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DAYTON VA MEDICAL CENTER

AEGD MANUAL

2013-2014

Richard I. Vance, DMD, ABGD

Resident Director

INTRODUCTION

The Advanced Education in General Dentistry (AEGD) Residency offered by the Department of Veterans Affairs Medical Center, Dayton, Ohio was first approved as a Rotating Dental Internship in December 1967 and then again in May 1969. Following Council policy, the program was converted to a General Practice Residency (GPR) in December 1973. At its May 1975 meeting, the Commission on Accreditation of Dental and Dental Auxiliary Educational Programs adopted a resolution granting the General Practice Residency Program the accreditation classification of "approval", after an evaluation conducted on February 4, 1975. An on-site evaluation of the program by the ADA Commission on Accreditation was conducted on January 29, 1982. Following this evaluation the program was granted "approval" status, with the recommendation to "expand from 2 to 4 residents based on the dedication of the attending staff and the clinical experiences available at the hospital." In January 1991, "preliminary provisional approval" was granted for a 24 month advanced education program, however, this was not implemented due to a lack of funding. An on-site evaluation of the one year program was completed on May 27, 1992, and subsequently, the Commission adopted a resolution again granting the program the accreditation classification of "approval" at its December 1992 meeting. The most recent periodic on site evaluation of our program was completed on September 20, 2006. At its January 2007 meeting, the Commission on Dental Accreditation once more granted accreditation to the Dayton VA Dental General Practice Residency program. The program transitioned during the summer of 2012 from a General Practice Residency (GPR) to an Advanced Education in General Dentistry (AEGD) Residency. On Aug 9, 2012 the Commission on Dental Accreditation granted the program change approval without reporting requirements. The Commission is the dental specialty accrediting body recognized by the United States Department of Education. The next scheduled site visit for the program is scheduled December 2013.

The program presently has three one-year residents but is authorized four residents. Residents spend a minimum of 80% of their time in the program treating the oral health needs of ambulatory patients. While in the dental clinic, the residents rotate through Oral Surgery and Periodontics as well as General Dentistry. Residents maintain an on-call schedule, attend conferences, seminars and rounds as is the custom of the Service the resident rotates through. The scheduled practice hours are 8:00 AM to 4:30 PM, but may be extended as necessary by the Service to which the resident is assigned. He/she rotates through Anesthesia, General Medicine, and Pathology for one week each. Residents also spend a one week rotation in the Emergency Room. Residents will interface not only with teaching staff at the VA Medical Center but also will receive didactic lectures from the staff at Wright-Patterson AFB Dental Service

It is our hope the residents find the training year to be a truly rewarding experience. Our goal has been to make this program one of the finest in the nation. We can provide an environment for learning but the real value received is only as great as the effort invested by the resident!

Byron M. Wade, D.D.SChief, Dental Service

THE DAYTON VA MEDICAL CENTER

The Department of Veterans Affairs Medical Center at Dayton, Ohio consists of a general medical, surgical, and psychiatric hospital with 120 beds located in a new hospital building dedicated in 1992, a nursing home care unit with 265 beds, and a domiciliary with 115 beds, all combined under one management. It is located on a beautifully landscaped 382-acre tract at the western edge of Dayton.

The Medical Center employs approximately 1500 full-time equivalent personnel. Our staff includes 71 physicians, 9 dentists, and 3 dental residents, as well as physician and dentist consultants. Volunteer workers from many civic, service, and fraternal organizations in the local community augment the medical staff.

The Dental Service provides comprehensive dental treatment to eligible veterans in the main clinic located in the new Patient Tower.

The modern expanded dental clinic in the patient tower is comprised of twelve general treatment chairs, two examination chairs, two hygiene chairs, and two oral surgical suites. A completely digital radiology section includes intraoral, panoramic, cone beam CT scan and cephalometric capability. A centralized sterilization system and complete dental laboratory facilities provide outstanding clinical support.

Our Mission:

Provide high quality eligibility based Veteran dental treatment and dental residency training in a caring, safe, and efficient environment

To promote a culture that supports and develops a caring, compassionate, competent, and quality-oriented workforce.

PRIDE: patient-centered, respect, infection control, dedicated, evolving

Our Vision:

Our vision as a vital component of the VA Healthcare System in Ohio is to be recognized as the healthcare provider of choice for veterans and as an innovative leader in education and research.

Our Values:

Trust

Respect

Commitment

Compassion

Excellence

AEGD GOALS AND OBJECTIVES

2013-2014

Objective #1:

To train the resident to coordinate the treatment of a diverse patient population; to also work effectively with other healthcare professionals. This includes providing emergency and multidisciplinary comprehensive oral health care, patient focused care and directing health promotion and disease prevention activities.

Objective #2:

To offer experiences that will enable the resident to refine and advance his or her knowledge and clinical skills in the practice of general dentistry.

Objective #3:

To provide a better understanding of medical and dental sciences as they relate to the delivery of comprehensive dental care including the critical review of literature and evidence based practice in order to provide comprehensive preventive and definitive health care.

Objective #4:

To provide the resident with the necessary skills to become a lifelong, self-motivated learning professional who utilizes evidence based information for clinical decision making and technology based information retrieval systems.

Objective #5:

To provide educational opportunities that will prepare the resident to effectively establish and maintain an efficient private practice outside the hospital environment or to evaluate the best opportunity that matches the resident’s long term professional goals.

Objective #6:

To provide educational experiences that will prepare the resident to provide quality dental care to a wide variety of patients taking into consideration their special needs, cultural diversity and ability to access care.

