Brochure scott aegd 2011 12

375th MEDICAL GROUP Scott AFB, IL

2011-2012

ADVANCED EDUCATION IN

GENERAL DENTISTRY

(AEGD)

RESIDENCY PROGRAM

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COMMANDER, 375th

MEDICAL GROUP

Col Jill L. Sterling, USAF, MC, FS

COMMANDER, 375th

DENTAL SQUADRON

Col Steven L. Bartel, USAF, DC

DIRECTOR, DENTAL RESIDENT EDUCATION

Col Brent S. McClenny, USAF, DC

DEPUTY DIRECTOR RESIDENT EDUCATION

Lt Col Bryce G. Whisler III, USAF, DC

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Advanced Education in General Dentistry Program

The Air Force Dental Service mission is to maintain the oral health of Air Force personnel and

other uniformed service members to ensure their maximum wartime readiness and combat

capability. The Dental Service trains to ensure competency in tasks required to support the

overall medical mission in time of war or other contingency situations. During peacetime and

wartime, the Dental service provides a broad spectrum of oral health services for active duty

members and some other eligible beneficiaries.

Scott Air Force Base is located in southwestern Illinois and is approximately 25 miles east of St.

Louis, Missouri. The 375th Air Mobility Wing is comprised of several staff agencies and four

groups: the 375th Medical Group, 375th Operations Group, 375th Mission Support Group and

375th Communications Group. As the host unit, the 375th AMW supports four major

headquarters and a numbered air force with worldwide responsibilities: U.S. Transportation

Command (USTRANSCOM), Air Mobility Command, the Surface Deployment Distribution

Command, Defense Information Technology Systems Agency and the 18th Air Force, as well as

the 932nd Airlift Wing (Reserve), the Illinois Air National Guard's 126th Air Refueling Wing,

and over 65 mission partners, including the 618th Tanker Airlift Control Center, which plans and

directs all US global airlift and air transport operations. USTRANSCOM is responsible for the

command and control of the United States' military transportation effort--in the air, on the

ground and over the sea, in peace and in war.

The St Louis area has a wide-ranging variety of activities and facilities for every interest and

taste. Professional sport teams include the St Louis Cardinals (baseball), the St Louis Blues

(hockey), and the St Louis Rams (football). In the event of no sellout, military members and

their families may use their military ID to attend the Cardinals games free of charge. Nightlife

includes numerous restaurants, bars, casinos, the theatre and a symphony. The St Louis Zoo is a

world class facility with an amazing array of wildlife for viewing. Many free museums are

available throughout the area, as well. The Missouri Botanical Gardens include Japanese and

Chinese gardens, a tropical rain forest, walking trails and educational programs from home

gardening to children’s activities. For the outdoorsman, fishing and hunting possibilities abound

in the lakes and forests of the region. In short, something for everyone is right here.

MISSION OF THE UNITED STATES AIR FORCE DENTAL SERVICE

SCOTT AIR FORCE BASE AND SURROUNDINGS

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The 375th

Medical Group is a subordinate unit of the 375th

Air Mobility Wing. Medical

operations at Scott include a fully accredited outpatient ambulatory care facility with dental,

medical and minor surgical services. The medical group supports a robust air evacuation mission

that transports patients from war zones and locations across the globe. Additionally, medical

readiness responsibilities include training, equipping, and deploying medical response forces for

wartime contingencies, peacetime disasters and other operational taskings.

The medical staff includes specialists/clinics in internal medicine, pediatrics, obstetrics and

gynecology, psychiatry, aerospace medicine, allergy, family practice, dermatology, and

alternative medicine including acupuncture and chiropractic services. Supporting services

include medical laboratory, radiology, pharmacy, physical therapy, occupational therapy,

optometry, and bioenvironmental engineering. Additionally, the medical group may refer care to

local civilian hospitals and practitioners to include the nationally ranked St Louis Children’s

Hospital and the prestigious Washington University and St Louis University Medical Systems.

The 375th

Dental Squadron is located on Scott Air Force Base in the Scott Dental Clinic,

dedicated in 1983 and remodeled in 2009. It is a fully modern, well-equipped facility with 35

dental treatment rooms. The facility contains a conference room/library, dental instrument

processing center, prosthodontic laboratory, residency suite, supply area, and administrative

areas/offices. The residency includes six dedicated treatment rooms, resident prosthodontic

mini-lab, and resident office/administrative area.

In addition to the Scott Dental Clinic, the 375th

Dental Squadron maintains an Oral and

Maxillofacial Surgery Clinic in the main medical building. Our staff oral surgeon maintains a

busy practice in which the residents rotate to learn moderate conscious sedation and exodontia

techniques. This is a unique aspect of Air Force AEGD residencies: upon successful completion

of training, residents (general dentists) are credentialed to provide moderate conscious sedation

in their practice of dentistry.

Our AEGD teaching staff consists of general dentists and specialists who are all either board

certified or board eligible (details in the Teaching Staff section of this brochure).

