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Graduate oral surgery training
Graduate
Oral surgery
IIRING the past five years there has been quite a hurried expansion of available residency programs. This has been brought about as a result of the large number of young men-veterans and others-who wish to take graduate oral surgery training. The trend is a challenge to those in charge Certification by the American Board of Oral of the teaching programs. Surgery is sought by all because it is recognized as the only practical yardstick by which to evaluate competence. The reqdirements of the Board of Oral Surgery are specific as to graduate training. The majority of hospitals have not had the residency plan before, and have built it up from scratch. There has been an inadequate grasp of the meaning of such a program. The teaching staff has not fully realized that the acceptance of a training program demands a sacrifice of far more time than has previously been given by them, when accepting interns and residents who prepare for the Board. In a hospital where there are residency programs in other specialties, it is a routine matter that if the intern wishes to go on in a residency, the first year he is designated as a junior assistant, the second year as an assistant, and the third year as resident. There is a different pay scale and, of course, privileges are different. It is quite impossibl.e, therefore, to designate a firstyear man in oral surgery as “resident.” In a hospital with a two-year program it may be arranged to designate the first-year man as junior resident and the second-year man as resident. The resident will develop maturity of judgment and thought only if he is given responsibility. He should be in charge of writing orders on private as well as staff patients, and during his final year he should do the actual operating on ward patients, assisted by the attending oral surgeon and junior resident. He should be able to read the litera$.urc intelligently and prepare acceptable case reports. The obligation of the staff is to see to it that there are daiiy discussions, that the material is adequate and properly studied, and that the resident has sufficient increasing responsibility to insure maturity and adequate experience, Thomas
757
J. Cook.
Oral surgery
IIRING the past five years there has been quite a hurried expansion of available residency programs. This has been brought about as a result of the large number of young men-veterans and others-who wish to take graduate oral surgery training. The trend is a challenge to those in charge Certification by the American Board of Oral of the teaching programs. Surgery is sought by all because it is recognized as the only practical yardstick by which to evaluate competence. The reqdirements of the Board of Oral Surgery are specific as to graduate training. The majority of hospitals have not had the residency plan before, and have built it up from scratch. There has been an inadequate grasp of the meaning of such a program. The teaching staff has not fully realized that the acceptance of a training program demands a sacrifice of far more time than has previously been given by them, when accepting interns and residents who prepare for the Board. In a hospital where there are residency programs in other specialties, it is a routine matter that if the intern wishes to go on in a residency, the first year he is designated as a junior assistant, the second year as an assistant, and the third year as resident. There is a different pay scale and, of course, privileges are different. It is quite impossibl.e, therefore, to designate a firstyear man in oral surgery as “resident.” In a hospital with a two-year program it may be arranged to designate the first-year man as junior resident and the second-year man as resident. The resident will develop maturity of judgment and thought only if he is given responsibility. He should be in charge of writing orders on private as well as staff patients, and during his final year he should do the actual operating on ward patients, assisted by the attending oral surgeon and junior resident. He should be able to read the litera$.urc intelligently and prepare acceptable case reports. The obligation of the staff is to see to it that there are daiiy discussions, that the material is adequate and properly studied, and that the resident has sufficient increasing responsibility to insure maturity and adequate experience, Thomas
757
J. Cook.