Advanced Training Fellowship in Oral & Maxillofacial Surgery

LIMITED OPENINGS AVAILABLE FOR THIS PROGRAM!

Our Advanced Training Fellowship in Oral & Maxillofacial Surgery is a one-year (12 month) training program designed for internationally-licensed dentists who wish to enhance their education in the field of Oral & Maxillofacial Surgery (OMS). This program provides participants with extensive knowledge in the diagnosis and management of OMS for patients with complex dental, surgical, and medical conditions. Through this multidisciplinary program, participants will be trained in applying the principles of evidence-based learning and patient-centered care to their dental practice as related to the field of oral surgery.

This program involves the clinical treatment of patients. As such, participants are required to obtain an Education License/Certificate from the RCDSO upon acceptance into the program. Furthermore, participants are required to be a certified OMS graduate in their country of origin.

Successful completion of this program will result in the participant receiving a Certificate of Completion of the Advanced Training Program in Oral & Maxillofacial Surgery from the University of Toronto, Faculty of Dentistry. This certificate does not confer specialty or advanced degree status.
 

 

PROGRAM OVERVIEW

Participants will gain basic knowledge required for proper understanding of OMS and will be involved in patient evaluation, diagnosis, treatment planning, and surgical care. Participants will spend 2 days per week in the operating room and 1 day per week in the clinic, with remaining time dedicated to the research support needed at the OMS program.

The program will cover the following areas:

  • Oral and maxillofacial/TMJ services
  • OMS pathology
  • Reconstructive services
  • Coverage of Trauma
  • Orthognathic and TMJ workup up, surgery and follow-up
  • Interventional program (Botox, various anesthetic blocks including fluoroscopy and ultrasound guided techniques)

Learning Modules

Module 1 - Foundational Knowledge and Surgery

This module is focused on the basic knowledge required for proper understanding and management of OMS and TMJ disorders. It includes didactive and clinical components.

1.1. DIDACTIC COMPONENT OF THE MODULE

1.1.1. Gross Anatomy

This course is designed to provide an understanding of the gross structure and function of all human body systems, including basic embryological content, neuroanatomy and systems anatomy. In addition, a comprehensive, detailed study of the head, neck and central nervous system is undertaken to provide the participants with a basis upon which to build his/her clinical knowledge. The participants will be required to perform a basic dissection of the thorax and a comprehensive dissection of the neck and head in order to complement and reinforce the lecture series. Topics using the high-quality published research and present it weekly in a mentor- guided session:

  • Growth, development, and aging of the masticatory system;
  • Head and neck pathology and pathophysiology;
  • Epidemiology of OFS disorders;
  • Pharmacology and pharmacotherapeutics
  • Surgery
  • TMJ
  • Orthognathic Surgery
  • Reconstruction
  • Implants
  • Dentoalveolar
  • Trauma
  • Anesthesia

Participants are also encouraged to bring new theories and concepts on the subject matter for group discussion.

1.1.2. Temporomandibular Disorders

The objective of this course is to integrate the latest evidence in basic and clinical sciences related to OMSs including the temporomandibular disorders, in order to improve knowledge on pain differential diagnosis, etiologies, mechanisms and evidence-based management. The course will also address the socioeconomic burden of acute and chronic pain, in addition to their effects on the patient’s quality of life. The topics will be presented by various scholars, dental and medical specialists.

1.1.3. Other courses

  • DENS2005Y: Surgical Orthodontics: every Wednesday afternoon from 2-5 in the orthodontic clinic at the faculty of dentistry and from 5-7 a seminar which will be the responsibility of the fellow to organize
  • DENS3001Y: Physical Diagnosis
  • DENS3002Y: OMS principles and practice
  • DENS3008Y: Morbidity and Mortality Rounds

1.1.4. Additional Required Activities

The participants will join the attending staff at all the Programs locations for assisting in the operating room or clinic and engage in research activity. Currently the location include Mount Sinai Hospital; Sunnybrook Hospital; Humber River and Holland Bloorview Hospitals and possible rotation to The Hospital for Sick Children.

1.2. CLINICAL COMPONENT OF THE MODULE

Participants will be gradually involved in the evaluation, diagnosis and treatment of patients with OMS issues by observing, assisting, and then providing care. The trainee will be engaged in managing a wide variety of patients and will learn how to provide a stepwise diagnostic process and treatment planning when managing OMS patients.

1.2.1 Quality Assurance/Chart Review Rounds

Chart audit sessions are performed to allow participants the opportunity to discuss patient care issues outside of the time-limited clinic setting. The objective is to help participants recognize complex and often hidden treatment issues, to provide exposure to different perspectives of care and to facilitate participants's ability to receive constructive criticism.

Module 2 - Research, Critical Appraisal and Knowledge Management and Synthesis

This module enables the participants to understand and critically appraise dental literature and consists of several didactic sessions, workshops, seminars, individual interactions with the mentors, and self- directed learning. It aims to provide an overview of the basic concepts of evidence-based dentistry, and guidelines that participants can apply most effectively to use articles to guide their clinical practice and to inform their clinical decisions.

