Oral and Maxillofacial Surgery

The residency in oral and maxillofacial surgery is a six-year program leading to qualification for certification by the American Board of Oral and Maxillofacial Surgery, completion of the MD degree at Harvard Medical School, and a total of 16 months as a Mass General resident in general surgery.

  • Next Deadline for OMS Residency Application: October 1, 2014
  • Maria J. Troulis, DDS, MSc, Residency Program Director, mtroulis@partners.org

The Massachusetts General Hospital (MGH) offers an advanced education program in Oral and Maxillofacial Surgery (OMS). This integrated clinical and didactic program is designed to meet the certification requirements of the American Board of Oral and Maxillofacial Surgery. The Program is fully accredited by the Commission on Dental Accreditation of the American Dental Association and is affiliated with the Harvard School of Dental Medicine.

Background and Setting

Mass General residents in Oral and Maxillofacial Surgery become part of one of the strongest and longest running legacies in the history of medical and dental education.

Massachusetts General Hospital was chartered in 1811 as a private, voluntary institution. From the outset, the Hospital's primary mission in caring for the sick was defined, and simultaneously, a strong emphasis was placed on its educational mission. The first patient was admitted to the General Hospital in 1821. The training program for surgical "House Pupils" has continued to evolve since 1830 when the first House Physician and House Surgeon were appointed.

On July 17, 1867, the Harvard Corporation established the first dental school in the country affiliated with a university and medical school. A year later, the Trustees of Massachusetts General Hospital in their annual report noted the addition of a Dental Service in association with the Dental School of Harvard College. The Dental School became established in the North Grove Street building of the hospital adn was named "The Dental Infirmary of Massachusetts General Hospital." Harvard Dental School remained at this site until 1909.

The Massachusetts General Hospital

Massachusetts General Hospital today has more than 900 beds. About 70 percent of them are normally occupied by surgical patients. There are more than 550,000 patient visits yearly to the ambulatory care clinics of the Hospital and more than 75,000 visits to the the Emergency Ward. The Oral and Maxillofacial Surgery Service admits approximately 700 patients each year and cares for about 10,000 outpatients. Additionally, the Service sees about 2,500 Emergency Ward patients annually. The full scope of the specialty is taught within the context of a combined M.D./General Surgery Program.

Philosophy of the OMS Residency Program

The Oral and Maxillofacial Surgery Service is guided philosophically by the traditional aims of the world renowned General Surgical Services of Massachusetts General Hospital. The educational experience is progressive, offering increasing responsibilities as residents proceed through the program. The general philosophy of the Service is defined as follows:
In its internship and residency program, the General Surgical Services of Massachusetts General Hospital provide a broad education in the science and art of surgery. One of the keys to the House Officer's appreciation of the principles and scientific bases of surgery, as well as to his learning the art of surgery, is the properly placed assumption of responsibility. The program is generally designed to increase the responsibilities as rapidly as the House Officer is able to assume them. In this progression, however, the House Officer's primary obligation is to the care of his/her patients, which is also consistent with his/her personal primary goal of a surgical education in depth. Effort is made to maintain a program which is sufficiently flexible to meet the individual aptitude, talents, and needs of the developing surgeon.

Three residents are selected annually for the Oral and Maxillofacial Surgery Service House Staff. Appointments are offered to highly qualified individuals who are committed to a career of excellence in patient care, teaching, and research. The matched applicants are accepted into the Mass General Hospital/Harvard Medical School OMS six year residency program. Tuition to the Harvard Medical School for the 2014-2015 academic year is pending. (Tuition for the 2013-2014 academic year was $52,100). Tuition is the responsibility of the resident. Financial aid is available through the Medical School. A one-year preliminary OMS internship year is also offered.

All applicants must be qualified graduates of a dental school accredited by the American Dental Association (ADA). The MGH OMS Residency Program is six years in duration and leads to qualification for certification by the American Board of Oral and Maxillofacial Surgery. Each resident completes the requirements for the M.D. degree at the Harvard Medical School and trains for a total of 16 months as an MGH resident in General Surgery.

The MGH Residency Program includes rotations at the Children’s Hospital Boston (CH), which is a major teaching affiliate of the Harvard Medical School and the Harvard School of Dental Medicine. During the course of clinical training, residents will spend at least four months at this institution for a broadened and varied clinical exposure in the Specialty.

