Oral & Maxillofacial Surgery Residency Program Overview

Learning Mode: Residential

Overview
Goals & Objectives By Year
Salary Benefits
Application Process
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The 4 year program is divided into 52 4-week “months” with rotations on a variety of adult and pediatric surgical services. In addition to the required rotations in general surgery, medicine, and anesthesia, residents serve on pediatric surgery, surgical intensive care service, emergency medicine, otolaryngology, and plastic surgery.

The oral and maxillofacial surgery inpatient experience is gained at the Medical University of South Carolina Hospital. Residents gain balanced experience in a wide spectrum of oral and maxillofacial case types, including orthognathic, temporomandibular joint, trauma, reconstructive, cleft palate, and pathology cases. The majority of our inpatient elective operating room cases are now completed at the MUSC Ashley River Tower.

This hospital is designed to accommodate the most modern medical equipment available and provide the latest technologies with a staff of world-renowned surgeons in a setting that rivals the comfort of a fine hotel. The facility includes three intensive care units; laboratories; interventional radiology and endoscopy suites; a specialized chest pain center; and nine operating rooms with integrated IT systems and specialized equipment for oral and maxillofacial surgery.

Outpatient care is also completed at the James B. Edwards College of Dental Medicine Clinics. Ambulatory general anesthesia for outpatients is given two mornings per week, and intravenous sedation every day. There is ample opportunity to learn dentoalveolar surgery and minor pre-prosthetic surgery, including exhaustive dental implant experience.

During the on-service rotation there is a core of regularly scheduled conferences. These conferences are designed to provide the academic-didactic background for the clinical training. They include a weekly lecture series in basic and applied clinical sciences, Case Presentations, Oral Pathology Case Conferences, Journal Clubs, Orthognathic Case Conference (in conjunction with the MUSC orthodontics program), and Multidisciplinary Implant Conference. The department also participates in the MUSC Cleft Palate and Craniofacial Team and Head and Neck Tumor Board.

While the primary goal of the residency program is to provide excellent clinical training, emphasis is also placed on research activity. All of the full-time faculty members have a major interest in and commitment to research. All residents must propose and carry out a research project and prepare a paper for publication.

Resident Goals and Objectives by Year

Resident responsibilities are detailed by postgraduate year (PGY) level.

The CODA-approved residency-training program at the Medical University of South Carolina is under the direction of Dr. Martin B. Steed, Associate Professor and Chair, and Dr. Kelley Lybrand, Assistant Professor and Residency Program Director. The residency training program currently utilizes the Medical University of South Carolina Hospital and its associated surgical and patient care centers.

General principles for residents enrolled in the oral and maxillofacial surgery training program at the Medical University of South Carolina:

1. The resident oral and maxillofacial surgeon meets the qualifications for resident eligibility outlined in the Accreditation Standards for Advanced Specialty Education Programs in Oral and maxillofacial Surgery from the Commission on Dental Accreditation.

2. The position of resident oral and maxillofacial surgeon involves a combination of supervised, progressively more complex and independent patient evaluation and management functions as well as formal educational activities. The competence of the resident is evaluated on a regular basis. The program maintains a confidential record of the evaluation.

3. The position of resident oral and maxillofacial surgeon entails provision of care commensurate with the resident oral and maxillofacial surgery level of advancement and competence, under the general supervision of appropriately privileged attending teaching staff.

This includes:

Participation in safe, effective, and compassionate patient care.

Developing an understanding of ethical, socioeconomic, and medical/legal issues that affect graduate medical education and how to apply cost containment measures in the provision of patient care.

Participation in the educational activities of the training program and, as appropriate, assumption of responsibility for teaching and supervision of other residents and students, and participation in institutional orientation and education programs and other activities involving the clinical staff.

Participation in institutional commitments and councils to which the resident oral and maxillofacial surgeon is appointed or invited.

Performance of these duties in accordance with the established practices, procedures, and policies of the institution and other institutions to which the resident oral and maxillofacial surgeon is assigned.

The PGY-1 Oral and maxillofacial Surgery resident rotates through 5 months of oral and maxillofacial surgery and completes a course in History and Physical Diagnosis.

