Everyday Oral Surgery: Surgeons Talking Shop

Grant Stucki - oral and maxillofacial surgeon

Have you ever been talking with other surgeons about the way they do things in their practice and you heard something that helped you out? This podcast is meant to give you an insight into the way other surgeons do things with the hopes of helping you improve your own method. Sometimes small changes can make a big difference in your daily routine.
Dr. Chris Viozzi: Pearls on Alveolar Cleft Grafting and Doing Mission Trips
Today’s guest is an oral and maxillofacial surgeon who specializes in alveolar cleft grafting, cleft orthognathic surgery, and distraction. Through these life-changing procedures, Dr. Chris Viozzi is doing his part to give back, and he does this not only through treating patients within the US, but also those outside of it during 10-day mission trips he was doing twice a year prior to the pandemic. In today’s episode, Chris explains the variation that exists amongst the patients he treats, as well as amongst the techniques that can be used for the procedures he does. We also discuss donor sites, follow-ups, and common concerns relating to cleft surgeries. Chris is not fellowship-trained, and his OMS basic training was more than enough to get him to his current position on the Mayo Clinic’s Cleft and Craniofacial Clinic team. Key Points From This Episode:The craniofacial team that Chris is a part of, and his niche within the team.Other medical professionals who make up the craniofacial team.Diversity amongst the patients that Chris and his team treat at the clinic.  Vital understandings that anyone doing alveolar cleft grafting must have. Elements of alveolar cleft grafting that have evolved over time. Examples of the variety of techniques for alveolar cleft grafting that exist. Why the iliac crest is usually the best donor site. Common concerns around allografts.  Chris shares why Infuse was black-boxed by the FDA, and his opinion on using it for alveolar cleft grafting.Timing of follow-ups post alveolar cleft grafting.Why Chris avoids corticocancellous blocks whenever possible. The approximate percentage of alveolar cleft grafting patients that need cleft orthognathic surgery later in life. Differences between Asian and Caucasian children in terms of the likelihood of requiring orthognathic surgery.Where Chris acquired the majority of his cleft surgery skills. Chris’s experience doing mission trips, and the perspective he gained as a result. The lack of continuity of care in many countries outside of the US.Challenges to OMS involvement in cleft surgery. Book recommendations from Chris.Chris’s favorite OMS tool.  Links Mentioned in Today’s Episode:Dr. Chris Viozzi — The Immortal Life of Henrietta Lacks — http://rebeccaskloot.com/the-immortal-life/ Quiet — https://www.quietrev.com/quiet-the-book-2/ Medical Missions for Children — https://www.mmfc.org/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059
5d ago
56 mins
Drs. Stucki and Weiskopf: Nuances of Using Dental Forceps
In this episode, I’m joined by two repeat guests, Drs. Jake Stucki and Scott Weiskopf, who are here for a discussion around every oral surgeon’s indispensable tool: forceps. In today’s episode, we take a virtual trip around the mouth and share which of the large variety of forceps we think are preferable for taking out each type of tooth, although it’s important to note that there are many different ways of doing things and what works for us might not work for you. We also have some valuable advice to share around how to avoid a root tip breaking, and even how you can prevent your patient from swallowing a tooth (speaking from experience!). Key Points From This Episode:What forceps are used for, and when to use them.Scott’s favorite forcep.Each of us shares what we think the best forcep is for removing maxillary molars.Common problem that Scott sees occurring when students start out with the more aggressive forceps. Forceps that we generally use for upper and lower premolars. A comparison between some of the many ashes that exist. Circumstances under which you should be removing tissue. Why the concept of “apical pressure” can be confusing. The tool that Scott starts every tooth removal procedure with. What Jake and I like to use the cow horn for. Scott’s approach to removing mandibular molars. Our thoughts on using a hand piece.How the root shape determines which tools we use. Benefits of using rongeurs. Scott and I share how we like to hold forceps. When you should swap one forcep out with another during a procedure. Advice to avoid breaking the root tip off. Experiences we have had of patients swallowing a tooth, and how to avoid this!Tips for using throat packs.Links Mentioned in Today’s Episode:A.Titan — https://www.atitan.com/ KLS Martin Group — https://www.klsmartin.com/en/disciplines/dental-and-oral-surgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059
Nov 17 2021
43 mins
Drs. Grant and Jake Stucki: Discussion On How To Effectively Use Dental Elevators
The purpose of a dental elevator is to break the fibers of the periodontal ligament, and if you know how to use it properly, it is a very powerful tool which can do a lot more than you think! In today’s episode, Dr. Jake Stucki, my brother, is back on the podcast. Our discussion covers how an elevator works, which elevators will likely be most effective in which circumstances, and the times when we wouldn't recommend using an elevator. A lot of my time is spent doing elevations, and as Jake advances on his journey as an oral surgeon he is realizing more and more the value that lies in these procedures. Although there are numerous elevator instruments, some of which we talk about today, we also feel that there’s something missing, which is why we are currently working on the “Stucki Elevator!” Key Points From This Episode:Some of our favorite Everyday Oral Surgery episodes. A story about car trouble which relates to the struggles we can face when taking out teeth.The purpose of a dental elevator, and an explanation of how it works. How the process of elevating can differ between patients. Some of the most difficult teeth, and how to deal with them. When a back action isn’t the way to go.Comparing the Cogswell B and the Crane as elevation tools. Examples of times when you shouldn’t elevate. How to sustain pressure when doing a dental elevation. Why some people don’t think it’s a good idea to elevate against another tooth.How to ensure you have control of the dental elevator.Power that comes with knowing how to use an elevator properly. Coming soon: The Stucki Elevator.Jake’s book recommendation for today!Links Mentioned in Today’s Episode:Dr. Jake Stucki —Lost Connections by Johann Hari — https://thelostconnections.com/ The Second Mountain by David Brooks — https://www.penguinrandomhouse.com/books/217649/the-second-mountain-by-david-brooks/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059
