Face to Face® August 2022

RENEWED ENERGY

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.

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 especially memorable as 2022 marks the 60th 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.

We are currently engaged in developing a five year strategic plan designed to position the association and Foundation for growth and success.

To pay tribute to the 60th 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.

Mitchell Dvorak EXECUTIVE DIRECTOR, IAOMS

®

Issue 67 / August 2022

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 Casap Alfred Lau Fred Rozema 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 FACE TO FACE Registered in U.S. Patent and Trademark Office. ©Copyright 2018. I nternational Association of Oral and Maxillofacial Surgeons. Chicago, Illinois, USA. All rights reserved under international and Pan American copyright conventions. Cover image Adobe Stock.

CONTACT US

International Association of Oral and Maxillofacial Surgeons IAOMS Foundation 200 E. Randolph St., Suite 5100 Chicago, IL 60601 USA / communications@iaoms.org

Letter from the President

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.

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.

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.

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 sessions.

Finally, 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. ■

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 IAOMS PRESIDENT 2022-2023

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 IBCSOMS ABOMS

36

MADRID IS WAITING FOR YOU EACMFS Congress 2022

38

A UNIQUE HONOR FOR A SENIOR MEXICAN OMS

39

AFTER THOUGHT Halsteadian model

FAILURE 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.

Examinations, boards, and certifications have been a part of my professional life at every stage, so have the agony of failures and the ecstasy of victories. I had been a terrible test taker, accumulating more failures than successes and attributing all those 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 expenditure.

Regardless of where 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 Maxillofacial Surgery (IBCSOMS) steps in to bridge that gap.

At one point in my career, I had a license to practice dentistry in 4 different countries.

That failure at the Royal 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. ■

Deepak Krishnan EDITOR IN CHIEF

5 t

ha Chitc

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.

Kathy Fan LONDON, UK

Streamline our training pathways integrating 2nd clinical degree with funding.

Shreya Tocaciu

COONAWARRA, AUSTRALIA 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.

What would you change about OMS training in your country if you could?

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.

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August 2022

Building your career and our profession

Join IAOMS Today • Read Face to Face, written for and by • Learn with IJOMS, one of the world’s leading members.

OMF journals with the highest impact factor of all OMF publications; read Faceworld’s to Face,leading written • Learn with IJOMS, one of the for and by members OMF journals with the highest impact factor of

OMF publications.

•allEnhance patient care through webinars, online

conferences and care otherthrough e-learning courses*online • Enhance patient webinars, e-learning courses*.

•conferences Prepare forand theother International Board for the Certification of Specialization Oral and • Prepare for the Internationalof Board for the Maxillofacial Surgery (IBCSOMS) with the IAOMS Certification of Specialization of Oral and Review Course Maxillofacial Surgery (IBCSOMS) with the Review Course.

•IAOMS Support the next generation through the IAOMS Foundation Fellowship and Scholarship • Support the next generation through the opportunities

IAOMS Foundation Fellowship and Scholarship opportunities.

• Experience events for all OMF surgeons, • Experience events for all OMF surgeons, ranging from trainee to experienced surgeons: ranging from trainee to experienced surgeons: ICOMS, IAOMS’biennial biennialsignature signature ICOMS, the the IAOMS’ educational and networking networkingconference conferenceand educational and and Forum;” International “The“The NextNext LevelLevel Forum;” International Symposia, Symposia, and regional conferences*. and regional conferences* yourknowledge; knowledge; access •• EExpand xpand your accessinnovative innovative best-in-class training best-in-class training.

•

Connect with peers throughout the world

•

Grow among the next generation of oral and

• Connect with peers throughout the world. maxillofacial surgeons through our NextGen

• Grow among the next generation of oral and programmatic initiatives; network with your maxillofacial surgeons through our NextGen colleagues through our online community programmatic initiatives; network with your colleagues through our online community.

Visit iaoms.org to become a member or renew your membership.

Questions? Contact Membership Manager Katie Cairns at kcairns@iaoms.org

Visit iaoms.org to become a member or renew your membership.

