Harrison William, O'Regan Barry
Queen Margaret Hospital, Oral and Maxillofacial Surgery, Whitefield Road, Dunfermline, Fife KY12 0SU, United Kingdom.
Br J Oral Maxillofac Surg. 2011 Jul;49(5):396-9. doi: 10.1016/j.bjoms.2010.05.017. Epub 2010 Jul 5.
We investigated the current provision of oral medicine in oral and maxillofacial (OMF) departments in the UK. We examined the number of specialists in oral medicine in OMF departments, the training given to OMF consultants in oral medicine, and the estimated time dedicated to treating patients with oral medical conditions in outpatient clinics. We also examined the pattern and reasons for onward referrals to departments of oral medicine. A postal questionnaire was sent to 300 OMF consultants and was returned by 183 (61%). Sixteen (9%) of the responding consultants had a registered specialist qualification in oral medicine with the General Dental Council (GDC), 15 (8%) had a degree in oral medicine, and 4 (2%) had a diploma. One hundred and eighteen (64%) consultants had been given formal training in oral medicine during their training as registrars. Time dedicated to oral medicine in outpatient clinics varied between less than 20% and more than 40% of total outpatient time. Sixteen surgeons (9%) referred 1-2 patients/week to departments of oral medicine, and 19 (10%) referred 2-4/month. Reasons for referral included need for specialist expertise, failure of treatment, and lack of time in outpatients. The proposal for a dentally qualified consultant-led oral medicine service was supported by 70 responding surgeons (38%).
我们调查了英国口腔颌面（OMF）科室目前的口腔内科服务情况。我们研究了OMF科室中口腔内科专家的数量、OMF会诊医生接受的口腔内科培训，以及在门诊诊所中用于治疗口腔疾病患者的预计时间。我们还研究了转诊至口腔内科科室的模式及原因。向300名OMF会诊医生发送了邮政调查问卷，183名（61%）回复。16名（9%）回复的会诊医生拥有英国普通牙科委员会（GDC）注册的口腔内科专家资质，15名（8%）拥有口腔内科学位，4名（2%）拥有文凭。118名（64%）会诊医生在担任住院医生期间接受过口腔内科的正规培训。门诊诊所中用于口腔内科的时间占总门诊时间的比例在不到20%至超过40%之间。16名外科医生（9%）每周将1 - 2名患者转诊至口腔内科科室，19名（10%）每月转诊2 - 4名。转诊原因包括需要专家专业知识、治疗失败以及门诊时间不足。70名回复的外科医生（38%）支持由具备牙科资质的会诊医生主导的口腔内科服务提议。