Nov 15 2021
1 hr 2 mins
Dr. Omar Abubaker: What We Can Do to Help Our Patients Avoid Opioid Addiction
In the United States, aggressive pain management practices have led to an opioid crisis which is responsible for thousands of deaths every year. Among those who have lost their lives in this untimely and avoidable way was Dr. Omar Abubaker’s son. The unspeakable pain of losing a child led Omar down a path of discovery around the dangers of opioids, which are the common go-to pain management drugs for doctors of all specializations, despite their highly addictive properties. Equipped with knowledge and compassion, Omar is on a mission to educate as many people as he can on the subject of opioid addiction, and alternative ways to deal with pain, so that other people don’t have to suffer the same fate as his son. It is our responsibility as medical professionals to do what is best for our patients, and we all need to think long and hard about pain management practices that we advocate for.Key Points From This Episode:Omar’s home country, and his journey to becoming chairman of the VCU OMFS program. How Omar’s weeks are structured.The life-shattering experience that led Omar to understand the dangers of opioids.  Steps that Omar has taken to educate others about opioid addiction. Why the US population is more susceptible to opioid addiction than most other countries.What pain management should entail.None: the safe amount of drugs and alcohol to consume before the age of 20. The joy and fulfillment that Omar experiences through the work that he does. How parents’ opinions on opioids being prescribed for their children have changed. The importance of weighing up the risks and the benefits of opioids for each patient.Omar’s approach to helping patients manage their opioid addiction. Substitutes for opioids that can be used during surgical procedures. Post-narcotic hyperalgesia: a condition that can come about after being subjected to intravenous opioids. The best book that Omar has read in the past year. How teaching helps Omar to be a better surgeon. Links Mentioned in Today’s Episode:Dr. Omar Abubaker on LinkedIn — https://www.linkedin.com/in/omar-abubaker-7a965295 The Second Mountain by David Brooks — https://www.penguinrandomhouse.com/books/217649/the-second-mountain-by-david-brooks/ When Breath Becomes Air by Paul Kalanithi and Abraham Verghese — https://www.amazon.com/When-Breath-Becomes-Paul-Kalanithi/dp/081298840X Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059
Nov 9 2021
57 mins
Dr. Gabriella Tehrany: Pearls For Doing Orthognathic Surgery In A Hospital Setting
Although the crazy hours and high pressure environment that characterize hospital-based practice will not be everybody’s preference, there is nowhere else that Dr. Gabriella Tehrany would rather be utilizing her OMS skills. For the past 12 years (other than during the COVID-19 lockdown) the longest time that Gabreilla has spent away from orthognathic surgery is two weeks, and as a result, she has acquired a wealth of wisdom relating to the field, much of which she shares with us in today’s insightful episode. Gabriella offers advice around looking after your patients’ wellbeing and, just as importantly, your own. Our conversation covers a range of topics, from the value of teamwork to the protocol which led to an 88% same day discharge rate post orthognathic surgery at Gabriella’s hospital. In order to choose the direction you want to take as an oral surgeon there are numerous factors to take into consideration, and, as is Gabriella’s mantra, this episode will inspire you to “figure it out!”Key Points From This Episode:An overview of what Gabriella’s journey to becoming the Southern California Regional Chief of OMS has looked like.Perks of working as part of a Kaizer practice in a hospital setting. Factors to take into consideration before choosing the setting you are going to work in. Experiences Gabriella had in different practices while she was a resident. The importance of listening to your patients’ desires as an orthognathic surgeon.Why Gabriella never shows her patients soft tissue renderings prior to their surgery.How Gabriella looks after her body, and advice she gives to all residents coming through her practice. Gabriella’s involvement with students at UCLA.People who make up the team that Gabriella is currently working with.Value that lies in doing surgery with assistants. The protocol that Gabriella and her anaesthesiology team implemented which led to an 88% same-day discharge rate after surgery. How patients’ perceptions of being in a hospital changed after the pandemic began.Gabriella’s experience of working in a COVID ward. A rapid fire round with Gabriella.Links Mentioned in Today’s Episode:Dr. Gabriella Tehrany Email— gabriella.m.tehrany@kp.org The Plant Paradox — https://www.amazon.com/Plant-Paradox-Dangers-Healthy-Disease/dp/006242713X How Not to Die — https://www.amazon.com/How-Not-Die-Discover-Scientifically/dp/1250066115 Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059
Nov 3 2021
45 mins
Dr. Stephen MacLeod: Insights On the Personal Essay, Interviews, and Externships By the Loyola OMS Program Director
American born, European trained, and now working as the Division Chief and Program Director of OMS and dental medicine at Loyola, Dr. Stephen MacLeod has a broad scope of knowledge and experience and he joins me on today’s show for a discussion which is brimming equally with inspirational nuggets and practical tips. Stephen did a full medical degree after he completed his oral surgery training, and found nothing in it that he enjoyed as much. So, for any prospective oral surgeons who are sitting on the fence, this is your sign to take the leap. We discuss the rewarding nature of working in trauma, why practice is essential as an oral surgeon, what Stephen looks for in residents’ applications, his thoughts on externships, and more. Stephen’s philosophy is one of passion, continuous learning, and a commitment to community, and there’s a lot to be learnt from him! Key Points From This Episode:Stephen shares what his educational and professional career paths have looked like. Variation that exists between programs. The three broad clinical categories that Stephen spends the majority of his time working in.Advice from Stephen for anyone interested in the trauma field.How oral surgeons differ from other medical specialists in terms of our ability to handle trauma.Stephen explains the importance of practice when it comes to the oral surgery profession.Principles which form the foundation of the oral surgery profession. Traits that Stephen looks for when hiring residents. What your personal statement should and shouldn’t include.Changes that Stephen’s department made to their application process since the COVID-19 pandemic began.The most valuable residents to speak to. Stephen shares his thoughts about externships.Factors that Stephen doesn’t see as important in a resident’s application. How the OMS educational model differs between the United States and Europe.The “meat and potatoes” approach to OMS at Loyola.  