Saudi Commission for Health Specialties

Guidelines for Residents

SAUDI BOARD IN ORAL MAXILLOFACIAL

SURGERY (SB-OMFS)

Revised Edition 2010

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TABLE OF CONTENTS

I. Introduction….…………………………. 2

II. Objective.........……………….. ………..3

III. Program Duration….…………. ……….4

IV. Admissions Requirements……………..4

V. Trainings Requirments………………….5

VI. Cirriculum………………………………...5

VII. Clinical Contents of the Training…….6

VIII. Evaluation of the Trainee…………...…7

IX. Promotio…………………………………..7

X. Vacation………………………………….7

XI. Research Activities……………………...7

XII. Admission Examination Guidelines…..8

XIII. Promotional Examination (End-Year)

Guidelines………………………………...8

XIV. Promotion Examination Pass

Grades…………………………………...12

XV. Examination Rules & Regulations

Part I: Exam………………………………12

A. Part II………………………………….14

a. Written Exam b. Clinical/Oral Exam

B. General Rules for Candidates…...20

C. Conduct/Misconduct and

Disciplinary Actions………………...12

D. Oral Part of Examination Areas…..23

Appendix I: Scientific Committee Members

Revised Edition October 2010

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I. Introduction Oral and Maxillofacial Surgery (OMFS) is the Specialty of Dentistry which includes the diagnosis, surgical and adjunctive treatments of diseases, injuries and defects, involving both the function and esthetic aspect of the hard and soft tissues of the oral and maxillofacial region. The training program in Oral and Maxillofacial Surgery (OMFS) is a five-year course designed to improve and develop this surgical profession in Saudi Arabia. The Board program provides the knowledge and skills required for Residents to become qualified Oral & Maxillofacial Surgeons. Subsequently, he/she is expected to maintain their Specialty level skills and knowledge by personal dedication to a process of life-long learning. The training program in OMFS includes education in basic sciences, clinical knowledge, the development of surgical skills and sound patient management skills. The program is a pathway for trainees to learn, in depth, the fundamentals of surgery by assisting and performing different types of surgical procedures.

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II. Objectives The main objective of the Board Program is to train and graduate competent and knowledgeable oral and maxillofacial surgeons, capable of functioning independently. The trainee should:

Achieve sound knowledge in the principles of oral and maxillofacial surgery.

Be able to perform a sound and complete patient

history and physical examination.

Be able to establish comprehensive differential diagnoses.

Recognize emergency situations and manage

them effectively.

Perform diagnostic and therapeutic procedures and perform surgical operations in the field of oral and maxillofacial surgery.

Achieve a sound knowledge of research.

Be able to communicate well with patients and

colleagues.

Be able to keep orderly and informative medical records.

Be able to maintain self-education in the field of

oral and maxillofacial surgery.

Possess high ethical and moral standards.

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III. Program Duration The advanced education program in oral and maxillofacial surgery is a five years program having a minimum of 60 months of full time study. IV. Admission Requirements The applicants must:

Hold a Board recognized BDS, DDS or DMD degree.

Have successfully completed 12 months of

internship.

Pass the admission examination and an interview.

Bring a letter from a sponsoring organization stating that the candidate can join the program full time for five years, with full financial support.

Register with the Saudi Commission for Health

Specialties as a trainee.

Pay the yearly training fees and application fees.

Sign as agreement that he/she will abide by all rules and regulations of the training program and the affiliated Institutions.

Be available full-time for the training program.

Spend minute one year surface residency part

internship graduation. V. Training Requirements

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Training must be conducted in an institution accredited for training by Saudi Board in Oral Maxillofacial Surgery. Training must be comprehensive.

Trainees must abide by the rules and regulation set by the Saudi Board in Oral Maxillofacial Surgery and the Saudi Commission for Health Specialties.

Trainees must finish the required number of

surgical cases in order to graduate.

Trainees must pass all examinations and evaluations to be eligible for the Certificate.

Trainees must successfully complete BLS ACLS and

ATLS and must have passed the examinations.

Every resident should be on call with any number of days/months as per the institution needs and the regulations. R1 resident must have an agreement not to have any other obligations outside the program, e.g (private practice).

