OMFS Programs Overview

[Ivy.ch]

Case Western Reserve University - 2023/2024 Program Update​

Hello current and future applicants! With the application deadline past, it's time for interviews! Since Case usually has our interviews at the beginning of the cycle, we figured it's a great time to push out another program update. During the interview season, things move very fast, so use this post as a reference as you start thinking about your rank list.

We love our program! I hope you all have the chance to interview here and meet us in person so we can show you why. If you aren't fortunate enough to match, we also welcome you to join us for a non-categorical year.

Case Western Reserve University has the nation’s only 5-year MD integrated OMFS program. We match 3 residents per year, 1 international resident, 1 research fellow, plus a variable number of non-categoricals (usually ~3-5).

Our Website

Year 1 (7 months UH OMFS, 3 months VA OMFS, 2 months Anesthesia)
Before you begin the program, you will take the CBSE again in May or June. You are required by the Case Western medical school to score above a 70 before you can take USMLE Step 1. You will take Step 1 in June or July, prior to going on service. Most of our interns take Step 1 in June so they have the rest of June and July to relax before they start August 1st.

As an intern, you are the backbone of our busy clinic. We are extremely resident-run, which comes with a lot of benefits, but also requires a strong work ethic by everyone on the team. In clinic, you will do all the procedures under local - that means impacted wisdom teeth, full mouth extractions, bone grafting, biopsies, expose & bonds, consults, etc. If it's under local, it's for the interns. With that said, there are always upper level residents in clinic to help if you should find yourself in a situation where you need help. You will also be in charge of overseeing the dental students and rescuing them when they get stuck with their patients. As a VA resident, your dentoalveolar experience is unmatched. You will be performing similar procedures as your time at the Case Western clinic, but your focus will be placing implants. Most of our residents place 100-200 implants at the VA their first year, many of which are multi-unit cases. At the VA, we plan the cases on our CBCT and place them freehand. At the VA, you’ll have much more supervision, and residents appreciate the close relationship with the faculty who serve as our personal coaches. In the hospital, you will manage our inpatients and learn how they are managed pre- and post-operatively. Interns take the most primary call of all the residents (see details below), but of course, there's always an upper level who has your back if needed. On anesthesia, you’ll be rotating at University Hospitals main campus. By the end of your anesthesia rotation you will be comfortable inducing, intubating, managing, and emerging patients from general anesthesia. We work one on one with CRNA’s and anesthesia residents, under the supervision of an attending anesthesiologist. When off service on anesthesia, you are not expected to participate in any on-service duties such as taking call and attending lectures. Throughout first year, you will have various medical school seminars learning how to do full H&P’s and you’ll be tested with actors in simulation exams. This is generally once per week during the evening. Not bad for getting to skip MS1 and MS2. You pay a very small amount of tuition this year.

Year 2 (12 months medical school)

You are a third year medical student. Your rotations include Surgery, Emergency Medicine, Neurology, Psychiatry, Pediatrics, OBGYN, Internal Medicine, and Family Medicine. You have no on service responsibilities. Most rotations treat us like regular MS3’s, some (like surgery and EM) will give us more responsibility and treat us more like acting interns. This is generally a light year that makes way for the potential for lots of reading. Most residents take STEP 2 in May or June right after their final MS3 rotation. You pay for medical school this year. This is generally the year we complete our CODA research requirement.

Year 3 (6 months UH OMFS, 3 months Metro OMFS chief, 3 months Anesthesia including 1 month dedicated pediatric anesthesia)

You are a midlevel resident, spending nearly the entire year on OMFS service. In clinic, you are head honcho most days. You will be doing IV sedations in the clinic all day (we do IV sedations 5 days a week), while supervising the 1st-year residents doing all the local cases. You are also placing most of the implants for all the dental student patients. After you learn to freehand at the VA, we've been moving to fully guided for our dental school implants, so you'll learn both ways. We have an intraoral scanner, model scanner, CBCT, 3D printer, and guided kits. You'll be comfortable with Straumann, Zimmer, BioHorizons, and Nobel by the time you're done. When in the the OR, you are 2nd operator for most cases, and usually chiefs will let you be 1st operator for infections and trauma cases. While at Metro, YOU ARE THE CHIEF. You do all the OR cases, and you run the clinic with 2 Metro non-cats. You are taking a lot of backup call, but notably less primary call than intern year. This is technically your 4th year of medical school, but besides taking STEP 2, you have no medical school responsibilities (except tuition). In May, you graduate from the medical school and get your MD. On anesthesia, you’ll have an entire month dedicated to pediatric cases. Many residents finish their graduation anesthesia requirements (300 total cases, 150 of which must be ambulatory OMFS cases) by the end of 3rd year.

Year 4 (3 months OMFS at UH or Metro, 3 months ENT, 3 months Plastics, 1 month Trauma Surgery, 1 month Pediatric Surgery, 1 month Trauma ICU)

At most programs, this is a full “GenSurg year” where you spend 12 months on the general surgery team. At Case, you will spend 3 months on OMFS continuing your responsibilities as a midlevel/chief. On ENT, you'll spend time with our nationally-ranked Head & Neck colleagues doing flaps and flaps and flaps. Plastic surgery done is at MetroHealth for 3 months where you’ll get more exposure to flaps, reconstruction, and cosmetic surgery. The final 3 months are a month each of TICU, Trauma Surgery, and Pediatric Surgery. Most of our residents take STEP 3 during 4th year. We receive 2 years of ACGME credit toward medical licensure. YES, 2 full years of ACGME credit!

Year 5 (12 months OMFS)

As chief, you will be chief of the UH team. You are ultimately responsible for all aspects of the service. You will be in the operating room multiple days every week as the primary operator. Our faculty puts a great deal of trust in us to be prepared for our cases, and in turn, we cut 100% of the cases. Our attendings are there to teach us and help us when we need it, not to do the procedure and have us assist. When you are not in the operating room you will be in clinic doing sedations, seeing your post-ops, and training the lower level residents. This is a busy year with a lot of responsibility, but when you finish chief year you will be ready to go out and practice independently and confidently.

Total 34 months of OMFS


Scope
We are a broad-scope program, including ample training in dentoalveolar surgery, implants, sedations/anesthesia, orthognathic, pediatric cases, TMJ, infections, benign pathology, reconstruction, trauma, and cosmetics.

Dentoalveolar: Being on the ground floor of a dental school with 80 students/year and speciality departments, we are flooded with dentoalveolar cases. You will be more than comfortable managing any dentoalveolar case and administering in office sedation.

TMJ: I think we do more custom TMJ replacements than 90% of programs. We get referrals from throughout Ohio and beyond. We offer a full spectrum of options ranging from conservative treatments like TMJ Botox and arthrocentesis, to aggressive treatment like total TMJ replacement.

Infections: These are a great opportunity to allow our junior residents a chance to be primary operators in the OR setting. We see enough of these that you will quickly become comfortable managing these patients surgically and medically.

Dental Implants: As I mentioned above, most residents place 100-200 at the VA their first year. Then do even more as a midlevel at the dental school. I think the numbers speak for themselves. We use Zimmer, Straumann, BioHorizons, and Nobel. We use CoDiagnostics for our planning software. We have an in house 3D printer and design and print our own surgical guides.