Elements which signal the family friendly nature of Loyola. A message to anyone considering oral surgery as a career.A rapid fire round with Stephen. Links Mentioned in Today’s Episode:Dr. Stephen MacLeod on LinkedIn — https://www.linkedin.com/in/stephen-macleod-5002249/ The House of God by Samuel Shem — https://www.amazon.com/House-God-Samuel-Shem/dp/0425238091 Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059
Nov 1 2021
55 mins
Dr. Mykle Jacobs and consultant Bob Spiel: keys to running a successful private practice
Many oral surgeons are likely to have a type-A personality and are often inclined to want to control, rather than delegate tasks and responsibilities. While these traits are useful to the focus required during oral surgery, it’s not always conducive to instituting a well-run practice. In today’s episode, we are joined by Dr. Mykle Jacobs and Consultant Bob Spiel, to discuss the keys to running a successful private practice. When Dr. Jacobs purchased his practice in March last year he only had a week before the world was hit by the COVID 19 pandemic. In our conversation, we discuss the transformative effect that Bob’s approach had on Dr. Jacobs’ practice and what it was like instituting these changes during a pandemic. Bob explains key adjustments that can revolutionize a practice, like foregoing a stop-start schedule, in favor of blocking your time off with like-by-like procedures. We also hear about Bob’s Roles to Goals method to create a more meaningful and motivating environment for staff members, and Dr. Jacobs reflects on what he’s learned from Bob, especially when it comes to delegation and understanding his leadership style. This conversation is jam-packed with indispensable insights and excellent tips so make sure you tune in to hear it all!Key Points From This Episode:Introducing today’s guests Dr. Mykle Jacobs and consultant Bob Spiel.Dr. Jacobs’ experience of acquiring his new practice a week before COVID hit.How Bob assisted Dr. Jacobs during the height of the pandemic.Some of Bob’s methods for facilitating changes for his clients’ practices.The transformative impact that Bob had on the practice.How Bob structures schedules to avoid burn-out in a dental practice.The impact that restructuring their scheduling and consultation has had on the practice.The joy and efficiency of establishing a flow in your practice.The role of a flow manager.How to empower your team so that they can support the doctor.Bob’s Roles to Goals process and how he uses it to train staff.How Dr. Jacobs incentivizes his staff to reach their goals.The importance of an effective and proactive manager upfront.The value of morning meetings and regularly communicating with your staff.Having a system mindset and how it helps your team take ownership of their actions.Why hiring Bob as a consultant was the best decision Dr. Jacobs could have made.Links Mentioned in Today’s Episode:La Grange Oral Surgery and Implant Centre Website — https://www.lgoralsurgerycenter.com/La Grange Oral Surgery and Implant Centre Phone — (706) 884-2655Bob Spiel Email — bob@spielconsulting.comBob Spiel Phone — 2085 206900Flip Your Focus: Igniting People, Profits and Performance through Upside-Down — https://www.amazon.com/Flip-Your-FocusDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059
Oct 28 2021
48 mins
Considerations In Choosing a 4 vs 6 Year OMS Program
If you’ve made the (great) decision that you want to be an oral surgeon but you’re struggling to choose between the 4 year, 6 year, or the less common 5 year program, this episode is for you. My brother, Jake Stucki, and I chose different paths, and in today’s episode we talk you through the costs and benefits of the single versus dual degree options, and what these years of your life are likely to consist of. There is no one size fits all approach; don’t listen to anyone who tells you that one type of program is better than another! But it’s important to understand what you’re getting into, and there are a number of factors to take into consideration before you commit yourself to any program. After listening to today’s episode you’ll be well equipped with knowledge that will help you to make this decision, and if you’re still confused we’re just a phone call or an email away!Key Points From This Episode:Who this episode is aimed at. The amount of time that you will spend on oral surgery when doing a 6 year (i.e. dual degree) program. Off-service time that is a part of the 4 year (i.e. single degree) OMS programs. Jake explains what a six year program generally consists of. Misconceptions about the 5 year program. Benefits of doing an internship year before medical school.Differences between the costs of 4 and 6 year programs. The value of moonlighting during medical school. Money making potential of the 4 versus 6 year degrees. Reasons to do a 6 year program. Variety between 6 years programs in the amount of general surgery that forms part of the degree. Our experience of general surgery residency. Why you should take into consideration the certification that you are going to receive before choosing your program. We share our thoughts on patients’ opinions of a 6 years versus 4 year program.Circumstances where having a 6 year degree may make your life easier. The split between 4 year and 6 year programs within the 100 accredited OMFS programs in the United States. My struggle to decide between a 4 and 6 year program. Unfortunate mentalities that people hold towards one degree or the other. Why you should find out how much practical experience you are going to get during the course of your degree before you enroll. Links Mentioned in Today’s Episode:Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059Dr. Jake Stucki Email — jakestucki@gmail.com
Oct 25 2021
50 mins
Dr. Faisal Quereshy: a program director's perspective on interviews, externships, and ranking applicants, as well as thoughts on running both a residency and successful private practice.
