Curicullum

The curricular content for the Medically Complex Patient Care Fellowship follows. Although a specific time period is allocated for each educational activity, the actual time listed is subject to change.

Required Text Books

Little and Falace’s Dental Management of the Medically Compromised Patient, 9th edition, Elsevier, ST. Louis Missouri, 2018

Burket’s Oral Medicine, 12th edition, Shelton, Connecticut: People’s Medical Publishing House, 2015

Oral and Maxillofacial Pathology, 4th Edition, St. Louis, MO: Elsevier, 2016

Oral and Maxillofacial Diagnostic Imaging by Koenig, Lisa published by Amirsys/LWW First Edition, 2012

The Cohen Conferences

This seminar series will focus on reinforcing knowledge of topics within the field of Oral Medicine. The curriculum is designed to review the fundamentals of Oral Medicine including oral mucosal lesions, salivary gland disease, and medically complex patient issues. Emphasis will be placed on applying this information to clinical practice. Attendance is mandatory for all MCPC Fellowship trainees.

Medically Complex and HIV Clinic

The participant will have the opportunity to treat patients in the Medically Complex clinic that provides comprehensive oral/dental care for patients with cardiovascular, renal, immune / hematologic compromise, organ transplantation and head and neck malignancy. The participant will also have the opportunity to learn the oral/dental management of patients with HIV. The goal will be prevention of medical emergencies in a dental setting and if they occur, how to manage them.

Oral Diagnosis Clinical Courses

The participant will have an opportunity to attend the following oral diagnosis and emergency didactic and clinical programs given at Penn Dental Medicine:

  • Medical clerkship course
  • Course 761
  • Course 861

Oral Radiology Clinic

The participant will receive training in diagnostic head and neck imaging and enhance their ability to utilize the broad scope of imaging modalities including oral radiographs, panoramic radiology, digital, tomography, and computed tomography. The purpose of this clinic experience is to gain clinical experience in standard and advanced oral and maxillofacial imaging techniques and interpretation. The clinic experience will provide the participant with an extensive review of image selection, interpretation, and radiographic technique with particular emphasis on radiographic manifestations of local and systemic diseases in the head and neck region.

Vernon J. Brightman Conferences

Internal Medicine Didactic program: Thomas Berardi, DMD
The following topics are covered in this program.

  • Obtaining a medical history and conducting a physical exam.
  • Review basic aspects of internal medicine conditions (e.g. cardiovascular diseases, neurologic diseases, immunologic diseases, and endocrine disorders).
  • Impact of systemic disorders on oral health and provision of dental care.

Oral Medicine Didactic program: Thomas Sollecito, D.M.D.
The following topics are covered in this program.

  • Medical history in the context of oral mucosal diseases.
  • Pathogenesis, diagnosis, and management of acute oral lesions, including primary herpetic gingivostomatitis, varicella-zoster infection, erythema multiforme, and oral ulcers caused by blood dyscrasias.
  • Pathogenesis, diagnosis, and management of recurrent oral lesions, including recurrent aphthous stomatitis, recurrent herpes simplex infection, and Bechet’s disease. Pathogenesis, diagnosis, and management of chronic lesions, including pemphigus, bullous pemphigoid, mucous membrane pemphigoid, and erosive lichen planus.

Laboratory Medicine didactic program: Temitope Omolehinwa, BDS, DScD
The following topics are covered in this program.

  • Basic principles of laboratory testing.
  • Serology – including hematology, basic chemistry, electrolytes, liver enzymes, hepatitis, coagulation, and autoimmune indices.
  • Indications for and interpretation of laboratory testing. Impact on oral conditions and provision of dental care.

Clinical Pharmacology: Eric Stoopler, D.M.D.
The following topics are covered in this program.

  • Review of pharmacologic agents used for the management of oral medicine conditions, including oral mucosal diseases, orofacial pain syndromes, chemosensory disorders and salivary gland diseases.
  • Impact of pharmacologic agents on oral health and provision of dental care.

Orofacial Pain: Tanaka, Takako, D.D.S.
The following topics are covered in this program.

  • To understand the basic principles of temporomandibular joint anatomy.
  • To understand the basic principles of temporomandibular dysfunction, including etiology, pathophysiology, diagnosis, imaging, treatment.
  • To understand the basic principles of atypical facial pain, neuralgias, non-odontogenic facial pain, and headache, including etiology, pathophysiology, diagnosis, imaging, treatment.

Oral and Maxillofacial Radiology: Mel Mupparapu, D.M.D.
The following topics are covered in this program.

  • Radiation biology
  • Imaging techniques – plain radiography and advanced imaging, such as CT and MRI.
  • Clinical indications for and interpretation of imaging studies.

Research Methodology: Sunday Akintoye BDS, DDS, MS
The following topics are covered in this program.

  • Critical evaluation of a scientific paper
  • Formulating conceptually sound research hypothesis
  • Types of research design
  • Experimental design of a clinical project
  • Experimental design of a basic science project
  • Writing a clinical protocol: communicating with the Institutional Review Board
  • Writing an animal protocol: communicating with Institutional Animal Care and Use Committee
  • Ethical and regulatory issues in research
  • Data analysis and principles of biostatistics for the statistical novice
  • Writing a research paper
  • Writing a review paper
  • Presenting research results at a scientific meeting
  • Writing a research proposal
  • Identifying funding sources for research
  • Types of epidemiological studies
  • Descriptive statistics
  • Inferential statistics

Additional Academic Activities

In addition to didactic core program, the Fellow will have the opportunity to attend a variety of academic activities offered by the Department of Oral Medicine.

Oral Medicine Literature Review (Journal Club)
The journal club is a dynamic forum for critical thinking and examination of pertinent, current scientific literature. It is proposed that the MCPC Fellows regularly attend and present at journal clubs. Residents from the Department of Oral Medicine, senior dental students and honor students from the medically complex clinic will be invited to participate in addition to faculty members.

Case Presentations
Fellows, faculty and participants in the Department of Oral Medicine actively participate in case presentation sessions. This is an opportunity for students to present documented cases related to the diagnostic challenges in medically complex patients.

Research Seminar Series
A series of postgraduate seminars relevant to medical and dental science are presented throughout the year (most regularly on Thursdays, 12 and 1 pm, in Levy 338) Advanced topics focused on basic dental sciences and clinical dentistry including endodontics, periodontics, prosthodontics and implant dentistry are presented and discussed in an open forum. View Research Seminars Calendar >>

Program Completion Requirements

For satisfactory completion of the program, the Fellow must:

  • Complete attendance requirements of the program.
  • Demonstrate didactic and clinical knowledge in oral medicine as determined by the director and attending faculty in the Division of Oral Medicine.
  • Complete a comprehensive written and oral examination at the conclusion of the program.

Upon satisfactory completion of all requirements as deemed by the Program Director, a Certificate of completion will be awarded to the candidate by the Department of Oral Medicine, School of Dental Medicine.

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