375th MEDICAL GROUP

375th DENTAL SQUADRON

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RESIDENCY CURRICULUM

AEGD RESIDENCY OVERVIEW

The 375th

Dental Squadron sponsors a 12-month AEGD residency program accredited by the

Commission on Dental Accreditation of the American Dental Association. The purpose of the

residency program is to provide a clinically oriented experience well beyond that of a dental

school curriculum in the recognized dental specialties and related medical fields. Residents

spend the majority of their time providing comprehensive dental care to a broad spectrum of

patients. The teaching staff consists of board certified or board eligible dentists representing a

range of expertise as Air Force officers, clinicians, and educators. This highly qualified faculty

is augmented by local and national consultants and guest lecturers from both the military and

civilian communities to provide a broad-based and diversified educational experience.

Additionally, the Scott AEGD program has a Training Affiliation Agreement (TAA) with the

Southern Illinois University-Edwardsville (SIUE) School of Dental Medicine. This TAA

enables our residents to have rotations in Pediatric/Special Care Dentistry and to provide

community service for underserved children in the East St Louis area.

OVERALL PROGRAM GOALS/OBJECTIVES

The goals and objectives for the Advanced Education in General Dentistry Residency are:

Goal # 1. To support the mission of the United States Air Force Medical and Dental

Services and to achieve and maintain accreditation by the American Dental Association.

Objective #1a: To provide general dental officers capable of maintaining dental health

readiness in diverse environments for the majority of active duty personnel in order to ensure

their worldwide deployability.

Achieved by: Resident clinical and didactic experience in the various phases of general

dentistry necessary to achieve and maintain sound oral health. Residents will experience an

operating room setting during Oral Surgery rotations to enhance war readiness training and

provide exposure to delivery of care in multiple settings. Residents also receive certification in

human remains identification via a Forensic Dentistry course, to further augment capabilities

associated with a military practice.

PROGRAM GOALS AND OBJECTIVES

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Objective #1b: To develop and maintain an advanced comprehensive education program in

general dentistry that complies with standards established by the American Dental Association

and required for program accreditation.

Achieved by: Adherence to standards set forth by the American Dental Association for

Advanced Education in General Dentistry programs. Review of the program is accomplished as

required, or at least annually, to ensure compliance.

Goal #2. To enhance the resident’s competence and confidence in delivery of advanced

comprehensive dental care, to include employment of disease prevention and health

promotion modalities that impact both individual patient and community health.

Objective #2: To provide clinical and didactic experience in all aspects of general dentistry to

educate residents in modern dental practice, facilitate their provision of comprehensive dental

care and encourage their participation in endeavors aimed at community oral health

enhancement.

Achieved by: An emphasis is placed on clinical experience, with hands-on instruction and

direct feedback by trained staff, and the provision of a wide variety of patient treatment

requirements to each resident. Clinical experience is reinforced with staff lectures, presentations,

literature reviews and other didactic opportunities. Involvement with community health

enhancement programs is used to instill participatory awareness and demonstrate individual

impact on overall community health.

Goal #3. To enhance the resident’s ability to make judgments in arriving at a diagnosis

and treatment plan, changing a course of treatment and assessing post-treatment outcomes.

Objective #3: To provide clinical experience and didactic information necessary to enable the

resident to develop sound diagnostic rationales and implement logical sequential treatment with

confidence and ability to assess treatment outcomes.

Achieved by: Formal and informal diagnosis and treatment planning seminars and treatment

plan reviews are provided. Oral pathology lectures, clinical pathology conferences, treatment

planning exercises and physical assessment training are also utilized. Clinical assessment of

diagnosis, treatment planning and treatment outcome is provided on a daily basis with faculty

evaluations at appropriate times before and during patient care.

Goal #4. To enhance the resident’s ability to accept responsibility for coordination of total

patient dental care by successful interaction with other health care providers involved in

the treatment of the patient.

Objective #4: To provide interaction with dental and medical specialists to enable the resident

to develop confidence in coordinating total patient dental care, including care for patients having

significant medical problems, disabilities or other conditions that complicate treatment delivery.

Achieved by: Independent assessment of patients with appropriate staff oversight is

encouraged. Staff members review treatment plans with residents and may require consultation

with other dental/medical specialists. Residents coordinate all care for comprehensive care

patients, including dental/medical consultation. Oral Surgery rotations enable the resident to

interface directly with other medical specialty areas.

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Goal #5. To enhance the resident’s ability to supervise auxiliary personnel and manage a

dental practice in either a military or civilian setting.

Objective #5: To provide experience in military practice management and instruction in civilian

practice management within the residency framework.

Achieved by: Providing each resident the supervisory responsibility for management of

auxiliary personnel, patient appointments, supplies for dedicated treatment rooms, and other

related practice management areas is emphasized. Review of all patient records by staff

members is required to evaluate and ensure proper record documentation. Faculty members with

recent experience in civilian practice or visiting private practitioners conduct practice

management seminars. Residents receive instruction in dental administration and directly

participate in activities pertaining to military practice management which augment overall

practice management training.