A native of Toronto, Canada, Dr. Faisal Quereshy is a board-certified oral, maxillofacial, and facial cosmetic surgeon practicing in Cleveland, Ohio, as well as Professor and Residency Director for the Case Western Reserve University’s Oral and Maxillofacial Surgery (OMFS) Program. As today’s guest, Dr. Quereshy shares his unique perspective as a program director on interviews, externships, and ranking applicants, as well as his thoughts on running both a residency program and a successful private practice. He also shares his advice for dental students on showcasing your personality in interviews, respecting the hierarchy and etiquette within the residency program you choose, and using the externship experience to learn about the residency they want to attend. For all this and so much more, make sure to tune in today!Key Points From This Episode:A brief history of Dr. Quereshy’s training and practice setup.He shares his thoughts as a program director on running a residency program as well as a successful private practice.The financial and surgical benefits that residents gain from a part-time academic model.Learn about the fast-paced structure of the five-year OMFS program at Case Western.What Dr. Quereshy looks for in applicants: self-motivation and the ability to multitask.Power tips for interviewing well and showcasing your personality during the interview.Why Dr. Quereshy says they are not trying to fit an applicant to the current resident pool.How the theme of diversity has been stressed and prioritized in the OMFS program.Dr. Quereshy shares his applicant ranking system and the essential attributes he looks for.Why externs should use the experience to learn about the residency they want to attend.Dr. Quereshy’s advice for externs; respect the hierarchy and etiquette within the program.The value of fellowships for residents; a niche area of expertise in a sub-discipline.The educational and marketing benefits that social media can provide.Find out why Dr. Quereshy is currently pursuing an MBA and how he dodges burnout.Why Blue Ocean Strategy is the best book Dr. Quereshy has read in the past year.How daily prayer grounds his wellbeing and allows his to treat patients with honesty, sincerity, humility, and respect. Why Dr. Quereshy would use upper cowhorn forceps #88R to extract tooth number three.Ending on a quote: “You begin in the name of God, the most merciful, the most beneficent.”Links Mentioned in Today’s Episode:Dr. Faisal Quereshy on LinkedIn — https://www.linkedin.com/in/faisal-a-quereshy-md-facs-5666551b/Dr. Faisal Quereshy on Instagram — https://www.instagram.com/facesurgeon/Case Western Reserve University — https://case.edu/Blue Ocean Strategy — https://www.amazon.com/Blue-Ocean-Strategy-Uncontested-Competition/dp/1591396190Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059
Oct 21 2021
43 mins
Dr. Chris Viozzi: power tips for treating OSA patients in your practice (and discussion on why you should treat them)
Obstructive sleep apnea (OSA) and other types of sleep disorders can have detrimental impacts on people’s lives, young and old. Oral surgeons are extremely well positioned to diagnose and treat these disorders, and in today’s episode I’m joined by Dr. Chris Viozzi, Clinical Chair of the OMS program at the Mayo Clinic, who specializes in this field. Maxillomandibular advancement is the term that used to refer to the operation that can completely change the lives of people suffering from a sleep disorder. It is more complicated than most other types of surgery that oral surgeons perform, and it results in some long-term side effects, but it is also a whole lot more rewarding. Our conversation today covers a range of surgical and non-surgical do’s and don’ts which will supplement your already existing skills with the confidence to successfully treat this patient cohort who could really use your help! Key Points From This Episode:Chris shares his journey prior to, and in the field of, oral surgery. What Chris spends the majority of his time focusing on at the Mayo Clinic.Why oral surgeons are well positioned to diagnose sleep disorders.  The percentage of patients undergoing outpatient surgery that are likely to have a sleep disorder. Where you can learn to speak the language of sleep physicians. How to determine whether an OSA (obstructive sleep apnea) patient needs surgery. Methods which can be used to identify the site of obstruction. Examples of physical features which often signal an OSA. The more complicated nature of Maxillomandibular advancement (MMA) surgery compared to other types of reconstructive surgery. Why Chris recommends multiple pre-op visits before doing MMA surgery. How the majority of patients respond to aesthetic changes to their face after MMA surgery. Gratitude that past patients Chris’s have expressed after their MMA surgery. Why Chris strongly believes that oral surgeons should treat patients suffering from sleep disorders. Pain management strategies that Chris recommends. Reasons that orthodontics for OSA patients should be avoided. Chris shares some valuable surgical tips for MMA surgery. Dealing with long term post-surgery side effects.  Advice for how to manage patients with mental health issues coming in for MMA surgery. Problems which can be caused by OSA. A rapid fire round with Chris. Links Mentioned in Today’s Episode:Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059Dr. Chris Viozzi — Dr. Chris Viozzi Phone — (507) 284-9062Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/
Oct 18 2021
55 mins
Dr. Solomon Poyourow: Pearls for Buying a Practice From a Retiring Surgeon
