Senior Oral and Maxillofacial Surgery Resident Confidence in Performing Invasive Temporomandibular Joint Procedures
| Autor: | Michael R. Markiewicz, Michael Miloro, Alexander M. Munaretto, Louis G. Mercuri, M.R. Momin |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
TMJ disorders
education Oral Surgical Procedures MEDLINE Dentistry 03 medical and health sciences 0302 clinical medicine stomatognathic system medicine Performed Procedure Humans Response rate (survey) Chicago Temporomandibular Joint business.industry Tmj surgery Internship and Residency 030206 dentistry Temporomandibular Joint Disorders medicine.disease Surgery Oral Confidence interval Self Concept Temporomandibular joint stomatognathic diseases medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Oral and maxillofacial surgery Surgery Clinical Competence Self Report Oral Surgery business |
| Zdroj: | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 75(10) |
| ISSN: | 1531-5053 |
| Popis: | Purpose The purpose of this study was to evaluate the level of confidence that senior-level oral and maxillofacial surgery (OMS) residents have in the management of temporomandibular joint (TMJ) disorders, determine their exposure to various invasive TMJ procedures during training, and assess their confidence in performing those procedures on completion of residency. Materials and Methods A questionnaire was designed, and a link to a University of Illinois at Chicago Qualtrics Survey platform (Qualtrics, Provo, UT) was e-mailed to all program directors at Commission on Dental Accreditation–accredited OMS training programs in the United States. The program directors were asked to forward the 20–multiple-choice question anonymous survey to their senior-level residents for completion. The survey included the program's demographic characteristics, resident's confidence in assessing and managing patients with temporomandibular disorders (TMDs), resident's experience performing various invasive TMJ procedures, and whether the resident believed he or she had received sufficient education and clinical experience in the management of TMJ disorders. The data were collected and summarized by use of a standard spreadsheet analysis, as well as appropriate descriptive and analytical statistical tests. Results The response rate was 28.0%. Of the 56 respondents, 52 (92.9%) reported having received instruction in nonsurgical management of TMDs. All respondents confirmed that invasive TMJ procedures were performed in their program. The most commonly performed procedure was TMJ arthrocentesis (mean rating, 3.11), followed by open TMJ surgery (mean rating, 2.82). The least-performed invasive surgical procedure was autogenous total TMJ replacement surgery (mean rating, 1.39). Eighty percent of residents reported being comfortable managing the TMD patient. The only procedure with which the respondents were highly confident was TMJ arthrocentesis (mean rating, 3.89). Conclusions This study suggests that confidence levels in the management of the TMD patient are related directly to the invasive TMJ procedure experience obtained during residency. This finding may have implications on the practice patterns of OMS surgeons as it relates to access to care for the TMD patient. |
| Databáze: | OpenAIRE |
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