Certificate in Oral & Maxillofacial Surgery

Overview

The Oral and Maxillofacial Surgery Program is a six-year course of study leading sequentially to an M.D. and then a Certificate. The program is designed to integrate the advanced biological basic sciences into progressive clinical training. There is an excellent balance between inpatient admissions and outpatient visits encompassing dentoalveolar surgery, maxillofacial trauma, pathology, orthognathic, preprosthetic, temporomandibular, and reconstructive surgery. There are approximately 10,000 outpatient procedures performed annually in the oral surgery clinic and 450 hospital admissions. Emphasis is placed on total health care of the hospitalized patient. Residents are expected to become competent in overall patient management including physical diagnosis, fluid and electrolyte administration, medication, interpretation of laboratory data, etc. Other activities that are used to supplement hospital clinical oral and maxillofacial surgery experiences and rotations include a School of Dentistry assignment, emergency room duty, special clinics, conferences and teaching rounds.

Graduates are expected to be able to act as oral and maxillofacial surgery specialists in private practice, educational, and/or hospital settings; to plan and provide oral and maxillofacial surgery care for a wide variety of patients including those with complex disease comorbidities; to function effectively and efficiently in interdisciplinary health care teams; to apply scientific principles to the selection and provision of oral and maxillofacial surgical services, including evidence-based and critical thinking, outcomes-based quality improvement, and technology based information systems; and to demonstrate professionalism, including ethical principles, patient-centered care, and adaptability.

Admissions Requirements

All applicants for the Oral and Maxillofacial Surgery Program must be graduates of dental schools in the United States or Canada which are accredited by the Commission on Dental Accreditation. The application should have demonstrated outstanding academic ability, maturity, judgment and ambition. The Oral and Maxillofacial Surgery residency program participates in the Postdoctoral Application Support Service (PASS) for application and the National Dental Matching program for selection. You can receive information at: http://www.adea.org/passapp/ or by writing:

PASS
1625 Massachusetts Ave., NW Suite 101
Washington, DC 20036
(202) 332-8790

Degree Requirements

The Oral and Maxillofacial Certificate Program is a full-time course of study, requiring completion of the M.D. as a prerequisite, and then successful completion of 36 months of clinical rotations and successful completion of 6 semester credit hours of required course work.  

Sample Plan of Study

Each course in the following sequence contains modules in: case conference, dentofacial deformities, anesthesia and pain control, journal club, oral pathology, prosthetics conference, and morbidity and mortality conference. Students at each of the various levels participate in common session seminar, lecture, discussion, and case presentation sessions. At each progressive course level, increased knowledge, higher skills, and more-deeply-informed attitudes are expected of the student. 

First Year
FallCredit Hours
OSUR 8501Specialist Advanced Oral and Maxillofacial Surgery 1 (Specialist Advanced Oral and Maxillofacial Surgery 1) 1
Spring
OSUR 8502Specialist Advanced Oral and Maxillofacial Surgery 2 (Specialist Advanced Oral and Maxillofacial Surgery 2) 1
Second Year
Fall
OSUR 8503Specialist Advanced Oral and Maxillofacial Surgery 3 (Specialist Advanced Oral and Maxillofacial Surgery 3) 1
Spring
OSUR 8504Specialist Advanced Oral and Maxillofacial Surgery 4 (Specialist Advanced Oral and Maxillofacial Surgery 4) 1
Third Year
Fall
OSUR 8505Specialist Advanced Oral and Maxillofacial Surgery 5 (Specialist Advanced Oral and Maxillofacial Surgery 5) 1
Spring
OSUR 8506Specialist Advanced Oral and Maxillofacial Surgery 6 (Specialist Advanced Oral and Maxillofacial Surgery 6) 1
 Total Credit Hours: 6.0

Objectives/Program Outcomes

Upon completion of this program, the graduate should be able to:

  • provide competent patient care as evaluated in the six domains of colleague/faculty communication, assessment and data analysis, decision making and judgment, patient communication, patient/family education, and performance of procedures;
  • make use of a fund of medical knowledge in the following three domains:  to develop a clear rationale for procedures, to use evidence-based reasoning, and to address clinical problems;
  • demonstrate adequate technical abilities in the practice of oral and maxillofacial surgery. 

