Pub Date : 2025-02-06DOI: 10.1016/j.bjoms.2025.02.001
Aaron Chai, Subegh Srao, Edward Walker, Nalinda Panditaratne, Michael W S Ho
Post-treatment positron emission tomography/computed tomography (PET-CT) scans for head and neck cancer are challenging due to radiation-induced inflammation, leading to equivocal results. The decision by the Leeds-Mid Yorkshire multidisciplinary team (MDT) to proceed with a targeted biopsy or a second PET-CT reflects the uncertainty of balancing timely intervention and potential delays in patient outcomes. A review of the Leeds-Mid Yorkshire radiology database identified 34 head and neck cancer patients with equivocal PET-CT results following chemoradiation between 2019 and 2023. This audit aims to inform the future clinical management of equivocal findings in head and neck squamous cell carcinoma (SCC). Among the 34 analysed cases, oropharyngeal cancer was the most common (n = 28, 70%). All PET-CT reports indicated partial metabolic response, leading to two main management strategies: a second PET-CT (n = 4, 12%) or other interventions (n = 30, 88%). Kaplan-Meier analysis indicated no difference in disease-specific survival between the second PET-CT group and other-interventions group (log rank = 0.758). Similarly, there was no significant difference in overall survival between patients in the two groups, as determined by the log-rank test (p = 0.498). Decision making in this patient cohort is complex and requires MDT input. Our analysis found no significant survival difference between second PET-CT scans and other intervention (for example, biopsy) pathways. We recommend that for primary and nodal sites, radiological reports should include qualitative and quantitative assessments, clear categorisation (negative, positive, or equivocal), and standardised uptake values (SUVmax).
{"title":"Navigating treatment ambiguities in head and neck squamous cell carcinoma: A retrospective analysis of equivocal PET-CT findings and decision-making strategies following primary non-surgical treatment.","authors":"Aaron Chai, Subegh Srao, Edward Walker, Nalinda Panditaratne, Michael W S Ho","doi":"10.1016/j.bjoms.2025.02.001","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.02.001","url":null,"abstract":"<p><p>Post-treatment positron emission tomography/computed tomography (PET-CT) scans for head and neck cancer are challenging due to radiation-induced inflammation, leading to equivocal results. The decision by the Leeds-Mid Yorkshire multidisciplinary team (MDT) to proceed with a targeted biopsy or a second PET-CT reflects the uncertainty of balancing timely intervention and potential delays in patient outcomes. A review of the Leeds-Mid Yorkshire radiology database identified 34 head and neck cancer patients with equivocal PET-CT results following chemoradiation between 2019 and 2023. This audit aims to inform the future clinical management of equivocal findings in head and neck squamous cell carcinoma (SCC). Among the 34 analysed cases, oropharyngeal cancer was the most common (n = 28, 70%). All PET-CT reports indicated partial metabolic response, leading to two main management strategies: a second PET-CT (n = 4, 12%) or other interventions (n = 30, 88%). Kaplan-Meier analysis indicated no difference in disease-specific survival between the second PET-CT group and other-interventions group (log rank = 0.758). Similarly, there was no significant difference in overall survival between patients in the two groups, as determined by the log-rank test (p = 0.498). Decision making in this patient cohort is complex and requires MDT input. Our analysis found no significant survival difference between second PET-CT scans and other intervention (for example, biopsy) pathways. We recommend that for primary and nodal sites, radiological reports should include qualitative and quantitative assessments, clear categorisation (negative, positive, or equivocal), and standardised uptake values (SUVmax).</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-03DOI: 10.1016/j.bjoms.2025.01.008
N Cenzato, R Crispino, M Tumedei, G M Tartaglia, M Del Fabbro
{"title":"In reply to the comment on \"Clinical effectiveness of polynucleotides TMJ injections compared to physiotherapy. A 3-month randomised clinical trial\".","authors":"N Cenzato, R Crispino, M Tumedei, G M Tartaglia, M Del Fabbro","doi":"10.1016/j.bjoms.2025.01.008","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.01.008","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.11.003
P.M. Capanni , S. Magill , T. Walker , I. Varley , P. Magennis