Today’s guest has had experience with both starting a practice from scratch and buying an already existing practice. In a previous Every Day Oral Surgery episode with Dr. Solomon Poyourow, we focused on the former, so today he is here to share the ins and outs of the latter. From the mindset that you should have when you enter into negotiations with the seller, through to what you can expect from the transition period, how to deal with contracts, and some of the major red flags to look out for when deciding whether you are going to do a deal, Solomon has valuable advice which will help to ensure that you don’t get taken advantage of, and which will make the process of acquiring an existing practice as smooth and painless as possible. Keep in mind that there’s a lot of deals out there, and you shouldn’t settle for anything that doesn’t feel right! Key Points From This Episode:The practice that Solomon recently bought, and the unexpected surprises he was met with.Examples of the pro’s and con’s of keeping the previous owner involved once you buy a practice.How many sellers act after they have sold their practice. Recommendations for the transition period. Red flags that should make you think twice about buying a practice from someone.Why Solomon is in favor of a relatively short transition period.Issues that you may run into with staff when taking over a practice.Staff turnover that Solomon experienced when he bought his practice. The mindset that you should and shouldn’t have when you enter into a negotiation. Value that lies in talking to people about the deal that you’ve been offered. What to be weary of when starting a practice from scratch. The vital role played by front desk staff at a practice. Problems that surgeons who run boutique, cash practices are likely to run into when they try to sell. Solomon explains what the slowest part of the selling/buying process is.Challenges of recognizing red flags. How to convey the change in practice ownership to existing patients. Having staff members on your team is a key to success. The importance of not rushing.Links Mentioned in Today’s Episode:Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059Dr. Solomon Poyourow — Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/
Oct 14 2021
53 mins
Dr. Jake Stucki and Grant Stucki: Power Tips For Interviewing for OMS Residency
There are few oral surgeons who have done as many interviews as my brother, Dr. Jake Stucki, and I’ve done my fair share too. With the interview season starting now, we thought that it would be a good time to share our top tips for one of the key elements which will determine whether you will get into an OMS residency program. From your favorite Tupac song, to the way you want to impact the oral surgery profession, you have to be prepared for the unexpected when it comes to OMS residency interviews. In this episode you’ll hear about the questions we found the most challenging, how you can guide the conversation in a way that suits you, approaches to the post-interview follow up, the importance of being honest, and more! We hope that today’s episode helps put you at ease if you’re heading into this season of your life. Key Points From This Episode:16 and 9; the number of interviews Jake and Grant have done. The important role of interviews in getting an OMS residency. Why Jake recommends speaking to people who have gone through the interview process at the program you are applying to.Examples of some of the questions that Jake was asked during interviews. The most challenging question that was posed to Jake. Some questions we have been asked which are completely unrelated to oral surgery. Jake shares why he chose to do a dual degree program, and how he responded when he was asked why he went down this route. How Jake responded when asked about why he had chosen the program that he was interviewing for. The importance of being honest in interviews.Examples of stories that are helpful to share, and those not to share, in your personal essay. Our thoughts on crying during an interview. The importance of the pre-interview dinner that some programs offer.Our thoughts on how to choose where you do your externship. Different approaches to following up post-interview. What you can learn about a program from interacting with residents who are already there. A question that Grant used to ask when he was interviewing potential residents. The importance of confidence, and the danger of arrogance, in an interview. Links Mentioned in Today’s Episode:Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/
Oct 6 2021
48 mins
Dr. Jackson Morgan: Experience and Advice On Doing a Completely Hospital-Based Practice
Today’s guest is the first surgeon I’ve had on the podcast who has a completely hospital-based practice. Many surgeons have concerns about having a practice of this type; if you are one of them, you might have your mind changed today! For Dr. Jackson Morgan, the ever-changing, incredibly rewarding nature of his role as a hospital-based surgeon is exactly what he wanted out of his career. It is not without its challenges, but then again, nothing is, and for Jackson, the positives far outweigh any negatives that may arise. Whether you're interested in pursuing this path or not, you’ll walk away from this conversation with a broadened perspective on the range of possibilities that exist for oral surgeons. Key Points From This Episode:What makes today's guest, Jackson Morgan, different from all the other guests we’ve had on the show.Jackson shares what his professional journey has consisted of. Why Jackson decided to be a purely hospital-based surgeon. Challenges of the route Jackson has chosen. What Jackson’s role consists of, and how he feels about his job. Jackson puts to rest a common fear that surgeons have about hospital-based practice.The variety of ways that Jackson is compensated for his work. Contributions that Jackson has made to the Atrium Health OMS program.  Benefits that Jackson receives through the hospital system. Advice from Jackson to anyone interested in having a hospital-based practice. Why Jackson likes being in academia. Tips from Jackson on how to maintain a balanced lifestyle when working in a hospital-based practice. A rapid fire round with Jackson.Links Mentioned in Today’s Episode:Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059
