1
|
Sharma D, Douglas J, Begley A, Hutchison I, Magennis P. United Kingdom oral and maxillofacial surgeons support changes to current specialty recruitment process, which could include 'Walport' style local selection and national benchmarking. Br J Oral Maxillofac Surg 2024:S0266-4356(24)00057-3. [PMID: 38714378 DOI: 10.1016/j.bjoms.2024.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 03/11/2024] [Accepted: 03/15/2024] [Indexed: 05/09/2024]
Abstract
Recruitment to oral and maxillofacial Surgical (OMFS) specialty training was centralised in 2010. The 'flexibility' for OMFS to respond to specialty specific recruitment issues is reducing and many Specialty Trainees' (ST) posts are left unfilled. The National Institute for Health and Care Research (NIHR) appointment process designed to address the problem of recruiting and appointing academic surgeons with local selection with national benchmarking has worked. Using a database of all UK OMFS consultants/trainees, an electronic questionnaire was shared by e-mail, WhatsApp, and other social media. Of 306 replies, 125 (41%) were Consultants/post-certificate of completion training (CCT) individuals, 66 (22%) ST, 61 (20%) second degree students, 27 (9%) pre-second degree, 26 (9%) dual degree pre-ST trainees, and one did not indicate their status. A total of 249 (76%) studied dentistry first and 230 (75%) were male. Of those replying, 147 (48%) had no direct experience of national selection. 120 (39%) had experience as a candidate, 20 (7%) as a selector only, 17 (6%) as a candidate and selector, and two did not record their experience. Of 250 expressing an opinion, 156 (62%) supported local selection with 140 (56%) supporting local selection and national benchmarking, which is a process used for research training posts by the NIHR. Geographical continuity was most important for 78% of pre-second-degree trainees, 45% of STs, and 54% of second-degree students. A total of 57 respondents completed free text comments. There is support for changes in OMFS ST selection including creating OMFS posts which include Foundation and second-degree training in NIHR style locally recruited nationally benchmarked posts.
Collapse
Affiliation(s)
- Divya Sharma
- University Hospitals Bristol and Weston, United Kingdom.
| | - James Douglas
- OMFS Specialty Trainee Yorkshire & Humber, United Kingdom.
| | - Anne Begley
- Consultant OMFS - Aintree University Hospitals NHS Trust, United Kingdom.
| | - Iain Hutchison
- Barts and The London Institute of Dentistry, United Kingdom.
| | - Patrick Magennis
- Consultant OMFS - Aintree University Hospitals NHS Trust, United Kingdom.
| |
Collapse
|
2
|
Choice of Oral and Maxillofacial Surgery as a Specialization and Career Path: An Undergraduate Perspective. J Maxillofac Oral Surg 2022. [DOI: 10.1007/s12663-022-01742-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
|
3
|
Fomete B, Adebayo ET, Oginni FO. Expectations, Experiences and Perceptions of Oral and Maxillofacial Surgery Residents to Training in Nigeria. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2022; 26:248-253. [PMID: 33982385 DOI: 10.1111/eje.12693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 01/25/2021] [Accepted: 04/30/2021] [Indexed: 06/12/2023]
Abstract
PURPOSE How surgical residents fare during their training could enhance job satisfaction and fulfilment post-training. But there is paucity of literature on the experiences of oral and maxillofacial surgery (OMS) trainees during residency training. The aim of this study was to report the expectations, experiences and perceptions of OMS residents towards training in Nigeria. METHODS Cross-sectional study of OMS residents in accredited Nigerian training institutions was conducted between September and December, 2017. Study tool was adapted from that used for general surgery residents in the United States. Results were analysed using Microsoft Excel for Windows 10. RESULTS Sixty-eight of seventy-three questionnaires were returned (response rate was 93%). More respondents were males (86.8%) than females (13.2%). 44.1% of all respondents were aged 35-39 years. Senior residents (n=31, 45.6%) were more than those in the junior cadre. The most important reason for choosing OMS residency training was for knowledge (72.1%) followed by the prospect of better pay (8.8%). Most residents believed their opinions were important (66.7%) and looked forward to their daily work (72.1%) but were dissatisfied with the didactic teaching aspect by consultants (57.3%) and felt the hours and stress of working were straining their family life, respectively (91.0% and 76.7%). CONCLUSION Most OMS residents were happy and expected to gain knowledge from the training. However, some were dissatisfied with the training duration and level of didactic teaching by consultants and the impact of residency training on family life. There is need to improve didactic teaching and ensure adequate work/family balance for better OMS residency training in Nigeria.
