CLINIC INFORMATION
MALPRACTICE INSURANCE
Malpractice Insurance is provided by the program and is only for patient care provided in the school.
COMMUNICATION POLICY
1. Residents will be provided with a pager, which will become the primary method of communication within the AEGD Clinic. There is no overhead pager system.
2. Residents should respond to pages promptly (ideally within 5 minutes, more than 15 minutes is considered not answered).
3. Residents will be provided with a University of Maryland e-mail address which will become the official e-mail address for Program communication.
4. Residents should review their University of Maryland e-mail account at least once a day and Friday afternoon before leaving work. E-mail will be the primary source of non-urgent communication.
AFTER HOURS EMERGENCIES - RESPONSIBILITIES
1. All residents must be accessible by pager or cell phone (24 hours/7days a week) in order to manage treatment of your emergency patients during non-clinic hours.
2. Handle all “emergency” telephone inquiries from your assigned patients (provide a referral if necessary or a prescription).
3. Contact either Dr. Kaplowitz (443.683.2456) or Dr. Barnes (443.271.2194) for assistance as required.
4. The next work day, after the emergency care, the AEGD Office Manager will pull the chart to ensure that the resident makes an entry and have it co-signed by a faculty member.
OPERATING HOURS FOR AEGD CLINIC
1. Patient appointments are 8 am to 4 pm, except on Wednesdays when we will have extended hours. Residents are required to arrive by 7:30 am and not to depart until 4:30 pm.
2. CLINIC Schedule
First Patient – 8 am to 9:30 am
Second Patient – 9:30 am to 11 am
Third Patient – 11 am to 12 noon
LUNCH – 12 pm to 1 pm
Fourth Patient – 1 pm to 2:30 pm
Fifth Patient – 2:30 pm to 4 pm
3. The 3rd Session Day will be on Wednesdays–clinic hours will be extended until 7 pm.
4. The 3rd session will start at 4 pm.
SCHEDULING OF EMERGENCY PATIENTS
1. If emergency patient is assigned to a resident, anyone in the TEAM will see the patient if there is an opening.
2. Emergency patients will be given any empty slot in the appointment schedule with any available resident.
3. If there is no empty slot, the TEAM captain will decide who will see the patient.
UNIVERSITY OF MARYLAND - COLLEGE PARK DENTAL CLINIC ROTATION OBJECTIVES
- Function effectively as part of the Health Center staff, interacting with other departments through consultation, committee participation, etc.
- Demonstrate in-depth understanding of the organization, functioning and responsibilities of the medical staff; and the organization and functioning of the dental department within the Health Center structure.
- Plan and provide multidisciplinary oral health care for a particular population including HIV patients.
- Understand the oral health care needs of the community and engage in community service.
- Utilize the values of professional ethics, lifelong learning, patient centered care,
adaptability, and acceptance of cultural diversity in professional practice.
See page 68 for College Park Dental Clinic Rotation Evaluation form.
UNIVERSITY OF MARYLAND – CECIL COUNTY ROTATION OBJECTIVES
1. The Perryville clinic is a collaboration between Union Hospital, Cecil College, Harford
and Cecil County Health Department, the University of Maryland Dental School, the
Robert Wood Johnson Foundation and the Health Services Research Administration.
2. The clinic’s conception arose out of concerns from Cecil County school nurses
regarding the numbers of children that they saw with dental issues.
3. The Dental School will be renting space from Union Hospital in one of several medical
buildings that will be at this site. The first building will house the dental clinic on the
second floor and medical imaging on the first floor.
4. The dental facility will have 26 chairs, as well as study areas for students.
5. The scope of practice will be limited to treating poor children and poor elderly adults.
6. The practitioners will be dental residents (4), dental students (8), and dental hygiene
students (8).
7. In addition the site will serve as a clinic for a satellite dental hygiene program in
collaboration with Cecil Community College. Initially, there will be eight dental
hygiene students taking their third and fourth year training at this site.
- The projected start date for the clinic is mid-July.
See page 69 for Cecil County Clinic Rotation Evaluation form.
UNIVERSITY OF MARYLAND – SPECIAL PATIENT CLINIC ROTATION OBJECTIVES
To provide a full range of comprehensive dental service for individuals with special needs that may be developmental or physical.
1. Aging and elderly individuals.
2. Individuals with mobility issues.
3. Mentally disabled individuals.
4. Individuals that may be immunocompromised or have complex medical problems.
5. Individuals with mental illness.
See page 70 for Special Patient Clinic Rotation Evaluation form.
TREATMENT PLANS
1. All treatment plans must be reviewed by an attending and signed by the patient, resident and attending before any restorative treatment can begin.
2. In treatment planning cases, especially complex dental ones, residents must first collect all necessary data, including mounted diagnostic casts. Sometimes, diagnostic wax-ups may be required and patient can be charged for it. There is no charge to the patient if the wax-up is done for the resident’s benefit, unless wax-up is done by outside laboratory (only if approved by the faculty).
3. Format for treatment planning is discussed on pages 31-34.
4. Residents are expected to have a treatment plan written out before approaching an attending for evaluation. By presenting the case in such a manner, a more meaningful discussion will emerge. Always bring mounted casts, x-rays and the chart for treatment planning.
5. A sequenced treatment plan should be written after final attending approval and discussion.
6. All treatment plans must be entered into Axium and swiped by attending faculty.
7. When a comprehensive treatment is completed and prior to entering the patient into the recall system, a chart audit (record review) and case complete audit must be performed (see pages 40, 41).
MEDICAL CONSULTS
For medically compromised patients where dental treatment plans will need to be altered due to patient condition, a medical consult form must be filled out. Residents will send the information request via the patient to the medical doctor. The patient will then return the form to the resident and it will be added to the patient’s dental chart. An example of a medical consult form maybe found on pages 27-30, 44-45. Any ASA III and IV patient requires a medical consult and medical clearance prior to dental treatment.
When residents are phoning medical doctors for patient consults, it is advised that the resident prepare in advance what to say. In general, the resident should include the following:
1. Identify yourself (DDS, Dental Resident at UMAB) and your patient.
2. State the known health condition of the patient.
3. Describe the dental procedures planned. Medical doctors tend not to have a detailed understanding of these procedures; thus, account the details of the surgery, the extent of bleeding predicted, the intended local anesthetic or medication to be used, and/or the possible effects of the dental treatment on the patient.
4. Specifically ask the information required from the medical doctor. Examples: “Should antibiotic prophylaxis be administered prior to dental therapy?” “Is the use of epinephrine in the local anesthetic contraindicated?” Avoid asking too general a question like, “Is there anything that should concern me about the patient?”
5. Document discussion in the Progress Notes of the patient’s record and ask for written documentation from attending physician.
