- Email: [email protected]
News and announcements
1992 CLINICAL CONGRESS WITH THIS ISSUE
PROGRAM
tracted trainees from around the world and came to be described as a Mecca for surgeons. He was also consultant surgeon in oral and maxillofacial surgery to the Westminster and Eastman Dental Hospitals. as well as civilian consultant to the Royal Navy and the Army. He was one of a handful who, in 1960, established what is now the British Association of Oral and Maxillofacial Surgeons. He was president of the association in 1969 to 1970. and also held offices in the European and International Associations of Oral and Maxillofacial Surgeons. Rowe was one of the first three oral and maxillofacial surgeons to pass the Fellowship in Dental Surgery of the Royal College of Surgeons in England and for 18 years was a member of the college’s Board of Faculty of Dental Surgery. During his tenure, he did much to shape the oral and maxillofacial surgery training and examination systems. He was also awarded honorary fellowships in dental surgery from the Royal Colleges of Surgeons of Ireland, Glasgow. Edinburgh, and Australia. Ultimately, he was made an honorary member of more than 20 learned societies in Europe, North and South America, hstrdki, and South Africa. He was awarded the CBE in 1976. His two texts, Fructures of the Fuciul Skeleton and Muxillqfaciul Iqjuries. are considered classics, and even after his official retirement in 1980, he remained much in demand worldwide as a lecturer. Rowe will long be remembered as an innovative and courageous surgeon, a patient and inspiring teacher, a man of great humility, integrity, and intense loyalty, and an inspiring friend and colleague of American oral and maxillofacial surgery. He is survived by his wife, Cynthia, a son, and daughter.
INCLUDED
For the first time, the preliminary program for the AAOMS Clinical Congress appears with the Journal of Oral and Maxillofacial Surgery. The 1992 Clinical Congress will be convened January 31 to February 2. in San Antonio, TX. The preliminary program for the congress contains a schedule of all scientific and educational courses, as well as the necessary housing and registration forms. The deadline for preregistration is January 8, 1992. NORMAN L. ROWE, FRIEND AND COLLEAGUE OF AMERICAN ORAL AND MAXILLOFACIAL SURGERY, DIES AT 75
British oral and maxillofacial surgeon Norman Lester Rowe, CBE, passed away August 4, 1991 at age 75. Rowe was educated at Malvern College and received his dental and medical education at Guy’s Hospital. He qualified in dental surgery in 1937. Shortly thereafter, he joined the Royal Army Dental Corp, which he served as captain from 1941 to 1946. His attachment to a forward casualty unit dealing with maxillofacial injuries prompted his lifelong dedication to oral and maxillofacial surgery. Rowe headed the oral and maxillofacial surgery services at Queen Mary’s University Hospital for 21 years. Under his expert direction, the unit at-
CRET PROPOSES UPCOMING PROGRAMS, INCORPORATION OF PARAMETERS OF CARE INTO OMS TRAINING
Dr Norman
The AAOMS Committee on Residency Education and Training (CRET) convened at association headquarters on July 30 and 3 1, 1991. The committee addressed an extensive agenda, including development of the upcoming CRET/Section on Education Chiefs and Faculty Conference at the 1992 AAOMS Clinical Congress in San Antonio: development of the program to be held in Boston during the 1992 annual session of the American Association of Dental Schools (AADS) in March: results of the 1991 Oral and Maxillofacial Surgery In-Training Examination; incorporation of parameters of care into OMS training; and resident transfer from one program to another.