Orthognathic: We have a great orthodontic department that provides a steady stream of referrals. Case Western is home to a craniofacial orthodontics fellowship program which means we work hand in hand with the fellow on complex orthognathic cases. Our attendings are well known and respected in the community and also receive a high volume of referrals from private orthodontists. At MetroHealth we have a steady stream of OSA patients on whom we perform MMA. Our residents all graduate feeling very comfortable working up, planning, and performing orthognathic surgery.

Cosmetic Surgery: This is where we stand out. Dr. Quereshy brings us to rhinoplasties, face lifts, neck lifts, blepharoplasties, facial implants, and more. In clinic, we keep the Botox and Filler stocked and ready to use. I think I've done almost 150 filler cases myself. We've had residents match into cosmetic surgery fellowships in the past, and we seem to keep attracting more who want to pursue it.

Trauma: Most programs have good trauma, and we're no exception. We cover two Level I trauma centers (University Hospitals main campus and MetroHealth), so we are not lacking for trauma cases. There are parts of Cleveland with high crime rates in the Summer, and there are lots of MVCs in the Winter thanks to the ice. Lacerations are done in the ED by our interns, and you'll see plenty of dog bites, falls, assaults, and slips on ice. We get too many mandibles and orbital fractures. Once in a while we get those gnarly pan facials from a self-inflicted gunshot wound or MVC. We cover trauma call every 3rd week, with ENT and Plastics covering the remainder of the time.

Pathology/Reconstruction: We do not do malignant pathology - we have our excellent ENT colleagues for those cases. Most of us residents appreciate that we do not manage malignant pathology on our service and can refer these patients to ENT, and we see it as a blessing of the program. We do anything benign, no matter the size of the ameloblastoma or myxoma or ameloblastic fibroma. Dr. Baur is a big name in treatment of osteonecrosis, so he gets all the referrals from local surgeons for MRONJ and ORN. For reconstruction, we do lots and lots of iliac crest grafts, rib grafts, and mandibular autografts.

Craniofacial: Our craniofacial experience is limited to some secondary bone grafting and cleft orthognathics. We do not do primary cleft or craniofacial reconstruction. Just like for malignant path, most of us enjoy not managing complex craniofacial cases on our service.

Sedations/Anesthesia: I think this is where we excel. We run a very busy clinic, including IV sedations 5 days/week. When we are fully staffed with residents, we do 2 or 3 sedations per hour all day. Most of the residents here plan to go into private practice, so excellent clinic training is important to us all. Many of us are done with our CODA sedation requirements by the end of 3rd year.


Facilities
Our home is the first floor of the CWRU dental school building across the street from the Cleveland Clinic. The building is about 4 years old. Ask anyone who has externed with us - we have beautiful facilities! TV in every patient room, modern chairs and lights, clean and well lit interiors, wonderfully helpful staff, and plenty of space. We have a lab, pre-op/post-op areas, storage rooms, a resident room, a conference room, and much more. We have an entire army of dental students, ortho residents, and AEGD residents who are a constant stream of referrals to us. The new Samson Pavilion where we hold lectures and have medical school lectures is next door to our dental school.

Our clinic has 2 OR’s. Full-blown operating rooms. We are currently completing the process of credentialing and staffing these as ambulatory OR’s so we can start operating at our home base. We’re hoping to have these up and running by 2024. We’re really excited about opening these, because it means we can move all of our ambulatory cases out of the hospital OR’s and replace the block time with bigger cases.

Our OR home is University Hospitals Cleveland Medical Center, a Level 1 trauma center, about a 5 minute drive down Euclid Ave. We operate out of Mather OR (UH’s main OR) and Prentiss OR (UH’s pediatric OR). We also operate at some of UH’s satellite sites, including Ahuja Medical Center and Mentor Medical Center.

MetroHealth is a Level 1 trauma center on the west side of Cleveland. It's about 15-20 minutes from the dental school. Metro is the county hospital and a very busy trauma center.

The Louis Stokes VA Medical Center is a 3 minute drive from the dental school. This is where you rotate 1st year.

Call
Interns take the most primary call, generally ~q4-5. The non-cats also pick up some non-trauma days to help out. We split trauma call with ENT and plastics, with us taking every 3rd week. Metro and UH have two separate teams, so you will never be on call at both hospitals at the same time. It can be very busy on trauma nights. Any laceration, fracture, or god-knows-what to the head will be lighting up your pager. Thankfully, we have an AEGD team who takes tooth call. We do not splint teeth, this is handled by AEGD. Sometimes AEGD will call us in for an infection they don’t think they can handle, but they always go see the patient first to screen out a lot of the nonsense tooth calls other programs sometimes have to deal with. So non-trauma days are generally pretty quiet. We have a dedicated call room and we receive a food stipend. The VA has a pager but it rarely goes off.

Faculty
Dr. Dale A. Baur, DDS. Program Chair. Dr. Baur does just about everything. He is trained in Head & Neck. He's most known for benign path, osteonecrosis, orthognathics, and TMJ replacement. He is also very involved in the dental school, serving as vice dean among other roles.

Dr. Faisal A. Quereshy, MD, DDS, FACS. Program Director. @FaceSurgeon. Dr. Quereshy operates broadly, but is most famous for his cosmetic work. He runs a successful private practice in Ohio from which he sometimes refers patients.

Dr. Keith Schneider, DMD, FACS. Dr. Schneider covers a lot of our trauma and is honestly one of the calmest, nicest people I've ever met. He also runs a very successful private practice in Ohio. He brings many patients from his private practice (as well as local prisons) to our service for surgeries.

Our VA attendings are…
Dr. Michael Horan, MD, DDS, PhD, FACS - Clinic Director
Dr. John Brokloff, DDS

Our MetroHealth attendings are…
Dr. Petra Olivieri, DMD, MD (Case grad from 2021) - Division Chief
Dr. Justin Clemow, DMD, MD, FACS
Dr. Alan Martinez, DDS

We also have various faculty who cover our clinic and act as mentors to us. They include…
Dr. Donald P. Lewis, DDS, CFE (Case grad)
Dr. James Perhavec, DMD (Case grad)
Dr. Maximillian G. Beushausen, DMD, MD (Case Grad from 2018)
Dr. Thomas J. Dietrich DDS, MD (Louisville grad from 2010)

We have dedicated staff, who are a blessing to have around. They assist in scheduling patients in the OR and clinic, seating patients, turning over rooms, taking patients to radiology, organizing cabinets, stocking supplies, and maintaining our medication room.

Finances
You are paid a stipend ~$65k-70k every year except 2nd year.
You pay tuition (~$55k) 2nd and 3rd year.
Financial aid is available from Case Western Reserve University.

Lectures/Didactics
We have set lecture series which occur most mornings. Our lecture series include…

• Case presentations (We review the upcoming 2 weeks of cases. What are we doing? How are we doing them? What concerns do we have?)​
• OMFS Lecture Series (We split up the chapters in Petersons and Fonseca and we take turns giving lectures about the chapters)​
• Orthognathic Conference with the Orthodontics Department​
• AEGD Conference with the AEGD Department, usually focusing on implants​
• Oral Pathology with our UH oral pathologist​
• Emergency Lectures with Dr. Perhavec, covering anesthesia emergencies, clinic emergencies, etc.​
• Pathology Lectures with Dr. Helman (Michigan Head & Neck trained).​
• On Fridays, it’s usually a miscellaneous lecture, could be an extra OMFS Lecture, M&M Conference, etc.​

Research
We are expected to “participate in research activity” as mandated by accreditation. What you do is largely up to you. Some will complete it during medical school. We have been taking a research fellow each year, which has been awesome, because it allows us to focus on the surgery part, and the research fellow takes care of the research part, and we have been publishing a lot more thanks to them.

