The following statements describe
the graduates of MMC GPR programs. They are intended
to communicate the expectations of the faculty to
the resident and serve as a basis for evaluation of
resident’s satisfactory completion of the program.
In order to facilitate reading this list of statements,
certain terms have been predefined so they could
be used in the manual without repetitive definition. These
definitions are listed in the next section of this
manual. In general, the definitions proposed
by Chambers and Gerrow have been followed, although
some new definitions have been added and some definitions
modified. In situations where it is expected
that the GPR program graduate will be able to, and
likely to, actually perform the necessary procedures,
the terms “perform”, “provide”, “restore”,
or “treat” have been used. In
circumstances where the graduate may perform some
treatment but is more likely to oversee treatment
or refer, the term “manage” is used. The
term “appropriate” is not used in these
statements to eliminate repetitive verbiage. It
is assumed that all knowledge, skills, and procedures
described will be performed for appropriate reasons,
in appropriate circumstances and in an appropriate
manner. In this manual each statement is designated
as either an area of competency ( C ) in which graduates
are expected to have little experience at the beginning
of their programs, or as an area of proficiency (
P ) in which graduates are expected to be competent
at the beginning of their programs and gain further
experience, skill and judgment as the program progresses.
A Graduate
of MMC GPR Program will: |
PGY1 |
PGY2 |
In regard to planning
and providing comprehensive multidisciplinary
oral health care:
|
|
|
1. Function as a patient’s
primary, and comprehensive oral health care provider
|
( P ) |
( P ) |
2. Explain and discuss with
patients, or parents or guardians of patients,
findings, diagnoses, treatment options, realistic
treatment expectations, patient responsibilities,
time requirements, sequence of treatment, estimated
fees and payment responsibilities in order to
establish a therapeutic alliance between the
patient and care provider.
|
( C ) |
( P ) |
3. Integrate multiple disciplines
into an individualized, comprehensive, sequenced
treatment plan using diagnostic and prognostic
information for patients with complex needs.
|
( P ) |
( P ) |
4. Modify
the treatment plan, if indicated, based on
unexpected circumstances or patient’s
individual needs.
|
( P ) |
( P ) |
5. Diagnose
and manage a patient’s occlusion.
|
( C ) |
( C ) |
6. Treat uncomplicated diseases
and abnormalities of the pediatric patient.
|
(
C ) |
(
P ) |
7. Use proper hospital protocol
when treating and managing patients in a hospital
environment.
|
(
C ) |
(
P ) |
8. Provide dental treatment
in an operating room.
|
(
C ) |
(
P ) |
9. Perform dental consultations
and request medical consultations for hospitalized
patients and patient in other health care settings.
|
( C ) |
( P ) |
In regard to health care
delivery:
|
|
|
10. Treat patients efficiently
in a dental practice setting.
|
(
C ) |
(
P ) |
11. Support the program’s
mission statement by acting in a manner to maximize
patient satisfaction in a dental practice.
|
(
C ) |
(
P ) |
12. Use and implement accepted
sterilization, disinfections, universal precautions
and occupational hazard prevention procedures
in the practice of dentistry.
|
(
C ) |
(
P ) |
13. Provide patient care
by working effectively with allied dental personnel,
including performing sit down, four handed dentistry.
|
(
C ) |
(
P ) |
14. Provide dental care as
a part of an inter-professional health care team
such as that found in a hospital, institution,
or community health care environment.
|
(
C ) |
(
C ) |
15. Practice and promote
ethical principles in the practice of dentistry
and in relationships with patients, personnel
and colleagues.
|
(
C ) |
(
P ) |
In regard to information
management and analysis:
|
|
|
16. The resident will be
able to apply scientific principles to learning
and oral health care using critical thinking,
evidence-based or outcomes-based clinical decision-making
and technology-based information retrieval systems.
|
(
C ) |
(
C ) |
17. Maintain a patient record
system that facilitates the retrieval and analysis
of the process and outcomes of patient treatment.
|
(
C ) |
(
C ) |
18. Analyze the outcomes
of patient treatment to improve that treatment.
|
(
C ) |
(
P ) |
19. Participate in the management
of a system for continuous quality improvement
in a dental practice.
|
(
C ) |
(
P ) |
In regard to oral disease
detection and diagnosis:
|
|
|
20. Select and use assessment
techniques to arrive at a differential, provisional
and definitive diagnosis for patients with complex
needs.
|
(
C ) |
(
C ) |
21. Obtain and interpret
the patient’s chief complaint, medical,
dental and social history and review systems.
|
(
P ) |
(
P ) |
22. Obtain and interpret
clinical, medical and radiographic data and additional
diagnostic information from other health care
providers or other diagnostic resources.
|
(
P ) |
(
P ) |
23. Use the services of clinical,
medical and pathology laboratories and refer
to other health professionals for the utilization
of these services.