L. Rowe
1258
NEWS AND ANNOUNCEMENTS
1259
Because of ongoing concerns over the current accreditation process for OMS residency programs, CRET approved a program for the 1992 chiefs and faculty conference on “The Accreditation Process: A Need for Change’?“. to include discussion of the current process, possible alternative means of accreditating OMS programs, and pros and cons of both. The conference will be held Thursday. January 30 from 9130 AM to 11:30 AM. CRET also proposed that the 1992 CRETiSection on Education program, to be held during the AADS annual session, March 8 to 11, address “The Necessity for Standards of Training in Physical Diagnosis.” Because standards in this area are important to ensure the competence and quality of training received by those seeking history and physical privileges, the committee also is proposing development of guidelines for the physical diagnosis and patient evaluation training in the OMS Standards. CRET concurred that the draft Parameters of Care for OMS are excellent and agreed with the Section on Education’s recommendation to incorporate the parameters into OMS education and training. Following development of a final parameters document. they would be incorporated into oral and maxillofacial surgery education and training by program directors in directing research, teaching risk management, formulating lectures and conferences. as a template for morbidity and mortality conferences, in monitoring patients undergoing anesthesia. and in defining the scope of OMS. Revised Infection Control Standard Proposed Accredited Programs
For
The committee was advised that the American Dental Association’s Commission on Dental Accreditation (CODA) had revised, subject to approval by the American Dental Association House of Delegates, the Infection Control Standard for accredited programs. If approved, effective September I, 1991, programs should be prepared to demonstrate compliance with the following revised infection control standard: Each institution must espablish and enforce written preclinical/clinical protocols to ensure adequate asepsis, infection and hazard control and disposal of hazardous waste consistent with existing federal, state and local guidelines. These protocols must be provided to all students, faculty and appropriate support staff. Mechanisms must be established for continuously monitoring compliance with these protocols within the institution and affiliated sites. Students must be encouraged to be immunized against infectious diseases, for example: mumps, measles, rubella and hepatitis B, prior to contact with patients and/
or potentially infectious objects or materials. in an effort to minimize personnel.
risk
of infection
to patients
and dental
CODA is taking additional steps to more specifically address the issue of infectious diseases such as viral hepatitis and AIDS. A separate standard concerning infectious diseases will be developed that will apply to the 14 disciplines within CODA’s purview. Resident Operative Experience Form To Be Available On Computer Disk
CRET reviewed both the summary and detailed forms of a newly designed Resident Operative Experience Form. The purpose of the form is to have residents log their operative experiences and provide copies annually to their program directors who may, in turn. prepare a detailed report on operative experiences for the entire program. .AAOMS will be offering the Resident Operative Experience Form, in computer disk format with a user’s manual, to program directors and residents. CRET reviewed the results of the 1991 Oral and Maxillofacial Surgery In-Training Examination (OMSITE) and discussed questions that had been raised about the intent and purpose of the examination. The committee reiterated that OMSITE was never intended as a pass/fail examination or as a determinant for successful completion of OMS residency. OMSITE is intended to provide direction to the program director and residents concerning strengths and weaknesses in subareas of the specialty and allow comparison of national average scores of programs. The test enables the programs and residents to focus on areas that require additional education and training. Guidelines On Resident Transfer Under Development
CRET acknowledged that, for any number of reasons, residents may contemplate leaving one program for another. Those residents should be informed of their rights, due process and the requirements a program must meet to be accredited by CODA. To provide assistance, CRET has begun development of guidelines on resident transfer from one program to another. On completion, the guidelines will be distributed to residents and program directors. 1991 OMSITE RESULTS
The 1991 Oral and Maxillofacial Surgery InTraining Examination (OMSITE) was administered
1260
NEWS
AND ANNOUNCEMENTS
WESTERN SOCIETY MEETING DEDICATED BERNERD C. KINGSBURY
Dr James E. Bertz. chairman of the Committee on Residency Education and Training, appeared before the AAOMS Board of Trustees during the board’s June 1991 meeting to discuss trends and educational concerns of the specialty.
on April 27. 1991 at 81 test centers across the United States and Canada. Of the 704 residents from 112 participating institutions who registered to take the examination. 688 residents completed it and returned answer sheets for scoring. Of those participating, 24 reported having an MSc degree, 40 an MD, and 5 a PhD. However, 169 of those participating chose not to respond to this question. Score analysis of the 250-item examination showed a mean scaled score for the total test of 101.99. First-, second-. third-, and fourth-year residents had mean scaled scores (the average score computed from the number of items answered correctly) of 86.10, 101.19. 109.18, and 115.64, respectively. As expected, the mean scores increased with the increasing length of residency. The test reflected a reliability estimate of .94, compared with a perfect reliability of 1.00. The standard error of measurement for scaled scores of 4.45 is quite low, further reflecting the examination’s high reliability. The results of the 1991 OMSITE, offered by AAOMS and the Oral and Maxillofacial Surgery Foundation, indicated that the examination continues to be one of the most reliable measuring devices for program directors and residents to identify the strengths and weaknesses of the training programs and educational process. The lo-member AAOMS OMSITE Committee, which oversees and develops the examination, thoroughly reviews the test items, prepared by more than 40 contributors, to ensure that each reflects the current knowledge, scope, diagnosis, and treatment modalities and techniques of the specialty. The test items are then forwarded to the American College Testing Program (ACT). which is responsible for coordinating the examination, assembling test materials, establishing test centers, and securing personnel to administer the examination.