Resident Rotation Schedule 2013-14

Date Residents/Rotations Special Events2013-2014 Denny Maiyegun Snell1 Jul-5 Jul Orientation Orientation Orientation Resident Orientation/ BLS/Holiday (4

Jul)/Lectures/ HRMS

8 Jul-12 Jul Orientation Orientation Orientation ACLS/Employee Orientation15 Jul-19 Jul Residents Start Clinic /Lectures22 Jul-26 Jul29 Jul-2 Aug ANES/ OMFS5 Aug-9 Aug OMFS12 Aug-16 Aug Sedation WPAFB 12-16 Aug19 Aug-23 Aug OMFS Sedation Course Post Test 20 Aug26 Aug-30 Aug ANES/ OMFS2 Sept-6 Sept OMFS Holiday (2 Sept)/

9 Sept-13 Sept OMFS16 Sept-20 Sept ANES/ OMFS ODA (Sept 19-22)23 Sept-27 Sept Implant Course 26,27 Sept30 Sept-4 Oct ER AM OMFS7 Oct-11 Oct OMFS Esthetic Dentistry Course (11 Oct)14 Oct-18 Oct OMFS Holiday (14 Oct)21 Oct-25 Oct OMFS Perio Osseous Surgery/Laser Lab WP28 Oct-1 Nov OMFS 1st Trimester Feedbacks (1 Nov)4 Nov-8 Nov OMFS Dental Symposium (8 Nov)

Residents Present11 Nov-15 Nov OMFS Holiday (11 Nov)18 Nov-22 Nov OMFS25 Nov-29 Nov ER AM Thanksgiving Break (28-29 Nov)2 Dec-6 Dec OMFS9 Dec-13 Dec OMFS16 Dec-20 Dec OMFS TMD Course (20 Dec)23 Dec-27 Dec Christmas Break Holiday (25 Dec)/Vacation30 Dec-3 Jan Holiday (1 Jan 14)6 Jan-10 Jan OMFS13 Jan-17 Jan EFDA OMFS20 Jan-24 Jan EFDA OMFS Holiday (20 Jan)27 Jan-31 Jan ER AM3 Feb-7 Feb OMFS10 Feb-14 Feb OMFS EFDA17 Feb-21 Feb OMFS Holiday (17 Feb)24 Feb-28 Feb OMFS3 Mar-7 Mar OMFS 2nd Trimester Feedbacks (7 Mar)10 Mar-14 Mar OMFS

17 Mar-21 Mar Medicine AM In-Service Dr Denny24 Mar-28 Mar OMFS Hinman Meeting (27-29 March)31 Mar- 4 Apr Spring Break Vacation7 Apr-11 Apr OMFS Medicine AM In-Service Dr. Maiyegun14 Apr-18 Apr OMFS21 Apr-25 Apr EFDA OMFS Medicine

AM28 Apr-2 May OMFS5 May-9 May EFDA OMFS Dayton Dental 5 May 201412 May-16 May EFDA In-Service Dr. Snell19 May-23 May26 May-30 May Holiday (26 May)2 Jun-6 Jun Oral Path PM Oral Path Lab-(Wed ) 1200-1600

/Tumor Board9 Jun-13 Jun Oral Path PM Oral Path Lab-(Wed ) 1200-1600

/Tumor Board16 Jun-20 Jun Oral Path PM Oral Path Lab-(Wed ) 1200-1600

/Tumor BoardForensic Course 19-20 Jun

23 Jun-27 Jun ABGD Post Test /3rd Trimester Feedbacks/Graduation (27 Jun)

30 Jun-4 Jul Out-process

Rotations Weeks/Resident InformationOMFS Rotation (M-F), 10.5 OR Thursday. OMFS Resident will not rotate

through Perio on Mondays but will attend Perio lectures/lit reviews

PERIO (M) 28-30 Days Periodontal Clinic Mondays except if rotating through OMFS. Can also supplement on Thurs/Friday AM w/ Dr Wade

RESTORATIVE/PROS/ENDO (T-F)

28-30 Weeks Restorative Clinic will not have residentwho is rotating through OMFS

EFDA ROTATION (RESTORATIVE)

2 Weeks Resident will work with 2 expanded duty dental assistants and run 2 rooms.

ANESTH (M-F) .5 AM (0730-1200) first week of 1st OMFS Rotation

ER (M-F) .5 AM (0800-1200)

MEDICINE (M-F) .5 AM (0800-1200)

ORAL PATHOLOGY LAB 4 Hours PM(1200-1600) Wright-Patterson AFB

July 2013 Resident Orientation Schedule

COURSE PROVIDER DATE TIMENEW EMPLOYEE ORIENTATION 2A-103 1 JULY 13 0800-1600NEW EMPLOYEE ORIENTATION 2A-103 2 JULY 13 0800-1530DENTAL PRO STAFF MEETING DENTAL STAFF 2 JULY 13 1530-1630NEW EMPLOYEE ORIENTATION 2A-103 3 JULY 13 0800-1000RESIDENT IN-PROCESS HRM HRM/BUILDING 408 3 JULY 13 1000-1130BLS DAYTON VAMC 3 JULY 13 1230-1600HOLIDAY CLINIC CLOSED 4 JULY 13 0800-1630WELCOME/AEGD INTRO VANCE 5 JULY 13 0800-0930UNIFORMS GRUBER 5 JULY 13 0930-1100ADMIN D. LAWRENCE 5 JULY 13 1100-1200TABLE CLINIC VANCE 5 JULY 13 1230-1400ABGD TEST VANCE 5 JULY 13 1400-1600ACLS DAYTON VAMC 8 JULY 13 0800-1600ACLS DAYTON VAMC 9 JULY 13 0800-1200DENTAL CLINIC KEYS GRUBER 9 JULY 13 1230-1330RESTORATIVE CLINIC INTRO BETTINESCHI 9 JULY 13 1330-1530SAFETY PROGRAM MSDS LAQUAGLIA 9 JULY 13 1530-1630ENDODONTIC CLINIC INTRO BELL 10 JULY 13 0800-1000TX PLANNING SEMINAR #1 VANCE 10 JULY 13 1000-1200CPRS/DRM TRAINING #1 BETTINESCHI /BELL 10 JULY 13 1230-1400DENTAL LAB INTRO FREEMAN 10 JULY 13 1400-1430SUPPLY/OMNICELL JODY DAVIS 10 JULY 13 1430-1500TMS TRAINING, HIPPA/SECURITY 1.5 HOURS 10 JULY 13 1500-1630CPRS/DRM TRAINING #2 1 HOUR 11 JULY 13 0800-0900ORAL SURGERY INTRODUCTION RICHARDSON 11 JULY 13 0900-1100DENTAL INFECTION CONTROL RICHARDSON 11 JULY 13 1100-1200DENTAL SERVICE PEER REVIEW BUERSCHEN 11 JULY 13 1230-1330SOPS/RME FOR DENTAL SERVICE BETTINESCHI 11 JULY 13 1330-1500SAFETY/FIT TEST LAQUAGLIA 11 JULY 13 1530-1630RESIDENT RECORDS/ CLINIC REVIEW

