Advanced Education in General Dentistry, Two–Year Program

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The Advanced Education in General Dentistry, Two–Year (AEGD-2) Program at Fort Hood, Texas, provides professional education at the post–doctoral level. The purpose of the program is to produce a versatile general dentist who is responsible for and responsive to the oral health care needs of patients in the military community. Upon graduation, the dental officer will know both his capabilities and his limitations. This knowledge will enable him to provide patients with comprehensive dental treatment, or, when necessary, referral to the appropriate specialist.

Graduates of the program are awarded the “C” suffix to their 63B primary SSI. Senior residents in good academic standing may take the written portion of the American Board of General Dentistry in the spring of their senior year. The oral examination is offered in the spring of the following year. Upon successful completion of both portions, the individual is board certified and is awarded an SSI of 63B9B.

The program is sponsored and conducted by the United States Army Dental Activity at Fort Hood, Texas. The Fort Hood installation is the largest military post in the free world, with a population of approximately 46,000 military personnel and associated family members, retirees, Department of the Army civilians, and contract personnel. Correspondingly, the Fort Hood Dental Activity is composed of six dental clinics, including Dental Clinic #2 located in Carl R. Darnall Army Medical Center and the Dental Inprocessing Center.

The majority of the training program is conducted at Billy Johnson Dental Clinic, Dental Clinic #2, and Carl R. Darnall Army Medical Center. Junior resident training in oral surgery and hospital dentistry occurs at Dental Clinic #2, Carl R. Darnall Army Medical Center, and Billy Johnson Dental Clinic. Junior and senior residents receive their training in comprehensive care to include prosthodontics, periodontics, and endodontics, at Billy Johnson Dental Clinic. Rotations in orthodontics and pediatric dentistry are also completed at Billy Johnson Dental Clinic for both junior and senior residents. In addition, clinic time is provided to ensure “continuity of care.”

The teaching staff is composed of boarded and board eligible specialists representing every discipline of dentistry. The criteria for their selection as mentors require not only educational qualifications, but also a firm commitment and dedication to post–doctoral dental education. The majority of the staff is assigned full–time to the teaching program. The teaching staff is augmented by a visiting staff of distinguished civilian guest lecturers also representing each of the disciplines of dentistry and areas not covered within the residency.

The AEGD–2 Program is accredited by the Commission on Dental Accreditation (and has been granted the accreditation status of “approval without reporting requirements”). The Commission is a specialized accrediting body recognized by the United States Department of Education. The Commission on Dental Accreditation can be contacted at (312) 440-2719 or at 211 East Chicago Avenue, Chicago, IL 60611.

Program Philosophy

The Advanced Education in General Dentistry, Two–Year Program (AEGD-2) is a comprehensive education experience providing training in all the disciplines of dentistry. It is predominantly a clinically oriented program but includes a significant didactic component.

The clinical phase of the program consists of training in all of the dental specialties. It is designed to emphasize the basic general dentistry concepts of total patient care and continuity of treatment. The resident will gain knowledge and experience in examination, diagnosis, and treatment planning of patients with multi–di disciplinary dental treatment needs and complicating medical histories. The resident is then expected to provide for the patient’s dental treatment needs that are within his capabilities, and to coordinate referral to appropriate specialists for those specific dental treatment needs that are beyond his capabilities.

Patient screening, selection, and assignment are directed toward providing the resident with patients requiring a broad range of dental treatment. Isolated, independent rotations have, therefore, been avoided whenever possible. The more interdependent specialties such as removable and fixed prosthodontics, operative dentistry, periodontics, and endodontics have been scheduled to provide for integrated training. This type of scheduling is intended to encourage and assist the resident in the provision of comprehensive care for as many of his patients as possible. In order to maintain continuity of treatment for patients and continuity of experience for the resident, specific clinic time is provided outside of the pure specialties. Comprehensive care patients will be treated during the comprehensive care rotation, but can also be scheduled in the individual specialty areas.

Clinical experience in orthodontics has been scheduled during the entire two–year program in order to give the resident the opportunity to integrate minor tooth movement cases with other specialty areas such as prosthodontics and periodontics. Pediatric dentistry has also been scheduled during both years to allow the resident to provide comprehensive care and recall follow–up for pediatric patients, especially in areas of preventive dentistry and the developing dentition.

The didactic component is an important aspect of the program. It includes a review of the basic sciences as they relate to each of the dental specialties. The curriculum provides the resident with a broad academic background from which sound clinical judgments are made regarding diagnosis, treatment planning, and the selection of the most appropriate treatment method for each patient. The didactic component is scheduled throughout the training year and includes lectures, seminars, literature reviews, clinical conferences, treatment planning conferences, and special projects. Special projects involve writing an original research paper or literature review, and resident lectures.

Mission Statement

Provide for the future support of the US Army through training in general dentistry of officers who will be the leaders of the Army Dental Care System.

Support the missions of the US Army Dental Activity, US Army Dental Command, and the US Army.

Program Goals

Advanced Education Programs in General Dentistry are educational programs designed to provide training beyond the level of pre–doctoral education in oral health care. Education in these programs is based on the concept that oral health is an integral and interactive part of total health. The programs are designed to expand the scope and depth of the graduates' knowledge and skills to enable them to provide comprehensive oral health care to a wide range of patients.

