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Residency in Oral Medicine

Naval Postgraduate Dental School

Walter Reed National Military Medical Center

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RESIDENCY IN ORAL MEDICINE, ORAL DIAGNOSIS,
AND ORAL AND MAXILLOFACIAL RADIOLOGY

Each year there is an opportunity for two qualified military dental officers to enroll in the two year residency program in Oral Medicine/Oral Diagnosis/Oral and Maxillofacial Radiology. Extensive clinical and didactic experiences are provided in the treatment of medically compromised dental patients and in the diagnosis and non-surgical management of medically related disorders affecting the oral and maxillofacial area. The oral medicine staff at the Naval Postgraduate Dental School consists of 2 full-time board certified oral medicine specialists, one of whom serves concurrently as the Oral Medicine Specialty Advisor to the Chief, Bureau of Medicine and Surgery. Successful completion of the program meets the board eligibility requirements of the American Board of Oral Medicine.

Oral diagnosis is that area of dental science which deals with the gathering, recording, and evaluating of information that ultimately contributes to the identification of the patient’s chief complaint and/or abnormalities of the head and neck region. The purpose of obtaining this information and recording it in an orderly manner is to establish a diagnosis from which a rational and defensible treatment plan can be formulated.

Oral medicine is the part of dentistry that is involved in the diagnosis and treatment/management of primary and/or secondary diseases involving the oral and paraoral structures. The practice of oral diagnosis/oral medicine includes the application of knowledge of pathophysiology of disease, pharmacotherapeutics, and dental sciences that leads to establishment of a diagnosis, management of the condition, and maintenance of the patient’s health.

Oral and maxillofacial radiology is that specialty of dentistry which deals with the use of ionizing energy for the diagnosis of diseases affecting the head and neck regions, and which is usually limited to the use of x-radiation. The study of the causes of disease, its processes and effects, together with the associated alterations in oral structure and function, are essential components of oral and maxillofacial radiology. The practice of oral and maxillofacial radiology includes the use of radiographic, laminagraphic, sialographic, clinical, biochemical, radioisotopic, and other laboratory examinations and procedures required to establish a diagnosis, provide information for maintenance of patient health, or help to correct structural or functional changes resulting from deviations from the normal.
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FIRST-YEAR PROGRAM

The first-year program establishes the criteria for appropriate diagnosis and management of patients seeking dental care. Emphasis is placed on understanding physiologic and pathologic processes involved in head and neck disease. Techniques in physical diagnosis, radiology, and histologic evaluation are applied to clinical practice in both hospital-based and independent dental clinic environments. The resident participates in clinical and literature review seminars and presents formal lectures on topics of particular interest. A research project related to oral diagnosis or the management of medically compromised patients is required.

First-Year Curriculum
Course
Contact Hours
NPDS 201 Applied Dental Psychology
NPDS 227 Basic Diagnostic Procedures
NPDS 202 Biochemistry
NPDS 232 Clinical Oral and Maxillofacial Radiology I
NPDS 230 Clinical Oral Diagnosis/Oral Medicine I
NPDS 208 Endodontics (hours 7-11, 23-26, 28)
NPDS 281 Forensic Dentistry
NPDS 203 Immunology
NPDS 218 Management of Medical Emergencies/BLS
NPDS 344 Maxillofacial Prosthetics (hours 15-19, 28)
NPDS 204 Microbiology
NPDS 255 Microcomputer Fundamentals
NPDS 221 Naval Operational Management
NPDS 249 Nitrous Oxide/Oxygen Sedation
NPDS 224 Occlusion (hours 1-9)
NPDS 225 Operative Dentistry (hours 3-7)
NPDS 229 Oral Diagnosis/Oral Medicine Seminars I
NPDS 231 Oral Medicine and Physiology of the Medically Compromised Patient
NPDS 236 Oral and Maxillofacial Pathology
NPDS 239 Oral Surgery
NPDS 285 Orofacial Pain
NPDS 240 Orthodontics (hours 1-4)
NPDS 222 Pediatric Dentistry (hours 1-2)
NPDS 241 Periodontics (hours 1-6, 14, 20, 21, 33)
NPDS 228 Pharmacotherapeutics in Clinical Dentistry
NPDS 272 Principles of Dental Imaging
NPDS 263 Research
NPDS 264 Research Methodology I
NPDS 282 Seminar, Medical Emergencies
NPDS 379 Seminar, Current Literature Review
NPDS 206 Topographical Anatomy
Feedback Sessions
Orientation, GMT, PRT, etc.

Total hours
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9
18
12
120
974
10
14
18
6
6
18
4
16
6
9
5
68
24

31
6
31
4
2
9
19
46
132
6
3
60
20
4
130

1,840

 

SECOND-YEAR PROGRAM

The second-year program provides advanced training in clinical diagnosis, teaching, research, and patient management. The expanded clinical program includes the management of patients with increasingly complex medical problems and rotations through several related medical specialty services in the hospital. Residents participate in seminars on special imaging techniques, advanced oral and maxillofacial pathology, and pharmacology. In addition, residents devote substantial time to research projects, scientific writing, and presenting lectures for departmental and continuing education programs at the Naval Postgraduate Dental School.

Second-Year Curriculum
Course
Contact Hours

 

NPDS 321 Basic Life Support (Recertification)
NPDS 328 Clinical Oral and Maxillofacial Radiology II
NPDS 327 Clinical Oral Diagnosis/Oral Medicine II
NPDS 371 Dental Administrative Management
NPDS 311 Ethics
HSMP 215 Health Services and the Law
HSMP 221 Health Systems Strategic Planning
NPDS 326 Oral Diagnosis/Oral Medicine Seminars II
NPDS 330 Outservice Medical Rotations
NPDS 323 Principles of Dental Imaging
NPDS 264 Research Methodology II
NPDS 355 Research Project
NPDS 331 Seminar, Clinical Oral Pathology
NPDS 379 Seminar, Current Literature Review
NPDS 282 Seminar, Medical Emergencies
NPDS 360 Seminar, Oral Medicine
NPDS 332 Seminar, Surgical Oral Pathology
NPDS 329 Teaching, Oral Medicine
NPDS 310 Teaching Seminar
GMT, PRT, etc.

Total
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4
50
792
16
8
20
20
70
520
40
9
102
15
51
3
10
29
20
6
95

1,840

   
   

 

Block Bottom Long

The quest for ever-improving patient care for military readiness as well as for overall family health is our defining mission. To us, this means that our health practices are founded on the latest medical knowledge with state of the art technology. Delivery of service must, in our view, be in the trusted hands of a staff that possesses a caring, warm, and sincere human touch.

 

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Walter Reed National Military Medical Center

8901 Rockville Pike
Bethesda, MD 20889-5600
(301) 295-4611; toll-free 1-800-526-7101
www.bethesda.med.navy.mil