Goal #6. To prepare residents to assume leadership roles through participation in

continuing dental education activities.

Objective #6: To afford the resident experiences in presentations/public speaking and in

focused reviews of the scientific literature to improve the resident’s ability to confidently speak

before groups, support his/her position with scientifically-based findings, and develop skills for

employing technology-based tools in literature research.

Achieved by: The program requires preparation and delivery of a table clinic at a regional or

national dental meeting and a formal lecture presentation on a dental or related topic to the

professional staff. Preparation for both of these activities involves utilization of library written

and computer-based resources as well as mastery of computer presentation graphics resources.

Staff assistance is available and encouraged for these projects.

Goal #7. To identify and instill the need to be a continuous student of dentistry in order to

facilitate clinical decision-making and base treatment approaches on ethical and

scientific/evidence based foundations.

Objective #7: To provide insight into the expanse of dental/medical literature and enable the

resident to critically review scientific articles, recognize the necessity for continual advancement

of dental education, and make clinical decisions based on scientific findings and demonstrated

outcomes.

Achieved by: Expansion of the resident’s knowledge level beyond the standard dental education

experience is achieved through routinely scheduled seminars and literature reviews. Residents

are responsible for review of literature topics in seminars and often present their reviews to other

residents and departmental personnel. Additionally, training in ethical reasoning/decision

making and professional responsibility in academics, research, patient care, and practice

management will be provided.

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Definitions of Intended Training Outcomes:

P (Proficient) - resident able to do this activity with repeated quality/efficient use of time.

C (Competent) - resident able to perform with adequate knowledge, skill and judgment.

E (Exposed) - resident participated in, assisted with, or watched this activity.

SCOPE

Residents will receive instruction in the planning and delivery of treatment to patients with

complex dental needs spanning various disciplines. An organized approach to problem

identification and appropriate sequencing of treatment will be emphasized which will allow the

dentist to tailor treatment to each patient. Residents will receive instruction in the legal

ramifications of informed consent and will be required to document its accomplishment prior to

provision of treatment on frequent occasions. Residents will provide multidisciplinary treatment

to assigned patients and will review and share case progression at monthly seminars.

INTENDED TRAINING OUTCOMES

COMPREHENSIVE CARE/ TREATMENT PLANNING

1. Function as a patient's primary oral health care provider. (P)

2. Work with patients in a manner that is professional, builds rapport and confidence, respects

patients’ rights and dignity, puts patients’ interests first, and maximizes patients’ satisfaction

with dental care. (P)

3. Integrate multiple disciplines into individualized, comprehensive, and sequenced treatment

plans for patients with complex needs. Identify patients requiring referral to dental

specialists for further evaluation and treatment. (P )

4. Obtain informed consent for dental treatment by discussing with patients, or parents or

guardians of patients, the following: findings; diagnoses; the risks, benefits, and process of

various treatment options; patient responsibilities during and after treatment; and estimated

fees and payment responsibilities. (P)

COMPREHENSIVE CARE /TREATMENT PLANNING; OROFACIAL

PAIN; AND FORENSIC DENTISTRY

SCOTT AEGD-1 RESIDENT EVALUATION

Competency and Proficiency Statements

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OROFACIAL PAIN

1. Based on the subjective history and clinical assessment, provide the diagnosis, contributing

factors, management plan and treatment of uncomplicated orofacial pain. (ex. masticatory

and cervical musculoskeletal disorders and TMJ dysfunction) (C)

2. Manage complex orofacial pain cases.(C)

DENTAL FORENSICS

1. Perform postmortem examination of dental remains. (P)

2. Provide postmortem forensic identification from dental remains. (C)

SCOPE (also see Pediatric/Special Care Dentistry Section)

Throughout the residency year, a resident is trained to evaluate his/her patient's systemic health.

The patient's health history is evaluated to determine relationships to oral health, and develop a

treatment plan and protocol for patients with both simple and complex treatment needs and

medical conditions. This is accomplished by clinical experience with credentialed staff and

lectures/courses presented by the Scott teaching staff and Air Force special consultants in Oral

Pathology, Orofacial Pain, and Hospital Dentistry. See the Oral and Maxillofacial Section for

more intended outcomes. A training affiliation agreement with SIUE School of Dental Medicine

is also a means for special care patient treatment.


1. Perform dental evaluations, prepare appropriate responses to physicians’ consultation

requests, develop treatment plans, and provide effective, appropriate management or

treatment to dental outpatients with special needs and/or moderate medical problems. (C)

2. Discuss a wide variety of systemic medical conditions and the implications for dental

management of these patients. (C)

3. To understand the classes and types of drugs that medically compromised patients are taking,

and how these drugs are indicative of the disease processes affecting the patient. (C)

SCOPE

Training is provided through topic-oriented literature reviews, chairside instruction, and lectures

by the teaching staff. The clinical and didactic knowledge acquired in dental school by the

resident is augmented with the latest concepts and trends in operative dentistry, preventive

dentistry, and dental materials. Clinical experience is provided throughout the training year.