TO
The 1991 annual meeting of the Western Society of Oral and Maxillofacial Surgeons, held June 21 to 23 in Monterey, California, was dedicated to Dr Bernerd C. Kingsbury, president of the AAOMS in 1971. Dr Kingsbury received his dental degree from the College of Physicians and Surgeons and took additional training in oral surgery at the Mayo Foundation. Dr Kingsbury played an integral role in the formation of the AAOMS Oral and Maxillofacial Surgery Political Action Committee (OMSPAC). He was also active in monitoring and molding legislation for health insurance plans. Dr Kingsbury is a past president of the California Dental Association. Lorenz Elected To Honorary Membership Also during the meeting, Mr Walter Lorenz. president of Walter Lorenz Surgical Instruments, Inc, was elected to honorary membership in the society in recognition of his contributions to the Western Society and to the specialty of oral and maxillofacial surgery nationally. WAITE LECTURESHIP OF MINNESOTA
BEGINS AT UNIVERSITY
An endowed lectureship in oral and maxillofacial surgery has been established at the University of Minnesota School of Dentistry in honor of Daniel E. Waite. DDS. MS, head of the school’s oral and maxillofacial surgery department from 1967 to 1984. The lectureship will provide an annual program to oral and maxillofacial surgery residents at the university and the Mayo Clinic.
Dr Terry Slaughter tr). president of the Western Society of Oral and Maxillofacial Surgeons, presents a plaque to 1991 meeting honoree Dr Bernerd C. Kingsbury.
NEWS
1261
AND ANNOUNCEMENTS
Drs Waite (I) and Macintosh Lectureship.
at the First Annual
Waite Endowed Dr David
The first of the annual lectures honoring Dr Waite was given May 3, 1991, by Dr R. Bruce Macintosh, clinical professor of oral and maxillofacial surgery at the University of Detroit. Dr Waite retired in 1990 as chairman of oral and maxillofacial surgery and assistant dean of hospital affairs of Baylor University School of Dentistry, Dallas, TX. LEWANDOWSKI, WHISTON DENTAL COMPONENTS
OFFICERS
OF
Anthony Lewandowski, DDS, fellow, Philadelphia, PA, has been elected president of the Phila-
A. Whiston
delphia County Dental Society. Dr Lewandowski is a past president of both the Pennsylvania and Delaware Valley Societies of Oral and Maxillofacial Surgeons. In addition to being a delegate to the AAOMS House of Delegates for a number of years, he has served on the AAOMS Committees on Scientific Sessions, Health Care Programs, and Anesthesia. David A. Whiston, DDS, fellow, Falls Church, VA, was elected president-elect of the Virginia Dental Association. Dr Whiston is a past president of the Northern Virginia Dental Society and the Virginia and Middle Atlantic Societies of Oral and Maxillofacial Surgeons. He has served as a delegate to the Virginia Dental Association, American Dental Association, and AAOMS. He has been a longterm member and is past chairman of the AAOMS Committees on Governmental Affairs and Federal Governmental Affairs. NAMES IN THE NEWS
Dr Anthony
Lewandowski
Elected: Michael S. Block, DMD, fellow, New Orleans, LA, and Thomas A. Collins, DDS, MS, fellow, Springfield, MO, secretary and vice president, respectively, of the Academy of Osseointegration. In Memoriam: Morris Fierstein, DDS, retired fellow, Jamaica, NY; Cafe M. Logsdon, DDS, life fellow, Richmond, KY.
