProsthodontistsProsthodontists PeriodontistPeriodontist Other Specialty Resources (UTDB)Other Specialty Resources (UTDB)

Dental Anesthesiology, Endodontics, Oral Dental Anesthesiology, Endodontics, Oral Pathology, Oral Surgery, Pediatric Pathology, Oral Surgery, Pediatric Dentistry, Periodontics, OrthodonticsDentistry, Periodontics, Orthodontics

Program FacultyProgram FacultyDr. Raymond Simmons, Associate Dr. Raymond Simmons, Associate Professor, GPR Program DirectorProfessor, GPR Program Director

1993 Graduate of Howard University College of 1993 Graduate of Howard University College of DentistryDentistry

1994 1-yr Harvard Medical School/Brigham and 1994 1-yr Harvard Medical School/Brigham and Women’s GPR ProgramWomen’s GPR Program

1999 5-yr Doctoral Program/Oral Medicine 1999 5-yr Doctoral Program/Oral Medicine ProgramProgram

2001 2-yrNIH Post-doctoral Research 2001 2-yrNIH Post-doctoral Research FellowshipFellowship

2003 2-yr Assist Professor Diagnostic Sciences 2003 2-yr Assist Professor Diagnostic Sciences UTHSC-San AntonioUTHSC-San Antonio

2007 4 yr Assist Professor Clinical 2007 4 yr Assist Professor Clinical Sciences/Clinical Medicine UNLV School of Sciences/Clinical Medicine UNLV School of Dental MedicineDental Medicine

Dr. Steven Vaughan, Assistant Dr. Steven Vaughan, Assistant Director Director

2004 Graduate of UT San Antonio2004 Graduate of UT San Antonio

1-yr AEGD at VA-San Antonio, 1-yr AEGD at VA-San Antonio, 20052005

Full time private practiceFull time private practice

Special interests: cosmetics, Special interests: cosmetics, implants (placement and implants (placement and restoration), prosthodontics, restoration), prosthodontics, CAD-CAM restorations, IV-CAD-CAM restorations, IV-sedationsedation

Program FacultyProgram Faculty

Dr. Michael Chan, Part-time Dr. Michael Chan, Part-time faculty faculty

UT San Antonio, 1998UT San Antonio, 1998

2-yr GPR at UT Houston2-yr GPR at UT Houston

Full time private practiceFull time private practice

Special interests: cosmetics, Special interests: cosmetics, IV-sedation, hospital dentistry, IV-sedation, hospital dentistry, OR dentistryOR dentistry

Program FacultyProgram Faculty

2005 Graduate of UT-Houston Dental 2005 Graduate of UT-Houston Dental BranchBranch

1Year GPR at University of Michigan, 1Year GPR at University of Michigan, 20062006

Full time private practiceFull time private practice

Special interests: implant Special interests: implant restoration, CAD-CAM restorations, restoration, CAD-CAM restorations, oral surgery, hospital dentistryoral surgery, hospital dentistry

Dr. Seema Varghese, Part-Dr. Seema Varghese, Part-timetime

FacultyFaculty

Program FacultyProgram Faculty

2000 Graduate University of Texas 2000 Graduate University of Texas Dental BranchDental Branch

National Naval Medical Center, GPR National Naval Medical Center, GPR - 2001- 2001

Dr. Philip Cimo, Part-time FacultyDr. Philip Cimo, Part-time Faculty

Program FacultyProgram Faculty

2004 Graduate University of Texas 2004 Graduate University of Texas Dental BranchDental Branch

St. Anthony’s hospital, GPR - 2005St. Anthony’s hospital, GPR - 2005

Dr. Sanjeev Gopalakrishna, Dr. Sanjeev Gopalakrishna, Part-time FacultyPart-time Faculty

Program FacultyProgram Faculty

1994 Graduate of Khon Kaen 1994 Graduate of Khon Kaen University, Thailand, University, Thailand,

1999 Graduate (MS) of the 1999 Graduate (MS) of the University of Louisville in University of Louisville in prosthodontics. prosthodontics.

Maxillofacial Prosthetics from the Maxillofacial Prosthetics from the UT M.D. Anderson Cancer Center UT M.D. Anderson Cancer Center

Diplomate of the American Board Diplomate of the American Board of Prosthodontics. of Prosthodontics.

Dr. Sudarat Kiat-Dr. Sudarat Kiat-Amnuay, Amnuay, ProsthodonticsProsthodontics

Program FacultyProgram Faculty

Dr. James Lutonsky, ProsthodonticsDr. James Lutonsky, Prosthodontics

1997 Graduate UT - San Antonio1997 Graduate UT - San Antonio

Certificate in Prosthodontics UT - San Certificate in Prosthodontics UT - San Antonio.Antonio.