1. Restore single teeth with a wide range of direct placement materials and methods, with an

emphasis on Minimally Invasive Dentistry techniques. (P)

2. Restore single teeth with indirect placement materials and methods. (C)

OPERATIVE AND PREVENTIVE DENTISTRY

ORAL MEDICINE AND SPECIAL CARE DENTISTRY

al

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3. Place restorations and perform techniques to enhance a patient’s facial esthetics. (P)

4. Demonstrate an understanding of the etiology, progression, and prevention of dental caries to

include the utilization of the Medical Model of Caries and applicable treatment protocols. (P)

SCOPE

The endodontic component of the residency program consists of clinical and didactic phases,

which emphasize diagnosis and treatment of pathoses of the dental pulp and periradicular tissues.

The clinical phase of training includes experience in hand and rotary instrumentation. The

didactic phase of the training consists of formal lectures from the clinical staff and literature

reviews.


1. Able to assess the pulpal and periodontal health of dental tissues using appropriate diagnostic

procedures to include emergency management of endodontic pain and traumatic injuries. (P)

2. Use adjunctive radiographic and alternative anesthetic techniques for clinical diagnosis and

treatment. (P)

3. Perform non-surgical anterior and posterior endodontic therapy to include re-treatment of

failing endodontic cases. (C)

SCOPE

Training in this department emphasizes the prevention, diagnosis, and treatment of acute and

chronic pathological conditions of the periodontal tissues. The didactic portion consists of

lectures, pre-surgical lab, discussions and seminars. The staff assigns selected material from the

dental literature and textbooks. Clinical experience is provided throughout the year in an

integrated format. Patients are assigned to provide the resident experience with a wide range of

treatment modalities.

Pre-Surgical Pig Jaw Lab:

Residents Learn Surgical

Techniques, Suturing, Diode Laser

Use, and Advanced Restorative

Isolation Techniques

ENDODONTICS

PERIODONTICS

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1. Demonstrate an understanding of the prevention, etiology, pathogenesis, diagnosis,

prognosis, prognosis, treatment planning, and management of periodontal disease. (P)

2. Provide non-surgical management of all forms of periodontal disease. (P)

3. Provide surgical treatment of mild to moderate periodontitis. (P)

4. Manage advanced periodontal disease. (C)

5. Perform soft tissue surgery necessary to correct mucogingival defects. (C)

Competency not required to graduate from program

6. Perform minor pre-restorative/pre-prosthetic surgery. (C)

SCOPE

This portion of the residency program is aimed at increasing the skill and knowledge level in the

field of prosthodontics. The base of previously acquired clinical and didactic training is enlarged

to give the resident a practical, effective approach to the treatment of routine as well as complex

patient problems. Didactics in prosthodontics include lectures, demonstrations, discussions, and

reading assignments. A hands-on CEREC® CAD/CAM course, removable partial denture

course and implant dentistry course are provided. Training in implantology is limited due to the

scope of training in all specialties. Residents can expect to gain experience through assigned

implant patients, and our goal is to provide credentialing for single implant restorations.

However, competency is not required for graduation. In summary, patients are treated throughout

the year in an integrated format and are selected by the staff to provide a wide variety of clinical

experiences for the resident.


1. Diagnose and treat patients with missing teeth requiring removable appliances. (C)

2. Diagnose and treat patients with missing teeth requiring uncomplicated fixed

restorations. (P)

3. Manage patients requiring complex prosthodontic needs (P)

4. Demonstrate an understanding of the principles of implant placement and restoration,

including indications and limitations. (C)

Implant Seminar and Lab

PROSTHODONTICS: FIXED, REMOVABLE & IMPLANTS

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5. Perform uncomplicated endosseous implant placement (E) and restoration (C)

“Exposure only” required to graduate from program

6. Provide follow-up care and preventive maintenance therapy for patients with implant-

supported prostheses. (C)

7. Diagnose and provide care to a patient’s occlusion. (C)

8. Communicate case design with laboratory staff and evaluate resultant prosthesis. (P)

SCOPE

Orthodontic training is presented through lectures, clinical demonstrations and treatment of

selected cases that fall within a general dentistry scope of care. Clinical and didactic knowledge

acquired in dental school is augmented with increased levels of training in diagnosis and

treatment of common problems. Didactic training is provided in lectures and seminars by the

staff orthodontist. Orthodontic clinical experiences will include minor tooth movement for

adults.


