Student Learning Outcomes
Oral and Maxillofacial Surgery is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and aesthetic aspects of the hard and soft tissues of the oral and maxillofacial regions. The following learning outcomes have been developed and adopted by the Commission on Dental Accreditation and the faculty in oral and maxillofacial surgery at the University of Missouri – Kansas City Schools of Dentistry and Medicine. The goals, skills, and knowledge every graduate must demonstrate to qualify for graduation are assessed through the classroom, the outpatient clinic, hospital/surgicenter operating rooms, mock Board exercises, seminars, presentations, and one-on-one discussions. Hospitals included are Children's Mercy Hospital, St. Luke's Hospital of Kansas City, Truman Medical Centers Hospital Hill and Lakewood.
The graduate in oral and maxillofacial surgery will demonstrate applied knowledge and clinical skills in the following areas:
- Continuous certification in Basic Life Support, Advanced Cardiac Life Support, Advanced Trauma Life Support, and Pediatric Advanced Life Support.
- Minimum duration of 72 months of full-time study with a minimum of 30 months devoted to clinical oral and maxillofacial surgery.
- Six months of the senior year with responsibilities of Chief Resident.
- Present patients in a pre- and post-operative format.
- Maintenance of a surgical log.
- Coursework and training as requirements for the medical degree at the University of Missouri – Kansas City School of Medicine, to include a general surgery residency preliminary year within the integrated MD/oral and maxillofacial surgery training program.
- Minimum duration of four months of anesthesia to include mandated daily attendance, daily lectures, on-call participation, and an intended workload of approximately 250 general anesthesia cases.
- Medical service will include a minimum of two months of clinical medical experience and will be at the medical student/resident intern level or higher and may include rotations on medical specialty services.
- Surgical service will include a minimum of four months of general surgery experience and will be at the surgery student/resident with a commensurate level of responsibility (operate at a PGY-1 level or higher and is on the regular on-call schedule).
- Two additional months of clinical surgical or medical education will be assigned.
- Weekly departmental seminars and conferences to provide instruction in the broad scope of oral and maxillofacial surgery and related sciences and will include retrospective audits, clinical pathological conferences, tumor conferences, and guest lectures. The resident will prepare and present departmental conferences.
- Instruction in the basic biomedical sciences will include anatomy (including growth and development), physiology, pharmacology, microbiology, and pathology. This instruction will be met through the completion of the requirements for the MD as well as the certificate in oral and maxillofacial surgery. Anatomy lectures will include surgical approaches to the maxillofacial region and graft donor sites.
- A physical diagnosis program will be started upon entrance into the residency. This will include a structure, didactic, and clinical course in physical diagnosis and will be provided by faculty privileged to perform history/physical exams. Competency in physical diagnosis will be documented and will occur in the first year of the program.
- Clinical oral and maxillofacial surgery will include a complete, progressively graduated sequence of outpatient, inpatient, and emergency room experiences. Exposure to major and minor surgical principles will be integrated throughout the duration of the program. Outpatient oral and maxillofacial surgery experiences will include the management of traumatic injuries and pathologic conditions, dentoalveolar surgery, the placement of implant devices, augmentations, and other hard and soft tissue surgery including mucogingival surgery.
- Ambulatory general anesthesia and deep sedation will include both the general anesthesia rotation of four months and the outpatient surgery experience which includes general anesthesia/deep sedation on adult and pediatric patients. This includes competence in managing the airway. In addition, all residents will obtain training and experience in all aspects of parenteral and inhalation sedation techniques. Inpatient surgical experience will include admission and management of patients.
- Major surgery will include surgery on adults and children to include trauma, pathology, orthognathic surgery, reconstructive, and aesthetic surgery. In the trauma category, surgical management of mandibular fractures, maxillary fractures, zygomaticomaxillary fractures, nasal fractures, naso frontal orbital ethmoidal fractures, and repair of facial, oral, soft tissue injuries, and injuries to specialized structures. Pathology will include treatment of sinus procedures, TMJ pathology, cystectomy of bone and soft tissue, sialolithotomy, sialoadenectomy, management of head/neck infections, fifth-nerve surgery, and surgical management of benign and malignant neoplasms. Orthognathic surgery will include correction of functional and aesthetic orofacial and craniofacial deformities of the mandible, maxilla, zygoma, and other facial bones. Reconstructive and aesthetic surgery will include bone grafting and soft tissue grafting and insertion of implants. This includes competence in harvesting of bone and soft tissue grafts. Reconstructive surgery will also include augmentation procedures, TMJ reconstruction, insertion of craniofacial implants, and management of continuity defects. Dental implant training will include didactic and clinical experience in the management of implant placement, diagnosis, treatment planning, site preparation, grafting procedures, implant placement, and management of complications. Aesthetic surgery will include rhinoplasty, scar revision, blepharoplasty, genioplasty, and lipectomy.
- Medical school curriculum will include formal courses in biostatistics, human gross anatomy, human microscopic and developmental anatomy, human neuroanatomy, medical microbiology, general/clinical pathology, pharmacology, clinical pharmacology, behavioral science and medicine, correlative medicine, docent rotation, psychiatry, obstetrics/gynecology, pediatrics, surgery, family medicine, emergency medicine, and continuing care clinic.