VI. Curriculum I. First Year First year covers the basic sciences. This includes the following: Anatomy, Physiology, Pharmacology Microbiology, Pathology & Histology. In addition, to assigned clinical rotations there is an in service rotations. II. Second Year The residents will rotate for 13 months off service in rotations between in different specialties with full medical job description from on call to patient care and managements. The rotation includes but not limited to:

Medicine rotation that includes hematology, general medicine and cardiology. (2 Months)

Anesthesia, that includes training in IV Sedation,

and general anesthesia. (3 Months)

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General Surgery rotation that includes rotation in emergency trauma, surgical intensive care, general surgery, plastic surgery, Neurosurgery and a rotation in Otolaryngology.

42 months in Oral and Maxillofacial Surgery III. Third Year The trainee is further educated and trained in Oral and Maxillofacial Surgery, Educational Methods, Diagnostic Head and Neck Radiology. IV. 4th and 5th Year Fourth and fifth year is fully dedicated to OMFS training. Trainees undertake Rotations in affiliated Hospitals in the Program. VII. Clinical Content of the Training 1. Minor surgery under local anesthesia or IV sedation.

- 100 cases of simple exodontias - 100 cases of impacted teeth - 50 cases of transalveolar surgery

2. Major Surgeries under G.A.

a. Trauma - 20 cases of trauma as an assistant - 20 cases of trauma as a surgeon

b. Orthognathic Surgery

- 15 cases of orthognathic surgery as an assistant.

- 10 cases of orthognathic surgery as a surgeon.

c. Pathology - 25 cases as an assistant in various oral and

head and neck pathology. - 20 cases as a surgeon in various oral pathologic

and head and neck pathology.

d. Reconstructive Surgery Facial reconstruction & harvesting soft and hard tissues graft. - 20 cases as an assistant - 15 cases as an surgeon

e. Pre-Prosthetic Surgery - 20 cases as an assistant - 10 cases as an surgeon

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VIII. Evaluation of the Trainee

1. A trainee must pass all assigned examinations. 2. Trainees must pass the first part of the SBOMFS

Examination. The examination is conducted at the end of the first year.

3. Trainees must show progress and he/she must

satisfactorily pass all rotations, assessments and training examinations.

4. Trainee must pass the yearly promotion examination. 5. Trainees must have a testified Log Book to

document his/her cases. 6. When a trainee has finished the 5 years of training,

completed the clinical and theoretical requirements and passed all evaluations and examinations, he/she will be eligible to take the Final Examination, which is Part II of the SB-OMFS. When a trainee passes Part II he/she will be awarded the SB-OMFS Certificate.

IX. Promotion A trainee will be promoted from one year level to the next year level if he/she fulfills all evaluation requirements. X. Vacation A trainee is allowed 4 weeks vacation annually in addition to a maximum of 5 days for emergency leave, Eid holidays and the professional leave eligibility depend on the resident rotation and institution needs and availability. XI. Research Activities

Trainees must participate in research during the training program under the guidance of staff member and 2 research’s has to be submitted for publication during his/her 5 years training, otherwise he cannot sit for the part II examination until he/she finished the research.

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XII. ADMISSION EXAMINATION GUIDELINES Table I:

Examination Contents Relative %

Passing Score

( To set for the interview)

OMFS Admission

Exam

Dental School GPA, General Exam, OMFS specialty written exam, Interview performance

50% Dental School GPA 15% General Exam 30% Specialty written exam (100 MCQ’s) 2-3 hrs. 35%

Interview performance 20%

XIII. PROMOTION EXAMINATION (End-Year) GUIDELINES: Table II: Examination Contents: Relative

Percentage Passing Score

End-Year Exam OMFS

Annual, written and oral components As descried bellow.

