Face to Face® August 2022

Page 1

We are currently engaged in developing a five year strategic plan designed to position the association and Foundation for growth and Tosuccess.paytribute to the 60 th anniversary, the upcoming season of the IAOMS podcast is a series of interviews with past IAOMS Presidents reflecting on their time with the organization and its impact on their careers and patients. These stories will draw from every part of the world, and every walk of life impacted by OMF surgery. ENERGY

This year is especially memorable as 2022 marks the 60 th anniversary of the association . The IAOMS has a groundbreaking history to look back on and many accomplishments to celebrate. As we celebrate the successes of our 60 year history we seek to ensure a strong and vibrant future.

RENEWED

Mitchell Dvorak EXECUTIVE DIRECTOR, IAOMS

Other news on the horizon is the long-awaited reunion of OMF surgeons from around the world at ICOMS 2023 in Vancouver, Canada. Stay tuned for updates on the scientific program and networking events. Registration opens summer 2022 and we look forward to seeing you there. Until then be sure to look for us at the IAOMS booth at these upcoming conferences: ANZAOMS in Melbourne, Australia AAOMS in New Orleans, USA, EACMFS in Madrid, Spain and CIALACIBU in Cartagena de Indias, Columbia. ■

THIS YEAR is off to a strong start and it is gratifying to see the renewed energy and enthusiasm among our Board, colleagues and members worldwide as the IAOMS expands its e-learning and virtual programs and begins a return to in-person conferences and programing.

The 2022 IAOMS Virtual Conference which took place in early June was a big success, with cuttingedge presentations and lively discussion with international attendees from 30 countries. This event was made possible by the generous support of the Osteo Science Foundation.

Editor-in-Chief Deepak Krishnan Assistant Editors Noor Al Saadi Lilis Iskandar Graphic Designer María Montesinos Executive Committee 2022-2023 Board of Directors Alejandro Martinez, President Gabriele Millesi, Past President Sanjiv Nair, Vice President Rui Fernandes, Vice President-Elect Brett Ferguson, Treasurer Larry Nissen, IAOMS Foundation Chair Mitchell Dvorak, Executive Director Members-at-Large Nardy FredAlfredCasapLauRozema Regional Representatives Imad Elimairi, Africa Tetsu Takahaski, Asia Nick Kalavrezos, Europe Leopoldo Victor Meneses Rivadeneira, Latin America Ian Ross, North America Jocelyn Shand, Oceania Nabil Samman, Editor-in-Chief, IJOMS Committee Chairs G.E. Ghali, Education Alfred Lau, NextGen Henry Garcia, NextGen Sean Edwards, Research Paul Sambrook, IBCSOMS Representative Ed Dore, 25th ICOMS-2023, Vancouver Issue 67 / August 2022 CONTACT US International Association of Oral and Maxillofacial Surgeons IAOMS Foundation 200 E. Randolph St., Suite 5100 Chicago, IL 60601 USA / communications@iaoms.org ©Copyright 2018. International Association of Oral and Maxillofacial Surgeons. Chicago, Illinois, USA. All rights reserved under international and Pan American copyright conventions. Cover image Adobe Stock. FACE TO FACE Registered in U.S. Patent and Trademark Office. ®

The upcoming IAOMS Webinar series will feature multiple perspectives on cases, including problem assessment, procedural recommendations, a discussion on complications, and patient communications. Speakers in this series will include NextGen surgeons. These sessions will be presented live with Q&A and then available on-demand for convenient viewing afterward. Whether you join us live, or enjoy the fabulous content as your schedule permits, we welcome you to make the most of these Finally,sessions.we are looking forward to seeing you all at ICOMS 2023. It is truly a blessing to have the chance to see us all gathered in person to make each other better surgeons and better people for our patients and families. Thank you for the chance to serve the IAOMS as your president and thank you for your devotion to our specialty. ■

Letter from the President

Though it is not an easy time for the world this spring, IAOMS members and partners helped to raise relief funds and provide medical equipment and supplies for our colleagues in Ukraine. Our thoughts and prayers go out to all impacted by this continuing struggle, and we hope for swift peace.

WATCHING this year unfold from the President’s chair has been a gift. Good people shine through even darker times and remind us why we keep going.

IAOMS PRESIDENT 2022-2023

It was my honor to moderate the first day of our IAOMS/ALACIBU Nextgen Online Conference and to experience such a fantastic collection of great minds and devoted hearts. Our NextGen Committee excelled in creating this event and curating each day to target each specialization. My deepest gratitude goes out to our speakers and moderators for a fantastic week of education and meaningful discussion, as well as Dr. Cesia Gonzales, who provided live translation to Spanish for our attendees. Thanks to our Emerald Sponsor, KLS Martin, this event and its recordings were made available free of charge to all members. I want to recognize the effort made by national associations that took the courage to have in-person meetings. These hugely successful meetings included ACBID in Antalya, Turkey; Asian Congress in OMS in Seoul, Korea; AMCBMC in Pachuca, México and the COBRAC in Florianopolis, Brazil and many more. These conference saw eager high level scientific presentations and the human desire for professional camaraderie. No doubt that our specialty has come out stronger through the pandemic.

Alejandro Martinez

CONTENTS August 2022 3 Renewed energy Mitchell Dvorak 5 Letter from the President Alejandro Martinez 7 Failure Deepak Krishnan 8 CHITCHAT What would you change about OMS training in your country if you could? 10 SPECIAL REPORT HOW DO YOU BECOME AN OMS IN...? Sri Lanka, Nepal, Pakistan, India, Philippines, China, Bangladesh, Nigeria, Egypt, Australia/New Zealand, Brazil, Mexico, Bolivia, Chile, El Salvador, Paraguay, Denmark, Jamaica, Trinidad and Caricom Islands 24 MAJOR OMS CERTIFICATION PROCESSES ABOMSIBCSOMS 36 MADRID IS WAITING FOR YOU EACMFS Congress 2022 38 A UNIQUE HONOR FOR A SENIOR MEXICAN OMS 39 AFTER THOUGHT Halsteadian model

attributingsuccessesmoreaccumulatingtestbeenvictories.theofhaveatprofessionalbeencertificationsboards,Examinations,andhaveapartofmylifeeverystage,sotheagonyfailuresandecstasyofIhadaterribletaker,failuresthanandallthose

THE cold dark December afternoon in London did not particularly help calm the stormy abyss of despair that I carried. I remember an imposing staircase in the lobby of the Royal College of surgeons in London. On that wintry afternoon in 1998, I remember Professor Leo Stassen’s face as he stood on those stairs reciting roll numbers of those who had been successful in the final FDSRCS exams. I was one of the examinees and I remember my disappointment, agony and complete hopelessness as the last number called was not mine. The realization that I had failed the most important exam I had every taken in my life quickly sank in.

Krishnan

college of surgeons motivated me to learn how to learn. Most of us train from age 3 till way beyond age 33 and are faced with the prospects of many exams, board certifications and renewal of credentials. This issue of Face to Face digs deep into the worlds of those boards and exams and processes from around the globe. ■

failures to my terrible test-taking. Until one day, it flipped. Until one day, I realized that it is not about the test, but about the knowledge, the genuine curiosity and application of that knowledge in taking care of patients. It wasn’t about the intricacies of the Krebs cycle; it was about the physiology of energy Regardlessexpenditure.ofwhere we chose to practice our fantastic specialty, we have a commitment to our patients. All the exams, boards and certifications are about that commitment of excellence to the public, about staying abreast and up to date in our skills and knowledge and practicing at the highest level of evidence-based surgery. It is our promise to those that seek our care that we will do nothing but the best for them.