|
(
P ) |
(
P ) |
24. Perform a limited history
and physical evaluation and collect other data
in order to establish a risk assessment for dental
treatment and use that risk assessment in the
development of a dental treatment plan.
|
(
C ) |
(
P ) |
25. Manage intra-oral soft
tissue lesions of non-traumatic origin.
|
(
C ) |
(
C ) |
26. Diagnose and manage oral
manifestations of systemic disease.
|
(
P ) |
(
P ) |
27. Diagnose and manage common
oral pathological abnormalities.
|
(
P ) |
(
P ) |
In regard to promoting
oral and systemic health and disease prevention:
|
|
|
28. Participate in community
programs to prevent and reduce the incidence
of oral disease.
|
(
C ) |
(
P ) |
29. Use accepted prevention
strategies such as oral hygiene instruction,
nutritional education, and Pharmacologic intervention
to help patients maintain and improve their oral
and systemic health.
|
(
P ) |
(
P ) |
In regard to medical
risk assessment:
|
|
|
30. Treat patients with a
broad variety of acute and chronic systemic disorders
and social and social difficulties including
patients with special needs.
|
(
C ) |
(
P ) |
31. Develop and carry out
dental treatment plans for patients with special
needs in a manner that considers and integrates
those patient’s medical, psychological
and social needs.
|
(
C ) |
(
P ) |
In regard to sedation,
pain and anxiety control:
|
|
|
32. Use Pharmacologic and
non-Pharmacologic behavior management skills
with the pediatric patient.
|
(
C ) |
(
P ) |
33. Use Pharmacologic agents
in the treatment of dental patients.
|
(
P ) |
(
P ) |
34. Provide control of pain
and anxiety in the conscious patient through
the use of psychological interventions, behavior
management techniques, local anesthesia and oral
anti-anxiety agents and nitrous oxide.
|
(
C ) |
(
C ) |
35. Prevent, recognize and
manage complications related to use and interactions
of drugs and local anesthesia.
|
(
C ) |
(
P ) |
In regard to restoration
of teeth:
|
|
|
36. Restore single teeth
with a wide range of materials and methods.
|
(
P ) |
(
P ) |
37. Place restorations and
perform techniques to enhance patient’s
facial esthetics.
|
(
P ) |
(
P ) |
38. Restore endodontically
treated teeth.
|
(
P ) |
(
P ) |
39. Restore intra and extra-coronal
defects in the primary dentition.
|
(
P ) |
(
P ) |
In regard to placement
of teeth using fixed and removable appliances:
|
|
|
40. Treat patients with missing
teeth requiring removable restorations.
|
(
P ) |
(
P ) |
41. Treat patients with missing
teeth requiring uncomplicated fixed restorations.
|
(
P ) |
(
P ) |
42. Communicate case design
with laboratory technicians and evaluate the
resultant prosthesis.
|
(
P ) |
(
P ) |
In regard to periodontal
therapy:
|
|
|
43. Diagnose and treat early
and moderate periodontal disease using non-surgical
and surgical procedures.
|
(
C ) |
(
C ) |
44. Manage advanced periodontal
disease.
|
(
C ) |
(
C ) |
45. Evaluate the results
of periodontal treatment and establish and monitor
a periodontal maintenance program.
|
(
C ) |
(
C ) |
In regard to pulpal therapy:
|
|
|
46. Diagnose and treat pain
of pulpal origin.
|
(
P ) |
(
P ) |
47. Perform uncomplicated
non-surgical anterior Endodontic therapy.
|
(
P ) |
(
P ) |
48. Perform uncomplicated
non-surgical posterior Endodontic therapy.
|
(
P ) |
(
P ) |
49. Treat uncomplicated Endodontic
complications.
|
(
P ) |
(
P ) |
50. Manage complex Endodontic
complications.
|
(
C ) |
(
C ) |
51. Perform pediatric pulpal
therapy.
|
(
P ) |
(
P ) |
In regard to hard and
soft tissue surgery:
|
|
|
52. Perform uncomplicated
surgical procedures on pediatric patients.
|
(
C ) |
(
P ) |
53. Perform surgical and
non-surgical extraction of teeth.
|
(
P ) |
(
P ) |
54. Extract uncomplicated
impacted wisdom teeth.
|
(
C ) |
(
C ) |
55. Perform uncomplicated
pre-prosthetic surgery.
|
(
C ) |
(
C ) |
56. Perform biopsies of oral
tissue.
|
(
C ) |
(
C ) |
57. Treat patients with complications
related to intra-oral surgical procedures.
|
(
C ) |
(
C ) |
In regard to treatment
of dental and medical emergencies:
|
|
|
58. Treat patients with intra-oral
dental emergencies and infections.
|
(
P ) |
(
P ) |
59. Anticipate, diagnose
and provide initial treatment and follow-up management
for medical emergencies that may occur during
dental treatment.
|
(
C ) |
(
P ) |
| 60. Treat intra-oral hard
and soft tissue lesions of traumatic origin. |
(
C ) |
(
C ) |
