Drexel University

Oral and Maxillofacial Surgical Pathway

Available only to students in the combined OMFS program. Below information effective July 2012.

Curriculum through Class of 2019 only. For students graduating Class of 2020 and beyond, please see new curriculum link.

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Introduction

 The Division of Oral and Maxillofacial Surgery in the Department of Surgery has developed a Discipline Based Pathway for its six year integrated M.D./OMFS program. This pathway includes courses of Internal Medicine and Neurology required for graduation and five months of anesthesia experience required to comply with residency requirements. The remaining clinical rotations will emphasize fields related to OMFS training.

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Sites and Personnel
Drexel University College of Medicine

Hahnemann University Hospital
Michael Bianchi, D.D.S
Division of Oral and Maxillofacial Surgery
Drexel University College of Medicine
245 N. 15th Street, Mail Stop 467
Philadelphia, PA 19102-1192
(215) 557-0557 Phone
(215) 557-7511 Fax
mab336@drexel.edu

Coordinator:
Megan O'Neill, CPC, CDC
(215) 557-0557 Phone
(215) 557-7511 Fax
mao92@drexel.edu

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Goals and Objectives

It is the overall goal of the Division of Oral and Maxillofacial Surgery to design a curriculum to enable residents to become competent in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and aesthetic aspects of the hard and soft tissue of the oral and maxillofacial region. The six years of training are designed to integrate advanced biologic sciences with progressive clinical training. The OMFS discipline based pathway provides the framework necessary to integrate anesthesia and the surgical subspecialties related to the specialty of OMFS and prepare the resident for their PGY1 and PGY2 preliminary general surgical experience.

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Description of Pathway

Click here for a summary table of the OMFS Pathway.

All required rotations must be fulfilled at home sites.

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Goals and Objectives of Rotations

MEDICAL INTENSIVE CARE UNIT
Purpose
This rotation offers an opportunity for the OMFS resident to work jointly with a medical RI in the management of patients with critical illnesses requiring the facilities of an ICU. These problems range from post-operative complications through an entire array of medical illnesses including overdoses, serious infections, respiratory failure and multiple organ failure.

Objectives
The OMFS resident will become exposed to intensive care medicine as practiced by medical intensivists, with a comprehensive approach to patients medical problems as modified by the high level of technical care necessary and available in the ICU.

Duties of Resident
The OMFS resident will become responsible for writing notes and will progress to performance procedures such as insertion of central lines, Swan-Ganz catheters, etc. Residents will become familiar with ventilatory management as practiced in the ICU under the direction of pulmonary intensivists. The R1 will be responsible for direct supervision of the OMFS resident. Both will work under the supervision of the teaching R3 in the MICU. The OMFS resident will develop familiarity with:

  • An internist's approach to critically ill patients, with comprehensive assessment of patient problems.
  • An opportunity to function in the highly technical intensive care environment.
  • Techniques and procedures common to intensive care patients.

ANESTHESIA
Purpose
The purpose of the Anesthesia Rotation is to help OMFS residents develop competence in anesthesia skills for adult and pediatric patients.

Objectives
At the completion of the anesthesia rotation, the resident should be able to:

  • Evaluate preoperative patients for IV sedation or general anesthesia.
  • Assess a patient's ability to tolerate anesthesia/surgical stress.
  • Classify the physical status of patients.
  • Manage medically compromised patients.
  • Use monitoring systems to continually evaluate patients' vital signs (cardiac monitoring, blood gases, ventilators, etc.)
  • Perform CPR and advanced cardiac life support procedures (all residents certified in CPR and ACLS).
  • Develop technical skills in airway control, endotracheal intubation, intravenous techniques, continuous intravenous drub therapy.
  • Gain knowledge in drug pharmacology, pharmacodynamics, interactions and specific effects of anesthetic agents on patients.
  • Knowledge of rapid sequence induction as well as standard induction and intubation techniques.
  • Evaluate laboratory data as it specifically relates to the anesthesia/surgical patient.
  • Interpret chest x-rays for anesthesia purposes.
  • Review of basic pulmonary and cardiovascular physiology in dynamic situations.
  • Exposure to the management of both geriatric and pediatric patients in the normal course of anesthesia delivery at a tertiary care institution.

Duties of Resident
In order to meet the objectives of the rotation the resident spends four continuous months on general anesthesia at one of the University Hospitals. The oral and maxillofacial surgery resident, after a suitable period of supervision as determined by the anesthesia faculty, is assigned his/her own anesthesia room and is given the responsibility for pre-operative patient evaluation and pre-operative management of the patient's general anesthetic. The oral and maxillofacial surgery resident on the anesthesia rotation performs at the level of a first year anesthesia resident. He/she takes call on a regular rotation with the anesthesia residents. The resident also completes an additional month of pediatric anesthesiology.