Fundamental duties include basic laboratory work, the performance and documentation of the history and physical examination and consultations, writing of routine admission, preoperative and postoperative orders on non-intensive care unit patients, performance of minimally invasive techniques such as insertion of intravenous lines, insertion of arterial lines, insertion of nasogastric tubes and hospital call duties. After the documentation of competence these duties can be performed under general supervision.

Direct supervision of the PGY-1 resident is necessary when orders are written for patients in the surgical intensive care unit or when more invasive procedures such as the insertion of central venous lines and drainage of serious odontogenic infections.

Direct supervision of the PGY-1 resident is necessary in the operating room or surgery clinic. The following procedures performed by a PGY-1 may be supervised by the PGY-3 or PGY-4 oral and maxillofacial surgery resident:

Incision and drainage of serious odontogenic abscess
Dentoalveolar Surgery
Delayed or primary closure of open wound
Minor wound debridement

The anesthesia rotation may be during the PGY-1 year.

By the completion of the PGY-1 year the resident is expected to achieve the following stated level of skill or knowledge, as put forth in the Curriculum Guidelines in Oral and Maxillofacial Surgery at Emory University in the following categories:

Anesthesia/pain management and anxiety control (upon completion of anesthesia rotation)

Understanding of the anesthetic management of the healthy patient
Familiarity with the anesthetic management of the medically compromised patient
Familiarity with the pharmacology of the common analgesics and anxiolytics
Competency in airway management
Competency in pre-anesthetic assessment
Competency in the administration of anesthesia to pediatric and adult patients
Understanding the various anesthetic agents, techniques and medications
Competency in fluid management and blood product replacement

Medical management of patients

Understanding of the pathophysiology of the major disease processes
Understanding of the pharmacology of commonly used drugs
Competency in performance of routine history and physical exam and admission procedures
Competency in the interpretation of laboratory values, EKG and chest x-rays
Exposure to the perioperative management of the surgical patient

Dentoalveolar surgery/basic surgical techniques

Understanding of the pertinent anatomy- Competency in the extraction of exposed teeth
Exposure to the surgical removal of impacted teeth- Competency with sterile and aseptic techniques
Competency in the use of surgical armamentarium- Understanding the principles of hemostasis
Competency with basic hard and soft tissue management and suturing
Competency in intraoperative surgical photography
Familiarity with the identification and management of complications

Maxillofacial trauma

Understanding of the pertinent anatomy-
Familiarity with the assessment and management of facial fractures including the interpretation of imaging studies
Competency in the management of dentoalveolar injuries
Understanding of the treatment of the basic and a familiarity with the treatment of complex facial fracture
Exposure to the management of the severely injured patient
Competency in management of soft tissue injuries
Familiarity with the identification and management of complications

Skeletofacial deformities and cleft/craniofacial deformities

Understanding of the pertinent anatomy
Familiarity with the growth and development and the genetics of the craniofacial skeleton
Familiarity with identification of dentofacial and cleft/craniofacial deformities
Familiarity with the treatment planning of dentofacial and cleft/craniofacial deformities
Exposure to the multidisciplinary treatment of dentofacial and cleft/craniofacial deformities
Competency in cephalometric analysis
Exposure to model surgery
Competency in intraoral photography
Familiarity with the identification and management of complications

Facial aesthetic surgery

Understanding of the pertinent anatomy
Familiarity with changes of the aging face
Familiarity with treatment planning for facial aesthetic surgery
Competency in extraoral photography
Familiarity with the identification and management of complications

Maxillofacial pathology

Understanding of the pertinent anatomy
Understanding of the differential diagnosis of disease
Competency in biopsy technique
Understanding of normal histology
Familiarity with abnormal histology associated with disease processes
Familiarity with the common soft and hard tissue lesions and their pathophysiology and identification
Exposure to definitive ablative surgery
Familiarity with the identification and management of complications

Maxillofacial reconstruction (including implantology and preprosthetic surgery)

Understanding of the pertinent anatomy-
Familiarity with the prosthdontist’s needs for prosthetic construction-
Familiarity with principles and surgical techniques for soft and hard tissue recontouring and augmentation-
Understanding of the principles and surgical techniques for dental and maxillofacial implants-
Understanding of the basic biology of bone and soft tissue grafting- Familiarity with alloplastic materials used in reconstructive surgery-
Familiarity with flap reconstruction-
Competency in simple intraoral preprosthetic preparation and implant placement-
Familiarity with the identification and management of complications

