Prospective Students

Clinical Rotations

Year One

During the one-year program, you will spend four months off-service in rotations in medicine, anesthesia, pediatric dentistry and the Columbus Veteran’s Administration.

You will spend the remainder of the year providing comprehensive general dentistry and treating the inpatients of the Wexner Medical Center, which includes the James Cancer Hospital and the Ross Heart Hospital. Dental residents treat more than 50 inpatient hospital consult patients each month, including cancer, bone marrow transplant, heart and kidney transplant, spinal cord injury and stroke patients, plus many others.

Operating room dental cases are scheduled weekly for mentally challenged, developmentally disabled and medically compromised patients. More than 150 OR and outpatient general anesthesia general dentistry cases are done each year.

Emergency medicine is covered through coursework and ongoing clinical experience as part of on-call duties. Residents spend four to five nights of home call per month, which includes the head and neck trauma service.

During the on-service rotation there is a core of regularly scheduled journal clubs, case presentation conferences and specialty lectures on medical and dental topics.

Sequence of Rotations

Clinical Outpatient Dentistry-Ohio State GPR Clinic

First-year GPR residents spend much of their time delivering comprehensive dental care to the hospital's inpatients and outpatients, many of whom rely on the Wexner Medical Center for their primary medical and dental care. Patients are treatment-planned in consultation with faculty to achieve the maximal educational benefit from each clinical experience. The outpatient clinic is staffed by full and part time attendings. Regularly scheduled specialty sessions (periodontics, prosthodontics, endodontics, hospital dentistry, restorative dentistry) are interspersed between general practice sessions.

Hospital Dental Service (ongoing, rotates between residents)

Residents on this rotation are responsible for all consult requests from other clinical services, providing you with a broad spectrum of challenging dental problems in patients with significant medical considerations. First-year general practice residents are the first to see new consults and they present them to the chief resident and/or the dental attending. Patients are discussed daily and many of these patients are evaluated and treated in the clinic. This resident is also responsible for all operating room cases generated by the consult service and for the cases which are scheduled by the general dentist faculty. You will gain an in-depth experience in the dental management of inpatients and have significant contact with the teaching faculty and private practitioners on the medical, surgical and dental services.

Emergency Dental and Oral and Maxillofacial Care

The hospital patient population provides a rich experience in a wide spectrum of emergent dental and oral and maxillofacial problems, particularly the management of bleeding, infection, trauma and pain. The high volume and range of trauma patients promote close working relationships with residents in oral and maxillofacial surgery and provides a strong background in this area.

Emergencies are seen during dental clinic, as well as while you are on call during off hours. Residents also have primary responsibility for the emergencies of the College of Dentistry.

Children’s Hospital Pediatric Dentistry Clinic

All residents will spend one month learning and practicing intensive pediatric dentistry alongside pediatric dental residents under the supervision of numerous pediatric dentists and orthodontists. Nationwide Children’s Hospital is considered one of the best in the country and is located a short drive from the Wexner Medical Center and College of Dentistry.

Medicine

First-year residents have a two-week rotation with the Ohio State’s Department of Internal Medicine. Using the training gained in physical assessment, you will work up selected inpatients while on this service. You will gain experience in laboratory medicine and physical examination as well as medical risk assessment.

Anesthesia

Residents are assigned to the Wexner Medical Center’s Department of Anesthesia for one month to learn the principles and techniques of general anesthesia. You will learn preoperative evaluation, IVs, intubation, maintenance of patients on anesthetic gases and monitoring of vital signs. This rotation places emphasis on the pharmacologic and physiologic basis for sedation and general anesthesia, and includes didactic as well as clinical experiences.

Emergency Room Medicine

This experience is on-going (rather than a block rotation) during your month on anesthesia rotation.  While on call, you are expected to participate as an intern in the activities of the Emergency Department for experiences in the management of urgent and emergent systemic conditions such as chest pain, cardiac arrest, diabetic crises, seizures and general trauma. Residents will also be available as consultants to the Emergency Department and other inpatient services for oral and maxillofacial emergencies such as facial trauma, cellulitis and dento-alveolar trauma. The emphasis in this rotation is medical problems which could occur in the dental office setting.