2.1. Required Course

Clinical Epidemiology and Evidence-Based Care: This course, offered at the Faculty of Dentistry, University of Toronto, will demonstrate the scientific basis for clinical decision-making in prognosis, causation, diagnosis and therapy following the principles of evidence- based health care. Examples from the dental literature are used to illustrate the concepts and their practical application. The specific objectives of the course are: 1) to introduce principles of epidemiology as applied to clinical research; 2) to provide Clinical Specialty Graduate students with the fundamental scientific skills in clinical epidemiology to enable them to practice evidence-based dental care; 3) to provide the students with skills in answering questions using biomedical literature; 4) to provide students with the skills needed to critically appraise a biomedical research article.

The participants will spend 1 day per week attending the research rounds and working on their assigned research projects related to the interest of the Discipline of Dentistry. Participants are expected to be involved in at least one relevant research project and perform analysis of clinical research data, as well as and present it during educational and research rounds and when appropriate, publish the findings (ideally more than 2 papers) in a refereed journal. Those with interest in pursuing research- based careers are encouraged to contact Dr. Amir Azarpazhooh to find out the details. All participants have to attend the Online tutorial TCPS 2: CORE course which is an introduction to the 2nd  edition of the Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans (TCPS2). Additionally, the participants are expected to attend the following modules from the Office of Research Ethics: Data protection (online); Passwords and encryption (online); Research ethics 101 lecture (in-person): a one to three-hour long lecture, which is available upon request; Research ethics seminar (in-person). For further information please check the websites https://tcps2core.ca/content/user-guide

2.2. Suggested Bibliography

Recommended reading textbooks by authors:

  • Miloro, Michael
  • Hupp, James R.
  • Fonseca, Raymond J.

Evaluation

To determine whether the participants are meeting the standard of competence and performance specified in various stages of curriculum a systematic assessment intended to be used. This assessment includes a variety of multiple techniques from certificate of successful attendance to course test completion and work-place assessments. The portfolio will be reviewed with the Program Director during the Program Director meeting that occurs once a month. As a part of participant's evaluation for Advanced Training Program in OMS, a clinical performance examination (CPE) is being developed. The exam uses an Objective Structured Clinical Examinations (OSCEs) stations and constitutes the final examination as well. The rating form will be developed to assess the degree to which the trainee has achieved the objectives of the Advanced Training Program in OMS. The participants are also expected to keep a written log (paper or electronic) of their clinical activities and encounters. For the self-directed learning activities, the participants must prepare and present a written summary of main learning points.

Location

  • Faculty of Dentistry
  • Mount Sinai Hospital
  • Humber River Hospital
  • Sunnybrook Hospital
  • Holland Bloorview Kids Rehab Hospital

Duration

The duration of this program is 12 months. The next start date is June 2024 (to be confirmed).

Teaching Faculty

All faculty members directly involved in the program are from the Department of Dentistry, Sinai Health System.

Dr. Marco Caminiti, BSc, DDS, MEd, FRCD(C)

Staff Oral Surgeon, Department of Dentistry, Sinai Health System
Assistant Professor and Director of the Postgraduate Program in Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Toronto
Surgical Director, Dentofacial Deformity Program, Faculty of Dentistry, University of Toronto
Head of Oral and Maxillofacial Surgery, Humber River Regional Hospital
Head of OMS, Cleft Lip Palate Program, Holland Bloorview Kids Rehabilitation Hospital

Dr. Karl Cuddy, BSc, DDS, MD, MSc, FRCDC (OMS) 

Attending Surgeon, Division of Oral and Maxillofacial Surgery, Sinai Health System & Princess Margaret Hospital, Toronto 
Assistant Professor and Director of Education and Maxillofacial Trauma, Graduate Program in Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Toronto 

Dr. Nick Blanas, BSc, DDS, FRCDC (OMS) 

Assistant Professor, Faculty of Dentistry, University of Toronto 
Dentist-in-Chief, Sunnybrook Health Sciences Centre 

David J. Psutka, DDS, FRCD(C)

Staff Oral & Maxillofacial Surgeon at the Sinai Health System Centre for Excellence in TMJ Reconstructive Surgery
Attending Surgeon, Postgraduate Residency Program in Oral and Maxillofacial Surgery and Anesthesia, Faculty of Dentistry, University of Toronto

Dr. Brian Rittenberg, BA, DDS, MSc, FRCD(C)

Head of Oral and Maxillofacial Surgery, Department of Dentistry, Sinai Health System
Attending Surgeon, Postgraduate Residency Program in Oral and Maxillofacial Surgery and Anesthesia, Faculty of Dentistry, University of Toronto

 

APPLICATION REQUIREMENTS

In order to be considered for this program, applicants must submit a completed Application Form and supporting documentation to CDE via email by the application deadline date. All documents (except photo) must be submitted as PDF files.

 

Application Form

 

Review and verification of documentation may take 3-5 business days upon receipt. Once completed, an email will be sent to notify applicants if their application is complete, or if anything is still pending.

