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ORAL AND MAXILLOFACIAL SURGERY

David A. Cottrell, DMD, Chairperson
Pushkar Mehra, DMD, Program Director

overview

........oral and maxillofacial surgery program

The oral and maxillofacial surgery program offers an integrated curriculum of clinical training, basic science study, and research, all within the hospital environment. The program is open to all graduates of dental schools accredited by the Council on Dental Education of the American Dental Association. Preference is given to applicants with high academic achievement and an aptitude for oral and maxillofacial surgery.

The program is designed to provide the resident with sufficient didactic and clinical education to meet the requirements of the American Board of Oral and Maxillofacial Surgery and to become a proficient practitioner. All residents are extremely well prepared for careers in clinical practice, both in academic and private practice settings. Residents are encouraged to develop skills in teaching and clinical research in preparation for an academic career.

........oral and maxillofacial pre-residency internship program

The one-year pre-residency focuses on training new dental graduates in minor oral and maxillofacial surgery, including dentoalveolar surgery, preprosthetic surgery, dentoalveolar trauma, management of odontogenic infections, exposure to dental implants, and management of the medically compromised patient. Residents enrolled in the program will rotate through different institutions including BUSDM, Boston Medical Center, and the Veterans Affairs hospital.

goals

The goal of the oral and maxillofacial surgery residency program is to provide residents with excellent didactic and clinical experience. On completion, graduates will possess sufficient professional knowledge, skills, and ability to practice competently and independently. In addition, residents are prepared to meet the requirement of the American Board of Oral and Maxillofacial Surgery.

clinical rotations

year

on-service rotations

off-service rotations*

1

OMFS

  • medicine
  • anesthesia

2

OMFS
  • anesthesia
  • general surgery
  • otolaryngology/head and neck surgery
  • emergency room
  • trauma surgery
  • neurosurgery
  • intensive care unit
  • pediatric surgery
  • vascular surgery
  • plastic surgery
  • cardiothoracic surgery

3

OMFS

  • anesthesia

4

OMFS

d
*These rotations are subject to modification at the Program Director's discretion

The resident is allowed increasing responsibility for patient evaluation and management as clinical and surgical skills are acquired. The resident is supervised for the entire residency, but the amount of supervision may vary with the level of resident's training and degree of competence.

case material

An adequate volume and diversity of clinical exposure is available to provide a complete and effective educational experience. This includes an appropriate number of cases in the following areas: Facial trauma surgery, orthognathic surgery, TMJ surgery, dental implants, head and neck pathology, complex maxillofacial reconstructive surgery, outpatient anesthesia, cosmetic surgery, sleep apnea surgery, advanced presprosthetic surgery, dentoalveolar surgery, nerve repair, and cleft lip/palate surgery.

patient care experience

Residents participate in the entire process of patient care from initial visit to final discharge and are involved in the decision making process under appropriate faculty supervision. Supervision and instruction at all levels of the surgical graduate training program are provided by full- and part-time members of the surgical attending staff. Supervision includes problem-oriented conferences on surgical floors, bedside rounds, and direct assistance in the operating room. Although independent decision-making is encouraged, no operation is performed without faculty participation.

cleft lip and palate program

Each year, the Department of Oral and Maxillofacial Surgery sponsors a cleft lip and palate surgical team that provides care to patients in South America. Working through an organization called Healing the Children, oral and maxillofacial surgery residents and faculty accompany a group of health care professionals to South America. The BUSDM Department of Oral and Maxillofacial Surgery cover s all professional trip expenses.

annual openings

  • oral and maxillofacial surgery residency: maximum of three annual openings
  • oral and maxillofacial surgery preresidency Internship: maximum of three openings

oral and maxillofacial surgery application information

The Oral and Maxillofacial Surgery program uses the Postdoctoral Application Support Service (PASS) for admissions. Applications may be obtained by contacting PASS directly at 202/289-8123 or 800/353-2237, or, PASS 1400 K Street, NW, Suite 1100B, Washington DC 20005-2403, or by visiting their website, http://www.adea.org/PASS/default.htm

The PASS application deadline for the Oral and Maxillofacial Surgery program at Boston University is September 15.