Veteran’s Administration

During your one-month rotation at the Chalmers P. Wylie Ambulatory Care Center dental clinic in Columbus, you will be treating their patient population and also assisting with their operating room cases. We rotate one day a week at the Chillicothe Veteran’s Administration Medical Center to care for their patients as well. Many of the faculty members at both sites volunteer as attending faculty  in the dental clinic at Ohio State.

Implant Dentistry

The didactic and clinical components of this rotation provide insight into the biological and scientific bases of implant dentistry, as well as:

  • diagnosis and treatment planning
  • implant selection
  • placement and postoperative care
  • restoration
  • maintenance procedures

The GPR Clinic is equipped to restore several different brands of implants. Implants are placed in either the Graduate Periodontology Clinic or the Oral and Maxillofacial Surgery Clinic, working with their residents and attending faculty.

Pain and Anxiety Control

This program includes instruction in local anesthesia, psychological and pharmacological methods of controlling pain and apprehension, and the use of medications in the management of these and related problems. At the completion of the program the interested and motivated resident should have satisfied the requirements for the provision of intravenous conscious sedation as outlined by the Ohio State Board of Dental Examiners.

IV sedations are available to be scheduled 3 1/2 days per week. Certification is expected in basic life support and advanced cardiac life support. Hospital rotations include a mandatory month of anesthesia experiences. Residents treat approximately 100 IV sedation cases annually in the GPR Clinic under the supervision of certified faculty.

Year One Call Schedule

First-year GPR residents share first call responsibilities equally and they take home call. Residents on call are expected to be in the Wexner Medical Center’s Emergency Room from 6-10 p.m. to work with the emergency medicine resident on non-dental cases. You will be involved in trauma call with OMFS during the assigned period each month, resulting in a total of five to six nights of call per month. Each resident covers a total of approximately 40 nights of call per year.

Example of a Year-One Resident Rotation Schedule (Specifics may vary year to year from this example shown here)

Month

GPR First Year

June 20-30

Orientation

July

GPR Clinic

August

Children's Hospital

September

Anesthesia 4 days / wk
Emergency Med Course 1 day / wk

October

GPR Clinic Chillicothe V.A. 1 day / wk

November

Medicine (2 weeks)
GPR clinic otherwise

December

GPR Clinic

January

GPR Clinic
Operating Room cases, etc.

February

GPR Clinic
Operating Room cases, etc

March

Columbus Veteran's Administration

April

GPR Clinic

May

Special Patients rotation 1 day / wk
GPR clinic

June

GPR Clinic

All Year

Emergency Medicine and call - ongoing during the year.

Year Two

Year Two Clinical Experiences

You will spend six months of the second year as Chief Hospital Resident and six months as Chief Clinic Resident. As a chief resident, you will provide a greater volume of ambulatory care and perform more complex procedures. You will also have supervisory responsibilities for the first-year residents, dental students and the occasional physician resident from other departments who train in our outpatient department.

Second-year residents are responsible for managing the dental consult service and the operating room cases that come through the consult and pediatric dentistry services. There you will supervise the first-year residents’ care of the many compromised inpatients seen at the request of other services, and you will attend many of the clinics and seminars that take place around the medical center.

Clinical experiences are offered in:

  • oral surgery
  • periodontics
  • endodontics
  • pediatric dentistry
  • implant restorations
  • geriatric dentistry
  • special patient care, including medically compromised
  • hospital dentistry
  • restorative and prosthetic dentistry

Call Schedule

Example of a Year-Two Resident Rotation Schedule (Specifics may vary year to year from this example shown here)

Month

GPR Chief Resident

July

Clinic, Clinic Chief, 20% elective

August

Clinic, Hospital Chief, elective

September

Clinic, Clinic Chief, elective

October

Clinic, Hospital Chief, elective

November

Clinic, Clinic Chief, elective

December

Clinic, Hospital Chief, elective

January

Clinic, Clinic Chief, elective

February

Clinic, Hospital Chief, elective

March

Clinic, Clinic Chief, elective

April

Clinic, Hospital Chief, elective

May

Clinic, Clinic Chief, elective

June

Clinic, Hospital Chief, elective