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Summary
The Carilion Clinic General Practice Residency program is a hospital-based advanced general dentistry program that provides a well-balanced clinical experience in various treatment settings, enabling our graduates to confidently provide a wide range of quality dental care to their patients.
About the Residency or Fellowship
Virginia Tech Carilion Partnership
The Virginia Tech Carilion School of Medicine (VTC) is a unique allopathic medical school that employs a problem-based curriculum with a particular emphasis on competency with medical research. Located adjacent to Carilion Roanoke Memorial Hospital, the school not only rounds out Carilion's transformation to a clinic model—allowing us to provide superior patient care, cutting-edge research and education—but the Dental Residency Program is also actively engaged in collaborative education with the medical students as part of their oral health care curriculum.
Mission Goals Strengths

Residents are trained in the care of a wide range of population groups, including medically complex patients and patients with physical, developmental and intellectual disabilities. Residents also learn to deliver oral care in many settings, including hospital-based outpatients and bedside inpatients, a pediatric dental clinic, the operating room, long-term care facilities and community service clinics.

Message From Leadership

Carilion Medical Center is a nonprofit, tertiary/quaternary care, Level 1 trauma, academic medical center whose primary service area is Southwest Virginia. Additionally, we are a regional referral center for cancer patients and patients with intellectual disabilities. The medical center sponsors 24 accredited residency and fellowship programs. Our hospital-based dental service was established in 1980 and is well integrated into Carilion’s mission of providing comprehensive patient care services that result in optimal outcomes. Graduates of our dental residency program will be capable of acting as primary oral care providers by providing dental care for a wide variety of patients, including those with special needs, and will be well equipped to work in academic, public health, hospital or private practice settings.  

Dept Spec Specialties
• Cleft lip and cleft palate management
• Dental implantology
• Endodontics
• Oral oncology
• Oral surgery
• Pediatrics
• Periodontics
• Prosthodontics
Quote
“I think it is important not only for dentists to be highly confident in their clinical skills, but they must know why they provide a certain type of treatment and how to communicate that effectively to their patients."
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Overview

Our residency matriculated its first class in July 2013. It is a 1-year program with an optional second year that is accredited by the Commission on Dental Accreditation. Residents receive comprehensive training in oral surgery, including third molar removal, dental implantology and prosthodontics, rotary endodontics, periodontal surgery, oral oncology, exposure to cleft lip and cleft palate management, pediatrics and the treatment of patients using procedural sedation.

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How to Apply
Admission Requirements

There are four PGY-1 training positions and one PGY-2 position available each year.

Application materials and supporting documentation must be submitted through PASS. Applicants must have completed either a pre-or postdoctoral program accredited by the Commission on Dental Accreditation.

Selection guidelines are:

  • Applicants should rank in the top half of their dental school class
  • Applicants should have a GPA of 3.0 or higher in dental school
  • Letters of recommendation should be strongly supportive of scholastic potential, clinical abilities, personal characteristics and community service missions
  • An applicant who does not meet the first three guidelines may be considered if their academic record reflects notable, consistent improvement and they are supported by exceptional letters of recommendation

Applicant submissions are reviewed by the Selection Committee, which consists of the program director and at least two other faculty members. Applicants who are considered for the program must participate in a personal interview that is conducted in November. All PGY-1 positions are selected through the MATCH, and we strictly adhere to the requirements of the National Matching Service.

Apply in PASS.

Due to COVID-19 and to safeguard the health of faculty, staff and candidates, we will host all virtual interviews this year using the Zoom platform. We look forward to "meeting" all of our interview candidates and will work diligently to create as personal an experience as we can during this uncertain time. 

Contact

Elizabeth (Beth) C. Walker
540-776-0213
Ecwalker@carilionclinic.org

Admissions Links
Curriculum
Curriculum

The first-year program provides training to enable residents to provide comprehensive oral care to a wide range of population groups.

After completing the first-year program, residents will be able to:

  • Act as a primary oral health care provider
  • Provide multidisciplinary oral health care for a wide variety of patients, including patients with special needs
  • Understand the importance of and engage in social and professional community service
  • Provide emergency oral care
  • Function effectively within interdisciplinary health care teams to include consultation and referral

Residents will also be able to use advanced treatments in:

  • Operative dentistry
  • Replacement of teeth using fixed or removable prosthodontics
  • Periodontal therapy
  • Endodontic therapy
  • Oral surgery
  • Pediatric dental care
  • Evaluation and treatment of dental emergencies
  • Pain and anxiety control using behavioral or pharmacological techniques

Residents will also be able to manage:

  • Medical emergencies
  • Implants
  • Oral, mucosal diseases
  • Temporomandibular disorders and orofacial pain
  • Occlusal disorders