Facial pain and temporomandibular disorders

Understanding of the pertinent anatomy
Familiarity with the common types of facial pain, TMDs and their physiology
Familiarity with identification of TMD
Familiarity with the multidisciplinary treatment of facial pain and temporomandibular disorders
Competency in the performance and documentation of a sensory and motor examination of the HNF
Competency in the performance and documentation of a detailed TMD examination
Familiarity with the identification and management of complications

Maxillofacial infection

Understanding of the pertinent anatomy, microbiology and immunology
Understanding of the use of antibiotic prophylaxis
Competency in the identification of maxillofacial infection including interpretation of imaging
Competency in the recognition of a potentially compromised airway and life-threatening infection
Understanding of antibiotic therapy- Familiarity with the pathophysiology of sepsis
Competency in the management of patients with simple odontogenic infection
Exposed to the management of patients with complex odontogenic infection
Familiarity with sinus and salivary infection diagnosis and management
Familiarity with the identification and management of complications

Practice based Learning and improvement

Familiarity with the use of information technology including Medline
Familiarity with the ability to analyze own practice for needed improvements, including QA and PI
Familiarity with the AAOMS Parameters of Care
Familiarity with the facilitation of learning of others
Familiarity with critical evaluation of the literature

Systems based practice

Familiarity with the interaction of OMFS within the larger healthcare system, including documentation, medical record keeping, coding
Familiarity with the delivery of cost-effective healthcare
Familiarity with the advocacy of patients within a healthcare system

Acceptable performance on the OMSSAT and Mock Board examinations

The PGY-2 oral and maxillofacial surgery resident rotates through Neurosurgery, Medicine, General Surgery, Otolaryngology Head and Neck Surgery (Elective) and Critical care.

Fundamental duties are the same as the PGY-1 oral and maxillofacial surgery resident, except orders on patients in the intensive care unit may now be written under general supervision.

Direct supervision of the PGY-2 resident by is necessary during all operative procedures performed in the operating room or oral and maxillofacial surgery clinic. The following procedures may be supervised by the PGY-3 or 4 oral and maxillofacial surgery residents:

Incision and drainage of serious odontogenic abscess
Dentoalveolar Surgery
Delayed or primary closure of open wound
Minor wound debridement

By the completion of the PGY-2 year, the resident is expected to achieve the following stated level of skill or knowledge, as put forth in the Curriculum Guidelines in Oral and Maxillofacial Surgery, in the following categories:

Anesthesia/pain management and anxiety control (upon completion of anesthesia rotation)

Understanding of the anesthetic management of the healthy patient
Understanding of the anesthetic management of the medically compromised patient
Understanding of the pharmacology of the common analgesics and anxiolytics
Competency in airway management
Proficiency in pre-anesthetic assessment
Competency in the administration of anesthesia to pediatric and adult patients
Understanding the various anesthetic agents, techniques and medication
Competency in fluid management and blood product replacement

Medical management of patients

Understanding of the pathophysiology of the major disease processes
Understanding of the pharmacology of commonly used drugs
Proficiency in performance of routine history and physical exam and admission procedures
Competency in performance of history and physical exam and admission procedures on complicated cases
Proficiency in the interpretation of laboratory values, EKG and chest x-rays
Competency in the perioperative management of the surgical patient

Dentoalveolar surgery/basic surgical techniques

Understanding of the pertinent anatomy
Competency in the extraction of exposed teeth
Competency in the surgical removal of impacted teeth
Proficiency with sterile and aseptic techniques
Proficiency in the use of surgical armamentarium
Understanding the principles of hemostasis
Competency with basic hard and soft tissue management and suturing
Competency in intraoperative surgical photography
Understanding of the identification and management of complications

Maxillofacial trauma

Understanding of the pertinent anatomy
Understanding of the assessment and management of facial fractures including the interpretation of imaging studies
Proficiency in the management of dentoalveolar injuries
Understanding of the treatment of the basic and complex facial fracture
Competency in the management of the severely injured patient
Competency in management of soft tissue injuries
Understanding the identification and management of complications