PROGRAM
tracted trainees from around the world and came to be described as a Mecca for surgeons. He was also consultant surgeon in oral and maxillofacial surgery to the Westminster and Eastman Dental Hospitals. as well as civilian consultant to the Royal Navy and the Army. He was one of a handful who, in 1960, established what is now the British Association of Oral and Maxillofacial Surgeons. He was president of the association in 1969 to 1970. and also held offices in the European and International Associations of Oral and Maxillofacial Surgeons. Rowe was one of the first three oral and maxillofacial surgeons to pass the Fellowship in Dental Surgery of the Royal College of Surgeons in England and for 18 years was a member of the college’s Board of Faculty of Dental Surgery. During his tenure, he did much to shape the oral and maxillofacial surgery training and examination systems. He was also awarded honorary fellowships in dental surgery from the Royal Colleges of Surgeons of Ireland, Glasgow. Edinburgh, and Australia. Ultimately, he was made an honorary member of more than 20 learned societies in Europe, North and South America, hstrdki, and South Africa. He was awarded the CBE in 1976. His two texts, Fructures of the Fuciul Skeleton and Muxillqfaciul Iqjuries. are considered classics, and even after his official retirement in 1980, he remained much in demand worldwide as a lecturer. Rowe will long be remembered as an innovative and courageous surgeon, a patient and inspiring teacher, a man of great humility, integrity, and intense loyalty, and an inspiring friend and colleague of American oral and maxillofacial surgery. He is survived by his wife, Cynthia, a son, and daughter.
INCLUDED
For the first time, the preliminary program for the AAOMS Clinical Congress appears with the Journal of Oral and Maxillofacial Surgery. The 1992 Clinical Congress will be convened January 31 to February 2. in San Antonio, TX. The preliminary program for the congress contains a schedule of all scientific and educational courses, as well as the necessary housing and registration forms. The deadline for preregistration is January 8, 1992. NORMAN L. ROWE, FRIEND AND COLLEAGUE OF AMERICAN ORAL AND MAXILLOFACIAL SURGERY, DIES AT 75
British oral and maxillofacial surgeon Norman Lester Rowe, CBE, passed away August 4, 1991 at age 75. Rowe was educated at Malvern College and received his dental and medical education at Guy’s Hospital. He qualified in dental surgery in 1937. Shortly thereafter, he joined the Royal Army Dental Corp, which he served as captain from 1941 to 1946. His attachment to a forward casualty unit dealing with maxillofacial injuries prompted his lifelong dedication to oral and maxillofacial surgery. Rowe headed the oral and maxillofacial surgery services at Queen Mary’s University Hospital for 21 years. Under his expert direction, the unit at-
CRET PROPOSES UPCOMING PROGRAMS, INCORPORATION OF PARAMETERS OF CARE INTO OMS TRAINING
Dr Norman
The AAOMS Committee on Residency Education and Training (CRET) convened at association headquarters on July 30 and 3 1, 1991. The committee addressed an extensive agenda, including development of the upcoming CRET/Section on Education Chiefs and Faculty Conference at the 1992 AAOMS Clinical Congress in San Antonio: development of the program to be held in Boston during the 1992 annual session of the American Association of Dental Schools (AADS) in March: results of the 1991 Oral and Maxillofacial Surgery In-Training Examination; incorporation of parameters of care into OMS training; and resident transfer from one program to another.
