Aintree University Hospitals Liverpool Universities Hospitals NHS Foundation Trust.
John Radcliffe Hospital, Oxford.
Br J Oral Maxillofac Surg. 2020 Dec;58(10):1290-1296. doi: 10.1016/j.bjoms.2020.09.024. Epub 2020 Sep 24.
OMFS is the surgical specialty which bridges dentistry and medicine. As the specialty of OMFS emerged from the dental specialty of Oral Surgery during the 1980s the Dentists Act 1984, whose purpose included preventing medical practitioners providing unregulated general dental care, was published. In 2008 the Postgraduate Medical Education and Training Board (PMETB) review of training in OMFS concluded that dual qualification was essential and recommended that OMFS specialists should only be required to register with one regulator, the General Medical Council. For OMFS to continue to provide high quality patient care, and to help the GDC and GMC in their roles regulating our specialty, BAOMS has identified 5 areas for regulatory change: (1) All OMFS specialists should be able to practice the full curriculum of OMFS with only GMC registration if they wish to - this was recommendation 4 of the PMTEB Review of OMFS in 2008. (2) If an OMFS specialist or trainee is registered with both the GMC and GDC. (3) A Memorandum of Understanding between the GMC and GDC should prevent any fitness to practice concerns being processed by both regulators. (4) Dually registered OMFS specialists should be able to indicate that they have had "appraisal of the full scope of practice" to comply with GDC Continuing Professional Development (CPD) regulations. (5) Oral Surgery specialist list should retain Route 11 for OMFS specialists as the Oral Surgery Curriculum is entirely within the OMFS curriculum. Legislative changes may be the best route to deliver these recommendations. Until these changes happen, the GMC, GDC and BAOMS should work together in the best interests of patients.
口腔颌面外科学是连接牙科和医学的外科专业。随着口腔颌面外科学作为口腔外科专业在 20 世纪 80 年代从牙科专业中脱颖而出，1984 年《牙医法》颁布，其目的包括防止医疗从业者提供不受监管的普通牙科护理。2008 年，研究生医学教育和培训委员会（PMETB）对口腔颌面外科学培训的审查得出结论，双重资格是必要的，并建议口腔颌面外科学专家只需向一个监管机构——普通医学委员会注册。为了使口腔颌面外科学继续为患者提供高质量的护理，并帮助 GDC 和 GMC 履行监管我们专业的职责，英国口腔颌面外科学会确定了 5 个监管改革领域：（1）如果所有口腔颌面外科学专家都希望仅通过 GMC 注册就能进行口腔颌面外科学的全部课程，他们应该能够这样做——这是 2008 年 PMTEB 对口腔颌面外科学审查的建议 4。（2）如果一名口腔颌面外科学专家或受训者同时向 GMC 和 GDC 注册。（3）GMC 和 GDC 之间的谅解备忘录应防止两个监管机构都处理任何执业能力的担忧。（4）双重注册的口腔颌面外科学专家应能够表明他们已经进行了“全面实践范围的评估”，以遵守 GDC 持续专业发展（CPD）规定。（5）口腔外科专家名单应保留 11 号途径，供口腔颌面外科学专家使用，因为口腔外科课程完全包含在口腔颌面外科学课程中。立法改革可能是实现这些建议的最佳途径。在这些变化发生之前，GMC、GDC 和英国口腔颌面外科学会应共同合作，以维护患者的最佳利益。