VANCE 12 JULY 13 0800-0900

ELIGIBILTY/VISTA WADE 12 JULY 13 0900-1000CPRS/DRM TRAINING #3 BELL 12 JULY 13 1000-1100TX PLANNING SEMINAR #2/CASE #1 VANCE 12 JULY 13 1100-1200OMFS EMERGENCY MANAGEMENT RICHARDSON 12 JULY 11 1230-1430DENTAL TX ROOM SETUP 2 HOURS 12 JULY 13 1430-1630INTRO PERIO CLINIC RASCH 15 JULY 13 0800-1000PERIO CLINIC STARTS RASCH 15 JULY 13 1000-1500PERIO CHARTS/REVIEW RASCH 15 JULY 13 1500-1630RESTORATIVE CLINIC STARTS BETTINESCHI 16 JULY 13 0800-1430RESTORATIVE CHARTS/REVIEW BETTINESCHI 16 JULY 13 1430-1530

IMPLANT BOARD STAFF 16 JULY 13 1530-1630MEDICAL STAFF MEETING STAFF 18 JULY 13 1500-1600DENTAL ETHICS INTRO VANCE 19 JULY 13 0800-0900SOPS IN OMFS M. NEAL 19 JULY 13 0900-1000OMFS/MEDICAL HISTORY RICHARDSON 19 JULY 13 1000-1200LITERATURE REVIEW STARTS VANCE 19 JULY 13 1530-1630COMBINED STAFF DENTAL STAFF 23 JULY 13 0800-0900DENTAL RESIDENT ED MEETING TEACHING STAFF 23 JULY 13 1530-1630HISTORY& PHYSICAL OMFS RICHARDSON 26 JULY 13 0800-1000ANESTHESIA ROTATION (DENNY) ANESTHESIA 29 JULY 13 0730-1130OMFS ROTATION STARTS (DENNY) RICHARDSON 29 JULY 13 1300-1500OMFS ROTATION RECORD REVIEWS RICHARDSON 29 JULY 13 1500-1630COURSE PROVIDER DATE TIMENEW EMPLOYEE ORIENTATION 2A-103 1 JULY 13 0800-1600NEW EMPLOYEE ORIENTATION 2A-103 2 JULY 13 0800-1530DENTAL PRO STAFF MEETING DENTAL STAFF 2 JULY 13 1530-1630NEW EMPLOYEE ORIENTATION 2A-103 3 JULY 13 0800-1000RESIDENT IN-PROCESS HRM HRM/BUILDING 408 3 JULY 13 1000-1130

2013-2014 RESTORATIVE/ENDODONTIC LECTURE SERIES

Date/Time Course Lecturer9 July 13 / 1330-1530 Intro Restorative Clinic Dr Bettineschi10 July 13 /0800-1000 Intro Endodontic Clinic

Equipment/Diagnosis/TechniquesDr Bell

10 July 13 / 1000-1200 Treatment Planning Seminar/ Problem List/Case #1

Dr Vance

12 July 13 / 1100-1200 Treatment Planning Seminar Case Presentation #2 Dr Vance2 Aug 13 / 0800-1000 Caries Diagnosis/Gingival Management/Complex

AmalgamsDr Vance

23 Aug 13 / 0800-0900 Endo Radiology Dr Bell

11 Sept 13 / 1230-1600 Endo Emergencies/TraumaIrrigation/Medicaments

LtCol Morris(@WPAFB)

16 Sept 13/ 0730-1130 Endo Access/Hand Instrumentation Lecture LtCol Morris(@WPAFB)

20 Sept 13 / 0800-1000 Introduction to CEREC Dr Bettineschi

4 Oct 13 / 0800-0900 Enamel/Dentin Adhesives Dr Vance

11 Oct 13 / 0800-1600 Dental Esthetics/ Ceramics /Veneers/Luting Agents//Bleaching

Dr Bettineschi(Miami Valley / WPAFB Residents)

15 Oct 13 / 1230-1600 Endo Success/Failure/Retreatment LtCol Morris(@WPAFB)

22 Nov 13 / 0800-1000 Composites/Glass Ionomer Dr Vance

6 Dec 13 / 1230-1630 Rotary Endo Lecture/Lab LtCol Morris(@WPAFB)

20 Dec 13/ 1200-1630 TMD Course Dr BuerschenDr Richardson

10 Jan 14/ 0800-0900 Endo Procedural Accidents Dr Bell

18 Apr 14 / 1530-1630 Treatment Planning Seminar Case Presentation #3 Dr Vance

7 Mar 14 / 0800-0900 Endo Surgery Dr Bell

11 Apr 14 / 0800-0900 Vital/Non-Vital Bleaching/Micro-abrasion Dr Vance16 May 14/ 0800-0900 Resorption/Apexification/ Apexogenesis Dr Bell

30 May 14 / 1530--1630 Treatment Planning Seminar Case Presentation #4 Dr Vance

2013-2014 OMFS/MEDICINE LECTURE SERIES

Date/Time Course Lecturer11 July 13 / 0900-1100 OMFS CLINIC OPERATIONS Dr Doug Richardson