The optional second-year program will build upon those experiences of our PGY-1 year. It will provide residents learning experiences in all areas of dentistry and continue to increase their experience and confidence. The PGY-2 year will provide a distinctly different educational experience that will enable the resident to:

  • Manage more complex and comprehensive dental care in the ambulatory and operating room setting
  • Utilize procedural sedation when necessary and appropriate
  • Collaboratively participate with the cleft lip/cleft palate treatment team
  • Manage administrative functions with a hospital dental service and a postdoctoral educational training program
Didactic Sessions

Didactic sessions are scheduled on Mondays from 8 to 10 a.m. (7 a.m. if the topic is oral surgery) and Wednesdays from 1 to 4:30 p.m. Didactics are not scheduled when residents are on rotations.

Schedule and Tracks
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Schedule

Hospital Rehab Clinic

Residents spend 10 months at our hospital clinic, where they provide a full range of treatment for ambulatory patients. Opportunities exist for providing comprehensive dental care, including oral surgery, fixed and removable prosthodontics, implant placement and restoration, rotary endodontic therapy, periodontal therapy, restorative dentistry and sedation cases. Additionally, residents gain extensive experience in evaluating and treating hospital referrals from Cardiology, Orthopaedics, Radiation Oncology and the Emergency Department (ED). 

Anesthesia

Residents spend two weeks at Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital, actively participating in the care of surgery patients with the Department of Anesthesia. During their rotation, they gain experience in physical evaluation of the pre-anesthesia patient, starting and maintaining intravenous lines, oral and nasal intubation, monitoring vital signs, maintaining optimal airways and patient recovery.

Internal Medicine

The one-week Internal Medicine rotation will provide a structured, supervised and practical shadowing experience in which dental residents learn about the health care interface between medicine and dentistry and establish a core of knowledge fundamental to that interaction. 

During their rotation, dental resident experiences will include:

  • Obtaining and interpreting the patient’s chief complaint, medical and social history and review of systems
  • Obtaining and interpreting clinical and other diagnostic data from other health care providers
  • Utilizing the services of clinical, medical and pathology laboratories and other techniques in the diagnosis of oral and systemic diseases
  • Performing a history and physical evaluation and collection of other data in order to establish a medical assessment
  • Understanding the relationship between oral health care and systemic diseases
  • Interpreting the physical evaluation performed by a physician with an understanding of how it impacts proposed dental treatment

Emergency Medicine

The one-week Emergency Medicine rotation will provide a structured, supervised clinical experience in which dental residents learn about the health care interface between medicine and dentistry and establish a core of knowledge fundamental to that interaction. During their rotation, they will:

  • Understand triage, diagnosis and patient management in the ED
  • Demonstrate competency in history and physical assessment skills
  • Understand the interdisciplinary interactions of physicians, advanced clinical providers and nurses in the ED
  • Understand the basic laboratory tests and protocols
  • Gain a working knowledge of analgesics, antibiotics and cardiovascular and respiratory medications
  • Understand and be prepared to practice skills learned in ACLS and participate in a medical emergency code

Radiation Oncology

The one-week Radiation Oncology rotation will provide an observational educational experience in patient management in a radiation oncology care facility. Residents will be assigned to Blue Ridge Cancer Care for a total of three days; two full days and two half days. During their rotation, residents will:

  • Obtain a basic level of knowledge of the physics used in developing radiation treatment plans and their methodologies
  • Understand the methods of cancer treatment that use radiation including the variety of sources, energies and treatment delivery arrangements
  • Be able to discuss the steps involved in the delivery of radiation treatment to a head and neck cancer patient
  • Gain a working understanding of the principles and practices of the application of ionizing radiation in the management of oncologic disease
  • Establish and understand the collaborative team approach to the management of cancer patients and dental treatment implications

Pediatrics

The one-month Pediatric Dental rotation provides an opportunity for the residents to work one-on-one with a pediatric dentist to perform comprehensive and emergency treatment for children. Specific attention focuses on prevention of oral disease in the child and adolescent; management of early childhood caries; and treatment of pre-cooperative patients through the use of behavioral management, inhalation analgesia or general anesthesia.

Residency Life
Gallery Images
Resident R&R
Resident R&R
Halloween Staff picture
Dr. Cat Mansdoerfer, Dr. Steve Fintel, Dr. Chelsea Randall
Ram Project 2018
Ram Project
Resident Graduation
ED Residents Conference
ED resident conference 2018
Graduation 2018
207-2018
Salem Fair 2019
Hockey game
Docs for Morgan Basketball game 2020
Holiday Party 2019
2019
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Residency Life Intro

Surrounded by the beautiful Blue Ridge Mountains, the Roanoke Valley offers something for everyone. Whether you like the idea of big city living, or quiet small-town life, this region gives you access to both and so much more. 

