History
Some form of post-graduate dental training has been in place at this location since 1917 when the hospital was called City Hospital.  In 1958, the hospital became known as Cleveland Metropolitan General Hospital.  The didactic training for oral surgery training at that time was in Boston.  In 1983 the three year oral surgery residency was lengthened to the current four year program.  

Four-year program
The Oral and Maxillofacial Surgery residency is four years in length with two residents per year.  It is accreditated by the American Dental Association's Commission on Advanced Dental Accreditation. Rotations include:

• Oral and Maxillofacial Surgery – 30 months
• Internal Medicine - 2 months
• Anesthesiology - 4 months
• Surgical Intensive Care Unit - 1 month
• General Surgery – 4 months
• Otolaryngology or Plastic Surgery – 2 months
• Elective rotations – 5 months

Facilities
Oral Surgery residents staff the outpatient clinic at MetroHealth Medical Center, seeing approximately 7,500 patient visits per year, Monday through Friday.  No weekend clinic is available.  Third and fourth year residents also staff the oral surgery clinic in the section of Dentistry at the Cleveland Clinic on a rotating basis.  Oral Surgery residents perform operating room procedures in the new Critical Care Pavilion at MetroHealth Medical Center, and at the MetroHealth Ambulatory Surgery Center .  They also are involved with all oral surgery operating room cases at the Cleveland Clinic.  Additional surgical cases involving  assisting part-time faculty, on an as needed basis, are performed at Lakewest Hospital and Fairview General Hospital .

Ambulatory Anesthesia Experience
Oral Surgery residents are involved in the administration of outpatient anesthesia utilizing intravenous sedation, intravenous general anesthesia, and inhalation general anesthesia at the MetroHealth Medical Center oral surgery clinic 3 days per week.  Total cases range from 350 to 450 cases per year. 

Case Load
Surgical case load at MetroHealth Medical Center, MetroHealth Ambulatory Surgery Center, Cleveland Clinic, Lakewest Hospital, and Fairview General Hospital:       

Dentoalveolar – 41%
Trauma – 28%
Pathology – 15%
Orthognathic – 9%
Reconstructive – 5%
TMJ – 2 %

Resident Selection Information
The Oral Surgery Residency receives approximately 110 applicants each year for two positions.  Applications must be made through the American Dental Education Association's PASS (Postdoctoral Application Support Service) program at http://www.adea.org/PASS/default.htm.  Deadline for applications is usually the first of October.  Applicants are initially screened and organized by numerical academic achievement such as National Board scores, dental school GPA, and class rank.  Approximately 10-15 candidates are invited as a group for a day long interview, usually in early November.  Candidates are interviewed by Oral and Maxillofacial Surgery faculty and chief residents.  Acceptance of residency candidates in late January follows submission of a ranked order list to the National Post Graduate Dental Match at http://www.natmatch.com/dentres/index.htm.  Applications from foreign trained dentists will be entertained.  All residency positions are fully salaried. All residents and interns must have either regular or resident Ohio dental license through the Ohio State Dental Board at http://www.dental.ohio.gov/ .

Faculty
Full time faculty have academic appointments through the CASE Western Reserve University School of Dentistry, http://www.case.edu/dental/site/main.htm.  Full-time faculty include:

Jon P. Bradrick, DDS
Division Director and Residency Program Director

Husam Elias, DMD, MD
Dentistry Section Chief
Cleveland Clinic. 

Part-time faculty include:  Urban Picard, DDS, William Evanko DMD, Gary Schween, DDS, Michael Hoffman, DDS, Stanley Berman DDS, Anthony Forde DDS, Karl Schneider DDS, Tom Murphy DDS, Jeffrey Kosman DDS and Ihor Danko DDS.   

Pass Rate on ABOMS
Since 1985, 92% of MetroHealth's Oral and Maxillofacial Surgery Resident graduates who take the American Board of Oral and Maxillofacial Surgery have passed. 

Didactic Conferences
Resident education conferences include:

• Surgical treatment planning conference ( Monday, 1 hour)
• Surgery Mortality and Morbidity conference, 1 hour on a Tuesday (once per month)
• Select topics in Oral and Maxillofacial Surgery, 2 to 2.5 hours per week on every Tuesday and Friday
• Head and Neck Tumor Board, 1 hour every Wednesday
• Cranial Facial Defect Clinic summary, 1 hour per month on a Tuesday.

Oral Surgery residents additionally participate in a yearly history and physical examination course and a cadaver surgical anatomy course every other year. 

No weekend end conferences are scheduled.  

Extern Program
Dental students enrolled in an ADA accreditated, North American Dental school are invited to participate in an externship in Oral and Maxillofacial Surgery.  Only two student externs are allowed at one time to insure a full experience.  Applications are accepted on a first come, first serve basis.  Externs can participate in as little, or as long a time as they desire.  Most externs complete 2 weeks to allow a complete experience.  This is a hands on surgical experience, not just observation.