Externships
We try to always have an extern scheduled each week. It’s the best way to see our facilities and get a feel for our program culture. Externs tend to enjoy the week with us. When you’re here, we try to get you to every OR case we can. You are our guest and we do our best to treat you well. We always call you for any trauma which rolls in to get you involved.

Cleveland
It’s definitely not as bad as you’ve heard. Our university has a beautiful, private school campus feel and while there are bad parts of Cleveland, you will have zero reasons to go there. Looking to live close? Try University Circle or Little Italy. Looking to live somewhere young and hip? Try Ohio City or Tremont. Looking for a nice suburban neighborhood with families? Try University Heights or Beachwood.

In the Summer, downtown always has a pool party somewhere. For the outdoors people, Cayahoga National Park and the MetroParks is a common spot to hike or you can visit Edgewater Park and sit on the beach. For the cultured types, we have the Cleveland Orchestra and Cleveland Museum of Art, or you can take a stroll down to Little Italy for a fancy dinner and gelato. Sports fans will enjoy the Cleveland Browns, Cleveland Cavaliers, and Cleveland Guardians games. And if you really need to get away, Cleveland Hopkins International Airport is 15 minutes from downtown.

Residents
Our team of residents come from all over the country, of all different cultural and religious backgrounds. Many are engaged or married, with or without kids. In common, we are all hard working with easygoing personalities. We joke around a lot and spend time together, inside and outside of work.

In summary, we love this program. Every resident I know here ranked Case #1 on their match list which says all you need to know about our program. We are truly proud of our setup.

Highlights

• Resident culture which blends hard work ethic with easygoing personalities.​
• Resident-driven program.​
• Extensive clinic, dentoalveolar, and sedation experience.​
• Attendings with private practice experience.​
• Limited Med School and Gen Surg time.​
• Strong associations with a dental school, a VA, and surrounding OS private practices.​

We are looking forward to meeting you all during interviews!

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[donttouchmymayo]

Mayo Clinic OMFS
Rochester, MN
Follow us at @mayoclinicoms

With the 2023-2024 application deadlines approaching, we wanted to provide an update to our program overview! As always, we encourage applicants to come extern and see for themselves. Also, please reach out on Instagram or contact our residents with any questions you have (or shoot us a DM here).

Basic Structure/Schedule:
6-year dual-degree program with 2 residents per year.
*See attached image for outline*

PGY1: Start with 7.5 months OMS and finish the year with 3.5 months medical school. Interns will spend fairly equal time between OR, procedure clinic, and consult clinic. The OMS time is broken down into 4 week rotations with each consultant’s service, allowing you to build trust with consultants and gain autonomy (2 full rotations with each consultant during the year). Intern year is VERY hands on. You start learning the foundations of surgery and are 1st assisting and closing most major cases. Midway through intern year, many interns are operating on Leforts, open joints, performing tracheotomies, comfortable with all impacted 3rds, placing implants, etc. Usually the intern is the primary operator for the 2nd/3rd OR. Emphasis is on training/education and the pager is held by our NP/PAs during the day so interns don’t scrub out to see consults or check on floor patients. Intern year ends and medical school starts at the end of February.

PGY2: Continue at Mayo Clinic Alix School of Medicine (top-tier medical school). During medical school selective weeks (every couple months) we return to OMS. Step 1 is taken Nov/Dec before clerkships start in January. No call responsibility unless on OMS service. Receive stipend throughout all of medical school (see website for exact amount), along with an OMS scholarship towards med school tuition. Residents are welcome to come back to help in the OR or clinic on days off or non-mandatory med school classes.

PGY3: Complete medical school clerkships in November of 3rd year (we only spend 20 months in medical school). Remaining 7 months of this year are on OMS. Also have 1 week of Dermsurg, 1 week of Occuloplastics, and an excellent 1 week microvascular surgery course mixed in.

PGY4: 6 weeks of OMS. 5 months of anesthesia with 1 month dedicated to peds, 6 months of general surgery subdivided into 6 weeks of Plastics and SICU along with 3 months of endocrine surgery - primarily working in the neck with thyroids/parathyroid (no butts and guts).

PGY5: 4 weeks vascular surgery, 5 weeks trauma surgery, 4 weeks transplant surgery, and 6 week OMS trauma rotation in Portland or Puerto Rico (resident choice), 1 week cleft mission trip to Central America with Dr. Viozzi, remainder of the year on OMS. *We receive 2 years of ACGME credit.

PGY6: Entire 12 months OMS (total of 40 months OMS experience during residency).

Facilities:
All facilities are at the Mayo Clinic in Rochester, MN. Mayo is comprised of primarily 2 areas: “Downtown" and St. Mary's Hospital which are less than a mile apart and have continuous free shuttles between. Our consultation clinic and procedural clinic are Downtown in connected buildings. We operate out of St. Mary's Hospital and our inpatients stay here in the same unit, making rounding as efficient as possible. Mayo Clinic is consistently ranked as the #1 hospital in the country and the world - top of the line facilities, equipment, and staff (not to mention how efficient the overall Mayo system functions).

Consultation Clinic:
We wear suits (Mayo tradition) for consult clinic. We typically only do new consults and follow-ups here. Occasionally some small biopsies and nasopharyngeal scopes. Due to the nature of Mayo Clinic, many of our patients travel from across the country and world giving us a very broad range of clinical profiles.

Procedure/outpatient Gonda clinic:
Our clinic is very similar to a private practice style. Typical schedule has ~7 sedations in the AM and ~8 local anesthetics in the PM every weekday. Due to volume, the resident in clinic will perform both consult and treatment of patients the same day (unless patient needs more extensive pre-op planning or OR). If there are two residents in the clinic, the upper level resident will run the sedation and split the case with the intern/junior resident when possible. Most 5th and 6th year residents feel very comfortable with all 3rds and allow the intern to do at least half if not all of the case unless they are falling behind. Consultant typically hangs out in the workroom and just says hi to patients unless consultant from another department comes for a procedure. Procedures include typical dentoalveolar like 3rds, implants, sinus lifts, grafting, biopsies, expose and bonds, etc. We have 3 heavily-equipped procedure rooms fully staffed with surgical techs. Sedations will have 3 techs in room with 2 assisting, and local anesthetics will have 2 assistants (this allows resident to go room to room performing procedures efficiently). We have multiple nurses that help to pre-op and recover patients after sedations. Residents are able to focus solely on consulting patients and performing procedures (no scut-work, breaking down or setting up involved). Residents regularly finish the program having done 400-500 IV sedations in OMS clinic (with ~800 including general anesthetics), placing ~300-400 implants, and proficient with all 3rd molars and implant cases. On Wednesday mornings, we schedule pediatric patients, providing residents even more experience with sevo breath downs, toddler IVs, and anything that comes with pediatric anesthesia in the outpatient practice setting. The world is your oyster with the outpatient clinic; some pursue more or less of the above-stated numbers depending on their post-graduate plans.

OR Scope:
We are a full-scope program with excellent numbers for dentoalveolar, orthognathic, TMJ, infections, benign/malignant pathology, reconstruction, and trauma. We have 2 start ORs 5 days a week and often get a 3rd room.

