The Allegheny General Hospital Division of Oral and Maxillofacial Surgery offers a well-structured program that integrates intensive clinical experiences, including off-service clinical rotations, and didactic experiences. The 4 years of training are designed to integrate advanced biologic sciences with progressive clinical training. The Division of Oral and Maxillofacial Surgery provides training in the full scope of the specialty, with special emphasis on facial trauma, tumor removal and reconstructive surgery, orthognathic surgery, obstructive sleep apnea surgery, temporomandibular joint surgery, preprosthetic surgery, and dental implantology. The division has successfully implemented and developed new techniques in dental implant surgery, obstructive sleep apnea surgery, temporomandibular joint surgery, and bone grafting.
Residents learn how to function within a dynamic, tertiary care regional resource (Level I) trauma center. Responsibilities increase to match the resident's level of training, and by program completion, residents are fully competent to perform many oral and maxillofacial surgical procedures, take medical histories and perform physical examinations, place physician's orders and consultations, develop pre- and postoperative reports, maintain charts, dictate operative reports, coordinate care with other specialists, present at conferences, write patient correspondence, and address many insurance issues.
The teaching staff of three full-time and several part-time faculty prepares residents to:
- Interact well with peers and colleagues in dentistry, medicine, and surgery
- Practice the full scope of the OMFS specialty with a broad-based world view of the health sciences
- Provide holistic care and maintain compassionate and ethical relationships with patients, peers, and support staff
- Identify diseases/disorders not generally in the immediate scope of their expertise and make appropriate referrals
- Teach effectively and become members of teaching faculties
- Obtain American Board of Oral and Maxillofacial Surgery certification
OMFS clinical training consists of ambulatory dentoalveolar patient treatment, trauma call coverage, inpatient floor coverage, and assisting attending physicians in the operating room. Responsibilities are assigned according to level of training.
Emphasis is placed on the total healthcare of the hospitalized patient. Residents are expected to become competent in overall patient management. Off-service rotations are used to supplement the experience along with full-time Emergency Department assignment and Trauma Team participation.
PGY1 - Oral and Maxillofacial Surgery Intern, 12 months
PGY2 - Off-Service Rotations (months):
- General Surgery (4)
- ENT (1)
- Plastic Surgery (1)
- General Anesthesia (3)
- Pediatric Anesthesia (1) off-site
- Internal Medicine (2)
PGY3 - Oral and Maxillofacial Surgery Service
- Junior Resident (11 months)
- Sleep Medicine (2 weeks)
- Ophthalmology (2 weeks)
PGY4 - Oral and Maxillofacial Surgery Service, Chief Resident (12 months)
The Dental and Oral Surgery Center consists of a 7,561-square-foot physical plant, including a reception/waiting room, patient charts and billing area, an administrative suite, clinical space with 15 operatories, a limited prosthodontics laboratory, and rooms for instrument preparation, X-rays, film developing and storage. The Dental and Oral Surgery Center was designed with an open bay concept wherein all operatories are equipped for four-handed general dentistry with mobile ADEC units, and three chairs have been specifically designated for the Oral Surgery Clinic.
Radiographic imaging capability consists of seven Belmont Combex DX 907 periapical machines located within the treatment areas and a separate imaging room with a Gentex Ortho Ralix 9000 Panorex and Cephalograph machine.
OMFS residents receive comprehensive didactic training through a series of conferences. The OMFS Core Conferences cover the full scope of the specialty, are presented by the resident house staff members of the adjunctive teaching staff and guest lecturers, and form the backbone to the OMFS didactic curriculum.
The Core Conference schedule includes the following:
- Head and Neck Tumor Board
- Orthognathic Surgery Treatment Planning
- OMFS Journal Club
- Dental Implant Treatment Planning
- Interdisciplinary Journal Club
- Chief Conference/Morbidity and Mortality (M&M)
- Medicine/Cardiology Grand Rounds
- OMFS Lecture Series
- Acute Care Surgery Lecture
OMFS residents are provided numerous educational opportunities outside the basic curriculum of the program. Through the Office of Graduate Medical Education and through the program's own endowment, residents are provided financial support for course registration fees and travel expenses.
Special courses offered by Continuing Medical Education and other services provide residents additional training in a variety of areas, including:
- Anesthesia and Medical Emergency Simulation Training in the STAR Center
- Head and Neck Cadaveric Dissection
- Sleep Medicine and Sleep Lab Experience
During the chief residency year, the following additional courses/rotations may be available:
- Cosmetic rotation
- Cleft lip/plate rotation
- Humanitarian relief missions to Haiti, Dominican Republic, etc.
In most cases, the program also funds travel expenses necessary for residents to attend conferences at which their submitted abstracts or posters have been accepted for presentation.