Oct 4 2021
29 mins
Dr. Paul Rollins: The Benefits of Using an LMA and Sevo as Your Anesthetic Technique
There’s never going to be an anesthesia technique that is 100% foolproof, but the LMA/Sevo technique used by Dr. Paul Rollins and his partners, gets pretty close, according to Paul. Other than a small number of people who have small, or otherwise difficult, airways, the LMA/Sevo approach is safer for the patient, and a more pleasant experience for the surgeon. Amongst other advantages which Paul explains today, there’s less chance of aspiration, laryngospasms, and bronchospasms when using an LMA. Paul also addresses some of the concerns that surgeons have around using Sevo and LMA’s (which include a high cost of entry and the risk of malignant hypothermia) and offers some valuable advice to anyone who is interested in bringing this technique into their practice. We also discuss a book which has a profound impact on both of us, and how getting involved in your community will benefit you at work in ways that may surprise you.Key Points From This Episode:A brief rundown of Paul’s educational and professional career path up until today.The unique element of anesthetic technique that Paul and his partners utilize. Paul explains the benefits of the technique they use.Why Paul and his partners decided not to use narcotics. How working with an LMA differs from working with an open airway. Cases when Paul will do an open airway procedure.What the wake-up looks like after a Sevo/LMA surgery. Why the Sevo/LMA technique is safer than more traditional techniques.Where LMA sits on the emergency airway algorithm. Barriers to using the Sevo/LMA technique. How much Paul and his partners spend on LMAs per year.Advice for surgeons interested in starting to use this technique. Paul addresses concerns that people may have about malignant hypothermia when using this technique.Types of airways which are not suitable for an LMA. How marijuana use impacts the amount of sedative required to put them under. A case where Paul aborted the LMA technique. The book which allowed Paul and I to gain perspective on a lot of things. How socializing outside of work will benefit you at work. Links Mentioned in Today’s Episode:Dr. Paul Rollins —paul.rollins29@gmail.com Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059
Sep 27 2021
39 mins
Dr. Jaclyn Tomsic: Obstacles Facing Women In Surgery and Advice on How to Overcome Them
The oral surgery profession is heavily dominated by men, and therefore, being a woman in this field can be difficult. In today’s episode, we’re joined by Dr. Jaclyn Tomsic, an oral surgeon who didn’t let any of the hostility she experienced as a resident stop her from achieving her dreams. Today, Jaclyn works four days a week in private practice, and one day a week in the Case Western OMS program where she tries to give to residents what she wishes she had had when she was in their position. Jaclyn also has a large following on Instagram, and the goals she hopes to achieve through this platform are an increased visibility of the oral surgery profession and an increase in the number of women working in this field. For female listeners, this episode will inspire you to continue on the oral surgery path, even though it may be difficult at times. And for male listeners, this episode will open your eyes to the experiences of your female colleagues, and get you to rethink some misconceptions you may hold. Key Points From This Episode:How Jaclyn spends her working hours.Jacyln’s educational background. Why Jaclyn was drawn to the practice she now works in. Enjoyment that Jaclyn gets out of working with residents. The growth and evolution of Jacyln’s very popular Instagram account, and what she hopes to achieve through it.Factors that inspired Jaclyn’s decision to go the oral surgery route.Challenges that Jaclyn experienced as a female oral surgery resident. Drive and determination that got Jaclyn through the hostility she experienced in residency. Jaclyn’s hopes for the future of the oral surgery field. How Jaclyn’s experience as a resident in general medicine differed from her oral surgery residency experience.Obstacles that women face in the field of oral surgery. Misconceptions that people have of female oral surgeons. Advice from Jaclyn about how to deal with people who try to put you down.What Jaclyn wishes she had done differently as a resident.  The high attrition rate of students during my residency, and the reasons that oral surgery residents drop out. Why oral surgery residency is so tough.Value in having a balance between private practice and academia as an oral surgeon. A rapid-fire round with Jaclyn. Links Mentioned in Today’s Episode:Dr. Jaclyn Tomsic on Instagram — https://www.instagram.com/doctorjacci/?hl=enDr. Jaclyn Tomsic Email — Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059
Sep 23 2021
52 mins
Dr. John Tannyhill and Dr. Michael Baron: Tips on Ranking Programs and Navigating Residency For Those With Families
