Oral and Maxillofacial Surgery Training

Oral and maxillofacial surgery is the surgical specialty concerned with the diagnosis and treatment of diseases affecting the mouth, jaws, face and neck.

Specialists working in this area are known as oral and maxillofacial surgeons. (In some areas oral and maxillofacial surgeons may be referred to as oral surgeons, maxillofacial surgeons or craniomaxillofacial surgeons). The specialty is unique in that it requires dual qualification in medicine and dentistry and is a recognised international specialty that, within Europe, is defined under the Medical Directives.

It is a separate specialty from Oral Surgery, which is defined under Dental Directives, and is confined to minor surgical procedures carried out within the oral cavity.

The scope of the specialty of oral and maxillofacial surgery is extensive and includes, but is not necessarily confined to:

  • craniomaxillofacial trauma
  • cancers of the head and neck
  • diseases of the salivary glands
  • surgical treatment of facial disproportion – both congenital and acquired
  • cleft lip and palate
  • aesthetic facial surgery
  • facial pain
  • disorders of the temporomandibular joint (TMJ)
  • surgical removal of impacted and buried teeth, cysts and benign tumours of the jaws
  • pre-prosthetic surgery including the placement of osseointegrated implants
  • management of infections of the head and neck including life-threatening fascial space infection
  • conditions of the oral mucosa such as mouth ulcers and dentoalveolar infection

Oral and maxillofacial surgeons generally work in teams and frequently work alongside other specialists including ENT surgeons, neurosurgeons, orthodontists, restorative dentists, clinical oncologists and plastic surgeons.

Further information on training is available from the ISCP website.


Rotation Information

The Oral and Maxillofacial surgery rotation is an overarching specialty within Health Education South West across both Severn and South West Peninsula Deaneries. Severn PGME currently leads on the National Recruitment for this specialty, and coordinates the recruitment and selection of Specialty Registrars and is responsible for their training and assessment with HEE South West.

The total population that is served by the OMFS departments in the Severn/Peninsula PGME is upward of 4 million people based on the 2011 census.

The rotation is split between the “North" Severn rotation and the “South" Peninsula Rotation.


The Northern Rotation-Severn

  • Bristol Royal Infirmary
  • Gloucestershire Royal Hospital & Cheltenham General Hospital
  • Royal United Hospital, Bath

There are normally 4 full time StRs on this portion of the rotation. 3 are based in Bristol/Bath. 1 is based in Cheltenham & Gloucester. 

On call

The StR in Cheltenham & Gloucester is on a separate on call rota organized via that hospital site. The on call commitment is 1 in 5 in Cheltenham & Gloucester.

On Call is 1 in 7 weekends in Bristol/Bath, covering both sites. .

Rotation Pattern

(start at any site) but follow this pattern:

  1. BRI Oncology
  2. Cheltenham & Gloucester
  3. Bath/Cleft
  4. BRI Trauma/Deformity


The Southern Rotation-Plymouth

  • Torbay District Hospital
  • Derriford Hospital, Plymouth
  • Royal Devon and Exeter Hospital

Rotation Pattern

(start at any site) but follow this pattern:

  1. Derriford Hospital
  2. Royal Devon & Exeter
  3. Torbay District Hospital

 

Regional Teaching

There are 6 regional teachings annually. The core of OMFS syllabus is covered over the course of 4 years. The teaching is organized by the trainees.

 

OMFS Consultants

Bristol Royal Infirmary

  • Professor S Thomas (Oncology, Salivary Gland Surgery, Oral Surgery/Implantology )
  • Mr C Hughes (Oncology, Salivary Gland Surgery, Endocrine Surgery, Oral Surgery)
  • Mr P Guest (Salivary Gland Disease, Oral Surgery, Trauma, Aesthetics)
  • Mr P Revington (Trauma, Deformity, Cleft, TMJ Surgery, Oral Surgery)
  • Mr D Kissun (Trauma, Deformity, Craniofacial, Oral Surgery)
  • Mr A Cobb (Cleft, Trauma, Craniofacial, Oral Surgery, Aesthetics)

Royal United Hospital

  • Mr A Felstead (Skin, Oral Surgery, Deformity, Trauma, Salivary Gland Disease, Oral Med/Pain)

Gloucestershire Hospitals NHS Foundation Trust

  • Mr D Godden
  • Mr G Knepil
  • Mr M Singh
  • Mr J Farrier

 

ARCPS

 The next ARCP's will be held on the 15th January 2020  In Severn PGME.