Do academic Affiliated OMS Programs Recruit Residents With More Scholarly Activity Compared to Nonacademic Affiliated Programs?

To What Extent is Each Area of Oral-Maxillofacial Surgery Practiced in the United States Today?

Barriers to Research Among Residents in Oral and Maxillofacial Surgery

The Effect of Oral and Maxillofacial Surgery Curriculum on United States Medical Licensing Examination Step 1 Performance

Patterns of Paging Activity Among Oral and Maxillofacial Surgery Residents: Implications for Patient Care

To assess demographics, educational backgrounds, initial challenges, professional interests, and attitudes towards post-residency MD training among Oral and Maxillofacial Surgery (OMS) residents in Israel. Cross-sectional survey of 57 active OMS residents across all 9 accredited programs in Israel (June-October 2021). The questionnaire addressed demographics, educational background, residency experiences, challenges, professional interests, and future plans. Mean age was 34.6 years (67% male). Most (75.5%) graduated from Israeli dental schools, contrasting sharply with the general dental workforce (26% domestic graduates, P < 0.001). Primary challenges included adapting to hospital work demands (56.1%) and feeling overwhelmed by OMS knowledge requirements (54.4%). Residents with initial medical rotations reported significantly better adaptation (P = 0.047). Mediation analysis revealed that medical rotations improve adaptation partially through delayed overnight shift commencement. Trauma (63.2%), orthognathic surgery (52.6%), and oncologic surgery (35.1%) were areas of highest interest. Confidence in complex procedures increased significantly with training progression (P < 0.05). One-third planned post-residency MD training, with research degree holders more likely to pursue this path (OR = 2.76, P = 0.024). This study highlights improvement opportunities in Israeli OMS residency training, particularly structured early medical training and tailored support for international graduates.

Barking Up the Wrong Tree

Several studies have evaluated resident and trainee remediation strategies across various surgical subspecialties. However, limited research exists on this topic within the Oral and Maxillofacial Surgery (OMS) literature. The purpose of this study was to identify cross-sectional patterns of evaluation and remediation strategies for underperforming OMS residents in the United States. A cross-sectional cohort study was conducted using a 22-question survey administered to OMS residency Program Directors of all programs approved by the Commission on Dental Accreditation (CODA) within the United States. The predictor variables included the demographics and resident assessment methods of responding programs. The outcome variables included the results of remediation strategies and corrective action plans for residents identified as struggling over the preceding 10 years. Responses were anonymized, and descriptive statistics were used to analyze the collected data. Completed surveys were obtained from 29 (29%) CODA-approved programs. Twenty-five of 29 (86%) programs reported placing 64 residents on corrective action plans. Nine of 29 (31%) programs reported that 14 residents were dismissed during that period. The most common deficiencies in residents requiring corrective action plans were cognitive skills (37.9%), clinical skills (20.7%), and interpersonal skills (20.7%). Residents were almost always given a warning prior to initiating remediation or probation (96.6%), with verbal (46.4%) and written (53.4%) warnings being used with nearly equivalent frequency. Remedial action most often included general counseling (15.9%), more frequent feedback sessions (15.9%), assignment of a mentor (15.2%), didactic remediation (13.3%), psychiatric/psychologic counseling (11.26%), and lengthened training time (6.6%). Most programs reported utilization of a formal remediation protocol (75.9%) and 85.7% of programs subjectively felt their process was effective. Almost one-quarter of respondents (24.1%) stated that no formal remediation protocol exists at their institution. Most OMS programs utilized some form of remediation protocols, but their usage was inconsistent and infrequent. The evaluation and remediation processes among OMS residency programs have significant variability, relying heavily on program or institution-specific protocols.

Incorporating Simulation Into Oral and Maxillofacial Surgery Residency Education and Training: Christiana Care's Method

Training Satisfaction Versus Dissatisfaction Among Chief Residents in Oral and Maxillofacial Surgery—A Pilot Survey

The inappropriate use of opioids in the United States continues to pose a significant challenge to public health. For a look into how the next generation of practitioners may be trained, this survey study sought to evaluate the current opioid prescribing patterns among Oral and Maxillofacial Surgery (OMFS) residency programs in the United States. A 16-question survey was sent to 100 residency program directors, with responses from 27 programs. The survey aimed to assess the program's strategies for postoperative pain management, including the use of opioids, non-opioids, and other available modalities such as localized long-acting bupivacaine. The results showed that 74% of the responding programs still taught the use of opioid prescriptions for third-molar removal, and 40% of the surveyed programs used prescription narcotics for other extractions as well. One-third of residency programs have adopted the use of localized long-lasting bupivacaine to limit the amount of narcotic medication required for dentoalveolar procedures. This study highlights the implications of these prescription habits and raises questions regarding future improvements to OMFS resident training programs.

Residents' Perception of the Impact of the Bell Commission in Oral Surgery Training: An Initial Study

Validation of a Microsurgery Simulation for Use in an Oral and Maxillofacial Surgery Training Curriculum

Introduction: Oral and maxillofacial surgery (OMFS) is a comparatively new surgical specialty that primarily emphasizes identifying and managing disorders of the head and neck, bridging dentistry and medicines. Objectives: The basic aim of the study is to assess the knowledge of the patients about the scope of oral and maxillofacial surgery. Material and methods: This cross-sectional survey was done in Peshawar, Pakistan, between April 1, 2020, to May 30, 2020, with a total of two hundred and sixty-five participants (n = 265). Individuals from the general population, licensed dentists, and medical experts from the private and public healthcare sectors participated in this study. Results: We surveyed 256 participants, of whom 39% were illiterate. 94% of those individuals were unaware of a department called maxillofacial surgery that specializes in treating head, neck, and face illnesses. 19% of the population was in elementary school, of which only 2% were aware of a "special doctor" for their requirements since their parents were concerned about their illness and were finally referred by another doctor (80%) or a relative (20%). 15% of students with secondary/intermediate education and 5% of those recognized maxillofacial surgeons as acceptable physicians for their treatment, primarily for dental extractions and/or palatal cleft patients who had been receiving therapy from infancy or post-operative TMJ ankyloses patients. Conclusion: Much of the common public was not aware of the scope of Oral and Maxillofacial surgery. While the majority of medical graduates surveyed knew that maxillofacial surgeons treat facial injuries, the vast majority did not know that these specialists treat a wide variety of certain other disorders affecting the head and neck. The need for spreading awareness among the population regarding the domains of Oral and Maxillofacial surgery is evident.

Why Do Women Choose to Enter Academic Oral and Maxillofacial Surgery?

Publication bias in oral and maxillofacial surgery journals: An observation on published controlled trials