Rotations

A description of the nature of assignments to other departments

Anesthesia rotation
The resident will take a two-week course of instruction in anesthesia and will be exposed to most types of anesthesia and resuscitative techniques under the direct supervision of the department of anesthesia.

Dental residents will complete at least 50 hours of an Anesthesia Rotation
The objectives of this rotation include supervised practical experience in the following:

1. preoperative evaluation
2. assessment of the effects of behavioral and pharmacologic techniques
3. venipuncture technique
4. patient monitoring
5. airway management and intubation
6. administration of pharmacologic agents
7. prevention and treatment of anesthetic emergencies
8. assessment of patient recovery from anesthesia

The resident must involve him/herself in the treatment of the patient from the anesthesiologist’s point of view. This includes everything from the pre-op evaluation to the placement of the IV, the administration of agents, intubation, airway management, extubation, and patient recovery.

(I.V.) Phlepotomy (Intravenous access):
A lab tech will instruct the Dental Resident in hands on venipuncture.
Objective: To gain ability in venipuncture
A minimum of 10 venipunctures

Medicine Rotation
The resident will become familiar with the care and management of patients with various systemic diseases and will perform complete history and physical examinations.

Dental Residents will complete at least 25 hours of a Medicine Rotation working with the Attending Physicians in Beth Prime Care practice located within the medical center

The objectives of this rotation is to provide supervised practical experiences, to include:

1. obtaining and interpreting the patient’s chief complaint, medical, and social history, and review of systems;
2. obtaining and interpreting clinical and other diagnostic data from other health care providers;
3. using the services of clinical, medical, and pathology laboratories;
4. performing a history and physical evaluation and collect other data in order to establish a medical assessment

Formal instruction in physical evaluation and medical assessment is provided, including:

a. taking, recording, and interpreting a complete medical history;
b. understanding the indications of and interpretations of laboratory studies and other techniques used in the diagnosis of oral and systemic diseases;
c. understanding the relationship between oral health care and systemic diseases; and
d. interpreting the physical evaluation performed by a physician with an understanding of how it impacts on proposed dental treatment

Emergency Medical Rotation
The Emergency Medicine rotation consists of 30 hours in the ER under the direct supervision of the emergency department attendings. This will allow residents to anticipate, diagnose and treat medical emergencies that may occur during dental treatment.

Emergency Medicine Rotation Objectives to be fulfilled including lectures by ED personnel:

1. To gain knowledge and/or skill to review a medical history to recognize factors which predispose a patient to systemic emergency during dental treatment
2. To gain skill and/or knowledge to anticipate systemic emergencies by preoperative evaluation and management
3. To gain knowledge and/or skill to manage the primary systemic abnormalities in a patient with a medical emergency
4. To gain knowledge and/or skill to manage a patient’s respiration and/or circulation when required because of systemic collapse
5. To gain knowledge and/or skill to evaluate and manage seizure and sudden loss of consciousness in a patient
6. To gain knowledge and/or skill to manage allergic reactions encountered in the course of dental treatment
7. To gain knowledge and/or skill to manage proper wound debridement and wound closure

The resident is required to be certified in Basic Life Support in CPR

Peds Project Rotation
Working in the Pediatric Medical Clinic the Residents will become integrated in the health care team, working to establish to the patient the importance of preventive dental care and a dental home.

Objective of the Community based Rotation includes:

a) To help patients establish a healthy oral environment and to obtain optimum oral hygiene levels.
b) To provide a good preventive dental program with nutritional counseling
c) To provide a good preventive dental program with plaque control measures
d) To help patients understand the importance of a Dental home
e) To help patients understand that Newark Beth Israel Medical Center can be their Dental Home