Over the years, I have stumbled my way to become a board examiner at the American Board of Oral and Maxillofacial Surgery (ABOMS). I now help create exams and help examine some very well-prepared surgeons to reach the pinnacle of their profession –the ABOMS certification in the US. Different parts of the world have different ways for our colleagues to earn similar laurels after years of relentless training. This issue is all about learning, certifications, boards, and exams. There are a lot of parts of the world that do not offer a mechanism for such examination or board certification. The International Board for the certification of Specialists in Oral and MaxillofacialSurgery(IBCSOMS)stepsintobridgethatgap.Atonepointinmycareer, I had a license to atThatcountries.4dentistrypracticeindifferentfailuretheRoyal

FAILURE

Deepak EDITOR IN CHIEF

8 iaoms.org August 2022 5 What would you change about OMS training in your country if you could?

Shreya Tocaciu COONAWARRA, AUSTRALIA

Kathy Fan LONDON, UK Streamline our training pathways integrating 2nd clinical degree with funding.

Zachary Peacock BOSTON, USA other surgical specialties are decreasing their time in general surgery to focus more on their specialty. Medical licensing requirements in the US requires having 3 years of gen surg. This prevents our trainees from being able to do research years or international rotations without extending training significantly.

Sergio Olate TEMUCO, CHILE Include technological advances and research involved in robotics, tissue engineering and artificial intelligence in our training programs.

Abhay Kamat

MANGALORE, INDIA Case-based / problem-based training, rather than the conventional seminars and classroom teaching.

Chitchat

Decentralize our training -provide short rotations to regional centers, and outback communities to increase our knowledge about what OMS looks like without all the resources and technology that we are lucky to have. Develop a passion for outreach aid and working in rural communities, and enjoy the challenges and rewards of working off the beaten track.

Certification

our

• Grow

Surgery

Fellowship and Scholarship opportunities. • Experience

our

• Connect

USA • +1.312.577.7660 • www.iaoms.org *IAOMS members may benefit from reduced fees.

Visit iaoms.org to become a member or renew your membership. Questions? Contact Membership Manager Katie

with the IAOMS Review Course. • Support the next

our

Oral

August 2022 iaoms.org 9 Visit iaoms.org to become a member or renew your membership. Questions? Contact Membership Manager Katie Cairns at kcairns@iaoms.org *IAOMS members may benefit from reduced fees. • Learn with IJOMS, one of the world’s leading OMF journals with the highest impact factor of all OMF publications; read Face to Face, written for and by members • Enhance patient care through webinars, online conferences and other e-learning courses* • Prepare for the International Board for the Certification of Specialization of Oral and Maxillofacial Surgery (IBCSOMS) with the IAOMS Review Course • Support the next generation through the IAOMS Foundation Fellowship and Scholarship opportunities •

community Join IAOMS Today 200 E. Randolph St., Suite 5100 • Chicago, Illinois 60601 USA • +1.312.577.7660 • www.iaoms.org Building yourandcareer our profession •

• Expand

leading OMF journals with the highest impact factor of all OMF publications. • Enhance patient care through webinars, online conferences and other e-learning courses*. • Prepare for the International

200 E. Randolph St., Suite 5100 •

conferences*. • Expand your

Experience events for all OMF surgeons, ranging from trainee to experienced surgeons: ICOMS, the IAOMS’ biennial signature educational and networking conference and “The Next Level Forum;” International Symposia, and regional conferences* your knowledge; access innovative best-in-class training with peers throughout the world among the next generation of oral and maxillofacial surgeons through NextGen programmatic initiatives; network with colleagues through online Read Face to Face, written for and by members. of the world’s Board for the of Specialization of and Maxillofacial (IBCSOMS) generation Foundation events for all OMF surgeons, ranging from trainee to experienced surgeons: ICOMS, the IAOMS’ biennial signature educational and networking conference and “The Next Level Forum;” International Symposia, and regional knowledge; access innovative best-in-class training. with peers throughout the among the next generation of oral and maxillofacial surgeons through NextGen programmatic initiatives; network with colleagues through online community. Cairns at kcairns@iaoms.org Chicago, Illinois 60601

• Connect

through the IAOMS

• Learn with IJOMS, one

world. • Grow

your

your

our

10 iaoms.org August 2022 HOW DO YOU BECOME AN OMS IN...

• BDS (4.5 years plus 1 year internship followed by 3 years of MDS).

• 1 year HouseJob at a teaching institute followed by a licensing exam NLE.

August 2022 iaoms.org 11

On successful completion of the two-year training as a Senior Registrar, one can take an Exit Examination, and on its successful completion, one will be certified as a Board-certified specialist by the Postgraduate Institute of Medicine (PGIM), University of Colombo.

• 4 years of training in OMFS at College of Physicians and Surgeons Pakistan which has 2 exams

• After one year employment as a Dental Practitioner, one could sit for the Selection examination in OMF Surgery conducted by the Postgraduate Institute of Medicine (PGIM), University of Colombo.

• Bachelor of Dental Surgery (BDS) Degree (5 years)

ASIANEPAL

• After succeeding in the Selection examination in OMF Surgery, one must undergo a three-year fulltime structured training program in OMF surgery as a Registrar (OMF Surgery). Then, on the successful completion of the training program, one must also sit for the MD (Oral & Maxillofacial Surgery) examination with one of the examiners being a Specialist in OMF surgery from abroad.

PAKISTAN Sahar Usman Karachi

• On successful completion of the MD (OMF Surgery) examination, one must undergo two years of training program: one year in Sri Lanka, and one year in a Center of Excellence abroad as the Senior Registrar (OMF Surgery).

Alok Sagtani

• After successful completion of internship, full registration is granted by SLMC to work as a Dental Practitioner.

• FCPS part 1 exam by College of Physicians and Surgeons Pakistan to be eligible for any postgraduate training.

SRI LANKA Suresh Shanmuganathan Sri Lanka

• Both degrees need to be registered with Nepal Medical Council. Licensing exams are conducted for both, irrespective of where one studies.

• Options for taking MDS are in Nepal, India, China, Bangladesh and FCPS from Pakistan.

• Bachelors of Dentistry (BDS) 4 years.

• After obtaining a BDS degree, provisional registration is given by Sri Lanka Medical Council (SLMC) (Registering body for Medical & dental Practitioners) to undergo one year internship

1. IMM ( intermediate module after 2 years of training 2. FCPS part 2 exam after next 2 years of training.

Kathmandu

• Once certified as Board certified specialist (OMF Surgery), the name will be entered in the Specialist Register maintained by the SLMC.

Charles P. Sia Mandaue City, Cebu OMFS is both single and double qualified speciality in Philippines Dental qualified • DMD (6 years).

*No double qualified doctor has trained locally to

• Pass the Philippine Association of OMFS examination or Philippine College of OMS.

• Pass the Philippine Association of OMFS examination or Philippine College of OMS.

• Pass the Dental licensure exam.

Double qualified • DMD (6 years).

• MD (4 years).

*Majority of the small private hospitals does not have an OMS.

• Conferred as Fellow of Philippine Association of OMFS or Conferred as Fellow of PCOMS and Specialist in OMS by PRC.

• Pass the licensure exam.

• MDS / MSc in OMS or equivalent (According to IAOMS 2011 Guidelines).

*OMS in the major private hospital highly prefers double qualification with overseas training and with evidence of board certification eg. IBCSOMS (International), Ph Academy of Medical Specialists (Local / Medical) with log of cases. Single qualified is limited to the oral cavity scope with restrictions.

*Some minor private hospitals allow single qualified to operate with less restrictions.

• Internship (1 year).

• 4 Year Residency (Local / Non full-time / PCOMS facilitated) or MDS / MSc in OMS or equivalent (According to IAOMS 2011 Guidelines).

• Pass the medical licensure exam.

*current.OMSis not recognised in public health service, although we have a single centre to date that has an official OMS unit in the south.

PHILIPPINES

• Conferred as Fellow of Philippine Association of OMFS or Conferred as Fellow of PCOMS and Specialist in OMS by PRC.

12 iaoms.org August 2022 INDIA

Akash Menon India • 5-year bachelor's in dentistry followed by a 3 years master's in OMFS. Thereafter fellowships are optional. Registration with the state chapters of the Dental Council of India is mandated for open practice.

