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Related Concept Videos

Overview of the Skull01:08

Overview of the Skull

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The cranium (skull) is the skeletal structure of the head that supports the face and protects the brain. It is subdivided into the facial bones and the brain case, or cranial vault. The facial bones underlie the facial structures, form the nasal cavity, enclose the eyeballs, and support the teeth of the upper and lower jaws.
The cranial vault surrounds and protects the brain and houses the middle and inner ear structures. This cavity is bounded superiorly by the rounded top of the skull, which...
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Assessing Signaling Properties of Ectodermal Epithelia During Craniofacial Development
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Craniofacial Fellowship Training: How Are We Doing?

Demetrius M Coombs1, Niyant Patel2, Kanlaya Ditthakasem3,4

  • 1The Craniofacial Center, Dallas, TX, USA.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|May 15, 2025
PubMed
Summary
This summary is machine-generated.

A decade after fellowship, many craniofacial surgeons express dissatisfaction with their training, with some no longer performing key procedures. This highlights potential issues in craniofacial surgery fellowship quality and program descriptions.

Keywords:
assessmentcraniofacial surgeryquality improvement

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Area of Science:

  • Plastic Surgery
  • Surgical Education
  • Craniofacial Surgery

Background:

  • Fellowship-trained craniofacial surgeons' perspectives on training evolve over time.
  • Assessing career impacts and practice patterns is crucial for surgical education.

Purpose of the Study:

  • To evaluate the long-term satisfaction and career trajectories of craniofacial surgeons a decade after fellowship.
  • To identify shifts in practice patterns and perceived training deficiencies.

Main Methods:

  • An anonymous 26-question survey was distributed to surgeons who completed craniofacial fellowships in 2013.
  • Current fellowship program descriptions were analyzed for variations in training content.

Main Results:

  • 14% of respondents no longer practice craniofacial surgery; 42% do not perform intracranial/midfacial osteotomies.
  • 31% would have chosen a different training program, and 50% changed jobs post-fellowship.
  • Fellowship descriptions cover a wide range of procedures beyond core craniofacial surgery.

Conclusions:

  • While most remain in craniofacial surgery, significant dissatisfaction with training exists.
  • Programmatic clarity regarding case volumes and specialization is needed to improve trainee fulfillment.
  • Consideration should be given to refining the definition of 'craniofacial surgery' and developing more specific program labels.