Competency and Proficiency Requirements

Stony Brook Dental Anesthesiology Residency Program

1. Upon completion of the 3-year dental anesthesia residency program, the resident shall be proficient in:

  1. Performing a comprehensive pre-anesthetic evaluation incorporating the patient’s:
    1. Medical history
    2. Family history
    3. Focused physical examination specific to the patient being treated:

i. Airway examination
ii. Vital signs
iii. Other as may be required

 d. NPO status
 e. Risk assessment including ASA status
 f. Obtaining consults as required

2. Develop anesthetic treatment options specific to the medical, psychological and surgical requirements of the dental patient.

3. Obtaining an informed and written consent

4. Providing clinical dental anesthesia (moderate sedation & general anesthesia) to a comprehensive patient population to include but not limited to:

a. Pediatrics
b. Geriatrics
c. Patients with special needs
d. Patients with ASA status 1-3
e. Ambulatory patients
f. Admitted in-hospital patients

5. Providing clinical dental anesthesia (moderate sedation & general anesthesia) for all types of dental procedures to include but not limited to:

a. Dental rehabilitation
b. Dental alveolar surgery
c. Facial trauma
d. Orthognathic surgery

6. Providing clinical dental anesthesia (moderate sedation & general anesthesia) in varied venues to include but limited to:

a. Acute care hospital
b. Ambulatory surgical center (ASC)
c. Dental school
d. Private offices (OBA)

7. Treatment of perioperative pain.
8. Treatment of medical emergencies
9. Interpersonal & Communication skills

a. Ability to work with members of the healthcare team
b. Rapport with patient and families

2. Upon completion of the 3-year dental anesthesia residency program, the resident shall be competent in:

1. Evaluating anesthesia literature, presenting and discussing said literature with colleagues and explain literature to patients and families

3. Upon completion of the 3-year dental anesthesia residency program, the resident shall be familiar with:

1. Diagnosis and treatment of chronic orofacial pain.

 

 

Curriculum Management Plan & Outcomes of Didactic and Clinical Training in Terms of Competency and Proficiency Requirements

 

  1. Able to demonstrate in-depth knowledge of the anatomy and physiology of the human body and its response to the various pharmacologic agents used in anxiety and pain control;\
  • The experience in this area is intended to enable the resident to: (1) be proficient in formulating an anesthetic plan that is tailored to the surgical, medical, and psychologic needs of the dental patient; (2) be proficient in providing anesthesia services with new anesthetic agents as they are developed.
  • Didactic:
  • Stony Brook Anesthesia Orientation Lecture Series,
  • Stony Brook Core Curriculum
  • Grand Rounds (Departmental)
  • Guest lectures
  • QA sessions
  • Senior Grand Rounds
  • Journal Club
  • VA Hospital lecture series
  • Grand Rounds (Dental Anesthesiology Division)
  • Journal Club (Dental Anesthesiology Division)
  • Hospital rotations
  • Simulation training

  • Clinical:
  • Clinical anesthesia rotations (In all locations/venues)
  • Clinical experience
  • Faculty (MD & DDS) - resident discussions during the administration of clinical anesthesia

b) Able to demonstrate in-depth knowledge of the pathophysiology and clinical medicine related to disease of the human body and effects of various pharmacological agents used in anxiety and pain control when these conditions are present;

  • The experience in this area is intended to enable the resident to: (1) be proficient in performing a thorough preanesthetic evaluation integrating medical history (especially patients with multiple comorbidities), physical evaluation, airway evaluation; (2) Determine risk assessment, and obtaining informed consent; (3) be proficient in formulating an anesthetic plan that is tailored to the surgical, medical, and psychologic needs of the dental patient; (4) be proficient in managing medical emergencies that may occur in the perioperative period; (5) proficient in altering traditional anesthetic treatment plans due to the pathophysiology of the the patient.
  •  Didactic:
  • Stony Brook Anesthesia Orientation Lecture Series
  • Stony Brook Core Curriculum
  • Grand Rounds (Departmental)
  • Guest lectures
  • QA sessions
  • Senior Grand Rounds
  • Journal Club
  • VA Hospital lecture series
  • Grand Rounds (Dental Anesthesiology Division)
  • Journal Club (Dental Anesthesiology Division)
  • Hospital rotations
  • Simulation training

Clinical:

  • Clinical anesthesia rotations (In all locations/venues)

Clinical experience
Faculty (MD & DDS) - resident discussions during the administration of clinical anesthesia

c)  Competent in evaluating, selecting and determining the potential response and risk associated with various forms of anxiety and pain control modalities based on patients' physiological and psychological factors;

  • The experience in this area is intended to enable the resident to: (1) be proficient in performing a thorough preanesthetic evaluation integrating medical history, physical evaluation, airway evaluation, risk assessment, and obtaining informed consent/assent; (2) be proficient in the formulation of an anesthetic plan that is tailored to the surgical, medical, and psychological needs of the dental patient; (3) be proficient in altering a preselected anesthetic treatment plant due to unexpected reposnes; (4) be proficient in communicating effectively with patients, their families and other health professionals; (5) be competent in reviewing and evaluating the scientific literature and applying this evidence base to clinical practice.