Questions? Contact Membership Manager Katie Cairns at kcairns@iaoms.org

200 E. Randolph St., Suite 5100

•

Chicago, Illinois 60601 USA

•

+1.312.577.7660

•

www.iaoms.org

200 E. Randolph St., Suite 5100 • Chicago, Illinois 60601 USA • +1.312.577.7660 • www.iaoms.org *IAOMS members may benefit from reduced fees.

*IAOMS members may benefit from reduced fees.

August 2022

iaoms.org 9

HOW DO YOU BECOME AN OMS IN...

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August 2022

ASIA SRI LANKA Suresh Shanmuganathan Sri Lanka

• Bachelor of Dental Surgery (BDS) Degree (5 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 • After successful completion of internship, full registration is granted by SLMC to work as a Dental Practitioner.

• 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.

• 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.

• 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).

NEPAL Alok Sagtani Kathmandu

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

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

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

PAKISTAN Sahar Usman Karachi

•B achelors of Dentistry (BDS) 4 years.

• 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.

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

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

•4 years of training in OMFS at College of Physicians and Surgeons Pakistan which has 2 exams 1. IMM ( intermediate module after 2 years of training 2. FCPS part 2 exam after next 2 years of training.

August 2022

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

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PHILIPPINES Charles P. Sia Mandaue City, Cebu

OMFS is both single and double qualified speciality in Philippines Dental qualified •D MD (6 years).

•P ass the licensure exam.

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

INDIA

•P ass the Philippine Association of OMFS examination or Philippine College of OMS.

Akash Menon India

• 5-year bachelor's in dentistry followed by a 3 years master's in OMFS. • Thereafter fellowships are optional.

•C onferred as Fellow of Philippine Association of OMFS or Conferred as Fellow of PCOMS and Specialist in OMS by PRC. Double qualified •D MD (6 years).

• Registration with the state chapters of the Dental Council of India is mandated for open practice.

•P ass the Dental licensure exam.

•M D (4 years).

• I nternship (1 year).

•P ass the medical licensure exam.

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

•P ass the Philippine Association of OMFS examination or Philippine College of OMS. •C onferred as Fellow of Philippine Association of OMFS or Conferred as Fellow of PCOMS and Specialist in OMS by PRC. * No double qualified doctor has trained locally to current. * OMS is not recognised in public health service, although we have a single centre to date that has an official OMS unit in the south. * Majority of the small private hospitals does not have an OMS. * 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.

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August 2022

CHINA Wenwen Yu Shanghai

• Shanghai Jiao Tong University (SJTU).

• BDS (4 years plus 1 year internship) got from Dental School of SJTU. • 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.

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.

BANGLADESH Ismat Ara Haider Dhaka

• BDS (5 years plus 1 year internship).

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

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

- MS (Masters of Surgery - 5 years).

-F CPS (Fellowship of College of Physicians and Surgeons - 5 years).

• Then, pass exams and get certified by National organization or City medical council based on your program.

Choice 2 • You can apply and continue your clinical training in a residency program in a certified hospital for 3 years for a master’s degree -- 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.

August 2022

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AFRICA

EGYPT

ohamed Ghanem M Cairo

NIGERIA

Nader Elbokle Cairo

OMFS is both single and double qualified speciality in Egypt

lufemi Erinoso O Ikeja, Lagos

Dental qualified

OMFS is a dental speciality in Nigeria • A dental (BDS/ BChD) degree (5-6 years) is required.

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

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

•B achelor’ 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.

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

• 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.

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

• 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).

• 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.

• 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.

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

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

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

•B achelor’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 •B achelor’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.

August 2022

OCEANIA AUSTRALIA/ NEW ZEALAND Timothy Manzie Sydney

Shreya Tocaciu Melbourne

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).

• Minimum of 2 years in the hospital as a junior doctor then eligible to apply for training • Selection through the royal Australasian college of dental surgeons (RACDS); 4 years minimum of surgical training.

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

• Fellowship optional • Trainee surgeons are required to complete a research component during training. This can be an approved study (published) or a masters through research • Once qualified, certification with medical and dental boards (AHPRA) requires completion of logged CPD.

