Advanced General Dentistry Education Programs in Dental Anesthesiology are educational programs designed to train the dental resident, in the most comprehensive manner, to use pharmacologic and non-pharmacologic methods to manage anxiety and pain of adults, children, and patients with special care needs undergoing dental, maxillofacial and adjunctive procedures, as well as to be qualified in the diagnosis and non-surgical treatment of acute oro-facial pain and to participate in the management of patients with chronic oro-facial pain. (ADA/CODA Goals for DA programs http://www.ada.org/prof/ed/accred/standards/anes.pdf - accessed 10/28/2008)
Graduates from our program will be able to:
1. Deliver anxiety and pain control services for emergency and comprehensive multidisciplinary oral health care
2. Plan and provide anesthesia related care for the full range of dental patients, including patients with special needs.
3. Manage the delivery of oral health care by applying concepts of patient and practice management and quality improvement that are responsive to a dynamic health care environment.
4. Function effectively within the hospital, dental clinic, ambulatory surgery center and other health care environments.
5. Function effectively within interdisciplinary health care teams.
6. Apply scientific principles to learning and anesthesia related oral health care. This includes using critical thinking, evidence or outcome based clinical decision making, and technology based information retrieval systems.
7. Utilize the values of professional ethics, lifelong learning, patient centered care, adaptability, and acceptance of cultural diversity in professional practice.
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Located in the Bronx, Jacobi Medical Center provides quality health care for some 1.2 million Bronx and New York area residents. Founded in 1955, Jacobi was named in honor of Dr. Abraham Jacobi, known as the father of American pediatrics.
With more than 500 beds, Jacobi Medical Center has grown into the largest public hospital in the Bronx. It offers a complete range of acute, specialty, general and psychiatric services. Jacobi also operates community-based health care centers that provide general adult and pediatric examinations and health screenings for a variety of concerns, including hypertension, diabetes, breast cancer and prostate cancer.
Jacobi Medical Center is a member of the New York City Health and Hospitals Corporation, and a partner in the North Bronx Healthcare Network.
- A major academic affiliate and teaching site of the Albert Einstein College of Medicine.
- Offers a complete range of acute, specialty, general care and psychiatric services.
- Offers specialized Emergency Departments for adult, pediatric and psychiatric services.
- A Level I Trauma Center (serving the North Bronx and Lower Westchester); the regional Hyperbaric Center and Regional Snakebite Center for the Tristate area.
- Operates the only multi-person emergency hyperbaric chamber in New York City.
- Operates the only Burn Unit in the Bronx, the second largest in New York City, with 30 years of clinical research and teaching experience, pioneering in early surgical intervention to preserve skin and minimize infection and injury.
- Serves as a referral center for acute psychiatry, burn care, neonatology, infectious disease, chest medicine, tropical medicine, rehabilitation and home care.
- Operates a Level III Neonatal ICU with one of the best outcome records in the United States.
- Operates a Women's Health Center, a "model" primary care program that provides the full spectrum of women's health needs from adolescence through maturity.
- Operates a state-of-the-art Outpatient Center for adult AIDS patients.
- Sponsors approved residency and fellowship training programs in over 40 specialties and subspecialties.
- HHC "pilot" site for adaptation of electronic patient management system to create a computerized patient record.
- The North Bronx Healthcare Network consists of Jacobi Medical Center (JMC), North Central Bronx Hospital (NCBH) and affiliated community health care centers.
- This regional network offers an accessible, complete continuum of care - acute, preventive, primary, specialty, inpatient/outpatient, rehabilitative and home care.
- The NBHN operates under the direction of Network Senior Vice President William Walsh, who is also Executive Director at Jacobi Medical Center, and Arthur Wagner as Chief Operating Officer at JMC and NCBH.
- NBHN is the sole public provider of heath care services in the North Bronx, with an annual average of:
- 32,000 inpatient discharges
- 175,000 emergency visits
- 580,500 outpatient visits
- 4,300 ambulatory surgery visits
- Over 34,000 outpatient dental visits
- Recognized by the communities it serves as the socially responsible, experienced provider of choice for the more vulnerable populations - medically underserved, uninsured, Medicaid/Medicare recipients and uniformed services personnel.
We are proud of Jacobi's new, $173 million inpatient facility. Designed for patient comfort as well as the latest in medical technology, our new hospital includes 344 inpatient beds placed in beautiful and spacious private and semi-private rooms. Large, modern Adult and Pediatric Emergency Departments are specially equipped to handle trauma, critical illness, injury, or mass casualty incidents. Jacobi is a designated Level 1 Trauma Center. A dedicated Radiology Center offers state of the art diagnostic equipment. A large Operating Suite is equipped with the latest innovations in surgical and laparoscopic equipment. Medical, surgical, cardiac, pediatric and burn intensive care units are outfitted with every amenity for cutting edge critical care.
The Department of Dentistry is located at three sites within the network, two at the JMC campus and one at North Central Bronx Hospital (NCB). In addition, the Kennedy Center, a program specifically for special pediatric and adult patients and where outpatient sedations occur is located on the Jacobi Campus. The Department of Dentistry has over 35,000 patient encounters/year. Adult and pediatric patients requiring sedation and General Anesthesia are plentiful. The patient population will be adequate to provide the quantity and diversity of required clinical experiences for each resident. There is currently a waiting period for patients requiring anesthesia management. Increasing the number of providers will enable JMC to better meet the needs of the patient population.