Boston University Oral and Maxillofacial Surgery Program is part of the National Matching program. Notification of the selected residents for the program is made through the Oral and Maxillofacial Surgery Matching program. To register please contact the National Matching Service at 20 Holly Street, Suite 301, Toronto, Ontario, Canada M4S 3B1 or call 416/ 977-3431. You may also visit their website, http://www.natmatch.com/dentres/

Selected candidates are called for interviews.

tuition

Boston University School of Dental Medicine charges tuition to all residents entering the residency program. The tuition is equal to one quarter of the regular postgraduate year tuition of the year of entry on a yearly basis. The tuition covers the cost of didactic courses that are given by the school.

housing

Housing for the incoming residents is available in Boston and its Boston. The BMC House Officers Association prepares information about the neighborhood and transportation most accessible to the core hospitals, and maintains a list of apartments and houses that will be vacated by current house officers in June. This list is available to new residents in late April. In addition, BUMC's Office of Off-Campus Services provides valuable information on housing and transportation.

stipend

Annual stipends have increased regularly to offset the rise in the cost of living and are competitive with stipends at other teaching hospitals in the Boston area. Salaries increase along a standard scale for each year of training.

year 2007-2008 salaries 2008-2009 salaries

PGY1

$50,490

$52,258

PGY2

$52,780

$54,629

PGY3

$55,264

$57,198

PGY4

$59,012

$61,077

PGY5

$63,945

$66,183

benefits

The following benefits are negotiated and contracted every three years by the House Officer Association. These benefits are applicable for the period October 2006 through October 2009.

........extra on-call

In the event a house officer is required to work extra on-call due to absence of another house officer [e.g., due to illness, disability, approved leaves of absence, temporary reassignment by the department, emergency absences, vacation (if the coverage required is every other night call), removal from the payroll, jury duty, departmental scheduling error (defined as a house officer scheduled to be on-call back-to-back on different rotations), bereavement leave and/or resignation (including situations in which a person accepts appointment to a program and fails to arrive)], or if a house officer volunteers to work extra on-call hours and the offer is accepted, then, commencing with the first night on-call, the house officer will receive additional compensation in the amount of  $200/call Monday-Friday, and $250/call on Saturday, Sunday and holidays.

........medical insurance

Medical insurance premiums will be paid for by the hospital based on the following percentages of the average weekly premium of all medical insurance plans (excluding Master Health Plus and the EPO):

  • individual: 85%
  • individual + 1: 85%
  • family: 85%

The hospital will extend domestic partnership coverage (same sex only) to all house officers who select the Hospital’s EPO plan.

........life insurance

The hospital provides all eligible house officers with life insurance and/or accidental death and dismemberment insurance at no cost to the house officer equal to one (1) times their base annual salary. House officers may also purchase additional life insurance at one (1), two (2) or three (3) times their annual salary at the rate of twenty-one cents ($.21) per one thousand dollars ($1,000) of life insurance per month and/or additional AD&D insurance at one (1), two (2) or three (3) times their annual salary at a rate of four cents ($.04) per one thousand dollars ($1,000) per month.

........house officer association/CIR membership dues (or agency fee)

House officers and fellows are represented by the House Officers’ Association/CIR for the purpose of negotiating their salaries, hours, and work conditions with the hospital, and enforcing the negotiated contract. Members of the HOA/CIR pay dues of 1.5% of their gross salary, deducted weekly. House officers and fellows who choose not to be members are required by the hospital’s contract with the union to contribute 1.5% of their gross salary as an “agency fee” (also deducted weekly) which contributes to the cost of negotiating and enforcing the contract. These dues/fees are tax deductible. 

........tax sheltered annuity

House officers may voluntarily open a tax sheltered annuity at up to 20% of salary or $11,000 ($12,000 effective 1/1/03), whichever is smaller.

........flexible spending account

The hospital makes available to eligible house officers, at no cost to the hospital, a Flexible Spending Account not to exceed $5,000 per house officer for child and dependant care and not to exceed $2,000 per house officer for out-of-pocket medical expenses.

........disability insurance

The hospital provides each house officer with short and long-term disability coverage, which is portable and is provided by the Voluntary Hospitals House Staff Benefits Plan of the Committee of Interns and Residents.

........HIV insurance

The hospital provides all eligible house officers with one hundred thousand dollars ($100,000) HIV medical insurance coverage at no cost to the house officer. In addition, any house officer can purchase up to an additional two hundred fifty dollars ($250,000) at a cost of seventy-five cents ($.75) per week for each fifty thousand dollars ($50,000) of coverage.

........dental insurance

The house officer's weekly dental insurance plan premium contribution will be as follows, if coverage is elected:

individual family
BU DENTAL DMO $3.70 $8.46
BU DENTAL POS $6.37 $14.31
BC/BS Dental Blue $6.56 $18.13

........malpractice insurance

The hospital provides malpractice insurance at its expense in the amount of $1,000,000/$3,000,000.

