A survey of South African Maxillofacial & Oral Surgeon opinions regarding the academic education in the field of cleft lip/palate and craniofacial deformities
DOI:
https://doi.org/10.17159/2519-0105/2020/v75no5a3Keywords:
Maxillofacial & oral surgeon, cleft lip and palate, cleft lip, alveolus and palate, multidisciplinary, education, surveyfor dental professionsAbstract
Maxillofacial and oral surgeons (MFOS) are trained to manage hard and soft tissue conditions affecting the orofacial region. They, therefore, play an essential role in the health care of cleft lip/palate (CLP) and craniofacial deformities (CFD) patients. The complex and lengthy nature of CLP and CFD management requires collaboration between different disciplines. Consequently, it becomes increasingly important that the academic education available to MFOS provides in-depth knowledge, multidisciplinary participation and adequate clinical exposure provided by field experts. This study aimed to investigate the exposure and knowledge level of MFOS regarding the management of CLP and CFD. A second objective was to obtain an opinion from practising MFOS about the academic educational needs of those working with CLP and CFD. An online survey and telephone interviews (using a structured questionnaire) were used to investigate the level and scope of the MFOS academic education and to determine their academic needs. The questionnaire was completed by 53 (of 121) of practising MFOS on the Medpages health care provider database, 64.8% of whom had more than 10 years of professional experience. Of the respondents, 60% showed a good general knowledge of CLP and CFD. However, 66.5% acknowledged that they had received only limited clinical training and exposure, which prevented them from providing adequate services to CLP/CFD patients. Only 41% of the respondents offered primary and/or only secondary treatment for both CLP and CFD patients, and 53.8% of them had participated in multidisciplinary teams. All the respondents agreed on the need for a dedicated training programme(s) in CLP and CFD management, and the majority recommended a subspecialty training either by degree courses or clinical fellowship and / or certification. This study demonstrates that postgraduate academic training and clinical exposure are limited in the CLP and CFD fields. All the respondents agreed that an educational strategy to meet the needs of MFOS providing CLP and CFD care should be established. Participants suggested that part-time clinical and/or degree courses should be developed.
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Meara JG, Hagander L, Leather AJM. Surgery and global health: A Lancet commission: Lancet, London. 2014; 383 (9911): 12-3.
Taro T, Yao C, Ly S, Wipfli H, Magee K, Vanderburg R, et al. The global surgery partnership: An innovative partnership for education, research, and service. Acad Med. 2016; 91(1): 75-8.
Poenaru D, Lin D, Corlew S. Economic valuation of the global burden of cleft disease averted by a large cleft charity. World J Surg. 2016; 40(5): 1053-9.
Sachs SA, Schwartz MH, Drew SJ. The oral and maxillofacial 'surgeon's role in the care of patients with cleft lip and palate deformities. NY State Dent J. 1998; 64(7): 24-9.
Brennan PA, Macey-Dare LV, Flood TR, Markus AF, Uppal R. Cleft lip and palate management by UK consultant oral and maxillofacial surgeons: A national survey. Cleft Palate Craniofac J. 2001; 38(1): 44-8.
Bütow K, Zwahlen R. Ultimate result. Cleft ultimate treatment. 2nd ed. Reach Publishers, Durban. 2016; 20, 423, 430.
Rocha NS, Laureano Filho JR, Silva ED, Almeida RC. Perception of oral maxillofacial surgery by healthcare professionals. Int J Oral Maxillofac Surg. 2008; 37(1): 41-6.
Gadbury-Amyot CC, Simmer-Beck M, McCunniff M, Williams KB. Using a multifaceted approach including community-based service-learning to enrich formal ethics instruction in a dental school setting. J Dent Ed. 2006; 70(6): 652-61.
Lass NJ, Gasperini RM, Overberger JE, Connolly ME. The exposure of medical and dental students to the disorder of cleft palate. Cleft Palate J. 1973; 10(56): 306-11.
Spriestersbach DC, Dickson DR, Fraser FC, Horowitz SL, McWilliams BJ, Paradise JL, et al. Clinical research in cleft lip and cleft palate: The state of the art. Cleft Palate J. 1973; 10: 113-65.
Marks M. A teamwork approach to cleft palate rehabilitation in South Africa. S Afr J Commun Disord. 1960; 7(2): 8-10.
Bütow KW. Treatment of cleft lip and palate. Part V: The clinic and the multidisciplinary approach to cleft lip and palate cases. J Dent Assoc S Afr. 1984; 39(8): 543-5.