“No worldly success can compensate for failure in the home.” Alongside the fact that we are all oral surgeons, another commonality that I have with the two guests on today’s show is that we all went (or are currently going) through our oral surgery residency with at least one child. Dr John Tannyhill is the Director of Harvard’s School of Dentistry Oral Surgery Program and Dr. Michael Baron is an oral surgery resident at Mount Sinai, and they are here to share advice about maintaining a healthy work-life balance. There is no one-size-fits-all approach, and there will always be compromises that have to be made, so the key is to communicate openly with your significant other. We discuss important factors to take into account when deciding whether a residency program is “family friendly” or not, how some institutions accommodate for the unique income trajectory of oral surgeons, and why residents with families are likely to be more efficient than those without. For all of us, our “why” is our family, and we couldn’t do what we do without them, which is why we all recommend less (or no) moonlighting; there are so many other ways to get rid of your debt without sacrificing time at home! Key Points From This Episode:Michael and John share what their professional paths have looked like, and how these intersected with their family lives. Factors that contribute to making oral surgery programs “family friendly.”Compromises that you are likely to have to make in order to achieve a work-life balance.The importance of communicating with your significant other. A story about an interaction that Michael had with a landlord in Boston. Challenges of finding affordable housing as an oral surgery resident. The unique income trajectory of oral surgeons, and how banks accommodate for this.Ways that some programs prioritize oral surgeons who have families. How hospitals look after their residents in terms of health insurance.Health insurance options for students.John and Michael’s experiences of medical school compared to residency.A difficult time I went through during my residency and the support that my wife gave me during this time.Michael shares a story which highlights how difficult it can be to balance work and family life. Why residents with families are usually more efficient with their time than those without. The pros and cons of moonlighting, and why none of us would recommend it. Value in having conversations with previous residents. Changes that have occured in residency programs over the years. Support that Michael is receiving in his residency program. A rapid fire round with John and Michael.Links Mentioned in Today’s Episode:Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059
Sep 20 2021
1 hr 7 mins
Pearls for Diagnosing and Treating TMD Patients from the Creator of TMJ Concepts Custom Joints, Dr. Louis Mercuri
The etiology, diagnosis, and treatment of temporomandibular joint (TMJ) and orofacial pain disorders are frequently challenging, and misdiagnosis and multiple failed treatments are common in this patient population. Today, we are joined by Dr. Louis Mercuri, an experienced oral maxillofacial surgeon, Clinical Consultant for TMJ Concepts, and Visiting Professor at Rush University Medical Center in Chicago, who has practiced in the state of Illinois for many years. Over his career, Dr. Mercuri has obtained research funding, published extensively, and been invited to lecture locally, nationally, and internationally on subjects related to the diagnosis and non-surgical and surgical management of temporomandibular joint disorders (TMD). In this episode, Dr. Mercuri shares some pearls for diagnosing and treating TMD patients, including the tricks and techniques he uses during examination to determine if the condition is intra-articular or extra-articular, how he communicates with unhappy TMD patients, and what resources he provides them with, plus so much more. This is a fascinating and informative conversation about TMD with a foremost expert on the subject, so make sure not to miss it!Key Points From This Episode:Learn about Dr. Mercuri’s dental and surgical training and his current practice setup.Advice for young surgeons who are interested in doing TMJ surgery: learn from others.Complications he has observed in TMD patients, many of which start with misdiagnosis.Diagnosis is key, as is knowing the difference between intra-articular and extra-articular conditions and what operation is required to treat it.Tricks Dr. Mercuri’s uses during examination to determine if TMD is intra- or extra-articular.Why some patients don’t respond to botox and others only feel relief for a few months.Why Dr. Mercuri says you should never operate for pain or promise 100 percent pain relief.The ‘bio-psycho-social’ etiology of TMD and the role that para-functional habits play.What Dr. Mercuri means when he says a well-informed patient is a partner in treatment.The benefits of what he calls a ‘hands in the pocket’ diagnosis.Indications for a total joint replacement, including dysfunction and degenerate changes.Learn more about the custom joint that Dr. Mercuri developed and its benefits.The importance of the social aspect of communicating with an unhappy TMD patient.The resources that Dr. Mercuri provides for TMD patients to take home with them.With the right patient, the right time, and the right equipment, you’ll get a good result!What Dr. Mercuri recommends for the oral surgeon who needs a good counterpart to help with non-surgical procedures.The important distinction that he makes between dentists, oral surgeons, and ‘pain doctors’.Useful medications that Dr. Mercuri prescribes diagnostically, like a low-dose of Elavil.Advice for younger surgeons looking to treat TMD patients: keep up with the literature!Links Mentioned in Today’s Episode:Dr. Louis Mercuri Email — TMJ Concepts — https://www.tmjconcepts.com/Rush University Medical Center — https://www.rush.edu/OMSNIC — https://www.omsnic.com/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059
Sep 15 2021
48 mins
Dr. Grant Stucki and Dr. Jake Stucki: Nuances of Suturing for Third Molars and Bone Grafts