1. Utilize diagnostic techniques for recognition of orthodontic cases treatable by the general

dentist, including cephalometric analysi, arch length analysis, and formulation of treatment

plans (C)

Competency not required to graduate from program

2. Treat and retain minor tooth movement cases (i.e., uprighting, extrusion, mild crowding

diastema closure, minor cross-bite correction, and space problems). (C)

Competency in minor tooth movement not required to graduate from program

3. Design and deliver retention appliances following orthodontic care. (C)

SCOPE

Training in pediatric dentistry is presented through lectures, demonstrations, and treatment of

selected cases. Knowledge acquired in dental school is augmented with training and diagnosis of

common conditions such as caries and the need for space maintenance. A visiting Air Force

pediatric dentist provides a pediatric dentistry course annually. Our residency also has a training

Clinical Photography Lab

for Restorative, Surgical and

Orthodontic Treatment

ORTHODONTICS

PEDIATRIC DENTISTRY / SPECIAL CARE DENTISTRY

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affiliation with Southern Illinois University (Edwardsville) School of Dental Medicine, and

residents get training in pediatric/special care dentistry through a 6-9 day rotation either at the

East St Louis Community Center facility or the main SIUE campus in Alton, IL.


1. Develop treatment plans and provide effective/appropriate management or treatment

(emergency and routine) for pediatric and special care patients, to include discussing a wide

variety of systemic medical conditions (C)

“Exposure” only required for graduation

2. Treat/restore teeth of the primary dentition using a variety of materials (C)


3. Perform uncomplicated surgical and pulpal therapy procedures on pediatric patients. (C)


4. Use behavior management skills with the pediatric/special care patients, to include

nitrous oxide anxiolysis/minimal sedation (at or >50% O2) (E)

SCOPE (ORAL & MAXILLOFACIAL SURGERY)

The intent of this training is to provide the resident with the knowledge and experience necessary

to evaluate, diagnose, and treat various diseases, injuries, and other pathological conditions of

the oral cavity. Formal lectures, literature reviews, and seminars comprise the didactic portion of

the OMFS rotation. Clinical experience is provided on an integrated basis throughout the

academic year in block rotations. Residents will perform a variety of surgical services, and will

assist on more complex procedures. The interdependence of all of the health specialties is

stressed through the use of appropriate consultations.

Residents are Trained in Moderate

Conscious Sedation and Exodontia

ORAL & MAXILLOFACIAL SURGERY, PATIENT ASSESSMENT,

PHYSICAL DIAGNOSIS, PAIN & ANXIETY CONTROL

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SCOPE (PHYSICAL DIAGNOSIS AND PATIENT ASSESSMENT)

Throughout the residency year, a resident is trained to evaluate his/her patient's systemic health.

The patient's health history is reviewed to determine relationships to oral health, and to develop

appropriate treatment protocols for patients with complex medical conditions. This is

accomplished by lectures and courses presented by Air Force consultants in Oral Pathology,

Orofacial Pain, and Hospital Dentistry.

The residents are exposed to a variety of medically complex patients. Residents receive in depth

training in patient evaluation during Oral Surgery didactic and clinical sessions in relation to

Moderate Conscious Sedation training as noted in the Pain and Anxiety Control Scope of Care.

SCOPE (PAIN AND ANXIETY CONTROL)

Didactic and clinical instruction will prepare residents to employ moderate conscious sedation

during patient treatment to achieve anxiety and pain control. Training will enable residents to

select appropriate sedation techniques and agents based upon patient factors and procedures to be

accomplished. While emphasis is placed on certification in intravenous techniques, certification

in inhalational (nitrous oxide) minimal sedation technique is also available to those residents.

Additionally, residents will have an approximately one-week rotation in airway management at

the local VA facility via a TAA with the VA Hospital Anesthesia Department.


EXODONTICS/MINOR ORAL SURGERY

1. Routine extraction of all indicated erupted teeth and retained root fragments. (P)

2. Removal of uncomplicated soft tissue and bony impactions. (C)

Competency in bony impactions is not required for graduation

3. Perform routine intraoral biopsies and minor intraoral surgical procedures (C)

4. Be familiar with arch bar placement and removal (E)

5. Exposure to surgical procedures in the Operating Room setting. (E)

PATIENT ASSESSMENT/PHYSICAL DIAGNOSIS

1. Perform adequate patient assessment, to include chief complaint, history of present illness,

past medical history, past surgical history, allergies, medications, social history, medical lab

tests, diagnostic imaging and a focused physical examination.(P)

2. Recognize major infections, trauma, and pathology of the oral and maxillofacial structures,

and make the appropriate specialty referral. (C)

3. Recognize and treat uncomplicated surgical postoperative complications (P)

PAIN/ANXIETY CONTROL

1. Achieve and maintain certification in BLS and ACLS. (P)

2. Possess a thorough working knowledge of medical emergencies in the dental clinic, and their

treatment. (C)

3. Possess a thorough knowledge of anatomy, physiology, pharmacology and psychology

associated with various pain and anxiety control methods. (C)

4. Select and use the proper regimen for the control of pain and anxiety after adequate physical

and psychological assessment of the patient. Methods include intravenous moderate

conscious sedation and inhalation (nitrous oxide) or oral anxiolysis. (C)

Competency in moderate conscious sedation technique is not required for graduation

5. Prevent, recognize and manage complications related to the use and interaction of local

anesthetics, systemic medications and agents used in the control of pain and anxiety. (C)

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SCOPE

The practice management portion of residency training is aimed at enhancing the understanding

of and providing experience in the management of an Air Force and civilian dental practice.