Collapse
Affiliation(s)
- Benjamin Fomete
- Department of Dental and Maxillofacial Surgery, Ahmadu Bello University/Teaching Hospital, Zaria, Nigeria
| | - Ezekiel T Adebayo
- Department of Oral and Maxillofacial Surgery, University of Medical Sciences/Teaching Hospital, Ondo City, Nigeria
| | - Fadekemi O Oginni
- Department of Oral and Maxillofacial Surgery, Obafemi Awolowo University/Teaching Hospital, Ile Ife, Nigeria
| |
Collapse
|
4
|
Khalil K, Sooriyamoorthy T, Tahim A, Fan K. Use of a webinar series to improve exposure to oral & maxillofacial surgery during a global pandemic. ADVANCES IN ORAL AND MAXILLOFACIAL SURGERY 2022. [DOI: 10.1016/j.adoms.2022.100268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
|
5
|
Anderson SH, Moe JS, Abramowicz S. Work-Life Balance for Oral and Maxillofacial Surgeons. Oral Maxillofac Surg Clin North Am 2021; 33:467-473. [PMID: 34364748 DOI: 10.1016/j.coms.2021.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Oral and maxillofacial surgeons experience high levels of stress and work-home conflict, which predispose them to burnout. There is emerging evidence in support of work-life integration to prevent burnout; interventional strategies exist on an individual and organizational level. This article explores the current evidence on promoting work-life integration for improved surgeon satisfaction, performance, and efficiency. Work-life integration initiatives can help promote the recruitment and retention of a diverse surgical workforce in oral and maxillofacial surgery.
Collapse
Affiliation(s)
- Sara Hinds Anderson
- Department of Oral and Maxillofacial Surgery, Michigan Medicine, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
| | - Justine Sherylyn Moe
- Department of Oral and Maxillofacial Surgery, Michigan Medicine, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
| | - Shelly Abramowicz
- Division of Oral and Maxillofacial Surgery, Department of Surgery, Emory University School of Medicine, 1365 Clifton Road, Building B, Suite 2300, Atlanta, GA 30322, USA.
| |
Collapse
|
6
|
Kop M, Read P, Walker BR. Pseudocommando mass murderers: A big five personality profile using psycholinguistics. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-019-00230-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
7
|
Variation in UK Deanery publication rates in the British Journal of Oral and Maxillofacial Surgery: where are the current 'hot spots'? Br J Oral Maxillofac Surg 2021; 59:e48-e64. [DOI: 10.1016/j.bjoms.2020.08.090] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 08/06/2020] [Indexed: 02/07/2023]
|
8
|
Al-Najjar Y, Rowe A, Naredla P, Magennis P, Smith AT. Three changes to reduce the loss of dual degree trainees from OMFS national specialty selection in the UK: evidence based proposals. Br J Oral Maxillofac Surg 2021; 60:36-41. [PMID: 34284887 DOI: 10.1016/j.bjoms.2021.01.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2021] [Accepted: 01/22/2021] [Indexed: 10/22/2022]
Abstract
The training pathway for oral and maxillofacial surgery (OMFS) has remained relatively stable for around 30 years. Circumstances surrounding the training pathway have changed including the priorities of individuals considering entering OMFS training. Run-through Specialty Training (ST1) OMFS posts (which include core surgical training) are oversubscribed while direct entry to Specialty Training (ST3) OMFS specialty recruitment rounds have unfilled posts, including places declined by appointable candidates. As part of a project to refine and improve OMFS recruitment and retention, data drawn from the British Association of Oral and Maxillofacial Surgeons (BAOMS) and the OMFS National Selection administering Deanery, Health Education England South West were scrutinised. Numbers of students starting second undergraduate degrees (medicine or dentistry) to pursue an OMFS career are increasing. Of a total of 43 candidates deemed appointable at OMFS ST1 selection but not offered an available post, 16 did not subsequently apply for ST3 selection. In the period studied (2015-20), of a total of 116 unfilled ST3 posts, 39 remained vacant because appointable candidates declined the available posts (33%). Appropriate changes to the current national selection processes could help address the perceived OMFS ST recruitment problems. By increasing the number of available ST1 posts, widening the window during which appointable candidates can continue into training and increasing prior experience recognition (including creating benchmarking processes prior to ST). These 3 clear, fair and transparent changes could reduce the current levels of attrition.