A very unique part of our program is the quantity/quality of TMJ procedures such as arthroscopies (all levels) and total joint replacements. Upper level residents become proficient in performing total joint replacements on their own. To give perspective, one of last year’s chiefs performed 99 open joint procedures, including 65 total joint replacements during his 6th year (This is not including the few dozen scopes that he did as well).

All of our orthognathic cases are planned virtually with no labwork. Assistants obtain scans, so in terms of planning we are able to focus mostly on the VSP. We perform a lot of traditional orthognathic cases as well as jaw cases on craniofacial patients and maxillomandibular advancement for OSA. Residents are very hands on with all cases getting to do at least half of the case or more. Each consultant uses different technique for their cases providing residents with a broader skillset.

We are the primary service for our free flaps and commonly perform trachs, fibulas, radial forearms, ALTs, scapulas, and parotids. Our fibulas and scapulas are all planned by VSP and we use custom cut guides and plates. While we do a lot of oncology and reconstruction, there is very little scut work and the overall efficiency of the Mayo system and allied health staff puts busy work to a minimum. Nurses do all of the flap checks and there is no in-house call. Upper level residents that have interest in H&N have the opportunity to raise flaps, perform neck dissections, ablations, and do the micro as we do NOT have fellows. We perform all flaps with a 2-team approach so we regularly get done around 2-3pm. All residents will be comfortable with tracheotomies and trach management.

We are not heavy on trauma but as a level 1 trauma center we get trauma from the community as well as Wisconsin, Iowa, and the Dakotas. Most trauma comes from MVCs, assaults, farm accidents, and ATV/snowmobile accidents. We typically have a few GSW and several panfacial fractures per year on top of plenty of mandible/midface fractures, and lacs. Fifth year residents go to Portland or Puerto Rico for a 6 week trauma rotation (covered by Mayo). Trauma numbers are easily obtained without this rotation, it is simply supplemental.

We do alveolar clefts, distractions, and orthognathics on craniofacial patients but we do not do primary cleft lip or palate or cranial vault. We are part of the cleft/craniofacial clinic here that meets regularly which provides good experience treatment planning. Cosmetics is limited here as it is not a big interest or expertise of our consultants. Most of our experience will come on our plastics rotation where we gain exposure to typical full body and facial cosmetic cases.

Resident Schedule:
Scheduling is based on the Mayo mentorship model where interns are assigned to a consultant for 4 weeks and rotate through each consultant's service twice before med school. Typical schedule will be 1-3 days per week in the consultation clinic, procedure clinic, and OR. Residents round in the AM and PM on patients who are under the care of the consultant they are following. Senior residents usually spend ~3 months at a time with each consultants service. Chief residents are able to tailor and format their schedule to their interests (for example, last year one chief performed 99 open joint procedures and 12 flaps, the other did 100+ flaps and ~20 open joints).

Residents of all levels have great autonomy and get excellent hands-on surgical experience. Staff is great about letting us do whatever we are comfortable with while still having oversight and back up as needed.

Call:
All call is home call. There is an OMS call room at the hospital if needed. Interns take the vast majority of first call throughout the year with an upper level resident on second call. Upper levels take second call split equally between all upper levels on service. We are always on call for our inpatients, post op calls, hospital consults, and ED tooth call (infections and dentoalveolar trauma). There is no GPR and we are the only service with dental training that takes call, so all tooth calls come to us. The ED is very good about only calling us if there is CT confirmed abscess to be drained. They don’t call us for odontogenic pain/cellulitis very often. No extractions or arch bars in the ED. Typically interns rotate call q2 on weekdays and every other weekend (resulting in super weekend for whoever is off) for the first portion of intern year, then adjust to a lighter schedule when the 3rd years return to OMS after completion of med school in November.

We take full facial trauma every 3rd week, split equally with ENT and plastics. Whatever "from pleura to dura” comes in during that week is ours. Interns typically take trauma call every other day during that week.

Didactics:
Usually there are 3 conferences per week (both virtual and in-person), in the mornings between rounding and the OR. Both staff and residents present at conferences covering a wide range of topics. We also have weekly conferences with the dental specialties (prosth, perio, ortho) at Mayo including an orthognathic and ‘complex dental’ conference. There is a monthly pathology conference reviewing cases with the head/neck pathology experts at Mayo. Residents are also provided numerous resources for self-directed learning including textbooks, SCORE subscriptions, etc.

Consultants:

• Kevin Arce MD DMD: H&N fellowship trained at Legacy Emmanuel, Division Chair
  • Practice is primarily benign and malignant pathology and recon. Also does a good amount of zygomatic implants.
• Jonathan Fillmore MD DMD, Program Director
  • Practice is primarily arthroscopies and arthroscopic procedures, total joint replacements, orthognathics, and dentoavleolar.
• James Van Ess MD DDS
  • Practice is primarily orthognathics and dentoalveolar (tons of implants).
• Christopher Viozzi MD DDS
  
  • Practice is primarily alveolar clefts, orthognathics, surgical management of OSA, some TMJ, and dentoalveolar
• Kyle Ettinger MD DDS: H&N fellowship trained at UF Jax, Associate Program Director
  • Practice is primarily benign and malignant pathology and complex microvascular recon.

*All are full-time with no private or faculty practice so they are fully committed to resident training*

We have an OMS NP and PA who during the day see ED and hospital consults, manage inpatients, take patient phone calls, see post ops and coordinate care. We also have an NP dedicated to the H&N practice that sees patients in the clinic and assists in the OR. Each consultant has an ‘extender’ to help their service run smoothly from an admin standpoint (again, so residents can focus on surgery and not any scut/paper work).

Staff are very nice and approachable. We regularly go for happy hour and golf with our consultants. Residents get along and have a great team mentality. Routinely have get togethers outside of work. We are the opposite of a malignant program. Our program is also pretty evenly balanced between single vs. married residents, and multiple residents have children. Come extern and see for yourself!

Rochester:
Rochester is located in Southeastern Minnesota roughly 1 hour south of Minneapolis/St Paul. Rochester’s population is 115,000 and continues to grow as part of a $5.6 billion investment into Mayo Clinic and Rochester. Rochester is centered around Mayo Clinic. It’s not going to have the night life or as many entertainment options as living in a big city. But cost of living is low here and traffic is nonexistent. They have been adding more and more new restaurants and breweries. Mayo Clinic has their own credit union and will give mortgage loans to residents despite coming in with large student loan debt so all of the residents in our program buy homes or townhomes (the rates are also better than other ‘doctor loans’). The housing market has been very favorable to sellers. Rochester has many golf courses and a nice country club that gives residents an extremely good deal so many residents that golf join.

Additional Perks:

• Relatively high stipend, stipend during medical school, generous food money, textbooks, SCORE subscription, Mayo issued Laptop, access to Mayo Surgical Skills lab including microscope for microvascular practice.
• Two attendance trips of your choosing paid by Mayo during residency - one of which can be international. (This does not include the Puerto Rico/Portland trip which is also paid by Mayo.)
• If presenting at a meeting, Mayo always covers travel, hotel, food, and registration.
• Excellent staff and advanced practice provider support allows residents to focus on patient care and training.
• Free garage parking at all Mayo facilities.
• Access to DAHLC (Mayo Employee Gym) for free during medical school, and a very low cost as a resident.
• Health insurance and other benefits for entire 6 years (including medical school). There is also a Mayo Reimbursement Fund that is replenished yearly which residents can use for any dental and vision costs - Most don’t use the entirety of these funds and they can be used for loupes (many residents graduate with multiple pairs of free loupes).
• Mayo GME also gives 4 weeks of vacation along with generous paternity/maternity leave. Check website to learn more about this, along with other benefits for spouses and children.

