Dental Anesthesiology — Certificate (post-D.D.S.), M.S.D.

Closed to admission.

The Advanced General Dentistry Education Program in Dental Anesthesiology is offered to dentists who desire to pursue a career in anesthesiology for dentistry. The educational design of this thirty-six month program provides a strong clinical background in anesthesiology. The program is based in the Koppel Special Care Dentistry Center (KSCDC), an outpatient facility utilizing general anesthesia for dental care. The KSCDC is located in the School of Dentistry, where approximately 4,000 patients are treated on an annual basis. Scheduled simulation training is obtained at the LLU Medical Simulation Center. Additional training in structured rotations in cardiology, internal medicine, and anesthesiology is obtained at area hospitals.

Didactic instruction is coordinated through the School of Dentistry's Department of Dental Anesthesiology. Residents attend an anesthesiology lecture series and weekly grand rounds at Loma Linda University Medical Center. In addition, regular meetings of the dental anesthesiology residents are held, during which a variety of contemporary topics are discussed—including a review of the current literature. Residents also participate in teaching pain control in the predoctoral curriculum and present  their topics at the annual Dental Anesthesia Symposium at Loma Linda University.

Upon successful completion of the program, the dental anesthesiologist will be eligible to take the diplomate examination of the American Dental Board of Anesthesiology, and to apply for a general anesthesia permit in any state of the United States.

Following enrollment into the program, residents may apply for acceptance to the Master of Science in Dentistry (M.S.D.) degree track, in addition to the specialty certificate. The application should be submitted at the end of the first year and be supported by the program director. Admission into the M.S.D. degree track may extend the length of study. Any additional time must be in residence, and continued financial support is not guaranteed.

Dental anesthesiology goals

Goal 1 To provide the dental anesthesia resident with anesthesia-related skills and knowledge that are the basis for a safe and responsible practice of office-based or hospital-based dental anesthesiology after completion of the training program.
Goal 2 To provide an in-depth education in acute pain and anxiety as it pertains to dental treatment and an understanding of the application of the pharmacologic and behavioral treatments of these conditions.
Goal 3 To provide a background in the health sciences and clinical medicine that will allow a dentist anesthesiologist to recognize and appropriately refer the patient who is at elevated risk for anesthesia due to comorbidities.
Goal 4 To develop desirable character values and attributes in residents--including professionalism, respect for others, responsibility, compassion, integrity, and ethical behavior; and to instill the importance of a commitment to lifelong learning.
Goal 5 To develop professional presentation skills to enhance professional communications.

Program link: www.llu.edu/dentistry/gradprograms/

Application process

The Dental Anesthesiology, Advanced Program participates in the Postdoctoral Application Support Service (PASS) of the American Dental Education Association (ADEA), which allows applicants to apply to multiple participating institutions. 

The advanced specialty education program in dental anesthesiology also participates in the Postdoctoral Dental Matching Program (Match). This program identifies and "matches" the preferences of applicants and the advanced education program, using a rank order list submitted by the applicant and the program. 

All applicants must complete and submit an online application (<llu.edu/central/apply>) directly to Loma Linda University and the Match (<https://portal.passweb.org/) application.  A PASS application is available (<https://portal.passweb.org/), but not required.

Application deadline

Application for admission should be submitted no later than September 15 of the year prior to the summer of intended enrollment.

Tuition for the 2017-18 academic year is waived. Residents are required to pay the remaining fees.

Certificate

Major
Interdisciplinary
ANDN 521Principles of Medicine, Physical Diagnosis, and Hospital Protocol12
ANDN 549Contemporary Anesthesia2
ANDN 547Anesthesia Grand Rounds12
ANDN 604Anesthesia Literature Review2
ANDN 652Introduction to General Anesthesia1
ANDN 654Practice Teaching in Anesthesia 11
ANDN 674Crisis Management in Anesthesia4
Interdisciplinary
REL_ 5__Graduate-level Religion3
Total Units37
Clinical 1
ANDN 746General Anesthesia120
Total Units120
1

Units for clinic practice courses do not count toward minimum number of didactic units required for the degree.