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http://www.astdd.org/bestpractices/pdf/DES35007NYspecialneedskennedycenter.pdf
The Rose F. Kennedy University Center for Excellence in Developmental Disabilities (UCEDD) dental program provides:
(1) clinical dental services to patients with developmental disabilities,
(2) training in special care dentistry to postgraduate dental residents and fellows
(3) outreach to patients and caregivers in promoting oral health maintenance procedures and practices.
The dental program is an integral service and training component of the broader Kennedy Center, which serves as a tertiary referral center for children with genetic and developmental anomalies. The dental clinic averages 5,100 patient encounters per year.
History of the Practice:
In the early part of the twentieth century, people with developmental disabilities received health services in large public institutions. As time progressed, there were few resources available for people with developmental disabilities to access healthcare in general and dental care in particular.
In 1965, to help alleviate the shortage of practitioners willing and able to care for developmentally disabled patients, Dr. Harold Diner began providing dental treatment to children with developmental disabilities as part of the general dental program at the Bronx Municipal Hospital Center (BMHC, now Jacobi Hospital).
In 1970, the Rose F. Kennedy Center for Research in Mental Retardation and Human Development of the Albert Einstein College of Medicine opened on the grounds of BMHC. Dr. Diner was given the opportunity to open a dental clinic for special needs children and begin a new pediatric dentistry residency program at the center. This program would incorporate a significant component of training and care for the population of special needs patients.
The dental program at Rose F. Kennedy Center has been in existence over forty years and has trained hundreds of residents and fellows who then open their practices in many different states and countries. The program has an IV/IM sedation program that treats over 300 patients a year.
Patients travel from as far as Long Island and Upstate New York for this unique service. Additionally, the clinic's close proximity to Jacobi Medical Center permits easy referral for treatment in the operating room when appropriate.
Dentist training:
One special care dental fellow and 46 residents trained per year (includes pediatric dentistry and general practice residents who take rotations at Kennedy Center from 6 postgraduate programs). The DA resident will train alongside these residents, providing the anesthesia services for the patients.
The DA resident will administer deep sedation and other forms of pain and anxiety control for ambulatory dental patients within the Rose F. Kennedy Center for Special Patient Care. The residents will be supervised by Dental Anesthesiologists and Medical Anesthesiologists for ambulatory dental patient clinical experiences. The Kennedy Center provides sedation dentistry services to over 300 patients per year.
http://www.aecom.yu.edu/cerc/projects.htm#dental
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The program will include rotations in internal medicine, and pediatric medicine. 18 months will be spent on the anesthesia service providing care in the operating room. While the focus will be on dental, pediatric dental, maxillofacial, and head and neck procedures, the resident will be exposed to all forms of anesthesia and pain control and all manner of OR cases. While on the anesthesia service, the DA resident will function as a full member of the team. Their responsibilities will be commensurate with their level of training.
The remainder of the clinical experience will be gained providing intubated and non-intubated anesthesia services at the Rose F. Kennedy Center and in the various out-patient dental settings at Jacobi Medical Center.
Lectures will be given on a regular basis; they will cover a broad range of anesthesia topics, but will focus on those relevant to the DA resident. They will include:
- Applied Materials Program Course (biomedical sciences)
- Physical Diagnosis
- Management of Special Needs Patients
- Nitrous Oxide-Oxygen Equipment
- Pharmacology of Sedative Drugs
- Management of Medical Emergencies
- Opioid and Non-opioid Analgesics
- Mandibular technique- Local anesthesia
- Advanced technique- Maxillary anesthesia
- Essentials of local anesthesia pharmacology
- Research process methodology
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Salaries and Benefits:
The residents at the NBHN are members of a resident union and the salaries and benefits are comparable to all the other residents at NBHN who are at the same training level as those in Dental Anesthesia.
The NBHN is on a medical center campus and has all the benefits associated with that including access to a gymnasium, medical library, cafeteria etc.
Application Procedure:
We are an equal opportunity employment organization.
All applications should be submitted through PASS.
Documents already included in PASS do not need to be sent to the program directly.
Send directly to the program: (Requirements revised 9/18)
Photo
CV/Resume
National Board Scores - do not need official (only if not available in PASS or Deans letter, will accept copy)
Letter or certificate of any previous trainings, if applicable (eg: GPR residency)
COPY of college transcript (copy is acceptable)
***There is NO supplemental application***
If you have any questions, please email Residency Coordinator at Lisandra.Santana@nbhn.net
There is NO supplemental application for any program
Application to the Program is made by completing the appropriate forms provided by the Postdoctoral Application Support Service (PASS). Applicants should obtain the necessary forms by contacting PASS directly at:
Postdoctoral Application Support Service
1625 Massachusetts Ave NW Suite 101
Washington, DC 20036
(202) 332-8791
http://www.adea.org/PASS/default.htm
In order to be considered for the DA residency program, candidates must be graduates of an American or Canadian dental school accredited by the American Dental Association.
All applications and supporting documents must be received by October 15 for consideration for appointment on the following July 1. The Selection Committee will consider no application unless all credentials have been received. Interviews will be conducted by invitation of the Selection Committee and will be held usually in November of that year, at a date to be determined.
*Material to be mailed directly to :
Barry W. Langsam
Chief, Division of Dental Anesthesiology
Director Post Graduate training program
Jacobi Medical Center
1400 Pelham Parkway South, Bldg 5, Room 3C15
Bronx, NY 10461
Attn: Mrs. Lisandra Santana, Dentistry Residency Coordinator
Program Application Fee: None
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