Oral cavity examination: Beyond the core curriculum?

Shanks, L. A. and Walker, T. W. M. and McCann, P. J. and Kerin, M. J. (2011) Oral cavity examination: Beyond the core curriculum? British Journal of Oral and Maxillofacial Surgery, 49 (8). pp. 640-642. ISSN 02664356 (ISSN)

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Abstract

There has been little improvement in the survival of patients with oral cancer despite advances in treatment, and late presentation of the disease is one reason for this poor outcome. Research and experience tell us that tuition in medical schools about examination of the oral cavity is poor. We aimed to ascertain the opinions and experience of students regarding this in our institution by dissemination of a web-based anonymous questionnaire that focused on education about examination of the oral cavity and experience in carrying it out. From a cohort of 600 students 458 (76%) responded. A total of 334 (73%) had not been taught how to examine the oral cavity, 372 (81%) had had no experience of doing so in patients, and only 13/86 (15%) felt confident to diagnose a carcinoma of the lip or oral cavity. Eighty-nine percent felt that the tuition given had not been adequate. Examination of the oral cavity cannot be considered part of the core clinical curriculum, and medical schools and departments of oral and maxillofacial surgery urgently need to embrace the introduction of the necessary skills. © 2011 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Item Type: Article
Additional Information: Cited By :4; Export Date: 23 February 2015; CODEN: BJOSE; Correspondence Address: Walker, T.W.M.; DOHNS MRCSI, King's College, London, United Kingdom; email: Tomwmw@hotmail.com; References: Parker, S.L., Tong, T., Bolden, S., Wingo, P.A., Cancer statistics, 1996 (1996) Ca-A Cancer Journal for Clinicians, 46 (1), pp. 5-27; Gillison, M.L., Current topics in the epidemiology of oral cavity and oropharyngeal cancers (2007) Head and Neck, 29 (8), pp. 779-792. , DOI 10.1002/hed.20573; Johnson, N.W., Warnakulsuriya, K.A., Epidemiology and aetiology of oral cancer in the United Kingdom (1993) Community Dent Health, 10, pp. 13-29; Rogers, S.N., Brown, J.S., Woolgar, J.A., Lowe, D., Magennis, P., Shaw, R.J., Sutton, D., Vaughan, D., Survival following primary surgery for oral cancer (2009) Oral Oncol, 45, pp. 201-211; Neville, B.W., Day, T.A., Oral cancer and precancerous lesions (2002) CA Cancer J Clin, 52, pp. 195-215; Warnakulsuriya, S., Global epidemiology of oral and oropharyngeal cancer (2009) Oral Oncol, 45, pp. 309-316; Gómez, I., Warnakulasuriya, S., Varela-Centelles, P.I., López-Jornet, P., Suárez-Cunqueiro, M., Diz-Dios, P., Seoane, J., Is early diagnosis of oral cancer a feasible objective? Who is to blame for diagnostic delay? (2010) Oral Dis, 16, pp. 333-342; McCann, P.J., Sweeney, M.P., Gibson, J., Bagg, J., Training in oral disease, diagnosis and treatment for medical students and doctors in the United Kingdom (2005) British Journal of Oral and Maxillofacial Surgery, 43 (1), pp. 61-64. , DOI 10.1016/j.bjoms.2004.08.023, PII S0266435604001834; Carter, L.M., Ogden, G.R., Oral cancer awareness of undergraduate medical and dental students (2007) BMC Med Educ, 7, pp. 44-51; Medical Council, G., (2009) Tomorrow's Doctors, , GMC London; Fitzgerald, D., Connolly, S.S., Kerin, M.J., Digital rectal examination: National survey of undergraduate medical training in Ireland (2007) Postgraduate Medical Journal, 83 (983), pp. 599-601. , DOI 10.1136/pgmj.2006.054825; Carter, L.M., Ogden, G.R., Oral cancer awareness of general medical and general dental practitioners (2007) Br Dent J, 203, p. 10. , discussion 248-9; Ni Riordain, R., McCreary, C., Oral cancer - Current knowledge, practices and implications for training among an Irish general medical practitioner cohort (2009) Oral Oncol, 45, pp. 958-962
Uncontrolled Keywords: Medical education; Medical schools; Oral cavity examination; article; curriculum; dental caries; emergency medicine; experience; gastroenterology; general practice; general surgery; human; lip carcinoma; maxillofacial surgery; medical student; mouth carcinoma; mouth examination; oral surgery; questionnaire; tooth abscess; Diagnosis, Oral; Education, Medical, Undergraduate; Female; Great Britain; Humans; Male; Mouth Neoplasms; Questionnaires; Schools, Medical; Students, Medical
Depositing User: National Forum
Date Deposited: 06 Dec 2015 18:37
Last Modified: 11 Dec 2015 09:05
URI: http://eprints.teachingandlearning.ie/id/eprint/3694

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