• Options for post-graduation in Oral & Maxillofacial Surgery in Bangladesh for Dental Surgeons.

the Degrees need to be registered with Chinese Medical Council. -- then a fellow training of OMS in hospital for 3 years. -- then, pass exams and get certified by National organization or City medical council based on your program. There are also some other special programs different from foreign countries.

Ismat Ara Haider Dhaka

August 2022 iaoms.org 13

• BDS (5 years plus 1 year internship).

You can apply and continue your clinical training in a residency program in a certified hospital for 3 years for a master’s degree

- MS (Masters of Surgery - 5 years). - FCPS (Fellowship of College of Physicians and Surgeons - 5 years). Jiao Tong University (SJTU). BDS (4 years plus 1 year internship) got from Dental School of SJTU.

• BDS Degrees is needed to be registered in Bangladesh Medical & Dental Council (BMDC).

CHINA Wenwen Yu Shanghai • Shanghai

Then you can have options to be an OMS Choice 1 You can continue your study to graduate school(s) for 3 years for a Master’s Degree (academical degree), and/or another 3 years for a PhD degree (usually on basic research).

The Degrees need to be registered with Chinese Medical Council. Then, a residency program of 2 or 3 years. Then, a fellow training of OMS in hospital for 3 years. Then, pass exams and get certified by National organization or City medical council based on your program.

Choice 2

The Degree needs to be registered with The Chinese Medical Council. Then, attend a national exam for Stomatology for a basic license 1y after graduation from Dental School.

BANGLADESH

• Bachelor’s degree of medicine: 6 years + 1 year internship + master’s degree of surgery or ENT or plastic Surgery + 3 years’ experience.

• Two fellowship examinations will be taken during the OMFS fellowship training program. The Part 1 fellowship examinationis taken in the 3rd year of training. The Part 2 fellowship exam is taken in the 6th year of training, which is the final qualification examination for OMFS fellowship in either the NPMCN or WACS College.

Olufemi Erinoso Ikeja, Lagos OMFS is a dental speciality in Nigeria

NIGERIA

• After OMFS fellowship with either the NPMCN or WACS college, OMFS Surgeons can then register with the Nigerian Association of Oral and Maxillofacial Surgeons (NAOMS) as full members.

AFRICANigeria.EGYPT

• Next, a 6 year surgical residency training program in an accredited hospital is required to receive OMFS fellowship. The hospital must be accredited by either the National Postgraduate Medical College of Nigeria (NPMCN) or the West African College of Surgeons (WACS) or both Colleges (NPMCN&WACS).

• Fellowship is required to be a member of NAOMS and to practice as a Maxillofacial surgeon in

• BDS (5 years) + 1 year internship + any international recognised qualification: American board OMFS / FRCS RCS / Canadian board OMFS (after validation and recognition of training).

• Bachelor’s degree of medicine: 6 years + 1 year internship + master’s degree of surgery or ENT or plastic Surgery + PhD maxillofacial surgery in related discipline. Double qualified pathway

• Bachelor’s degree of medicine with internship year (7 years) + bachelor’s degree of dentistry with internship (6 Years) + master’s degree (3 years) + PhD (3 years) / or replace the master’s degree and PhD with a 5 years board training.

It is mandated that the practicing doctor gets a registry number following processing of qualifications and training pathways by the EAOMFS. Nader Elbokle Cairo

Mohamed Ghanem Cairo OMFS is both single and double qualified speciality in DentalEgyptqualified

• BDS (5 years) + 1 year internship + Arab board of OMFS (5years).

• Bachelor’ degree of dentistry: BDS (5 years) + 1 year internship + master’s degree (3 years) + PhD (3 years).

• A 1 year housemanship is then required with an MDCN accredited hospital after the dental degree.

• BDS (5 years) + 1 year internship + Master’s degree (3 years) + 3 years of OMFS experience post qualification.

• After the dental degree, registration with the Medical and Dental Council of Nigeria (MDCN) is required.

Medical qualified

• A dental (BDS/ BChD) degree (5-6 years) is required.

• The Primaries examination is then written for either the National Postgraduate Medical College of Nigeria (NPMCN) or the West African College of Surgeons (WACS). Success in the examination is required to begin OMFS surgical residency training.

14 iaoms.org August 2022

• BDS (5 years) + 1 year internship + Egyptian board of OMFS (5years).

Minimum of 2 years in the hospital as a junior doctor then eligible to apply for training

• Once qualified, certification with medical and dental boards (AHPRA) requires completion of logged CPD.

NEWAUSTRALIA/OCEANIAZEALAND

• Trainee surgeons are required to complete a research component during training. This can be an approved study (published) or a masters through research

Timothy Manzie Sydney Shreya Tocaciu Melbourne

• Fellowship optional

• Examination in the first and exit exam in 3rd or 4th year of training.

August 2022 iaoms.org 15

OMFS is a double qualified speciality in Australia and New Zealand Both medical and dental degrees (4-5 yrs for each). Both degrees to be registered with the national registration body (AHPRA).

• Selection through the royal Australasian college of dental surgeons (RACDS); 4 years minimum of surgical training.

• After exam there is a recertification every 5 years.

BRAZIL Raphael Guerra

• Dental degree (4-5yrs). Degree to be registered with the national registration body. 3 years of residency.

• Fellowship is MEXICOoptional.

• Dental degree 5 years.

• OMFS is a 4-year full time hospital-based residency with medical rotations (ENT, Anesthesia, Neurosurgery, plastic surgery, etc). OMFS Residency has a University recognition with a final exam before the university diploma.

Alejandro Martinez Mexico OMFS is a single qualified speciality in Mexico

The Mexican Board participate in the Mexican Academy of Surgery and Mexican Academy of Medicine. Both academies belong to the National Council of Medical Boards, this council is recognised by Federal Government. Our National OMFS Assoc. (AMCBMC) is officially recognised by the Federal Government in order to be a member you must have specialist license and also Board Certification.

16 iaoms.org August 2022 SOUTH AMERICA

São Paulo OMFS is a single qualified speciality in Brazil

OMF surgeons must present the Mexican Board exam.

• OMFS council registration.

• After that you will obtain the specialist license to legally work in the country.

The Application to do the Specialty in Oral and Maxillofacial Surgery is contemplated in the program of the National System of Medical Residence - Bolivia Information about the specialty in the country training and study time academic hours 4 years

Years

For

calendar

Name of the entity where you must register postCBMF training Ministry of Health Bolivia Departmental Health Services (Headquarters) Bolivian Society of Oral and Maxillofacial Surgery

The foreign student needs to revalidate or homologate his diploma as a dentist in this country to carry out CBMF studies Yes. Revalidation of the academic diploma

2.

On which public agency (ministry, social security etc.) depend the residences in CBMF of PlurinationalHealthState of Bolivia to follow before entering Studies of Oral and Maxillofacial Surgery in this country ALACIBU) Dentist

training 5 years

Average

Degree received after training in the specialty Specialist in Oral and Maxillofacial Surgery

Ministry

The foreign student needs to make some kind of registration to carry out their studies in the country (explain) No. The Application for Medical Residency in Oral and Maxillofacial Surgery does not contemplate an additional requirement

Title required to be able to carry out CBMF studies and exercise it (Dentist or Dentist and Doctor) Dentist of dental

Additional information of interest

15,000

MedicalDentist-DentistFormation:Doctor(notapproved by

August 2022 iaoms.org 17 BOLIVIA ALACIBU Country Bolivia Population 11.5 million habitants Name of the specialty in the Country Specialty in Oral and Maxillofacial Surgery Number of training centers 2 Number of Surgeons registered with your association 25 affiliates On which faculty in universities depends the specialty in CBMF Residencia de La Paz Depends on the faculty of medicine of the Universidad Mayor de San Andres