Program Policies

Academic Probation and Dismissal

An advanced education student may be placed on academic probation for reasons of substandard performance in didactic, clinical, behavioral or professional/ethical areas.  A student whose overall grade point average falls below B (3.0) or who receives a final grade of D, F or U for any course during any one grading period will be considered for a recommendation of academic probation by the departmental Residency Oversight Committee of the appropriate program. A recommendation for probation will be made to the Advanced Education Committee’s (AEC) Graduate Program Directors Subcommittee, which is comprised of the Program Directors of all the Advanced Education Programs in the School of Dentistry and the Associate Dean for Student Affairs. Only the Program Directors will be voting members of this Subcommittee; the Associate Dean for Student Affairs will serve in an ex-officio capacity as a non-voting member.  In addition, the departmental Residency Oversight Committee may recommend to the AEC’s Graduate Program Directors Subcommittee that a student be placed on academic probation for clinical, behavioral or professional/ethical performance that does not meet the standards of the program. The AEC’s Graduate Program Directors Subcommittee will formally place the student on academic probation upon majority vote of the members.

A student placed on academic probation will be given written notification by the Chair of the Advanced Education Committee of such status. This notification will serve as an official warning to the student that her or his didactic, clinical, behavioral and/or professional/ethical performance is below standard and continuation in the postgraduate program is in jeopardy.  The student will be allowed an opportunity to correct the substandard performance that led to academic probation status over a probationary time period determined by the departmental Residency Oversight Committee. At subsequent monthly AEC meetings, the Program Director of the affected residency will report to the AEC on the status of the probated student’s progress. Upon the student’s successful correction of performance deficiencies, he or she will be removed from academic probation.  If the reason for academic probation was a GPA below 3.0, the student will remain on probation for as long as her or his cumulative GPA is below 3.0. While on probation, a student must maintain a B average in those courses for which he or she is registered or be considered for dismissal recommendation by the departmental Residency Oversight Committee. A recommendation to remove the student from academic probation will be made by the departmental Residency Oversight Committee to the AEC’s Graduate Program Directors Subcommittee, which will remove academic probation status upon majority vote on the members.

If the substandard performance that led to academic probation is not corrected, the student will be subject to dismissal from the program.  A recommendation for dismissal will be made by the departmental Residency Oversight Committee to the AEC’s Graduate Program Directors Subcommittee. The AEC’s Graduate Program Directors Subcommittee will consider the recommendation for dismissal and will formally dismiss the student from the program upon majority vote of the members.  A student will be subject to dismissal actions without a probationary period if he or she receives a final grade of D or F for 4 (four) or more credit hours of required course work during a single grading period.

During academic probation and dismissal actions, the student may address the AEC Graduate Program Directors Subcommittee in writing or may request permission to appear before the Subcommittee to present her or his views. The Advanced Education Committee will transmit recommendations for dismissal through the Associate Dean for Student Affairs to the Dean. Students may appeal academic dismissal to the School of Dentistry Dean. 

Student Mistreatment

Mistreatment of students will not be tolerated. Mistreatment, intentional or unintentional, occurs when behavior shows disrespect for the dignity of others and interferes with the learning process. Student mistreatment may take many forms all of which impact student performance. Sexual harassment and assault, are defined as forms of student mistreatment  as defined in the Section 4.2.2 “Sexual Harassment and Sexual Misconduct Policy” of the Handbook of Operating Procedures  (HOP). 

Student access to personnel and processes for resolution without retaliation is detailed below. Examples of behavior that are unacceptable to the School of Dentistry include: 

  • Physical or sexual harassment/assault
  • Discrimination or harassment based on race, gender, age, ethnicity, religious beliefs, sexual orientation, or disability
  • Disparaging or demeaning comments about an individual or group
  • Loss of personal civility including shouting, displays of temper, public or private abuse, belittling, or humiliation
  • Use of grading or other forms of evaluation in a punitive or retaliatory manner
  • Sending student on inappropriate errands

Dental students who feel they have been mistreated may report such perceptions to any of the following:

  • Associate Dean for Student Affairs
  • Executive Director of the Academic, Faculty and Student Ombudsperson and ADA Compliance Office
  • Senior Director, Student Success & Title IX Director

These school representatives are empowered to informally discuss a student’s perceptions related to mistreatment, providing guidance. These school representatives should refer the student immediately to the Associate Dean for Student Affairs for further instructions. 

