Top

Published in:

01-09-2018 | Original Article

A nationwide survey of undergraduate training in oral and maxillofacial surgery

Authors: Lukas B. Seifert, Sebastian H. Hoefer, Swantje Flammiger, Miriam Rüsseler, Florian Thieringer, Michael Ehrenfeld, Robert Sader

Published in: Oral and Maxillofacial Surgery | Issue 3/2018

Abstract

Purpose

To investigate the current status of undergraduate training in oral and maxillofacial (OMF) surgery in Germany using a nationwide survey and hence contribute to an educational improvement in the field.

Methods

A 39-item questionnaire was sent to all university clinics with an OMF surgery chair in Germany (n = 34).

Results

Ninety-two percent of OMF clinics are involved in the curricular training in medicine and 100% in dentistry. Eighty-one percent of OMF clinics perform curricular examinations and, respectively, 86% in dentistry. Examinations are mainly performed written with multiple-choice tests (62% medicine, 76% dentistry) and using non-structured oral examinations (57% medicine, 86% dentistry). Objective structured clinical examinations (OSCEs) are only used in 19% of all faculties.

Conclusion

OMF surgery with its involvement both in medical and dental education has a special position as a surgical discipline. Our results show that OMF as a specialty is underrepresented in dental and especially in medical education considering the numerical and health economic importance of OMF consultations. Enhancing curricular integration and developing more structured examination forms is necessary to guarantee a high quality of OMF education.

Available only for authorised users

Moses H, Powers D, Keeler J, Erdmann D, Marcus J, Puscas L, Woodard C (2015) Opportunity cost of surgical management of craniomaxillofacial trauma. Craniomaxillofacial Trauma Reconstr 9:076–081. https://doi.org/10.1055/s-0035-1566160 CrossRef

(2017) Traumaregister DGU

Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H (2003) Cranio-maxillofacial trauma: a 10-year review of 9543 cases with 21,067 injuries. J Craniomaxillofac Surg 31:51–61CrossRefPubMed

Müller S (2017) Update from the 4th edition of the World Health Organization of head and neck tumours: tumours of the oral cavity and mobile tongue. Head Neck Pathol 11:33–40. https://doi.org/10.1007/s12105-017-0792-3 CrossRefPubMedPubMedCentral

Seifert LB, Sterz J, Bender B, Sader R, Ruesseler M, Hoefer SH (2017) Undergraduate medical students need more training in craniomaxillofacial surgery: a comparative study between medical and dental students. Innov Surg Sci 2:239–245. https://doi.org/10.1515/iss-2017-0032 CrossRef

Subhashraj K, Subramaniam B (2008) Awareness of the specialty of oral and maxillofacial surgery among health care professionals in Pondicherry, India. J Oral Maxillofac Surg 66:2330–2334. https://doi.org/10.1016/j.joms.2007.04.025 CrossRefPubMed

Shanks LA, Walker TWM, McCann PJ, Kerin MJ (2011) Oral cavity examination: beyond the core curriculum? Br J Oral Maxillofac Surg 49:640–642. https://doi.org/10.1016/j.bjoms.2010.10.021 CrossRefPubMed

McCann PJ, Sweeney MP, Gibson J, Bagg J (2005) Training in oral disease, diagnosis and treatment for medical students and doctors in the United Kingdom. Br J Oral Maxillofac Surg 43:61–64. https://doi.org/10.1016/j.bjoms.2004.08.023 CrossRefPubMed

Goodson AMC, Payne KFB, Tahim A, Cabot L, Fan K (2013) Awareness of oral and maxillofacial surgery as a specialty and potential career pathway amongst UK medical undergraduates. Surgeon 11:92–95. https://doi.org/10.1016/j.surge.2012.09.001 CrossRefPubMed

10.

Hunter MJ, Rubeiz T, Rose L (1996) Recognition of the scope of oral and maxillofacial surgery by the public and health care professionals. J Oral Maxillofac Surg 54:1227–1232 discussion 1233CrossRefPubMed

11.

Ologunde R, Sykes M (2014) A review of oral and maxillofacial surgery journals’ contribution to undergraduate surgical education. Br J Oral Maxillofac Surg 52:894–900. https://doi.org/10.1016/j.bjoms.2014.08.014 CrossRefPubMed

12.

Höfer SH, Schuebel F, Sader R, Landes C (2013) Development and implementation of an objective structured clinical examination (OSCE) in OMF-surgery for dental students. J Craniomaxillofac Surg 41:412–416CrossRefPubMed

13.

Landes CA, Hoefer S, Schuebel F, Ballon A, Teiler A, Tran A, Weber R, Walcher F, Sader R (2014) Long-term prospective teaching effectivity of practical skills training and a first OSCE in cranio-maxillofacial surgery for dental students. J Craniomaxillofac Surg 42:e97–e104CrossRefPubMed

14.

Mücke T, Borgmann A, Ritschl LM, Kesting MR, Loeffelbein DJ, Wolff KD (2013) Microvascular training of medical students and surgeons—a comparative prospective study. J Cranio-Maxillofacial Surg 41:e187–e190. https://doi.org/10.1016/j.jcms.2013.01.017 CrossRef

15.

Krüger M (2009) Nachwuchsmangel in der Chirurgie. Unfallchirurg 112:923–928CrossRefPubMed

16.

Mroczkowski P, Granowski D, Nestler G, Pross M (2007) Situation des chirurgischen Nachwuchses in Mitteldeutschland. Der Chir

17.

Kadmon M, Bender MJ, Adili F et al (2013) Kompetenzorientierung in der medizinischen Ausbildung. Nationaler Lernzielkatalog Chirurgie Chirurg 84:277–285. https://doi.org/10.1007/s00104-012-2449-9 CrossRef

18.

