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General Practice Residency (GPR)  

General Practice Residency (GPR)
 

Program Description
Admissions - Application Form
Consultants Lists - PDF
Goals & Objectives
On Service Rotations
Off Service Rotations Goals & Objectives
On Call Schedule
Relevant Links 
 


PROGRAM DESCRIPTION
 

The University of Western Ontario General Practice Residency (GPR) was accredited in 1980 and is designed to provide experience in all phases of inpatient and ambulatory dental care in a hospital setting.  In order to provide a broad educational and clinical experience, each resident spends three months at each of the three affiliated teaching hospitals.  The resident also spends three months on an off service rotation to gain educational experience in Otolaryngology, Anaesthesiology, Internal Medicine, Emergency Medicine and Neurosurgery.

Throughout the year, regularly scheduled lectures, literature reviews and case presentations will be held.  The objective of the residency is to create an environment for learning clinical and intellectual skills in order to better serve your patients.  Four residents are selected each year.  They are paid an annual stipend and get two weeks of paid holiday time.

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ADMISSIONS - APPLICATION FORM
 

  • The University of Western Ontario selects four residents for its GPR program annually. 
  • The application deadline is 15th of October.  
  • Interviews are generally held in the first week of November.  
  • All applicants must be graduates from an accredited dental school in North America. 
  • Foreign trained dentists must have completed a qualifying program prior to commencement of the residency.  
  • All applicants will be required to complete the National Dental Examining Board of Canada exam for their registration in Ontario (NDEB).  All successful applicants will have to obtain a general certificate of registration from the Royal College of Dental Surgeons of Ontario
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If you have any questions, please contact the Administrator for the General Practice Residency Program at Dental General Residency Program.

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GOALS & OBJECTIVES
 

  • Provide an environment for learning clinical and intellectual skills with emphasis on diagnosing, treatment planning and comprehensive dental care
  • To provide clinical experience in the management of the medically compromised patient
  • To provide training experiences in hospital protocol, management of inpatients, patient rounds and interaction with other hospital specialties
  • To provide experiences in dealing with and managing acute dental emergencies and problems
  • To learn operating room protocol by assisting and performing procedures in the operating room
  • To provide training in conscious sedation and to be Advanced Cardiac Life Support certified

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ON SERVICE ROTATIONS

LHSC - Westminster Campus Rotation

During this rotation, the residents receive experience and training in:

  • Comprehensive clinical care in the outpatient clinic
  • Treating medically compromised patients
  • Care of developmentally delayed patients
  • Paediatric patients (in the outpatient clinic and the operating room)
  • Multi-disciplinary care of cancer patients
  • Emergency dental care
  • Intravenous and nitrous oxide sedation
  • Minor oral surgery (simple/complicated exodontia, trauma, biopsies)


LHSC - University Campus Rotation
 

During this rotation, the residents receive experience and training in:

  • Comprehensive clinical care in the outpatient clinic
  • Treating medically compromised patients
  • Multi-disciplinary care of pre- and post-transplant patients
  • Emergency dental care
  • Nitrous oxide sedation
  • Implant Dentistry
  • Minor oral surgery (simple/complicated exodontia, trauma, biopsies)
  • Maxillofacial Prosthodontics
  • Obstructive Sleep Apnea
  • TMD and Facial Pain
  • Assisting and performing surgical procedures in the operating room


St. Josephs Health Centre Platts Lane Rotation
 

During this rotation, the residents receive experience and training in:

  • Comprehensive clinical care in the outpatient clinic
  • Treating medically compromised patients
  • Geriatric dental care (in the clinic and in a Nursing Home)
  • Minor oral surgery (simple/complicated exodontia, trauma, biopsies)
  • Emergency dental care
  • Implant Dentistry
  • Periodontology
  • Assisting and performing surgical procedures in the operating room

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OFF SERVICE ROTATIONS GOALS & OBJECTIVES


Neurosurgery

  1. To be able to take a pertinent history relevant to the nervous system
  2. To learn and be able to do a basic physical exam of the nervous system
  3. To recognize normal from abnormal in the physical examination of the nervous system
  4. To be able to differentiate pain of dental/jaw origin from that of neurological origin
  5. To be able to assess the nervous system in the trauma patient
  6. To learn the various types of injuries to the nervous system in the trauma patient and the importance of early recognition of these injuries
  7. To learn the basic preliminary management of injuries to the nervous system in the trauma patient
  8. To improve on basic history and physical examination skills
  9. To improve on basic surgical skills
  10. To be able to manage the surgical patient peri-operatively  

Otolaryngology

  1. To get an overview of the Otolaryngology Head and Neck field
  2. To be able to take a pertinent history relevant to the head and neck
  3. To learn and be able to do a basic otolaryngological physical examination including the ears, nose, throat, mouth, sinuses, head and neck
  4. To recognize normal from abnormal in the otolaryngological physical examination
  5. To be able to differentiate pain from dental/jaw origin from that originating from other head and neck structures
  6. To be able to assess the airway and manage airway compromise non-surgically, as well as be exposed to surgical airway management
  7. To be exposed to operative procedures in otolaryngology, Head and Neck surgery
  8. To improve on basic history and physical examination skills
  9. To improve on basic surgical skills
  10. To be able to manage the surgical patient peri-operatively
  11. Internal and Emergency Medicine

To be able to take a history

  1. To learn and be able to do a basic physical examination of the head and neck, respiratory, cardiovascular, abdomen, musculoskeletal and skin systems
  2. To recognize normal from abnormal in the physical examination
  3. To understand the pathophysiology of medical disorders and how they may affect the management of the dental patient
  4. To learn the various laboratory investigations available and their interpretation
  5. To be able to manage medical emergencies (e.g. chest pain, angina, myocardial infarction, cardiac arrest, respiratory distress, loss of consciousness, altered consciousness, allergic reactions, seizures, drug reactions) which may occur in the dental office
  6. To learn the approach to infectious disease, the principles of management of infections and the appropriate prescribing of antimicrobials
  7. To improve clinical physical examination skills, especially in the areas of the cardiovascular and respiratory systems
  8. To be able to understand medical disorders so the medically compromised patient can be managed appropriately in general dental practice

Anaesthesia

  1. To understand and apply anaesthetic considerations in the pre-operative evaluation and preparation of the surgical and dental patient for an anaesthetic
  2. To learn appropriate airway and ventilatory management 
  3. To prescribe and conduct appropriate fluid and blood component therapy, including establishing intravenous access
  4. To acquire a very basic understanding of the pharmacology of drugs and gases used in anaesthesia
  5. To understand and apply local anaesthetic pharmacology appropriate to the practice of general dentistry
  6. To understand the risks and goals of anaesthesia, especially in the medically compromised patient
  7. To understand the principles of acute and chronic pain management
  8. To improve clinical physical examination skills especially in the areas of cardiovascular and respiratory systems

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ON CALL SCHEDULE


It is the responsibility of the dental residents to provide emergency dental coverage for the affiliated dental services for the city of London and surrounding areas.  The residents do not remain in-house for call but are expected to go to the appropriate hospital department when called within a reasonable time frame.

The three on service residents rotate through the call schedule while the off service resident takes call with the service that they are currently on.


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