August 2022

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SOUTH AMERICA BRAZIL Raphael Guerra São Paulo

OMFS is a single qualified speciality in Brazil • Dental degree (4-5yrs).

• Degree to be registered with the national registration body.

• 3 years of residency.

• OMFS council registration.

• Fellowship is optional.

MEXICO Alejandro Martinez Mexico

OMFS is a single qualified speciality in Mexico • 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.

• OMF surgeons must present the Mexican Board exam.

• After exam there is a recertification every 5 years.

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

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.

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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

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

Ministry of Health Plurinational State of Bolivia

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

Formation: Dentist Dentist- Doctor Medical (not approved 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

5 years

Additional information of interest

The Application to do the Specialty in Oral and Maxillofacial Surgery is contemplated in the program of the National System of Medical Residence - Bolivia

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

15,000 academic hours For 4 calendar years

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

Degree received after training in the specialty

Specialist in Oral and Maxillofacial Surgery

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)

No. The Application for Medical Residency in Oral and Maxillofacial Surgery does not contemplate an additional requirement

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

August 2022

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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

Formation: Dentist Dentist- Doctor Medical (not approved 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

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EL SALVADOR ALACIBU Country

El Salvador

Population

6,755,000 habitants

Name of the specialty in the Country

Oral and Maxillofacial Surgery

Number of training centers

Postgraduate Specialty in Oral and Maxillofacial Surgery from the Faculty of Dentistry of the University of El Salvador

Number of Surgeons registered with your association

29 affiliates

On which faculty in universities depends the specialty in CBMF

Faculty of Dentistry of the University of El Salvador

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

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

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

Formation: Dentist Dentist- Doctor Medical (not approved by ALACIBU)

Dentist Dentist-Doctor

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

Dentist Dentist-Doctor

Years of dental training

8 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

4 years

Name of the entity where you must register postCBMF training Degree received after training in the specialty

Specialist in Oral and Maxillofacial Surgery

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 requirements by the Dental 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)

August 2022

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PARAGUAY ALACIBU Country

Paraguay

Population:

7.353.038 habitants

Name of the specialty in the Country

Oral and Maxillofacial Surgery and Traumatology

Number of training centers

1

Number of Surgeons registered with your association

42 affiliates

On which faculty in universities depends the specialty in CBMF

Autonomous University of Paraguay. Faculty of Dentistry "Pierre Fauchard"

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

Ministry of Education and Culture CONES

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

Formation: Dentist Dentist- Doctor Medical (not approved 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

6 years

Additional information of interest 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

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

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)

Yes, the title of Dentist

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

No

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EUROPE

DENMARK 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 (STPS).

• Fellowship optional.

August 2022

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NORTH AMERICA JAMAICA, TRINIDAD AND CARICOM ISLANDS Pierre-John Holmes Jamaica

In Jamaica there are no specialist registries for either dentistry or medicine. They are currently being formulated.

To register as 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.

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

Also, you would have to be a Jamaican citizen or legal permanent resident.

Trinidad is very similar to Jamaica.

I assume the remaining Caricom islands are similar.

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FOUNDATION CHAIRMAN REPORT

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 applicants.

We thank our 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.

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.

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.

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.

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.

Larry W. Nissen IAOMS Foundation Chairman

August 2022

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Major OMS certification processes

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

By M ark Wong. USA Paul Sambrook. Australia Krishnamurthy Bonanthaya. India

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’.

The steering committee charged with this responsibility included: Mark Wong (USA) Paul Sambrook (Australia) Kurt Butow (South Africa )

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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 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

August 2022

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 1: Succession planning from Ms. Mounts to Ms. Johnson, 2017.

FIRST EXAMINATION 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).

develop rules and requirements for candidates, create examination content and the identification and standardized training of examiners.

An interactive website with web-based portals were created for applicants to log in their credentials and surgical logs and for examiners to submit exam cases and questions (Figure 3).

Figure 3: Applicant portal.

Prior to the examination, 19 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 4: Dr. Ann Collins (Australia) during examiner calibration.

Figure 5: Examiner preexam calibration.

