Both incoming interns begin at UH under the tutelage of an upper-year resident. During this time the interns have the opportunity to learn from each other as pearls and procedures are handed down from faculty and residents. Interns are expected to take calls at UH and, where applicable, the Veteran's Administration (VA). After the initial two months at UH, one of the interns will begin a three-month rotation at the VA as the principal OMFS resident. Both rotations will give the intern experience in diagnosis, information-gathering, dentoaveolar surgery, and major surgery within the scope of OMFS. The last two months of the first year are spent on the UH Anesthesia service. The resident will be paired with an anesthesiology resident or attending, improving upon and learning procedures involving management of the medically-compromised patient, airway management, pharmacologic management, intravenous sedation and general anesthesia.
Formal conferences are held to advance the residents in oral and maxillofacial pathology, contemporary issues in OMFS, orthognathics, implantology and anesthetic principles, case presentation, and OMFS knowledge updates. As well, interns are second year medical students and take part in a full-year course in physical diagnosis.
Residents will enter medical school as a third-year clerk and will, subsequently, rotate amongst the core clerkships, which include internal medicine, family medicine, obstetrics/gynecology, pediatrics, neurology, psychiatry, and surgery. During this time residents are not expected to take call on the OMFS service nor are they expected to attend OMFS conferences. As such, no resident's stipend is allotted and residents are responsible for their medical school tuition.
The third-year resident returns to the OMFS service and will spend a total of four months at UH as the junior resident assisting the chief resident in major surgeries as well as advancing his/her skill in principles of sedation and dentoalveolar surgery. An additional three months are spent as the resident returns to the VA, performing dentoalveolar, trauma reconstruction, and implant placement procedures.
Three further months are spent on the Anesthesia service at UH, where the resident is given additional responsibilities running anesthesia in a room directly under the supervision of an attending. One of these three months is spent in the surgical intensive care unit, where skill is gained in the management of severely medically-compromised patients.
The opportunity for a two-month foreign visitation exists during this year. This exposes the resident to procedures, policies, colleagues, and even lifestyles that may be unique to that institution and culture. In the past, residents have visited countries such as England, Mexico, and Australia.
Fourth-year residents are primarily off-service as general surgery interns. Residents rotate through plastic surgery, ENT surgery, general surgery, dermatological surgery, and trauma surgery at UH and MetroHealth hospital.
During the senior year, the resident returns to the OMFS service as chief for six months. The chief resident is responsible for the resident service, working-up surgical cases and is typically the first assistant in major surgical cases. During this time, the chief works closely with the AEGD residents to plan and perform surgery on simple and advanced implant cases. Two months are also spent in Canton, OH in a private OMFS office that performs a wide scope of OMFS procedures.