The GDC currently recognises 13 various fields of dentistry with regards to their specialist register. You are not required to join a specialist list to practise a specialty, however, only dentists on these specialist lists have the right to use the ‘specialist’ title. In this series of articles you can find out more about each specialty from experts in their respective fields, with advice on the career pathway as well as sharing their experiences as a specialist.

Oral & Maxillofacial Surgery deals with the diagnosis and treatment, both surgical and non-surgical, of diseases affecting the mouth, jaws, face and neck. Unlike the 13 specialties mentioned above, Oral & Maxillofacial Surgery, is recognised as a medical specialty in the UK and as such it is regulated by the GMC.

In the following article, Tom Handley discusses how you can establish a career in Oral & Maxillofacial Surgery.

 

Tom HandleyTom Handley FRCS(OMFS), MRCSGlasg, MFDSRCPS, MBChB(Hons), BDS(Hons).

Final Year Specialty Registrar Oral & Maxillofacial Surgery
West of Scotland

 

 
 
 

Where have you worked and studied?

Istudied dentistry as my first degree in Newcastle, and this is where as a second year student my interest in this specialty was born following a series of lectures on the scope of the specialty. I knew from that point on this is what I wanted to do as a career. I went on to complete a VT year in the same region. My subsequent training moved to Glasgow, where I spent a couple of years as a senior house officer in a regional Maxillofacial unit, before returning to Dundee University to study medicine. During this period of additional study I continued to work in the specialty, gaining further experience as well as earning a living. I completed my foundation medical training in Tayside before returning to Glasgow to complete my core surgical training and my surgical membership exams. I am now almost near the end of my higher surgical training, and I have never looked back.

What is Oral & Maxillofacial Surgery?

Oral & Maxillofacial Surgery is the specialty that deals with the diagnosis and treatment both surgical and non-surgical of diseases affecting the mouth, jaws, face and neck.

A typical day…

Every day starts with a ward round to review the surgical inpatients, this is followed by either outpatient clinics (general or subspecialty) or the operating theatre and this can range from day surgery minor oral surgery or skin cancer resection and local flap reconstruction, to major head and neck cancer resection and microvascular free flap reconstruction. However, in reality there is never really a typical day, each one is different, you never know what will be waiting for you in the morning following the previous nights on call, or what is going to come through the door as an emergency during the day. Its exciting!

SPECIALITY PATHWAY

Entry Requirements

Oral and maxillofacial surgery is the only surgical specialty that requires dual qualification in medicine and dentistry. In addition completion of basic surgical training is mandatory with completion of the MRCS surgical examination. Further post-graduate diplomas (e.g. MFDS etc) are desirable, as are further degrees (e.g. BSc, MD, PhD)

Training pathway:

Most oral and maxillofacial surgeons studied dentistry first and then medicine as a second degree, however, there is a rising number medical graduates now returning to study dentistry in order to achieve dual training.

On completion of the dental degree, time is usually spent in general professional training or oral & maxillofacial units as an SHO. Once a decision has been made to pursue a career in OMFS application to medical school is made (Ideally on a shortened 3 year course). On completion of a medical degree, medical foundation training of two years is required, during which the doctor will become fully registered with the GMC. At this stage the candidate will compete with other doctors for entry into a core surgical training program (usually two years) where they will rotate through a number of the surgical disciplines before completing their surgical membership exam, which is deemed the end point of core training. Finally the trainee will compete for entry into higher surgical training for a training period of 5 years, and towards the end will sit their exit fellowship examination.

Further subspecialty training in the form of a fellowship can be added onto the end of this training program to enhance the surgeon’s skills and experience, especially in some of the more specialised areas of practice, e.g. Cleft Lip & Palate, Craniofacial or Head & Neck Oncology.

For the academically minded trainee, a proportion of time may be spent in research, leading to a PhD or MD. But this is not mandatory for entry into specialist training. There is no alternative if you wish to practice the full scope of the specialty.

Career options after specialising…

For those completing a conventional training pathway, there are increasing numbers of NHS consultant posts available.  A number of consultants in Oral Medicine in the UK have gone on to take positions as Lead Clinicians and Clinical Directors as well as senior positions in Deaneries and Royal Colleges.

Any other advice to a young student aiming to set off on the path to a career in OMFS?

As soon as you have an interest in something, get out there and explore it, the earlier the better. Speak to people in the job at all levels, arrange special study modules, electives and if you can, get involved in audit and research. Look at ways to enhance your CV all the time, remember for all jobs, all eligible candidates will have the same essential requirements of the job, what you need to add is the desirables! Good luck

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