Do you guys still have to take regional boards (e.g. CRDTS, NERBS, WREB, etc) ?
? for people who matched into OMFS
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dc-10 said:
42 views and 0 replies. Anyone know the answer to this? Ok, say I did a 1 yr GPR then matched into OMFS. After I finished the OMFS program, could I practice OS w/o taking NERBS?
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dc-10 said:
You would still need a license to practice dentistry therefore you would still need to take a licensing exam unless the state you want to practice in doesn't require one. Some states will accept a GPR instead of a licensing exam, but the vast majority require one of the state or regional exams.
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Now it's 44 views and 2 replies.
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dc-10 said:
I'm still a 3rd year but here in California you must either take the CA board or the WREB to obtain a dental license, including practicing as a single degree oral surgeon. Orthodontists, periodontists, endodontists, oral surgeons, pedodontists, and general dentists must all cut a prep and scale some teeth. Pretty ridiculous that the licensure exams are not specialty specific.
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dc-10 said:
Some dual degree guys can practice under their medical licenses in some states but this isn't the majority. Mosts states you need to have a dental license because OMFS is a dental specialty not a medical specialty. Many states also don't allow MD's to perform office sedations/GAs but they are allowed under the dental practice act of many states. Thus, most of the time you will have to come through the "front door" like anyone else. Legitimize your doctorate degree by passing your doctorate boards (part I, II, and clinical) and hopefully you can also pass your specialty board (becoming a diplomate of your specialty organization). Thus you are a dentist and a dental specialist. Here is an interesting editorial in this months Journal of Oral and Maxillofacial Surgery: written by a dual degree OMFS
To the Editor:
In the August 2005 edition of the Journal of Oral and Maxillofacial Surgerys Letter to the Editor section, Dr McCabe wrote a well thought out response to previously submitted viewpoints regarding obtaining a medical degree without obtaining a license to practice medicine and the ramifications of doing such. It seems that he is very concerned that the public not be misled into thinking that these practitioners are practicing medicine without a license.
This is confusing to me because oral and maxillofacial surgery is a specialty of dentistry, not medicine. It is common knowledge that anyone practicing oral and maxillofacial surgery is first and foremost a dentist. The American Board of Medical Specialties does not recognize oral and maxillofacial surgery as a specialty of medicine. As such, anyone claiming to be an oral and maxillofacial surgeon with 1, 2, or 3 degrees is a dentist and practices under a dental license.
Dually degreed and dually licensed dentist-physicians may think they are better qualified than their single degreed colleagues because they may have greater ability to perform full scope procedures in those states with antiquated dental practice acts (ie, New York and Connecticut). However, this is not the case in all states. In most locations it is the quality of the residency training the practitioner has received, not what degree he possesses, that determines his scope of practice. Hospital credentialing committees do not approve privileges to unqualified practitioners (at least not at my hospital).
For medical boards to be so concerned that we dentists are practicing medicine without a license is a joke. Oral and maxillofacial surgeons routinely perform procedures that are commonly referred to as the practice of medicine.
Here is a list of procedures that I perform in my daily clinical practice that are in the realm of oral and maxillofacial surgery but are also considered the practice of medicine.
1The taking of blood pressures and interpreting the result.
2Performing history and physical exams.
3Starting IVs and administering general anesthesia.
4Prescribing medications.
5Performing tracheotomies for life-threatening airway obstructions.
6Harvesting bone, skin, etc. from the body and transplanting it elsewhere on the face.
7Performing major post-traumatic facial reconstructive surgery.
8Performing tumor excisions and reconstructions.
9UPPP and LAUP for sleep apnea and snoring.
10Performing facial plastic surgery; brow, eyelid, neck and face lifts; laser skin resurfacing; neck liposuction; rhinoplasty; and facial lesion removal.
Of course we are practicing medicine: dental medicine!
Dr McCabe also pointed out that after graduating from medical school a minimum of 1 year of post graduate internship is required before one can obtain a license to practice medicine. Dr McCabe fails to recognize that all single degree oral and maxillofacial surgery residency programs require a core general surgical year in which the oral and maxillofacial surgery resident functions as a PGY1 general surgery resident. In the state of Connecticut, 2 post graduate years are required for licensure. At the University of Connecticuts dual degree oral and maxillofacial surgery residency program, a year of oral and maxillofacial surgery is counted along with the general surgery year to satisfy this requirement.
I would like to ask the dual degreed and medically licensed oral and maxillofacial surgeons what they list as their medical specialty since they did not complete a full residency in any recognized medical specialty. Are they general surgeons? No, they did not complete 5 years of general surgery residency. Are they internists? What are they? The answer is simple. If they are oral and maxillofacial surgeons, then they are dentists.
esclavo said:
Oral and Maxillofacial Surgery is a dental specialty but also has been recognized as a sub-specialty of General Surgery. A group of dual degree OMS's pushed for this several years ago and it won approval. When asked what specialty of medicine they are, they can list "Oral and Maxillofacial Surgery" and legitamately be a specialty of medicine... but only if they are licenced with an MD.
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EL GUAPO! said:
interesting.......
Anyone have any idea as to what states allow you to practice as an omfs with the MD license?
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dc-10 said:
To practice under your dental license, yes. You will be a dentist when you are done, and therefore have to have a dental license in whatever state you work in. Some have good reciprocity and deals for specialists, however, so you will have to check it out. There is a website somewhere that has most of the state dental boards, but I am too lazy to google it for you.
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Approval by who? If something was a subspecialty of General Surgery, then shouldn't you be able to enter it after a few years of General Surgery? How does a general surgeon get OMFS training?EL GUAPO! said:
Maybe Periodontists should recognize OB/GYN as a sub-specialty of Perio. It's all gums, right?
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I don't know if he was talking about the American College of Surgeons, which recognizes OMFS as a subspecialty of surgery. If you become a member, you can put F.A.C.S. after your name, as fellow of the American College of Surgeons. Many surgeons (general, ortho, plastic, ENT, etc) are members of this college. But this has nothing to do with OMFS being a medical specialty. They just recognize oral surgeons as "surgeons".
http://www.facs.org/
http://www.facs.org/
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StarGirl said:
California passed an interesting law that if you are an OMFS with an MD AND a medical license, you do not have to pass a dental licensing exam (state or regional) to be able to practice OMFS in their state. This is not granted to OMFS docs without an MD/medical license. Therefore, if you are a 4 year OMFS, take a board. Either way, you should take a dental regional board to make sure you have all of your bases covered, but that's just my opinion.
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OMFSdoc said:
haha! This is so schweet. And I was stressing about finding patients for my April WREB's!!
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EL GUAPO! said:
This is untrue. OMFS is a "write in" for your medical license but not a specialty of medicine or surgery. My boss is a dual degree, FACS, and he contacted the state med society and the AMA. They permit a "write in" for your specialty practice but don't accept OMFS as an offical specialty of medicine or Surgery. Some state organizations have chose to "recognize" or better said "categorize" these OMFS write ins as surgeons (because it is the closest thing or most generic thing to put them under), but the national organization doesn't recognize OMFS as an official medical subspecialty or even a surgical one.
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