The goals of the Fort Hood AEGD-2 Program are to prepare each graduate to:

  1. Act as a primary care provider for individuals and groups of patients. This function includes providing emergency and multidisciplinary comprehensive oral health care, providing patient–focused care that is coordinated by the general practitioner, directing health promotion and disease prevention activities, and using advanced dental treatment modalities.
  2. Plan and provide multidisciplinary oral health care in a dental clinic and hospital setting for a wide variety of patients, including patients with special needs.
  3. Manage the delivery of oral health care by applying concepts of patient and practice management and quality improvement that are responsive to a dynamic health care environment.
  4. Function effectively and efficiently in multiple health care environments within interdisciplinary health care teams.
  5. Apply scientific principles to learning and oral health care. This includes using critical thinking, evidence– or outcomes–based clinical decision–making, and technology–based information retrieval systems.
  6. Utilize the values of community service, professional ethics, lifelong learning, patient–centered care, adaptability, and acceptance of cultural diversity in professional practice.
  7. Develop the resident’s skills in professional oral and written communication.
  8. Prepare and motivate the resident for continuing study and attainment of board certification in general dentistry.
  9. Prepare the resident to assume positions of increasing responsibility and authority as an officer, a clinician, a mentor, and a leader in the United States Army Dental Corps.

Program Objectives

To increase the resident’s competence and confidence in the various disciplines which are integral components of the practice of general dentistry.

To enhance the resident’s ability to make judgments in examination, diagnosis, treatment planning, and decision–making during the course of patient treatment and assessing post–treatment outcomes.

To improve the resident’s ability to interact with all health care practitioners treating the patient, by acting as the coordinator of the patient’s total oral health care.

To enhance the resident’s understanding of and experience in the efficient delivery of quality dentistry, via good patient and staff management principles.

To encourage the resident’s interest in and appreciation for the dental literature and to develop a commitment to continuing dental education.

To develop the resident’s skill in oral and written communication.

To prepare the resident to assume positions of increasing responsibility and authority as an officer in the US Army Dental Corps.

Curriculum

Clinical Assignments:

Patients who present with problems requiring treatment in several disciplines are identified at examination. These patients are assigned so each resident will encounter problems of increasing complexity as they progress through their training. Patients are carefully screened and assigned to ensure that each resident receives an appropriate variety of clinical experiences. Records of each resident’s clinical activities are maintained and evaluated monthly to assure that the desired quality and mix of patients are maintained.

Comprehensive care is one of the major objectives of the program. Residents spend time throughout the course of the program providing comprehensive care. This extends from the treatment planning phase through completion of patient care. All comprehensive care is accomplished under the supervision of graduates of an AEGD-2 program. The balance of each resident’s clinical time is spent under the supervision of specialists.

Didatic Assignments:

Treatment Planning Boards – One presentation per resident per year. One resident will present a patient’s diagnostic data and problem list, then the other residents will prepare a sequenced treatment plan. The presenting resident will then discussed the sequenced treatment plan prepared with input from the Director, Assistant Director, and other appropriate mentors. Discussion of treatment plan rationale between residents and mentors will follow.

  • Clinical Conferences – held throughout the year. Residents present interesting cases or procedures encountered. Progress with treatment planning patients is also discussed.
  • Literature Reviews – held throughout the year. Mentors assign articles, which each resident must be prepared to discuss at the literature review meeting.
  • Specialty Seminars – presented in block lectures during orientation month and throughout the year.
  • Nitrous Oxide/Conscious Sedation Training – formal 3–day course in conscious sedation held early in the first year of training. The course includes lectures, demonstrations, and supervised patient treatment.
  • BLS Training – 8 hours for certification or 4 hours for recertification, during orientation.
  • ACLS Training – Formal two–day course for certification held towards the beginning of the first year.
  • Consultant Visits – held throughout the year. Guest specialty consultants present lectures not only to residents, but also to the entire DENTAC.

General Policies

Resident Advisor: The Director of the AEGD/2yr Program will serve as the resident advisor. The Director will meet with all of the residents monthly. The purpose of the meeting is for the dissemination of information, policy and schedule changes, etc. Residents with questions or problems of a personal nature may see the Director on an individual basis.

Activities Calendar: The activities calendar is published monthly by the Program Director. It contains specific information including lectures, consultant visits, treatment planning conferences, literature reviews and special events. It also contains information on DENTAC continuing education activities, which all residents are expected to attend, but which are not directly related to the residency. These include Commander’s Calls, Combat Emergency Preparedness Courses and professional meetings.

Physical Training: Physical fitness and weight control is receiving increased emphasis in today’s Army. A notation of performance on the Army Physical Readiness Test and conformation to the Army height and weight control standards is mandatory on all Officers Efficiency Reports. Although group physical fitness training will be done as part of the program, physical fitness is the soldier’s personal responsibility. Officer residents are required to pass two physical evaluation tests during the training year.

Authorized Absences: Residents may be granted 14 days of ordinary leave to be taken during the Christmas holiday period. Passes and leave will not be routinely granted during the training year; however small leaves of important nature may be approved at other times, including the last two weeks of June. Leave requests will be submitted thru the Program Secretary to the Program Director. Final approval will depend upon several factors, including the residents’ performance during the training program, research paper and table clinic progress, and duty commitments.

Civilian Employment: Due to the demanding academic and clinical curriculum, residents are not allowed to practice outside the military work place.

Further Information
To contact the Fort Hood AEGD-2 Program:
Secretary, Advanced Education in General Dentistry, Two–Year Program
Ph. (254)286-7411 Fax: (254)286-7473
or
Director, Advanced Education in General Dentistry Program
Ph. (254)286-7412
For further information on applying to Army AEGD programs, contact:

Chief, Graduate Dental Education
(210) 295-9604
FAX (210) 221-2832


page last modified on: 6/4/2014

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