Practice Residency Program
The staff of the Department of Dentistry consists of Attending and Consulting Dentists, Residents, Dental Hygienists and Dental Assistants who work under the direction of Opal Goodridge, DDS, MPH, the Chief of the Department. The equipment and the facilities of the Dental Clinics support a varied program of comprehensive patient care and research. The patient population at Coler-Goldwater is ideal for the Resident who seeks experience in providing long-term dental treatment, including follow-up and recall visits. The Dental Clinics are newly renovated with state-of-the-art dental equipment, which includes a dental analysis package on a CT scanner designed for surgical planning and evaluation for dental implants. Sedation/analgesia may be provided as an adjunct therapy when needed.
There are eight PGY-I Residents and up to two PGY-II Residents each year. Dental residents are offered highly personalized training in all phases of dentistry at Coler-Goldwater, where long-term comprehensive dental care is provided for medically compromised and special needs patients. Additional patient care rotations expose the Residents to a broad variety of patients and patient care delivery systems. These rotations include the following:
- Bellevue Hospital Center
- General Practice Clinic (once each week)
- Oral and Maxillofacial Surgery (six weeks)
- Pediatric Dental Clinic (eight days)
- Department of Emergency Medicine (two weeks)
- NYU Langone Medical Center/Tisch Hospital
- Department of Anesthesia (two weeks)
- Gouverneur Healthcare Services
- General Practice Clinic (once each week)
also participate in
- Weekly lectures, conferences, case presentations, and literature reviews
- Oral pathology courses at New York Hospital Queens
- Post-graduate courses at New York University College of Dentistry and the Columbia-Cornell Presbyterian Network
- An ACLS course at Downtown Hospital
Clinic hours are Monday to Friday from 8:30 a.m. to 5:00 p.m. The Residents and Attending Dentists provide night and weekend coverage on an "on-call" basis. Residents may supply this coverage by telephone and are not required to stay at the hospital on nights and weekends. "On-site" evening coverage during the six week Bellevue Oral and Maxillofacial Surgery rotation is required approximately once each week.
The Department participates in the Postdoctoral Application Support Service (PASS) of the American Dental Education Association and the Postdoctoral Dental Matching Program. The General Practice Residency Program at Coler-Goldwater is fully accredited by the Commission on Dental Accreditation of the American Dental Association.
There are eight PGY-I General Practice Residency positions available. The position begins July 1st and ends June 30th. Benefits include:
- Salary and meal allowance of $58,758.00
- Four weeks annual leave
- Sick leave
- Medical, hospitalization, dental, vision and prescription coverage
- Life insurance
- Long-term New York State disability insurance
- Free use of gym facilities in Coler and Goldwater facilities
- Up to $650.00 dollars allowance for computer purchase
The NYC Health and Hospitals Corporation provides Professional liability coverage through indemnification. Residents are members of the House Staff and protected by due process procedures and membership in CIR (Committee of Interns and Residents).
New York City Health and Hospitals Corporation is an Equal Opportunity Employer M/F/H/V.
Applicants must be U.S. citizens or permanent residents of the U.S.
Application Deadline: November 15th (earlier submissions are encouraged)
Dr. Opal F. Goodridge
Chief, Department of Dentistry
Coler-Goldwater Specialty Hospital and Nursing Facility
1 Main Street
Roosevelt Island, NY 10044
Goals of the General
Practice Residency Program are to enable residents to
- Refine and increase knowledge and skills acquired in dental school.
- Enjoy the opportunity to explore individual career options such as general practice, special patient care or specialty practice.
- Develop competence in evaluating the effects of medical conditions on the planning and provision of oral care and understand the relationship between oral findings and systemic disease.
- Develop competence in the provision of comprehensive multidiscipline oral health care for a diverse patient group including patients with special needs.
- Provide high quality emergency and comprehensive dental care for all patients.
- Learn to work effectively with other health professionals in an institutional setting.
- Value and practice professional ethics and patient-centered care with an awareness and respect for the patients' background.
- Understand the oral health needs of communities, and engage in community service.
Description of the Educational Experience Provided to Achieve these Goals*
At the end of the GPR program residents would have an understanding of hospital dentistry; how to request consultations both dental and medical; be able to provide dental treatment in the Operating Room setting; and be prepared for provision of multidisciplinary dental care.
Behavior modification whether with mild anxiolytics, sedation and or general anesthesia will be experienced by the diligent resident. The needed care can be routine or complex in nature for compromised/uncompromised patients.