11 July 13 / 1100-1200 INFECTION CONTROL Dr Doug Richardson

12 July 13 / 1230-1430 EMERGENCY MANAGEMENT

Dr Doug Richardson

19 July 13/ 0900-1000 SOPS OMFS Morristine Neal

19 July 13 / 1000-1200 MEDICAL HISTORY Dr Doug Richardson

26 July 13/ 0800-1000 OMFS H&P Dr Doug Richardson

9 Aug 13 / 0800-0900 DENTOALVEOLAR SURGERY AND REHABILITATION

Dr Doug Richardson

9 Aug 13 / 0900-1000 MAXILLOFACIAL INFECTIONS

Dr Doug Richardson

6 Sept 13/ 0800-0900 MAXILLOFACIAL TRAUMA Dr Doug Richardson

6 Sept 13 / 0900-1000 LESION MONITORING AND DIGITAL IMAGING

Dr Doug Richardson

26 Sept 13 / 1200-160027 Sept 13 / 0800-1600

IMPLANT COURSEDr Richardson, Dr Bettineschi, Dr Poth, Dr Mathews

26 Sept 13 / 1400-1600(Implant Course 26-27 Sept)

SURGICAL IMPLANTOLOGY Dr Doug Richardson

4 Oct 13 / 0800-0900ORTHOGNATHIC SURGERY

Dr Doug Richardson

18 Oct 13 / 0900-1100 TREATMENT PLANNING H&N CANCER PATIENTS

Dr Doug Richardson

20 Dec 13 / 1200-1600 TMD COURSE Dr Buerschen, Dr Richardson

20 Dec 13 / 1400-1500(TMD Course 20 Dec)

TMD SURGICAL TREATMENT

Dr Doug Richardson

7 Feb 14 / 0800-0900 OSA Dr Doug Richardson

7 Feb 14 / 0900-1000 LOCAL ANESTHETICS Dr Doug Richardson

2 May 14 / 0800-0900 HBO UPDATE Dr Doug Richardson

2 May 14/ 0900-1000 ANXIETY TREATMENT Dr Doug Richardson

19 Jun 14 / 1230-163020 Jun 14 / 0730-1630

FORENSIC DENTISTRY COURSE @WPAFB

Oral Pathology Dept/WP AFB

TOTAL HOURS 49

Oral Pathology Lecture SeriesDayton VA AEGD

2013-2014Subject Hours Date Time Comments

Oral Path Pre-Test 1 25 Oct 13(Friday)

0800-0900 Dr. Klingman

Introduction/Scope of Oral PathologyClinical Oral Medicine

3 25 Oct 13 (Friday)


Common Oral Lesions 2 24 Jan 14(Friday)


Radiographic PathologyHistology

2 24 Jan 14(Friday)


Odontogenic Cysts and Tumors 2 14 Mar 14(Friday)


Non-Odontogenic Cysts and Tumors 2 14 Mar 14(Friday)


Bone Pathology 2 18 Apr 14(Friday)


Salivary Pathology 2 18 Apr 14(Friday)


Oral Cancer, Oral Mucosal DiseasesPigmented/Vascular Lesions

2 23 May 14(Friday)


Infectious Disease 2 23 May 14 1000-1200 Dr. Klingman

Systemic Diseases (Friday)Oral Pathology Post-TestOnline

1 6 Jun 14(Friday)


Forensic Dentistry Part 1 4 19 Jun 14(Thurs)


Forensic Dentistry Part 2 8 20 Jun 14(Friday)


Oral Pathology Lab RotationDr Denny

4 4 Jun 14(Wed)


Oral Pathology Lab RotationDr Maiyegun

4 11 Jun 14(Wed)


Oral Pathology Lab RotationDr Snell

4 18 Jun 14(Wed)


Total 37.0

2013-2014 ORTHODONTIC

LECTURE SERIES

First Wednesday 0730-0900

Date/Time Course Lecturer7 Aug 13 / 0730-0900 Orthodontic Diagnostic Records Col Eric Brendlinger