Experience is acquired through the maintenance of appointment schedules, daily supervision of

dental technicians, hygienists, and other support personnel as well as various lectures performed

by both military and private practitioners.


1. Use selected business systems in dental practice including scheduling, patient flow, record

keeping, and comprehensive care systems. (C)

2. Provide care with allied dental personnel and an inter-professional health care team, using

accepted methods and standards.(C)

3. Apply principles of jurisprudence and professional ethics in the practice of

dentistry to include:

Ethical reasoning/decision making and professional responsibility

in academics, research, patient care, and practice management.

Draw on a range of resources such as professional codes, regulatory law, and

ethical theories to guide judgment and action for issues. (C)

4. Evaluate information systems, information technology and alternative patient care and

reimbursement systems in dental practice. (C)

PRACTICE MANAGEMENT AND ETHICS/JURISPRUDENCE

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Application Procedures

Individuals are selected by Headquarters USAF in October of the preceding year. Students may

obtain information and application forms by contacting the nearest Air Force Medical Recruiting

Officer, accessing the USAF Dental Corps Utilization and Education website

http://airforcemedicine.afms.mil/usafdental

or by writing to:

Health Professions Recruiting

Medical Recruiting Division

Headquarters Recruiting Service

550 D Street West, Suite 1

Randolph AFB TX 78148-4527

Non-Discriminatory Policy

It is the official policy of the United States Air Force that applicants for entry, including those

pursing admission into this advanced education program, will not be subject to discrimination on

the basis of gender, race, religion or other factors. However, applicants must meet minimum

standards required for performing duties as commissioned military officers, and must be

graduates of accredited American Dental Schools.

Career Commitments

Dental residents enter active duty and incur a service commitment commensurate with the length

of the Health Professions Scholarship (HPSP) they received. The AEGD residency training year

is considered a "neutral" year in terms of service obligation. Upon completion of residency

training, dental officers are typically reassigned to a new duty station for the completion of their

initial commitment. Dental resident assignments are released about four months prior to the

completion of the training program.

Commissioned Officer Training School (COTS)

All new dental officers attend this training course conducted at Maxwell AFB, Alabama.

Approximately four weeks in duration, COTS is usually held in July, immediately prior to the

residency program start in August. Its purpose is to familiarize and orient incoming dental

officers with their new duties and responsibilities and introduce them to military customs,

courtesies, regulations and core values. Additionally, a two to three-day medical readiness

course is also conducted in conjunction with this training. Residents report to their AEGD

locations following completion of COTS. See the Air Force Health Professions Recruiter for

details.

Scott AEGD Residency Program

GENERAL INFORMATION

http://airforcemedicine.afms.mil/usafdental

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State Dental License

Military dentists on active duty are required to have a valid state license. The license does not

have to be in the state in which the officer is assigned. It is strongly recommended that residents

challenge a dental licensure examination prior to their residency. Dental officers arriving for the

residency program without a license will be required to take a licensure examination within one

year of graduation from dental school. Failure to obtain a license in the first year of active duty

is grounds for administrative discharge from the Air Force or transfer to duties not involving

dentistry. Residents with state dental licenses are typically eligible for bonus pay near the start

of residency training. As of 2010, this bonus is $10,000.

Personal Appearance and Conduct

As commissioned officers of the United States Air Force, residents must comply fully with

standards of appearance and conduct. Initial USAF orientation briefings inform newcomers of

these requirements. Nothing less than exemplary bearing and behavior is acceptable.

Withdrawal or Removal From Training

With the approval of the USAF Surgeon General, a resident may be withdrawn from training for

any of the following reasons: individual request; prolonged absence from the program; less than

satisfactory performance or academic progress; disciplinary problems; other acts or

circumstances which warrant release from the program; or national emergencies. Air Force

Instruction (AFI) 41-117, Medical Service Officer Education, and AFI 36-3207, Separating

Commissioned Officers, are guidances/instructions that apply to such withdrawal.

Due Process Policy

If needed to improve student performance, discretionary actions can be used by the program

director and methods include limitations on educational activities, academic notice, and formal

probation. If these steps do not rectify the situation, an investigation of the situation is

completed, and a recommendation may be made to terminate the student's participation in the

program. The student may request a faculty board review of the situation. Specific details of

faculty board composition and due process procedures, including appeal procedures and

reinstatement, can be found in detail in Air Force Instruction (AFI) 41-117, Medical Service

Officer Education. Scott AFB AEGD also has a local policy based upon this AFI.

Certificate of Training and Board Certification Status

A Certificate of Residency Training will be presented to those residents who have satisfactorily

completed all the requirements of the training program. This program alone does not qualify the

resident for any dental specialty board examination leading to certification.