OTOLARYNGOLOGY
Purpose
The OMFS resident will be given intensive training in all aspects of head and neck surgery on the service of the Department Chair at Drexel University Hospital. The OMFS will be exposed to the comprehensive management of head and neck oncology patients, including clinical experience in tumor resection and surgical reconstruction.

Objectives
At the completion of this rotation, the resident should be able to:

  • Gain experience in the management of head and neck oncology patients.
  • Understand the general principles of diagnosis and staging of head and neck oncology patients.
  • Develop technical skills in osseous and soft tissue resection, neck dissection and flap reconstruction.
  • Understand the inter-relationships between head and neck surgery and OMFS.
  • Gain experience in the latest chemotherapeutic and radiation therapy protocols.
  • Gain experience in microvascular and microneural anastomosis techniques.

Duties of Resident
The OMFS resident will assume the responsibilities of and ENT resident on rotation with the otolaryngology service and be directly responsible to the Chair and attending faculty. The OMFS resident will attend all conferences including tumor board, take call and gain experience in the management of post-op patients in the ICU and the wards.

PLASTIC SURGERY ROTATION
Purpose
The OMFS resident is given training in all aspects of plastic surgery by a highly skilled mentor. He/she works closely with this service to develop skills in both the technical and philosophical aspects of the specialty. There is time to develop a thorough appreciation of the role of the plastic surgeon in the general care of surgical patients as well as in the multiple injured patient. Training especially emphasizes the need for coordination of efforts for the success of treatment.

Objectives
At the completion of the plastic surgery rotation, the resident should be able to:

  • Gain experience n the management of general plastic surgery patients.
  • Understand general principles of plastic surgery.
  • Develop technical skills in soft tissue management.
  • Gain experience in cosmetic and aesthetic surgery.
  • Understand the inter-relationships between plastic surgery and OMFS.
  • Gain experience in microvascular anastomosis techniques.
  • Gain experience in the management of extremity injury and microsurgical techniques.
  • Gain experience in the management of burn injuries.

Duties of Resident
The oral and maxillofacial surgery resident will assume the responsibilities of a plastic surgery resident on rotation with the plastic surgery service. He/she is directly responsible to the plastic surgery attending faculty. He/she will respond to the emergency room and trauma intensive care units as a plastic surgery resident. The oral and maxillofacial surgery resident will be involved in patient work-up and patient management during the hospital stay. The resident will also gain experience in the management of patients undergoing cosmetic or aesthetic surgery.

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Evaluation

Evaluation of Student Performance
Student evaluations for all clerkships will be completed utilizing the standard evaluations of Drexel Universtiy College of Medicine, (Senior student clinical rotation composite evaluation report). The summary of the evaluation will be discussed with the student during a formal feedback session with the Program Director at the completion of each elective. This will provide the student with ongoing feedback of their weaknesses and evolving strengths throughout the fourth year.

Evaluation of the Pathway by the Student
Ongoing evaluation of the Clinical pathway by the student will be critical to the success of the system. At the completion of each rotation, students will evaluate the rotation using standardized forms. This will include evaluation of the teaching faculty, residents, support staff and clinical experiences for the student during the rotation. This information will be considered by the Program Director and faculty to assess the strengths and weaknesses of the Pathway.

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Other

Faculty Advisement
Faculty guidance and mentoring will occur longitudinally as students prepare for a career in Oral and Maxillofacial Surgery. Each student will work closely with the Pathway Director in structuring the specifics of their fourth-year experience. Other faculty members within the department will also be available to serve in an advisory capacity. An educational experience will be constructed which builds upon the student's strengths and addresses weaknesses as they prepare to enter the preliminary general surgical residency. The Pathway is intended as a dynamic resource for student education and will be keenly responsive at evaluation and feedback.

Faculty Curriculum Committee
The faculty curriculum committee will consist of the Pathway Director, Pathway Coordinator, and one additional faculty member of the Division. This team will carry out ongoing evaluation of the Pathway and make recommendations for amendments to the original curriculum and Pathway design.

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The provisions of The Student Handbook of Drexel University College of Medicine are not to be regarded as a contract between any student and the College of Medicine. The School of Medicine may, at any time, change any provisions, curriculum requirements, teaching facilities, affiliated teaching sites and/or their amenities, bylaws, rules, regulations and policies as may be necessary in the interest of the University, Drexel University College of Medicine, and its students.
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Revised 10/02/2017-- Specific questions or comments about the content of this page may be directed to the Division of Clinical Education