A grievance involving perceived mistreatment can be resolved in an informal or a formal manner. A student pursuing an informal nonacademic grievance resolution must contact the Associate Dean for Student Affairs, in writing, within five business days of the alleged grievance. (If the grievance involves staff, faculty, student(s) from the broader Health Science Center community, the Associate Dean for Student Affairs will liaison with other appropriate authorities, as indicated.) The Associate Dean for Student Affairs will assist the student in the informal resolution of the grievance, to be completed within 30 calendar days from the written grievance. If an informal resolution is not achieved, the aggrieved student has an additional five business days to file a formal written grievance. 

A student considering a formal nonacademic grievance must contact the Associate Dean for Student Affairs for review of applicable policies and procedures. If the allegation is one of sexual harassment/assault, the Associate Dean for Student Affairs will engage the Health Science Center’s Senior Director, Student Success & Title IX Director. The Health Science Center is committed to maintaining a learning and working environment that is free from discrimination based on sex in accordance with Title IX of the Higher Education Amendments of 1972 (Title IX), which prohibits discrimination on the basis of sex in educational programs or activities; Title VII of the Civil Rights Act of 1964 (Title VII), which prohibits sex discrimination in employment (Section 4.2.1 in the HOP); and the Campus Sexual Violence Elimination Act (SaVE Act).

(Please see additional related policies “General Regulations and Requirements, Sexual Assault Policy” at http://www.uthscsa.edu/eeo/harassment.asp )

The student must file a formal written grievance with the Associate Dean for Student Affairs within five business days from the alleged incident. A student initially attempting informal grievance must file the formal grievance, in writing, within five business days of the 30 calendar days allowed for informal resolution. The formal grievance must include a detailed description of the grievance and a proposed resolution, if possible. If the grievance involves/accuses Health Science Center non-dental students or employees, the Associate Dean for Student Affairs will facilitate engagement with appropriate advocacy/supervisory institutional authorities. Copies of the written grievance will be made available to named parties and the appropriate advocacy/supervisory institutional authorities. The Associate Dean for Student Affairs (and appropriate institutional authorities noted above) may, at her/his discretion, hold discussions with or without the involved/accused individual(s) to hear and resolve the grievance, schedule a meeting between the student and the involved/accused individual(s) and/or involve other parties in facilitating a resolution of the grievance. This process will be afforded 30 calendar days from receipt of the written grievance to resolve the grievance, providing the aggrieved student a written summary of resolution. 

If the aggrieved student is dissatisfied with the resolution, he/she may file a formal written appeal with the Dean of the School of Dentistry (SOD) within 5 business days of the decision. The decision of the Dean of the SOD is final. The Dean of the SOD has 30 calendar days to provide a written decision to the student and to the Dean for Student Affairs. 

Courses

OSUR 6000. Introduction to Advanced Oral Surgery for Interns. 1 Credit Hour.

OSUR 6051. Oral Surgery 1. 1.5 Credit Hour.

Didactic presentation of basic principles of oral & maxillofacial surgery is included in this course. Detailed instruction in biopsy technique, suturing, tooth removal, preparation of the mouth for dentures, and minor oral surgery is included. Lab fee included in general laboratory fee.

OSUR 6056. Local Anesthesia. 1.5 Credit Hour.

This is a didactic course dealing with aspects of local anesthesia as they relate to dental practice. Neuroanatomy, physiology, and pharmacology of local anesthesia are presented, as well as the prevention and management of complications and emergencies encountered in clinical local anesthesia.

OSUR 6140. Nitrous Oxide. 0.5 Credit Hours.

This is a didactic and laboratory course presenting the fundamentals of patient anxiety control through the use of nitrous oxide conscious sedation for both the adult and child patient.

