Truman Medical Center Lakewood sponsors a one year General Practice Residency in Dentistry. It is Fully Accredited by the Commission on Dental Accreditation of the American Dental Association. The program is housed in the hospital on the Lakewood campus in Kansas City, Missouri ( A Locator Map is available on this website).
The vision and goals of the General Practice Residency program is to provide residents advanced training in the full use the resources of the hospital as a site for the practice of dentistry. In doing so provide experiences in management of patients with medical, mental, and physical problems that would challenge the routine delivery of dental treatment in a timely fashion. In order to accomplish this, the resident will receive instruction and experience providing dental treatment experience to advance their skills beyond their dental school training to prepare residents to achieve the following goals.
Residents will improve their General Dentistry speed, confidence, and skills by treating patients in a clinic setting. Residents will have the opportunity to advance their abilities in all areas of general dentistry including: restorative, oral surgery, endodontics, implants, pediatric dentistry and periodontics. Residents will also have experiences with IV sedation and operating room dentistry.
- Act as a limited referral primary care provider for individuals and groups of patients. This includes providing emergency and multidisciplinary comprehensive oral health care; providing patient focused care that is coordinated by the general practitioner; directing health promotion and disease prevention activities; and using advanced dental treatment modalities.
- Plan and provide multidisciplinary oral health care for a wide variety of patients including patients with special needs.
- Manage the delivery of oral health care by applying concepts of patient and practice management and quality improvement that are responsive to a dynamic health care environment.
- Function effectively within the hospital, function effectively within interdisciplinary health care teams, other health care environments and use skills developed in the program to promote an understanding of patient’s systemic diseases and relationship to oral health. Pursue individual areas of interest and achieve career goals.
- Apply scientific principles to learning and oral health care. This includes using critical thinking, evidence or outcomes-based clinical decision-making, and technology-based information retrieval systems.
- Utilize the values of professional ethics, lifelong learning, patient centered care, adaptability, and acceptance of cultural diversity in professional practice.
- Understand the oral health needs of communities, engage in community service and provide services within the limits of the state in which they practice.
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Matthew Tinnel, JD, DDS
Truman Medical Center Lakewood
7900 Lee’s Summit Road
Kansas City, MO 64139
Information about what happens at the Truman Medical Center Lakewood GPR
Please take a few minutes to review this information about our program.
All of the photos in this presentation are of procedures performed by former residents of the program.
The Vision and Goals of the General Practice Residency Program
To provide residents advanced training in the full use the resources of the hospital as a site for the practice of dentistry. In doing so provide experiences in management of patients with medical, mental, and physical problems that would challenge the routine delivery of dental treatment.
In order to accomplish this the resident will receive instruction and experience providing dental treatment experience to advance their skills beyond their dental school training to enable the residents to:
Diagnose oral and maxillo-facial diseases and provide dental care in the context of each patient’s total health care needs.
Plan and provide both routine and complex dental care for a wide variety of patients by applying advance knowledge and clinical skills.
Structure of the Educational Program
The following is an estimate of the percent of time devoted by the residents to each of the following:
|AREA||First Year*||Second Year*|
|Ambulatory care provided in dental clinic||60%||60%|
|Dental Inpatient or same day surgery care to include:|
|Dental care provided in operating room||2%||2%|
|Rotations/assignment to other services||21%||30%|
* Above calculations are based on an average of __40_____hours per week
Patient Assessment and Diagnosis
- Obtain a patient’s chief complaint (CC), history of present illness (HPI), past medical history (PMH), social history (SH) and Review of Systems (ROS)
- Order and interpret appropriate laboratory and radiographic tests
- Perform problem based physical evaluation, and determine medical risk of dental procedures
Comprehensive Dental Care
- Plans treatment that includes multiple disciplines into comprehensive treatment plan
- Develop and carry out dental treatment for compromised patients accounting for the patient’s medical, mental and social needs.
- Presents and discusses proposed treatment with patients.
- Determines who has guardianship status if patient lacks ability to make treatment decisions.
- Presents reasonable expectations, details risks of procedures and of not completing procedures.
- Involves the patient (parent/guardian) in the treatment description/consent procedures.
Sedation and Anxiety Control
- Correctly evaluates and determines the patient’s need for the use of behavioral and/or pharmacologic modalities in the management of pain and anxiety based on patient’s reaction to clinical procedures.
- Coordinate with patient’s physician, care takers and family to determine appropriate medications or behavioral management techniques that would be effective for this patient.
- Demonstrates an understanding of medications used to achieve sedation or anxiolytic state.
- Demonstrate an understanding of prevention, recognition and management of complications related to the use and interactions of drugs used to sedate patients and control pain and anxiety.
Restoration of Teeth
- Restores single teeth using a functionally acceptable range of materials and methods.
- Place restorations and perform techniques to enhance dental esthetics
- Restore intra and extra coronal defects
- Restore endodontically treated teeth
Replacement of Teeth
- Treat patients with missing teeth requiring uncomplicated removable and/or fixed prostheses
- Communicate care design with laboratory technicians and evaluate the resultant prostheses
- Recognize and manage cases requiring complicated prostheses
- Demonstrate ability to diagnose periodontal conditions
- Evaluate patients with periodontal conditions and propose effective treatment plans
- Provide both non-surgical and surgical periodontal treatment for patients with periodontal disease
- Diagnose and treat pain of pulpal origin
- Perform uncomplicated non-surgical endodontic therapy
- Diagnose need for surgical endodontic therapy
- Recognize and manage endodontic complications and emergencies
- Perform surgical and non-surgical extraction of teeth
- Perform soft tissue biopsy
- Perform uncomplicated pre-prosthetic surgery
- Recognize and manage surgical emergencies and complications
- Anticipate, diagnose and provide initial treatment and follow up for medical emergencies that may occur during dental treatment
- Diagnose and manage dental emergencies
Management of Compromised Patients
- Select and use assessment techniques to form a differential , provisional and /or definitive diagnosis for patients with complex needs
- Treat patients with a acute and systemic conditions and/or social disorders modifying treatment plans and modalities to meet their special needs
Requests for Consultations
- Identify needs and make referrals to appropriate health care providers for the treatment of physiologic, psychological and social problems presented by dental patients.
- Perform dental consultations and request medical consultations for hospitalized patients and patients in other health care settings.
- Perform dental treatment utilizing the operating room, completing the necessary pre and post -operative assessments and reports.
- Admit and discharge a patient from the acute hospital. Completing the necessary daily notes as well as admission and discharge notes or reports.
- Each resident has at least one teaching case a year.
- They select a challenging patient with multidisciplinary needs.
- Residents Place Implants.
- Manage Other Prosthetic Challenges.