Articles  |   April 2019
Increasing Patient Safety – OMFS Resident Training: A New Approach
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Education / CPD / Patient Safety / Articles
Articles   |   April 2019
Increasing Patient Safety – OMFS Resident Training: A New Approach
ASA Monitor 4 2019, Vol.83, 34-37.
ASA Monitor 4 2019, Vol.83, 34-37.
It is well known that as part of their curriculum, oral and maxillofacial surgery (OMFS) residents have to complete a five- to six-month rotation on anesthesia service, along with ongoing anesthesia delivery and education throughout their entire training. While the general requirements of the training must follow the Commission on Dental Accreditation (CODA, the dental equivalent of ACGME) and are fairly specific, each academic anesthesiology department independently develops its own goals and objectives. The degree of success achieved is usually gauged by the clinical ability of each OMFS resident, rather than on their national examination scores on anesthesiology-related topics.
OMFS residents are highly trained professionals who start by completing a four-year DDS degree, followed by the completion of an OMFS residency of four to six years. The time variance is that some programs have an integrated medical degree program where the resident completes all the requirements to become a licensed physician. Approximately 45 percent of OMFS residencies have an integrated M.D. program. The University of Oklahoma is not an integrated program but has an M.D. option at the end of OMFS residency. While multiple institutions tailor their anesthesia rotation differently, in our institution, OMFS residents undergo the formal anesthesia training in their first year of residency. They complete five months on adult anesthesia followed by a month of pediatric anesthesia. These residents are integrated into the anesthesia department. In longitudinal education, the OMFS residents at University of Oklahoma also have multiple anesthesia lectures and three SIM sessions per year (with anesthesia and OMFS faculty) at every level of training. The resident continues to deliver supervised general anesthesia, deep sedation and I.V. sedation on a weekly basis throughout their residency. They also deliver outpatient pediatric anesthesia (sevoflurane) in the OMFS clinic with direct anesthesiologist supervision over the last two years of residency.
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