Skeletofacial deformities and cleft/craniofacial deformities

Understanding of the pertinent anatomy
Familiarity with the growth and development and the genetics of the craniofacial skeleton
Familiarity with identification of dentofacial and cleft/craniofacial deformities
Familiarity with the treatment planning of dentofacial and cleft/craniofacial deformities
Exposure to the multidisciplinary treatment of dentofacial and cleft/craniofacial deformities
Competency in cephalometric analysis
Exposure to model surgery
Competency in intraoral photography
Familiarity with the identification and management of complications

Facial aesthetic surgery

Understanding of the pertinent anatomy
Familiarity with changes of the aging face
Familiarity with treatment planning for facial aesthetic surgery
Competency in extraoral photography
Familiarity with the identification and management of complications

Maxillofacial pathology

Understanding of the pertinent anatomy
Understanding of the differential diagnosis of disease
Competency in biopsy technique
Understanding of normal histology
Understanding of abnormal histology associated with disease processes
Understanding of the common soft and hard tissue lesions and their pathophysiology and identification
Familiarity with the uncommon soft and hard tissue lesions and their pathophysiology and identification
Exposure to definitive ablative surgery
Familiarity with the identification and management of complications

Maxillofacial reconstruction (including implantology and preprosthetic surgery)

Understanding of the pertinent anatomy
Understanding of the prosthdontist’s needs for prosthetic construction
Understanding of principles and surgical techniques for soft and hard tissue recontouring and augmentation
Understanding of the principles and surgical techniques for dental and maxillofacial implants
Understanding of the basic biology of bone and soft tissue grafting
Understanding of allopastic materials used in reconstructive surgery
Familiarity with flap reconstruction
Competency in simple intraoral preprosthetic preparation and implant placement
Exposure to major preprosthetic and reconstructive surgery
Familiarity with the identification and management of complications

Facial pain and temporomandibular disorders

Understanding of the pertinent anatomy
Understanding of the common types of facial pain, TMDs and their physiology
Understanding of identification of TMD
Understanding of the multidisciplinary treatment of facial pain and temporomandibular disorders
Exposure to temporomandibular joint surgery
Competency in the performance and documentation of a sensory and motor examination of the HNF
Competency in the performance and documentation of a detailed TMD examination
Familiarity with the identification and management of complications

Maxillofacial infection

Understanding of the pertinent anatomy, microbiology and immunology
Understanding of the use of antibiotic prophylaxis
Competency in the identification of maxillofacial infection including interpretation of imaging
Proficiency in the recognition of a potentially compromised airway and life-threatening infection
Understanding of antibiotic therapy
Understanding of the pathophysiology of sepsis
Proficiency in the management of patients with simple odontogenic infection
Competency in the management of patients with complex odontogenic infection
Familiarity with sinus and salivary infection diagnosis and management
Familiarity with the identification and management of complications

Practice based Learning and improvement

Understanding of the use of information technology
Competency in the use of databases, including Medline
Understanding of the ability to analyze own practice for needed improvements, including QA and PI
Understanding of the AAOMS Parameters of Care
Understanding of the facilitation of learning of others
Understanding of critical evaluation of the literature

Systems based practice

Understanding of the interaction of OMFS within the larger healthcare system, including documentation, medical record keeping, coding
Understanding of the delivery of cost-effective healthcare
Understanding of the advocacy of patients within a healthcare system

Acceptable performance on the OMSSAT and Mock Board examinations

The PGY-3 oral and maxillofacial surgery resident rotates through plastic and reconstructive surgery and elective rotations. The PGY-3 resident becomes more independently involved in the surgical treatment of oral and maxillofacial surgery patients.

Fundamental duties are the same as those of PGY-1 and PGY-2 oral and maxillofacial surgery residents.

Direct supervision of the PGY-3 resident is necessary when a Swan-Ganz catheter is inserted into a patient in the surgical intensive care unit.

