Middleton Jordan, Alvarez Gerardo A, Danquah Sheridan, Deol Navkiran, Afshar Salim
Boston Medical Center, Boston, MA USA.
Harvard School of Dental Medicine, DMD'25 188 Longwood Avenue, Boston, MA 02115 USA.
J Maxillofac Oral Surg. 2025 Feb;24(1):30-35. doi: 10.1007/s12663-024-02401-3. Epub 2024 Dec 2.
Treating vascular anomalies (VAs) in the head and neck is challenging for resident physicians due to evolving educational approaches. This survey assessed oral and maxillofacial surgery (OMFS) residents' exposure, education, and comfort in managing patients with VAs.
The Boston Children's Hospital Vascular Anomalies Center distributed a 15-question survey to 108 program/fellowship directors and 633 OMFS residents in the U.S. The survey included questions on demographics, education, exposure, VA management, and the role of oral health professionals. It was sent on 5/10/2022, with a reminder on 5/17/2022. Statistical significance set at < 0.05.
Of 633 residents contacted, 98 (15.5%) responded, with 91 (14.4%) completing the survey. Among them, 57.1% were in dual degree programs, and 42.9% in single degree programs. Over half (56%) had no experience with VA care teams, and 35.2% lacked specific VA education. Only 23.1% trained at facilities with interdisciplinary VA clinics. While 67% had VA case exposure, 33% felt unconfident in treating head and neck vascular lesions or managing oral health for VA patients.
The study highlights limited exposure and education on VAs among OMFS residents, underscoring the need to include VAs in the OMFS curriculum and expand interdisciplinary VA clinics in OMFS programs.
由于教育方法不断发展，住院医师治疗头颈部血管异常（VAs）具有挑战性。本调查评估了口腔颌面外科（OMFS）住院医师在管理血管异常患者方面的接触情况、教育程度和舒适度。
波士顿儿童医院血管异常中心向美国108名项目/奖学金主任和633名口腔颌面外科住院医师发放了一份包含15个问题的调查问卷。该调查包括有关人口统计学、教育、接触情况、血管异常管理以及口腔健康专业人员作用的问题。于2022年5月10日发送，2022年5月17日发送了提醒。统计学显著性设定为<0.05。
在联系的633名住院医师中，98名（15.5%）做出了回应，91名（14.4%）完成了调查。其中，57.1%参加双学位项目，42.9%参加单学位项目。超过一半（56%）的人没有血管异常护理团队的经验，35.2%的人缺乏特定的血管异常教育。只有23.1%在设有跨学科血管异常诊所的机构接受培训。虽然67%的人有血管异常病例接触经历，但33%的人对治疗头颈部血管病变或管理血管异常患者的口腔健康缺乏信心。
该研究强调了口腔颌面外科住院医师对血管异常的接触和教育有限，强调了将血管异常纳入口腔颌面外科课程以及在口腔颌面外科项目中扩大跨学科血管异常诊所的必要性。