1. Path

3. On foreigners carrying out CBMF studies in this country

18 iaoms.org August 2022 CHILE ALACIBU Country Chile Population Approx. 18,500,000 habitants Name of the specialty in the Country Oral and Maxillofacial Surgery and Traumatology Number of training centers 9 Number of Surgeons registered with your association 136 affiliates On which faculty in universities depends the specialty in CBMF Dentistry On which public agency (ministry, social security etc.) depend the residences in CBMF Ministry of Education Ministry of Health 1. Path to follow before entering Studies of Oral and Maxillofacial Surgery in this country MedicalDentist-DentistFormation:Doctor(notapproved by ALACIBU) Dentist Title required to be able to carry out CBMF studies and exercise it (Dentist or Dentist and Doctor) Dentist Years of dental training 7 programs 3 years 2 programs 4 years Additional information of interest There are two programs migrating from 3 to 4 years of training 2. Information about the specialty in the country Average training and study time 3 years Name of the entity where you must register postCBMF training Superintendence of Health Registration of individual providers Degree received after training in the specialty Oral and Maxillofacial Surgeon and Traumatologist 3. On foreigners carrying out CBMF studies in this country The foreign student needs to make some kind of registration to carry out their studies in the country (explain) Must register with the Superintendence of Health The foreign student needs to revalidate or homologate his diploma as a dentist in this country to carry out CBMF studies Yes, you must validate the race

Name of the specialty in the Country Oral and Maxillofacial Surgery

Surgery from the Faculty of Dentistry of the University of El Salvador

There are two programs migrating from 3 to 4 years of training

Name of the entity where you must register postCBMF Degreetrainingreceived after training in the specialty Specialist in Oral and Maxillofacial Surgery

ALACIBU Country El Salvador 6,755,000 habitants

Postgraduate Specialty in Oral and Maxillofacial

Number of Surgeons registered with your association 29 affiliates

Additional information of interest

August 2022 iaoms.org 19 EL SALVADOR

3. On foreigners carrying out CBMF studies in this country

The foreign student needs to make some kind of registration to carry out their studies in the country (explain) Passport or temporary or permanent resident card, with valid authorization to carry out studies. Foreign applicants must be duly incorporated or with recognition of your degree and meet the byrequirementstheDental Profession Surveillance Board. They shall have the same duties and rights as nationals

The foreign student needs to revalidate or homologate his diploma as a dentist in this country to carry out CBMF studies

University degree of the academic degree Doctor of Dental Surgery or its equivalent, duly incorporated, authenticated by the University of origin and the Ministry of Education (MINED)

1. Path to follow before entering Studies of Oral and Maxillofacial Surgery in this country

On which public agency (ministry, social security etc.) depend the residences in CBMF

Years of dental training 8 years

Number of training centers

Title required to be able to carry out CBMF studies and exercise it (Dentist or Dentist and Doctor) Dentist-DoctorDentist

University of El Salvador (Ministry of Education) Ministry of Health Salvadoran Social Security Institute

2. Information about the specialty in the country Average training and study time 4 years

On which faculty in universities depends the specialty in CBMF Faculty of Dentistry of the University of El Salvador

Population

MedicalDentist-DentistFormation:Doctor(notapproved by ALACIBU) Dentist-DoctorDentist

On which public agency (ministry, social security etc.) depend the residences in CBMF of Education and Culture

42 affiliates

Number

Name of the specialty in the Country Oral and Maxillofacial Surgery and Traumatology of training centers of Surgeons registered with your association

The foreign student needs to make some kind of registration to carry out their studies in the country (explain) Yes, the title of Dentist

1 Number

Additional information of interest

MedicalDentist-DentistFormation:Doctor(notapproved

Name of the entity where you must register postCBMF training COP (Circle of Dentists of Paraguay) MSPBS (Ministry of Public Health and Social Welfare) Degree received after training in the specialty Specialist in Oral and Maxillofacial Surgery and Traumatology

Ministry

CONES

3. On foreigners carrying out CBMF studies in this country

On which faculty in universities depends the specialty in CBMF University of Paraguay. Faculty of Dentistry "Pierre Fauchard"

1. Path to follow before entering Studies of Oral and Maxillofacial Surgery in this country by ALACIBU) Dentist

Years

Autonomous

2. Information about the specialty in the country Average training and study time 3 years

6

20 iaoms.org August 2022 PARAGUAY ALACIBU Country Paraguay Population: 7.353.038 habitants

The foreign student needs to revalidate or homologate his diploma as a dentist in this country to carry out CBMF studies No

Title required to be able to carry out CBMF studies and exercise it (Dentist or Dentist and Doctor) Dentist of dental training years

•(STPS).Fellowship

August 2022 iaoms.org 21 DENMARKEUROPE

Sanne W. M. Andersen Jamaica Denmark OMFS is a single qualified speciality • 5 years dental degree. Supervised in private practice for one year, thereafter a license to practice can be giving by the danish authorities (STPS). A minimum of two years as a general dentist before applying for the resident position at a hospital. 5 years as a resident. No exams. Full time hospital with medial rotations: ENT, plastic, anaesthesia, orthopaedic, endocrine, on “free choice”. Specialist license is giving by the Danish authority optional.

If you’re dual degree and trained in areas of medical reciprocity, then you can get registered by the medical council and practice OMS.

22 iaoms.org August 2022 NORTH AMERICA

As you can see there are no official requirements and that’s why we are actively in the process of creating specialist registration for both dental and medical Also,specialties.youwould have to be a Jamaican citizen or legal permanent resident. Trinidad is very similar to Jamaica. I assume the remaining Caricom islands are similar.

Pierre-John Holmes Jamaica In Jamaica there are no specialist registries for either dentistry or medicine. They are currently being Toformulated.registeras an OMS in Jamaica, if you are a single degree you would need to present your credentials for training in addition to passing the local dental council (board) exam. The council does have the right to allow you to bypass the exam.

TRINIDADJAMAICA, AND ISLANDSCARICOM

Since the last issue of Face to Face came to print, conditions around the world have changed rapidly in many countries. As we look forward to the ability to meet and learn in person once again, we have begun work to resume our Fellowship and Visiting Scholars programs by restoring scholarships to those individuals whose observerships were paused during the pandemic. We thank you for your support while the programs were paused and appreciate your continued support as we cautiously look forward to reopening them to new Weapplicants.thankour

Larry W. Nissen IAOMS Foundation Chairman

CHAIRMAN

Emerald Level Sponsor, KLS Martin, for their support of the IAOMS/ ALACIBU NextGen Conference this past May. This five-day conference which paired master surgeons with NextGen surgeons to deliver lectures on a variety of topics also featured a substantial question and answer session each evening. Thanks to KLS Martin we were able to offer free registration to hundreds of participants. Our sincerest thanks to KLS Martin for their steadfast support to the IAOMS and the specialty.

Finally, if you haven’t already, be sure to take a look at the 2021 Annual Report that was published recently on the Foundation website. It is an honor to serve the IAOMS as Chairman of the Foundation, and a greater honor to work toward a common goal with my colleagues and friends worldwide. Thank you all for your support. I look forward to seeing you in Vancouver.

If there is one thing I am most looking forward to, it is seeing you all at ICOMS 2023 in Vancouver. In addition to a top-notch scientific program and keynote speakers along with superb networking events, we are planning an outstanding Foundation Luncheon with a truly inspiring speaker. I encourage everyone to join us. Tickets will become available once registration opens. It is a common struggle in international organizations to miss each other between sessions, but I believe I can speak for many of us when I say this will be a muchneeded reunion after so long apart.

August 2022 iaoms.org 23

FOUNDATION REPORT

While donations are always welcome and valued at any size, this program accepts planned donations from a member’s estate. Please consider a planned gift to the Laskin Legacy Society knowing that your gift will support education and research opportunities for future surgeons.

On the note of missing those we hold dear, the loss of Dr. Daniel Laskin is a void not easily filled for the IAOMS Foundation and for the OMFS community worldwide. His impact on our specialty is far from over and lives on through the Daniel M. Laskin Legacy Society.