More advanced operative procedures performed by PGY-3 oral and maxillofacial surgery residents under the direct supervision include the following:

Orthognathic surgery
Reconstructive surgery
Major trauma surgery
Oral and maxillofacial pathology & fractures

By the completion of the PGY-3 year, the resident is expected to achieve the following stated level of skill or knowledge, as put forth in the Curriculum Guidelines in Oral and Maxillofacial Surgery, in the following categories:

Anesthesia/pain management and anxiety control (upon completion of anesthesia rotation)

In-depth knowledge of the anesthetic management of the healthy patient
Understanding of the anesthetic management of the medically compromised patient
In-depth knowledge of the pharmacology of the common analgesics and anxiolytics
Proficiency in airway management
Proficiency in pre-anesthetic assessment
Proficiency in the administration of anesthesia to pediatric and adult patients
In-depth knowledge of the various anesthetic agents, techniques and medications
Competency in fluid management and blood product replacement

Medical management of patients

In-depth knowledge of the pathophysiology of the major disease processes
In-depth knowledge of the pharmacology of commonly used drugs
Proficiency in performance of history and physical exam and admission procedures
Proficiency in the interpretation of laboratory values, EKG and chest x-rays
Competency in the perioperative management of the surgical patient

Dentoalveolar surgery/basic surgical techniques

In-depth knowledge of the pertinent anatomy
Proficiency in the extraction of exposed teeth
Competency in the surgical removal of impacted teeth
Proficiency with sterile and aseptic techniques
Proficiency in the use of surgical armamentarium
Understanding the principles of hemostasis
Proficiency with basic hard and soft tissue management and suturing
Proficiency in intraoperative surgical photography
Understanding of the identification and management of complications

Maxillofacial trauma

In-depth knowledge of the pertinent anatomy
In-depth knowledge of the assessment and management of facial fractures including the interpretation of imaging studies
Proficiency in the management of dentoalveolar injuries
In-depth knowledge of the treatment of the basic facial fracture
Understanding of the treatment of the complex facial fracture
Competency in the management of the severely injured patient
Proficiency in management of soft tissue injuries
Understanding the identification and management of complications

Skeletofacial deformities and cleft/craniofacial deformities

In-depth knowledge of the pertinent anatomy
Understanding of the growth and development and the genetics of the craniofacial skeleton
Understanding of the identification of dentofacial and cleft/craniofacial deformities
Understanding of the treatment planning of dentofacial and cleft/craniofacial deformities
Competency in the multidisciplinary treatment of dentofacial and cleft/craniofacial deformities
Competency in the basic surgical techniques for the correction of dentofacial and cleft/craniofacial deformities
Exposure to the surgical techniques for the correction of cleft/craniofacial deformities
Proficiency in cephalometric analysis
Competency in model surgery
Proficiency in intraoral photography
Understanding of the identification and management of complications

Facial aesthetic surgery

In-depth knowledge of the pertinent anatomy
Familiarity with changes of the aging face
Familiarity with treatment planning for facial aesthetic surgery
Competency in extraoral photography
Familiarity with the identification and management of complications

Maxillofacial pathology

In-depth knowledge of the pertinent anatomy
Understanding of the differential diagnosis of disease
Proficiency in biopsy technique
In-depth knowledge of normal histology
Understanding of abnormal histology associated with disease processes
In-depth knowledge of the common soft and hard tissue lesions and their pathophysiology and identification
Understanding of the uncommon soft and hard tissue lesions and their pathophysiology and identification
Competency at basic definitive ablative surgery
Exposure to involved definitive ablative surgery
Understanding of the identification and management of complications

Maxillofacial reconstruction (including implantology and preprosthetic surgery)

In-depth knowledge of the pertinent anatomy
Understanding of the prosthdontist’s needs for prosthetic construction
Understanding of principles and surgical techniques for soft and hard tissue recontouring and augmentation
In-depth knowledge of the principles and surgical techniques for dental and maxillofacial implants
Understanding of the basic biology of bone and soft tissue grafting
Understanding of allopastic materials used in reconstructive surgery
Understanding of flap reconstruction
Proficiency in simple intraoral preprosthetic preparation and implant placement
Competency at major preprosthetic and reconstructive surgery
Understanding of the identification and management of complications

Facial pain and temporomandibular disorders

In-depth knowledge of the pertinent anatomy
Understanding of the common types of facial pain, TMDs and their physiology
Understanding of identification of TMD
Understanding of the multidisciplinary treatment of facial pain and temporomandibular disorders
Competency at temporomandibular joint surgery
Competency in the performance and documentation of a sensory and motor examination of the HNF
Proficiency at the performance and documentation of a detailed TMD examination
Understanding of the identification and management of complications

