Core Competencies and Proficiencies

---

A graduate of this General Practice Residency program will be able to:

1. Function as a patient's primary, and comprehensive, oral health care provider. (P)


2. Treat patients efficiently in a dental practice setting. (C)


3. Use selected business systems in dental practice including marketing, electronic scheduling and record keeping, maximizing patient flow, insurance, utilizing financial arrangements, and continuing care systems. (C)


4. Work with patients in a manner that is professional, builds rapport and confidence, respects patient's rights and dignity, puts patients interests first, and maximizes patient's satisfaction with dental care. (C)


5. Use and implement accepted sterilization, disinfection, standard precautions, and occupational hazard prevention procedures in the practice of dentistry. (P)


6. Provide patient care by working effectively with allied dental personnel, including performing four-handed dentistry. (P)


7. Provide dental care as a part of an inter-professional health care team such as that found in a hospital, institution, or community health care environment. (C)(P)


8. Participate in community programs to improve access to oral health care. (C)


9. Participate in community programs to prevent/reduce the incidence of oral disease. (C)


10. Make referrals to, and obtain consultations from, professional colleagues for the treatment of dental, medical, psychological, and social problems presented by dental patients. (C)


11. Apply principles of jurisprudence & professional ethics in the practice of dentistry. (P)


12. Participate in organized dentistry. (C)


13. Take action to help an incompetent, impaired, or unethical colleague. (E)


14. Evaluate scientific literature and use information in the literature in making professional decisions. (P)


15. Evaluate information systems & use information technology in dental practice. (C)


16. Maintain a patient record system that facilitates the retrieval and analysis of the process and outcomes of patient treatment. (C)


17. Continuously analyze the outcomes of patient treatment to improve that treatment. (P)


18. Analyze and evaluate the risks and opportunities of traditional and alternative reimbursement and patient care delivery systems. (E)


19. Select and use assessment techniques to arrive at a differential, provisional and definitive diagnosis for patients with complex needs. (C)(P)


20. Obtain and interpret the patient's chief complaint, medical, dental, and social history, and review of systems. (P)


21. Assess patient's cultural background and expectations for dental care and perform patients care consistent with that assessment.  (P)


22. Obtain and interpret clinical and other diagnostic data from dental professionals and other health care providers. (P)


23. Use the services of clinical, medical, and pathology laboratories and make referrals to other health professionals for the utilization of these services. (P)


24. Perform a history and physical evaluation and collect other data to establish a risk assessment for use in the development of a dental treatment plan. (P)


25. Use accepted prevention strategies to help patients maintain and improve their oral health and aspects of their systemic health. (P)


26. Obtain informed consent for dental treatment by discussing with patients, or parents or guardians of patients, the following: clinical findings; diagnoses; the risks, benefits, and treatment options; patient responsibilities during and after treatment. (C)


27. Integrate multiple disciplines into individualized, comprehensive, appropriately sequenced treatment plans for patients with complex needs.  (C) (P)


28. Develop and carry out dental treatment plans for patients, including patients with special needs, in a manner that considers and integrates those patient's medical, psychological, and social needs. (C) (P)


29. Modify the treatment plan, if indicated, based on therapeutic outcomes, unexpected circumstances or the patient's individual needs. (P)


30. Evaluate and treat patients presenting with dental emergencies, dental trauma and odontogenic infections. (P)


31. Provide initial evaluation and treatment and then manage patients with extra-oral and complex oro-facial trauma and head and neck space infections. (C) (P)


32. Anticipate, prevent, diagnose, and provide initial treatment and follow-up management for medical emergencies that may occur during dental treatment. (C)


33. Restore single teeth with a wide range of materials and methods. (P)


34. Treat patients with missing teeth requiring removable prostheses. (P)


35. Treat patients with missing teeth requiring uncomplicated fixed restorations. (P)


36. Manage patients with missing teeth requiring complicated fixed restorations. (C) (P)


37. Place restorations and perform techniques to enhance patient’s facial esthetics. (C) (P)


38. Fabricate ceramic restorations utilizing CEREC CAD-CAM technology. (P)


39. Restore endodontically treated teeth. (P)


40. Diagnose and manage uncomplicated occlusal disorders. (C)


41. Communicate case design with laboratory technicians & evaluate the resultant prostheses. (P)


42. Diagnose and treat pain of pulpal origin. (P)


43. Perform uncomplicated non-surgical anterior endodontic therapy. (P)


44. Perform uncomplicated non-surgical posterior endodontic therapy. (C) (P)


45. Utilize an operating microscope when performing Endodontic therapy. (C)


46. Manage uncomplicated surgical endodontic therapy. (E)


47. Manage uncomplicated endodontic complications. (P)


48. Manage complex endodontic therapy and complications. (C)


49. Recognize, diagnose, and manage complex occlusal abnormalities. (C)


50. Treat minor occlusal abnormalities and arch space problems using space maintenance and other orthodontic appliances. (C)