IBCSOMS

The steering committee charged with this responsibility included: Mark Wong (USA) Paul Sambrook (Australia) Kurt Butow (South Africa ) Joseph Schoenaers (Belgium) Kitta Bonanthaya (India) Alex Martinez Garza (Mexico) Waldemar Polido (Brazil) Luiz Fernando Lobo Leandro (Brazil) Steve Shen (China) Kishore Nayak, ex officio (India) Larry Nissen, ex officio (USA)

By Mark Wong. USA Paul Sambrook. Australia Krishnamurthy Bonanthaya. India

Major OMS certification processes

International Board for the Certification of Specialists in Oral and Maxillofacial Surgery

By May 2013, the decision was made to form an International Board for the Certification of Specialists in Oral and Maxillofacial Surgery (IBCSOMS). This unwieldy name was chosen after much deliberation to emphasize that candidates be recognized as specialists in oral and maxillofacial surgery in their practice jurisdictions prior to seeking IBCSOMS certification. The initial Senate was appointed from members of the Steering Committee, with the addition of Ms. Cheryl Mounts, the former Executive Director of the American Board of Oral and Maxillofacial Surgery, who brought her considerable experience with certifying organizations to the IBCSOMS. The Board would rely entirely on digital technology with

BOARD CREATION IN MID-2012, the IAOMS Executive Committee, under the leadership of President Kishore Nayak, Vice President Piet Haers, and Immediate Past President Larry Nissen, created a steering committee to explore the establishment of an international certification process for oral and maxillofacial surgery. It was felt that such an entity might be of benefit to oral and maxillofacial surgeons globally. In countries without a certification process, an examination to test and certify an OMS’ knowledge and training would help define global standards for training, scope of practice and help elevate local training standards. It would also provide patients with a basis for selecting a surgeon as well as assure local licensing bodies about the qualifications and training of OMS’.

24 iaoms.org August 2022

Figure 3: Applicant portal.

Professor Kenichi Kurita, who was the President of the Japanese Society of Oral and Maxillofacial Surgery in 2013 was a strong advocate and supporter of the IBCSOMS and was very keen to have the inaugural examination in Japan. With the assistance of Professor Mikihiko Kogo and the strong support of the JSOMS leadership, plans were made for the first certification examination to be conducted at the University of Osaka, where Professor Kogo was Department Chair (Figure 2)

examiners from 8 different countries (Japan, Belgium, India, Australia, South Africa, USA, Holland, Switzerland) gathered in Osaka to review the examination material and receive instruction on the delivery of the oral exam and use of digital technology (Figures 4, 5)

Figure 2: Dinner with JSOMS leadership and IBCSOMS.

The first part of the examination is a 150 question multiple choice examination taken in a secure computer testing site. 47 candidates, mainly from Japan challenged this first examination. We used a state of the art testing facility at the University of Osaka for this purpose followed by two 45 minute oral examinations conducted by a panel of three examiners from all parts of the world (Figures 6, 7, 8). no physical office or paper documents to reduce cost and promote efficient communication across international borders. Cheryl retired from the IBCSOMS in 2017 handing over the administrative reigns to our extremely capable and current Executive Director, Ms Caroline Johnson (Figure 1).

Figure 4: Dr. Ann Collins (Australia) during examiner calibration. Figure 5: Examiner preexam calibration.

August 2022 iaoms.org 25

The exam would comprise a computer-based multiple choice examination followed by a two 45 minute oral examinations using 12 different patient conditions to test competence in the scope of the specialty. The first examination was scheduled for March, 2015 and over an 18 month period, a remarkable job was completed to create and incorporate a certifying organization from scratch, Figure 1: Succession planning from Ms. Mounts to Ms. Johnson, 2017.

FIRST EXAMINATION

26 iaoms.org August 2022

Figure 12: Professor Kogo with a rendition of "Sukiyaki".

The oral examination was held in different classrooms and the proceedings from multiple exam rooms were live streamed to a monitoring room where the IBCSOMS directors could monitor the progress of each exam and be available to solve any problems that developed (Figures 9, 10,

Approximately a month after completion of the examination, the scores were compiled and analyzed by a psychometrician who calculated the individual candidate scores, compared it to a passing standard set by the examination committee with values expected from a minimally qualified candidate. Statistical measurement of the reliability of the exam was also performed. This process allows a candidate’s performance to be verified with statistical confidence, an important and unique part of the IBCSOMS certification process that establishes the validity of the exam as an educational and experience assessment tool. To date, the pass rate for the examination has ranged between 80 – 89% with a Kuder-Richardson reliability score of between 0.83 – 0.92, where any value > 0.80 is considered highly reliable. Successful candidates are notified and arrangements made for their certificates to be awarded either by mail or preferably in person if a convocation ceremony can be arranged in conjunction with a professional conference (Figures 13, 14, 15).

Finally after 3 long days of examining, our examiners were finally able to relax and enjoy each other’s company and the new friendships made (Figure 12)

Figure 6: Checking in for examination. Figure 7: Waiting to check in Osaka MCQ. Figure 8: Taking MCQ exam. Figure 9: Oral exam

Shimozato,Collins,Malis,Nair,Kelly,toBredell,Bonanthaya,Wong,Schoenaers,R:CommitteeExaminationFiguretheFigureunderway.10:Monitoringoralexam.11:2015(FRLtoMs.Mounts,DrsButow,Sambrook,Kogo,Pogrel.BRLR:MsJohnson,DrsMataga,Seto,Kubota,Wood,Andrade,Westhuizen,Urade).

The IBCSOMS has been given four times in Japan with candidates from Japan, but also other nations including South Korea, Turkey, the United States, Saudi Arabia, South Africa and Namibia. In 2016, the successful examination format was reproduced in Bangalore, India with minor modifications. Instead of a University setting, the examination was successfully administered in a hotel (Figures 16, 17) Holding examinationthe in India experienceculinaryculturalwithcommitteeexaminationprovidedcolleaguesbyparticipationfacilitatedourIndianandouranewand (Figures 18, 19).

Figure 19: Caroline, Natalie experience Tuk Tuks with Dr. Bonanthaya

Figure 18: Examiners' dinner Bangalore 2017.

NEXT EXAMINATIONS

To date the majority of our fellows are from Japan (47%) and India (41%) (Figure 20).

Figure 16: Hotel Magrath, Bangalore. Figure 17: Hotel rooms were transformed into exam rooms by removal of the bed and addition of a table.

August 2022 iaoms.org 27

Figure 13:

ICOMSFigureobserves.IAOMSDr.Fellows;addressesPresidentFigureMelbourneatproudcandidatesSuccessfulwithaveryProfessorKuritaConvocationduringICOMS2015.14:IAOMSPietHaersnewIBCSOMSLarryNissen,ChairmanFoundation15:ConvocationRio2019.

Since this time 4 physical diets of the IBCSOMS exams have been held at Bangalore, from 2016-19 after which the pandemic brought this to a halt

North SouthernAmericaAsia Northern Africa Eastem WesternSouthernAfricaAfricaAsia Asia Eastem Asia

3%

1% 1% 1% 4%

41% Southeastem

1% 47%

Figure 20: Distribution of Fellows Globally.

The newer certification of added qualification [subsequently designated a fellowship) in oral oncology and reconstruction has strengthened the ongoing process of credibility acquisition with a significant number of oral and maxillofacial oncology and reconstructive surgeons undergoing this additional certification process too (Figure 21)

There was a palpable sense of excitement amongst the members of the AOMSI (Association of Oral and Maxillofacial Surgeons of India) when they were presented with the plans of an international certification process at a General Assembly at Goa in October 2015. The members were enthusiastic about this project which they hoped would in the years to come, create a level playing field for Maxillofacial Surgeons from around the world. This enthusiasm translated into financial support for the fledgling IBCSOMS from the Indian association whose leaders recognized the need for this project to succeed and hence the need for support and the IBCSOMS acknowledges this gratefully

Dr. Kitta Bonanthaya, Vice President of the IBCSOMS shares his perspective on what the IBCSOMS has meant to OMS in India and nearby regions

The Indian IBCSOMS fellows group is a vibrant community that meets every year on the sidelines of the Indian meeting to brainstorm, share their success stories, inspire younger professionals to take up this so that we are eventually able to establish the value and importance of this certification process.

