Garg M, Collyer J, Dhariwal D
Department of Oral and Maxillofacial Surgery, Queen Victoria Hospital NHS Foundation Trust, Holtye Road, East Grinstead, RH19 3DZ.
Department of Oral and Maxillofacial Surgery, Queen Victoria Hospital NHS Foundation Trust, Holtye Road, East Grinstead, RH19 3DZ.
Br J Oral Maxillofac Surg. 2018 May;56(4):327-331. doi: 10.1016/j.bjoms.2018.03.008. Epub 2018 Apr 5.
Training in oral and maxillofacial surgery (OMFS) in the UK has undergone considerable changes during the last 10years, and "core" surgical training has replaced "basic" surgical training. In 2014 a pilot "run-through" training programme from specialist training year one (ST1)-ST7 was introduced to facilitate early entry into the speciality. Run-through training guarantees that a trainee, after a single competitive selection process and satisfactory progress, will be given training that covers the entire curriculum of the speciality, whereas uncoupled training requires a second stage of competitive recruitment after the first one (for OMFS only) or two years of "core" training to progress to higher specialty training. The first two years of run-through training (ST1-ST2) are the same as for core surgical training. Dual-qualified maxillofacial aspirants and those in their second degree course are curious to know whether they should go for the uncoupled core surgical training or the run-through programme in OMFS. The General Medical Council (GMC) has now agreed that run-through training can be rolled out nationally in OMFS. To assess the two pathways we used an online questionnaire to gain feedback about the experience from all OMFS ST3 and run-through trainees (ST3/ST4) in 2016-2017. We identified and contacted 21 trainees, and 17 responded, including seven run-through trainees. Eleven, including five of the run-through trainees, recommended the run-through training programme in OMFS. Six of the seven run-through trainees had studied dentistry first. The overall mean quality of training was rated as 5.5 on a scale 0-10 by the 17 respondents. This survey gives valuable feedback from the current higher surgical trainees in OMFS, which will be useful to the GMC, Health Education England, OMFS Specialist Advisory Committee, and those seeking to enter higher surgical training in OMFS.
在过去十年中，英国口腔颌面外科（OMFS）的培训发生了重大变化，“核心”外科培训已取代“基础”外科培训。2014年，引入了一项从专科培训第一年（ST1）到ST7的试点“贯通式”培训计划，以促进更早进入该专科。贯通式培训确保学员在经过一次竞争性选拔过程且进展令人满意后，将接受涵盖该专科全部课程的培训，而非连贯培训则需要在第一次（仅针对口腔颌面外科）竞争性招聘之后进行第二阶段的竞争性招聘，或者经过两年的“核心”培训才能进入更高专科培训阶段。贯通式培训的前两年（ST1 - ST2）与核心外科培训相同。具备双重资质的颌面外科 aspirants 以及攻读第二学位课程的人员都想知道他们应该选择非连贯的核心外科培训还是口腔颌面外科的贯通式培训计划。英国医学总会（GMC）现已同意贯通式培训可在全国范围内推广至口腔颌面外科。为评估这两种途径，我们于2016 - 2017年通过在线问卷收集了所有口腔颌面外科ST3及贯通式学员（ST3/ST4）的经验反馈。我们识别并联系了21名学员，17人回复，其中包括7名贯通式学员。11人，包括5名贯通式学员，推荐了口腔颌面外科的贯通式培训计划。7名贯通式学员中有6人先学习了牙科。17名受访者将整体培训质量平均评为0 - 10分制中的5.5分。这项调查提供了来自当前口腔颌面外科高级外科培训学员的宝贵反馈，这对英国医学总会、英国健康教育署、口腔颌面外科专家咨询委员会以及那些寻求进入口腔颌面外科高级外科培训的人员都将有所帮助。
