4 Year Certificate Residency Program
The 4-year Oral and Maxillofacial Surgery Residency at Louisiana State University is a CODA approved training program. The residents who complete this program fulfill the prerequisites and requirements of the American Board of Oral and Maxillofacial Surgery and are eligible for the board’s examination.
First Year
Residents will provide patient care in the Oral and Maxillofacial Surgery outpatient clinic and operating room with appropriate supervision as determined by the attending faculty member and chief resident responsible for the service. Residents will be supervised by senior level residents when on-call, when answering consultations, performing procedures in the clinic/operating room until their clinical competence has been adequately established. Once it has been determined by the Program Director that the resident has demonstrated adequate clinical judgment, the first-year resident will have the responsibility and privilege of providing clinical care autonomously for the following rotations:
- Two months: UMC (main teaching and trauma hospital in New Orleans)
- Trauma cases with emphasis on mandibular fractures, dentoalveolar trauma, and facial lacerations
- Odontogenic infections (intraoral and extraoral drainage)
- Four months: Dental School and Faculty Practice Service in New Orleans
- Dentoalveolar surgery (i.e., exodontia, pre-prosthetic surgery)
- IV sedations
- Dental implants (limited to routine single or multiple implants without the need of regenerative techniques)
- Orthognathic diagnosis and treatment planning and presentation
- Cosmetic injectables
- One month: Head and Neck Service in New Orleans
The first-year rotations beyond OMS consist of the following:
- Five months of Anesthesia (3 months adult and 2 months pediatric).
Residents are required to read and understand surgical/medical journals and texts assigned by the Program Director, attending weekly preoperative surgery seminars, and monthly academic conferences which include OMS seminars, CPC's, Applied Surgical Anatomy course, Oral Pathology courses, Journal Club, and others.
Residents will also participate in the Head and Neck Anatomy course during their first year of residency and they will also prepare for and complete the Oral and Maxillofacial Surgery In-service Training Examination conducted by AAOMS annually.
Second Year
The second-year resident will spend much of this year on off service rotations fulfilling the requirements set forth by CODA. Residents will complete the following rotations:
- Six months General Surgery service (TICU, Plastics, ENT, SICU, Gen Surg, etc.)
- Three months Medical Education (Emergency Room, Anesthesia Pre-op, etc.)
- Three months OMS services
When not in conflict with their assigned rotation, second-year residents attend weekly preoperative surgery seminars, and monthly academic conferences which include OMS seminars, CPC's, Oral Pathology courses, Journal Club, and others.
The second-year resident will prepare for and complete the Oral and Maxillofacial Surgery In-service Training Examination conducted by AAOMS annually.
Third Year
During the third year, residents apply all 12 months to the Oral and Maxillofacial Surgery Services split between outpatient clinic and operating room, with appropriate supervision as determined by the attending faculty member and chief resident responsible for the service. Residents will gain clinical and surgical skills necessary to begin to manage more difficult Oral and Maxillofacial Surgery cases. Residents will begin assisting the faculty in directing the junior residents and dental student teaching.
The third-year resident will enjoy an advanced dental implant intensive two-month rotation that includes sites such as:
- LSU Dental School (full-scope implant planning and surgery)
- Clear Choice (full-arch implant planning and surgery)
- Fusion Dental Implant Center (focus on remote-anchorage implants)
- Mike Block’s Private Practice office (complex dental implant cases and technology in implant planning and placement)
General OMS will be managed through two rotations over 5 months:
- Faculty Practice (New Orleans)
- Faculty Practice (Baton Rouge)
Which includes orthognathic, facial cosmetic, dentoalveolar, dental implant, facial trauma, benign pathology, TMJ, endoscopic, pediatric/special needs, cleft/craniofacial surgeries.
The residents will also spend three months of their third year in South Carolina rotating with the Carolinas Center for Oral and Facial Surgery private practice. Here, the learner will gain experience with a heavy volume of orthognathic surgery, TMJ endoscopic surgery, and dentoalveolar surgery.
Lastly, the third-year resident will spend 4 months between the two main teaching hospitals in New Orleans and Baton Rouge advancing their knowledge in management of complex facial trauma.
During the third and fourth year, residents will participate in a continuity dentoalveolar clinic and follow their complex bone regeneration procedures and dental implant procedures from consultation through case completion. The learner will attend their continuity clinic at least one day per week regardless of which rotation they are on except for South Carolina.
Third-year residents attend weekly preoperative surgery seminars, and monthly academic conferences which include Oral and Maxillofacial Surgery seminars, CPC's, Oral Pathology courses, Journal Club, and others.
The third-year resident will prepare for and complete the Oral and Maxillofacial Surgery In-service Training Examination conducted by AAOMS annually.
Fourth Year
During the fourth year, residents dedicate 12 months to the Oral and Maxillofacial Surgery Services split between outpatient clinic and operating room, with appropriate supervision as determined by the attending faculty member for the service.
Residents will attempt to master clinical diagnostic and surgical skills necessary to manage complex OMS cases to include extensive maxillofacial hard and soft tissue facial trauma and reconstruction, orthognathic surgery, temporomandibular joint disorders, advanced dentoalveolar reconstruction, advanced dental implant surgery including full-arch cases, and ambulatory outpatient general anesthesia. The resident will be exposed to facial cosmetic surgery and cleft and craniofacial surgery. Like in the third-year, residents will be responsible for assisting the faculty in junior resident and dental student teaching and will play an active role in the development and implementation of patient care plans.
During the fourth year, the resident will rotate on multiple services:
- Four months: Chief of the Baton Rouge Faculty Practice Service
- Two months: Chief of the Dental School Service
- Two months: Chief of the New Orleans Faculty Practice Service (incl. the Ambulatory Surgery Center)
- Four months: Chief of UMC, the main teaching and trauma hospital in New Orleans
During the third and fourth year, residents will participate in a continuity dentoalveolar clinic and follow their complex bone regeneration procedures and dental implant procedures from consultation through case completion. The learner will attend their continuity clinic at least one day per week regardless of which rotation they are on except for the Baton Rouge Service.
Fourth-year residents attend weekly preoperative surgery seminars, and monthly academic conferences which include Oral and Maxillofacial Surgery seminars, CPC's, Oral Pathology courses, Journal Club, and others.
The fourth-year resident will prepare for and complete the American Board of Oral and Maxillofacial Surgery Qualifying Examination via the fast-track option in lieu of the In-service exam taken in prior years.