Advanced Education in General Dentistry Program (AEGD)
Marc Schlenoff, DDS
AEGD Program Director
|Application Deadline||September 15|
|Program Start Date||July 1|
|Number of Positions||7|
|Length of Program||1 or 2 years|
The Advanced Education in General Dentistry (AEGD) Program offers a one-year residency program OR a one-year University-based program designed to develop and enhance the didactic knowledge, clinical skills, and related professional interests of recently graduated dental students. A strong focus is placed on the general dental care of complex, medically compromised, and developmentally disabled hospitalized patients.
The University-based program has an optional second-year position which offers additional responsibilities in administration, teaching, and research, and additional training for proficiency in clinical general dentistry.
The AEGD program provides residents with the training and experience in comprehensive multidisciplinary oral health care at a level of skill and complexity beyond that accomplished in predoctoral training. This training focuses on different types of patients, including patients with special needs. The program emphasizes resident training in clinical examination, diagnosis, treatment planning, and provision of sequenced comprehensive care that addresses the patient's needs, desires, and limitations. Patients with very complex medical histories, multifaceted infectious diseases, developmental disabilities, geriatric medical complications, and those patients who cannot be examined, diagnosed, or treatment planned in a clinical outpatient environment are directly referred to the AEGD program.
Given the close relationship with the NewYork-Presbyterian Hospital (NYPH), Columbia University Medical Center (CUMC), the College of Dental Medicine's Faculty Practice (Morningside office), as well as other affiliated community and geriatric dentistry treatment centers, the program is in the position of having a large and diverse patient pool as a source of patients for the residents. With the Advanced Education in General Dentistry clinic being an integral part of the dental school, residents are referred patients from the school’s triage area where they have been previously screened and assessed by faculty to require dental treatment at a level beyond that of the predoctoral student.
Residents engage in episodic care only when their assigned patient seeks treatment on an irregular basis or will not keep regularly scheduled appointments for comprehensive dental care. They provide emergency dental care as the need arises, as any practitioner would in a large group practice, but they are not routinely scheduled to do so. Residents have the opportunity to work closely with their faculty and postdoctoral students in a number of disciplines and to receive their referrals.
AEGD Program Goals
- Patient Care: Provide comprehensive interdisciplinary oral healthcare to pediatric, adult, and geriatric patients relevant to their medical, dental, and psychosocial needs.
- General Dentistry: Provide training to residents in advanced general dentistry procedures.
- Resident Education: Provide the resident with didactic knowledge and skills beyond the predoctoral level. Review and critically assess in both the print and digital media published dental literature to include the areas of ethics, jurisprudence, practice management, quality assurance, and risk management.
- Community Service: Provide oral health care to patients especially those with special needs in the community serviced by the Columbia University Medical Center/NewYork-Presbyterian Hospital.
- Hospital Dentistry: Provide general dental care while functioning effectively within a hospital and operating room environment, and in consultation with physicians, surgeons, and other health care professionals
- Continue to provide training to residents in more complex general dentistry procedures and interdisciplinary patient care experiences.
- Develop skills in the management and delivery of oral health care and advocacy for its access to the community. Participate in the administration of the program and in the maintenance of its continuous quality improvement.
- Develop skills in the instruction and supervision of first-year residents and predoctoral dental students.
AEGD Program Competencies
- Plan and provide multidisciplinary comprehensive oral health care including effective communication with other health care professionals in a variety of settings and request and respond to requests for patient consultations from physicians and other health care providers.
- Diagnose, manage, and treat oral and maxillofacial diseases and abnormalities in patients including those with complex medical conditions, the frail elderly, and the developmentally disabled.
- Treat dental and medical emergencies.
- Promote oral and systemic health and disease prevention.
- Manage oral-facial pain and anxiety in the conscious patient through the use of psychological interventions, behavior modification techniques, local anesthesia, and sedation techniques.
- Assess medical risk and obtain informed consent.
- Restore teeth at a level of skill and complexity beyond that accomplished in predoctoral training.
- Replace teeth using fixed and removable appliances at a level of skill and complexity beyond that accomplished in predoctoral training.
- Provide periodontal therapy at a level of skill and complexity beyond that accomplished in predoctoral training.
- Provide pulpal therapy at a level of skill and complexity beyond that accomplished in predoctoral training.
- Perform hard and soft tissue surgery at a level of skill and complexity beyond that accomplished in predoctoral training.
- Critically assess published dental literature to acquire and organize information in an effective and systematic manner for assessing self-performance and knowledge, treatment therapies and outcomes, and scientific findings and technologies.
- Comprehend practice management methods to include continuous quality improvement, and understand the financing and organization of oral health care delivery systems.
- Apply ethical principles in patient care, research protocols, and business practice.
- Deliver oral health care to patients of diverse cultures and social status.
- Integrate all aspects of oral health care in the dental treatment of patients with complex dental, medical, and social issues
- Perform and maintain uncomplicated endosseous implant restorations
- Participate in community programs to prevent and reduce the incidence of oral disease
- Participate in the design and management of a system of continuous quality improvement in a dental practice
- Participate in the administration of the Advanced Education in General Dentistry Program
- Teach undergraduate dental students in selected clinical and didactic disciplines
AEGD Program Rotations
ColumbiaDoctors Dentistry/Morningside Practice
1244 Amsterdam Avenue (at 121st Street)
New York, NY 10027
Thelma Adair Medical and Dental Health Care Center
565 Manhattan Avenue (Lower Level)
New York, NY 10030
Heritage Health Center
1727 Amsterdam Avenue (4th Floor)
New York, NY 10031
Harlem United Community AIDS Center
123-125 West 124th Street
New York, NY 10027
Isabella Geriatric Center
515 Audubon Avenue
New York, NY 10040