However, after successful completion of this program and documented attendance at a minimum

of 600 hours of continuing dental education course (of which 200 hours are participation),

applications may be made to challenge the American Board of General Dentistry. Current Air

Force policy stipulates that dental officers must complete a 2-Year Advanced Education in

General Dentistry program to be eligible for board certification pay.

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Other Training Certification

Certificates of Training in Intravenous Moderate Conscious Sedation, Nitrous Oxide Minimal

Sedation/Anxiolysis, and Forensic Dentistry Identification may be awarded provided specific

criteria are fulfilled and competency/proficiency is demonstrated.

Specialty Training Opportunities (After AEGD 1 Year Program)

Formal postgraduate residencies are available in endodontics, general dentistry, oral and

maxillofacial surgery, oral and maxillofacial pathology, orthodontics, pediatric dentistry,

periodontics, and prosthodontics. An AEGD provides a great exposure to the various specialties,

and may help the resident be more certain regarding their application to a particular specialty. In

general, an active duty service commitment equal to the length of the residency program is

incurred following formal training; but some specialties may vary. Graduates are obliged to

challenge their respective specialty certifying boards. Air Force specialty programs are

nationally recognized for their scholastic excellence and graduates consistently perform well on

board certification examinations. Dental officers who achieve diplomate status in general

dentistry or a traditional specialty are presently compensated with board certification pay.

Resident Education Function

The Resident Education Function (REF) is chaired by the Director, Dental Resident Education

and includes members of the teaching staff and the Chief Resident as a rotating member. It

provides overall program guidance and ensures that program objectives are being met and

residents' performance meets minimum standards. It also reviews program goals and objectives

in order to ensure compliance with accreditation standards set forth by the Commission on

Dental Accreditation of the American Dental Association. The function meets monthly.

Primary responsibilities of the function include development and review of curriculum plans and

outcomes assessment tools, evaluation of resident performance, education facility/equipment

assessment and improvement, support staff assessment and improvement and evaluation of

resident input through the Chief Resident.

Library Facilities

The 375th Dental Squadron maintains a library for use by the residents and staff. An on-line

medical literature index is being made available through the Air Force’s Virtual Library online.

Through inter-library agreements with the Wilford Hall Medical Center Library, the Scott AFB

Main Library, and other Air Force medical libraries, virtually any literature source can be

accessed. SIUE School of Dentistry, is also available as a possible resource. The ADA provides

excellent library support and has a toll-free number to order copies of journal articles at a

nominal fee.

Orientation / In-Processing

Prior to the beginning of formal training activities, an orientation program is provided to

acquaint the residents with their new associates and environment. Residents will also be oriented

to the military hospital environment and given an overview of the residency program. Time will

be allowed for the residents to process into the 375th Medical Group and base, arrange for

delivery of household goods, and satisfy other military requirements. Since minimal time will be

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allotted for making initial housing arrangements, residents are encouraged to visit the Scott Air

Force Base area prior to reporting to Commissioned Officer Training School.

Typical Resident Weekly Schedule

The weekly schedule represented below depicts a typical residency training week at the Scott

AEGD Residency. At various times, special events and opportunities may necessitate changes to

the schedule. Although adherence to this schedule is encouraged for patient treatment, flexibility

does allow occasional deviation when special circumstances warrant.

Our clinic uses a “Flex Schedule”, which means we average a 9-10 hour work day, but residents

get ½ day off or more every other Friday. Mission demands, residency requirements, or the

discretion of the Dental Squadron Commander can alter time off occasionally. Squadron

physical fitness times are included twice per week.

Resident Presentations

During the training year, each resident prepares a lecture presentation of 30-40 minutes in length that

is suitable as a continuing education presentation at their next duty station. Residents will also

present a table clinic at a local and national dental meeting in the spring. Staff mentors are assigned

to provide guidance on these and other projects required during the academic year. Residents

document a major portion of their clinical cases through the use of intraoral photography. While

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

0700

~

1100

Oper

Clinic

Periodontics

Clinic

Roll Call @ 7:10

Prostho

Clinic

Endo

Clinic

Ortho

Clinic (Monthly)

Lectures

&

Seminars

Monthly (2nd wk)

- Implant Board

- Literature Review

- Oral Medicine

- Tx Plan Seminar

- Patient Care Conf

1200

~

1700

Prostho

Clinic

Fitness Time

4:00

Oper

Clinic

Endo

Clinic

Operative

Clinic

Fitness Time

4:00

Perio

Clinic

Clinic Meetings

4:00

Oper

Clinic

or

½ Day off (alternating wks)

Clinic Meetings

4:00

Two 2-wk block rotations in Oral Surgery initially, then up to 4 wks more (based on staff

recommendation and resident input)

Pediatric/Special Care rotations at SIUE School of Dental Medicine facilities for 6 days

Orthodontic rotation will be once per month

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purchase of intraoral camera equipment is encouraged, the residency program does provide cameras

on a loan basis for training.

