RESIDENCY IN OROFACIAL PAIN
Program Director: Dr. John F. Johnson
Orofacial pain is the discipline that involves the differential diagnosis and management of pain and dysfunction of the trigeminal nerve system. More specifically, orofacial pain practitioners evaluate and treat pain and dysfunction involving the masticatory system and associated structures throughout the face, head, neck and shoulders that transmit sensory information into the brain via the trigeminal nuclei.
The orofacial pain residency is a three year program that covers an extensive body of basic medical sciences as related to the study of pain. Because of the inherent diversity of orofacial pain conditions, the residency incorporates clinically relevant information from a wide array of other dental and medical disciplines. The residency curriculum also includes courses that enhance a dental officer's abilities regarding contingency roles, military leadership and personnel management. Successful completion of the program qualifies the resident to challenge the certification examination by the American Board of Orofacial Pain.
FIRST-YEAR PROGRAM
The goal of the first-year program is to provide residents with the foundational knowledge and skills that will enable them to participate in a multi-disciplinary pain practice. The first year program places a concentrated emphasis on acquiring the basic medical science information necessary to develop the theoretical constructs required for clinical practice. All residents are required to participate in NPDS research activities.
First-Year Curriculum
| Course |
Course Hours |
| NPDS 206 Topographical Anatomy |
20 |
| NPDS 201 Applied Dental Psychology |
8 |
| NPDS 218 Management of Medical Emergencies |
2 |
| NPDS 227 Advanced Oral Diagnosis |
12 |
| NPDS 273 Current Pain Literature Seminar I |
40 |
| NPDS 228 Pharmacotherapeutics in Clinical Dentistry |
18 |
| NPDS 231 Systemic Disease in Clinical Dentistry |
24 |
| NPDS 285 Orofacial Pain |
32 |
| NPDS 263 Research Methods I |
10 |
| NPDS 264 Research Project |
120 |
| NPDS 278 Orofacial Pain Grand Rounds |
30 |
| NPDS 276 Orofacial Pain Concepts Seminar I |
105 |
| NPDS 219 Specialty Clinic, Orofacial Pain |
1020 |
| Feedback Sessions |
4 |
| Orientation, GMT, PRT, etc. |
130 |
| Total hours |
1575 |
SECOND-YEAR PROGRAM
The goal of the second-year program is to continue development of the resident's multi-disciplinary diagnostic and pain management skills. Pertinent neuroscience, physiology, pharmacology and psychology topics are reinforced via seminars and grand rounds. Approximately 55 percent of the second year will be devoted to clinical activities in the Orofacial Pain Center and specialty rotations.
Second-Year Curriculum
| Course |
Contact Hours |
| NPDS 236 Oral Pathology |
14 |
| NPDS 310 Teaching Seminar |
5 |
| NPDS 360 Seminar, Oral Medicine |
10 |
| NPDS 355 Research Methodology II |
5 |
| NPDS 381 Seminar, Current Pain Literature II |
40 |
| NPDS 376 Seminar, Orofacial Pain Concepts II |
105 |
| NPDS 382 Seminar, Orofacial Pain Grand Rounds II |
30 |
| NPDS 366 Specialty Clinic, Orofacial Pain |
1271 |
| GMT, PRT, etc. |
95 |
| Total hours |
1575 |
THIRD-YEAR PROGRAM
The goal of the third-year program is to refine the competency of the resident's multi-disciplinary diagnostic and pain management skills and to introduce proficiency in clinical practice. The resident will assume increased responsibilities in seminar preparation and teaching. Residents will rotate through designated medical and surgical services at the Walter Reed National Military Medical Center Bethesda or adjacent medical facilities. Each resident will be required to present a research project and submit a thesis manuscript prior to graduation. Approximately 65 percent of the third year will be devoted to clinical activities in the Orofacial Pain Center and specialty rotations.
Third-Year Curriculum
| Course |
Contact Hours |
| NPDS 249 Anxiolysis |
7 |
| NPDS 281 Forensic Dentistry |
14 |
| NPDS 311 Ethics |
7 |
| NPDS 321 Basic Life Support (Recertification) |
4 |
| NPDS 383 Orofacial Pain Specialty Rotations |
120 |
| HSMP 215 Dentistry and the Law |
30 |
| NPDS 369 Research Project |
150 |
| HSMP 221 Strategic Management in Dentistry |
30 |
| NPDS 481 Seminar, Current Pain Literature III |
40 |
| NPDS 476 Seminar, Orofacial Pain Concepts III |
105 |
| NPDS 482 Seminar, Orofacial Pain Grand Rounds III |
30 |
| NPDS 440 Specialty Clinic, Orofacial Pain |
943 |
| GMT, PRT, etc. |
95 |
| Total hours |
1575 |
|