Rotations
 Residents experience several different rotations, both on dental and non-dental services. The sequence of rotations is designed to give residents a phased approach to clinical experience and responsibilities. A balance has been achieved between dental and medical exposures that fulfill the program goals and objectives.
Oral and Maxillofacial Surgery-4 Weeks
U.T. Medical Center is a level I-trauma center and receives a high volume of maxillofacial injuries. The hospital owns and operates two helicopters to transport patients to the hospital. The emergency room staff manages over 48,000 patients per year, many of whom are referred from surrounding counties.
General practice residents spend a 4 total of four weeks each with oral surgery. In this capacity they are the first to see facial and dentoalveolar infection and trauma and they follow these cases from admission, histories and physicals, preparing patient for the operating room and assisting in these and the many other outpatient Oral Surgery cases.
Oral Surgery is an active component of the dental outpatient clinical services, and the residents gain considerable experience in minor oral surgery. Oral surgery attending provide formal instruction on more advanced outpatient procedures.
Family Practice- 4 Weeks
Residents have a one-month rotation with Family Practice for experience with inpatient medical problems that are common in dental patients. Using the training gained in physical assessment, residents are expected to work up, admit, and follow selected inpatients while on the service. Residents gain future experience in taking medical
histories, conducting dialogue, and performing physical assessment on patients. As a member of the Family Practice team, the resident participates in rounds and conferences. They are totally integrated into the medIcal service and function as clerks under the supervision of the medical residents and attending.
Anesthesia-4 Weeks
Residents are assigned to the Department of Anesthesia to learn the principles and techniques of general ancsthesia. Residents see patients preoperatively and follow them through their surgery and recovery room phase. Residents learn preoperative evaluation, intubation, IV's, maintenance of patients on anestheti'c gases and monitoring of vital signs. Emphasis is placed on the pharmacologic and physiologic basis for sedation and general anesthesia. Literature and teaching sessions are provided to residents for study prior to this rotation.
Emergency Room Medicine- 2 Weeks
Residents spend from 1 :00 p.m. to 5:00 p.m. daily for two weeks in the Emergency Room. They are assigned to the Emergency Medicine Department for formal exposure to non-dental emergencies. Emphasis is placed on medical problems, which I could occur in the dental office setting. Dental residents benefit from the large teaching staff in the department.
Knox County Health Department
This rotation is on Monday and Wednesday for one month and includes Oral Surgery, Prosthetics, and Pediatrics.
Second Year Curriculum Plan (In Addition to First Year)
- Orientation for first year Residents
- Off-service rotations (Anesthesia, Oral Surgery, Emergency Room, Health Department, and Family Medicine)
- Custom-made rotations
- Monthly lectures
- Increased clinical time for special interests
- Operating room cases with increased involvement of more complex cases
- More experience in the day-to-day running of a dental office (staff, equipment, supplies, and practice management)
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