Collapse
Affiliation(s)
| | - A Rowe
- Queen's Medical Centre, Nottingham.
| | | | - P Magennis
- Liverpool University Hospitals NHS Foundation Trust.
| | - A T Smith
- Sheffield Teaching Hospitals & Barnsley Hospitals NHS Foundation Trusts.
| |
Collapse
|
9
|
Magennis P, Begley A, McLean A, Rapaport B, Dhariwal DK, Brennan PA, Hutchison I. The UK Mentoring and Support Programme (MSP) for those considering a career in Oral and Maxillofacial Surgery (OMFS). A review of a 'Register Interest in OMFS' website and the MSP as two key resources created by the British Association of Oral and Maxillofacial Surgeons to promote recruitment and retention (2008-2020). Br J Oral Maxillofac Surg 2020; 59:935-940. [PMID: 34400024 DOI: 10.1016/j.bjoms.2020.12.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 12/01/2020] [Indexed: 11/17/2022]
Abstract
In 2008, to create a rapid route for information transfer in relation training and recruitment for OMFS trainees, the British Association of Oral and Maxillofacial Surgeons (BAOMS) created a website to "Register Your Interest in OMFS" (RYIO). From 2011 a Mentoring and Support Programme (MSP) was created to provide focussed guidance for trainees aiming for specialty training. This paper reviews the effectiveness and cost of these programmes. Between 2008 and 2020, 1744 individuals used RYIO on 2715 occasions. Of these registrations, 1772 were by dentists, 193 dental students, 589 doctors and 161 medical students. 2354 were from UK and Ireland and 351 from the rest of the world. 188 registrants subsequently became UK OMFS trainees or specialists. All registrants valued the information provided. In response to RYIO trainee feedback the new 'Taste of OMFS 2020' programme was created. The MSP was originally called the Junior Trainee Programme (JTP). The MSP scheme provides a layer of mentorship/support which runs parallel to the medical/dental training post or period of study. Of 180 members of MSP, 72 have obtained specialty training posts in OMFS. There are 88 current members. Full information is available on the BAOMS website www.baoms.org.uk. Reviewing both programmes, participant feedback is excellent with tangible results whilst cost effectiveness is high.
Collapse
Affiliation(s)
- P Magennis
- Liverpool University Hospitals NHS Foundation Trust, United Kingdom.
| | - A Begley
- Liverpool University Hospitals NHS Foundation Trust, United Kingdom.
| | - A McLean
- University of Liverpool, United Kingdom.
| | - B Rapaport
- University of Liverpool, United Kingdom.
| | - D K Dhariwal
- John Radcliffe Hospital, Oxford, United Kingdom.
| | | | - I Hutchison
- Institute of Dentistry, Barts and The London, United Kingdom.
| |
Collapse
|
10
|
Woolley E. Oral and Maxillofacial Surgery - the future is in our collective hands. Re: Editorial: Our specialty, our future, is the writing on the wall? Br J Oral Maxillofac Surg 2020; 60:82-84. [PMID: 33678450 DOI: 10.1016/j.bjoms.2020.11.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 11/28/2020] [Indexed: 10/22/2022]
Abstract
We offer a response to the Editorial 'Our Specialty, Our Future, Is the Writing on the Wall?' by Newman et al1 and suggest opportunities to support recruitment, retention and education in Oral and Maxillofacial Surgery.