Figure 2: Dinner with JSOMS leadership and IBCSOMS.

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,

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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).

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

Figure 9: Oral exam underway.

Figure 10: Monitoring the oral exam.

Figure 11: 2015 Examination Committee (FR L to R: Ms. Mounts, Drs Schoenaers, Butow, Wong, Sambrook, Bonanthaya, Kogo, Bredell, Pogrel. BR L to R: Ms Johnson, Drs Kelly, Mataga, Seto, Nair, Kubota, Wood, Malis, Andrade, Collins, Westhuizen, Shimozato, Urade).

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, 11).

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

Approximately a month after completion of the examination, the scores were compiled and analyzed by a psychometrician who calculated the individual candidate

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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).

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Figure 13: Successful candidates with a very proud Professor Kurita at Convocation during Melbourne ICOMS 2015.

Figure 14: IAOMS President Piet Haers addresses new IBCSOMS Fellows; Dr. Larry Nissen, Chairman IAOMS Foundation observes.

Figure 15: Convocation ICOMS Rio 2019.

NEXT EXAMINATIONS 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 the examination in India facilitated participation by our Indian colleagues and provided our examination committee with a new cultural and culinary experience (Figures 18, 19).

Figure 16: Hotel Magrath, Bangalore.

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

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

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Figure 18: Examiners' dinner Bangalore 2017.

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

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3% 1%

4%

47%

41%

1%

1%

1%

North America Southern Asia Northern Africa

Eastem Africa Southern Africa Western Asia

Southeastem Asia Eastem Asia

Figure 20: Distribution of Fellows Globally.

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

By Dr. Bonanthaya:

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 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

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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 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.

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).

August 2022

Figure 21: Dr. Kamat receives his Fellowship from President Sambrook and Vice President Bonanthaya at the AOMSI Annual Meeting 2019.

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.

TRANSITION FROM TRADITIONAL FACE-TO-FACE EXAMINATION TO ONLINE AND HYBRID METHODS 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.

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

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 day.

However we were very happy that a FIRST VIRTUAL EXAMINATION: review of the JULY 23-25, 2021 examination 10 Fellowship candidates results 4 CAQ candidates revealed the 4 Countries same level of 24 Examiners consistency and 10 Countries discrimination 18 Time zones as our in-person examinations and this was validated by psychometrics (Figure 22).

Adelaide 3:30 pm

Houston 1:00 am

August 2022

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Figure 22: Virtual Oral Examination 2021.

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%.

2021 ONLINE EXAM CANDIDATE EXIT SURVEY RESULTS

57%

93%

100%

50%

93%

Candidates have never taken a remote MCQ examination before

Candidates have never taken a remote oral examination before

Candidates said the remote MCQ examination was better/similar to an onsite examination

Candidates thought the remote oral examination was a better than inperson

Candidates found the technology easy to access on both the MCQ & oral examination

Figure 23: Candidates' opinion of virtual oral exam.

The exit survey of the examiners (Figure 24) 2021 ONLINE EXAM EXAMINER EXIT SURVEY RESULTS

75%

100%

100%

Examiners felt online security was managed but could never be completely secure

Examiners would rather be together in person than have remote examinations

Examiners found navigating technology easy

Figure 24: Examiners' opinion of virtual oral examination.

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 year.

There is no 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,

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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.

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Current fellows (Figure 25)

5 1

8

112

98

3

4

2

North America Southern Asia Northern Africa

Eastem Africa Southern Africa Western Asia

Southeastem Asia Eastem Asia

Figure 25: Numbers of fellows globally in 2022.

Current Senate structure (Figure 26)

IBCSOMS SENATE

JOSEPH SCHOENAERS Secretary-Treasurer. Belgium

MARK E. WONG KURT-W BÜTOW Immediate Past President. United States Senate Member. South Africa

PAUL SAMBROOK President. Australia

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

KRISHNAMURTHY BONANTHAYA Vice-President. India

30 examiners from 19 countries

August 2022

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ABOMS The American Board of Oral and Maxillofacial Surgery

By Vincent J Perciaccante President ABOMS. USA

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 1978.