Maxillofacial infection

In-depth knowledge of the pertinent anatomy, microbiology and immunology
In-depth knowledge of the use of antibiotic prophylaxis
Proficiency in the identification of maxillofacial infection including interpretation of imaging
Proficiency in the recognition of a potentially compromised airway and life-threatening infection
In-depth knowledge of antibiotic therapy
In-depth knowledge of the pathophysiology of sepsis
Proficiency in the management of patients with simple odontogenic infection
Proficiency in the management of patients with complex odontogenic infection
Understanding of sinus and salivary infection diagnosis and management
Understanding of the identification and management of complications

Practice based Learning and improvement

Understanding of the use of information technology
Competent in the use of databases, including Medline
Understanding of the ability to analyze own practice for needed improvements, including QA and PI
Understanding of the AAOMS Parameters of Care
Understanding of the facilitation of learning of others
Understanding of critical evaluation of the literature

Systems based practice

Understanding of the interaction of OMFS within the larger healthcare system, including documentation, medical record keeping, coding
Understanding of the delivery of cost-effective healthcare
Understanding of the advocacy of patients within a healthcare system

Acceptable performance on the OMSSAT and Mock Board examinations

The PGY-4 oral and maxillofacial surgery resident functions as the chief resident.

Fundamental duties are the same as those of PGY-1, PGY-2, and PGY-3 oral and maxillofacial surgery residents.

More advanced operative procedures performed by PGY-4 oral and maxillofacial surgery residents under the direct supervision include the following:

Orthognathic surgery
Reconstructive surgery
Major trauma surgery
Tracheotomies
Cosmetic surgical procedures
Major oral and maxillofacial pathology surgery

By the completion of the PGY-4 year the resident is expected to achieve the following stated level of skill or knowledge, as put forth in the Curriculum Guidelines in Oral and Maxillofacial Surgery, in the following categories:

Anesthesia/pain management and anxiety control (upon completion of anesthesia rotation)

In-depth knowledge of the anesthetic management of the healthy patient
In-depth knowledge of the anesthetic management of the medically compromised patient
In-depth knowledge of the pharmacology of the common analgesics and anxiolytics
Proficiency in airway management
Proficiency in pre-anesthetic assessment
Proficiency in the administration of anesthesia to pediatric and adult patients
In-depth knowledge of the various anesthetic agents, techniques and medications
Proficiency in fluid management and blood product replacement

Medical management of patients

In-depth knowledge of the pathophysiology of the major disease processes
In-depth knowledge of the pharmacology of commonly used drugs
Proficient in performance of history and physical exam and admission procedures
Proficiency in the interpretation of laboratory values, EKG and chest x-rays
Competency in the perioperative management of the surgical patient

Dentoalveolar surgery/basic surgical techniques

In-depth knowledge of the pertinent anatomy
Proficiency in the extraction of exposed teeth
Proficiency in the surgical removal of impacted teeth
Proficiency with sterile and aseptic techniques
Proficiency in the use of surgical armamentarium
In-depth knowledge of the principles of hemostasis
Proficiency with basic hard and soft tissue management and suturing
Proficiency in intraoperative surgical photography
In-depth knowledge of the identification and management of complications

Maxillofacial trauma

In-depth knowledge of the pertinent anatomy
In-depth knowledge of the assessment and management of facial fractures including the interpretation of imaging studies
Proficiency in the management of dentoalveolar injuries
In-depth knowledge of the treatment of the basic facial fracture
In-depth knowledge of the treatment of the complex facial fracture
Proficiency in the management of the severely injured patient
Proficiency in management of soft tissue injuries
In-depth knowledge of the identification and management of complications