Suturing has a variety of purposes; it helps to quicken the healing process, minimize bleeding, and hold things in place. There are also a number of different categories that sutures fall into, for example, natural, synthetic, resorbable, and non-resorbable. In today’s episode, I’m joined by my brother, Dr. Jake Stucki, for a discussion around the basics of suturing, and some of the suturing techniques that are commonly used by oral surgeons. We go through a number of cases that we have personally dealt with, and explain what informed our decisions around the type of suture we used in each case, as well as some of the mistakes we have made along the way!  Key Points From This Episode:Jake shares a few of the reasons that oral surgeons suture. Problems with doing a loose suture.Conclusions from studies that looked at results when suturing was done versus when it wasn’t.How oral surgeons generally deal with mandibular compared to maxillary third molar sites. The different categories of suture.Why a surgeon would use a non-resorbable suture.When it is a good idea to use fast-gut.A mistake Grant made when suturing a child with severe autism. Squaring the knot; what this suturing technique entails, and how long it can last if done correctly. How to decide how many knots to place and tips for keeping them tight. Advice for dealing with a very large flap. The benefits of switching sides when suturing.Links Mentioned in Today’s Episode:Dr. Jake Stucki Email — jakestucki@gmail.comDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059
Sep 13 2021
41 mins
Dr. Aaron Liddell: Pearls for Treating Mandibular Fractures, Including Sequencing Multiple Fractures, Dealing with Condylar Fractures, and Avoiding Latrogenic Fractures
In today’s episode we are joined by Dr. Aaron Liddell, a repeat guest on the podcast; because he has so much valuable knowledge to share one episode wasn’t enough! The main focus of our conversation today is fractures. Over the past few years, and particularly since the start of the COVID-19 pandemic, Aaron has noticed an increase in the number of fracture cases that he is being called in to treat. He goes into detail about how the different approaches he utilizes to deal with a variety of fractures, using real world examples of patients he has worked with. Aaron offers advice to any surgeons who aren’t used to working in this particular realm of oral surgery which will help avoid unnecessary long term damage. So for all this and more from our great guest, join us on Every Day Oral Surgery!Key Points From This Episode:Trends that Aaron has noticed in Denver over the past few years.Ways that the COVID-19 pandemic had an impact on the volume of fractures Aaron was called to treat.The best way to avoid fracturing a jaw when taking out a third molar.How Aaron’s approach to taking out third molars has changed over time.An example of a patient who was inappropriately managed by another surgeon, and the damage control that Aaron had to do. Advice Aaron would give to surgeons around dealing with cases that are unusual to them.A strategy that Aaron uses in order to avoid using force when taking out a tooth.Factors which determine the order in which Aaron will deal with mandible fractures if the patient has multiple.How Aaron deals with any fractures situated at the mid-neck level or below. Aaron shares his thoughts about hybrid fixation systems.Approaches to dealing with different types of low condylar neck fractures. When Aaron uses rigid treatments and when he uses non-rigid treatments. Links Mentioned in Today’s Episode:Dr. Aaron Liddell — https://www.coloradooralsurgery.com/meet-us/dr-aaron-t-liddell-md-dmd-facs/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059
Sep 8 2021
53 mins
Dr. Ian Lehrer: tips for transitioning from residency to a group practice
Today, we are joined by Dr. Ian Lehrer, an oral maxillofacial surgeon practicing in Dana Point, California. In this episode, we discuss how to prepare to join a practice after you have completed your residency program. Dr. Lehrer has some valuable and practical tips to share, including the value of keeping in touch with your upper level residents and attending meetings at the American Association of Oral and Maxillofacial Surgeons (AAOMS) and the American College of Oral and Maxillofacial Surgeons (ACOMS). We also touch on contract negotiations and choosing between money, scope of practice, and location, as well as the benefits of joining group practice, proving your worth, and building relationships. Tune in today! Key Points From This Episode:An introduction to Dr. Ian Lehrer, his education, and his practice.How he figured out which practice to join after residency, starting with researching different cities and the practices in each area.The value of keeping in touch with your upper level residents after your residency.Another helpful tip: make sure to attend annual AAOMS and ACOMS meetings.Utilize all the resources that you have available to you, including courses and observerships.Advice for contract negotiations: consider your location and how much leverage you have.Different kinds of contracts you can expect, like an associateship in Dr. Lehrer’s case. Why Dr. Lehrer says defining your location is the most important thing when searching for a job; work where you want to live!Picking out one of three options: money, scope of practice, and location.The benefits of joining a group practice, including learning from the experience of others.Dr. Stucki highlights the importance of having a good work ethic and proving your worth.The value of building relationships; Dr. Lehrer encourages listeners to reach out to him.Rapid fire questions: Dr. Lehrer shares the best book he read this year and non-oral surgery skills that assist him in daily oral surgery.Ending on a note: “You can either go through life and be humble or you will be humbled.”Links Mentioned in Today’s Episode:Dr. Ian Lehrer on LinkedIn — https://www.linkedin.com/in/dr-ian-s-lehrer-865b56ab/Dr. Ian Lehrer on Instagram — https://www.instagram.com/drianlehrer/Dr. Ian Lehrer Email — lehrer@niguelcoastoralsurgery.comNiguel Coast Oral & Facial Surgery — https://www.niguelcoastoralsurgery.com/American Association of Oral and Maxillofacial Surgeons (AAOMS) — https://www.aaoms.org/American College of Oral and Maxillofacial Surgeons (ACOMS) — https://www.acoms.org/Osteo Science Foundation — https://www.osteoscience.org/Man’s Search for Meaning — https://www.amazon.com/Mans-Search-Meaning-Viktor-Frankl/dp/0807014273/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059
Sep 6 2021
22 mins