Kern DE, Thomas PA, Howard DM, Bass EB (2006) Curriculum development for medical education. A six-step approach. 1998. Johns Hopkins Univ Press Chapter Four Step 34:29

19.

Ruesseler M, Froehlich S, Ruesseler S, Zabel J, Sterz J, Obertacke U (2017) Statuserhebung der studentischen Lehre in Orthopädie und Unfallchirurgie. Z Orthop Unfall 156:168–174. https://doi.org/10.1055/s-0043-118220 PubMedCrossRef

20.

Ameerally P, Fordyce AM, Martin IC (1994) So you think they know what we do? The public and professional perception of oral and maxillofacial surgery. Br J Oral Maxillofac Surg 32:142–145CrossRefPubMed

21.

Magennis P (2011) Oral and maxillofacial surgery (OMFS) for those aiming for core surgical training 2011–12. Brit Assoc Oral Maxillofac Surg 202011–202012

22.

Meder A, Lammerding-Köppel M, Zundel S, Stöckle U, Bahrs C, Gonser C (2016) Kann mit praxisorientierter curricularer Lehre das Interesse am Fach Orthopädie und Unfallchirurgie geweckt werden? Z Orthop Unfall 154:618–623. https://doi.org/10.1055/s-0042-111007 CrossRefPubMed

23.

Ruiz JG, Mintzer MJ, Leipzig RM (2006) The impact of e-learning in medical education. Acad Med 81:207–212CrossRefPubMed

24.

Asselmeyer H (2004) Trends, current developments, and concepts in distance learning and e-learning. Int J Comput Dent 7:145–157PubMed

25.

Greenhalgh T (2001) Computer assisted learning in undergraduate medical education. BMJ 322:40–44CrossRefPubMedPubMedCentral

26.

Thieringer F, Sader R CRANIONLINE. http://www.cranionline.com/. Accessed 10 Nov 2017

27.

Wood T (2009) Assessment not only drives learning, it may also help learning. Med Educ 43:5–6. https://doi.org/10.1111/j.1365-2923.2008.03237.x CrossRefPubMed

28.

Sterz J, Höfer SH, Bender B, Janko M, Adili F, Ruesseler M (2016) The effect of written standardized feedback on the structure and quality of surgical lectures: a prospective cohort study. BMC Med Educ 16:292. https://doi.org/10.1186/s12909-016-0806-y CrossRefPubMedPubMedCentral

29.

Adili F, Kadmon M, König S, Walcher F (2013) Professionalisierung der Lehre im chirurgischen Alltag. Der Chir 84:869–874. https://doi.org/10.1007/s00104-013-2530-z CrossRef

30.

Marburger Bund Monitoring 2017. https://www.marburger-bund.de/der-marburger-bund/projekte-und-kampagnen/mitgliederbefragung/2017. Accessed 20 Nov 2017

31.

Rüsseler M, Schill A, Kalozoumi-Paisi P, Ganzert C, Arheilger L, Sterz J, Kollewe T, Hoefer S, Adili F (2016) Lehre im Fokus – Wie beurteilen Studierende ihre praktisch-klinische Ausbildung in der Chirurgie? Zentralblatt für Chir - Zeitschrift für Allg Visz Thorax- und Gefäßchirurgie 142:46–53. https://doi.org/10.1055/s-0042-116326 CrossRef

32.

Müller-Hilke B (2010) “Ruhm und Ehre” oder LOM für Lehre?-eine qualitative Analyse von Anreizverfahren für gute Lehre an Medizinischen Fakultäten in Deutschland. GMS Z med Ausbild 27:Doc43

33.

Ruesseler M, Obertacke U, Dreinhöfer K, Waydhas C, Marzi I, Walcher F (2011) Die studentische Lehre im gemeinsamen Fach Orthopädie-Unfallchirurgie – eine deutschlandweite Statuserhebung. Z Orthop Unfall 149:27–32. https://doi.org/10.1055/s-0030-1250594 CrossRefPubMed

34.

Hoefer SH, Sterz J, Bender B, Stefanescu MC, Theis M, Walcher F, Sader R, Ruesseler M (2017) Conveying practical clinical skills with the help of teaching associates—a randomised trial with focus on the long term learning retention. BMC Med Educ 17:65. https://doi.org/10.1186/s12909-017-0892-5 CrossRefPubMedPubMedCentral

35.

Schuebel F, Höfer SH, Rüsseler M, Walcher F (2014) Introduction of craniomaxillofacial surgery as a component of medical student training in general surgery. J Oral {…}

Title: A nationwide survey of undergraduate training in oral and maxillofacial surgery
Authors: Lukas B. Seifert
Sebastian H. Hoefer
Swantje Flammiger
Miriam Rüsseler
Florian Thieringer
Michael Ehrenfeld
Robert Sader
Publication date: 01-09-2018
Publisher: Springer Berlin Heidelberg
Published in: Oral and Maxillofacial Surgery / Issue 3/2018
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-018-0703-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

A nationwide survey of undergraduate training in oral and maxillofacial surgery

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 3/2018

Reply to letter to the editor commenting on the article “Intraosseous venous malformation of the zygomatico-orbital complex. Case report and literature review with focus on confusions in vascular lesion terms”

Diplopia—an unheralded consequence of neck dissection: case report

Double unilateral, bilateral, and multiple mandibular fractures: an observational study

Mandibular war injuries caused by bullets and shell fragments: a comparative study

The use of platelet-rich fibrin as a hemostatic material in oral soft tissues

Evaluation of complications and flap losses in mandibular reconstruction with microvascularized fibula flap