4 Sept 13 / 0730-0900 Cephalometrics Col Eric Brendlinger

2 Oct 13 / 0730-0900 Etiology/Incidence of Malocclusion Col Eric Brendlinger

6 Nov 13 / 0730-0900 Interceptive Orthodontic Care Col Eric Brendlinger

4 Dec 13 / 0730-0900 Limited Tooth Movement, Adults Col Eric Brendlinger

5 Feb 14 / 0730-0900 Fixed Orthodontic Appliances Col Eric Brendlinger

5 Mar 14 / 0730-0900 Biology of Tooth Movement Col Eric Brendlinger

7 May 13 / 0730-0900 Orthopedic Appliances Col Eric Brendlinger

Total Hours 12.0

PEDIATRIC LECTURE SERIES 2013-2014

Topic Date Time Length Presenter

Nitrous Oxide Inhalation CoursePost Test

23 Aug 201330 Aug 2013

0900-12000800-0900

3.01.0

Bettineschi/Vance

Introduction to Pediatric Dentistry/Emergencies/Pediatric Dental Trauma

8 Nov 2013 0800-1000 2.0 Vance

Pediatric Diagnosis and Treatment Planning

17 Jan 2014 0800-1000 2.0 Vance

Cariology and Preventive Dentistry 21 Feb 2014 0800-1000 2.0 Vance

Pulp Therapy in the Primary Dentition

25 Apr 2014 0800-1000 2.0 Vance

Growth and Development/Space Maintenance

9 May 2014 0800-1000 2.0 Vance

Total Hours 14 hrs

PROSTHODONTIC LECTURE SERIES 2011-2012

Date/Time Course Lecturer6 Aug 13 / 0730-0900 Intro Prosthodontics Dr Sellers

10 Sept 13 / 0730-0900* Preparation Design Dr Sellers

20 Sept 13 / 0800-1000 Introduction to CEREC Dr Bettineschi

26 Sept 13/ 1230-163027 Sept 13/ 0800-1630

Implant Course VAMC/WPAFBMiami Valley

Dr Poth/Dr Richardson/ Dr Mathews/Dr Bettineschi

1 Oct 13 / 0730-0900 Crown Selection/Cement Selection Dr Sellers

18 Oct 13 / 0800-0900 RPD Design/Distal Extensions Dr Bettineschi

5 Nov 13 / 0730-0900 Implant Considerations Dr Sellers

3 Dec 13 / 0730-0900 The Definitive Restoration Dr Sellers

7 Jan 14 / 0730-0900 Removable Considerations Dr Sellers

4 Feb 14 / 0730-0900 Implants and Components Dr Sellers

4 Mar 14/ 0730-0900 Interim Prosthesis Dr Sellers

8 Apr 14 / 0730-0900* Communication to the Surgeon Dr Sellers

13 May 14 / 0730-0900* Complex Restorative Considerations Dr Sellers3 Jun 14 / 0730-0900 Prosthodontic Lecture #10

(Lecture’s Choice)Dr Sellers

Total Hours 30.5

2013-2014 PERIODONTAL LECTURE SERIESDAYTON VAMC AEGD

Dr. Mark RaschDr. Byron Wade

Date/Time Topic Lecturer Room/Facility15 July 20130800-1000

Intro Perio Clinic/ Exam/Diagnosis/

Dr Mark Rasch 2B-142

22 July 20131530-1630

Mucogingival Dr Byron Wade 2B-142

5 Aug 20130800-0900

Perio Treatment Planning Dr Mark Rasch/Dr Byron Wade

2B-142

27 Sept 2013 0800-1000

Implant Course (2 hrs)Dr Michael Poth 2A103

DVAMC21 Oct 20130730-1630

Osseous Surgery Lab Suturing Lab/Laser Lab

88 Dental SquadronWPAFB

88 Dental SquadronWPAFB

4 Nov 20130800-0900

Anatomy Dr Mark Rasch/Dr Byron Wade

2B-142

2 Dec 20130800-0900

Perio Surgery/Crown Lengthening/Osseous

Dr Mark Rasch/Dr Byron Wade

2B-142

16 Dec 20130800-0900

Perio/Pros Considerations Dr Mark Rasch/Dr Byron Wade

2B-142

6 Jan 20140800-0900

Treatment Planning Cases Dr Mark Rasch/Dr Byron Wade

2B-142

3 Feb 20140800-0900

Regeneration Dr Mark Rasch/Dr Byron Wade

2B-142

3 Mar 20140800-0900

Systemic Considerations Dr Mark Rasch/Dr Byron Wade

2B-142

17 Mar 20141530-1630

Perio Literature Review #1 Dr Mark Rasch/Dr Byron Wade

2B-142

14 Apr 20140800-0900

Acute/Aggressive Diseases Dr Mark Rasch/Dr Byron Wade

2B-142

5 May 20140800-0900


2B-142

2 Jun 2014 Perio Literature Review #3 Dr Mark Rasch/ 2B-142

0800-0900 Dr Byron Wade16 Jun 20141530-1630


2B-142

Total Hours 25 Hours

2013-2014 TREATMENT PLANNING LECTURE/CASE SERIES

Date/Time Course Lecturer/Presenter10 JULY 13 / 1000-1200 Treatment Planning Intro/Problem List/Case

