ORAL & MAXILLOFACIAL SURGERY RESIDENCY PROGRAM
Madigan Army Medical Center
Joint Base Lewis McChord, Tacoma, WA
HISTORY OF THE RESIDENCY
Madigan Army Medical Center, located on Joint Base Lewis-McChord just outside Tacoma, Washington, is a key component of the Madigan Healthcare System and one of the largest military hospitals on the West Coast of the United States. The hospital was named in honor of Colonel Patrick S. Madigan, an assistant to the U.S. Army Surgeon General from 1940 to 1943 who was also known as "The Father of Army Neuropsychiatry." On September 22, 1944, Madigan General Hospital was named in his honor.
The hospital today is a 205-bed Joint Commission-accredited facility, expandable to 318 beds in the event of a disaster. Major services include general medical and surgical care, adult and pediatric primary care clinics, 24-hour Emergency department, specialty clinics, clinical services, wellness and prevention services, veterinary care, and environmental health services.
Madigan Army Medical Center received designation as a level 2 trauma center by the Washington State Department of Health in 1995, and has maintained level 2 status to the present day. Madigan Army Medical Center is one of three designated trauma centers in United States Army Medical Department (AMEDD). Madigan has maintained its TJC accreditation as of 2021.
Postdoctoral education in Oral & Maxillofacial Surgery was established at Madigan Army Medical Center, Joint Base Lewis McChord, Tacoma, WA in 1965, under the direction of the Office of the Surgeon General and the Chief of the Army Dental Corps. The Oral & Maxillofacial Surgery Residency Training Program at Madigan Army Medical Center is a four-year residency program accredited for two residents per year. The first resident began in July of 1965. This program was most recently re-accredited by CODA in April of 2022.
The Oral and Maxillofacial Surgery Service is located in the Madigan Army Medical Center Dental Clinic. Presently, the OMS Clinic has 5 rooms configured for Oral Surgery, 2 rooms with the capability of General Anesthesia, a photography suite, and laser surgery room. There is a fully equipped dental laboratory, a conference room with audiovisual equipment and comfortable seating capacity of twenty people, a dirty room for low level disinfection of instruments, male and female locker rooms with showers, and adequate space dedicated for offices. The clinic facilities include a digital panorex/cephalometric machine, 3D printer, intraoral scanner, and a CBCT room. All staff and residents have individual office/work-spaces with fully operational computers, printers, and other materials needed for day-to-day operation.
GENERAL STATEMENT:
The purpose of the Oral and Maxillofacial Surgery Residency is to provide a forty-eight month program of postgraduate education in Oral and Maxillofacial Surgery. The program includes a progressively graduated sequence of clinic and hospital experiences in which the comprehensive study of the basic biomedical sciences as they relate to both Oral and Maxillofacial Surgery and total patient care are integrated. It is designed to meet the guidelines and requirements established by:
1. The Surgeon General, Department of the Army for Military Dental Residencies in accordance with Army Regulation 350-219
2. The Commission on Dental Accreditation of the American Dental Association
3. The American Association of Oral and Maxillofacial Surgeons
4. The American Board of Oral and Maxillofacial Surgery
The program is further structured to meet the unique military requirements in the management of maxillofacial combat injuries and their long-range reconstruction and rehabilitation and to enable the graduate to function in military dental and surgical executive capacities in time of peace and war.
The program seeks to stimulate enthusiasm of the residents towards acquisition of knowledge based on principles that when applied through sound judgment results in a proper course of action for any given clinical situation. The total process is one designed to emphasize fundamentals as well as specific techniques so that the educational process may be directed towards creation and reinforcement of life-long efficient learning habits. Contribution to our specialty is stressed by publication of cases, techniques and research, thus passing on to others what has been learned.
PROGRAM OBJECTIVES
Objectives of the four-year Oral and Maxillofacial Surgery Residency Program are to provide postgraduate training and prepare participants of the program for:
1. The competent specialized practice of Oral and Maxillofacial Surgery and integration of its role in total patient care with other dental and medical specialties within the Military.
2. Teaching responsibilities necessary for organizing and conducting professional education programs in the United States Army Dental Corps.
3. Maintaining the dental health of the U.S. Army and providing care to the sick and injured in accordance with recognized professional procedures.
4. Professional and administrative roles of leadership in the Army practice of dentistry.
5. Professional augmentation in critical need areas such as anesthesia and other surgical specialties during mass casualties.
6. Publication in a professional peer reviewed journal.
7. Examination and certification by the American Board of Oral and Maxillofacial Surgery.
The program objectives are assessed in a yearly critique submitted to the Dental Activity Commander. Assessment outcomes are reviewed on a yearly basis by the Dental Activity Education Committee.
PHILOSOPHY OF PROGRAM
The philosophy underlying this program is:
- Training objectives are secondary only to the highest standards of patient care.
- Motivation towards continued development and attainment of certification by the American Board of Oral and Maxillofacial Surgery are given emphasis equal to achieving clinical competence.
- Residents are strongly encouraged to further enhance development of the profession and specialty through contributions to the literature thus passing on to others what has been learned.
- Assistant Program Director is strongly encouraged to further enhance their professional development and every opportunity will be given them to prepare for the position of Director of a training program.
- To provide every possible opportunity for the OMS residents to achieve proficiency in full scope oral and maxillofacial surgery.
ORAL AND MAXILLOFACIAL SURGERY TEACHING STAFF
Marc M. Serra, DDS, FACS
Program Chair and Director, Oral and Maxillofacial Surgery Residency Program
Fellow, American College of Surgeons
Fellow, American Association of Oral and Maxillofacial Surgeons
Diplomate American Board of Oral and Maxillofacial Surgery
Fellow, American Academy of Cosmetic Surgery
Fellow, American Dental Society of Anesthesiology
Diplomate, National Dental Board of Anesthesiology
Fellow, International College of Dentists
Clinical Associate Professor of Surgery, Uniformed Services University of the Health Sciences
Kevin D. Smith, DMD
Assistant Program Director Residency Program
Fellow, American Association of Oral and Maxillofacial Surgeons
Diplomate, American Board of Oral and Maxillofacial Surgery
Clinical Assistant Professor of Surgery, Uniformed Services University of the Health Sciences
Mark A Schlam, DMD
Department Chief, Oral and Maxillofacial Surgery Department
Fellow, American Association of Oral and Maxillofacial Surgeons
Diplomate, American Board of Oral and Maxillofacial Surgery
Paul J Chang, DDS
Faculty, Oral and Maxillofacial Surgeon, Oral and Maxillofacial Surgery Residency Program
Member, American Association of Oral and Maxillofacial Surgeons
Candidate, American Board of Oral and Maxillofacial Surgery
AFFILIATED STAFF
Samuel Bobek, D.M.D, M.D., FACS
Staff, Seattle Jaw Surgery
Diplomate, American Board of Oral and Maxillofacial Surgery
Ashish Patel, D.M.D, M.D., FACS
Staff, Head and Neck Specialists, Portland, OR
Diplomate, American Board of Oral and Maxillofacial Surgery
Jayson Terres, D.D.S., M.D., FACS
Resident Advisor United States Military Army Residency Programs, Tyler, Texas
Staff, Tyler Oral and Facial Surgery Center, Tyler, Texas
Diplomate American Board of Oral and Maxillofacial Surgery
Fellow American Association of Oral and Maxillofacial Surgery
Clinical Associate Professor UT Health Science Center, San Antonio, Texas