By Dr. Bonanthaya:

28 iaoms.org August 2022

temporarily. Right in the beginning a significant number of senior and very senior surgeons from India subjected themselves to this process of certification thereby validating the need for such a process as well as legitimizing this idea of an international board certification. Surgeons from neighbouring countries including Malaysia, Korea, The Philippines, Sri Lanka, Iraq, Oman, Sudan, Turkey took the trouble to travel to India to be examined and become part of this burgeoning community of International Board certified Maxillofacial Surgeons

and Vice

It must be noted that no examiner or senate member receives any payment for their services, providing their expertise and exam development without cost.

Dr. Bonanthaya references the creation of an additional certification examination by the IBCSOMS as an example of how the Board is able to serve our international OMS community. Facing challenges from other specialties, our well trained and highly experienced OMS’ who sub-specialize in the management of head and neck cancer needed assistance establishing their credentials in this field. In 2017, under the guidance of Professor Joseph Helman from the United States, a Certificate of Added Qualification in Oral Oncologic and Reconstructive Surgery was created, following a similar examination format as the Fellowship examination. To date, this exam has been conducted four times and there are currently 16 surgeons who hold this qualification. Unlike the Fellowship examination which is calibrated to identify the minimally qualified surgeon, the Oral Oncology CAQ has been benchmarked to the highest of international standards to meet all potential challenges to its validity.

Bonanthaya at the AOMSI Annual Meeting 2019. FIRST VIRTUAL EXAMINATION: JULY 23-25, 2021 10 Fellowship candidates 4 CAQ candidates 4 Countries 24 Examiners 10 Countries 18 Time zones Houston1:00am Adelaide3:30pm

TRANSITION METHODSONLINEEXAMINATIONFACE-TO-FACETRADITIONALFROMTOANDHYBRID

The discussion regarding transition to alternate examination formats commenced even before the COVID pandemic due to the huge cost of developing and delivering a statistically valid examination which was equitable and transparent. The expense of our certification process included costs borne by candidates such as examination fees and travel and accommodation costs and costs borne by the IBCSOMS. For example, the second examination in Osaka in 2015 cost the Board more than $US100,000 to stage from expenses associated with the creation and delivery of a secure MCQ exam, rental of oral examination rooms, audiovideo monitoring equipment, costs associated with grading the exam with psychometric analysis and airfare and hotel costs for the examination committee.

August 2022 iaoms.org 29 Figure 22: Virtual Oral Examination 2021.

receives his Fellowship from

An online examination format might significantly reduce cost, but additional factors requiring consideration included security of examination materials, ensuring that candidates did not have access to external resources and scheduling examinations so that candidates and examiners interacted during reasonable times…. that is, not at 3 am!!

COVID-19 forced our hand and with the cancellation of international travel, the IBCSOMS decided to try the delivery of a virtual examination. In July, 2021 the first MCQ and oral examination was conducted entirely remotely. Many of the issues identified were overcome through resourcefulness and the use of special examination technology. But scheduling proved to be a problem. Despite our efforts, in order to schedule examinations for candidates during office hours, invariably some examiners were required to examine either very early or very late in the psychometricsvalidatedandexaminationsasdiscriminationconsistencysamerevealedresultsexaminationreviewhappywereHoweverday.weverythataofthethelevelofandourin-personthiswasby Kamat President Sambrook President

(Figure 22). Figure 21: Dr.

2021 ONLINE EXAM CANDIDATE EXIT SURVEY RESULTS

The exit survey from this examination (Figure 23) The expenses of running this examination was reduced considerably and as a result we were able to reduce the expenses of the examination by 33%.

50% Candidates thought the remote oral examination was a better than inperson 93% Candidates found the technology easy to access on both the MCQ & examinationoral

75% Examiners felt online security was managed but could never be completely secure 100% Examiners would rather be together in person than have remote examinations 100% Examiners found navigating technology easy

The exit survey of the examiners (Figure 24) Moving further forward, the IBCSOMS would look to continuing a complete online format for one or two examinations per annum. We would also look to holding a hybrid examination at least once per Thereyear.isno doubt there are many advantages to running a hybrid format where all examiners meet in 1 place, but candidates remain remote. Scheduling of oral examinations is facilitated and we are able to train new examiners, 2021 ONLINE EXAM EXAMINER EXIT SURVEY RESULTS

Figure 24: Examiners' opinion of virtual oral examination. calibrate both examiners and questions for new examination materials, and restore opportunities for collegial interactions for the examination panel. The candidates would continue to be examined online to reduce the costs associated with certification. This is the model we plan to use for the next few years as we consider the administration of this certifying organization. We hope you will become certified by the IBCSOMS and establish your credentials within the international community.

57% Candidates have never taken a remote examinationMCQbefore 93% Candidates have never taken a remote oral examination before 100% Candidates said the remote better/similarexaminationMCQwastoanonsiteexamination

30 iaoms.org August 2022

Figure 23: Candidates' opinion of virtual oral exam.

August 2022 iaoms.org 31 Current fellows (Figure 25) North SouthernAmericaAsia 5 Northern Africa 1 3 2 8 Eastem WesternSouthernAfricaAfricaAsia 98 Southeastem Asia Eastem Asia 4 112 Figure 25: Numbers of fellows globally in 2022. Current Senate structure (Figure 26) PAUL SAMBROOK President. Australia KRISHNAMURTHY BONANTHAYA Vice-President. India JOSEPH SCHOENAERS Secretary-Treasurer. Belgium MARK E. WONG Immediate Past President. United States IZUMI ASAHINA Senate Member. Japan ANTHONY POGREL Senate Member. United States JOSEPH HELMAN Senate Member. United States FADE OGINNI Senate Member. Nigeria CAROLINE E. JOHNSON Executive Director. United States SANJIV NAIR IAOMS liaison. Sanjiv Nair, India KURT-W BÜTOW Senate Member. South Africa 30 examiners from 19 countries IBCSOMS SENATE

Fairmontoperationsmovedstreettheroomrooms,anInconsiderations.accommodationenvironment,Candidate-friendlymorealongwithandrate2003,inresponsetoofferofstandardizedageneralupgrade,andattractionoflessnoise,theBoarditsexaminationtoChicago’sHotel.19461976 2003

THE AMERICAN Board of Oral Surgery was formed in 1946, with the first examination given in Chicago in February 1947. In 1978, the Board adopted the current designation, The designation became the American Board of Oral and Maxillofacial Surgery in The1978.Board conducted its first official meeting on May 25, 1946, at the Stevens Hotel in BoardChicago.moved the OCE to the Drake Hotel in 1976 to provide a