OSUR 7051. Oral & Maxillofacial Surgery. 4 Credit Hours.

The junior Oral and Maxillofacial Surgery experience will be a concentrated exposure to the specialty. OSUR 7051 consists of clinical experiences and a self-study, Blackboard-based course. Biweekly seminars will supplement the self-study course. Junior students will be assigned to the Oral and Maxillofacial Surgery service for four weeks. During this time they will treat patients in the outpatient OMS clinic, the University Hospital Clinic Downtown, and they will work in the OMS Suite. Outpatient dentoalveolar surgery will be the focus. Students will have an opportunity to administer nitrous oxide sedation and observe cases where intravenous sedation is used. Opportunities may also be available for a limited number of students to observe and participate in the OR, ER, and on rounds at the University Hospital.

OSUR 8055. Advanced Oral & Maxillofacial Surgery. 0.5 Credit Hours.

This course provides essential advanced information about Oral and Maxillofacial Surgery as it relates to the practice of General Dentistry and covered on the National Board exam. The course encompasses material on advanced dentoalveolar surgery, trauma management, reconstructive surgeries, management of sinus and salivary gland disease, cosmetic surgery and other entities managed by the Oral and Maxillofacial surgeon.

OSUR 8501. Specialist Advanced Oral and Maxillofacial Surgery 1. 1 Credit Hour.

Each course in this sequence contains modules in: case conference, dentofacial deformities, anesthesia and pain control, journal club, oral pathology, prosthetics conference, and morbidity and mortality conference. Students at each of the various levels participate in common session seminar, lecture, discussion, and case presentation sessions. At each progressive course level, increased knowledge, higher skills, and more-deeply-informed attitudes are expected of the student.

OSUR 8502. Specialist Advanced Oral and Maxillofacial Surgery 2. 1 Credit Hour.

Each course in this sequence contains modules in: case conference, dentofacial deformities, anesthesia and pain control, journal club, oral pathology, prosthetics conference, and morbidity and mortality conference. Students at each of the various levels participate in common session seminar, lecture, discussion, and case presentation sessions. At each progressive course level, increased knowledge, higher skills, and more-deeply-informed attitudes are expected of the student.

OSUR 8503. Specialist Advanced Oral and Maxillofacial Surgery 3. 1 Credit Hour.

Each course in this sequence contains modules in: case conference, dentofacial deformities, anesthesia and pain control, journal club, oral pathology, prosthetics conference, and morbidity and mortality conference. Students at each of the various levels participate in common session seminar, lecture, discussion, and case presentation sessions. At each progressive course level, increased knowledge, higher skills, and more-deeply-informed attitudes are expected of the student.

OSUR 8504. Specialist Advanced Oral and Maxillofacial Surgery 4. 1 Credit Hour.

Each course in this sequence contains modules in: case conference, dentofacial deformities, anesthesia and pain control, journal club, oral pathology, prosthetics conference, and morbidity and mortality conference. Students at each of the various levels participate in common session seminar, lecture, discussion, and case presentation sessions. At each progressive course level, increased knowledge, higher skills, and more-deeply-informed attitudes are expected of the student.

OSUR 8505. Specialist Advanced Oral and Maxillofacial Surgery 5. 1 Credit Hour.

Each course in this sequence contains modules in: case conference, dentofacial deformities, anesthesia and pain control, journal club, oral pathology, prosthetics conference, and morbidity and mortality conference. Students at each of the various levels participate in common session seminar, lecture, discussion, and case presentation sessions. At each progressive course level, increased knowledge, higher skills, and more-deeply-informed attitudes are expected of the student.

OSUR 8506. Specialist Advanced Oral and Maxillofacial Surgery 6. 1 Credit Hour.

Each course in this sequence contains modules in: case conference, dentofacial deformities, anesthesia and pain control, journal club, oral pathology, prosthetics conference, and morbidity and mortality conference. Students at each of the various levels participate in common session seminar, lecture, discussion, and case presentation sessions. At each progressive course level, increased knowledge, higher skills, and more-deeply-informed attitudes are expected of the student.