A. Clinical Rotations (Annual Report) 50% 50% B. Oral Examination: See Error!

Reference source not found. 25%

C. Written Exam (150-200 MCQs), 3-4 hrs

25%

Topics covered by the promotion examination: written part

Patient Evaluation and Management I. Patient Evaluation a. History and Physical

Examination b. ECG Interpretation c. Laboratory Tests d. Diagnostic Imaging for the

oral and Maxillofacial regions

4%

Anaesthesia a. Local Anaesthetics b. Intravenous Sedation and

Anaesthetics Agents c. Inhalation Anaesthesia

5%

Post Operative Care a. Fluid and Electrolyte

Management b. Nutritional Support c. Post Operative Complications

5%

Management of the Oral and Maxillofacial Surgery Patient -Applied Oro-Facial Anatomy -Applied Surgical Anatomy of the Head and Neck

2%

Dento-Alveolar Surgery a. Impacted Third Molar b. Impacted Third Molar c. Impacted Canine d. Surgical Upright

5%

Diagnosis and Management of Trigeminal Nerve Injury

٠.٥%

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Maxillofacial Trauma a. Bone Healing b. Bio-mechanics of Plates and

Screws c. Mandibular Fractures d. Maxillary Fractures e. Zygomatic Maxillary Complex

Fractures f. Naso-orbital Ethmoidal

Fracture g. Nasal Bone Fracture h. Post Traumatic Deformities i. Gunshot Wound j. Management of facial

Lacerations

5%

Management of Medical Emergencies

a. Basic Life Support b. Advance Cardiac Life

Support c. Advance Trauma Life

Support d. Cricothyrotomy and

Tracheotomy e. Malignant Hyperthermia

6%

Management Considerations in the Medically Compromised Patients a. Management of Surgical

Patients with Cardiovascular Disease

b. Respiratory Disorder c. Haematology d. Liver and renal e. Endocrine Diseases f. Management of Diabetic

Patient g. The Immunocompromised

Surgical Patient h. Management Consideration in

the Joint Replacement Patient

5%

Odontogenic infection a. Micro biology of Oro-facial

infection b. Facial Spaces c. Antibiotic for Oral and

Maxillofacial infection d. Principles of Management of

Oro-facial infection e. Cervico-facial Necrotizing

fasciitis f. Osteomyelitis g. Maxillary Sinus infection h. Salivary Gland Infection i. Fungal and viral infections f

Head and Neck

٥%

Tempro-mandibular Disorders and Facial Pain

a. Tempro-mandibular joint Disorder

b. Internal Derangement c. Osteoarthritis

3%

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d. TMJ arthocenthesis e. TMJ arthroscopy f. Total joint reconstruction Diagnosis and Management of

Dentofacial Abnormalities a. Mandibular Prognathism b. Mandibular Condylar

Hyperplasia c. Hemimandibular

Hypertrophy d. Vertical Maxillary Excess e. Maxillary Deficiency f. Idiopathic Condylar

4%

Cleft Lip and Palate a. Cleft Lip repair b. Alveolar Bone Cleft c. Cleft Palate Repair d. Pharyngeal Flap e. Orthognathic in cleft lip and palate patient

f. Distraction Osteogenesis in cleft patient

4%

Diagnosis of Salivary gland Diseases

a. Salivary Gland Neoplasm b. Viral and Bacterial Infection c. Salivary Gland Stone d. Sialendoscopy

3%

Oral and Maxillofacial cysts and tumours

a. Odontogenic and Non-odontogenic cyst

b. Odontogenic and Non-odontogenic tumours

c. Giant Cell Lesion d. Fibro-osseous Lesion

3%

Oral and Maxillofacial cysts and tumours

a. TNM Classification b. Biology of Malignant

Metastasis c. Radiotherapy of Head and

Neck d. Description of Radical Neck

Dissection and Modification

٣%

Laser in Oral and Maxillofacial Surgery

a. Different types of laser for OMFS

b. Skin types c. Post Operative

Complications

٠.٥%

Management of the patient Irradiated for head and neck

a. Mechanism of action of Radio therapy

b. Effect of Radiation therapy on oro-facial tissues

c. Management of patient undergone head and neck radiation

d. Osteo-radio necrosis and its

2%

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management Hyperbaric Oxygen Oral and Maxillofacial

reconstruction a. Mechanism of Bone Healing b. Different types of Bone Graft c. Osseous Reconstruction d. Soft tissue Region and Free

Flap e. Reconstruction of TMJ f. Post Traumatic and Post g. operative Surgery

Reconstruction

٥%

Facial Aesthetic Surgery a. Mechanism of Aging b. Rhytidectomy procedure c. Rhinoplasty d. Blephroplasty e. Endoscopic Assisted facial

procedure. f. Cervico-mental liposuction g. Alloplastic materials used for

facial h. Aesthetic procedure i. Revision of facial scars j. Dermabrassion k. Chemical peels

