Advertisement

A Multi-site Cross-Sectional Survey Exploring Medical Undergraduate Knowledge of Oral and Maxillofacial Surgery

  • Katherine HarrisEmail author
  • Christopher Jefferies
Original Article
  • 6 Downloads

Abstract

Purpose

To evaluate medical student exposure to OMFS and knowledge of which clinical cases are appropriate to refer to the OMFS surgeon and the academic requirements to pursue a career in OMFS.

Methods

The investigators designed and distributed a cross-sectional survey to a cohort of current UK medical students. The primary outcome was medical student knowledge of the role of the OMFS, which was measured by their ability to correctly identify which cases were appropriate to refer to OMFS. Secondary outcomes included: identifying the proportion of students exposed to OMFS and the nature of this exposure; identifying student knowledge of the requirements to commence OMFS speciality training; and comparing knowledge of OMFS in those exposed to OMFS at medical school and those not exposed. The investigators hypothesised that undergraduates exposed to OMFS would have a greater understanding of the role of the OMFS and the requirements to pursue this speciality.

Results

Of the 299 participants included in this study, 77.4% (230) had no exposure to OMFS at medical school. Overall, the students exposed to OMFS at medical school performed superiorly (mdn = 13) to the OMFS-naïve students (mdn = 13), z-score = 2.185, p = 0.03, in correctly identifying cases to refer to an OMFS surgeon. They also were more likely to correctly identify the requirement of core surgical training (CST) (p = 0.04, χ2 = 4.182) and membership of the Royal College of Surgeons (p = 0.02, χ2 = 9.879) as needed to begin OMFS speciality training.

Conclusion

Exposure to OMFS is still limited within the medical undergraduate curriculum, and this is reflected in poor knowledge of OMFS. An increase in the amount of contact with OMFS at an undergraduate level would not only help create greater interest in OMFS as a career but would help doctors of all specialities when exposed to OMFS.

Keywords

Oral and maxillofacial surgery Education Undergraduate study Medical school 

Notes

Acknowledgements

The authors would like to thank Laura Sandland-Taylor on her collaboration with this work.

Compliance with Ethical Standards

Ethical Approval

Ethical approval was sought and granted on by the Hull York Medical School Ethics Committee (ref 1812) in April 2018.

References

  1. 1.
    Carton A, Woodwards B, Brown AE, Mitchell D (2016) Oral and maxillofacial surgery; Joint committee on surgical training. https://www.iscp.ac.uk/curriculum/surgical/specialty_year_syllabus.aspx?enc=8tCFUFPXMTEsLK/Xcz3Nqg. Accessed 11 Nov 2018
  2. 2.
    Mahmood S, MacLeod SPR, Lello GE (2002) FRCSEd (Oral and Maxillofacial Surgery): a milestone in the history of Oral and Maxillofacial Surgery in the United Kingdom. Br J Oral Maxillofac Surg 40:300–303CrossRefGoogle Scholar
  3. 3.
    Aga F, Bridle C (2015) Attitudes of undergraduate medical and dental students towards the specialty of oral & maxillofacial surgery. Br J Oral Maxillofac Surg 53:10CrossRefGoogle Scholar
  4. 4.
    Ifeacho SN, Malhi GK, James G (2005) Perception by the public and medical profession of oral and maxillofacial surgery–has it changed after 10 years? Br J Oral Maxillofac Surg 43(4):289–293CrossRefGoogle Scholar
  5. 5.
    Hunter MJ, Rubeiz T, Rose LJ (1996) Recognition of the scope of oral and maxillofacial surgery by the public and health care professionals. Oral Maxillofac Surg 54(10):1227–1232CrossRefGoogle Scholar
  6. 6.
    Subhashraj K, Subramaniam BJ (2008) Awareness of the specialty of oral and maxillofacial surgery among health care professionals in Pondicherry, India. Oral Maxillofac Surg 66(11):2330–2334CrossRefGoogle Scholar
  7. 7.
    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(3):142–145CrossRefGoogle Scholar
  8. 8.
    Reddy K, Adalarasan S, Mohan S, Sreenivasan P, Thangavelu A (2011) Are people aware of oral and maxillofacial surgery in India? Maxillofac Oral Surg 10(3):185–189CrossRefGoogle Scholar
  9. 9.
    Templer B, Amin K, Ahmed N, Fan K (2012) Oral and maxillofacial surgery (OMFS) the importance of undergraduate training and future career choice. Br J Oral Maxillofac Surg 29:S42–S56Google Scholar
  10. 10.
    Goodson AM, 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 11:92–95CrossRefGoogle Scholar
  11. 11.
    Mahalingam S, Kalia P, Mugilan S (2015) Oral and maxillofacial surgery in medical schools in the United Kingdom. Br J Oral Maxillofac Surg 53(3):295–297CrossRefGoogle Scholar
  12. 12.
    Herd KM, Chadha A, Dastaran M (2011) A survey of the career-defining determinants of prospective UK oral and maxillofacial surgical trainees. Br J Oral Maxillofac Surg 49(8):635–639CrossRefGoogle Scholar
  13. 13.
    Brecknell J (2017) Recruitment and retention in surgery. NHS Health Education England, LondonGoogle Scholar
  14. 14.
    Stewart A, Walsh S, Mageenis P (2005) Reasons for the shortage of applicants for SpR posts in oral and maxillofacial surgery. A survey of dental graduates studying medicine. Br J Oral Maxillofac Surg 43:458Google Scholar
  15. 15.
    Campos-Outclat D, Senf J, Pust R (1992) Family practice specialty preference before and after a required clerkship. Fam Pract Res J 12(2):213–221Google Scholar
  16. 16.
    Bland CJ, Meurer LN, Maldonado G (1995) Determinants of primary care specialty choice: a non-statistical meta-analysis of the literature. Acad Med 70(7):620–641CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  1. 1.Hull York Medical SchoolOakworthUK
  2. 2.LondonUK

Personalised recommendations