In the UK Oral and Maxillofacial Surgery (OMFS) and Oral Surgery (OS) are distinct specialties governed respectively by the General Medical Council (GMC) and General Dental Council (GDC) respectively. There has always been overlap of training and care between both specialties. The OMFS curriculum was updated in 2021 and the Oral Surgery Curriculum in 2023. This paper quantitatively compares the two documents. The generic professional elements of both curricula are extensive and similar in content. The specialty specific elements of the OS and OMFS curricula, with focus on knowledge domains and competencies including index procedures and critical conditions, were compared with the level of coincidence colour coded: green (matching), amber (some overlap) and red (not present). OMFS curriculum contains all components of the new UK OS curriculum with the exception of formal documented competence in conscious sedation for dentistry. This overlap between OMFS and OS has been recognised by the General Dental Council who give OMFS specialists direct access to the Oral Surgery specialist list by Route 4. In contrast, the OS overlap with OMFS is limited, particularly in the important critical/emergency conditions where ‘competence’ has been replaced by ‘experience of’ in the 2023 OS curriculum in the domains of trauma and acute infections. This change will preclude OS specialists trained on the new curriculum being able to share on-call with OMFS specialists without significant additional training. We hope this comparison will be useful to those commissioning services and also for young dentists/doctors considering their future careers.
{"title":"Oral and Maxillofacial Surgery Curriculum (2021) and Oral Surgery Curriculum (2023): A forensic comparison of two documents","authors":"P.M. Capanni , S. Magill , T. Walker , I. Varley , P. Magennis","doi":"10.1016/j.bjoms.2024.11.003","DOIUrl":"10.1016/j.bjoms.2024.11.003","url":null,"abstract":"<div><div>In the UK Oral and Maxillofacial Surgery (OMFS) and Oral Surgery (OS) are distinct specialties governed respectively by the General Medical Council (GMC) and General Dental Council (GDC) respectively. There has always been overlap of training and care between both specialties. The OMFS curriculum was updated in 2021 and the Oral Surgery Curriculum in 2023. This paper quantitatively compares the two documents. The generic professional elements of both curricula are extensive and similar in content. The specialty specific elements of the OS and OMFS curricula, with focus on knowledge domains and competencies including index procedures and critical conditions, were compared with the level of coincidence colour coded: green (matching), amber (some overlap) and red (not present). OMFS curriculum contains all components of the new UK OS curriculum with the exception of formal documented competence in conscious sedation for dentistry. This overlap between OMFS and OS has been recognised by the General Dental Council who give OMFS specialists direct access to the Oral Surgery specialist list by Route 4. In contrast, the OS overlap with OMFS is limited, particularly in the important critical/emergency conditions where ‘competence’ has been replaced by ‘experience of’ in the 2023 OS curriculum in the domains of trauma and acute infections. This change will preclude OS specialists trained on the new curriculum being able to share on-call with OMFS specialists without significant additional training. We hope this comparison will be useful to those commissioning services and also for young dentists/doctors considering their future careers.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 125-132"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.07.018
Catherine Magennis , Patrick Magennis
By spending 3-5 years in a single location studying for their second degree, OMFS trainees often put down domestic roots which they are reluctant to pull up to complete their training elsewhere. The universities at which OMFS specialists/trainees obtained their second degrees were assembled using the General Medical Council’s OMFS specialist list, the General Dental Council’s Dental Register and a database of OMFS trainees and consultants. The second degrees of 818 past and current OMFS specialists/trainees were analysed. The most common location for second degrees of either type was London 287 (35%) followed by Birmingham 67 (8%), then Cardiff 51 (6%) and Manchester 45 (6%). There is a trend, with time, to more OMFS trainees obtaining their second degree in London. For those 689 whose second degree was medicine, London was the top location with 206 (30%) followed by Birmingham 67 (10%) and Cardiff 50 (7%). For those 129 whose second degree was dentistry, London was the top location with 81 (63%) followed by Europe 11 (9%) and Ireland 7 (5%). The predominance of London as a source of their second-degree for both ‘dentistry first’ and ‘medicine first’ OMFS trainees impacts on recruitment. Many who study in London want to train/work in or near London. Understanding where OMFS trainees obtain their second degrees, may help those planning for the future workforce for example creating opportunities outside London.