The Board conducted its first official meeting on May 25, 1946, at the Stevens Hotel in Chicago.

Board moved the OCE to the Drake Hotel in 1976 to provide a more Candidate-friendly environment, along with accommodation and rate considerations.

1946

1976

2003 32 iaoms.org

August 2022

In 2003, in response to an offer of standardized rooms, a general room upgrade, and the attraction of less street noise, the Board moved its examination operations to Chicago’s Fairmont Hotel.

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)

OMSITE Blueprint

Oral and Maxillofacial Surgery In-service Training Examination (OMSITE)

I.

• 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

VI. Cosmetic A. Nasal B. Periorbital C. Skeletal Contour Alteration D. Soft Tissue Procedures

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 A. Local Anesthesia B. Deep Sedation/ General Anesthesia C. ACLS D. Perioperative Pain Control E. Pediatric Anesthesia/PALS

25

III. Dentoalveolar A. Erupted/Unerupted Teeth B. Dentoalveolar injuries C. Infections D. Soft Tissue Procedures

25

VII. Temporomandibular Disorders/ Facial Pain A. Muscular Disorders B. Internal Derangements C. Degenerative Joint Disease D. Joint and Disc Reconstruction E. Facial Pain

V. Orthognathic/Cleft/OSA A. Mandibular Deformities B. Maxillary Deformities C. Cleft Lip & Palate D. Craniofacial Syndromes E. Obstructive Sleep Apnea

25

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

IV. Trauma 25 A. Evaluation of the Trauma Patient/ATLS B. Mandibular Injuries C. Mid/Upper Facial Injuries D. Soft Tissue Injuries

• Performance review helps individual residents and program directors to evaluate progress and needs in individual and programmatic learning

25

IX. Reconstruction 25 A. Nonvascularized Hard Tissue Grafts B. Nonvascularized Soft Tissue Grafts C. Vascularized Grafts D. Pedicle Flap

25

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

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

THE AMERICAN BOARD CERTIFICATION

QE Blueprint

First step Qualifying Examination (QE)

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

• 350 computer-based questions, covering 10 subject areas, testing knowledge in the central principles of the oral and maxillofacial surgery specialty.

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

• Who can take it? practicing oral and maxillofacial surgeons and trainees in their last year of training

IV. Trauma 27 Questions A. Evaluation of the Trauma Patient B. Mandibular Injuries C. Mid/Upper Facial Injuries D. Soft Tissue Injuries

Second step Oral Certifying Examination (OCE)

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

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

• 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 I

Section II

Section III

Orthognathic Surgery

Trauma

Infection

Implants

Adult Medical Assessment/Anesthesia

TMJ

Reconstruction

Pathology

Dentoalveolar

Pediatric Medical Assessment/Anesthesia Emergency Management Focus Additional Short Topics (3)

*Examples of topics that may covered within the Focused Additional Short Topics are Aesthetic Surgery,

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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.

AN INDIVIDUAL WHO SUCCESSFULLY COMPLETES THE OCE IS THEN A DIPLOMATE OF ABOMS Certificates of Added Qualifications (CAQ) •W ho 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.

CAQ Head and Neck Oncologic and Reconstructive Surgery

CAQ Blueprint Pediatric Craniomaxillofacial Surgery (Cleft and Craniofacial) Cleft Surgery (45)

Pathology (70) 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)

•C AQs currently offered Head and Neck Oncologic and Reconstructive Surgery and Pediatric Craniomaxillofacial (Cleft/Craniofacial) Surgery.

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)

•

•

E. Chemoradiation (induction chemotherapy; concomitant chemoradiation therapy; IMRT; the unknown primary cancer; nasopharyngeal and hypopharyngeal cancer) • Reconstruction (30) •

A. Non-vascularized Grafts B. Free Vascularized Flaps C. Pedicle Flaps

•

•P rocess Fellowship trained individuals submit a case log that meets a minimum criterion in number of cases and case complexity.

