History and physical examination by oral and maxillofacial surgeons: the development of a physical assessment course

Qualified oral surgeons may be granted hospital privileges to perform history and physical examinations on their patients as a result of a JCAH policy change, which became effective in January 1982. Oral surgeons must apply for and be granted this privilege from their affiliate hospitals and must demonstrate their qualifications. Various criteria can be used to assess qualification, including a review of the applicant's training in physical diagnosis in residency training, and participation in physical assessment continuing education programs. Review courses that feature hands-on practice are useful to oral surgeons interested in updating and refining their skills. Since the University of Illinois began offering a review course in 1981, 91 oral surgeons have completed the 2-day intensive review program. A follow-up survey of the participants indicates that the oral surgeons are applying for medical staff privileges. In a survey of 30 oral surgeons who participated in the course during 1982, 13 (43%) indicated that they had obtained the privilege to perform histories and physical examinations from their local hospitals.