Guerrero Andre V, Altamirano Alessandra, Brown Eric, Shin Christina J, Tajik Katayoun, Fu Emily, Dean Jeffrey, Herford Alan
Resident, Department of Oral and Maxillofacial Surgery, Loma Linda University, Loma Linda, CA.
Post-baccalaureate Student, University of California Berkeley, Berkeley, California.
J Oral Maxillofac Surg. 2014 Jan;72(1):8-18. doi: 10.1016/j.joms.2013.04.018. Epub 2013 Jul 17.
In 1975, the American Society of Oral Surgeons officially changed its name to the American Association of Oral and Maxillofacial Surgeons. This change was intended to address the specialty's expanding surgical scope. However, today, many health care professionals continue to use the term oral surgeon. This study was undertaken to determine if students' perception of the oral and maxillofacial surgeon's (OMS) surgical scope would change when oral and maxillofacial surgeon was used instead of oral surgeon.
This cross-sectional study surveyed undergraduate and dental students' choice of specialist to treat 21 different conditions. The independent variable was the specialty term (oral and maxillofacial surgeon vs oral surgeon). The dependent variables were specialists chosen for the procedure (ear, nose, and throat surgeon; plastic surgeon; OMS or oral surgeon; periodontist; other). The test of proportions (z test) with the Yates correction was performed for data analysis.
Of the 280 senior dental students who were surveyed, 258 surveys were included in the study. Dental students' perception of the OMS's surgical scope increased significantly from 51% to 55% when oral and maxillofacial surgeon was used instead of oral surgeon. Of the 530 undergraduate upper division science students who were surveyed, 488 surveys were included in the study. Undergraduate upper division science students' perception of the OMS's surgical scope increased significantly from 23% to 31% when oral and maxillofacial surgeon was used as an option instead of oral surgeon.
The use of oral and maxillofacial surgeon increased students' perception of the OMS's surgical scope. This study also suggested that students were not fully aware of the magnitude of the OMS's scope of practice. The current dichotomy and inconsistent use of the specialty's official term adds to the confusion and to misunderstanding. Therefore, OMSs should universally refer to themselves as oral and maxillofacial surgeons and help educate others of their scope.
1975年,美国口腔外科医师协会正式更名为美国口腔颌面外科医师协会。这一变化旨在应对该专业不断扩大的手术范围。然而,如今许多医疗保健专业人员仍继续使用“口腔外科医生”这一术语。本研究旨在确定当使用“口腔颌面外科医生”而非“口腔外科医生”时,学生对口腔颌面外科医生手术范围的认知是否会发生变化。
这项横断面研究调查了本科学生和牙科学生针对21种不同病症对专科医生的选择。自变量是专科术语(口腔颌面外科医生与口腔外科医生)。因变量是针对该病症所选择的专科医生(耳鼻喉科医生、整形外科医生、口腔颌面外科医生或口腔外科医生、牙周病医生、其他)。采用带有耶茨校正的比例检验(z检验)进行数据分析。
在接受调查的280名牙科高年级学生中,有258份调查问卷纳入本研究。当使用“口腔颌面外科医生”而非“口腔外科医生”时,牙科学生对口腔颌面外科医生手术范围的认知从51%显著提高到55%。在接受调查的530名本科高年级理科学生中,有488份调查问卷纳入本研究。当使用“口腔颌面外科医生”作为选项而非“口腔外科医生”时,本科高年级理科学生对口腔颌面外科医生手术范围的认知从23%显著提高到31%。
使用“口腔颌面外科医生”提高了学生对口腔颌面外科医生手术范围的认知。本研究还表明,学生并未充分意识到口腔颌面外科医生的执业范围广度。该专业官方术语目前的二分法及不一致使用加剧了混淆和误解。因此,口腔颌面外科医生应统一将自己称为口腔颌面外科医生,并帮助他人了解其执业范围。