Most of our residents have continuity patients in our Rochester Academic Family Medicine office on the hospital's campus. Our base hospital is Ascension Providence Rochester Hospital. Our program boasts a friendly work environment in a beautiful setting in southeast Michigan. We are delighted that you have taken an interest in continuing your development with us. It’s a money-losing endeavor.Welcome to the Wayne State University Family Medicine Residency Program. A whole generation of dentists have retired, and taking in Medicaid patients isn’t keeping the lights on or allowing you to pay your staff by any means. There is no longer an overabundance of dentists in the state either, so it’s not like everyone can take a few Medicaid patients to do their little part. Before that, our rates hadn’t been raised since 1991. Our Medicaid rates in Rhode Island increased slightly in July. Why is it that so many private practice dentists do not take Medicaid?Ī. I don’t expect them to take the toughest patients, but going through a residency program here shows them that everyone can have dental care, it’s just a matter of how it’s performed, and what kinds of behavior modifications, time, and compassion you’re going to have to think about. My goal with our residency program is to educate a new dentist coming out of dental school, give them the skills they need, and then have them take some of these patients to their private practice, wherever they practice. What is your end goal for this residency program?Ī. As an adult, there’s hardly anywhere other than here. If you have Medicaid as a child, you have a couple of other options in Rhode Island for places to go for dental care. And we’re handling that with the same amount of staff, but just working double and triple time to accommodate everyone. We’ve seen increases in our visit volume every year by about 500 to 1,000 visits. The number of people who are on public insurance in Rhode Island is staggering. In Rhode Island, we only have about 22 oral surgeons in the entire state. Why is this new oral surgery residency so important?Ī. We hope to get this up and running in the next two to three years. It’ll be a four-year oral and maxillofacial surgery program that accepts two residents per year, and supports newly related clinical positions at Rhode Island Hospital. We’re only one of three special care dentistry sites in New England.ĭelta Dental is helping us fund the launch of the state’s first oral surgery residency program, which will help us address the demand at both the local and national level. Historically we’ve taken two residents per year, and now we’ve started taking three. We’ve had our general dentistry residency since about 2015. This center and Delta Dental of Rhode Island are launching a residency program, too.Ī. You have to have a whole different set of skills in order to have this job, not just go to dentistry school and call it a day. There are times where they are rocking and rolling in their chair, and you have to just move with them to get what you need to get done in their mouths - and do it really quickly.īecause of this, patients with special needs tend to need breaks during appointments, which makes these appointments five times longer than they would with a neurotypical patient. They don’t like when their personal space is being invaded. Patients with Down syndrome, on the other hand, tend to hate it. Our autism spectrum disorder patients tend to like the stabilization because they are the ones who usually like weighted blankets, and other tools like that. We do some medical stabilization for some patients. It’s because what we do is not taught in dental schools or from textbooks.Ī. But I still have patients that come here from group homes that are north of Boston, and a lot from Connecticut. The closest facility to ours is Tufts’ specialty care clinic, which has offices across the state of Massachusetts. Are there dental centers like this one everywhere?Ī. Adults special needs patients are pretty much only seen here. The majority of our patients do not pay out of pocket, and it’s mostly because most of these patients are on state aid and they have limited places to go. How much do patients pay to receive care at the center now?Ī.
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