Abstract

This observational study aims to provide a detailed account of the daily activities, responsibilities, and challenges faced by an oral and maxillofacial surgeon (OMS). Through direct observation and informal interviews, this research seeks to illuminate the multifaceted nature of the profession, encompassing surgical procedures, patient consultations, administrative tasks, and interprofessional collaboration. The findings offer valuable insights into the demanding yet rewarding career path of an OMS, potentially informing aspiring surgeons and enhancing understanding among healthcare professionals.

Introduction

Oral and maxillofacial surgery is a specialized branch of dentistry focusing on the diagnosis and surgical treatment of diseases, injuries, and defects involving the oral and maxillofacial region. Oral surgeons are highly trained professionals who perform a wide range of procedures, from routine tooth extractions to complex reconstructive surgeries. Understanding the daily realities of an OMS is crucial for individuals considering this career path, as well as for healthcare administrators and other professionals who collaborate with oral surgeons. This observational study provides a glimpse into the diverse and demanding world of an OMS, highlighting the skills, knowledge, and dedication required to excel in this field.

Methods

The observational study was conducted over a period of five working days at a private oral and maxillofacial surgery practice. The participant was a board-certified OMS with over 15 years of experience. Data collection methods included:

Direct Observation: The researcher shadowed the OMS throughout the workday, observing all activities, interactions, and procedures. Detailed notes were taken to document the sequence of events, the duration of each task, and the individuals involved.
Informal Interviews: Brief, unstructured interviews were conducted with the OMS at various points during the day to clarify observations, gather insights into decision-making processes, and understand the rationale behind specific actions.
Review of Patient Records (Limited): With the OMS's permission and ensuring patient confidentiality, a limited review of patient records was conducted to gain context for the procedures and consultations observed. No identifiable patient information was recorded.

The data collected were analyzed qualitatively to identify recurring themes, patterns of activity, and key aspects of the OMS's daily routine.

Results

A typical day for the observed OMS was characterized by a dynamic mix of scheduled surgical procedures, patient consultations, administrative tasks, and unexpected events. The following sections detail the key components of the OMS's workday.

Morning Routine (8:00 AM - 9:00 AM): The day typically began with a review of the day's schedule, including surgical cases and patient appointments. The OMS consulted with the surgical team (surgical assistants, nurses, and anesthesiologist) to discuss the planned procedures, review patient medical histories, and ensure that all necessary equipment and supplies were available. If you adored this article therefore you would like to be given more info regarding oral surgeon medford oregon; https://suzuri.jp/malmquistoralandmaxillofacialsurgery, please visit the page. This pre-operative briefing was crucial for anticipating potential challenges and ensuring a smooth surgical workflow.

Surgical Procedures (9:00 AM - 12:00 PM): The morning was primarily dedicated to surgical procedures. During the observation period, the researcher witnessed a variety of cases, including:
Impacted Wisdom Tooth Extractions: These were the most common procedures, requiring careful surgical technique to remove teeth embedded in bone and soft tissue.
Dental Implant Placement: The OMS meticulously placed dental implants into the jawbone, following precise surgical protocols to ensure proper osseointegration.
Pre-Prosthetic Surgery: Procedures to prepare the mouth for dentures, such as bone grafting or soft tissue adjustments, were also observed.

Each surgical procedure involved meticulous attention to detail, strict adherence to sterile techniques, and constant communication with the surgical team. The OMS demonstrated a high level of skill and precision, adapting to unexpected anatomical variations and managing potential complications effectively.

Patient Consultations (12:00 PM - 1:00 PM): The lunch hour was often used for patient consultations. These consultations involved:
New Patient Evaluations: Assessing patients' oral health concerns, reviewing medical histories, and developing treatment plans.
Post-Operative Follow-Ups: Monitoring patients' recovery, addressing any complications, and providing instructions for post-operative care.
Treatment Planning Discussions: Explaining treatment options, discussing risks and benefits, and answering patients' questions.

The OMS demonstrated excellent communication skills, explaining complex medical information in a clear and understandable manner. He also showed empathy and compassion, addressing patients' anxieties and concerns.

Afternoon Surgical Procedures (1:00 PM - 4:00 PM): The afternoon continued with surgical procedures, often involving more complex cases. One notable case involved the removal of a benign tumor from the jawbone. This procedure required meticulous surgical technique to excise the tumor while preserving surrounding nerves and tissues.

Administrative Tasks and Documentation (4:00 PM - 5:00 PM): The final hour of the day was typically dedicated to administrative tasks, including:
Reviewing Patient Charts: Ensuring that all patient records were complete and accurate.
Writing Surgical Reports: Documenting the details of each surgical procedure.
Communicating with Referring Dentists: Providing updates on patient progress and coordinating care.
Managing Practice Finances: Overseeing billing and insurance claims.

The OMS demonstrated a strong commitment to accuracy and efficiency in managing these administrative responsibilities.

Unexpected Events: Throughout the day, the OMS had to deal with unexpected events, such as:
Emergency Patient Appointments: Accommodating patients with acute pain or trauma.
Equipment Malfunctions: Troubleshooting and resolving technical issues with surgical equipment.
Staff Absences: Adjusting the schedule and delegating tasks to cover for absent staff members.

The OMS demonstrated adaptability and problem-solving skills in managing these unexpected challenges.

Discussion

This observational study provides a comprehensive overview of the daily activities of an oral and maxillofacial surgeon. The findings highlight the multifaceted nature of the profession, encompassing surgical expertise, clinical judgment, communication skills, and administrative competence. The OMS observed in this study demonstrated a strong commitment to patient care, a high level of surgical skill, and the ability to effectively manage a demanding workload.

The study also revealed the importance of teamwork and collaboration in oral and maxillofacial surgery. The OMS worked closely with surgical assistants, nurses, anesthesiologists, and referring dentists to provide comprehensive and coordinated care. Effective communication and mutual respect were essential for ensuring a smooth surgical workflow and optimal patient outcomes.

The challenges faced by the OMS included managing unexpected events, dealing with complex medical cases, and balancing clinical and administrative responsibilities. These challenges underscore the importance of adaptability, problem-solving skills, and time management in this profession.

Limitations

This study is limited by its observational nature and the small sample size (one OMS). The findings may not be generalizable to all oral and maxillofacial surgeons, as practice styles and patient populations can vary significantly. Future research should involve larger sample sizes and incorporate quantitative data to provide a more comprehensive understanding of the profession.

Conclusion

This observational study provides valuable insights into the daily life of an oral and maxillofacial surgeon. The findings highlight the demanding yet rewarding nature of the profession, emphasizing the importance of surgical skill, clinical judgment, communication skills, and administrative competence. This research can inform aspiring surgeons, enhance understanding among healthcare professionals, and contribute to the ongoing development of oral and maxillofacial surgery.