Skeletofacial deformities and cleft/craniofacial deformities

In-depth knowledge of the pertinent anatomy
In-depth knowledge of the growth and development and the genetics of the craniofacial skeleton
In-depth knowledge of the identification of dentofacial deformities
Understanding of the identification of cleft/craniofacial deformities
In-depth knowledge of the treatment planning of dentofacial deformities
Understanding of the treatment planning of cleft/craniofacial deformities
Proficiency in the multidisciplinary treatment of dentofacial deformities
Competency in the multidisciplinary treatment of cleft/craniofacial deformities
Proficiency in the basic surgical techniques for the correction of dentofacial deformities
Competency in the basic surgical techniques for the correction of cleft/craniofacial deformities
Exposure to the surgical techniques for the correction of cleft/craniofacial deformities
Proficiency in cephalometric analysis
Proficiency in model surgery
Proficiency in intraoral photography
In-depth knowledge of the identification and management of complications

Facial aesthetic surgery

In-depth knowledge of the pertinent anatomy
Understanding of the changes of the aging face
Understanding of the treatment planning for facial aesthetic surgery
Proficiency in extraoral photography
Understanding of the identification and management of complications

Maxillofacial pathology

In-depth knowledge of the pertinent anatomy
In-depth knowledge of the differential diagnosis of disease
Proficiency in biopsy technique
In-depth knowledge of normal histology
In-depth knowledge of abnormal histology associated with disease processes
In-depth knowledge of the common soft and hard tissue lesions and their pathophysiology and identification
Understanding of the uncommon soft and hard tissue lesions and their pathophysiology and identification
Proficiency at basic definitive ablative surgery
Competency at involved definitive ablative surgery
Exposure to radical ablative surgery
In-depth knowledge of the identification and management of complications

Maxillofacial reconstruction (including implantology and preprosthetic surgery)

In-depth knowledge of the pertinent anatomy
In-depth knowledge of the prosthdontist’s needs for prosthetic construction
In-depth knowledge of principles and surgical techniques for soft and hard tissue recontouring and augmentation
In-depth knowledge of the principles and surgical techniques for dental and maxillofacial implants
In-depth knowledge of the basic biology of bone and soft tissue grafting
In-depth knowledge of allopastic materials used in reconstructive surgery
Understanding of flap reconstruction
Proficiency in simple intraoral preprosthetic preparation and implant placement
Proficiency at major preprosthetic and reconstructive surgery
In-depth knowledge of the identification and management of complications

Facial pain and temporomandibular disorders

In-depth knowledge of the pertinent anatomy
Understanding of the common types of facial pain and its physiology
In-depth knowledge of the common types of TMD and their physiology
In-depth knowledge of identification of TMD
Understanding of the multidisciplinary treatment of facial pain
In-depth knowledge of the multidisciplinary treatment of temporomandibular disorders
Proficiency at temporomandibular joint surgery
Proficiency in the performance and documentation of a sensory and motor examination of the HNF
Proficiency at the performance and documentation of a detailed TMD examination
In-depth knowledge of the identification and management of complications

Maxillofacial infection

In-depth knowledge of the pertinent anatomy, microbiology and immunology
In-depth knowledge of the use of antibiotic prophylaxis
Proficiency in the identification of maxillofacial infection including interpretation of imaging
Proficiency in the recognition of a potentially compromised airway and life-threatening infection
In-depth knowledge of antibiotic therapy
In-depth knowledge of the pathophysiology of sepsis
Proficiency in the management of patients with simple odontogenic infection
Proficiency in the management of patients with complex odontogenic infection
In-depth knowledge of sinus and salivary infection diagnosis and management
In-depth knowledge of the identification and management of complications

Practice based Learning and improvement

In-depth knowledge of the use of information technology
Competency in the use of databases, including Medline
In-depth knowledge of the ability to analyze own practice for needed improvements, including QA and PI
In-depth knowledge of the AAOMS Parameters of Care
In-depth knowledge of the facilitation of learning of others
In-depth knowledge of critical evaluation of the literature

Systems based practice

In-depth knowledge of the interaction of OMFS within the larger healthcare system, including documentation, medical record keeping, coding
In-depth knowledge of the delivery of cost-effective healthcare
In-depth knowledge of the advocacy of patients within a healthcare system

Acceptable performance on the OMSSAT and Mock Board examinations

Salary and Benefits

No university fees or tuition are charged. Health insurance and parking fees are paid by the individual. Meals and housing are not supplied. More information is available in the Graduate Medical Education Handbook.

Download Handbook (PDF)

Application

Applications are submitted through the American Dental Education Association's Postdoctoral Application Support Service (ADEA PASS).

Deadline: October 1

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