Postgraduate training in Oral- and Maxillofacial Surgery: Results of a survey among 74 German interns

• Published in: Journal of cranio-maxillo-facial surgery 2019-10, Vol.47 (10), p.1645-1651
• Main Authors: Pabst, Andreas, Zeller, Alexander-N., Rashad, Ashkan, Wagner, Maximilian E.H., Eckelt, Uwe, Ehrenfeld, Michael, Schiegnitz, Eik
• Format: Article
• Language: English
• Subjects: Adult; Dentistry; Esthetics, Dental; Female; German association of oral and maxillofacial surgery; Germany; Humans; Internship and Residency; Male; Oral and maxillofacial surgery; Resident; Surgery, Oral; Survey; Surveys and Questionnaires; Training and teaching; Training concepts
• ISSN: 1010-5182; 1878-4119
• DOI: 10.1016/j.jcms.2019.07.029

The aim of this study was to asses a survey of residents to obtain relevant information about their current situation in training in Oral and Maxillofacial Surgery in Germany. Special focus was given to the personal and clinical preferences of the residents, their main subjects of interest and plans after residency. Furthermore, the different principles of education at German teaching hospitals were evaluated. Overall, 74 questionnaires were completed on a voluntary and anonymous basis by German residents for Oral and Maxillofacial Surgery. Participants’ mean age was 32.74 years (68% male, 27% female). Most participants were in the fifth year of training (32%) and members of the German Association of Oral and Maxillofacial Surgery (70%). This rate increased with progress in residency (p = 0.006). Most residents (70%) were employed at university hospitals, followed by non-university hospitals (26%) and private practices (4%). Residents from university hospitals (3.06 ± 0.39 years) were less advanced in training compared to residents from non-university hospitals and private practices (4.10 ± 0.54 years; p = 0.005). Part-time employed residents were significantly younger (30.64 ± 2.37 years) than full-time employed residents (33.25 ± 0.64 years, p = 0.002). Structured concepts of training existed in 64% of the hospitals, while training depending on the current year of residency (42%) was most common. Most of the residents would prefer a systematic rotation system (59%). Main subjects of clinical interest were aesthetic (50%) and orthognathic surgery (46%). The interest in dento-alveolar surgery (34%) significantly increased with participants’ age (p = 0.008). Clefts and malformations were favoured by few residents (16%). Most participants planned to specialize in facial plastic surgery after residency (76%). The data collected might give evidence for an increasing importance of structured training concepts in Oral and Maxillofacial Surgery. It might be relevant to enhance the interest and the excitement of residents for oncology, traumatology, cleft and malformation surgery. •The main subjects of interest for trainees are aesthetic surgery, followed by orthognathic and dento-alveolar surgery.•Clefts and malformations arouse the least interest for trainees.•Most popular training concepts in the hospitals are the rotation concept and training depending from the personal level of experience.•Most trainees prefer the rotation concept.•A specialization in facial