Dental Officer of the Day (DOD) – On Call Duties

Dental residents will perform Dental Officer of the Day (DOD) duties on a rotating basis with other

members of the dental staff. This duty involves being available by for dental emergencies after

normal duty hours and on weekends. Teaching staff back-up assistance is readily available to the

rotating officers. The DOD is called by the Medical Answering Service if needed (DOD cell phone

provided). After initial telephone triage, the resident in concert with the staffer will make a decision

as to the level of urgency and will report to the clinic for patient treatment, if indicated. The resident

can expect to be on call one week every two months. Typically, the average call involves 1-2

patients for the week.

Leave/Illness

Dental residents will be permitted to take two weeks of leave during the training program during a

designated December-January holiday period. Emergency leave, as defined by AFI 36-303, may be

taken at any time. Special requests for other approved absences will be considered on a limited case-

by-case basis. In the event of illness, the resident will seek medical care through the medical clinic

and ensure that the program director is notified so that arrangements can be made for previously

appointed patients.

Seminars, Lectures, and Literature Reviews

Formal lectures, seminars, and literature reviews will be conducted by the various dental specialty

departments. These presentations will be scheduled on a weekly basis. All residents are required to

attend and participate.

Dental Staff Meetings

Residents will be required to attend dental staff meetings, as directed by the 375th

Dental Squadron

commander or the AEGD program director.

Professional Membership

Membership in the American Dental Association (ADA) is highly recommended, but not required.

Residents qualify for the ADA student/resident membership dues. In addition, residents are highly

encouraged to become members of the Academy of General Dentistry (AGD). Members can receive

150 hours of participation continuing education credit toward the AGD Fellowship Award following

completion of the AEGD residency.

Resident Evaluation

Resident performance evaluations will be completed at the end of each training period (three

evaluations) by each specialty area for each resident. These reports will be submitted to the program

director, who compiles the information and formally presents it to each resident on an individual

basis. These documents will be filed in the resident's local training record. Following completion of

the residency program, a formal training report will be written, which becomes a part of the

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resident's permanent military record. This report is equivalent to the annual Officer Performance

Report (OPR) and can impact on a resident's future military career and advanced education pursuits.

Resident Critiques

To aid in evaluating the effectiveness of the various components of the educational program, each

resident will submit a written critique on the training program periodically. This quality

improvement tool provides valuable and constructive criticism. It is designed to ensure that resident

needs are being met in addition to facilitating communication between the residents and the teaching

staff.

2010-2011 AEGD Residency Teaching Staff

Program Director Col Brent S. McClenny, USAF, DC

Degree: DMD, University of Alabama School of Dentistry

Training: Certificate, AEGD 2-Year Program, Keesler Medical Center,

Keesler AFB, MS

Board Status: Diplomate, Federal Services Board of General Dentistry

and American Board of General Dentistry

Deputy Program Director Lt Col Bryce G. Whisler III, USAF, DC

Degree: DDS, Baylor College of Dentistry

Training: Certificate, AEGD 2-Yr Program, Wilford Hall Medical Center,

Lackland AFB, TX

Board Status: Diplomate, American Board of General Dentistry

Chief of Endodontics Col Kenneth J. Boone, USAF, DC

Degree: DDS, Louisiana State University School of Dentistry

Training: Certificate in Endodontics, Wilford Hall Medical Center,

Lackland AFB, TX

Board Status: Board Eligible

Chief of Orthodontics Col Brent E. Nikolaus, USAF, DC

Degree: DDS, University of Tennessee Health Sciences Center

Training: Certificate in Orthodontics, St. Louis University


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Chief of Periodontics Col Lynn F. Haines, USAF, DC

Degree: DDS, The Ohio State University College of Dentistry

Training: Certificate in Periodontics, University of Maryland at Baltimore

Board Status: Diplomate, American Board of Periodontology

Periodontics Training Officer Maj Matthew T. Raper, Maj, USAF, DC

Degree: DDS, The Ohio State University College of Dentistry

Training: Certificate in Periodontics, Wilford Hall Medical Center,

Lackland AFB, TX

Board Status: Diplomate, American Board of Periodontology

Chief of Prosthodontics Col Randall C. Duncan, USAF, DC

Degree: DDS, University of Texas at San Antonio Dental School

MS, University of Texas Graduate School of Biomedical Sciences

Training: Prosthodontics Certificate, University of Texas Dental School

at San Antonio

Board Status: Diplomate, American Board of Prosthodontics

Prosthodontics Training Officer Lt Col David F. Pierson, USAF, DC

Degree: DDS, University of Southern Illinois Edwardsville School of Dental

Medicine

Training: Prosthodontics Certificate - Wilford Hall Medical Center, Lackland

AFB, Texas


Chief of Oral and Maxillofacial Surgery Maj Curtis J. Hayes, USAF, DC

Degree: DDS, University of Colorado School of Dentistry

Training: Certificate in Oral & Maxillofacial Surgery, Wilford Hall Medical

Center, Lackland AFB, TX

Board Status: Diplomate, American Board of Oral and Maxillofacial Surgery

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Health & Medicine

Brochure scott aegd 2011 12