Advanced Education Program in Oral Medicine

Introduction

This program is specifically designed for the dentist who wishes to gain a scientific background and additional training in the practice of oral medicine. The educational program will focus on all aspects of oral medicine such as diagnostic pathology and radiology pertaining to management of local and systemic diseases of the orofacial region including oral mucosa, salivary glands, and the surrounding structures. Also included is comprehensive oral health care services for medically complex patients.

Our Philosophy

Since Oral Medicine provides an essential link between dentistry and medicine, practitioners in this field must possess a thorough knowledge of basic physiological and pathological mechanisms that contribute to health and disease. To become competent in the practice of oral medicine, the clinician must perform a proper assessment of patients including, history taking and physical examination, and develop a management plan. The management plan must be evidence-based and consistent with standards of care set forth by the scientific literature.

The educational program will include a didactic program designed to provide the Fellow with the necessary background for the practice of oral medicine.  The participant will gain knowledge in several areas including medicine, laboratory diagnostics, oral pathology, oral radiology, oral oncology, orofacial pain, pharmacology, nutrition, special care and geriatric dentistry, as well as management of medical emergencies in a dental setting through didactic/clinical exposure at the Rutgers School of Dental Medicine. Based on this philosophy, the participant will have a challenging opportunity to integrate and synthesize basic science and clinical knowledge and apply this information in diagnostic work up, medical risk assessment for dental care and management of oral medicine patients.

Educational Requirements

The Advanced Education in Oral Medicine is a full-time, 11-month Program that offers the dentist a collegial environment to accomplish his/her personal objectives. The curriculum is comprised of didactic assignments, clinical experience, intramural rotations and teaching responsibilities. The didactic learning experiences include seminars, lectures, workshops, and self-study activities. Although there is considerable flexibility in the selection and sequencing of the didactic and clinical components, each participant is required to attend didactic sessions designed to provide the necessary background for management of oral medicine patients. An important part of the program is the complementary clinical experience in all facets of oral medicine. The participants are encouraged to complete a paper of publishable quality for submission to a refereed scientific journal on a topic to be mutually determined by the participant and the program director.   The participant also has the opportunity to participate in research projects conducted within the department. Please consult RSDM Continuing Education website at cde@umdnj.edu for details.

Description of Program Components

The curricular content for the Advanced Education in Oral Medicine Program in Oral Medicine are listed below and each requirement is briefly described on the following pages.  Although a specific time period is allocated for each educational activity, the actual time listed is subject to change.

  • Oral Medicine Seminar Series
  • Oral Pathology Seminar Series
  • Orofacial Pain Seminar Series
  • Clinical Care of Oral Medicine patients (medically complex, oral mucosal disease, orofacial pain)
  • Oral Medicine Patient Rounds
  • Oral Pathology Experience
  • Oral Radiology Experience
  • Foundation of Oral Biology (audit only)
  • Advanced Biomedical Sciences (audit only)

Oral Medicine Seminar Series

This seminar series will focus on reinforcing knowledge of topics within the field of Oral Medicine.   The curriculum is designed to review the fundamentals with an emphasis on applying this information to clinical practice.

Oral Pathology Seminar Series

This program provides a comprehensive review of oral and maxillofacial pathology and consists of introductory presentations, clinical pathologic conferences and histopathologic sessions, using a multi-headed microscope. Topics covered in the introductory lectures include evaluation and management of oral mucosal diseases, and evaluation and management of hard tissue conditions affecting maxillofacial region, principles of radiographic interpretation and differential diagnosis of jaw lesions.

Orofacial Pain Seminar Series

This seminar series is offered by the division of Orofacial Pain and will focus on reinforcing knowledge of topics within the field of Orofacial pain and its application to clinical practice.   The curriculum is designed to review the fundamentals of Orofacial pain including temporomandibular disorders, musculoskeletal conditions, chemosensory disorders and neuropathic pain disorders.

Clinical Care of Oral Medicine Patients

This provides the participant with the clinical experience in diagnostic work up and management of patients referred to the Oral Medicine Service. As the fellow progresses, he/she will obtain patient histories, perform examinations, and participates in care of patients. Direct delivery of oral care to patients is contingent upon participant’s satisfactory clinical performance as determined by the attending faculty. All clinical activities are performed under the direct supervision of the faculty.