........vacation

The hospital provides four (4) weeks vacation leave with pay except in the Departments of Surgery, Urology, Thoracic Surgery, Oral & Maxillofacial Surgery, Otolaryngology, Ophthalmology, Dermatology, and Anesthesia where the respective Chief of Service, with the approval of the Office of Medical Affairs, may require that the fourth week of vacation leave be in the form of one (1) week of additional compensation in lieu of time off.

........sick leave

Sick leave accrues at the rate of one and one-fourth (1 1/4) days for each month of actual service, not to exceed fifteen (15) working days in any calendar year. New employees are credited in advance with seven and one-half (7 1/2) sick leave days as of July of their first year, in advance of such year having been worked. Sick leave not used in the year in which it accrues, together with any accumulated sick leave standing to the employee's credit and not used in the current year, may be accumulated for use in the subsequent year. Sick leave not used prior to the termination of an employee's service shall lapse, and the employee shall not be entitled to any compensation in lieu thereof.

........maternity leave

House officers are entitled to up to twelve (12) weeks of unpaid family leave for the birth or care of a child, for adoption of a child under age eighteen or foster care placement of a child under age eighteen. Unused sick and vacation time can be used for this twelve (12) week leave.

........parental leave

House officers are entitled to two (2) weeks parental leave in order to attend to the birth, adoption, or care of a new child in the employee's immediate household. Unused sick and vacation time may be used for this leave.

........family and medical leave

Consistent with the Family and Medical Leave Act of 1993, eligible persons may be entitled to up to twelve (12) weeks of unpaid medical leave for serious illness or serious illness of said person's spouse, parent or child. All applications for FMLA must comply with the Hospital’s policies and procedures governing such leave.

........bereavement leave

In the event of death of a house officer's mother, father, spouse, significant other, parents of spouse or significant other, brother, sister, child, grandparent, grandchild, or other members of the house officer's immediate household (for a period of six (6) months or more), the house officer is entitled to receive up to three (3) working days leave without loss of pay for the purpose of attending funeral services or arranging for burial, provided that the house officer is in active service at the time of such death. Leave without loss of pay under this section shall not be deducted from sick leave or vacation leave. All house officers are permitted one (1) day's leave without pay in order to attend the funeral of a relative not included above. A house officer may choose to use accumulated sick leave for this purpose. If a house officer requires additional leave for bereavement purposes due to the death of someone specified above, authorized leave for such purposes shall be deducted from sick leave allowance.

........educational allowance

Effective October 2007, each house officer will receive a three hundred dollar ($300.00) professional education allowance.

........lab coats

The hospital will provide each house officer with three (3) white coats in their first year of residency, and two (2) for each successive year of their residency.

........limited licensing fee

The hospital pays for the limited license for all house officers.

........parking

For the fiscal year 10/1/02 to 9/30/03, the Hospital will provide a credit of $40 per month to all house officers participating in the parking program. House officers will be required to pay $50 per month for monthly parking. Reduced rate daily parking is also available for house officers on outside rotation who only return to BMC intermittently. House officers who elect not to participate in the BMC parking program may be eligible for an MBTA pass subsidy of 25% offered by the Office of Parking and Transportation Services (limit of 1 pass per person per month).

........on-call rooms

On-call rooms are available at Boston Medical Center Menino pavilion
On call meals provided at Boston Medical Center - Harrison Pavilion (BMC-HP), Boston Medical Center - Newton Pavilion (BMC-HP), and VAMS include morning and evening meal.

........residency resources

  • Resident Office at BMC-Menino Pavilion, Dental School, and Boston VAMS.
  • Resident library available 24 hours at BMC-Menino Pavilion.
  • IBM Compatible PC’s with Pentium II processor, windows 95, office 95, and full internet access available for 24 hour resident access at BMC-HAC, School of Dental Medicine, and Boston VAMS.

........work hours

The Program is in compliance with the recommendations of the Coordinating Committee on House Staff Clinical Training issues.

hospital and associated facilities

........Boston Medical Center (BMC)

Boston Medical Center is a multispecialty referral institution that is the principal teaching hospital of the Boston University School of Medicine and the Goldman School of Dental Medicine. The hospital has two separate campuses and receives approximately 420,000 patient visits annually. BMC is the regions busiest Level I trauma center and the emergency department capably meets the demands of 84,000 visits per year. Boston Medical Center is a founder of Boston HealthNet, which is a partnership between the medical center, Boston University School of Medicine, School of Dental Medicine, and thirteen community health centers in neighborhoods throughout the Greater Boston area. BMC is committed to excellence in patient care, advanced clinical research, and health-care education. Although the hospital's primary service area includes greater Boston and eastern Massachusetts, it receives referrals from throughout New England and the world. The Oral and Maxillofacial Surgery Clinic at Boston Medical Center's Menino Pavilion is a five-operatory, state-of-the-art clinic. It is one of the busiest clinics in the hospital, and treats 17,000 patients annually.

