Off Service Rotations Goals & Objectives

1. To understand and apply anaesthetic considerations in the pre-operative evaluation and preparation of the surgical and dental patient for an anaesthetic
2. To learn appropriate airway and ventilatory management
3. To prescribe and conduct appropriate fluid and blood component therapy, including establishing intravenous access
4. To acquire a very basic understanding of the pharmacology of drugs and gases used in anaesthesia
5. To understand and apply local anaesthetic pharmacology appropriate to the practice of general dentistry
6. To understand the risks and goals of anaesthesia, especially in the medically compromised patient
7. To understand the principles of acute and chronic pain management
8. To improve clinical physical examination skills especially in the areas of cardiovascular and respiratory systems

1. To get an overview of the Otolaryngology Head and Neck field
2. To be able to take a pertinent history relevant to the head and neck
3. To learn and be able to do a basic otolaryngological physical examination including the ears, nose, throat, mouth, sinuses, head and neck
4. To recognize normal from abnormal in the otolaryngological physical examination
5. To be able to differentiate pain from dental/jaw origin from that originating from other head and neck structures
6. To be able to assess airway and manage airway compromise non-surgically, as well as be exposed to surgical airway management
7. To be exposed to operative procedures in otolaryngology, Head and Neck surgery
8. To improve on basic history and physical examination skills
9. To improve on basic surgical skills
10. To be able to manage the surgical patient peri-operatively

1. To understand the issues involved in the medical preoperative assessment, including: 
a) Identification of risk factors for surgery, including coronary artery disease
b) Management of medications in the preoperative period, including anti-platelets, beta blockers, statins, etc.
c) Interpretation of ECGs
d) Stratify patients in terms of their overall risk
e) Role of thromboembolic prophylaxis

2. To improve upon history taking and physical examination skills, including:
a) Vitals
b) Auscultation for murmurs

1. To be able to take a medical history
2. To learn and be able to do a basic physical examination of the head & neck, respiratory, cardiovascular, nervous, abdomen, musculoskeletal, and skin systems
3. To recognize normal from abnormal in the physical examination
4. To understand the pathophysiology of medical disorders and how they may affect the management of the dental patient
5. To learn various laboratory investigations available and their interpretation
6. To be able to manage medical emergencies (e.g. chest pain, angina, myocardial infarction, cardiac arrest, respiratory distress, loss of consciousness, altered consciousness, allergic reactions, anaphylaxis, seizures, drug reactions) which may occur in the dental office
7. To learn the approach to Infectious Disease, the principles of management of infections, and the appropriate prescribing of antimicrobials
8. To improve clinical physical examination skills, especially in the areas of the cardiovascular and respiratory systems

1. Acquire a basic understanding of the pathology of oral disease
2. Microscopic review of oral pathology biopsy cases during daily biopsy service
3. Microscopic review of oral pathology laboratory course presented to undergraduate dentistry students
4. Observation/participation in gross description and cut up of biopsy specimens in oral pathology laboratory
5. Becoming familiar with laboratory techniques (histochemical and immunohistochemical stains for diagnosis) used in oral pathology
6. Participation in microscopic rounds with oral surgery residents

In partnership with the Ontario Dental Association the Remote Areas Program delivers dental care in about 30 communities spread throughout northwestern Ontario. Oral health needs of First Nations people are costly, and the program provides an opportunity to help improve their oral health status.