scholarly journals 1241 MaxSim, a Novel Simulation Based Education Course for OMFS Emergencies

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Holden

Abstract Introduction For Oral and Maxillofacial Surgery (OMFS) Senior House Officers (SHOs), with no formal medical training, the first exposure to inpatient medical or OMFS emergencies will be the first time they are having to manage them, usually alone. Simulation based education has been demonstrated to increased experience and confidence when used in medical education 1, therefore an OMFS simulation-based education course was created to facilitate this learning in a safe environment. Method The course included stations on medical emergencies such as sepsis, and OMFS emergencies centred around scenarios that necessitate rapid response including retrobulbar haemorrhage and carotid artery blowout. A pre and post course questionnaire was given to all delegates to assess their change in confidence when managing the scenarios. Each was asked to score their confidence in managing the scenarios numerically from one to ten. Results Delegate numbers were limited due to the Covid-19 pandemic with all ten completing both questionnaires. There was an even distribution between first and second year SHOs. Two had received simulation training before however, very limited. In all ten simulation stations every delegate felt an increase in confidence on average by 4.5 (range: 3.8-5.6) on the ten-point scale, p < 0.05. Positive feedback was also given by all stating it was extremely useful. Conclusions Simulation based education has been shown to be invaluable method of training for clinical scenarios and needs to become more common place in Oral and Maxillofacial Surgery. This course is to be expanded post Covid-19 to become available nationally.

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammad Kamal ◽  
Mohammad Abdulwahab ◽  
Ahmed Al-Zaid

Abstract Background Oral and maxillofacial surgery specialty has grown rapidly in Kuwait in recent years. However, the general public and healthcare professionals remain unaware of its expanding scope of practice. The aim of the study is to assess public and professional (dental and medical) perception of the oral and maxillofacial surgical specialty in Kuwait. Methods This is a cross-sectional study evaluating responses of dental professionals, medical professionals, and general public in Kuwait toward the oral and maxillofacial surgical specialty using a previously validated survey instrument with 100 participants in each group. Participants were asked to choose the most appropriate specialist to treat certain procedures across 4 disciplines: reconstruction, trauma, pathology, and cosmetic. Statistical comparison was conducted between dentists and medical doctors using Fisher’s exact test with a p-value of < 0.05. Results Disparities were noted each group’s responses. Oral and maxillofacial surgery was preferred overall for most clinical scenarios in trauma (p < 0.001), pathology (p < 0.001), and reconstructive surgery (p < 0.001). Plastic surgery was preferred for cosmetic surgeries (p < 0.001). Conclusions This study indicates the need to increase awareness especially towards cosmetic surgery procedures, and conduct health campaigns regarding oral and maxillofacial surgery among healthcare professionals, especially medical doctors, and the general public.


Author(s):  
James P. Bliss ◽  
Beth M. Hartzler ◽  
Jennifer Winner ◽  
Douglas Hodge

As with civilian medicine, the Military Health System relies on medical manikins to supplement didactic training. Analyses of transfer-of-training and the calibration between self-efficacy (SE) and competence offer a robust look at training effectiveness; however, the logistics of collecting these data are complex. Self-reported SE is commonly used as a starting point to look at training effectiveness, and prior research has used it to compare didactic against simulation-based training options. Military medical training courses, however, often combine didactic and experiential (simulation-based) training. Little or no work has documented how SE is differentially affected in courses using both training approaches. Results reported here represent SE data from enlisted medical technicians completing pre-deployment readiness training. These data illustrate that SE gained through didactic training was maintained throughout the simulation training. We discuss possible reasons why this sample did not demonstrate further significant gains following simulation and we identify challenges associated with the study of individual constructs such as SE in the context of team-based training environments.


Author(s):  
V.M. Zhdan ◽  
Н.S. Khaіmenova ◽  
M.Iu. Babanina ◽  
O.A. Kyrian ◽  
O.I. Katerenchuk

