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University of Kentucy College of Dentistry 
Building a Foundation for the Future
 
Oral and Maxillofacial Surgery

Residency Program

The University of Kentucky Oral & Maxillofacial Surgery Program is a six-year integrated medical degree/certificate program that allows graduates of accredited dental schools a unique experience in the fields of medicine and Oral and Maxillofacial Surgery. The department matches two residents per year into the six-year program. Since 1965, the department has graduated 66 residents with the majority becoming board certified with the American Board of Oral and Maxillofacial Surgery.

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Facilities

Residents provide patient care in a number of outpatient and inpatient facilities including the Chandler Medical Center, the College of Dentistry, the Veteran's Administration Hospital, and the University of Kentucky Children's Hospital. The Division of Oral & Maxillofacial Surgery has scheduled operating time at the Chandler Medical Center on Mondays and Thursdays. This provides residents graduated experience in managing more complex maxillofacial injuries and elective surgical cases. The College of Dentistry provides residents with experience in routine and complex dentoalveolar surgery on an outpatient basis. Residents also assist with the supervision of dental students in managing and treating walk-in and scheduled patients. There are 12 operatories in the Oral and Maxillofacial Surgery Clinic located in the College of Dentistry and a two-chair operatory in the Veteran's Administration Clinic. The VA Hospital provides the resident with experience in outpatient dentoalveolar surgery, the surgical management of head and neck skin pathology, and maxillofacial trauma in an elderly, medically compromised patient population.

Call Schedule

The Oral & Maxillofacial Surgery service is responsible for Maxillofacial Trauma call every third night, rotating with the Otolaryngology/Head and Neck Surgery and Plastic and Reconstructive Surgery services. The service manages all bony and soft tissue injuries to the head and neck region on these nights. Residents are also responsible for taking call the remaining nights for direct referrals to the OMFS service from within the Chandler Medical Center as well as from hospitals throughout the Commonwealth of Kentucky.

The Curriculum

The six year program includes an internship in OMFS, 2 years and 3 months of medical school including all of the traditional medical school clerkships (surgery, internal medicine, OB/GYN, psychiatry, neurology, pediatrics, etc.), a four month anesthesia rotation, and a PGY-1 year of general surgery with the remaining time spent on the Oral and Maxillofacial Surgery service.

The University of Kentucky Division of Oral & Maxillofacial Surgery participates in the match program. Candidates accepted into the residency program will be required to obtain a Kentucky dental license before orientation. Once enrolled in the program, it is expected that residents will successfully complete all aspects of the training including the didactics afforded through the medical school. Failure in any portion of the program in either the clinical portions of the training or in medical school will result in dismissal from the training program.

Currently, the first year is spent on the Oral and Maxillofacial Surgery service, divided between the Veteran's Hospital, the University of Kentucky Chandler Medical Center, and the College of Dentistry. A Physical Diagnosis course is incorporated into the first year of training in addition to the numerous didactic courses given on a weekly basis. Teaching rounds are conducted every Tuesday morning when the residents present cases before staff and students and answer questions pertinent to the care of each patient. This is followed by formal didactic lectures, divided between the faculty and the residents. Wednesday mornings include an Oral Pathology lecture, case review, and histopathology course. During the fall, on-service residents from the Department of Orthodontics and the Division of Oral and Maxillofacial Surgery meet on Wednesdays for a combined Orthodontic/Orthognathic Surgery lecture and case discussion. In the spring, the Oral and Maxillofacial Surgery residents meet with the Department of Oral-Facial Pain for lectures and case review on the medical and surgical management of TMD every Wednesday. M & M conferences for the Division of Oral and Maxillofacial Surgery are held every Friday morning to discuss selected outpatient and inpatient surgeries. Evening conferences include the Orthognathic Surgery Conference every other Monday and monthly Journal Clubs. Residents also attend monthly Dental Grand Rounds and a monthly combined Maxillofacial Trauma Conference attended by Oral and Maxillofacial Surgery, Otolaryngology/Head and Neck Surgery, and Plastic and Reconstructive Surgery.

OMFS residents begin medical school in November of the second year and devote the majority of their time to their medical studies.  The resident participates at the level of a second year medical student progressing on to the third year of medical school with completion of Part I of USMLE. The third year of residency is spent rotating through clinical clerkships necessary to fulfill third year medical school requirements. In the fourth year of medical school, the resident spends approximately five months completing required clerkships. An additional four months are spent rotating in the Department of Anesthesia. The remaining time is spent on the Oral & Maxillofacial Surgery Service. The first eight months on General Surgery is divided between Trauma Surgery, Oncologic Surgery, General Surgery, Neurologic Surgery and Plastic and Reconstructive Surgery. The fifth year of the program is considered a general surgery PGY 1 year. The final four months are spent on Oral and Maxillofacial Surgery. The sixth year is the resident's PGY 4 Oral and Maxillofacial Surgery year. Both residents will function as a Chief Resident on the service for six months at a time. The Chief Resident is responsible for the daily operations of the service, management of all patients, and is intricately involved with most operative procedures.

Salary and Tuition

The annual 2010-2011 salary levels are as follows:

                   

 Postgraduate Level         

 Annual       

 Monthly

First Year

$ 46,348.00

$ 3,862.33

Second Year

$ 47,845.00

$ 3,987.08

Third Year

$ 49,757.00

$ 4,146.42

Fourth Year

$ 51,753.00

$ 4,312.75

Fifth Year

$ 54,473.00

$ 4,539.42

Sixth Year

$ 56,861.00

$ 4,738.42

 

During the second, third and fourth years when OMFS residents are in medical school, one salary line (PGY-2) is split relative to the amount of time spent on service. While in medical school residents must pay tuition but are eligible for in-state rates. Medical school is an integral portion of the training program at the University of Kentucky; successful completion of the medical education and passage of the medical board exams is required to continue in the residency.

How To Apply

This program participates in the P.A.S.S. application process. The application deadline is October 17th. Applicants are responsible for ensuring that the completed applications, transcripts, and letters of recommendation are received by then.

Larry L. Cunningham, Jr., DDS, MD
Oral and Maxillofacial Surgery Residency Director
University of Kentucky College of Dentistry
800 Rose Street; D-508
Lexington, KY 40536-0297