........The Boston Veteran's Affairs Medical Center

The Veteran's Affairs HealthCare System, Boston (VA) is a tertiary referral center and one of the largest Veteran's Affairs hospitals in the United States It is the only VAHS in northern New England that provides oral and maxillofacial surgery services. The Boston VAHS receives referrals from all the regional VA facilities. Great emphasis is placed on diagnosis and treatment planning of dental implants , bone grafting, and treatment of medically compromised patients. Inpatient facilities are provided at VA Boston Hospital in West Roxbury, while the outpatient clinics and day surgery are located at the VA Hospital (Boston) in Jamaica Plain.

certificate of advanced graduate study in oral and maxillofacial surgery

The Certificate of Advanced Graduate Study (CAGS) program in oral and maxillofacial surgery training is a 48-month course designed to satisfy the training requirements of the American Board of Oral and Maxillofacial Surgery and the Council on Dental Education of the American Dental Association. The oral and maxillofacial surgery program is primarily based at Boston Medical Center, Boston University School of Dental Medicine, and Boston Veterans Administration Hospital. Affiliated institutions include the New England VA Medical Center system, Franciscan Children's Hospital and Rehabilitation Center, and the Lemuel Shattuck Hospital.

master of science in dentistry in oral and maxillofacial surgery

The MSD program requires a minimum of one year in addition to the time commitment for the Certificate in Advanced Graduate Study in Oral and Maxillofacial Surgery and entails a research project, thesis, and thesis defense.

SDM OS 991 Research: Oral and Maxillofacial Surgery 4 cr, 1st and 2nd sem.

Other coursework may be assigned at the discretion of the research advisor and the department chair.

doctor of science in dentistry in oral and maxillofacial surgery or oral biology

A limited number of candidates are accepted into the DScD program, which takes at least three years to complete. Candidates must complete all basic science and clinical requirements for the CAGS program as listed above. In addition, the program requires that candidates complete a major research effort related to Oral and Maxillofacial Surgery or Oral Biology. This research is usually conducted in conjunction with research faculty of the university.

SDM OS 992, 993, 994 Research: Oral and Maxillofacial Surgery 12 cr; 1st-6th sem.

Other coursework may be assigned at the discretion of the research advisor and the department chair.

residency program supporters

The Boston University/Boston Medical Center Residency Program appreciates the following individuals and companies for their donations. Due to their generous support, the program is able to provide state-of-the-art didactic and clinical training to all residents. The support from these individuals and corporate organizations helps the program provide additional benefits, book allowances, reimbursement for educational conferences/seminars, and reimbursement for an international cleft/lip and palate program.

individuals

  • platinum
    • Dr. Michael L. Cahoon, 2004
  • gold
    • Dr. Marshall A. Baldassarre, 2003
    • Dr. Jim L Culver, 2004
    • Dr. Pushkar Mehra, 2004, 2005
    • Dr. James J. Wu, 2003
  • silver
    • Dr. Hussam Batal, 2005
    • Dr. Donald F. Booth, 2004
    • Dr. Carmine A. & Lisa Colarusso, 2004
    • Dr. Timothy S Colton, 2004
    • Dr. John Kashmanian, 2006
    • Dr. Kenneth R. Plisner, 2004
    • Dr. Tanios Rubeiz, 2005
    • Dr. Timothy B. Welch, 2003
  • bronze
    • Dr. Richard J. Bravman, 2003
    • Dr. Robert Bunnen, 2006
    • Dr. Jasjit S. Gill, 2003
    • Dr. Katherine A. Haltom, 2004
    • Dr. Gregg Jacob, 2006
    • Dr. Roderick Lewin, 2006
    • Dr. Philip L. Maloney, 2006
    • Dr. John Marshall, 2006
    • Dr. Frederic Moore, 2004
    • Dr. James Murphy, 2006
    • Oral Surgery South
    • Dr. Andrea Richman, 2006
    • Dr. Ted Rosner, 2006
    • Dr. Robert W. Smith, 2003
    • Dr. Richard J. Sorbera and Dr. Shibly Malouf, 2003
    • Dr. Alfredo Tendler, 2006

corporate sponsors

  • gold
    • Stryker/Leibinger, 2004
  • silver
    • Ace Surgical Supply/Dr. J. Edward Carchidi, 2003

resident course sponsor

    • Noble Biocare, 2005, 2006, 2007
    • Stryker/Leibinger, 2007

other acknowledgments

    • Ms. Debra Rousseau (In memory of Mr. Ralph Karol), 2004