Our communities are rich in history and heritage and our citizens take pride in what we offer. Southern hospitality is all around. 

The Roanoke Valley is cosmopolitan and welcoming of many cultures. There are events in the city almost every weekend, including celebrations of different cultures (Greek, Italian, Indian, etc.), running and bicycle events, concerts and lectures.

Beautiful hiking trails and outdoor activities like kayaking and camping are available. Residents also enjoy art and history museums and a variety of farm-to-table and ethnic restaurants. There are many housing options, and the cost of living is low. Roanoke is a four-hour drive or train ride to Washington, D.C. if you want to spend the weekend there.

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Research
Research Intro

Development of critical reading of scientific works in our field is an important goal of the training program. In addition to the Literature Review and Treatment Planning Seminar activities, residents will participate in a case study or quality improvement project with an opportunity to present locally at the Carilion Clinic Research Day or regionally at the Regional Dental Residency Conference.

2020-2021

Berndt, L. “Case Report: Management of Squamous Cell Carcinoma of the Oral Cavity.” (Oral Presentation) presented at the 37th Annual Joint Regional Residency Conference, June 4, 2021 (Virtual), hosted by Wake Forest. University, Winston-Salem, NC

Buckwalter, J. “Case Report; Symptomatic Maxillary Dentigerous Cyst.” (Oral Presentation) presented at the 37th Annual Joint Regional Residency Conference, June 4, 2021 (Virtual), hosted by Wake Forest University, Winston-Salem, NC

Castonguay, G. “Case Report: A Multidisciplinary Approach to Dental Trauma.”  Poster presentation at VTCSOM Research Day (Virtual); April 13, 2021, Roanoke, VA

Khalefa, A. “Prevention, Early Detection and Management of Osteoradionecrosis of the Jaw:  Two Cases.”  Poster presentation at VTCSOM Research Day (virtual); April 13, 2021, Roanoke, VA.

 

2019-2020

Anwar, T. “Medically Complex Patient with Anterior Esthetic Restoration.” Case presentation at Regional Residency Conference, Wake Forest, NC. (Cancelled) May, 29, 2020.

Burpee, N. “Pre-prosthetic Dental Surgery.” Poster presentation at VTCSOM Research Day, Roanoke, VA. (Cancelled) June 24, 2020.

Kareem, S., Powell, N. and Parulis, A. “Prosthodontic Approach to Overcoming Edentulous Spaces.” Poster presentation at VTCSOM Research Day, Roanoke, VA (Cancelled) June 24, 2020.

Leiner, C. “Apicoectomy #9.” Case presentation at Regional Residency Conference, Wake Forest, NC. (Cancelled) May 29, 2020.

2018-2019

Humble, M. "Doc, My Crowns Are Worn Down and I Want My Smile Back." Oral presentation at the Regional Dental Residency Conference, Chapel Hill, NC. May 31, 2019.

Ibarra, D.  "Root Fracture: A Review of the Literature, Healing and Management." Oral presentation at the Regional Dental Residency Conference, Chapel Hill, NC. May 31, 2019. 

Petit, K., Miller, K., Brajdic, D. "Arresting Dental Caries with Silver Diamide Fluroide: A Case Report." Poster presentation at VTCSOM Annual Research Day, Roanoke, VA. April 9, 2019. 

2017-2018

Stout, A. "Immediate Implants Endeavor." Oral presentation at the Regional Dental Residency Conference, Charlotte, NC. June 1, 2018

Wright, K.J.A. "Presurgical Nasoalveolar Molding in Two Patients with Bilateral Cleft Lip and Cleft Palate." Oral presentation at the Regional Dental Residency Conference, Charlotte, NC. June 1, 2018. 

2016-2017

Randall, C.M. “An Overview of Naso-Alveolar Molding.” Oral presentation at the Regional Dental Residency Conference, Winston-Salem, NC. June 2, 2017.

Swanner, Z.T. “Treatment Limitations in a Patient with a History of IV Zometa Therapy.” Oral presentation at the Regional Dental Residency Conference, Winston-Salem, NC. June 2, 2017.

2015-2016

Fintel, S.J. “Mandibular Block Graft Augmentation.” Oral presentation at the Regional Dental Residency Conference, Chapel Hill, NC. June 3, 2016.

Mansdoerfer, C.J. “Always Stay Suspicious; Langerhan's Cell Histiocytosis.” Oral presentation at the Regional Dental Residency Conference, Chapel Hill, NC. June 3, 2016.

2014-2015

DeNicola, M.R. “Apicoectomy and eMax™ Crown.” Oral presentation at the Regional Dental Residency Conference, Charlotte, NC. May 29, 2015.

Research Year Collection
Resident Testimonials
Publications