51. Treat uncomplicated diseases and abnormalities of the pediatric patient. (P)


52. Manage complicated diseases and abnormalities of the pediatric patient. (C) (P)


53. Perform pediatric pulpal therapy. (P)


54. Restore intra and extra-coronal defects in the primary dentition. (P)


55. Perform uncomplicated surgical procedures on pediatric patients. (C)


56. Use pharmacologic/non-pharmacologic behavior management skills with the pediatric


57. Surgically placing and restoring dental implants after appropriate evaluation and treatment planning. Utilizing digital imaging, cone beam CT(when appropriate) and fabrication of surgical stent. Use of bone grafting material and membrane placement when required. (C) (P)


58. Perform internal and external sinus lifts when required for maxillary implant placement. (C) (P)


59. Diagnose and manage implant complications. (C) (P)


60. Diagnose and non-surgically treat uncomplicated temporomandibular disorders. (C)


61. Perform surgical and non-surgical extraction of teeth. (P)


62. Extract uncomplicated impacted wisdom teeth. (C)


63. Perform uncomplicated pre-prosthetic surgery. (C)


64. Perform biopsies of oral tissues. (C)


65. Perform initial treatment and management of extraoral facial trauma. (C)


66. Treat intraoral hard and soft tissue lesions of traumatic origin.  (C)


67. Manage intraoral soft tissue lesions of non-traumatic origin. (P)


68. Diagnose and treat early periodontal disease using surgical and nonsurgical procedures. (P)


69. Diagnose and treat moderate periodontal disease using surgical & nonsurgical procedures. (C)


70. Manage advanced periodontal disease. (E) (C)


71. Evaluate the results of periodontal treatment and establish and monitor a periodontal maintenance program. (P)


72. Treat patients with complications related to intraoral surgical procedures. (C)


73. Perform crown lengthening procedures and esthetic periodontal surgical procedures. (C)


74. Diagnose and manage oral manifestations of systemic disease. (P)


75. Diagnose and manage common oral pathological abnormalities. (P)


76. Use proper hospital protocol when treating/managing patients in a hospital environment. (C) (P)


77. Provide dental treatment in an operating room and/or surgery center. (E) (C)


78. Provide comprehensive management and care for individual inpatients or same-day surgery patients from the beginning to the end of a patient's hospital experience. (C) (P)


79. Perform dental consultations and request medical consultations for hospitalized patients and patients in other health care settings. (C)


80. Use pharmacologic agents in the treatment of dental patients. (P)


81. Provide control of pain and anxiety in the conscious patient through the use of psychological interventions, behavior management techniques, local anesthesia, and oral and nitrous oxide conscious sedation techniques. (P)


82. Provide control of pain and anxiety in the conscious patient through the use of parenteral moderate conscious sedation techniques. (C) (P)


83. Prevent, recognize, and manage complications related to use and interactions of drugs, local anesthesia, and enteral and parenteral conscious sedation drugs. (C)


84. Use proper anesthetic techniques to manage the unconscious patient from induction to recovery. (E)


85. Use an understanding of hospital organization, functioning, and the credentialing process to apply for initial staff appointment. (C)


86. Provide comprehensive management and care for the medically compromised patient  (C) (P)


87. Use pharmacologic agents in the treatment of hospital patients. (C)


88. Develop a personal career plan. (C)


89. Identify the supplies and equipment necessary to perform comprehensive dentistry and start a private practice. (C)


90. Recognize equipment malfunction/maintenance problems. (C)


91. Understand basic CO2 and Er:YAG laser use and safety precautions. (C)

Bolded statements indicate primary objectives.
Non-bolded statements indicate secondary objectives.
Competencies and Proficiencies in blue reflect second year objectives.