The emergence of high technologies in medicine, accelerating the pace of life, increasing the amount of knowledge, the implementation of new therapeutic and diagnostic techniques set new challenges in terms of developing new high-quality approaches for the system of medical training. Across the industry, there is an acute shortage of highly qualified professionals. Therefore, it is natural that one of the main areas in the field of medical training consists in the necessity to significantly enhance the practical aspect of training while maintaining the appropriate level of theoretical knowledge. The course of clinical disciplines does not always provide enough time to master practical manipulations. In recent years, the situation has been worsened by widespread changes in the regulations between clinics and medical training settings. In this regard, the emergence of opportunities to include phantom and simulation training for medical professionals on larger scale is regarded as a reasonable and necessary measure to boost the training process. Currently, simulation devices are used for training and objective assessment in many areas of human activities, which involve high risks. Simulation training has a number of advantages compared with the traditional training system: the mannequins do not suffer from medical malpractice; training is conducted regardless of the presence of appropriate patients in the clinic and the work schedule of the medical institution; the end result of the workshop increases due to objective assessment. It is the simulators that can repeatedly and accurately reproduce important clinical scenarios and the ability to adapt the learning situation. The main and most important advantage of imitation is the ability to objectively record the parameters of professional activity performed in order to achieve a high level of training of each specialist.


2021 ◽  
Author(s):  
Mohammad Kamal ◽  
Mohammad Abdulwahab ◽  
Ahmed Al-Zaid

Abstract Background: Oral and maxillofacial surgery specialty has grown rapidly in Kuwait in recent years. However, the general public and healthcare professionals remain unaware of its expanding scope of practice. The aim of the study is to assess public and professional (dental and medical) perception of the oral and maxillofacial surgical specialty in Kuwait.Methods: This is a cross-sectional study evaluating responses of dental professionals, medical professionals, and general public in Kuwait toward the oral and maxillofacial surgical specialty using a previously validated survey instrument with 100 participants in each group. Participants were asked to choose the most appropriate specialist to treat certain procedures across 4 disciplines: reconstruction, trauma, pathology, and cosmetic. Statistical comparison was conducted between dentists and medical doctors using Fisher’s exact test with a p-value of < 0.05. Results: Disparities were noted each group’s responses. Oral and maxillofacial surgery was preferred overall for most clinical scenarios in trauma (p < 0.001), pathology (p < 0.001), and reconstructive surgery (p < 0.001). Plastic surgery was preferred for cosmetic surgeries (p < 0.001). Conclusions: This study indicates the need to increase awareness especially towards cosmetic surgery procedures, and conduct health campaigns regarding oral and maxillofacial surgery among healthcare professionals, especially medical doctors, and the general public.


Author(s):  
Nallamilli V. S. Sekhar Reddy

AbstractOral and Maxillofacial Surgery has evolved over the last few decades. Oral and Maxillofacial surgeons also deal with medical emergencies in an office or hospital setting on a regular basis. Emergency team response in most countries is prompt. However, in some parts of the world, the response time of the emergency team is expected to be comparatively longer, due to various policy issues. The chapter considers these special circumstances, to suggest some additional measures toward the management of the emergency, while waiting for the arrival of the emergency team. Oral and Maxillofacial surgeons are expected to be well versed with this life-saving simple clinical skill and the protocols discussed here take this into consideration.


2020 ◽  
Author(s):  
Mohammad Kamal ◽  
Mohammad Abdulwahab ◽  
Ahmed Al-Zaid

Abstract Background: Oral and maxillofacial surgery specialty has grown rapidly in Kuwait in recent years. However, the general public and healthcare professionals remain unaware of its expanding scope of practice. The aim of the study is to assess public and professional (dental and medical) perception of the oral and maxillofacial surgical specialty in Kuwait.Methods: This is a cross-sectional study evaluating responses of dental professionals, medical professionals, and general public in Kuwait toward the oral and maxillofacial surgical specialty using a previously validated survey instrument with 100 participants in each group. Participants were asked to choose the most appropriate specialist to treat certain procedures across 4 disciplines: reconstruction, trauma, pathology, and cosmetic. Statistical comparison was conducted between dentists and medical doctors using Fisher’s exact test with a p-value of < 0.05. Results: Disparities were noted each group’s responses. Oral and maxillofacial surgery was preferred overall for most clinical scenarios in trauma (p < 0.001), pathology (p < 0.001), and reconstructive surgery (p < 0.001). Plastic surgery was preferred for cosmetic surgeries (p < 0.001). Conclusions: This study indicates the need to increase awareness especially towards cosmetic surgery procedures, and conduct health campaigns regarding oral and maxillofacial surgery among healthcare professionals, especially medical doctors, and the general public.


BDJ ◽  
2013 ◽  
Vol 215 (11) ◽  
pp. 571-576 ◽  
Author(s):  
A. S. Kalsi ◽  
H. Higham ◽  
M. McKnight ◽  
D. K. Dhariwal

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