•

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

General considerations o Patient evaluation o Feeding considerations o Presurgical orthodontic/orthopedic treatment o Interdisciplinary management Cleft lip repair o Unilateral cleft lip repair o Bilateral cleft lip repair o Primary nasal reconstruction o Complications Cleft palate repair o Palate repair techniques o Intravelar veloplasty o Fistula management and repair o Complications Management of Velopharyngeal insufficiency o Preoperative assessment o Surgical techniques Bone graft reconstruction of the cleft maxilla o Presurgical orthodontic and orthopedic treatment o 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 o Diagnosis and treatment planning o Surgical techniques o Complications Secondary reconstructive procedures o Lip revision o Nasal revision and Rhinoplasty o Adjunctive surgical procedures

10

6

6

6 6

6

5

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

• 100-question examinations are computer-based.

SECTIONS TESTED ON OCE SURGERY SECTION I

SURGERY SECTION II

SURGERY SECTION III

Orthognathic Surgery

Trauma

Adult Medical Assessment and Anesthesia

Infection

Implants

Pediatric Medical Assessment and Anesthesia

TMJ

Reconstruction

Anesthetic Emergency Management

Pathology

Dentoalveolar Surgery

Focused Additional Short Topics

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August 2022

Year 1 Ye ar

Annual Registration including CE attestation •Answer questions based off 2 reference articles •Answer questions based off 2 clinical cases

Annual Registration including CE attestation •Answer questions based off 2 reference articles •Answer questions based off 2 clinical cases

Annual Registration including CE attestation •Answer questions based off 2 reference articles

Annual Registration including CE attestation •Answer questions based off 2 reference articles

5

Annual Registration including CE attestation •Answer questions based off 2 reference articles •Answer questions based off 2 clinical cases

Y e ar

Year 6

Annual Registration including CE attestation •Answer questions based off 2 reference articles

Annual Registration including CE attestation •Answer questions based off 2 reference articles •Attest to Performance in Practice

Y e a r7 THE BOARD

Left to right. Martin B Steed, Paul Tiwana, Pushkar Mehra, BJ Costello, Vincent Perciannate, Larry Cunningham, David Powers, Deepak Kademani.

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Year 4

Life Span of a Diplomate's Certificate

r8 a e Y

Year 9

Annual Registration including CE attestation •Answer questions based off 2 reference articles •Attest to Performance in Practice

Annual Registration including CE attestation •Answer questions based off 2 reference articles

r3 Yea

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, credential maintenance in one’s local community, and the demonstration of clinical acumen and practice improvement standards.

10

CERTIFICATION MAINTENANCE

Annual Registration including CE attestation •Answer questions based off 2 reference articles

Yea r2

MADRID IS WAITING FOR YOU WELCOME to the EACMFS Congress 2022

By J ulio Acero President of EACMFS and of the 26th Congress Javier González Lagunas Chairman of the Scientific Committee

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August 2022

FINALLY, 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.

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 program.

From Madrid, we are looking forward to meet you.

But now it is time to go back to pre-pandemic times.

Do not miss this opportunity, You will not regret it. ■ 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 outstanding, nearly 1500 Palace of the Dukes of Pastrana.

Gardens. free papers, 10 simultaneous scientific sessions to choose from, more than 200 speakers, 18 keynote lectures, 24 masterclasses…

But it is not only Palacio de Cibeles. Interior and roof of the "Galería de the numbers, it Cristal" in Madrid. Formerly "Patio de coches". is the quality of the speakers, the relevance of the research, the experience that will distil from the presenters and an exciting social Casa Suecia, Roof Top. program which will

August 2022

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A UNIQUE HONOR FOR A SENIOR MEXICAN OMS 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 Mexican Academy of Surgery, and Chair of Scientific Diplomacy at the Ministry of Foreign Affairs of the Mexican Government. He is the former Chief Medical Officer of the Social Security Mexican Institute (IMSS with more than 2,000 medical units and more than 77,000 physicians), Maxillofacial Surgeon, former President of the Mexican Association of Oral and Maxillofacial Surgeons and member of IAOMS since 1986. ■

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August 2022

After thought

Back to the future Halsted has the last laugh

By Deepak G Krishnan 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.

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.

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.

August 2022

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. ■

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August 2022