ABOMS The American Board of Oral and Maxillofacial Surgery

By Vincent J Perciaccante President ABOMS. USA

32 iaoms.org August 2022

August 2022 iaoms.org 33 THE ABOMS CURRENTLY DELIVERS FIVE EXAMINATIONS ◗ Oral and Maxillofacial Surgery In-service Training Examination (OMSITE) ◗ Qualifying Examination (QE) ◗ Oral Certifying Examination (OCE) ◗ Certificates of Added Qualifications (CAQ) Oral and Maxillofacial Surgery In-service Training Examination (OMSITE) • Administered annually to all OMS trainees • 250-question computer-based questions covering 10 subject areas designed to evaluate the knowledge and skills of residents in training • Performance review helps individual residents and program directors to evaluate progress and needs in individual and programmatic learning THE AMERICAN BOARD CERTIFICATION First step Qualifying Examination (QE) • 350 computer-based questions, covering 10 subject areas, testing knowledge in the central principles of the oral and maxillofacial surgery specialty. • Who can take it? practicing oral and maxillofacial surgeons and trainees in their last year of training Second step Oral Certifying Examination (OCE) • Who can take it? Candidates who have been successful on the QE • An in-person oral examination designed to test a Candidate’s critical thinking in oral and maxillofacial surgery • A three-section format Consisting of 12 scenarios and given over 144 minutes. 2023 Oral Certifying Examination Blueprint Section Orthognathic Surgery PathologyTMJInfection Section II DentoalveolarReconstructionImplantsTrauma Section III Adult (FocusEmergencyPediatricAssessmentMedical/AnesthesiaMedicalAssessment/AnesthesiaManagementAdditionalShortTopics3) *Examples of topics that may covered within the Focused Additional Short Topics are Aesthetic Surgery, Sleep Apnea, MRONJ, Ethics, Professionalism, Pre prosthetic Surgery, Soft Tissue Grafting, and others. This is not meant to be an exhaustive list, but simply to highlight some topic examples. OMSITE Blueprint The recognized leader in Board certification of oral and maxillofacial surgery and related disciplines I. Medical Assessment and Management of the Surgical Patient 25 A. Cardiovascular B. Respiratory C. Musculosketal & Nervous System D Endocrine, GI, GU, Metabolic II. Anesthesia and Pain Control 25 A. Local Anesthesia B. Deep GeneralSedation/Anesthesia C ACLS D Perioperative Pain Control E. Pediatric Anesthesia/PALS III. Dentoalveolar 25 A. Erupted/Unerupted Teeth B. Dentoalveolar injuries C. Infections D. Soft Tissue Procedures IV. Trauma 25 A. Evaluation of the Trauma Patient/ATLS B. Mandibular Injuries C. Mid/Upper Facial Injuries D. Soft Tissue Injuries V. Orthognathic/Cleft/OSA 25 A. Mandibular Deformities B. Maxillary Deformities C. Cleft Lip & Palate D. Craniofacial Syndromes E Obstructive Sleep Apnea VI. Cosmetic 25 A. Nasal B. Periorbital C. Skeletal Contour Alteration D. Soft Tissue Procedures VII. Temporomandibular Disorders/ Facial Pain 25 A. Muscular Disorders B. Internal Derangements C. Degenerative Joint Disease D. Joint and Disc Reconstruction E. Facial Pain VIII Pathology 25 A. Benign Lesions of Hard Tissue B. Benign Lesions of Soft Tissue C. Mucocutaneous/Dermatopathology D. Salivary Gland Pathology E. Malignant Lesions of Hard Tissue F. Malignant Lesions of Soft Tissue IX. Reconstruction 25 A. Nonvascularized Hard Tissue Grafts B. Nonvascularized Soft Tissue Grafts C. Vascularized Grafts D. Pedicle Flap X. Implants 25 A. Biology and Treatment Planning B. Prosthetic Considerations C. Hard Tissue Adjunctive Measures/Distraction Osteogenesis D. Soft Tissue Adjunctive Measures E. Complications QE Blueprint The recognized leader in Board certification of oral and maxillofacial surgery and related disciplines I. Medical Assessment and Management of the Surgical Patient 24 Questions A. Cardiovascular B. Pulmonary C. Musculoskeletal & Nervous System D. Endocrine, GI, GU, Metabolic E. Behavioral and Psychiatric F. Allergy, Immunology, and Hematology II. Anesthesia and Analgesia 27 Questions A. Local Anesthesia B. Deep Sedation/General Anesthesia C. Multimodal Analgesia D. Adult and Pediatric Office Based Anesthetic Emergencies III. Dentoalveolar 22 Questions A. Erupted/Unerupted Teeth B. Dentoalveolar Injuries C. Infections D. Soft Tissue Procedures IV. Trauma 27 Questions A. Evaluation of the Trauma Patient B. Mandibular Injuries C. Mid/Upper Facial Injuries D. Soft Tissue Injuries V. Orthognathic/Cleft/OSA 32 Questions A. Mandibular Deformities B. Maxillary Deformities C. Cleft Lip & Palate D. Craniofacial Anomalies E. Obstructive Sleep Apnea VI. Cosmetic 24 Questions A. Nasal B. Periorbital Upper/Midface C. Facial Contour Alteration D. Soft Tissue Procedures VII. Temporomandibular Disorders/Facial Pain 22 Questions A. Muscular Disorders, Facial Pain B. Internal Derangements C. Degenerative Joint Disease D. Joint Reconstruction VIII. Pathology 35 Questions A. Benign Lesions of Hard Tissue B. Benign Lesions of Soft Tissue C. Infectious, Inflammatory, and Autoimmune Conditions D. Salivary Gland Pathology E. Malignant Lesions of Hard Tissue F. Malignant Lesions of Soft Tissue

disciplines Cleft Surgery (45) General considerations 10 Patient evaluation o Feeding considerations o Presurgical orthodontic/orthopedic treatment o Interdisciplinary management Cleft lip repair 6 Unilateral cleft lip repair o Bilateral cleft lip repair o Primary nasal reconstruction o Complications Cleft palate repair 6 o Palate repair techniques o Intravelar veloplasty o Fistula management and repair o ManagementComplicationsofVelopharyngeal insufficiency 6 o Preoperative assessment o Surgical techniques Bone graft reconstruction of the cleft maxilla 6 o Presurgical orthodontic and orthopedic treatment Surgical techniques o Unilateral cleft bone graft o Bilateral cleft bone graft o Bone harvesting techniques Orthognathic surgery in the patient with cleft lip and palate 6 Diagnosis and treatment planning o Surgical techniques o SecondaryComplicationsreconstructive procedures 5 o Lip Nasalrevisionrevision and Rhinoplasty o Adjunctive surgical procedures SECTIONS TESTED ON OCE SURGERY SECTION I SURGERY SECTION II SURGERY SECTION III Orthognathic Surgery PathologyTMJInfection DentoalveolarReconstructionImplantsTraumaSurgery Adult Medical Assessment and Anesthesia Pediatric Medical Assessment and Anesthesia Anesthetic Emergency Management Focused Additional Short Topics

A. Benign Lesions of Hard Tissue (odontogenic tumors; vascular lesions) B. Salivary Gland (minor and major salivary gland tumors) C. Malignant Lesions of Hard Tissue (sarcomas of the facial skeleton; squamous cell carcinoma of the jaws; metastatic lesions)

Pathology (70)

The

E. Chemoradiation (induction chemotherapy; concomitant chemoradiation therapy; IMRT; the unknown primary cancer; nasopharyngeal and hypopharyngeal cancer)

oral and

The recognized leader in Board certification of oral and maxillofacial surgery and related disciplines

CAQ Blueprint Pediatric

D. Malignant Lesions of Soft Tissue (melanoma and non melanoma skin cancer; oral and oropharyngeal squamous cell carcinoma; thyroid and parathyroid tumors; vascular lesions; neural lesions; metastatic lesions)

and

and

HeadCAQ Neck Oncologic Reconstructive

Surgery

34 iaoms.org August 2022 AN INDIVIDUAL WHO SUCCESSFULLY COMPLETES THE OCE IS THEN A DIPLOMATE OF ABOMS Certificates of Added Qualifications (CAQ) • Who can take it? Diplomates with fellowship level education and training. • Why take it? To inform the public and professional colleagues that an OMS who holds this certification is qualified to practice within this focused specialty area and subspecialty disciplines. • CAQs currently offered Head and Neck Oncologic and Reconstructive Surgery and Pediatric (Cleft/Craniofacial)CraniomaxillofacialSurgery. • Process Fellowship trained individuals submit a case log that meets a minimum criterion in number of cases and case complexity. • 100-question examinations are computer-based.