Procedures are completed under the tutelage of generalists and Board certified specialists, which allows for advanced experiences in all phases of dentistry.
Oral diagnosis, prevention of oral disease and diagnosis and management of common oral pathosis is stressed as this is foundational to appropriate diagnosis and best practices in the restoration and rehabilitation of the oral apparatus. CPCs are often presented by the oral Pathologist. Oral manifestations of systemic diseases which are evidence based is presented as scientific proof of the correlation and incorporated into the provision of care.
Ethics and ethical behavior, infection prevention, judicious management of radiation, and truth in documentation are core to the dental procedures.
There is instruction in practice and risk management whereby the importance and benefit of informed consents, and clarity of dialogue with patients or parents/guardians/proxies is emphasized.
Periodontal procedures such as the laying of flaps, crown lengthening, and implant placement are done as the need arises, but not without basic periodontal evaluation, and charting, and CT scan when implant placement is anticipated.
Endodontic therapy can be with the use of conventional or the rotary system. Most residents will complete 6-8 anterior and 6 molar therapies during the program.
Restorative aspect of dentistry from simple restorations of a pediatric patient through to multiple crowns/bridges or the restoration of implants is available and encouraged. There are years when up to 300 or more implants are restored and over 200 crowns are placed.
Implant placement is experienced both with the direction of several periodontists, and/or oral surgeons. Numbers have been as high as 500 for a year! Other oral surgical procedures include apicoectomies, biopsies, frenectomies, and tori reductions. The residents also experience a half day hands on suturing session during the first month of the program.
The core lecture series in the first month is not limited to the dental specialty areas, but includes multiple medical specialty areas such as cardiology, neurology, psychiatry, pain management, infectious diseases and hematology. These lectures are presented by internists and board certified medical specialists.
*Specific core competencies and proficiencies expected to be achieved during the GPR experience are listed below.
Core Competencies and Proficiencies
The Council On Dental Accreditation, (CODA), of the American Dental Association is encouraging all General Practice Residency Programs to adopt Competency Based Evaluations for the Residents. These evaluations are to be based on Core Competencies and Proficiencies which should be based on the Objectives of the Program, and linked to the final proficiency of each Resident and the self assessment of the program.
The levels of expectation of performance of the Resident are:
P: Proficient - where the Resident is expected to be competent at the beginning of the program and gain further experience, knowledge, skills, and judgment during the residency.
C: Competent Ė Where the Resident is expected to have little experience at the start of the program but will become proficient during the residency.
A: Apprentice Ė Where the Resident will have little knowledge or experience at the beginning of the program but may or may not become competent at the end of the program.
A graduate of Coler-Goldwater Specialty Hospital and Nursing Facility GPR will:
- Function as a patientís primary and comprehensive oral health care provider (P)
- Treat patients efficiently in a dental practice setting (P)
- Be professional with the patients, establishing meaningful rapport and confidence, with respect for patientsí rights and dignity; putting patientsí needs and interests first to ensure patientsí satisfaction with dental treatment ((P)
- Explain and discuss with patients/ family/ guardian/ PCP: findings; diagnosis; treatment plan(s); realistic treatment expectations; time requirements; patient responsibilities (P)
- Use standard precaution; occupational hazard prevention procedures; and understand and utilize only accepted sterilization processes (P)
- Work effectively with the auxiliary dental staff to provide dental care which will include four-handed dentistry ((P)
- Provide dental care as part of an interdisciplinary professional healthcare team as in a hospital, institution, or community health care center (P)
- Make referrals to, and obtain consultations from professional colleagues for the treatment of dental, medical, psychological, behavioral, and social problems presented by dental patients (P)
- Analyze outcomes of patient treatment on an on-going basis so as to improve treatment (P)
- Maintain a comprehensive contemporaneous patient record system to facilitate retrieval of processes for analysis and improvement of outcomes (P)
- Apply principles of ethics and jurisprudence in the practice of dentistry (P)
- Evaluate scientific data/literature and apply the information to professional decisions (P)
- Use proper hospital protocol when treating and managing patients in a hospital setting (C)
- Perform dental consultations and request medical consultations for hospitalized and non-hospitalized patients (C)
- Perform dental treatment in the operating room (C)