A regular didactic program of hospital rounds, seminars, and conferences is supplemented by specific courses in surgical anatomy and pathology. All residents are trained and certified in Advanced Cardiac Life Support and Advanced Trauma Life Support (ACLS/ATLS) during the first year of the Program. Residents receive a limited dental license during the first year of the program. It is the responsibility of the resident to ensure that this license is renewed on a yearly basis. Residents are encouraged to obtain a full Massachusetts Dental License prior to returning to the program from Medical School. Residents are required to obtain a limited Massachusetts Medical License when they begin their General Surgery rotation. Residents are also required to have both current dental and medical licenses once they graduate from the Medical School.

Residents are encouraged to undertake investigative work; however, clinical demands usually require that elective time be taken to carry out significant research projects. It is the intent of the Program to foster and develop both well-trained practicing oral and maxillofacial surgeons and oral surgeon-scholars who pursue academic careers and research. Teaching experience is also gained in the context of the Program. The resident staff participates in teaching third and fourth year students both at the School of Dental Medicine and during student externships at the Massachusetts General Hospital. All residents maintain appointments as Clinical Fellows at the Harvard School of Dental Medicine.

Resident Schedule by Year

 

PGY 1

MGH OMS

12 months

PGY 2

Harvard Medical School (HMS III)

12 months

PGY 3

Harvard Medical School (HMS IV)

This year includes four months of anesthesia.

12 months

PGY 4
(Pay level: PGY 2)

General Surgery

12 months

PGY 5
(Pay level: PGY 3)

Split Year:
MGH OMS (Includes one month pediatric anesthesia and seven months OMS.)
MGH General Surgery


8 months
4 months

PGY 6
(Pay level: PGY 4)

MGH OMS
Longwood Campus (Children’s Hospital, HSDM)

 

8 months
4 months


The clinical program provides broad training in all areas of the specialty

Dentoalveolar Surgery

Outpatient Anesthesia and Sedation

Trauma

Preprosthetic Surgery/Implantology

Orthognathic and Craniofacial Surgery

Temporomandibular Joint Disorders

Pathology and Reconstruction

Minimally Invasive Treatment Alternatives, e.g.. distraction osteogenesis or endoscopy

Residents participate fully in the pre-, intra, and post-operative care of all patients

 

The Department is under the direction of Leonard B. Kaban, DMD, MD., Chief of Oral and Maxillofacial Surgery at Massachusetts General Hospital and Walter C. Guralnick Professor and Chairman of the Department of Oral and Maxillofacial Surgery at the Harvard School of Dental Medicine. The residency program is under the direction of Maria J. Troulis, DDS, MSc. There are 18 Board-certified Oral and Maxillofacial Surgeons on the Staff of the Service, 12 of whom are full-time faculty.

Full-time Faculty

Academic Title and Location (if other than MGH)

Meredith August, D.M.D., M.D.

Associate Professor

Sung-Kiang Chuang, DMD, MD, DMSc

Assistant Professor, Director of Pre-doctoral OMS at HSDM

R. Bruce Donoff, DMD, MD

Professor and Dean, Harvard School of Dental Medicine

Walter C. Guralnick, D.M.D.,

Professor Emeritus

Leonard B. Kaban, DMD, MD

Chief of Service (MGH), Walter C. Guralnick Professor and Chairman, Harvard School of Dental Medicine

David A. Keith, BDS, DMD, FDSRCS

Professor, MGH

Edward T. Lahey, III, DMD, MD

Instructor in OMS

Bonnie Padwa, DMD, MD

Associate Professor,  Children's Hospital

Zachary S. Peacock, DMD, MD

Assistant Professor of OMS

Cory Resnick, DMD, MD

Instructor, Children's Hospital

Steven J. Scrivani, DDS, DMSc

Associate Professor, Director of Orofacial Pain Program

Jeffry Shaefer, DDS, MS

Assistant Professor

Maria J. Troulis, DDS, MSc

Associate Professor, Director of Residency Training Program, Director Minimally Invasive OMS Program


Part-time Faculty

John Buehler, DMD, MD

Earle Rosenberg, DMD

Richard Catrambone, DMD, MD

Jennifer Smith-Williams, DMD

Robert Gilardetti, DMD,MD  

Carol Lorente, DMD, PhD

 

Special Education Adjuncts

Basic science instruction occurs during the resident’s regular duties and during the Medical School schedule. Pathological material is reviewed at OMS Service Meetings. Numerous special conferences are designed primarily for the instruction of residents, including surgical and medical grand rounds, tumor conferences, and service rounds. Many seminars and lectures are held throughout the year including formal didactic sessions. Opportunities for attendance at local and national professional meetings and conferences are made available.

The Treadwell Library at the Massachusetts General Hospital carries the major English language and international medical, surgical, and scientific journals. Through close liaison with the Countway Medical Library at the Harvard Medical School, residents are provided access to the second largest medical library in the country.