Reconstruction (30) A. Non vascularized Grafts B. Free Vascularized Flaps C. Pedicle Flaps Craniomaxillofacial Surgery (Cleft and Craniofacial) recognized leader in Board certification of maxillofacial surgery and related

August 2022 iaoms.org 35 MAINTENANCECERTIFICATION Certification maintenance is the career-long phase of Diplomate Status that annually renews one’s commitment to the highest standards of patient care. This commitment is supported by the Diplomates continuing education, adherence to the Canons, improvementacumendemonstrationlocalmaintenancecredentialinone’scommunity,andtheofclinicalandpracticestandards. THE BOARD Left to right. Martin B Steed, Paul Tiwana, Pushkar Mehra, BJ Costello, Vincent Perciannate, Larry Cunningham, David Powers, Deepak Kademani. Annual Registration including CE attestation •Answer questions based off 2 reference articles •Attest to Performance in Practice Annual •AnswerincludingRegistrationCEattestationquestionsbasedoff 2 reference articles •AnswerincludingRegistrationAnnualCEattestationquestions based off 2 reference articles •Answer questions based off 2 casesclinical •AnswerincludingRegistrationAnnualCEattestationquestionsbasedoff 2 reference articles includingRegistrationAnnualCEattestation•Answerquestionsbasedoff2referencearticles•Answerquestionsbasedoff2clinicalcasesAnnualRegistrationincludingCEattestation•Answerquestionsbasedoff2referencearticles •AttestincludingRegistrationAnnualCEattestation•Answerquestionsbasedoff2referencearticlestoPerformanceinPracticeAnnual Registration including CE attestation •Answer questions based off 2 reference articles •Answer questions based off 2 clinical cases Annual •AnswerincludingRegistrationCEattestationquestionsbasedoff2referencearticles Annual includingRegistrationCEattestation•Answerquestionsbasedoff2referencearticles Life Span of a CertificateDiplomate's Year3 Year2 4Year 5Year Year67Year Year8Year9Year10 Year 1

FORISMADRIDWAITINGYOU WELCOME to the EACMFS Congress 2022 By Julio Acero President of EACMFS and of the 26th Congress Javier González Lagunas Chairman of the Scientific Committee

THE TIME HAS ARRIVED. Time to listen to the opinion leaders of the specialty. Time to learn from experts that will cover the full scope of oral and maxillofacial surgery. Time to share your experience with you peers. Time to meet and greet with colleagues from all over the world. Time to visit Madrid, Spain´s capital, a modern, open and welcoming city. Only two months to go. On September 26th, maxillofacial surgeons from all over the world will gather in Madrid to attend the EACMFS 26th Congress. A Congress that will be regionally organized but with a global spirit in its mind. The meeting will not also present the state of the art of European Oral and Cranio-maxillofacial surgery. It has opened its doors to scientific associations coming from all over the world. A unique opportunity after almost 30 months of scientific drought. We have suffered the pandemic, we were obliged to cancel the live version of the Paris congress, all our professional interactions were online. With the European Lecture series, and with the online version of the Paris congress, we could at least keep the spark of education (our main goal as association) alive. But now it is time to go back to pre-pandemic times. We need to meet, to talk, to hug, to toast, to discuss. Not on the computer screen, but live in the Congress Palace of Madrid. Our numbers are programanpresenterswillexperiencethethetheistheBut24keynotespeakers,moretoscientificsimultaneousfreenearlyoutstanding,1500papers,10sessionschoosefrom,than20018lectures,masterclasses…itisnotonlynumbers,itthequalityofspeakers,relevanceofresearch,thethatdistilfromtheandexcitingsocialwhichwill

make the 26th EACMFS Congress and unforgettable event. And in the back-office of it all, the enthusiasm that the organizers, and by extension the association, have put in the success of the event. Just check our Fromprogram.Madrid, we are looking forward to meet you. Do not miss this opportunity, You will not regret it. ■ Palacio de Cibeles. Interior and roof of the "Galería de Cristal" in Madrid. Formerly "Patio de coches". Palace of the Dukes of Pastrana.

CasaGardens.Suecia, Roof Top.

FINALLY,

physicians), Maxillofacial Surgeon, former President of the Mexican Association of Oral and Maxillofacial Surgeons and member of IAOMS since 1986. ■

UNIQUE

A HONOR FOR A SENIOR MEXICAN OMS

unitsthan(IMSSMexicantheMedicaltheGovernment.AffairsMinistryDiplomacyandAcademyMexicanofSurgery,ChairofScientificattheofForeignoftheMexicanHeisformerChiefOfficerofSocialSecurityInstitutewithmore2,000medicalandmorethan77,000

38 iaoms.org August 2022

DR JAVIER DAVILA TORRES of Mexico recently was bestowed the prestigious annual award of Patient Safety Movement Foundation (PSMF). The Patient Safety Movement Foundation is a partner of the IAOMS. The foundation extends its work to 49 countries and more than 4,700 hospitals affiliated promoting Culture of Safety and link with World Health Organization. Dr Davila Torres is a member of the board of directors of the PSMF. He is also the current Secretary of the

By Deepak G Krishnan

Halsted changed it all as the surgeon in chief of Johns Hopkins. He expected his trainees to be 100% dedicated to the job, live in the hospital (hence the name resident), not have a life outside of training, preferring unmarried men, and training did not have a set time frame. Halsted decided if an apprentice was ready for independent practice. A key feature of structure was “graduated responsibility.” A pyramidal hierarchy of junior assistant residents, assistant residents, and eventually a single trainee referred to as simply, “the resident,” second only to Halsted who stood at the apex. As trainees advanced, they took on more responsibilities. Promotion was not a guarantee, and not every trainee progressed to the next level. Halsted probably was brutally selective picking only the best candidates for his residency and ensured that only the finest would finish.

Fast forward to today’s OMS education model. Educators are at a crossroads trying not to get canceled by a generation of trainees with a different set of values, expectations and learning abilities while trying to continue to do their best to train them. Work hour restrictions, part-time residencies, wellness time and paternity leave have all become mainstay in resident education. Add to this is the “call of the siren” – more and more surgeons are narrowing their practices to the most economically lucrative procedures. Poorly reimbursed major surgery is forced into confinement in major academic medical centers. Ironically, the academic surgeons are producing a product quiet unlike themselves. This leads to a mismatch between expectations and reality and will shape the future of our specialty all over the globe. Even more ironic is the fact that the longer a trainee stays in training, the burden of education debt looms larger over them forcing them to pick up practices that will help tame it someday. Do the brightest and the finest among our residents gravitate to the wrong end of the rainbow in search of the fabled pot of gold? The long shadow cast by their educational debt, hierarchical practice patterns, intense peer competition and pressures of keeping up with their social media appearances force the new generation OMS to make career choices that may not serve the profession and specialty in its quest to expand its dimensions and scope. In fact, they are diametrically opposing forces. The privilege that Dr Halsted had in picking his mentees and promoting none but the best, may not be practical or appropriate in today’s world. It might not be a stretch to suggest that every academic OMS wishes that they had those privileges that William Halsted enjoyed in picking and training a prodigy.

William Steward Halsted was a visionary surgeon who pioneered some of the basic surgical principles changing the landscape of modern surgery1. Dwarfing all his other achievements was his contributions to surgical education. During his tenure as an academic surgeon, young surgeons could practice with the knowledge they had, or choose a mentor to be an apprentice if wanted to further their knowledge in specific areas. It was previously uncharted territory without rules, regulations, or guidelines. The scope and length of this mentoring period was determined by the trainee surgeon and rendered complete when they felt so. Mentors did not have rule books either. They had varying abilities and experience, leaving their apprentices with uneven experiences. The entire process lacked structure and had inherent biases.

Cincinnati. USA

ALL OF US have a surgical lineage. A pseudo genetic heritage line that tracks our mentors to their mentors to their mentors and so on. I have a conspiracy theory that everyone is somehow linked to the Royal College of Surgeons in Edinburgh. Regardless of where we trained and what our scope or geography of our practice is, we are all linked to the Halstedian model of surgical training principles in one way or another.

Back to the future Halsted has the last laugh After thought

200 E. Randolph St., Suite 5100 Chicago, IL 60601 USA www.iaoms.org

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