{"title":"Review of the ‘second degree’ universities of Oral and Maxillofacial Surgery (OMFS) specialists and trainees in the UK. Locations of their graduate entry medicine and graduate entry dentistry degrees, graduating between 1979–2019","authors":"Catherine Magennis , Patrick Magennis","doi":"10.1016/j.bjoms.2024.07.018","DOIUrl":"10.1016/j.bjoms.2024.07.018","url":null,"abstract":"<div><div>By spending 3-5 years in a single location studying for their second degree, OMFS trainees often put down domestic roots which they are reluctant to pull up to complete their training elsewhere. The universities at which OMFS specialists/trainees obtained their second degrees were assembled using the General Medical Council’s OMFS specialist list, the General Dental Council’s Dental Register and a database of OMFS trainees and consultants. The second degrees of 818 past and current OMFS specialists/trainees were analysed. The most common location for second degrees of either type was London 287 (35%) followed by Birmingham 67 (8%), then Cardiff 51 (6%) and Manchester 45 (6%). There is a trend, with time, to more OMFS trainees obtaining their second degree in London. For those 689 whose second degree was medicine, London was the top location with 206 (30%) followed by Birmingham 67 (10%) and Cardiff 50 (7%). For those 129 whose second degree was dentistry, London was the top location with 81 (63%) followed by Europe 11 (9%) and Ireland 7 (5%). The predominance of London as a source of their second-degree for both ‘dentistry first’ and ‘medicine first’ OMFS trainees impacts on recruitment. Many who study in London want to train/work in or near London. Understanding where OMFS trainees obtain their second degrees, may help those planning for the future workforce for example creating opportunities outside London.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 98-103"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.11.007
Ali Malik, Harun Arain, Sukruth Kundur, Hamid Reza Khademi Mansour
{"title":"Comment on: Who let the dogs out? A 10-year review of maxillofacial dog bite injuries","authors":"Ali Malik, Harun Arain, Sukruth Kundur, Hamid Reza Khademi Mansour","doi":"10.1016/j.bjoms.2024.11.007","DOIUrl":"10.1016/j.bjoms.2024.11.007","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 160-161"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.12.002
Kate Bullen (5th Year Medical Student, Ma (Hons))
{"title":"Assisted dying and head and neck palliation","authors":"Kate Bullen (5th Year Medical Student, Ma (Hons))","doi":"10.1016/j.bjoms.2024.12.002","DOIUrl":"10.1016/j.bjoms.2024.12.002","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 156-157"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.11.010
Oliver Jacob (Junior Clinical Fellow), Alexander Rae (Junior Clinical Fellow), Kati Hallikainen (Principal Counselling Psychologist), Kathleen Fan (Professor and Consultant in Oral and Maxillofacial Surgery)
This study of clinicians working in oral and maxillofacial surgery (OMFS) in the United Kingdom (UK) investigates the prevalence and character of surgical performance anxiety (SPA), a state of anxiety in response to negative evaluation by others concerning the performance of a surgical task. There is growing awareness of the impact of non-technical skills on patient outcomes with some research into SPA, but this is not OMFS-specific, and the understanding of performance anxiety in surgery falls behind comparable performance-driven professions. A prospective mixed-methods study was therefore conducted among UK OMFS clinicians using an electronic survey. Data captured included demographics, trait anxiety, wellbeing, trait perfectionism, and surgical perfectionism. A total of 79 responses were collected. The mean (range) age was 35.6 (24–68) years, and the mean (range) experience working in OMFS was 9.6 (0.25–43) years. Ninety per cent of respondents had experienced SPA during their career. Reduced SPA and trait perfectionism were linked to increased age and experience. Respondents experienced significantly lower wellbeing compared with population norms. The thematic analysis highlighted people and the working environment as triggers for SPA. Creating an open, blame-free environment was a frequently suggested support strategy. By acknowledging and addressing SPA, OMFS clinicians can potentially improve their performance and patient outcomes. Identifying people and the working environment as triggers and the recommendation to create an open, blame-free environment offer direction for further research.
