Oral Oncology and Reconstructive Surgery Fellowship Training Programs in India-A Trainee Perspective.
Oral Oncology and Reconstructive Surgery Fellowship Training Programs in India-A Trainee Perspective.
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DOI：
10.1055/s-0041-1731582
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发表时间：
2021-12
影响因子：
0.5
通讯作者：
Aggarwal K
中科院分区：
文献类型：
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作者：
Mohan S;Popli G;Aggarwal K
在我们看来，颌面外科医生非常适合口腔肿瘤和口腔重建手术。口腔颌面外科医生（OMFS）从牙科学生的早期生活开始，就只致力于头颈部解剖学，生理学，微生物学，病理学等。而另一方面，医学院校的课程设置过于宽泛，深度有限。此外，口腔颌面外科住院医师和他们的医疗同行之间的主要区别是，他们已经接受了关于身体部位的教育，他们现在将学习如何进行手术管理。OMFS适用于骨电镀、面部骨截骨、口腔和面部软组织的处理。此外，在咬合和口面部功能方面的能力水平使OMFS能够更好地设计癌症切除的方法，并以最佳的方式计划和执行重建，使患者在外观和功能上更接近正常状态。在印度，口腔肿瘤学/头颈外科肿瘤学和重建方面的颌面外科医生有各种各样的奖学金和培训机会。在过去的十年中，许多三级癌症中心开展了以机构为基础的培训/奖学金项目，从6个月到2年不等，其中大多数项目都没有协会或大学的关联。最近，印度口腔颌面外科医师协会（AOMSI）与印度的一些中心合作，启动了一个为期两年的口腔颌面肿瘤学和重建外科结构化奖学金项目，以克服对口腔肿瘤学单独培训项目的需求。同样，头颈肿瘤基金会（FHNO）是监督印度头颈肿瘤护理、教育和研究标准的基石基金会，已与该国近25家知名癌症中心合作，于2019年启动了为期两年的口腔/头颈肿瘤FHNO奖学金，提供与头颈癌症研究、预防、诊断、治疗和康复相关的所有方面的结构化和教学培训。特别强调实际操作的外科训练。颌面外科医生、耳鼻喉外科医生和普通外科医生都有资格获得FHNO奖学金。
In our perception, maxillofacial surgeons are perfect fit for oral oncology and reconstruction surgeries. Oral and maxillofacial surgeons (OMFS) from early on in a dental student’s life, is dedicated to only head and neck anatomy, physiology, microbiology, pathology, and so on. While on the other hand, medical school curriculum is broad and of limited depth. Moreover, major difference between oral and maxillofacial surgery residency and their medical counterparts is that they already have education focused on the region of the body that they will now learn to manage surgically. OMFS are comfortable performing bone plating, facial bone osteotomies, and managing the soft tissues of the oral cavity and face. Besides, level of competence in occlusion and orofacial function allows OMFS to better design approaches to cancer resection, as well as to best plan and execute reconstruction in a manner that brings the patient closer to a state of normalcy in appearance and function. 1 There are various fellowships and training opportunities available for the maxillofacial surgeons in oral oncology/head and neck surgical oncology and reconstruction in India. From last one decade, many tertiary cancer centers are conducting institutional-based training/fellowship programs varying from 6 months to 2 years and most of these programs had no association or university affiliation. Recently, the Association of Oral and Maxillofacial Surgeons of India (AOMSI), collaborated some centers in India and started a 2-year structured fellowship program in oral and maxillofacial oncology and reconstructive surgery to overcome the need for a separate training program in oral oncology. Similarly, Foundation of Head and Neck Oncology (FHNO), a cornerstone foundation to oversee the standards of care, education, and research for head and neck oncology in India, has collaborated with almost 25 renowned cancer centers of the country to start a dedicated 2-year FHNO fellowship in oral/head and neck oncology in 2019 to provide structured and didactic training in all aspects relevant to research, prevention, diagnosis, treatment, and rehabilitation of head and neck cancers, with specific emphasis on hands-on surgical training. Maxillofacial surgeons, ear, nose, and throat surgeons, and general surgeons are eligible for the FHNO fellowship.