L. Rowe
1258
NEWS AND ANNOUNCEMENTS
1259
Because of ongoing concerns over the current accreditation process for OMS residency programs, CRET approved a program for the 1992 chiefs and faculty conference on “The Accreditation Process: A Need for Change’?“. to include discussion of the current process, possible alternative means of accreditating OMS programs, and pros and cons of both. The conference will be held Thursday. January 30 from 9130 AM to 11:30 AM. CRET also proposed that the 1992 CRETiSection on Education program, to be held during the AADS annual session, March 8 to 11, address “The Necessity for Standards of Training in Physical Diagnosis.” Because standards in this area are important to ensure the competence and quality of training received by those seeking history and physical privileges, the committee also is proposing development of guidelines for the physical diagnosis and patient evaluation training in the OMS Standards. CRET concurred that the draft Parameters of Care for OMS are excellent and agreed with the Section on Education’s recommendation to incorporate the parameters into OMS education and training. Following development of a final parameters document. they would be incorporated into oral and maxillofacial surgery education and training by program directors in directing research, teaching risk management, formulating lectures and conferences. as a template for morbidity and mortality conferences, in monitoring patients undergoing anesthesia. and in defining the scope of OMS. Revised Infection Control Standard Proposed Accredited Programs
For
The committee was advised that the American Dental Association’s Commission on Dental Accreditation (CODA) had revised, subject to approval by the American Dental Association House of Delegates, the Infection Control Standard for accredited programs. If approved, effective September I, 1991, programs should be prepared to demonstrate compliance with the following revised infection control standard: Each institution must espablish and enforce written preclinical/clinical protocols to ensure adequate asepsis, infection and hazard control and disposal of hazardous waste consistent with existing federal, state and local guidelines. These protocols must be provided to all students, faculty and appropriate support staff. Mechanisms must be established for continuously monitoring compliance with these protocols within the institution and affiliated sites. Students must be encouraged to be immunized against infectious diseases, for example: mumps, measles, rubella and hepatitis B, prior to contact with patients and/
or potentially infectious objects or materials. in an effort to minimize personnel.
risk
of infection
to patients
and dental
CODA is taking additional steps to more specifically address the issue of infectious diseases such as viral hepatitis and AIDS. A separate standard concerning infectious diseases will be developed that will apply to the 14 disciplines within CODA’s purview. Resident Operative Experience Form To Be Available On Computer Disk
CRET reviewed both the summary and detailed forms of a newly designed Resident Operative Experience Form. The purpose of the form is to have residents log their operative experiences and provide copies annually to their program directors who may, in turn. prepare a detailed report on operative experiences for the entire program. .AAOMS will be offering the Resident Operative Experience Form, in computer disk format with a user’s manual, to program directors and residents. CRET reviewed the results of the 1991 Oral and Maxillofacial Surgery In-Training Examination (OMSITE) and discussed questions that had been raised about the intent and purpose of the examination. The committee reiterated that OMSITE was never intended as a pass/fail examination or as a determinant for successful completion of OMS residency. OMSITE is intended to provide direction to the program director and residents concerning strengths and weaknesses in subareas of the specialty and allow comparison of national average scores of programs. The test enables the programs and residents to focus on areas that require additional education and training. Guidelines On Resident Transfer Under Development
CRET acknowledged that, for any number of reasons, residents may contemplate leaving one program for another. Those residents should be informed of their rights, due process and the requirements a program must meet to be accredited by CODA. To provide assistance, CRET has begun development of guidelines on resident transfer from one program to another. On completion, the guidelines will be distributed to residents and program directors. 1991 OMSITE RESULTS
The 1991 Oral and Maxillofacial Surgery InTraining Examination (OMSITE) was administered
1260
NEWS
AND ANNOUNCEMENTS
WESTERN SOCIETY MEETING DEDICATED BERNERD C. KINGSBURY
Dr James E. Bertz. chairman of the Committee on Residency Education and Training, appeared before the AAOMS Board of Trustees during the board’s June 1991 meeting to discuss trends and educational concerns of the specialty.
on April 27. 1991 at 81 test centers across the United States and Canada. Of the 704 residents from 112 participating institutions who registered to take the examination. 688 residents completed it and returned answer sheets for scoring. Of those participating, 24 reported having an MSc degree, 40 an MD, and 5 a PhD. However, 169 of those participating chose not to respond to this question. Score analysis of the 250-item examination showed a mean scaled score for the total test of 101.99. First-, second-. third-, and fourth-year residents had mean scaled scores (the average score computed from the number of items answered correctly) of 86.10, 101.19. 109.18, and 115.64, respectively. As expected, the mean scores increased with the increasing length of residency. The test reflected a reliability estimate of .94, compared with a perfect reliability of 1.00. The standard error of measurement for scaled scores of 4.45 is quite low, further reflecting the examination’s high reliability. The results of the 1991 OMSITE, offered by AAOMS and the Oral and Maxillofacial Surgery Foundation, indicated that the examination continues to be one of the most reliable measuring devices for program directors and residents to identify the strengths and weaknesses of the training programs and educational process. The lo-member AAOMS OMSITE Committee, which oversees and develops the examination, thoroughly reviews the test items, prepared by more than 40 contributors, to ensure that each reflects the current knowledge, scope, diagnosis, and treatment modalities and techniques of the specialty. The test items are then forwarded to the American College Testing Program (ACT). which is responsible for coordinating the examination, assembling test materials, establishing test centers, and securing personnel to administer the examination.
