1	York Hospital GPR York, PA
2	What is York Hospital? Community-Based Teaching Hospital Ranked Top 100 Hospitals in the Nation by Solucient 7 Residency Programs—including Dentistry Located in a small city 1 hour north of Baltimore
3	York GPR: Hospital-Based Residency Hours M-F 8 a.m. to 4:30 p.m. Comprehensive dentistry on your own patients for most of the time 3 Off-Service Rotations for 2 to 3 weeks each Anesthesia Internal Medicine Emergency Medicine Assigned call is split between all residents AM: Dental consultations for patients admitted into hospital PM: Emergency Dept. dental EMERGENCIES and some dental consultations All call is taken from home!
4	What types of things do you get called in for? Emergency Dept: Space Infections Trauma
5	What types of things do you get called in for? Consultations: Physicians order dental consultations when a hospitalized patient presents with dental needs or concerns Examples include: clearing cardiac patients dentally for surgery, space infections and oral pathology
6	York Hospital GPR 2 Clinic Facilities York Hospital Hoodner Dental Center A satellite clinic two blocks away from the hospital Both facilities are set up like a private practice and have windows!
7	Main Hospital: Dental Center Large Practice Environment 10 operatories 6 for doctors 3 for hygiene 7 dentists working at a time A teaching doctor is present every day Fast-paced working environment
8	Hoodner Dental Center The facility opened in the Fall of 2005 5 operatories (4 for doctors, 1 for hygiene) Rotate here 1-2 days per week Teaching doctor always present Small Practice environment Two doctors working Dentists in community volunteer Learn to manage time with Hygiene checks and giving LA for SC/RP while doing work on your own patients
9	Meet the Full-Time Attendings
10	Meet our Part-Time Faculty
11	Meet our Administration
12	Program Set Up A typical week consists of general dentistry (about 8-12 pts/day) 1 teaching doctor is assigned per day to help and teach the residents if we should ask for it Weekly Wednesday AM patient care conferences Discuss difficult treatment plans, consultations and emergencies so we can all learn Lectures from community dentists on various topics from pediatrics to orthodontics. Residents give Journal Club and Clinical Conference Presentations on pre-assigned dental and medical topics
13	A typical day Most patients have medical assistance to cover dental care There is no financial limit to this insurance so we are able to provide the treatment which we think is best for patients Insurance covers Restorative, Endodontics, Oral Surgery, Pediatrics, Limited Prosthodontics which includes crowns and dentures, partials
14	Teaching Cases For the procedures that insurance does not cover, the program offers the opportunity for residents to provide the service to the patient at cost—ie, patient to pay for lab fees. This includes cosmetics, bridges, implants, etc We often do selected perio sx like crown lengthening, gingivectomy, distal wedge, etc at no cost to the patient if the resident wishes to gain experience in that area
15	What we don’t do! No more SC/RP! We have full-time hygienists who do this for us
16	What we don’t do! No more lab work, setting up, cleaning up, and having our patient hold the suction! We pretty much ALWAYS have an assistant assigned to us
17	What we don’t do! No more scheduling our own patients! We have a front desk staff who does this for us We choose how much time we need for each procedure
18	Operating Room Every Tuesday we do 3 or 4 OR cases under general anesthesia One attending and one resident is blocked out for the day Patients are generally pediatric and special care cases.
19	Dental Emergencies Every quarter the whole dental team breaks into small groups and role-plays various emergencies, we learn how to properly handle the situation Residents play role as “doctor” so we are forced to play out each emergency step by step Attendings supervise the small groups to make sure everyone is learning the correct steps to make sure everyone is learning the correct emergency protocol
20	Research Every May, we have an annual Resident’s Research Day The Dental Dept. encourages residents to do research either on their own or in groups This can include a “research project” or dental case studies that are relevant to the medical community
21	Library Journal Reading Room Dental Section Librarians will pull, photocopy, & mail your journal article requests to you!
22	Technology Rotary Endodontics ProTaper and GT Files Obtruation Systems Vertical Condensation w/ System B and Obtura, Calamus Root ZX-Apex Locator Ultrasonic Root Cleaner Cordless Rotary Handpiece
23	Technology Implant System We use Zimmer Implants We are given a formalized course from Zimmer in to demonstrate implant placement for a variety of scenarios 2 Free Implants are given to each resident and placed under the guidance of a Periodontist
24	Technology Media Intraoral camera/Video To show patients images of their restorations/teeth Can record video for procedures like implant placement and surgery Digital Camera with Intraoral lens and flash Good for documenting cases Good for taking pictures of oral pathology
25	Technology Electrosurge Diagnodent Laser Nitrous Oxide
26	Benefits Salary: competitive Increases 3% every year Educational Stipend: $1600 PTO: 12 days Educational Leave: 5 days Interviews: 5 days 403b pre-tax contribution Affordable and good health, dental and vision insurance Free Rx for you and your family!
27	Benefits Unlimited Free Food that actually tastes good!
28	Benefits The GPR is the only dental-related residency in the hospital, so we get to do everything Program Flexibility If you have a particular interest, York GPR will try to cater to it More RCT Advanced Surgical Procedures Esthetics Visit local dentists in Private Practice
29	Apply for York’s Externship and GPR