Private practice in The Woodlands, TXPrivate practice in The Woodlands, TX

Program FacultyProgram Faculty

Dr. John A. Valenza, Dr. John A. Valenza, Executive Associate DeanExecutive Associate Dean

UT Houston - 1981UT Houston - 1981

Completed 1-yr GPR at Univ. of Tennessee Completed 1-yr GPR at Univ. of Tennessee

Founding GPR directorFounding GPR director

Special interests: hospital dentistry, medically Special interests: hospital dentistry, medically compromised patients, OR dentistry, computers compromised patients, OR dentistry, computers in dental practicesin dental practices

Program FacultyProgram Faculty

Dr. Sheila Koh, Operating RoomDr. Sheila Koh, Operating Room

UT Houston – 1993UT Houston – 1993

1-yr GPR at UT Houston – 19941-yr GPR at UT Houston – 1994

Former Director, AEGD – 1993-1995Former Director, AEGD – 1993-1995

Program FacultyProgram Faculty

Program Auxiliary Program Auxiliary StaffStaff Residency CoordinatorResidency Coordinator Office ManagerOffice Manager Dental Hygienist – Clinical Supervisor Dental Hygienist – Clinical Supervisor Dental Assistants Dental Assistants Front office staff Front office staff Department Staff Support from UTDBDepartment Staff Support from UTDB

FacilitiesFacilities

University Dental CenterUniversity Dental Center Memorial Hermann HospitalMemorial Hermann Hospital The University of Texas Dental Branch at The University of Texas Dental Branch at

HoustonHouston The Institute for Rehabilitation and The Institute for Rehabilitation and

ResearchResearch Texas Medical Center LibrariesTexas Medical Center Libraries Rotational Sites (i.e.: Ben Taub Hospital)Rotational Sites (i.e.: Ben Taub Hospital)

University Dental University Dental CenterCenter UT Professional buildingUT Professional building 7 open bays7 open bays 1 closed room1 closed room 3 oral surgery suites3 oral surgery suites 2 consult rooms2 consult rooms Electronic charting and Electronic charting and

digital radiography digital radiography Residents’ officeResidents’ office LaboratoryLaboratory

Memorial Hermann Memorial Hermann HospitalHospital Established 1925Established 1925 Primary teaching Primary teaching

hospital of The hospital of The University of Texas University of Texas Health Science Center Health Science Center at Houstonat Houston

Category I trauma Category I trauma centercenter

Home to Hermann Life Home to Hermann Life FlightFlight

Licensed for over 600 Licensed for over 600 bedsbeds

The University of The University of Texas Dental Branch at Texas Dental Branch at HoustonHouston Founded 1905Founded 1905 One of 6 HSC schoolsOne of 6 HSC schools DDS Class Size: 84DDS Class Size: 84 DH Class Size: 40DH Class Size: 40 Advanced Education Advanced Education

Programs:Programs:– AEGD, Endodontics, AEGD, Endodontics,

GPR, OMFS, GPR, OMFS, Orthodontics, Pediatric Orthodontics, Pediatric Dentistry, Dentistry, Periodontics, Periodontics, ProsthodonticsProsthodontics

Texas Medical CenterTexas Medical Center

42 institutions 42 institutions (hospitals and (hospitals and schools)schools)

Largest medical Largest medical center in the worldcenter in the world

13 hospitals13 hospitals 2 medical schools, 4 2 medical schools, 4

nursing schools, DB, nursing schools, DB, public health, public health, pharmacypharmacy

Advanced Student Advanced Student BenefitsBenefits

Health, dental, disability, lifeHealth, dental, disability, life Meal TicketsMeal Tickets Current Stipend: $38,000Current Stipend: $38,000 Texas Medical CenterTexas Medical Center UT Housing / Recreation CenterUT Housing / Recreation Center Paid Leave:Paid Leave:

– 10 days10 days– 5 days over Christmas holidays5 days over Christmas holidays– Statutory holidaysStatutory holidays

Advanced Student Advanced Student ExpensesExpenses(estimated for 2006-07)(estimated for 2006-07)

Malpractice InsuranceMalpractice Insurance $950$950Parking (approx. $65 per month)Parking (approx. $65 per month)Tuition and Fees (in state) approx. $700Tuition and Fees (in state) approx. $700

(out of state) approx. (out of state) approx. $1600$1600

Note: There is no charge for health insurance for the Note: There is no charge for health insurance for the resident.resident.Family members (spouse, children) are additional. Family members (spouse, children) are additional.

Optional Optional 22ndnd-year Program-year Program

Affords resident the opportunity to Affords resident the opportunity to expand on 1expand on 1stst-yr experience-yr experience

Customized to preferences of residentCustomized to preferences of resident Teaching of undergraduates at Dental Teaching of undergraduates at Dental

BranchBranch IV sedation experienceIV sedation experience ““Chief resident”Chief resident” ““Moonlighting” allowedMoonlighting” allowed

Questions / Questions / Comments?Comments?

Raymond Simmons, DDS, DMScRaymond Simmons, DDS, DMSc

Program DirectorProgram Director

General Practice Residency ProgramGeneral Practice Residency Program

Raymond.Simmons@uth.tmc.eduRaymond.Simmons@uth.tmc.edu

http://www.db.uth.tmc.edu/gpr/index.htm