Medical School:
Excellent education, pass/fail, Step 1 taken before December of 2nd year. Med school will pay for your UW subscription for both Step 1 and 2. Will be gifted a custom 3M Littman stethoscope at the start of med school. We continue to receive stipend during medical school (see website for exact amount). We also receive scholarships from the medical school and the OMS department making the overall cost ~$30k/year. Residents typically take out some loans for COL.

Recent Graduates:
Most graduates enter private practice. However, other recent graduates have matched into H&N and cosmetic fellowships.

Externships:
As an extern we strive to give you exposure to multiple aspects of our program, including meeting all of the consultants. You will scrub in and assist in the OR and outpatient procedure clinic following the residents/consultants. Externs typically visit for 1 week at a time however longer externships are welcomed.
Externship Application

Website:
Oral and Maxillofacial Surgery Residency, M.D.-O.M.S. (Minnesota) - Mayo Clinic School of Graduate Medical Education - Mayo Clinic

Come extern and follow us on IG to learn more! @mayoclinicoms

 

[Bupivacaine Bear]

I’ve heard Oklahoma is switching to a 6-year. Can anyone confirm this or offer more information?

 

[odontoblaster90210]

Overview for the Rutgers OMFS program (2023 Update)

The program provides a well-rounded full scope experience that is shaped by the individual resident's desires and interests. Residents are held at high standards and expected to lead clinical decisions as well as perform with clinical efficiency and skill as early as PGY-1. Interested applicants are encouraged to participate in an externship. You can also find additional information regarding the Rutgers OMFS residency program on Instagram page and website.



The Program has a 4-year track and a 6-year integrated MD track with New Jersey Medical School in addition to having 4 non-categorical interns.

Scope:

• We are full scope OMFS. OR cases include dentoalveolar, orthognathics, surgical cosmetics (one of the very few programs that perform surgical cosmetics in the country), hard and soft tissue reconstruction, any and all maxillofacial trauma, TMJ, and ablative head and neck cancer and pathology (in conjunction with ENT team that harvests, anastomoses, and manages postoperative monitoring of free flaps)
• Craniofacial cases include primary cleft lip and palate repairs (one of a minority of programs that do this), alveolar cleft bone grafts
• Lingual nerve and Inferior Alveolar Nerve exploration and repairs (Dr. Ziccardi is one of the busiest surgeons in the country in regards to these procedures)
• Dentoalveolar (high volume of cases from University Hospital Clinic, Dental School Clinic, and Faculty Practice)
• Orthognathic Surgery
• TMJ surgery including arthroscopy, arthroplasty and total joint replacements
• Maxillofacial trauma (high volume due to University Hospital being a busy level 1 trauma center)
• Maxillofacial reconstruction (i.e. soft tissue local flaps, large bone grafts with autogenous harvest, alveolar distraction osteogenesis, vestibuloplasty, fibula debulking for dental implants, trigeminal nerve microsurgery, etc.)
• Benign Pathology
• All ablative aspects of pre-malignant and malignant head and neck cancer including tracheostomy, neck dissection, full oral cavity cancer and salivary gland ablative procedures with Dr. Shanti
• Non-surgical and Surgical Cosmetics (*Based on resident interest* one of the busiest programs in the country in regards to this - ability to perform surgical cosmetic procedures in dental school and in OR, along with full range of non-surgical procedures offered such as botox/filler/PRP injections/dermabrasion/chemical peels)
• Dental Implants and associated procedures: OMFS residents combined place 600+ implants a year. It is very common to graduate with 300+ implants placed, full scope of procedures performed (GBR, autogenous block grafting, free gingival grafts, connective tissue grafting, all on X procedures with zygomatic and pterygoid implants, immediate loading of prostheses, sinus augmentation). Dental Students and prosthodontic residents work up many cases for surgical management
• Sedations: Performed 3 days a week at University Hospital & 5 days a week at Dental School. Most graduates have between 400-500 anesthesia cases by graduation

Location:

· University Hospital is our main campus in Newark, NJ. University Hospital is a busy level one trauma center offering a large pool of trauma patients consisting of assaults, GSWs, MVC, and work-related injuries.
· Most of the residents live in the surrounding lively upcoming neighborhoods including Hoboken, Jersey City, Weehawken, Edgewater, suburban towns and even New York City.


· Car required
OR:

• We have reserved guaranteed block time 4 days of the week (Monday, Tuesday, Thursday, Friday), along with 1 Wednesday a month. We mostly operate 5 days/week (or more if needed) with added-on traumas or elective cases.
• We predominantly operate at University Hospital, but elective cases are also done on a 1-2 times/week in Newark Beth Israel in Newark (~15 minutes from University Hospital) and St. Peters Hospital in New Brunswick, NJ (~35 minutes from university hospital). Chiefs and/or seniors also attend additional orthognathic cases at John F Kennedy hospital in Edison (~20 minutes from Newark) with Dr. Aziz weekly
• All this block time means that we have the case load to fill it consistently. The program far exceeds the CODA program requirements in all categories.
• Takeaway: A lot of OR time (practically daily), diversity in cases

Clinic:
· Multiple with large volume and wide scope
1. University Hospital clinic:
a. Daily, average of 50 patients/day
b. Average of 3 residents see and treat all patients, with attending supervision
c. 4-5 IV sedation cases booked for 3 times/week, run by mid level or senior resident
d. Dentoalveolar, infections, traumas, pathology, pre and post ops
2. Dental School Clinic (located right next to university hospital, the buildings are connected):
a. Multidisciplinary practice with patients who come from outside referral, self-referral, referral from other dental school departments (general, orthodontics, pediatrics, oral medicine, dental student clinic)
b. Residents see and treat all patients, with attending supervision
c. IV sedations, procedures under LA +/- nitrous (dentoalveolar, sinus lifts, pre-prosthetic, implants, biopsies, botox, fillers), consults, pre-op, post-op, etcs
d. No responsibility to oversee dental student clinic
e. Daily: assigned 1 PGY-1 and 1 senior resident
PGY 1: Average of 15 pts/day
Senior resident:
AM: 5 IV sedations daily
PM: average 5 pts/afternoon sessions daily or an elective bigger case (see bullet points below for examples)
f. Extra OMFS chairs and IV sedations rooms can be used by residents not assigned to the dental school for elective cases. Examples cases include:
i. Multi-unit implants, All-on-4s, zygomatics implants, pterygoid implants, blepharoplasty, face lifts, lip lifts, chemical peels , various bone graft (split thickness, ramus block graft, etc)
g. Technology: Multiple implant systems available, 3D printing for in house guide making
3. Faculty practice in Newark
a. Dr. Ziccardi and Dr. Shanti
b. 2-3 times/week, half days
c. Attending clinic staffed by 2-3 residents
4. Faculty Practice in New Brunswick
a. Dr. Adachie: 4 times/week, staffed by 1 PGY-1
b. Dr. Shanti: 1 times/week, staffed by Chief Resident

