Patient load during the 40 months of oral and maxillofacial surgery training includes extensive maxillofacial hard and soft tissue trauma and reconstruction, head and neck cancer with Microvascular free tissue reconstruction, orthognathic surgery, cleft and craniofacial surgery, temporomandibular joint disorders, facial cosmetic surgery, pathology, preprosthetic and implant surgery, advanced exodontia, and ambulatory outpatient general anesthesia.  The combined annual inpatient and outpatient surgery at all teaching hospitals exceeds 2,500 cases. Over 20,000 clinic visits occur each year, which accounts for 6,000 office procedures.