{"title":"Surgical performance anxiety among UK oral and maxillofacial surgeons","authors":"Oliver Jacob (Junior Clinical Fellow), Alexander Rae (Junior Clinical Fellow), Kati Hallikainen (Principal Counselling Psychologist), Kathleen Fan (Professor and Consultant in Oral and Maxillofacial Surgery)","doi":"10.1016/j.bjoms.2024.11.010","DOIUrl":"10.1016/j.bjoms.2024.11.010","url":null,"abstract":"<div><div>This study of clinicians working in oral and maxillofacial surgery (OMFS) in the United Kingdom (UK) investigates the prevalence and character of surgical performance anxiety (SPA), a state of anxiety in response to negative evaluation by others concerning the performance of a surgical task. There is growing awareness of the impact of non-technical skills on patient outcomes with some research into SPA, but this is not OMFS-specific, and the understanding of performance anxiety in surgery falls behind comparable performance-driven professions. A prospective mixed-methods study was therefore conducted among UK OMFS clinicians using an electronic survey. Data captured included demographics, trait anxiety, wellbeing, trait perfectionism, and surgical perfectionism. A total of 79 responses were collected. The mean (range) age was 35.6 (24–68) years, and the mean (range) experience working in OMFS was 9.6 (0.25–43) years. Ninety per cent of respondents had experienced SPA during their career. Reduced SPA and trait perfectionism were linked to increased age and experience. Respondents experienced significantly lower wellbeing compared with population norms. The thematic analysis highlighted people and the working environment as triggers for SPA. Creating an open, blame-free environment was a frequently suggested support strategy. By acknowledging and addressing SPA, OMFS clinicians can potentially improve their performance and patient outcomes. Identifying people and the working environment as triggers and the recommendation to create an open, blame-free environment offer direction for further research.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 133-138"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.11.006
George Emms , Viet Nguyen , Emma Elliott , Christopher Mannion
Postgraduate exposure to oral and maxillofacial surgery (OMFS) for medical and dental graduates differs significantly. To our knowledge, the availability and opportunities provided by these single-qualification posts have not previously been explored. We investigated the number of OMFS posts available for foundation year (FY) doctors and dental core trainees (DCTs) by using information from UK foundation schools and analysing data from Health Education England (HEE) and the UK Foundation Programme Office (UKFPO). In 2023-24 there were over 11 times as many OMFS posts for DCTs compared with FY doctors. The implications are explored in this paper, including the impact on interprofessional working and team development. OMFS as a specialty, with teams consisting of dental and medical graduates, is distinctive for fostering interprofessional education (IPE) and collaboration (IPC). IPE/IPC has been shown to increase the knowledge of practitioners and can lead to benefits for both clinicians and patients. By understanding the national composition of single-qualification posts, we hope to establish the foundations for further research into this unique interdisciplinary learning environment.
