Form for updating the AAP Web site's information about a dental school's periodontal externships...

Perio Externship Update Form

Use this form to create or update your school's externship listing on the AAP Web site.

Required Information

  1. Name of your university or institution (required):

  2. Your name (required):

  3. Your e-mail address (required):

Optional Updates

If your school's externship is already listed by the AAP, do NOT reenter all of the information requested below. Enter ONLY what needs to be changed in your listing, and leave other fields blank.

  1. Department Chair:

  2. Dates externship offered and duration:

  3. Structure of the externship:

  4. Application deadline:

  5. Number of externships offered each year:

  6. Check all of the following that your externship provides exposure to:
    Didactic portions of the Graduate Program
    Periodontal literature seminars
    Treatment plan and/or surgical seminars
    Clinical portions of the Graduate Program
    Techniques in non-surgical principles
    Techniques in general surgical principles
    Techniques in guided tissue regeneration
    Techniques in soft and hard tissue augmentation
    Techniques in periodontal plastic surgery
    Techniques in dental implantology
    Participation in Postdoc clinic with periodontontal residents and faculty
    Rotation at local private periodontal offices to observe office and patient management
    Participation directly with periodontal residents and attending faculty in treatment/management of medically-compromised patients
    Participation directly with other specialty programs
    Research methodology
    Techniques in pain and anxiety control (oral/IV sedation)
    Other:

  7. To receive an application, contact the following: (include name, mailing address, phone, fax, and e-mail address of your program)

  8. Total cost to the student:

  9. Is dorm housing available for externship students?
    No
    Yes (enter approx. cost)

  10. What is the approximate cost of off-campus housing available for externship students?

  11. Where can the student find information about available housing? If info is online, please indicate Web address.

  12. Additional requirements when considering externship candidates:

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