Factors associated with confidence in practicing of oral and maxillofacial surgery chief residents
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Abstract
This study aimed to examine factors related to the confidence in professional practicing of chief residents in oral and maxillofacial surgery in Thailand. The factors under the investigation included personal data, program curriculum, training institutions, and experiences in patient care and surgery of the participating residents. Data were collected through questionnaires distributed to oral and maxillofacial surgery residents graduated in 2022 from all training institutions in Thailand. The research results, based on 18 participants, revealed a positive correlation between the confidence in professional practice and 1) the duration of serving as a chief resident in oral and maxillofacial surgery, 2) the number of cleft lip and palate surgeries performed by a chief resident where the chief resident performed less than 50% for each surgery, and 3) the number of surgeries for malignant tumors in the oral cavity, jawbone, and face performed by a chief resident where the chief resident performed more than 50% for each surgery. However, no clear correlation was found between the confidence in professional practice and the number of surgeries related to maxillofacial trauma, orofacial infection, orthognathic surgery, benign tumor and cyst, and soft tissue reconstruction. These findings might be attributed to the varying complexity of patients, as well as differences in self-assessment of confidence among the residents.
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References
Pornsumalee J, Thaisangsa-nga J. Feel the experience maxillo training in Chonburi Hospital. Thai Dental Magazine. 2015;8:52-7. (in Thai)
Royal college of Dental Surgeons. Residency Training Program in Oral and Maxillofacial Surgery [Internet]. 2022 [cited 2024 May 31]. Available from: https://www.royalthaident. org/files/course/home/01_2565_20230216.pdf (in Thai).
Napolitano LM, Savarise M, Paramo JC, Soot LC, Todd SR, Gregory J, et al. Are general surgery residents ready to practice? A survey of the american college of surgeons board of governors and young fellows association. J Am Coll Surg. 2010;218:1063.
Jarman BT, O’Heron CT, Kallies KJ, Soot LC, Todd SR, Gregory J, et al. Enhancing confidence in graduating general surgery students: establishing a chief surgery resident service at and independent academic medical center. J Surg Educ. 2018;75:888.
Yeo H, Viola K, Berg D, Lin Z, Nunez-Smith M, Cammann C, et al. Attitudes, training experiences, and professional expectations of us general surgery residents: a national survey. J Amer Med Assoc. 2009;302:1301.
Tannyhill RJ, Baron M, Troulis MJ. Do graduating oral-maxillofacial surgery residents in practicing the full scope of specialty? J Oral Maxillofac Surg. 2021;79:286-94.
Esterl RM Jr, Henzi DL, Cohn SM. Senior medical student “Boot Camp”: can result in increased self-confidence before starting surgery internships. Curr Surg. 2006;63:264.
Klingensmith ME, Brunt LM. Focused surgical skills training for senior medical students and interns. Surg Clin North Am. 2010;90:505.
Naylor RA, Hollett LA, Castellvi A, Valentine RJ, Scott DJ. Preparing medical students to enter surgery residencies. Am J Surg. 2010;199:105.
Peyre SE, Peyre CG, Sullivan ME, Towfigh S. A surgical skills elective can improve student confidence prior to intern- ship. J Surg Res. 2006;133:11.
Fillmore WJ, Teeples TJ, Cha S, Viozzi CF, Arce K. Chief resident case experience and autonomy are associated with resident confidence and future practice plans. J Oral Maxillofac Surg. 2013;71:448.
Velaga DC, Khare VV, Rai P, Lall A, Tiwari RVC, Vipindas AP, et al. Are oral and maxillofacial surgery post graduating confident in practicing the full scope of the specialty: a qualitative research. Eur J Mol Clin Med. 2020;07:7167-73.
Likert R. New patterns of management. New York: Mc Graw-Hill Book; 1961.
Bucholz EM, Sue GR, Yeo H, Roman SA, Bell RH Jr, Sosa JA. Our trainees’ confidence: result from a national survey of 4136 US general surgery residents. Arch Surg. 2011;146:907.
Kachayangyuen L, Chengsuntisuk T, Singsorn S, Thampuk dee N. Factors affecting the treatment decision of oral and maxillofacial surgeons in Thailand. Thai J Oral Maxillofac Surg. 2022;36:70-81.
Bell RH, Biester TW, Tabuenca A, Rhodes RS, Cofer JB, Britt LD, et al. Operative experience of residents in us general surgery programs a gap between expectation and experi ence. Ann Surg. 2009;249:719.
Fonseca AL, Reddy V, Longo WE, Gusberg RJ. Graduating general surgery resident operative confidence: perspective from a national survey. J Surg Research. 2014;190:419-28.
Sheikh F, Gray RJ, Ferrara J, Foster K, Chapital A. Disparity between actual case volume and the perceptions of case volume needed to train competent general surgeons. J Surg Educ. 2010;67:371.
McNichols CHL, Diaconu S, Alfadil S, Woodall J, Grant M, Lifchez S, et al. Cosmetic surgery training in plastic surgery residency programs. Plast Reconstr Surg. 2017;5:e1491.