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P905: High-impact Communication: Words to Use and Words to Lose

Canceled appointments, late payments and an abundance of open time in the schedule are common issues oral and maxillofacial surgeons and their staff face.

This session will highlight how effective communication with patients and colleagues can positively influence interactions that relate to scheduling, billing and patient acceptance of treatment plans.

Topics will include how to discuss financial arrangements and collections with patients as well as how to clearly articulate treatment plans.

Learning Objectives
  1. Utilize effective communication skills for reducing open time and dealing with cancellations and failed appointments.
  2. Examine financial arrangements and communicate effectively regarding collections from patients and insurance companies.
  3. Discuss treatment plans with patients for best treatment acceptance outcomes.

P803: The New Patient Experience – Let’s Give Them Something to Talk About

A new patient’s positive first impression is important to an OMS practice’s success. This session will discuss developing a system for the entire OMS team that enhances the new patient experience.

These processes can help make new patients more comfortable, identify their priorities and create a solid relationship between them and staff – potentially leading to greater treatment acceptance.

This session also will explore how new patient paperwork can be designed to discover patients’ wants and needs and how interviews can uncover their feelings about the value of their dental health and their dental history. Criteria for forms that collect new patient information also will be discussed.

Learning Objectives

  1. Review existing systems so that patients will not have to repeat information.
  2. Demonstrate interview skills that increase a sense of comfort and connection on a patient's first visit.
  3. Design patient paperwork to support the goal of uncovering what is most important to a patient.
  4. Utilize a patient phone slip that starts a relationship with patients on a positive note and increases patient connection.

SS13: Opioids and Gender Bias: Challenges Today

Distinguishing between opioid tolerance and opioid-induced hyperalgesia (OIH) presents a challenge to practitioners. 

In this session, speakers will discuss how to differentiate between opioid tolerance and OIH, make the correct diagnosis and take the appropriate action. Management of patients with chronic pain who might have opioid tolerance or OIH also will be explored.

In addition, the course will examine the prevalence and characteristics of gender-based discrimination that residents frequently encounter in the clinical workplace. Speakers will discuss how implicit gender discrimination – which is pervasive and affects men and women – has a detrimental effect on trainees and patients. A roadmap for addressing gender-based discrimination at a departmental level will be outlined.

Learning Objectives

  1. Describe opioid-induced hyperalgesia and how it can affect patient care.
  2. Identify the alternative pain management therapies available for the patient population.
  3. Explain the risks and benefits associated with alternative care.
  4. Define implicit bias and recognize what to do when it is occurring and which resources are available to navigate these issues.
  5. Cite ways to navigate the academic promotion process and avoid the bias trap.

SR03: Disasters from the Masters: Complications and Management in Orthognathic Surgery

Experts will review complications that occur during orthognathic surgery and highlight closed cases that provide examples of surgical difficulties in this session geared toward residents.

Attendees will share and justify their preferred treatment to the presented situations. Leading surgeons also will discuss methods to avoid the adverse events. 

Later in the session, OMSNIC representatives will discuss cases involving litigation and explain how to prevent such occurrences. 

Learning Objectives

  1. Determine best orthognathic surgery plan for best patient outcomes.
  2. Identify the most common orthognathic surgery complications, management and treatment.

AU: Anesthesia Update: Office-based Anesthesia for Challenging Patients

OMSs and their staff face diverse and changing issues of anesthesia management – a growing elderly population, patients with multiple comorbidities, and increased use of medical or recreational marijuana. This Anesthesia Update preconference program will examine safe management of office-based anesthesia for challenging patients, including the elderly and diabetics as well as those with cardiac, psychiatric, weight and drug abuse issues.

Speakers will provide case-based scenarios to illustrate best practices to pursue and pitfalls to avoid when treating various types of challenging patients.

The session also will explore potential improvements artificial intelligence could deliver in anesthesia safety in the near future in areas such as risk assessment and pre-anesthetic planning for patients with medical comorbidities.

Learning Objectives

  1. Practice general principles for managing elderly patients.
  2. Describe elements of risk assessment and pre-anesthetic planning for patients with medical comorbidities.
  3. Emphasize safety for anesthetic management of challenging patients in an office-based practice.
  4. Predict how artificial intelligence may improve anesthetic safety in the future.

There is a fee associated with this program.

SS20: Airway Management

A comprehensive review of the elements of airway management – from preoperative assessments to postoperative complications – is important even for OMSs who have performed IV sedation for years. Having a well-defined algorithm in the event of airway loss is invaluable.

This session also will review anatomy and other factors that can indicate a difficult airway as well as surgical techniques for airway access. Speakers will use case studies to illustrate various types of airways while reviewing surgical techniques, such as the newer and more simplified ones for cricothyrotomy.

Learning Objectives

  1. Discuss the different techniques for airway management and how pathology, trauma or comorbid factors can affect these choices.
  2. Evaluate a patient and determine which airway management technique is appropriate.
  3. Describe the airway anatomy and surgical airway techniques.
  4. Define the potential risks and benefits of surgical airways.

SS17: Algorithm Treating Maxillary Edentulism with Dental Implants and Immediate Provisional Teeth

Learn the safest and most predictable protocols for treating maxillary edentulism with dental implants and delivering provisional prosthetic rehabilitation the same day of surgery.  

With experience inserting more than 20,000 standard and 1,600 zygomatic implants, the speaker will discuss delivering teeth anchored on implants in a day regardless of the anatomical scenario.

Because poor maxillary bone quality and quantity present stability challenges to OMSs when immediately loading dental implants, the level of bone deficiency or atrophy necessitate varying protocols for applying titanium fixtures.