presentation #1Dr Vance

12 JULY 13 / 1100-1200 Treatment Planning /Phased Tx/ Case presentation #2

Dr Vance

16 JULY 13 / 1530-1630 Monthly Implant Board Staff/Residents

26 JULY 13 / 1530-160 Resident Treatment Planning Seminar Staff/Residents

9 AUG 13 / 1530-1630 Resident Treatment Planning Seminar Staff/Residents

20 AUG 13/ 1530-1630 Monthly Implant Board Staff/Residents

23 AUG 13 / 1530-1630 Resident Treatment Planning Seminar Staff/Residents

6 SEPT 13 / 1530-1630 Resident Treatment Planning Presentation #1 (Dr Snell)

Dr Snell

13 SEPT 13 / 1530-1630 Resident Treatment Planning Presentation #1 (Dr Maiyegun)

Dr Maiyegun

17 SEPT / 1530-1630 Monthly Implant Board Staff/Residents

20 SEPT 13 / 1530-1630 Resident Treatment Planning Presentation #1 (Dr Denny)

Dr Denny

27 SEPT 13 / 0800-0900 Implant Course/Perio Treatment Planning Implants Dr Poth

15 OCT 13/ 1530-1630 Monthly Implant Board Staff/Residents

18 OCT 13 / 1530-1630 Resident Treatment Planning Seminar Staff/Residents

5 NOV 13 / 0730-0900 Implant Treatment Planning Considerations Dr Sellers

15 NOV 13 / 1530-1630 Resident Treatment Planning Seminar Staff/Residents

19 NOV 13/ 1530-1630 Monthly Implant Board Staff/Residents

6 DEC 13 / 1530-1630 Resident Treatment Planning Presentation #2 (Drs Snell/Maiyegun)

Dr MaiyegunDr Snell

13 DEC 13 / 1530-1630 Resident Treatment Planning Presentation #2 (Dr Denny)

Dr Denny

17 DEC 13 / 1530-1630 Monthly Implant Board Staff/Residents

20 DEC 13 / 1400-1500 TMD Course/Surgical Treatment Planning Dr Richardson

21 JAN 14 / 1530-1630 Monthly Implant Board Staff/Residents

24 JAN 14 / 1530-1630 Resident Treatment Planning Seminar Staff/Residents

7 FEB 14 / 1530-1630 Resident Treatment Planning Seminar Staff/Residents

18 FEB 14 / 1530-1630 Monthly Implant Board Staff/Residents

21 FEB 14 / 1530-1630 Resident Treatment Planning Seminar Staff/Residents

14 MAR 14 / 1530-1630 Resident Treatment Planning Presentation #3 (Dr Maiyegun)

Dr Maiyegun

18 MAR 14 / 1530-1630 Monthly Implant Board Staff/Residents

21 MAR 14 / 1530-1630 Resident Treatment Planning Presentation #3 (Drs Snell/Denny)

Dr DennyDr Snell

15 APR 14 / 1530-1630 Monthly Implant Board Staff/Residents

18 APR 14 / 1530-1630 Treatment Planning /Phased Tx/ Case presentation #3

Dr Vance

2 MAY 14 / 1530-1630 Resident Treatment Planning Seminar Staff/Residents

16 MAY 14 / 1530-1630 Resident Treatment Planning Seminar Staff/Residents

20 MAY 14 / 1530-1630 Monthly Implant Board Staff/Residents

30 MAY 14 / 1530-1630 Treatment Planning /Phased Tx/ Case presentation #4

Dr Vance

13 JUN 14 / 1530-1630 Resident Treatment Planning Presentation #4 (Drs Maiyegun/Denny)

Dr DennyDr Maiyegun

17 JUN 14 / 1530-1630 Monthly Implant Board Staff/Residents

20 JUN 14 / 1530-1630 Resident Treatment Planning Presentation #4 (Dr Snell)

Dr Snell

Total Hours 39.0

2013-2014 PRACTICE MANAGEMENT/ETHICS LECTURE SERIESDAYTON VA MEDICAL CENTER AEGD

Date/Time Course Lecturer1 JULY 13 / 0800-16002 JULY 13 / 0800-1600

NEW EMPLOYEE ORIENTATION DAYTON VA HR DEPT

3 JULY 13 / 0800-1200 NEW EMPLOYEE ORIENTATION DAYTON VA HR DEPT

5 JULY 13 / 1100-1200 DENTAL CLINIC FRONT DESK OPERATIONS

MS DEBI LAWRENCE

5JULY 13 / 1230-1400 DENTAL TABLE CLINICS AND COMMUNITY PRESENTATION

DR VANCE

9 JULY 13 / 1530-1630 OVERVIEW OF CLINIC SAFETY PROGRAM AND REVIEW OF MSDS

MS BRANDI LAQUAGLIA

10 JULY 13 /1230-1400 COMPUTERIZED PATIENT RECORD SYSTEM/DENTAL RECORD MANAGEMENT INTO (CPRS/DRM)

DR BELL/BETTINESCHI

10 JULY 13/ 1400-1430 INTRO TO THE DENTAL LAB MR FREMAN

10 JULY 13/1430-1500 DENTAL SUPPLY ORDERING/OMICELL MS JODIE DAVIS10 JULY 13/ 1500-1630 TMS TRAINING/HIPPA

REVIEW/COMPUTER SECURITYMR GRUBER

11 JULY 13/0800-0900 DRM PLUS TELECONFERENCE TRAINING/RECORD MANAGEMENT

DR BUERSCHEN

11 JULY 13/ 1100-1200 DENTAL CLINIC INFECTION CONTROL DR RICHARDSON11 JULY 13/1230-1330 DENTAL SERVICE PEER REVIEW

PROGRAMDR BUERSCHEN

11 JULY 13/ 1330-1500 STANDARD OPERATING PROCEDURES (SOAP) DENTAL SERVICES/RME

DR BETTINESCHI

12 JULY 13/0800-0900 RESIDENT RECORDS REVIEW DRVANCE

12 JULY 13/ 0900-1000 DENTAL PATIENT ELIGIBILITY DR WADE

12 JULY 13/1000-1100 COMPUTER DENTAL RECORDS TRAINING #3

DR BELL

19 JULY 13/0800-0900 INTRO DENTAL ETHICS/REVIEW ADA CODE OF DENTAL ETHICS

DR VANCE

19 JULY 13/0900-1000 SOAPS IN OMFS CLINIC MS MORRISYINE NEAL

2 AUG 13/1200-1300 REVIEW OF THE DOCTRINE FOR INFORMED CONSENT

VA WEBINAR ARCHIVE

18 SEPT 13/1200-1300 PRACTICE MANAGEMENT OVERVIEW DR BUERSCHEN

9 OCT 13/ 1200-1300 PRACTICE PHILOSOPHY/ TEAMWORK DR BUERSCHEN

23 OCT 13/1200-1300 FINANCIAL PLANNING/ASSET MANAGEMENT/RETIREMENT PLANS

TRELOAR & HEISAL FINANCIAL

20 NOV 13/ 1200-1300 OVERHEAD MANGEMENT DR BUERSCHEN

11 DEC 13/ 1200-1300 DENTAL SUPPLY COMPANY/ORDERING KERR RESPRESENTATIVE

18 DEC 13/1200-1300 COLLECTIONS/ PRODUCTIONS DR BUERSCHEN

15 JAN 14/1200-1300 EXPENSE COLUMN DR BUERSCHEN

12 FEB 14/1200-1300 DISABILITY/STUDENT LOAN REPAYMENT/TAX PLANNING FOR YOUR PRACTICE

JAMES MCGOVERN,CFP*(NOT CONFIRMED YET)

19 FEB 14/1200-1300 YEAR END CONSIDERATIONS-TAXES DR BUERSCHEN

19 MAR 14/1200-1300 TREATMENT PRESENTATION/ CASE ACCEPTANCE

DR BETTINESCHI

21 MAY 14/1300-1600 OFFICE VISIT-DR SHELLHOUSE DR BELL/BETTINESCHI

12 JUN 14/1300-1600 OFFICE VISIT-TBD TBD

25APR 14/1530-1630 LITERATURE REVIEW/DENTAL ETHICS DR VANCE

MONTHLY X 1 HOUR DENTAL CLINIC COMBINED STAFF MEETINGS

DR WADEDENTAL SERVICE CHIEF

MONTHLY X 1 HOUR DENTAL PROFESSIONAL STAFF MEETINGS

DR BETTINESCHIDENTAL DEPUTY SERVICE CHIEF

MONTHLY X 1 HOUR PEER REVIEW/RECORDS REVIEW DR VANCERESIDENT DIRECTOR

QUARTERLY X 1 HOUR MEDICAL CENTER PROFESSIONAL STAFF MEETINGS

DR HARDYMEDICAL CENTER CHIEF OF STAFF

Total Hours 91..0

MEMORANDUM FOR AEGD RESIDENTS/TEACHING STAFF

FROM: RICHARD I. VANCE, DMD

SUBJECT: CHIEF RESIDENT SCHEDULE ACADEMIC YEAR 2013-2014

1. The following schedule is effective immediately:

Resident Dates

Dr Denny 1 July 2011 - 31 October 2013

Dr Maiyegun 1 November 2013 – 28 February 2014

Dr Snell 3 March 2014 – 30 June 2014

2. The duties of the chief resident may include but are not limited to the following: Serving as a conduit of information between residents and staff Assisting the Program Director in administrative tasks as required Attending the first portion of each AEGD Education Meeting (4th Tuesday/3:30) Arranging the conference room and assist in procuring refreshments for consultant visits and/or

specially arranged seminars within the AEGD schedule Administrative duties for the resident class. Will work with Mr. Gruber, Dr Wade and Dr Vance Take minutes at the monthly Implant Board (3rd Tuesday/3:30)

3. The chief resident is the point of contact for the teaching staff. Although the rotation may seem burdensome at times, it will make the residency easier in the long run for the entire class.

4. Take the job seriously as you are being evaluated while you are chief resident. If the scheduled chief resident is not available on a given day, he or she will ensure there is an alternate and will inform the teaching staff of the change.