2%

Dental Implants a. Endo-osseous implant principle b. Soft tissue management oral

Dental implants c. Site Preparation d. Recent advances –Dental

Implant with new technology e. Implant – Medical Compromised

patient f. Implant – Irradiated Patient

6%

Sleep Apnea and Snoring a. Deffinition of Sleep Apnea

Syndrome b. Sleep Study c. Management of OSAS d. Maxillo-Mandibular

Advancement treatment of OSAS

2%

Orthognathic surgery 6% Craniofacial Syndrome a. Classification of

Craniohymostasis b. Classification of Craniofacial

Dysostosis c. Hemifacial Microsomia d. Apert Syndrome e. Crouzan Syndrome

٥%

Current literature of Oral and maxillofacial Surgery

5%

Distraction osteogenisis: concepts, techniques

a) Alveolar distraction b) Maxilla distraction c) Mandible distraction d) Midface distraction

4%

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XIV. PROMOTION EXAMINATION PASS GRADES

Residents Level

Annual Evaluation 50%

End Year Evaluation

50%

Passing Score

R1 OMS Rota

Eval Educ’l

Activities

Basic Science Courses

Oral Exam

Written Exam 50%

35% 30% 35% 25% 25%

R2 OMS Rota

Eval Educ’l

Activities NA Oral

Exam Written Exam 55%

70% 30 % 25% 25%

R3 OMS

Rota Eval Educ’l

Activities NA Oral

Exam Written Exam 60%

70% 30 % 25% 25%

R4 OMS

Rota Eval Educ’l

Activities NA Oral

Exam Written Exam 65%

70% 30 % 25% 25%

R5 OMS

Rota Eval Educ’l

Activities NA Oral

Exam Written Exam 70%

70% 30 % 25% 25% XV. EXAMINATION RULES AND REGULATIONS PART I EXAM: I- Objectives: a. To assess the level of knowledge of basic & clinical

subjects relevant to the specialty required for effectively pursuing the specialist training.

b. More specific objectives shall be laid down by each specialty for meeting its requirements.

II-Eligibility: a. Valid registration with Saudi Council for Health

Specialties. b. Successful completion of at 9 months of first year

residency training program approved by the local regional supervisory committee of the respective specialty.

III- General Rules: a. The Part I examination shall be held at least once

a year in September at one or more centers on the same dates for all specialties. However, the examination shall be failure is 20 or more, the examination shall be repeated in March of the following year.

b. Even if the number of failures is less than 20, it may be repeated in March at the discretion of the Specialty Board.

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c. Passing the Part I examination of Saudi Specialty Board is a pre-requisite but not the only one for promotion to senior level of residency training.

d. Candidates are allowed a total of three attempts for passing this examination. Those failing in the third attempt will be dismissed from the programme unless exempted from this rule by the Executive Council and allowed a fourth chance.

IV- Examination Format: a. A written examination consisting of 100 MCQ’s

(Single best answer type) shall be attempted in 2 hours.

b. Where applicable, at least one third of the questions will be applied Basic Science relevant to the specialty.

V- Passing Score: The passing score is 70%. However, if the percentage of candidates passing examination is less than 70%, the passing score can be lowered by one mark at a time aiming at achieving 70% passing rate or score of 60% whatever comes first. Under NO circumstances, the score can be reduced below 60%. Negative marking is NOT allowed. VI- Declaration of Result: The result shall be approved by the Specialty Board before it is declared by the Examination Department; however, the Specialty Board has the right to delegate the authority of approving the result to one of its working Committee. VII- Exemption: The Saudi Council at present has no reciprocal arrangement with respect to the examination or qualification of any other college or board in any specialty. Therefore, success in examinations or qualification by bodies other than the Saudi Council does not confer exemption from any of the requirements of the Council qualifications or examination.

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Part II- Saudi Specialty Examination: The final examination shall consist of: a. Written Examination b. Clinical/Oral Examination A. Written Examination: a. To assess the theoretical knowledge base

(including recent advances) required to function as specialist in the relevant specialty.

b. To evaluate the problem-solving capabilities through rational application of knowledge & skills.

c. To screen candidates for being allowed to appear in the clinical/oral examination.

d. More specific objectives shall be laid down by each specialty to meet its requirements.