  • Didactic:
    • Stony Brook Anesthesia Orientation Lecture Series,
    • Stony Brook Core Curriculum
    • Grand Rounds (Departmental)
    • Guest lectures
    • QA sessions
    • Senior Grand Rounds
  • Journal Club
  • VA Hospital lecture series
  • Grand Rounds (Dental Anesthesiology Division)
  • Journal Club (Dental Anesthesiology Division)
  • Hospital rotations
  • Simulation training
  • Clinical:
  •  Clinical anesthesia rotations (In all locations/venues)
  • Clinical experience
  • Faculty (MD & DDS) - resident discussions during the administration of clinical anesthesia

ci) Competent in patient preparation for sedation/anesthesia, including pre-operative and postoperative
instructions and informed consent/assent;

  • The experience in this area is intended to enable the resident to: (1) be proficient in performing a thorough preanesthetic evaluation integrating medical history, physical evaluation, airway evaluation, risk assessment, and obtaining informed consent/assent; (2) be proficient in communicating effectively with patients, their families and other health professionals; (3) be proficient in communicating with medical specialists (requesting and responding to consultations); (4) changing, stopping chronic medications or adding additional medications due to the type of anesthesia being administered.
  • Didactic:
  • Stony Brook Anesthesia Orientation Lecture Series,
  • Stony Brook Core Curriculum
  • Grand Rounds (Departmental)
  • Guest lectures
  • QA sessions
  • Senior Grand Rounds
  • Journal Club
  • VA Hospital lecture series
  • Grand Rounds (Dental Anesthesiology Division)
  • Journal Club (Dental Anesthesiology Division)
  • Hospital rotations
  • Simulation training
  • Clinical:
  • Clinical anesthesia rotations (In all locations/venues)
  • Clinical experience
  • Faculty (MD & DDS) - resident discussions during the administration of clinical anesthesia

e) Competent in the use of anesthesia-related equipment for the delivery of anesthesia, patient monitoring, and emergency management;

  • The experience in this area is intended to enable the resident to: (1) be proficient in performing the clinical skills necessary for the provision of safe and effective anesthesia care for dentistry; (2) be proficient in the management of medical emergencies that may occur in the perioperative period; (3) determine reason for failure of equipment & make alterations in the way patient is being treated.
  • Didactic:
  • Stony Brook Anesthesia Orientation Lecture Series,
  • Stony Brook Core Curriculum
  • Grand Rounds (Departmental)
  • Guest lectures
  • QA sessions
  • Senior Grand Rounds
  • Journal Club
  • VA Hospital lecture series
  • Grand Rounds (Dental Anesthesiology Division)
  • Journal Club (Dental Anesthesiology Division)
  • Hospital rotations
  • Simulation training

Clinical:

Clinical anesthesia rotations (In all locations/venues)

Clinical experience
Faculty (MD & DDS) - resident discussions during the administration of clinical anesthesia

f) Competent in the administration of local anesthesia, sedation, and general anesthesia, as well as in psychological management and behavior modification as they relate to anxiety and pain
control in dentistry;

  • The experience in this area is intended to enable the resident to: (1) be proficient in performing the clinical skills necessary for the provision of safe and effective anesthesia care for dentistry, with special emphasis placed on: management of the fearful and/or uncooperative patient; management of open airway anesthesia; intubation of the difficult airway; and the flexibility to provide anesthesia care in a variety of settings; (2) be proficient in prescribing perioperative medication to alleviate fear and anxiety and postoperative pain; (3) to be proficient in formulating an anesthetic plan that is tailored to the surgical, medical, and psychologic needs of the dental patient; (4) be proficient in communicating effectively with patients, their families and other health professionals.
  • Didactic:
  • Stony Brook Anesthesia Orientation Lecture Series,
  • Stony Brook Core Curriculum
  • Grand Rounds (Departmental)
  • Guest lectures
  • QA sessions
  • Senior Grand Rounds
  • Journal Club
  • VA Hospital lecture series
  • Grand Rounds (Dental Anesthesiology Division)
  • Journal Club (Dental Anesthesiology Division)
  • Hospital rotations
  • Simulation training
  • Clinical:
  • Clinical anesthesia rotations (In all locations/venues)
  • Clinical experience
  • Faculty (MD & DDS) - resident discussions during the administration ofClinical anesthesia

g) Competent in managing perioperative emergencies and complications related to anxiety and pain control procedures, including the immediate establishment of an airway and maintenance of
ventilation and circulation;