5. The bottom line is the chief resident is the Leader. Take charge of the class and make things happen!

RICHARD I. VANCE, DMDDirector, AEGD Residency

Resident Staffing Schedule 2013-2014

Monday Tuesday Wednesday Thursday FridayDr Bell Exams Staff/Emergency/

HospC&P AM/ PM

OperDr Bett Exams Staff/Emergency

Dr Buer C&P AM/PM Oper

Staff/Emergency/ Hosp

Exams

Dr Osborn Emergency (1115 slot)

Exams

Dr Vance Exams Staff/ Emergency

OMFS

Dr Rasch Staff Perio XX XX XX XX

Dr Wade XX XX XX AM Perio AM Perio

(Exams) – “The 1115 slot can be held for Front desk to place any “Urgent exams” or regular exams (Front desk choice) (Emerg) -There will be one “Emergency” slot opening in books. The Dr’s corresponding to “Emerg” days will have their regular books closed for that day of the week. NOTE: This will be similar to the “Staff Dr “slot that we used to have ie same slot each day-Providers to know their day-The “Emerg” doctor for that day of the week will be responsible for all sick call situations for that day. For all Call-in or Walk-in emergencies (including 1010’s) not currently under treatment by a specific Dr – the front desk will give a slip with “the patient name, last 4, Class, and complaint to the “Staff-Emerg” Dr. The “Emerg” Dr will get back to front desk in a timely manner on how the Pt will be managed. The “Emerg” Dr has control over any cancellations or broken appointment slots for that day. They can also consult with OMFS to see if there are opportunities for OMFS to see pertinent Emerg patients. -The “Emerg” Doctor will also be responsible for all consults for that particular day. -The “Emerg” doctor will also be responsible for staffing residents if it is also their designated staff day (see above). Exception is Monday-The “Emerg” doctor should use that day to put in specific patient appointments (ie prosth seats, etc) and will be responsible to utilize that time in a productive/efficient manner. Only patients specifically requested or accepted by the pertinent “Emerg/Staff” doctor can be placed into their slot. It is up to the “Emerg/Staff” doctor or designated assistant to determine the date and time (and time allotment) for appointments in their slot. An appointment slip filled out with this information can be given to the front desk to make appointments.(Hospital patients and rounds)-In house hospital urgent consults will be referred to Dr Bell or Dr Buerschen for management-Dr Bell and Dr Buerschen will do hospital rounds utilizing HOSP slots and Dental Residents.

Responsibilities and Evaluation of Teaching Staff

1. The American Dental Association’s “STANDARDS FOR ADVANCED EDUCATION IN GENERAL DENTISTRY”:

“Attending faculty performance must be evaluated at least annually to determine whether staff members are meeting their teaching and supervisory responsibilities. Written criteria used to evaluate faculty must be predetermined and clearly identified and communicated to the staff. Input should be solicited from residents and other staff regarding faculty members’ performance as measured against established criteria.” (6.3)

2. Annual evaluations will be based upon the following ADA standards:

a) Faculty should possess strong clinical skills and be current in the recent advances in dentistry.b) Faculty must be fully aware of the philosophy, goals, and objectives of the advanced education program in

general dentistry, as set forth in the 2013-2014 Dayton VA Residency Program Goals and Objectives.c) Faculty must take an active role in the presentation of seminars, lectures, conferences and other didactic

activities, to include treatment planning sessions.d) Faculty must review computer records of patients assigned to residents to assure their accuracy and

comprehensiveness.e) Faculty must discuss patient evaluation, treatment planning, management, complications and outcomes of

cases with residents.f) Faculty must supervise residents in clinical activities at all times. Faculty will also be assigned to staff after-

hours emergent dental care on a rotational basis.g) Staffing faculty members must review and co-sign all dental entries following treatment by the resident

member.h) Faculty must participate in resident and program evaluations, e.g. trimester evaluations.i) Faculty must meet as a group with the program director on a regular basis to review and assess curricular

activities and outcomes, e.g. monthly education function meetings and off-sites.

3. Annual teacher evaluations will be accomplished using the “Responsibilities of Teaching Staff”, as listed above. This will be augmented with resident critiques.

4. Please read the above as well as the attached “ACCREDITATION STANDARDS FOR ADVANCED EDUCATION IN GENERAL DENTISTRY” and sign below, acknowledging your understanding and acceptance of your teaching responsibilities.

Staff’s signature____________________________________ Date________________

Program Director’s signature_________________________ Date________________

DAYTON VA DENTAL RESIDENCYCASE PRESENTATION SCHEDULE

2013-204

AEGD Residents are required to present four significant treatment cases during their training year. Cases will be presented to the teaching staff during treatment planning sessions on Fridays during the following dates:

Case Number Dates Provider Time

#1 6 Sept 2013 Snell 1530/1600

20 Sept 2013 Maiyegun 1500/1530

20 Sept 2013 Denny 1530/1600

#2 6 Dec 2013 Snell 0800/0830

6 Dec 2013 Maiyegun 0830/0900

13 Dec 2013 Denny 1530/1600

#3 14 Mar 2014 Maiyegun 1530/1600

21 Mar 2014 Denny 1530/1600

21 Mar 2014 Snell 1600/1630

#4 13 Jun 2014 Denny 1530/1600

13 Jun 2014 Maiyegun 1530/1600

20 Jun 2014 Snell 1600/1630

Guidelines:

- All case presentations will be formatted on the computer (i.e. – Word and/or PowerPoint document) and electronic copies must be available to the dental staff at least two days prior to the presentation. A copy will be kept in the resident's permanent record and also on the L drive.

- It is suggested that the cases might include one significant surgical case (OMFS or perio) and three complex restorative cases (significant fixed prosthetics, implants, RPDs).

- The presenting resident should be prepared to answer any questions regarding the case and defend his/her treatment plans.

- PowerPoint presentation format is required.Specific Requirements:

- Diagnostic casts- Intraoral photos- Radiographs – Panorex/BWXR/CT Scan or full mouth series- Past medical history- Past dental history- Laboratory tests and findings if indicated- Dental examination findings (perio chart if indicated)- Problem list- Ideal treatment plan- Alternate treatment plans

TABLE CLINIC GUIDELINESDAYTON VA AEGD 2013-2014

In the course of the academic year, residents are required to research and develop a table clinic on a topic of interest to a general dental audience. Presentation will be at the Ohio State Dental Meeting, held 17 September 2011, and at the Dayton dental Society Meeting, 7 May 2012. At the Dayton Dental Society event, Department of Veterans Affairs residents usually present in conjunction with the residents from the Advanced Education in General Dentistry program from Wright-Patterson AFB.