Oral mucosal diseases clinic: The oral mucosal diseases clinic provides diagnostic assessment including tissue biopsy and hematologic work up, education, preventive oral care, medical therapy and follow-up care for patients with oral mucosal diseases of local and systemic etiology. These include oral manifestations of systemic disease (eg. leukemia, sarcoidosis, lupus, anemia,etc..) and oral complications of chemo/radiotherapy, immune-based (eg. pemphigus, pemphigoid, lichen planus, erythema multiforme,...), epithelial ( eg. erythroplakia, leukoplakia, dysplaia,...) pigmented and reactive oral abnormalities, burning mouth, xerostomia, alterd taste and salivary gland disorders. The participant will be exposed to comprehensive oral care of these patients through interdisciplinary communication between immunology, rheumatology, dermatology, ophthalmology and oral medicine practitioners.

Medically complex clinic: The Medically Complex patient clinic provides comprehensive oral/dental care for patients with cardiovascular disease, renal, immune or hematologic compromise, organ transplantation or head and neck malignancy. The oral medicine fellow will have the opportunity to observe and/or participate in oral care of medically complex patients. Emphasis will be placed on medical risk assessment and necessary dental care modifications to prevent or manage problems with hemostasis, sepsis, adverse drug interactions and ability to withstand dental care.

Orofacial pain clinic: The participant will also have the opportunity to attend orofacial pain clinic and observe evaluation and management of patients with temporomandibular joint problems, acute and chronic orofacial pain and orofacial neurosensory disorders.

Special needs clinic: The participant will also have the opportunity to attend the special care clinic where faculty and residents evaluate and treat patients with physical, developmental and behavioral disorders.

Oral Medicine Patient Rounds

The rounds takes place in conjunction with the clinical care sessions providing a forum to review chief complaint, diagnostic work up, laboratory and radiographic findings, histopathology, and management strategy for new and follow-up patients seen by the Oral Medicine Service at the Rutgers School of Dental Medicine.

Oral Pathology Experience

The participant will receive advanced training in oral pathology and enhance their diagnostic skills by participating in the oral pathology service at the RSDM. Fellow will also learn about tissue processing procedures and slide preparation. The Oral Medicine/Oral Pathology Microscope Conference is held complementary to Oral Pathology Seminar Series and is a forum for microscopic review of biopsies submitted to RSDM biopsy service as well as interesting cases presented for learning and discussion of histopathology. The goal is to enhance participant’s skills in microscopic interpretation and reaching a definitive diagnosis of diseases affecting oral and maxillofacial region.
The Oral Pathology Quality Assurance and Consensus Conference recently meets weekly to microscopically review and discuss the challenging cases that have been accessioned in the RSDM Biopsy Service.  The participants closely examine the lesions of inflammatory, immune mediated and neoplastic nature as well as other relevant cases for consensus and educational purposes.

Oral Radiology Experience

Fellows have the opportunity to attend didactic seminars in diagnostic head and neck radiology discussing X-ray equipment, Digital Imaging basics, radiation biology, radiation protection principles and radiographic manifestations of local and systemic diseases in the head and neck region. This experience provides fellows with the opportunity to enhance their knowledge in selection and interpretation of standard as well as advanced imaging modalities such as intraoral radiographs, panoramic radiology, plain films, digital radiography, tomography, sialography, computed tomography, magnetic resonance imaging, scintigraphy and cone beam CT. Radiology case review sessions are complementary to radiology seminars and provide an interactive forum to discuss challenging/interesting radiology cases and help reinforce diagnostic radiology principles.
  
Foundation of Oral Biology and Advanced Biomedical Science for Dentistry:
These courses, which are a requirement for all postdoctoral graduate students, are given over a two-year period. When scheduling allows, individuals enrolled in Advanced Education Program in Oral Medicine may audit one or more of these courses. Listed below are a few of the postgraduate courses particularly relevant to the field of oral medicine. Tuesdays 8:00 am to 10:00 am (September to June)

Head and Neck Anatomy

12 hours

Pathobiology & Histology

18 hours

Oral Medicine & Pathology

20 hours

Orofacial Pain

12 hours

Clinical Pharmacology and Therapeutics         

14 hours

Embryology & genetics

10 hours


DIVISION’S ONGOING ACADEMIC ACTIVITIES:
In addition to didactic core program, the fellow will have the opportunity to attend in a variety of academic activities offered by the Division of Oral Medicine.