Call:
· Midface alternates every third day between OMFS/Plastics/ENT
· Only at University Hospital (in house, without having to travel between sites)
· Dental call is covered by the GPR residents every day
· Averages to 4 times/month (split between PGY-1 class of 7 - 3 cat, 4 non cat- and mid levels).
· $25 stipend/call + extra $ (~$200/month for spending in cafeteria)



6 Year: (1 resident/year)

Highlights: (compare these to other programs)
· Only 14 months of med school (clerkships, no didactics)
· Get paid all 6 years of residency
o Average of 2 calls/months while in medical school unless excused during some rotations
· Pay in-state tuition (~$32,000/year) for 2 years of med school
o Tip: always ask programs how many years of tuition need to be paid, sometimes it is more than the years you attend
· 46 months of OMFS
· 6 months of general surg
· You complete whole intern year before clerkships, this allows you to navigate through clerkships with an advantage, and have adequate experience taking OMFs call when scheduled
· Note: Step 1 (Pass/Fail) is taken prior to the start of the program

Year 1: Intern Year
o 2 months at New Brunswick Faculty practice + Saint Peters OR
o 2 months at the dental school
o Rest of time is spent at UH clinic/OR
o Residents are paid at a PGY1 level

Year 2: MS3 Med school clerkships
o Average of 2 calls/months while in medical school clerkship except Medicine rotation
o Residents are paid at a PGY2 level

Year 3: Anesthesia/Medical school/Mid-level resident


o From June to August, residents will complete their first 3 months of Anesthesia training as a full anesthesia resident. Residents are responsible for intubations, running OR cases, taking anesthesia call during this time.
o From September to November, resident will complete 4th year NJMS requirements including 1 month of emergency medicine, 1 month of SICU, and 2 weeks of PM&R, (Completing 14.5 months of medical school).

o Step 2 usually taken early this year
o December to June, resident return back to OMFS on service rotation for 7 months. During this time, the resident will be responsible for IV sedation cases in University Hospital outpatient clinic, increased exposure to OR cases with expanded roles, and placement of implants
o Residents are paid at a PGY3 level

Year 4: General surgery/ Mid-level resident


o From July to April, resident will have 6 months of general surgery rotation as a 1st year general surgery resident. All general surgery rotations are completed in University Hospital.
o During this 9 month period, residents will also complete another 3 months of Anesthesia (total of 6 months).
o From April to June, residents return back to OMFS service with mid-level responsibilities.

o Residents are paid at a PGY4 level



Year 5: Senior


o Senior residents go through 2 month blocks between being the hospital senior, dental school, and float senior
o Hospital senior is responsible for IV sedations in the outpatient clinic during the week, increased role in the operating room including primary assist, and placement of implants
o Dental school senior is responsible for IV sedations in the dental school outpatient clinic as well as implant treatment

o Take a third of back up call/month. Average 1 primary call every 3 weeks
o Residents are paid at a PGY5 level



Year 6: Chief

o Chief residents rotate between attending/hospital teams in 2 month blocks. Each team has set attendings where the assigned chief will treatment plan, primary assist in the OR, and follow up on operated patients
o Chief residents will have increased exposure to implant cases with increased complexity including all of 4-6, full mouth rehabilitation cases
o Residents are paid at a PGY 6 level with a chief stipend



4 Year:
(2 residents/year)






Year 1: Intern year
o 2 months at New Brunswick Faculty practice + Saint Peters OR
o 2 month at the dental school
o Rest of time is spent at UH clinic/OR
o Residents are paid at a PGY1 level
o Later in the year, the two 4 year categorical resident reports for 6 months of Anesthesia
o Residents are paid at a PGY1 level



Year 2: Anesthesia/ off service rotations




o March to August Anesthesia training as a full anesthesia resident. Residents are responsible for intubations, running OR cases, taking anesthesia call during this time. No responsibilities to the OMFS service when completing off-service rotations
o August to May off service rotation which includes, 2 months of medicine, 2 months of trauma, 2 months of SICU, 1 month of Plastics, 1 month of ENT


o Residents are paid at PGY2 level

Year 3: Senior




o Senior residents go through 2 month blocks between being the hospital senior, dental school, and float senior similar to residents in year 5 of the integrated MD program
o Hospital senior is responsible for IV sedations in the outpatient clinic during the week, increased role in the operating room including primary assist, and placement of implants
o Dental school senior is responsible for IV sedations in the dental school outpatient clinic as well as implant treatment

o Take a third of back up call/month. Average 1 primary call every three weeks

Year 4: Chief

o 


Chief residents rotate between attending/hospital teams in 2 month blocks. Each team has set attending where the assigned chief will treatment plan, primary assist in the OR, and follow up on operated patients
o Chief residents will have increased exposure to implant cases with increased complexity including all of 4-6, full mouth rehabilitation cases
o Residents are paid at a PGY 4 level with a chief stipend

Faculty:

Full Time Faculty
o Vincent B. Ziccardi, DDS, MD, FACS (Chair): Full scope OMFS, Nerve repair specialist, Cleft repair (Head of the craniofacial team), orthognathics, benign pathology, trauma, cosmetics


o Rabie Shanti, DMD, MD (Director): Fellowship trained in head and neck oncologic surgery/microvascular reconstruction at Louisiana State University Health Sciences (Shreveport). Oral Cancer, Oral Precancerous Lesions, Benign And Malignant Jaw Tumors, Salivary Gland Tumors, Osteoradionecrosis Of The Jaw, Medication Related Osteonecrosis Of The Jaw, And Maxillofacial Reconstructive Surgery. Rutgers OMFS alum.
o Hani Braidy DMD: Full scope OMFS, orthognathics, trauma, Benign pathology, Implants ( Along with Dr. Zweig runs the implant program)
o Barry Zweig, DDS: Head of the implant program at Rutgers, extensive experience in full scope OMFS
o 
Salvatore Napoli DMD: Undergraduate clinic director of the dental school clinic, full scope OMFS
o Anayo Adachie, DMD, MD: Full scope OMFS, orthognathics (Posnick fellowship), benign pathology, trauma
o Chang min R Yim, DMD: trained in Walter Reed National Military Medical Center and served honorably in the U.S. Army. Full scope practice
o Mostafa Alwakeel, DMD: Interested and devoted to evidenced based dentoalveolar procedures including bony and soft tissue augmentation

Part time Faculty
O In addition to staffing our predoctoral and resident clinics, many of our part time faculty bring OR cases to the program from their private offices covering the full scope of our specialty.
o Benefit of various perspectives from large range of faculty with many decades of practical private practice experience
o Dr. Shahid Aziz, DMD, MD, FACS :Full scope OMS Founder of Smile Bangladesh providing cleft surgery to the Bangladesh community twice per year bringing Rutgers senior and chief residents. Operates at University Hospital ~2 times/month, and residents attend participate with orthognathic cases at JFK Medical Center in Edison, NJ weekly
o Pam Alberto, DMD
o Gerard Begley, DMD
o Mohammed Boukheir, DMD
o Emil Cappetta DMD
o Sung Cho DMD
o Husham Edani DMD
o Larry Gorzelnik DMD, MD
o Nancy Herbst DMD
o John Mullins DMD
o Victor Petriella DMD
o Hugo Quinones DMD
o Mohammed Rabah DMD
o Ignatius Scalia DMD
o David Serratelli DMD
o Imad Tamimi DMD
o Judith Tuchman DMD
o Marie Woke, DMD


Program Culture: 
Busy program with high expectations at all levels. There is a strong emphasis on didactic education and clinical learning. Residents are required to review past and current literature on all treatment that is rendered to patients. There is increasing advocacy and support for resident wellness.

