The recent article by Awal et al
1in this journal triggered me to share some information. In Germany, there is also huge variation in the aesthetic surgery curriculum among oral and maxillofacial surgery (OMFS), plastic surgery, and otorhinolaryngology (ORL). The recent study by Momeni and colleagues
- Awal D.H.
- Walker T.W.
- Mills C.
Review of the Intercollegiate Surgical Curriculum Programme for oral and maxillofacial surgery aesthetics: are we underselling ourselves?.
Br J Oral Maxillofac Surg. 2019; 57: 918-922
2showed the lack of aesthetic surgery training in plastic surgery residency in Germany. This situation is similar for German OMFS training. Although OMFS trainees stay in their department for the entire training period, the Medical Council of every German State has no requirement for aesthetic surgery for the German Board of OMFS Examination (Table 1). The German Sub-board of Facial Plastic Surgery is awarded for OMF or ORL surgeons with facial plastic surgery fellowship for at least two years. However, some OMFS/ORL surgeons have never done a facelift, even though they are entitled to hold a Diploma of the German Board of Facial Plastic Surgery. It may be because many cosmetic surgical patients in this country visit their surgeon in private clinics rather than in university or public hospitals. Facial plastic surgery in Germany is, therefore, directed towards cleft-craniofacial surgery and facial reconstructive surgery after trauma or treatment for tumours.
- Momeni A.
- Goerke S.M.
- Bannasch H.
- et al.
The quality of aesthetic surgery training in plastic surgery residency: a survey among residents in Germany.
Ann Plast Surg. 2013; 70: 704-708
Table 1Operative requirements for the German Boards of Oral-Maxillofacial Surgery (OMFS), Otorhinolaryngology (ORL), Facial Plastic Surgery, and (General) Plastic Surgery according to the German Law on Postgraduate Medical Education (adapted from “Weiterbildungsordnung 2003 in der Fassung vom 25.06.2010”; “Richtlinien, in der Fassung vom 18.02.2011”).
|(General) Plastic Surgery
|Facial Plastic Surgery
(≥ 2 years after OMFS or ORL)
|Total cases: ≥ 200 cases, which include
||Total cases: ≥ 200 cases, which include
* All cases must be performed by the resident or fellow himself/herself.
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- Review of the Intercollegiate Surgical Curriculum Programme for oral and maxillofacial surgery aesthetics: are we underselling ourselves?.Br J Oral Maxillofac Surg. 2019; 57: 918-922
- The quality of aesthetic surgery training in plastic surgery residency: a survey among residents in Germany.Ann Plast Surg. 2013; 70: 704-708
Postgraduate programme, University of Witten/Herdecke. Available from URL: https://www.uni-wh.de/studium/studiengaenge/postgraduiertenprogramme/. (Last accessed 12 January 2020, website in German).
Published online: February 28, 2020
© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.