Collapse
Affiliation(s)
- E Woolley
- Oral and Maxillofacial Surgery, Betsi Cadwaladr University Health Board, North Wales.
| |
Collapse
|
11
|
Kennedy C, Magennis P, Begley A, Dhariwal D, McVicar I, Hutchison I. First degree hotspots for OMFS recruitment 1967–2010: dental and medical schools where OMFS specialists and trainees were more likely to start their careers. Br J Oral Maxillofac Surg 2020; 58:1310-1316. [DOI: 10.1016/j.bjoms.2020.09.031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 09/23/2020] [Indexed: 11/29/2022]
|
12
|
Training in the United Kingdom: are we fit for purpose? Br J Oral Maxillofac Surg 2020; 58:1225-1228. [DOI: 10.1016/j.bjoms.2020.08.081] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 08/12/2020] [Indexed: 11/18/2022]
|
13
|
Sharp E, Clementi R. Oral and maxillofacial surgery in the United Kingdom is the most satisfying surgical speciality for trainees whilst being one of the least competitive. Br J Oral Maxillofac Surg 2020; 58:1355-1356. [PMID: 32044144 DOI: 10.1016/j.bjoms.2020.01.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2020] [Accepted: 01/17/2020] [Indexed: 11/28/2022]
Affiliation(s)
- E Sharp
- Brighton and Sussex Medical School, MSc Healthcare Leadership and Commissioning, 94 N - S Rd, Falmer, Brighton BN1 9PX.
| | - R Clementi
- Brighton and Sussex Medical School, B.S. Politics and Global Public Health, New York University, 94 N - S Rd, Falmer, Brighton BN1 9PX
| |
Collapse
|
14
|
Junior Trainees Group (JTG) of the British Association of Oral and Maxillofacial Surgeons (BAOMS) conference 2018: overview of the conference and analysis of delegates’ feedback. Br J Oral Maxillofac Surg 2019; 57:1025-1031. [DOI: 10.1016/j.bjoms.2019.08.027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Accepted: 08/29/2019] [Indexed: 11/23/2022]
|
15
|
Lee JS, Ji YD, Kushner H, Kaban LB, Peacock ZS. Residency Interview Experiences in Oral and Maxillofacial Surgery Differ by Gender and Affect Residency Ranking. J Oral Maxillofac Surg 2019; 77:2179-2195. [DOI: 10.1016/j.joms.2019.06.174] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Revised: 05/20/2019] [Accepted: 06/17/2019] [Indexed: 11/30/2022]
|
16
|
Social factors as career obstacles for female oral and maxillofacial surgeons in three Middle Eastern countries. Int J Oral Maxillofac Surg 2019; 48:1504-1508. [PMID: 30910411 DOI: 10.1016/j.ijom.2019.03.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2018] [Revised: 01/23/2019] [Accepted: 03/05/2019] [Indexed: 12/12/2022]
Abstract
Despite the feminization of dentistry in many areas of the world, female representation in the field of oral and maxillofacial surgery (OMFS) is poor. The purpose of this study was to identify factors perceived by female oral and maxillofacial surgeons in Egypt, Jordan, and Saudi Arabia as being obstacles to their career progression and to compare them to factors identified by their male colleagues. This was a cross-sectional questionnaire-based study. A Google Forms questionnaire was designed to collect data on socio-demographics and perceived career obstacles in OMFS. This was distributed to oral and maxillofacial surgeons in Egypt, Jordan, and Saudi Arabia. Statistically significant differences between the genders were evident in terms of marital status (P=0.001), spouse's education (P=0.005), and spouse's occupation (P<0.001). When compared to male surgeons, female surgeons more often considered that their spouse's occupation hindered their career progression (P<0.001). Female surgeons, but not male surgeons, perceived sexism and social factors such as marriage, children, and the attitudes of society to be major career obstacles (P<0.005). In conclusion, female maxillofacial surgeons in some Middle Eastern countries were found to have different socio-demographic characteristics compared to their male colleagues and they considered sexism, marriage, children, and the attitudes of society to be major career obstacles.
Collapse
|
17
|
“Run-through” training at specialist training year 1 and uncoupled core surgical training for oral and maxillofacial surgery in the United Kingdom: a snapshot survey. Br J Oral Maxillofac Surg 2018; 56:327-331. [DOI: 10.1016/j.bjoms.2018.03.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2017] [Accepted: 03/16/2018] [Indexed: 11/22/2022]
|
18
|
Begley A, Magennis P. OMFS: Do your research. Br Dent J 2016; 221:537. [PMID: 27811904 DOI: 10.1038/sj.bdj.2016.801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|