Normal time to complete the program

3 years (36 months) — full-time enrollment required

M.S.D.

In addition to completing the requirements for the certificate as listed above, students must also complete the following courses and fulfill the general requirements for the degree. Students may take up to one year following the completion of the certificate program to complete the M.S.D. degree.

ANDN 697AResearch1
ANDN 697BResearch1
ANDN 697CResearch1

Program director

Larry D. Trapp

Faculty

John Leyman

Larry D. Trapp

Courses

ANDN 314. Dental Anesthesia: Local Anesthesia and Inhalation Sedation. 4 Units.

A philosophy of patient management, including use of local anesthetics and nitrous oxide/oxygen sedation, as well as the physiological and psychological aspects of pain and anxiety. Covers the history of anesthesia, patient evaluation, pharmacology armamentarium and complications regarding use of these agents, and management of office emergencies. Students practice local anesthetic injections and administer nitrous oxide/oxygen to each other.

ANDN 521. Principles of Medicine, Physical Diagnosis, and Hospital Protocol. 1 Unit.

Studies methods recognizing normal and abnormal physical conditions. Reviews organ systems to expand the dentist's general medical knowledge. Specific topics reviewed include blood diseases, systemic diseases, cardiac disease, patient admission, physical examination, and hospital charting. Repeated registrations required to fulfill total units.

ANDN 547. Anesthesia Grand Rounds. 1 Unit.

Weekly meeting of the Department of Dental Anesthesiology featuring guest lecturers who present a variety of current topics in anesthesiology. One session per month designated as the Mortality and Morbidity Conference.

ANDN 549. Contemporary Anesthesia. 1 Unit.

Presents current concepts, practice, and controversies in general anesthesia. Reviews textbook chapters on a weekly basis during the Fall and Winter quarters.

ANDN 604. Anesthesia Literature Review. 1 Unit.

Weekly session reviews current anesthesia literature.

ANDN 652. Introduction to General Anesthesia. 1 Unit.

Focuses on rapid acquisition of basic knowledge of the important elements of general anesthesia by new anesthesia residents in their first month of training.

ANDN 654. Practice Teaching in Anesthesia 1. 1 Unit.

Provides opportunity for second-year residents to participate in teaching anesthesia-related topics to first-year residents.

ANDN 674. Crisis Management in Anesthesia. 0.5 Units.

Provides opportunity for residents to respond to simulated anesthesia challenges and complications as their anesthesia knowledge and skills are developed. Offered at the LLU simulation center each quarter over the 24-month program.

ANDN 697A. Research. 1 Unit.

Student identifies a research project, prepares a protocol, and obtains approval for the protocol. Multiple registrations may be needed to complete these research activities.

ANDN 697B. Research. 1 Unit.

Student participates in ongoing research or original projects, collects and analyzes data, and writes a report of findings. Multiple registrations may be needed to complete research activities.

ANDN 697C. Research. 1 Unit.

Resident completes research project, holds a public presentation of research, and submits a publishable paper to his/her research guidance committee (RGC) for approval. Multiple registrations may be needed to complete the publishable paper.

ANDN 746. General Anesthesia. 10 Units.

Administration of general anesthesia and regional block anesthesia to a variety of medical and dental patients in the operating room, under the supervision of attending anesthesiologists. A minimum of 300 clock hours per quarter (8 quarters) required to fulfill total units.

ANDN 751. Dental Anesthesia: Local Anesthesia and Inhalation Sedation. 4 Units.

A philosophy of patient management, including use of local anesthetics and nitrous oxide/oxygen sedation, as well as the physiologic and psychologic aspects of pain and anxiety. Course covers the history of anesthesia, patient evaluation, pharmacology, armamentarium, complications regarding use of these agents, and the management of office emergencies. Students practice local anesthetic injections and administer nitrous oxide/oxygen to each other.

ANDN 801. Dental Anesthesia: Advanced Topics. 2 Units.

Theory of general anesthesia. Hospital dentistry, patient evaluation, medical consultations. Reviews local anesthesia and introduces additional techniques of pain and anxiety control.