{"title":"The composition of England’s single-qualification OMFS posts: a descriptive analysis of foundation year and dental core training posts","authors":"George Emms , Viet Nguyen , Emma Elliott , Christopher Mannion","doi":"10.1016/j.bjoms.2024.11.006","DOIUrl":"10.1016/j.bjoms.2024.11.006","url":null,"abstract":"<div><div>Postgraduate exposure to oral and maxillofacial surgery (OMFS) for medical and dental graduates differs significantly. To our knowledge, the availability and opportunities provided by these single-qualification posts have not previously been explored. We investigated the number of OMFS posts available for foundation year (FY) doctors and dental core trainees (DCTs) by using information from UK foundation schools and analysing data from Health Education England (HEE) and the UK Foundation Programme Office (UKFPO). In 2023-24 there were over 11 times as many OMFS posts for DCTs compared with FY doctors. The implications are explored in this paper, including the impact on interprofessional working and team development. OMFS as a specialty, with teams consisting of dental and medical graduates, is distinctive for fostering interprofessional education (IPE) and collaboration (IPC). IPE/IPC has been shown to increase the knowledge of practitioners and can lead to benefits for both clinicians and patients. By understanding the national composition of single-qualification posts, we hope to establish the foundations for further research into this unique interdisciplinary learning environment.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 139-143"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.10.242
K. Shanthakunalan , A. Lotfallah , J. Limbrick , R. Elledge , N. Khan , A. Darr
Palliative care strives to improve the quality of life of patients experiencing life-limiting conditions by providing personalised holistic care. Head and neck cancer patients may require palliation at different stages of their disease, thus timely recognition and management is vital when considering supportive care. This study assesses the awareness, perceived confidence, and knowledge of palliative care management of UK-based oral and maxillofacial surgery (OMFS) head and neck surgeons. The study comprised eight multiple-choice questions developed by five palliative care consultants via the Delphi method and distributed over three months. Alongside knowledge, perceived confidence, and exposure and training, shortfalls in palliative care management were assessed. A total of 50 eligible responses were collated from middle grade (n = 34, 68%) and consultant (n = 16, 32%) OMFS surgeons in the UK. The mean knowledge score was 3.2 out of 10, with only 28% stating they were confident with the palliative management of head and neck patients. Only 10% had had palliative care rotations during their postgraduate training and the majority (86%) felt that further palliative care training should be incorporated into the OMFS curriculum. Our findings suggest a need for focused palliative care training and education amongst UK-based OMFS surgeons. A greater understanding through curriculum integration and a collaborative multidisciplinary approach will ultimately enhance the quality of care delivered to these patients.
{"title":"Palliative care management of head and neck cancer patients amongst oral and maxillofacial surgeons: A novel national survey assessing knowledge, decision making, perceived confidence, and training in the UK","authors":"K. Shanthakunalan , A. Lotfallah , J. Limbrick , R. Elledge , N. Khan , A. Darr","doi":"10.1016/j.bjoms.2024.10.242","DOIUrl":"10.1016/j.bjoms.2024.10.242","url":null,"abstract":"<div><div>Palliative care strives to improve the quality of life of patients experiencing life-limiting conditions by providing personalised holistic care. Head and neck cancer patients may require palliation at different stages of their disease, thus timely recognition and management is vital when considering supportive care. This study assesses the awareness, perceived confidence, and knowledge of palliative care management of UK-based oral and maxillofacial surgery (OMFS) head and neck surgeons. The study comprised eight multiple-choice questions developed by five palliative care consultants via the Delphi method and distributed over three months. Alongside knowledge, perceived confidence, and exposure and training, shortfalls in palliative care management were assessed. A total of 50 eligible responses were collated from middle grade (n = 34, 68%) and consultant (n = 16, 32%) OMFS surgeons in the UK. The mean knowledge score was 3.2 out of 10, with only 28% stating they were confident with the palliative management of head and neck patients. Only 10% had had palliative care rotations during their postgraduate training and the majority (86%) felt that further palliative care training should be incorporated into the OMFS curriculum. Our findings suggest a need for focused palliative care training and education amongst UK-based OMFS surgeons. A greater understanding through curriculum integration and a collaborative multidisciplinary approach will ultimately enhance the quality of care delivered to these patients.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 144-150"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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