Also crucial to the delivery of prosthetic on the same day of surgery are dental extractions that avoid bone fractures and satisfactory preparation for bone drilling and grafting.

Learning Objectives

  1. Systematically identify the availability of bone for ideal implant-distribution protocol.
  2. Describe different site alternatives in severe maxillary bone deficiency to increase bone resistance to occlusal forces in teeth in a one-day surgery.
  3. Analyze long-term follow-up with the different implant-distribution protocols.

XH01: Hands-on Cadaver Workshop: Rhinoplasty and Lower Facial Cosmetic Surgery

Esteemed faculty will use cadaver specimens to demonstrate facial rejuvenation surgical procedures and provide close supervision while participants practice the techniques during this interactive experience.

The workshop will examine the anatomical principles and surgical procedures required for nasal reshaping/rhinoplasty surgery for both functional and cosmetic correction. Experts will review principles of surgical approach (open vs. closed), nasal tip grafting, harvesting of autologous cartilage, nasal profile surgery and nasal width correction. The session also will address functional deformities, such as septoplasty and internal nasal valve correction, with the use of grafting technique.

The course also will explore cosmetic surgery of the lower facial third that influences facial esthetics, including lower facial rejuvenation with cervicofacial rhytidectomy, platysmaplasty and facial liposuction.

Participants can discuss surgical anatomy and principles of the various procedures with the experts. All surgical treatment modalities will center on patient safety and quality of outcome.

Learning Objectives:

  1. Describe the various procedures available and the techniques and skills required to perform the most common upper facial cosmetic surgical procedures: lower face and neck lift with liposuction, both in didactic and laboratory hands-on cadaveric dissections.

  2. Discuss the anatomic basis and principles of upper facial cosmetic surgical procedures.

  3. Review surgical techniques for these procedures with an illustration of outcome assessment.

There is a fee associated with this session.

XSIM1A: Basic Emergency Airway Management (BEAM) Module

XSIM1P: Basic Emergency Airway Management (BEAM) Module

Practice and master critical techniques for administering and monitoring office-based anesthesia through AAOMS’s state-of-the-art training module, which offers four hours of intensive, real-life experiences. This hands-on, standardized program is one of three modules in AAOMS’s new National Simulation Program.

Simulation is an innovative practice for exercising emergency protocols, giving surgeons an opportunity to practice critical situations. During the module ­– being held at an AAOMS Annual Meeting for the first time – OMSs and their staff will focus on mastery-based competency while practicing airway management and adverse-event scenarios.

Bag-mask ventilation, Airtraq and laryngeal mask airway insertion techniques will be covered. The standardized program ensures every participant experiences the same simulated events and is objectively graded.

The BEAM module is available only for AAOMS members and fellows and up to three members of their surgical staff. Note: Staff are eligible to participate only if they are accompanied by their participating OMS. Each participant must secure a ticket.

CDE/CME credit for this activity includes successful completion of an online two-hour, pre-assessment before the course. Information on how to access the pre-assessment is provided to attendees upon registration. Each registrant may attend only one session.

Learning Objectives:

  1. Review concepts and skills to discuss sedation monitoring, supplemental O2 techniques, techniques for opening an airway, BVM using one- and two-person technique, proper LMA insertion technique and proper Airtraq insertion technique.

  2. Master bag-mask ventilation using one- and two-person techniques for both normal and difficult simulated ventilation situations, LMA insertion using proper technique and Airtraq insertion using proper technique.

There is a fee associated with this session.

XMEA: Be Prepared for the Unexpected: The OMS Assistant’s Role in Medical Emergencies

XMEB: Be Prepared for the Unexpected: The OMS Assistant’s Role in Medical Emergencies

Immediacy is crucial when a medical emergency occurs. For members of the OMS team, knowing one’s role and key responsibilities in such a situation can help save a life.

A condensed version of Advanced Protocols for Medical Emergencies, this new course will review emergencies in the office setting that OMS assistants might encounter and prepare them to provide assistance.

Topics will include loss of consciousness, respiratory distress, chest pain, acute coronary syndrome, allergic drug reactions, altered sensation and blood pressure abnormalities. Detailed examples of each issue will be presented. Instruction will be provided to help ensure the OMS team is well-prepared to manage office emergencies.

Learning Objectives:

  1. Recognize potential and real emergencies.
  2. Evaluate the underlying cause(s) of emergency situations.
  3. Plan appropriate responses to specific emergencies.
  4. Function as an integral part of the oral and maxillofacial surgery team to manage office emergencies.
  5. Explain the anatomy and physiology related to the treatment of medical emergencies.

XH03A and XH03B: Stop the Bleed

The national Stop the Bleed campaign encourages the public to become trained, equipped and empowered to assist during a bleeding emergency before professional help arrives.

The campaign was launched as a result of recommendations developed by a national committee of governmental agency and medical representatives following the shooting at Sandy Hook Elementary School in Newtown, Conn.

The course was developed to teach civilian bystanders how to control life-threatening bleeding while waiting for help from professional first responders. Each 75-minute session will include a presentation and hands-on practice of direct-pressure application, wound packing and use of a tourniquet.

After recent shootings at dental offices in Colorado, Georgia and Tennessee, the training offered in this course will demonstrate the necessary steps and skills for providing an effective and safe response in such emergencies.

OMSs, their staff, spouses and other non-medical attendees are encouraged to attend either of the two scheduled sessions. Participants will receive a certificate of completion from the American College of Surgeons Committee on Trauma.

Learning Objectives

  1. Identify the immediate response to bleeding.
  2. Recognize life-threatening bleeding.
  3. Perform appropriate ways to stop bleeding.

There is a fee associated with this hands-on session.