Natalie Heaivilin, DDS
Health Sciences Assistant Clinical Professor
Hospital Dentistry and GPR Program
Office of Admissions
513 Parnassus Ave., S-630
San Francisco, CA 94143-0430
415.476.2737, ext. 3 (voice)
The General Practice Residency (GPR) is an intensive postgraduate training program fully accredited by the Commission on Dental Accreditation. The program is designed to train the general dentist in the management of medically complex and special-needs patients in both outpatient and hospital settings, while increasing knowledge in the practice of dentistry and its various disciplines. The 12-month full-time program begins July 1.
You will spend approximately 90 percent of your time on clinical care. Rotations include general dentistry, hospital dentistry, oral surgery, oral medicine, orofacial pain, anesthesia and general medicine. During the general dentistry rotation, you will perform comprehensive dentistry guided by faculty mentors and treatment planning consults. You also will participate in pre-surgery and pre-radiation dental clearance consults as well as comprehensive care for post-radiation cancer therapy patients. The hospital rotation is an opportunity to perform dentistry in the operating room for special-needs patients, including developmentally disabled and medically complex patients. In addition, you will also learn to manage oral mucosal diseases, orofacial pain and sleep disorders while rotating through specialty clinics in oral medicine and orofacial pain. Residents share a rotating on-call commitment.
The remainder of the residency schedule revolves around literature reviews, lectures, workshops and vendor presentations. The didactic portion of the program covers a broad array of topics, including implantology, endodontics, periodontics and sedation dentistry. A series of practice management seminars will help you transition into dental practice, while a clinical simulation series will prepare you for medical emergencies in the dental setting.
Upon successful completion of the residency, you will receive a certificate of graduation and will be eligible to apply for a dental license in California and any other state that accepts licensure by residency. Matched applicants to GPR may apply to a master's degree program in the UCSF Division of Graduate Studies in the following areas:
- Clinical research
- Global health sciences
- Healthcare administration
- Oral and craniofacial sciences
- Translational medicine.
Each program has a separate admissions application, and all require the GRE. Students who are accepted into a master's program complete a minimal amount of coursework during the GPR year and complete their coursework in subsequent years.
Rotations are subject to change, but the schedule is currently as follows:
- General Dentistry Rotation (5 months)
- Hospital Dentistry Rotation (3 months)
- Monday: Center for Orofacial Pain
- Tuesday: Operating Room Dentistry
- Wednesday: Dental Oncology Clinic
- Thursday: Oral Medicine Clinic
- Friday: Oral Medicine Clinic
- Oral and Maxillofacial Surgery, San Francisco General Hospital (3 months, block rotation)
- Monday: Oral Surgery Clinic
- Tuesday: Oral and Maxillofacial Surgery (OMFS) history and physical (H&P) examinations
- Wednesday: Oral Surgery Clinic
- Thursday: Oral Surgery Clinic and OMFS or OR Cases
- Friday: Oral Surgery Clinic
- General Medicine, UCSF Medical Center (2 weeks, block rotation)
- Anesthesia, UCSF Medical Center (2 weeks, block rotation)
GPR residents provide care at the following UCSF and UCSF-affiliated facilities:
Laguna Honda Rehabilitation Center
This skilled nursing and rehabilitation center, owned and operated by the San Francisco Department of Public Health, offers a dedicated skilled nursing facility for HIV/AIDS patients, a program for Alzheimer's and dementia patients, group living for patients with developmental disabilities, treatment for degenerative neurological disorders, therapeutic services for traumatic brain injuries and stroke, support for patients with psychosocial difficulties and substance abuse, and pain management for end-of-life care. The GPR program performs comprehensive care on a daily basis in a three-operatory clinic to serve the center's 780 inpatient residents.
UCSF Medical Sciences Building (S-772)
The Oral Medicine, Oral AIDS Center and Sjögren's Syndrome Clinic located here, comprising several specialty outpatient clinics that provide expertise in the diagnosis and management of oral diseases.
UCSF Medical Sciences Building (S-738)
This facility is home to the Center for Orofacial Pain, which offers multidisciplinary management of head and neck pain related to temporomandibular disorders, orofacial pain and sleep disorders.
UCSF Moffitt/Long Hospital
GPR residents perform comprehensive dentistry in the operating room for patients requiring admitting/inpatient services as well as come-and-go surgeries.
Priscilla Chan and Mark Zuckerberg San Francisco General Hospital and Trauma Center
The Oral and Maxillofacial Surgery/Hospital Dental Clinic is an eight-operatory facility providing outpatient and inpatient surgical services. While rotating here, GPR residents work in concert with OMFS residents and faculty to provide 24-hour emergency coverage for all oral and maxillofacial emergencies, including trauma.
San Francisco Veterans Medical Center
Oral and maxillofacial surgeons provide inpatient and outpatient dental care in a modern three-operatory surgical facility. GPR residents participate in the H&P and Medical Emergency Series here in conjunction with San Francisco VA GPR residents.
The didactic part of the program is subject to change, but it currently includes the following:
- H&P series: selected topics from Bate's Guide to Physical Examination and History Taking
- Lecture series: postgraduate-level topics on oral surgery, implantology, endodontics, periodontics, orthodontics, fixed and removable prosthodontics, sedation dentistry, orofacial pain, oral medicine, restorative materials and restorative techniques
- Treatment planning series: review of selected cases in general dentistry and hospital dentistry
- Literature review series: critical analysis and discussion of peer-reviewed journal articles on selected topics
- Oral and maxillofacial series: implant conferences and grand rounds in conjunction with oral surgery faculty and residents
- Gross anatomy series: selected topics and dissections
- Practice management series: selected topics on the practice of dentistry
- Medical emergency series: selected scenarios utilizing clinical simulations
- Vendor series: continuing education and product demonstrations, including implants, restorative products, lasers and more
Stipends: The current stipend for GPR residents is $51,871. The stipend is subject to annual review.
Loans: In-school loan deferment is not available for residents. Contact your loan provider for available options.
Annual leave: Vacation and sick leave are granted at the discretion of the UCSF GPR program director. Presently, residents are entitled to 15 days paid vacation during the year, which normally should not be taken together and may not be taken during the anesthesia and general medicine rotations. Sick leave with pay is granted at the discretion of the program director.
Moonlighting: Residents are expected to devote 100 percent of their professional activities to the GPR program. Permission to carry out professional and outside activities beyond the scope of the program can be granted only in exceptional circumstances by the program director in conjunction with the chair of the Department of Oral and Maxillofacial Surgery.
Liability: Residents receive professional liability insurance to cover all activities related to the educational program. Residents are covered by the University of California Malpractice Insurance, which provides coverage for all malpractice claims and, in normal circumstances, will cover all other employment-related claims, including punitive damages, which are examined on an individual basis.