Application Fee

Total application fee: $0

Dental Degree/Diploma & Transcripts

A copy of your degree/diploma and your official transcripts from a minimum four-year university dental program. Degrees/diplomas and transcripts that are not in English must be submitted with a certified translation.

Applicants must be a certified OMS graduate.

English Proficiency

If your dental school instruction was not in English, you must provide documentation of English language proficiency by completing an English proficiency test.

Test results are valid for 2 years from the date of the exam.

  1. TOEFL iBT (includes iBT Home Edition): A minimum total score of 100 is required with a minimum of 27 in Writing, 23 in Speaking, 24 in Listening, and 24 in Reading.
  2. IELTS (Academic): A minimum Overall Band Score of 7.5 is required with no band lower than 7.0 in each of the four sections.
  3. CELPIP: A minimum overall score of 8.0 is required with no component score lower than 8.0 in each of the four sections.
Resume / CV

A resume/CV summarizing your Dental Education, your Professional Dental Experience, any Continuing Dental Education courses, and other Additional Information, such as awards, publications, affiliations, etc. 

Letter of Intent / Statement of Interest

A letter of intent, describing your reason for participating in this program, and how it relates to your academic background, career goals, and qualifications.

Letters of Recommendation

Letters should consist of: 

  • One letter by a recognized dental faculty member or a specialist in the field.
  • One letter of choice. This additional letter should be from an instructor or similar individual who is able to evaluate the applicant‚Äôs knowledge, skill, character, and potential for success in the program.

Letters should include an assessment of the applicant’s dental background, knowledge, skill, character, and potential for success in the program. Letters must be signed and on official letterhead. Only letters written in English will be accepted.

Photo

A recent passport-size colour photo with a white background. Submit a high-quality version of the photo. (Accepted file formats: JPG, JPEG, PNG.)

 

FEES & DEADLINES

All fees must be made in Canadian Dollars (CAD).

Application Fee

Total application fee: $0

Tuition Fee

Total tuition fee: $71,000 (unconfirmed)

Payment Schedule

Tuition fee can be paid in three separate installments:

Description

Payment

Deposit

$ 10,000 (unconfirmed)

Payable by TBA

$ 30,500 (unconfirmed)

Payable by TBA

$ 30,500 (unconfirmed)

Refunds

Application fee is non-refundable.

Tuition fee refunds may be provided in the case where reasonable attempts to obtain visa and/or Educational License have been made and were unsuccessful. Proof of such attempts must be provided to our department in order for a refund to be considered.

Failure to meet the tuition fee deadlines will result in the cancellation of your position in the program. No refunds will be issued in this case.

Additionally, regardless of reason, no refunds will be issued after the start date of the program.

 

ADMISSIONS PROCESS

1.  Application

In order to be considered for the program, applicants must:

2.  Interview

Applicants are invited to interview by personal invitation only and will be notified via email if they are selected. The email invitation will include scheduling instructions and further details. Interviews will be in-person if possible, or online via Zoom.

Please note: Candidates are required to interview for further admission consideration.

3.  Decision Process

Applicants will be assessed based on the following criteria: 

  • academic achievements,¬†
  • English language proficiency,¬†
  • content of letters of recommendation,¬†
  • strong work ethic, and¬†
  • outstanding interpersonal strengths.

3.  Acceptance

Applicants who meet the standards for acceptance into the program will be provided a letter of acceptance via email. 

A position in the program will only be secured when applicant has paid the deposit fee.

Acceptance will be on a rolling basis until the program is full.

 

POST ADMISSION

Participants of this program are responsible for securing their own Canadian study permit and/or temporary dental license (if applicable). Participants are also responsible for meeting hospital requirements.

Study Permit

Participants of this program must have the proper documentation allowing them to enter into Canada and study here. This usually involves obtaining a study permit. Further information on this topic can be found on the Government of Canada website (Study in Canada as an international student).

The University of Toronto is considered a designated learning institution (DLI) by the Government of Canada. The DLI number for the University of Toronto is O19332746152. For more information, please see the Government of Canada's list of DLIs.

You may also check the current estimated processing times of immigration applications.

Temporary Dental License

Participants must obtain an Education License/Certificate from the RCDSO for the duration of the program (see RCDSO website for further information).

Participants should apply for their temporary licenses as soon as they are accepted into the program as the committee reviewing the applications meets on an infrequent basis and it may take several months for a decision to be reached by the committee. The granting of this license is not under any jurisdiction of the University of Toronto, either directly or indirectly.

Hospital Requirements

Participants must submit Health and Immunization Forms per Mount Sinai Hospital Immunization & Surveillance Policy prior to beginning the program. This information can be found by contacting us or Mount Sinai Hospital.

Before beginning the program, you are required to obtain your Cardio Pulmonary Resuscitation (CPR) certification that will be valid for duration of program.

 

CONTACT US

This program is organized by Continuing Dental Education at the Faculty of Dentistry, University of Toronto.

For inquiries, please contact us:

Phone: +1 416-864-8100
continuinged@dentistry.utoronto.ca