 

Didactic teaching for the Residency training program includes:

Wednesdays
6:45-7:45 AM

Chief Rounds with the Chief of Service

6:00 PM – 7:00 PM
(1st and 3rd Wednesday of each month)

Oral and Maxillofacial Surgery Grand Rounds

(Combined MGH/Harvard, Tufts, and Boston University OMS Grand Rounds are held three times per year.)

Thursday
6:45 – 7:50 AM

MGH Service Meeting (lecture and complications conference)
Pathology Conference is held during Service Meeting once per month.

Thursday
8:00-9:00am
Combined orthodontic/Orthognathic Surgery Teaching and Treatment Planning Conference
Thursday 9:00-10:00am Resident didactic sessions

Friday
7:00- 9:00 AM

Longwood Campus Oral and Maxillofacial Surgery Grand Rounds, including Pathology and Orthognathic Surgery Conferences, held at Children’s Hospital

 In addition, a 10-hour Surgical Anatomy Course is held in April each year.

Administrative Information

Salaries: For the 2014-2015 academic year, residents are remunerated as follows:

First Year OMFS Resident (PGY 1)

$ 57,150

Full Year General Surgery Resident after receiving MD (PGY 2)

$ 61,025

Second Year General Surgery/OMFS Resident (PGY 3)

$ 63,270

Fourth Year OMFS Resident/Chief Resident (PGY 4)

$ 66,350

 

The resident stipend does not continue during medical school, special research, or clinical fellowship years. Individual arrangements with the research or clinical mentor are made for Fellowship support. The trainee pays tuition during the years at Harvard Medical School. HMS tuition for 2013-14 is $52,100.  A comprehensive program of financial assistance in the form of scholarship and loans is available for qualified candidates. In addition, opportunities for clinical practice may be available for residents while in medical school.

Insurance:

Comprehensive medical insurance is provided for residents and their families by the hospital. Malpractice insurance is also provided.

Meals:

Meals may be purchased at reasonable prices in the hospital cafeteria. An evening meal is provided for those residents who are on duty at night.

Rooms:

On-call rooms are provided.

Uniforms:

Uniforms are provided and laundered by the hospital.

Parking:

Space is provided. Residents are responsible for the cost.

Vacations:

In recognition of the heavy clinical demands on residents, vacations are considered an essential part of the schedule. Interns and junior residents receive two weeks and senior residents receive three weeks of vacation. While every effort is made to provide vacations which fit individual needs and desires, time for vacation is scheduled based on the clinical needs of the Department.

Meeting Travel:

The Department supports resident travel to clinical and research meetings for the presentation of papers and research results of projects carried out in conjunction with Faculty. In addition, the Department pays for each Chief Resident to attend either the Annual or Midwinter AAOMS Meeting. Stipend includes lowest fare domestic coach air travel, meeting registration and a per-diem for expenses.

In order to be considered for the OMS residency program, candidates must be on track to graduate from a dental school accredited by the American Dental Association.  Verification of successful completion of dental school will be required before commencement of the residency program.

Application to the Program is made by completing the appropriate forms provided by the ADEA Postdoctoral Application Support Service (PASS). Applicants should obtain the necessary forms by contacting PASS directly at www.adea.org.

ADEA PASS Customer Service Representatives are available:
Monday through Friday, 9:00am to 5:00pm (Eastern time zone)
Email:  passinfo@passweb.org
Phone:  617-612-2065

In addition to the PASS application, applicants must submit the following supporting documents directly to the MGH Department of OMS at the address below:

  • Official undergraduate (college) transcript
  • NBDE Score
  • NBME CBSE Score
  • CV/resume
  • 2 x 2 photograph

All applications and supporting documents must be received by October 1, 2014 to be considered for an interview.  The Selection Committee will only consider applications that are complete with all credentials received by the published deadline. Interviews are granted by invitation of the Selection Committee and will be conducted on November 7, 2014 for acceptance into the program beginning July 1, 2015.

Selection of successful applicants will generally be made by participation in the National Dental Matching Program. All applicants are responsible for registering with the Matching Program at (416) 977-3431 or www.natmatch.com.

For questions about the residency application process, please contact:

Maria J. Troulis, DDS, MSc
Residency Program Director
mtroulis@partners.org

-OR-

Suzanne Byrne
Program Coordinator
smbyrne@partners.org

Department of Oral and Maxillofacial Surgery - Academic Office

Warren Building - 1201
55 Fruit Street
Boston, MA 02114

Phone: (617) 726-8222
Fax: (617) 726-2814
Email: oralsurgery@partners.org


Leonard B. Kaban, DMD, MD, Chief of service

John McGillivray, Administrative Director