The mission of the Oral and Maxillofacial Surgery Residency Program at David Grant USAF Medical Center is to provide highly trained surgeons capable of practicing full scope oral and maxillofacial surgery both at home and abroad. By integrating didactic education, clinical skills, and research opportunities, DGMC matriculates mission ready surgeons capable of sustaining the mission of the United States Air Force.

Purpose

The purpose of the Oral Maxillofacial Surgery Residency Program is to provide a four year, postgraduate education in Oral and Maxillofacial Surgery. The training provides a sequential surgical and patient management experience in a hospital based setting. The surgical experience is integrated into a comprehensive study of basic biomedical sciences and clinical medical rotations. The goal is to ensure the resident is capable of providing total patient care. The program is designed to meet the educational criteria established in the following guidelines and regulations. It is fully accredited by the Commission on Dental Accreditation, American Dental Association.

1. The David Grant Medical Staff Guide
2. The Commission on Dental Accreditation, American Dental Association
3. The American Association of Oral and Maxillofacial Surgeons
4. The American Board of Oral and Maxillofacial Surgery

The program is further structured to meet unique military requirements: the management of acute maxillofacial combat injuries plus their long range reconstruction and rehabilitation, operating in the austere deployed hospital, delivery of general anesthesia in the field environment, and providing the graduate with the experience to function as a military dental or surgical executive in time of peace and war.

Selection Procedures

Formal applications for Oral and Maxillofacial Surgery Residencies are made in accordance with Air Force Instruction 41-117 to AFPC / DPAMD, Randolph Air Force Base, Texas. Resident selections are made by a centralized board comprised of the Special Consultant to the Surgeon General for Oral and Maxillofacial Surgery, and the Program Chairmen and Directors of each of the respective AF OMS residencies. The selection board convenes at the Dental Education Meeting in August of each year at Randolph AFB. Residents are encouraged to have rank appropriate PME prior to starting training. Applicants must meet the criteria to serve as an officer in the United States Air Force.

Facilities and Resources

The Oral and Maxillofacial Surgery Flight is a division of the 60th Dental Squadron, David Grant Medical Center, Travis AFB, California. The Oral and Maxillofacial Surgery Clinic consists eight treatment rooms, a large conference room, laboratory, staff lounge, staff and resident offices. Ancillary personnel are assigned to support the teaching and clinical requirements.

DGMC is a referral center for military bases in the western United States and the Pacific theater. As such it is capable of providing full scope care of oral and maxillofacial conditions ranging from traumatic, acquired and congenital abnormalities. The OMS department operates three days per week in a nine room OR. Anesthesia support is provided by anesthesiologists, certified nurse anesthetists, nurse anesthesia residents and Oral and Maxillofacial Surgery residents rotating on the Anesthesia service.

Research

The Clinical Investigative Facility at DGMC is the research arm of DGMC and supports the research and investigative efforts of both staff and residents. Original research is mandatory and supported by the attending surgeons. Residents are required to submit a minimum of one article for publication to a nationally recognized journal.

First Year Resident (PGY-1)

In the first year the resident is oriented to the hospital environment and hospital protocols. They spend the majority of this year on off-service rotations. The goal for the first year resident is to become competent in the performance of a physical examination and the administration of general anesthesia.

PGY-1 Rotations

1. Inpatient Medicine - two months
2. Anesthesia - five months
3. Oral and Maxillofacial Surgery - five months*

Second Year Resident (PGY-2)

The second year consists of instruction, training and experiences on a more advanced level designed to increase depth of knowledge in medicine and surgery. Emphasis is placed on surgery and surgical subspecialties. The second year resident is responsible for the delivery of a significant portion of the outpatient general anesthetics.

PGY-2 Rotations

1. Otolaryngology/Head and Neck - one month
2. General Surgery - two months
3. Oral and Maxillofacial Surgery - five months
4. Oral and Maxillofacial Surgery at Community Regional Medical Center (Fresno, California) - two months
5. Oral and Maxillofacial Surgery at Kaiser- South Sacramento (Sacramento, California) - two months

Third Year Resident (PGY-3)

The third year resident assumes increasing responsibilities on the Oral and Maxillofacial Surgery Service. The resident is now the primary or first assistant surgeon for many cases taken to the operating room and is responsible for managing all of the implant cases being treated by the department. The Senior Project should be well underway during the PGY-3 year. Abstract submissions must comply with established deadlines for the respective conference.

PGY-3 Rotations

1. Oral and Maxillofacial Surgery - five months
2. Oral and Maxillofacial Surgery at Community Regional Medical Center (Fresno) - two months
3. Trauma Surgery / Surgical Intensive Care at Community Regional Medical Center (Fresno) - two months
4. Oral and Maxillofacial Surgery at Kaiser- South Sacramento (Sacramento) - two months
5. Otolaryngology/Head and Neck - one month

Fourth Year Resident (PGY-4, Chief Resident)

The fourth year resident assumes the administrative responsibilities as the Chief Resident of the Oral and Maxillofacial Surgery Services. The resident is responsible for coordination of the operating room and clinic schedules. They assume greater teaching/guidance duties for junior residents on service and medical rotators. The resident is the primary surgeon for the majority of cases performed in operating room. Complete and submit the Senior Project for publication. It is highly desirable for the resident to present this project as an abstract at the Annual AAOMS Scientific Session.

PGY-4 Rotations

1. Oral and Maxillofacial Surgery Chief Resident - four months
2. Oral and Maxillofacial Surgery - two months
3. Oral and Maxillofacial Surgery at Kaiser- South Sacramento (Sacramento) - four months
4. Oculoplastic/Plastic Surgery - one month
5. Surgical Elective - one month