Scope:

Full scope with large volume for most procedures. Many orthognathic cases per year and total joint replacements. First hand nerve repair experience. >250-300 implants placed by the end of residency. Cosmetics (based on resident interest including rhinoplasty, rhytidectomies, injectables, blepharoplasties, fat transfer). Large volume of benign and malignant pathology cases with resections and reconstructions. University hospital is the only state run level 1 trauma center in New Jersey.
Fellowships:

 Residents interested in continuing their training with a fellowship match from Rutgers OMFS. In the previous years, residents matched into their desired fellowships including microvascular with Dr. Ghali, orthognathic with Dr. Tucker, microvascular with Dr. B.J. Kim, and full body cosmetic fellowships
Alumi:

 Residents that graduate from Rutgers OMFS pursue fellowships and careers in both private practice and academics.
Boards:

 All graduate residents in the past 10 years have passed the OMFS boards.


Salary/Benefits:

· Education Allowance: $1300 per year

· Meals: $25 per shift with an improved process to request meal money when your shift goes over 12 hours

· Orientation payment: 1 week in late June, $1300

· Chief Stipend: $3,400

· Extra on-call pay: $50 for each extra on-call shift. Here are the new amounts:

o 1st additional on-call duty: $200
o 2nd additional on-call duty: $300
o 3rd additional on-call duty: $350
o 4th and subsequent on-call duty: $400
· Leave: Expanded the definition of bereavement leave

· Mental health: A working group with CIR and Rutgers to discuss improving mental health care access for house staff


Thank you for reviewing the overview of the program. Again the best way for you to learn about the program and get a good feel for it and the residents and faculty is by doing an externship. If you plan to do an externship, please reach out to us via Instagram or program coordinator on recommendations for where to stay. Let me know if you have any questions. 


Feel free to get in contact with us via our Instagram page, or emailing our program coordinator Kisha ([email protected]) who can provide you with our contact information.


Rutgers OMFS Residents

 

[oshtor]

MARYLAND OMFS Update:



Noticed that there hasn’t been an update for Maryland for a few years. Given how helpful this thread was to me on the interview trail I figured I would do my due diligence to contribute to it.

To give a little background, I went to dental school at Maryland and I am currently finishing up my first year out of 6. So everything you read here is based on what I have learned about the program as a dental student as through the completion of my intern year. I applied to six-year programs only and knew I wanted to go a program that was broad scope to give me as much exposure as possible. I shadowed as much as I could at Maryland while I was a dental student and went on externships to similar scope programs like Jacksonville, LSU-shrev, OHSU, Alabama, and UT Houston. I went on 20+ interviews and when making my rank list, I based my decision on the scope of a program, the quality of the faculty, location, and resident culture.



Program Layout: The biggest change in the program since the last update is the change in the 6 year program layout as the entire medical school curriculum went under a big change at so the OMFS program was changed as well with coordination with the med school administration. I attached a picture of the overall layout of the 6 year program and it looks confusing so I will do my best to explain it.

6-year program.

Year 1:

July till the middle of October you spend as a full-time intern on service. During this time you will be second assistant in the OR and the more they trust you the more you get to do. In my first 4 months I was able to do part of a neck dissection, make osteotomies, bend plates and recon bars, and plate a few fractures. Interns are also responsible for seeing patients our hospital clinic where you will chuck teeth, take biopsies, and in one case I did botox injections into the masseter. An intern is assigned to the dental school across street as well where you will get a chance to do surgical extractions. If there is not a patient, the OMS faculty at the school will help find cases for you to do from the patients that come in through the urgent care. Lastly, you will be our UMOMSA clinic across also at the dental school which is where our attendings see most their clinic patients. Each attending has their own day at the UMOMSA clinic and you will see new referrals for orthognathic, TMJ, cleft lip/palate, oncology. You see follow ups here and occasionally do procedures like take biopsies or laser ablations.

Med school: In the middle of October, you join the MS1s as they start their second course. You are a full-time medical student. There are lectures that are non-mandatory from 8-10 and discussion sections you have to go to from 10-12. You do community service for an hour once a week and see patients with a preceptor one afternoon a month. You have one research project due before you take step 1. Most people just use one of the research projects they are working on with an attending anyway to satisfy this. While in the med-school you work approx. 24hrs a week on service. This is done by either taking call on a Saturday or working in the afternoon clinics after your med school classes. You split this with your co-resident so one person will take a call day and the other will work in the afternoons. The call will end up being around 1-2 times a month. Everyone is very understanding that med school is the priority and if you have an obligation or an upcoming exam that will take priority over working an afternoon or taking call. This time working ends up being very manageable. At the end of May after med school goes on a break you return to service as a full-time intern.

4 year track: Same responsibilities during intern year, the only difference is you do approximately 3 months of internal medicine rotation during November- January and then return on service until July.

Year 2:

• 6 year: This year is where you get a lot more dentoalveolar exposure. During July you are fully on service and are there to help get the new interns up to speed. You do not take primary call and you are scheduled to go to the OR or the dental school to do surgical extractions and alveoloplasties under local/ nitrous. In August, you return to med school where you go to classes in the morning and go to the dental school where you are scheduled patients in the afternoons. You see your own patients and are not responsible to oversee the pre-doc students. In March, you are off medical school and get dedicated time to study for step 1. Once you finish step at the end of march from April till July you are on anesthesia.
• 4 Year: This is your general surgery year. You rotate on trauma, vascular surgery, Minimal invasive surgery, SICU, transplant, plastics, and general surgery. You are back on service for approximately 1-2 months during march/ April depending on the order of your rotations.

Year 3:

• 6 year: From July to April you do med school rotations including 8 weeks of pediatrics, 8 weeks OBGYN, 8 weeks of medicine, 4 weeks of psych, 4 weeks of neurology, 4 weeks of family med, and another 4 weeks as a SUB-I on medicine. During this time you are completely off service, you don’t take call, you don’t work in the afternoons. This is the only year you don’t get paid at all. You take Step 2 after April and then you are back on OMFS service for 1-2 months during may and June (you will get paid for this time)
• 4 year: Same as Year 5 of the 6 year track

Year 4:

• 6 year: This is your gen surg year. The first 3 months its affiliated with the med school as a gen surg clerkship/ SUB-I. You get your MD in December and then continue your general surgery where you do the same rotations on trauma, vascular surgery, Minimal invasive surgery, SICU, transplant, plastics, and general surgery. During this year you will also take step 3 before returning to OMFS service.
• 4 year: Same as Year 6 of the 6 year track

Year 5/6 or 3/4:

• This is your senior year on service. In both tracks you are completely on service the entire year. The year is split into 4 months on each of the 3 different rotations between the oncology team, the house team, and the dental school. As a senior you also cover call at the sinai hospital which is approximately a 20minute drive and we only cover trauma at this hospital (Only facial fractures, no dentoalveolar trauma). Secondary call on non-trauma weeks is split between the seniors.
• House service: This is your bread and butter oral surgery cases. You will go to the OR with the chiefs and attendings for the trauma, orthognathic cases, TMJ cases, benign path, essentially you will help cover all the cases done by our house attendings Dr. Caccamese, Dr. Warburton, and Dr. Wilken. You will also cover the clinics for the House attendings.
• Dental school: Here you spent 4 months with our dental school attendings Dr. Everett and Moustofi who both had successful private practices. Here is where you will do most of your sedations, implants, all-on-x, X-nav, sinus lifts, and 3rds.
• Oncology Service: Here you work very closely with our fellow (s) to treat and manage the oncology patients. We currently have 2 oncology attendings Dr. Lubek and Dr. Dyalram who you will go to the OR with and cover clinics. You split the cases our 2 onc attendings do with the fellow/ fellows. You will partake in all the cases they do from the marginal mandibulectomies and secondary implant placements to the free flaps where you will be apart of both ablation and reconstruction.