- Plan and provide multidisciplinary dental care for patients with uncomplicated or complex needs, accounting for uncompromised/compromised medical, mental, physical, psychological, and/or social findings (C)
Diagnosis and Prevention of Oral Disease:
- Obtain a patientís chief complaint, (CC), history of present illness, (HPI), past medical history, (PMH), social history, (SH), and review of systems, (ROS) (P)
- Obtain and interpret appropriate clinical, laboratory, and radiographic data including that forwarded from other health care providers and sources, and other dental professionals (P)
- Perform a preliminary history and physical evaluation, collect other appropriate data, which is then utilized to establish a risk assessment which will further impact on a treatment plan (P)
- Perform a comprehensive clinical oral examination to include head, neck, skin, tempo-mandibular joint, periodontium, soft tissues, occlusion, and teeth (P)
- Take and interpret a full mouth radiograph series and/or panographic film (P)
- Implement a comprehensive preventive program to educate patients as to prevention of dental diseases and provide preventive services, e.g. fluoride treatment and sealants (P)
- Request and respond to requests for consultation (C)
Oral Diagnosis/ Oral Pathology:
- Diagnose and manage common oral pathosis (P)
- Diagnose and manage oral manifestations of systemic disease (P)
Treatment of dental and medical emergencies:
- Identify, diagnose, and provide initial treatment and follow up of medical emergencies occurring during dental treatment (P)
- Diagnose and manage dental emergencies (P)
Obtaining informed consent:
- Obtain informed consent for dental treatment by discussing with patients, parents and/or guardians the findings; diagnoses; risks, benefits, of the various treatment options, the alternatives, and their risks and benefits; patient responsibilities during and after treatment; and the likelihood of success (C)
General Anesthesia, Sedation, pain and anxiety control:
- Correctly use pharmacological agents in the treatment of dental patients (P)
- Correctly determine and evaluate the need for behavioral and pharmacological management in clinical procedures (C)
- Provide control of pain and anxiety in the conscious patient through the use of behavior management techniques, local anesthetics, and other pharmacological interventions including nitrous oxide conscious sedation techniques (C)
- Demonstrate an understanding of medications used to achieve general anesthesia, sedation, and/or an anxiolytic state.(A)
- Coordinate with patientís physician, caretaker, and family to determine appropriate medications/ techniques that would be effective for the patient (A)
- Demonstrate an understanding of prevention, recognition, and management of complications related to the use and interactions of medications used for general anesthesia, sedation and/or anxiety control (A)
- Demonstrate the ability to perform general dental procedures for patients where use of general anesthesia, sedation or anxiolytic agents is necessary (A)
- Demonstrates ability to diagnose and treat mild periodontal disease (P)
- Evaluate patients with periodontal conditions and formulate effective treatment plans (P)
- Diagnose and treat moderate and severe periodontal disease using surgical and non-surgical procedures (C)
- Perform non-surgical and surgical periodontal therapy (C)
- Evaluate the results of periodontal therapy and establish and monitor a periodontal maintenance program (P)
- Diagnose the need for crown lengthening and know methods of crown lengthening (P)
- Perform crown lengthening (A)
- Evaluate the health of dental implants and establish and performs maintenance procedures (C)
Restorative Dentistry/ Pediatric Dentistry:
- Restore single teeth using a wide range of acceptable materials and methods (P)
- Restore primary teeth (C)
- Restore intra and extra coronal defects (P)
- Place restorations and use techniques to enhance dental esthetics (P)
- Restore endodontically treated teeth (P)
- Diagnose and treat pain of pulpal origin (P)
- Explain treatment plans to patients (P)
- Perform uncomplicated non-surgical anterior endodontic therapy (P)
- Perform uncomplicated non-surgical posterior endodontic therapy (P)
- Recognize and manage endodontic complications and emergencies (P)
- Diagnose the need for surgical endodontic therapy (P)
- Prepare endodontically treated teeth for posts and cores (P)
- Place posts and cores (P)
- Treat patients with missing teeth requiring removable and/or fixed prostheses (P)
- Present treatment plans to patients (P)
- Diagnose and manage a patientís occlusion (C)
- Recognize and manage cases requiring complicated prostheses (C)
- Place restorations and utilize techniques to enhance patientís facial esthetics (C)
- Restore endodontically treated teeth (C)
- Restore single tooth implants (C)
- Communicate case design with laboratory technicians and evaluate each laboratory procedure and the resultant prostheses (P)
- Perform uncomplicated and complicated extraction of teeth (C)
- Perform uncomplicated pre-prosthetic surgery (C)
- Perform soft tissue biopsies (A)
- Recognize and manage surgical emergencies and complications (C)
- Treat avulsed teeth (C)
- Place implants and know techniques for placement (A)
- Obtain and read CT-scan (A)
- Manage fractures of the maxilla and/or the mandible (A)
Internship & Residencies:
Department of Psychiatry Department