Residents will select their topics with input from the VA Dental Staff, subject to the approval of the Program Director. Only one topic is required – the same table clinic will be presented at both events. Background research and development of a suitable format is the responsibility of the resident. Once the final draft has been approved, Medical Media will complete the display board presentation. It is critical to maintain the timeline, to ensure the presentations are ready for the day of the ODA meeting.

Guidelines:

- Select a topic that is interesting to you!- Avoid selecting a topic that is too broad – pick a topic that is narrow enough to be presented

well in a 3-panel format, speaking for 5-10 minutes.- Display must be esthetically pleasing - avoid filling the panels with text – select interesting

photos, then use the text to elaborate. - Use the text on the display as the outline - practice the delivery until you can carry on a

discussion with your audience.- Attention to details: watch for typographic errors, cite credits appropriately, have references

available for your audience.

Suspense Date Task

15 July 2011 Turn in Table Clinic topic and staff advisor name to Dr Vance29 July 2011 Turn in List of Literature Review Articles on Your Topic to staff advisor and

Dr Vance12Aug 2011 Draft #1 of Table Clinic to staff advisor and Dr Vance. Contact with

Medical Media to start small posters19 Aug 2011 Final Draft of Table Clinic with typed outline of discussion to advisor,

medical media and Dr. Vance.19 Aug 2011 Deadline application form to ODA26 Aug 2011 Present Table Clinics for Review to Staff Advisor30 Aug 2011 Turn in Table Clinics to Medical Illustrations17 Sept 2011 Ohio Dental Association Meeting: Table Clinic Presentations7 May 2012 Dayton Dental Society Meeting: Table Clinic Presentations

AEGD Class 2013-2014Dental Literature Review Timeline

Dayton VA Medical CenterReview # Subject Resident

LeaderObtain Articles

Lit Review Staff Leader

1 Restorative Articles(Medical Model/Caries Dx)

Denny 12 July 13 19 July 13 Vance

2 Oral Medicine Article(Medically Compromised Patient)

Maiyegun 26 July 13 2 Aug 13 Richardson

3 Endodontic Articles(Access/Debridement Technique)

Snell 23 Aug 13 30 Aug 13 Bell

4 Prosthodontic Articles(Diagnosis/Treatment)

Denny 6 Sept 13 13 Sept 13 Bettineschi

5 Dental Ethics ArticlesADA

Maiyegun 27 Sept 13 4 Oct 13 Buerschen

6 Oral Path/Oral Surgery(H/N Pathology/Treatment)

Snell 17 Oct 13 25 Oct 13 Richardson

7 Oral Medicine Article(TMD Patient)

Denny 15 Nov 13 22 Nov 13 Buerschen

8 Endodontic Articles(Obturation Techniques)

Maiyegun 3 Jan 14 10 Jan 14 Bell

9 Prosthodontic Articles(Ceramic /CEREC)

Snell 10 Jan 14 17 Jan 14 Bettineschi

10 Oral/Path/Oral Surgery(H/N Pathology/Treatment)

Denny 24 Jan 14 31 Jan 14 Richardson

11 Restorative Articles(Cements/Bleaching/Curing)

Maiyegun 7 Feb 14 14 Feb 14 Vance

12 Endodontic Articles(Surgery/Non-Vital Bleach)

Snell 21 Feb 14 28 Feb 14 Bell

13 Perio Lit Review #1 All Residents 10 Mar 14 17 Mar 14 Rasch/Wade

14 Prosthodontic Articles (Implant Design/Systems)

Denny 4 Apr 14 11 Apr 14 Bettineschi

15 Dental Ethics ArticlesADA

Maiyegun 17 Apr 14 25 Apr 14 Vance

16 Perio Lit Review #2 All Residents 28 Apr 14 5 May 14 Rasch/Wade

17 Perio Lit Review #3 All Residents 26 May 14 2 Jun 14 Rasch/Wade

18 Practice Management Snell 30 May 14 6 June 14 Buerschen

19 Perio Lit Review #4 All Residents 9 Jun 14 16 Jun 14 Rasch/Wade

Literature review will take place on Fridays starting at 1530 in the resident conference room. Please check the resident Outlook Calendar for these dates. Residents are responsible for reading all the articles and will be called on to lead the discussion. We will have a total of 2-3 articles with each resident being responsible for leading the talk.

DAYTON VA DENTAL RESIDENCYINSERVICE PRESENTATION SCHEDULE

2013-2014

AEGD Dental Residents are required to present a 45-50 minute education presentation to the entire dental service during their training year. Presentations will be presented to the assembled dental service on the following dates:

Presentation Dates Providers Time

Resident #1 11 March 2014 Dr Denny 1530

Resident #2 8 April 2014 Dr Maiyegun 1530

Resident #3 13 May 2014 Dr Snell 1530

Guidelines:

- All presentations will be formatted on the computer (PowerPoint document) and a copy must be distributed to the Dental Staff Mentor and Program Director at least two days prior to the presentation. A copy will be kept in the resident's permanent record.

- The presenting resident should be prepared to answer any questions regarding the presentation and defend his/her topic.

- PowerPoint presentation format is required.

- Please check with Mr. Gruber and Medical Media to make sure equipment is working at least 24 hours prior to presentation.

- Check with Staff to make sure proper room size has been reserved at least 4 weeks prior to presentation date.

Time Table:

Resident Denny Maiyegun Snell

Topic/ Mentor Selection

21 Jan 2014 18 Feb 2014 25 Mar 2014

Outline 28 Jan 2014 25 Feb 2014 8 Apr 2014

Draft #1 11 Feb 2014 4 Mar 2014 15 Apr 2014

Draft #2 25 Feb 2014 18 Mar 2014 29 Apr 2014

Present to Mentor 4 Mar 2014 25 Mar 2014 6 May 2014

Presentation Date 11 Mar 2014 8 Apr 2014 13 May 2014

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