Chief Year (6/6 or 4/4):

Chief year you run the house service with your co-chiefs. You take secondary call during the trauma weeks only and go to the operative cases that come in from Sinai hospital. You will finish your graduation requirements within a few months of chief year and you really experience the full volume of Maryland. You will operate a ton this year.

Faculty:



Oncology team: Dr. Lubek, and Dr. Dyalram.

o Dr. Lubek: Highly published, incredibly skilled surgeon with a viscous work ethic. He predominately overseas the fellows and their training. You will work with him as an intern and senior while you are on the oncology team.



o Dr. Dyalram (Program Director): Dr. Dyalram pushes you to get involved and cut, likely the first to put a scalpel in your hand. 2 months into my intern year, she let me do part of the neck dissection. She is invested in mentoring well-rounded surgeons that will continue the Maryland way. She is highly published, proficient surgeon and wonderful educator.



· Dr. Warburton (Chair) Cosmetics and TMJ



o Our new chair of the program. Advocates for his residents. He is one of the Top TMJ surgeons in the world. Very Skilled, extremely efficient, and has a way of making things look easy. He is extremely good at raising money for the program and creative opening new opportunities for the residents. Was originally trained in the UK and reminds most people of James Bond.



· Dr. Caccamese: Pediatric Craniofacial fellowship (Cleft Lip/Palate)

o He is cerebral. One of the most meticulous and focused surgeons I have ever worked with. He does it all. Clefts, Orthognathic, trauma. You name it. He does it. Nothing but respect.



Dr. Wilken: Sleep apnea, orthognathic, trauma

o Our newest attending, graduated from the program in 2021 and a testament to the training at Maryland. He is building his practice, sleep apnea orthognathics, benign pathology, trauma, and dentoalveolar. He is young and extremely talented.



· Dr. Everett, Mostoufi - Sedation/Implants

o Dr. Everett: ran a successful private practice for years. Is our go to guy for dentoalveolar. He will teach anything and everything you want to know about implants and exodontia. Easy going and also happens to have a black belt in karate.



o Dr. Mostoufi: Chief OMFS advocate in the dental school. Is responsible for new sedation rooms, introduction of X-Nav, and has tripled our implant numbers over the past years.



Location:



- 45 minutes from DC



- 30 minutes from Annapolis



- 2 hours from Philadelphia



- 3 hours from New York



- 2 ½ hours from Ocean City



- 3 hours from Deep Creek Lake & Shenandoah National Park



The city is what it is, a city. Know where to go, where not to go, and don’t be an idiot. I went to dental school at Maryland and have honestly enjoyed my time in Baltimore a lot more than I thought I would. There is a ton of hidden gem food spots, farmers markets, recreational sport leagues. There is plenty to do when you are not working. DC is also extremely close only a 45 min drive or an hour train ride.





Culture:



· Maryland is a high volume program. Keyword here is volume because it just doesn't stop. As a result the training is incredible, but the time and commitment is demanding.



· There is a classic hierarchy at Maryland. Interns report to chiefs, chiefs report to attendings. At the end of the day everyone’s goal is to have a smooth service. It will get very busy with over 20 patients on our lists at times. I felt very supported by my co-interns, seniors, and chiefs and attendings. Everyone truly worked as a team and there was not a time where I felt like I couldn’t ask for help. You will have a role each year, and it is important to understand that role to ensure a smooth service.



· Our attendings take pride in the fact that you will be a full scope trained maxillofacial surgeon at the end of your 4-6 years. They have a mentorship program where each resident is paired with a faculty. We have a 100% pass rate on the ABOMS and no one has a hard time finding work coming out of here. If you are interested in pursuing academics, we have a higher track record than most.

 

[Lilrico]

Does anyone have an update about UNC- Chapel Hill?

 

[IndifferentOsteoblast]

Anyone have an update for UT Health San Antonio?

 

[swedishjaw]

Anyone have a most recent update on UCSF, San Francisco? I hear this program has changed a since research days of Kaban and Pogrel.

 

[Dada123]

Hi guys, any information on BU and Tufts??

 

[carabelliscusp]

Anything on Lincoln or NYU?

 

[Flawlesss]

Anything on USC?

 

[IndifferentOsteoblast]

Anything on USC?

Also curious about USC. Their site says they offer both 4 and 6, but they have only one PASS page and program code it seems.

Herman Ostrow School of Dentistry of USC - ADEA PASS® Program

programs.adea.org

 

[GeisingerOMFS1]

Geisinger Oral and Maxillofacial Surgery Program

Geisinger OMFS website

Hey guys! Just a quick run down for Geisinger. We serve a population of approximately 1.3 million patients in central and northeastern Pennsylvania. Our scope of practice includes dentoalveolar, implants, outpatient anesthesia, orthognathic surgery, obstructive sleep apnea, TMJ (i.e., minimally invasive arthroscopy and total alloplastic joint reconstruction), trauma, benign/malignant pathology, salivary gland surgery (i.e., minimally invasive sialendoscopy and major salivary gland surgery), complex reconstructive surgery (i.e., microvascular surgery and nerve reconstruction) and multidisciplinary secondary cleft and craniofacial surgery.

• Program Director: Paul Covello, MD, DDS, FACS
• Associate Program Director: Raymond P. Shupak, MD, DMD, MBE
• 4 yr program
• 2 categorical, 4 non-categorical
• Two regions that we cover for trauma/non-trauma
• Danville (Central region): 1 hospital
• Wilkes-Barre (NE region): 3 hospitals
• Wide scope: dentoalveolar, trauma, reconstructive, infectious, pathology, TMJ, orthognathic, implants
• Great culture - we all really enjoy working with each other and getting together outside of work, additionally, attendings have an open door policy and communicate directly with all resident levels
• Program director and attendings committed to resident and program growth, education, research opportunities
• You can also check us out on our Instragram: Geisinger.OMFS

We take 4 non-categorical interns for competitive positions every year. Each year, our non-categorical interns have secured numerous interviews and have had successful placement. The last cycle, two of our non-categoricals matched into programs. This year, all of our non-cats have had >5 interviews each.
Let us know as soon as possible your interest in one of these positions by contacting the program coordinator and CC the listed resident for more information. You can also reply to this post with questions. Thank you.

Program Coordinator:
Krystle Goverick
[email protected]
15702143455

Resident:
Emily Ladnier, DMD - PGY1
[email protected]

 

[Gustavo dos Santos]

Does anyone have an update on VCU? It looks like they now have 4 residents per class and took 3 non-cats this year based on their Instagram. Would love more info on this program, but can’t get time off school for another externship