If you are a nurse making a career change into pharmaceutical sales or medical sales, there will be some transitions that you will have to go through before settling down in your new occupation. To become a dental hygienist you’ll need a 2 or 4 year degree in dental hygiene. Most programs are offered through community colleges or other technical colleges. You also must become licensed by the state in which you plan to practice. Almost all states require the National Board Dental Hygiene Examination in addition to the regional or state clinical exam. Properly sterilized and quality dental instruments play a major role in providing effective dental treatment. This includes the usage of dental drill, dental scalps and fixation screws, sickle probs and many more. Devices such as effective lighting and imaging will increase the treatment of the patient. Physician assistant training does not end with passing the national certifying exam. To keep the certification active, the PA must complete 100 hours of continuing medical education every two years. The individual also must pass a recertification exam or successfully complete a program that includes learning and an at-home exam. During their continuing education, PAs may develop an interest in a specialty area and elect to pursue a relevant educational program. Popular specialties include rural primary care, internal medicine, emergency medicine, pediatrics, and surgery. At present, 69 percent of adults between the ages of 35 to 44 have lost at least a tooth due to decay, disease, or trauma, according to the American Association of Oral and Maxillofacial Surgeons. Likewise, the organization reported that about 26 percent of adults have lost all permanent teeth by the time they reach 74 years. The school’s research focuses on diverse issues relevant to primary health care and general practice, reflecting the variety of expertise amongst the academic team of social scientists, health educators and medical and allied health practitioners. Second-year residents increase their orthopaedic responsibilities to include rotations in adult reconstruction, pediatric orthopaedics, trauma, foot and ankle, as well as a rotation at the Richard L. Roudebush VA Medical Center. The PGY 2 resident begins taking in-house orthopaedic call with the support of a more senior resident, a chief resident and department faculty. Primary responsibilities of residents in the second year of training include covering the Level I Trauma Center at Riley Hospital for Children and the emergency departments at IU Health and the Richard L. Roudebush VA Medical Center. In addition, PGY 2 residents must attend a comprehensive fracture course. For instance, we can reduce the time spent to receive a new crown from several days – to a matter of hours. For more complex restorations and surgeries, we can pre-plan and coordinate the entire treatment virtually across multiple specialties, and even provide restorative and surgical services in the same appointment – so patients get the advantage of expert consultation and care, quickly and easily.