  • The experience in this area is intended to enable the resident to: (1) be proficient in performing the clinical skills necessary for the provision of safe and effective anesthesia care for dentistry, with special emphasis placed on intubation of the difficult airway; (2) be proficient in the management of medical emergencies that may occur in the perioperative period.
  • Didactic:
  • Stony Brook Anesthesia Orientation Lecture Series,
  • Stony Brook Core Curriculum
  • Grand Rounds (Departmental)
  • Guest lectures
  • QA sessions
  • Senior Grand Rounds
  • Journal Club
  • VA Hospital lecture series
  • Grand Rounds (Dental Anesthesiology Division)
  • Journal Club (Dental Anesthesiology Division)
  • Hospital rotations
  • Simulation training
  • Clinical:
  • Clinical anesthesia rotations (In all locations/venues)
  • Clinical experience
  • Faculty (MD & DDS) - resident discussions during the Administration of clinical anesthesia
  • PACU Rotation
  • Difficult airway rotation
  • Code Response Team
  • Trauma Response Team – Emergency Department

h) Competent in the diagnosis and non-surgical treatment of acute pain related to the head and neck region;

  • The experience in this area is intended to enable the resident to: (1) be proficient in the management of acute orofacial pain through local anesthesia and postoperative analgesics.
  • Didactic:
  • Stony Brook Anesthesia Orientation Lecture Series,
  • Stony Brook Core Curriculum
  • Grand Rounds (Departmental)
  • Guest lectures
  • QA sessions
  • Senior Grand Rounds
  • Journal Club
  • VA Hospital lecture series
  • Grand Rounds (Dental Anesthesiology Division)
  • Journal Club (Dental Anesthesiology Division)
  • Hospital rotations
  • Simulation training
  • Clinical:
  • Clinical anesthesia rotations (In all locations/venues)
  • Clinical experience
  • Faculty (MD & DDS) - resident discussions during the administration of clinical anesthesia

i) Familiar with the diagnosis and treatment of chronic pain related to the head and neck region;

  • The experience in this area is intended to enable the resident to: (1) be familiar with the diagnosis and management of chronic orofacial pain.
  • Didactic:
  • Stony Brook Anesthesia Orientation Lecture Series,
  • Stony Brook Core Curriculum
  • Grand Rounds (Departmental)
  • Guest lectures
  • QA sessions
  • Senior Grand Rounds
  • Journal Club
  • VA Hospital lecture series
  • Grand Rounds (Dental Anesthesiology Division)
  • Journal Club (Dental Anesthesiology Division)
  • Hospital rotations
  • Simulation training
  • Clinical:
  • Clinical anesthesia rotations (In all locations/venues)
  • Clinical experience
  • Faculty (MD & DDS) - resident discussions during the administration of clinical anesthesia

j) Able to demonstrate in-depth knowledge of current literature pertaining to dental anesthesiology.

  • The experience in this area is intended to enable the resident to: (1) be proficient in performing a thorough preanesthetic evaluation integrating medical history, physical evaluation, airway evaluation, risk assessment, and obtaining informed consent/assent. (2) be proficient in formulating an anesthetic plan that is tailored to the surgical, medical, and psychologic needs of the dental patient (3) be proficient in managing medical emergencies that may occur in the perioperative period; (4) be proficient in managing acute orofacial pain through local anesthesia and postoperative analgesics; (5) be competent in reviewing and evaluating the scientific literature and applying this evidence base to clinical practice; (6) be able to communicate with professional colleagues about new and controversial subjects.
  • Didactic:
  • Stony Brook Anesthesia Orientation Lecture Series,
  • Stony Brook Core Curriculum
  • Grand Rounds (Departmental)
  • Guest lectures
  • QA sessions
  • Senior Grand Rounds
  • Journal Club
  • VA Hospital lecture series
  • Grand Rounds (Dental Anesthesiology Division)
  • Journal Club (Dental Anesthesiology Division)
  • Hospital rotations
  • Simulation training
  • Clinical:
  • Clinical anesthesia rotations (In all locations/venues)
  • Clinical experience
  • Faculty (MD & DDS) - resident discussions during the administration of clinical anesthesia