Berkowitz S. Cleft lip and palate: Diagnosis and management: Springer-Verlag; Berlin, 2013. 885.
Garner HG. Teamwork models and experience in education: Allyn & Bacon; Needham Heights, MA 1995; 65.
McCarthy JG, editor. Development of craniofacial orthodontics as a subspecialty at New York University Medical Center. Semin Orthod. 2009; 15(4): 221-4.
Kern DE, Thomas PA, Hughes MT. Curriculum development for medical education: A six-step approach. 2nd ed. Johns Hopkins University Press; Baltimore, MD 2009; 5-15.
Medpages, South Africa: (updated 7 Sep 2016; cited 28 July 2017). Available from: https://www.medpages.info/sf/index.php?page=services
Vallino LD, Lass NJ, Pannbacker M, Klaiman PG, Miller P. Medical students' knowledge of and exposure to cleft palate. Cleft Palate Craniofac J. 1992; 29(3): 275- 8.
Modi N, Ross E. The current practices, training and concerns of a group of hospital-based speech therapists working in the area of dysphagia. S Afr J Commun Disord. 2000; 47: 3-14.
Snyman L, Visser J. The adoption of social media and social media marketing by dentists in South Africa. S Afr Dent J. 2014; 69(6): 258-64.
Kellerman SE, Herold J. Physician response to surveys. A review of the literature. Am J Prev Med. 2001; 20(1): 61-7.
Keating NL, Zaslavsky AM, Goldstein J, West DW, Ayanian JZ. Randomised trial of $20 versus $50 incentives to increase physician survey response rates. Med Care 2008; 46(8): 878 - 81.
Flanigan TS, McFarlane E, Cook S, editors. Conducting survey research among physicians and other medical professionals: A review of current literature. In Proceedings of the Survey Research Methods Section, American Statistical Association . May 15 2008; 1: 4136-47.
Modi, N, Ross E. The current practices, training and concerns of a group of hospital-based speech therapists working in the area of dysphagia. The South African Journal of communication disorders. 2000; 47: 3-14.
Thandeka M, Penelope F, Robin J. Are South African speech-language therapists adequately equipped to assess English Additional Language (EAL) speakers who are from an indigenous linguistic and cultural background? A profile and exploration of the current situation. S Afr J Commun Disord. 2016; 63(1): e1-e5.
Noble J, Schroth RJ, Hechter FJ, Huminicki A, Wiltshire WA. Motivations of orthodontic residents in Canada and the United States to treat patients with craniofacial anomalies, cleft lip/palate, and special needs. Cleft Palate Craniofac J. 2012; 49(5): 596-600.
Bedwinek AP, Kummer AW, Rice GB, Grames LM. Current training and continuing education needs of preschool and school-based speech-language pathologists regarding children with cleft lip/palate. Lang Speech Hear Serv Sch. 2010; 41(4): 405-15.
Kuehn DP, Kummer AW, 'D'Antonio LL, Karnell MP. Cleft palate and speech: Three models of focused education. Perspect Speech Sci Orofac Disord. 2006; 16(2): 17-21.
Patel N, Dittakasem K, Fearon JA. Craniofacial fellowship training: Where are we now? Plast Reconstr Surg. 2015; 135(5): 1454- 60.
Silvestre J, Agarwal D, Taylor JA. Craniofacial surgery fellowship websites. J Craniofac Surg. 2016; 27(4): 831-4.
Nissen L. The international association of oral & maxillofacial surgery: An organisation of contrasts and similarities. J Maxillofac Oral Surg. 2010; 9(4): 322.
Denadai R. The Sobrapar Hospital Craniofacial Surgery Fellowship: Wide craniofacial surgery training based on historical and evolving principles. J Craniofac Surg. 2018; 29(7): 1686-8.
Laskin DM. Learning to keep our teachers. J Oral Maxillofac Surg. 1991; 49(12): 1263.
Egro FM, Blecher NA, Losee JE, Nguyen VT, Goldstein J. Craniofacial surgery fellowship selection criteria: A national program director survey. J Craniofac Surg. 2017; 28(5): 1132-5.
Grewal NS, Spoon DB, Kawamoto HK, Jones NF, Da Lio AL, Crisera C, et al. Predictive factors in identifying subspecialty fellowship applicants who will have academic practices. Plast Reconstr Surg. 2008; 122(4): 1264-71.
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Copyright (c) 2020 Emad Ghabrial, Kurt W Bütow
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