Clinical Area: Medicine
- Instruction is provided by OMS department seminars, conferences, and a lecture program. Formal course instruction is provided by the medical school. - Title: Introduction to Clinical Medicine (161 hours), Clinical Medicine, Dermatology, and Pathology (98 hours), and clerkships in medical school (Third year Medical courses: 1205 hours Fourth year medicine electives: 450 hours). An introduction to physical diagnosis is also given by the OMS staff (Pazoki and others) in the first two months of residency for the new residents.
The first year residents take the Introduction to Clinical Medicine and Clinical Pathology courses in the Medical School. After completion of part 1 of the National Medical Boards, they enroll in the third and then fourth year of medical school.
Clinical Area: General Surgery
- Total hours of instruction: Third year Medical courses: 684 hours (Surgery 304 hrs, ObGyn 228 hrs, Ent 76 hrs, Urology 76 hrs). Fourth year surgery electives: 760 hours (Neurosurgery 152 hrs, Gen Surg 152 hrs, Surgical electives 456 Hours), Five months General Surgery rotations in 4th year, Three to four months Neurosurgery in 4th year.
After completion of part 1 of the National Medical Boards, the residents enroll in the third and fourth years of medical school. After they receive their MD, they take five months of general surgery and 3-4 months of neurosurgery rotations as a general surgery resident, for a one year General Surgery flex year.
Clinical Area: Neurosurgery
In the fourth year of medical school the residents participate in a rotation on Neurosurgery. In their General Surgery year 4 they rotate on Neurosurgery for 3-4 months serving at a neurosurgical resident level.
Clinical Area: Emergency Care and Trauma
At MCLNO and University Hospital, trauma call is rotated among five services, the LSU Oral and Maxillofacial Surgery Service, LSU ENT, Tulane ENT, LSU Plastic Surgery and Tulane Plastic Surgery. The Oral and Maxillofacial Surgery Service gets all mandible fractures every night and all midface fractures every third night. At Earl K. Long Memorial Hospital, the residents receive and treat all facial trauma except those with ophthalmologic or neurologic injuries. All facial trauma at Children’s Hospital is handled by LSU OMS. Off-service rotation to: General Surgery, Neurosurgery, and the emergency rotations including the medical emergency room, the pediatric emergency room, and the accident (trauma) emergency room.
All residents are required to be ACLS certified throughout the Oral and Maxillofacial Surgery Program. At the conclusion of the Medical School curriculum in the third year of OMS training, the final course entitled "Special Topics" includes ACLS. All Medical School graduates are certified in ACLS in this course and thus certified for the following two years. Once the residents are certified in ACLS, they are required to maintain their certification throughout the remainder of the training program.
Clinical Area: Pathology
Instruction is provided in this subject area by department seminars, conferences, and a lecture program. A formal course, Advanced Oral Pathology and Histopathology for Oral and Maxillofacial Surgeons, is taken.
The exposure to pathology is broad and extensive. The residents have full privileges and patients to expose them to maxillary sinus disease, cysts, benign neoplasms of bone and soft tissue, malignancies, temporomandibular joint and salivary gland surgery and neurosurgical evaluation and repair. An adequate number of cases are present, which does not limit the resident’s exposure nor experience.
Clinical Area: Orthognathic Surgery:
Instruction is provided in this subject area by department seminars, conferences, and a lecture program. A formal course is given.
A wide variety of orthognathic and craniofacial procedures are performed at the Medical Center of Louisiana and LSU affiliated institutions. A benefit of the changing character of managed health care is that many orthognathic cases formally done in the private community are now being done in the training program. There are no limitations to the type of orthognathic and craniofacial procedures performed and the resident’s experience is generally broad based and extensive. This provides exposure to a wide range of craniofacial anomalies, clefts and other related deformities through which the residents gain additional extensive exposure
Clinical Area: Reconstructive and Esthetic
Because of the volume and exposure of patients to a wide variety of post-traumatic, post-neoplastic and developmental deformity patients, the residents are exposed to a significant scope of reconstructive procedures involving hard and soft tissue grafting of the oral cavity, face, and cranium. The residents are trained in harvesting bone grafts from the cranium, tibia, iliac crests, and ribs. Both implant prosthetics, temporomandibular joint and facial esthetic surgery are areas that have significantly increased in numbers over the last several years, which is providing a well-balanced education to the oral, and maxillofacial surgery residents.
Clinical Area: Dental Implants
Instruction is provided in this subject area by department seminars, conferences, and a lecture program. A formal course is given for Postdocotoral Students.
The residents take a didactic course on implants in the summer of their first year of training. During their 1st year on the OMFS service, they work up implant cases and participate in the surgical treatments under the supervision of staff. In their rotation during their fifth and sixth years, they continue to obtain a comprehensive experience in all aspects of the use of dental implants for reconstruction of edentulous and partially edentulous patients, as well as the use of implants in maxillofacial reconstruction of the patient with large defects secondary to cancer ablation or trauma.