TO
The 1991 annual meeting of the Western Society of Oral and Maxillofacial Surgeons, held June 21 to 23 in Monterey, California, was dedicated to Dr Bernerd C. Kingsbury, president of the AAOMS in 1971. Dr Kingsbury received his dental degree from the College of Physicians and Surgeons and took additional training in oral surgery at the Mayo Foundation. Dr Kingsbury played an integral role in the formation of the AAOMS Oral and Maxillofacial Surgery Political Action Committee (OMSPAC). He was also active in monitoring and molding legislation for health insurance plans. Dr Kingsbury is a past president of the California Dental Association. Lorenz Elected To Honorary Membership Also during the meeting, Mr Walter Lorenz. president of Walter Lorenz Surgical Instruments, Inc, was elected to honorary membership in the society in recognition of his contributions to the Western Society and to the specialty of oral and maxillofacial surgery nationally. WAITE LECTURESHIP OF MINNESOTA
BEGINS AT UNIVERSITY
An endowed lectureship in oral and maxillofacial surgery has been established at the University of Minnesota School of Dentistry in honor of Daniel E. Waite. DDS. MS, head of the school’s oral and maxillofacial surgery department from 1967 to 1984. The lectureship will provide an annual program to oral and maxillofacial surgery residents at the university and the Mayo Clinic.
Dr Terry Slaughter tr). president of the Western Society of Oral and Maxillofacial Surgeons, presents a plaque to 1991 meeting honoree Dr Bernerd C. Kingsbury.
NEWS
1261
AND ANNOUNCEMENTS
Drs Waite (I) and Macintosh Lectureship.
at the First Annual
Waite Endowed Dr David
The first of the annual lectures honoring Dr Waite was given May 3, 1991, by Dr R. Bruce Macintosh, clinical professor of oral and maxillofacial surgery at the University of Detroit. Dr Waite retired in 1990 as chairman of oral and maxillofacial surgery and assistant dean of hospital affairs of Baylor University School of Dentistry, Dallas, TX. LEWANDOWSKI, WHISTON DENTAL COMPONENTS
OFFICERS
OF
Anthony Lewandowski, DDS, fellow, Philadelphia, PA, has been elected president of the Phila-
A. Whiston
delphia County Dental Society. Dr Lewandowski is a past president of both the Pennsylvania and Delaware Valley Societies of Oral and Maxillofacial Surgeons. In addition to being a delegate to the AAOMS House of Delegates for a number of years, he has served on the AAOMS Committees on Scientific Sessions, Health Care Programs, and Anesthesia. David A. Whiston, DDS, fellow, Falls Church, VA, was elected president-elect of the Virginia Dental Association. Dr Whiston is a past president of the Northern Virginia Dental Society and the Virginia and Middle Atlantic Societies of Oral and Maxillofacial Surgeons. He has served as a delegate to the Virginia Dental Association, American Dental Association, and AAOMS. He has been a longterm member and is past chairman of the AAOMS Committees on Governmental Affairs and Federal Governmental Affairs. NAMES IN THE NEWS
Dr Anthony
Lewandowski
Elected: Michael S. Block, DMD, fellow, New Orleans, LA, and Thomas A. Collins, DDS, MS, fellow, Springfield, MO, secretary and vice president, respectively, of the Academy of Osseointegration. In Memoriam: Morris Fierstein, DDS, retired fellow, Jamaica, NY; Cafe M. Logsdon, DDS, life fellow, Richmond, KY.