Division of Oral Medicine Literature Review (Journal Club)

The journal club is a dynamic forum for critical thinking and examination of pertinent, current scientific literature.  Residents and fellows in the division of oral medicine will meet regularly to discuss and critique an assigned article with focus on evidence based practice of dentistry and medicine. Presentations are made by each participant on a rotating schedule.

Tumor Board

A forum where otolaryngology/head and neck surgery, radiology, pathology, radiation/hematoncology, oral medicine and dentists meet to discuss comprehensive management of current patients with head and neck cancer. During this multidisciplinary approach, discussion will focus on diagnosis and treatment modalities.

Case Presentation

Residents, faculty and participants in the Division of Oral Medicine actively participate in case presentation sessions.   This is an opportunity for students to present documented cases related to the dental management of medically complex patients.

Treatment Planning Seminar

Through small-group discussions and case-based learning, residents, Fellows and faculty discuss comprehensive oral/dental management of medically complex patients referred to the Oral Medicine Clinic. The participant will also have the opportunity to attend the weekly treatment planning seminars offered through the Division of Oral Diagnosis aimed at reinforcing relevant concepts to clinical practice.

Advanced topics in Dental Medicine

A series of postgraduate seminars relevant to medical and dental science are presented by the division faculty or invited speakers. Advanced topics focused on clinical dentistry including endodontics, periodontics, prosthodontics and implant dentistry are presented and discussed in an open forum.

FACILITIES

Rutgers School of Dental Medicine is located on the Newark Campus of University of Medicine and Dentistry of New Jersey. The medical and dental schools, graduate school of biomedical sciences, and the University Hospital are grouped together on an attractive campus with convenient private parking. The Division of Oral Medicine maintains a separate clinical facility on the “D” level of the dental school.

The Faculty

MAHNAZ FATAHZADEH, DMD MSD

HAROLD V. COHEN, DDS

Professor and Director

Professor and Director

Advanced Education Program in Oral Medicine

Division of Oral Medicine

GARY M. HEIR, DMD

SAMUEL QUEK, DMD, MPH                    

Clinical Professor

Associate Professor and Director

Division of Orofacial Pain

General Practice Residency Program

LAWRENCE SCHNEIDER, BDS PHD

EVAN SPIVACK, DDS

Clinical Professor

Associate Professor and Director

Division of Oral Pathology                

Special Care Treatment Center

GARY VITALETTI, DMD    

STEVEN R. SINGER, DDS

Associate Professor and Director

Professor and Acting Director

Division of Oral Diagnosis

Division of Radiology

RIVA TOUGER-DECKER, RD PHD

 

Professor & Director

 

Division of Nutrition

 


EVALUATION OF STUDENT

For satisfactory completion of the program, the participant must:

  • Complete attendance requirements of the program.
  • Demonstrate didactic and clinical knowledge in oral medicine as determined by the director and attending faculty in the Division of Oral Medicine.

Upon satisfactory completion of all requirements, a certificate of attendance in the Advanced Education Program in Oral Medicine will be awarded.

TUITION

For details regarding the tuition and application fee, please consult RSDM Continuing Education website.

ADMISSION REQUIREMENTS

Applicants to the Advanced Education Program in Oral Medicine are expected to have a strong background in the biological and health sciences. Applicants must

  • Have a DDS/DMD degree or its equivalent from an accredited dental school.
  • Submit a completed application form, curriculum vitae along with copies of transcripts, dental school diploma and letters of recommendation
  • Attend a personal interview, when possible.
  • Be a citizen of the United States, a non-citizen national, or a foreign national with a visa status acceptable to the program.

Applicants with foreign degrees will be considered based upon an evaluation of their academic credentials certified by an independent agency (NACES, ECE,..), training, curriculum vitae and letters of recommendation.

Applicants with English as a second language will demonstrate proficiency in English through submission of TOEFL examination scores.

Graduate Record Examination (GRE) and National Board Scores NDEB scores are not required but may be submitted in support of the application together with evidence of additional training

 Application process and deadline for submission of application:

January 15 for July 1st start date

For further information regarding Advanced Education Program in Oral Medicine, contact:

Program Director, Mahnaz Fatahzadeh DMD, MSD
Tel: 973-972-1956 email: fatahza@umdnj.edu

Click here for application form