II- Eligibility of sitting for the written examination: a. Successful completion of the required period of

residency training (including passing End of year examination.)

b. Provision of other related requirements assigned by any mentioned Scientific Boards (e.g. research, publications, log books, list of procedures, etc).

c. Getting a good Final In-training Evaluation report from The Central Supervisory Training Committee stating that a trainee had completed successfully all training requirements (A training completion certificate).

d. When the trainee complete all the admission requirements of the written final exam, he /she has the right to attend the exam within a maximum of three years in case of provision a proof of continuing the clinical work regardless the number of times of attending the exam during this period.

e. The trainee, who does not pass the written final exam during the allowed period, has to apply to the Central Supervisory Training Committee to renew the eligibility before attending the exam with a sufficient time. The committee has the right to renew the trainee’s eligibility for one year that is renewable or refuse the renewal, and he/she will need to complete satisfied additional training period.

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III- General Rules: a. The Part II (Final) Written Examination shall be held

at least once a year at one or more centers within one month of completion of the training programme. However, if the number of failures is 20 or more, the examination shall be repeated about 6 months later.

b. Even if the number of failure is less than 20, the examination may be repeated about 6 months later at the discretion of the Specialty Board.

c. Each Specialty Board should submit to the Examination Department the fixed annual schedule of written examinations.

d. A ruling of Central Supervisory Training Committee accepting a candidate’s training as adequate for written examination eligibility is valid for a maximum of three years provided the candidate presents evidence of continuing clinical practice.

IV- Written Examination Format: a. The Part II Written examination in all specialties will

have two papers: i. Paper I in all specialties will be 2 ½ - 3 hours

duration and will contain 100 -125 MCQ’s (Single best answer type)

ii. Paper II in all specialties any or a mixture of the

following:

100-125 MCQ’s Short modified analysis Matching questions Questions on Slides

b. Each of the written examination question paper

should cover the clinical and applied basic science relevant to the specialty.

V- Passing Score: The passing score is 70%. However, if the percentage of candidates passing the examination is less than 70%, the passing score can be lowered by one mark at a time aiming at achieving 70% passing rate or score of 65% whatever comes first. Under NO circumstances, the score can be reduced below 65%. Negative marking is NOT allowed.

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VI- Declaration of Result: The result shall be approved by the Specialty Board before it is declared by the Examination Department; however, the Specialty Board has the right to delegate the authority of approving the result to one of its working Committee. VII- Exemption: The Saudi Council at present has no reciprocal arrangement with respect to the examination or qualification of any other college or board in any specialty. Therefore, success in examinations or qualification by bodies other than the Saudi Council does not confer exemption from any of the requirements of the Council qualifications or examination. B. Clinical/Oral Examination: I. Objectives:

a. To determine the ability of the candidate to practice as a specialist and provide consultation in the general domain of his/her specialty to other health care professionals.

b. To evaluate the knowledge of underlying physiologic and pathologic mechanisms necessary for diagnosis and management of clinical entities.

c. To assess the ability to order and to interpret relevant laboratory data for proper understanding and management of clinical entities and for monitoring progress of patients.

d. More specific objectives shall be laid down by each specialty for meeting its requirements.

II- Eligibility:

a. Passing the Part II (Final) Written examination. b. On the basis of passing the written examination,

a candidate is allowed a maximum of three years to pass the Clinical/Oral examination, provided evidence of continuing clinical practice is presented.

c. A candidate who fails to pass Clinical/Oral examination within the allowed period must apply to the Central Supervisory Training Committee for renewal of eligibility in due time

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prior to the scheduled examination in which he/she intends to sit. The Committee may refuse the same and require satisfactory completion of additional training.

d. If the eligibility is renewed for one year but the candidate again fails to pass the Clinical/Oral examination in this period, he/she can again apply for renewal of eligibility for one more year and this application shall be processed in the same way as the first.

e. If the candidate fails to pass the clinical/oral examination even during the second period of renewal of eligibility (i.e. in the total of 5 years), he/she cannot be allowed any further renewal. In such a situation, the candidate has to appear in and pass the Part II written examination again, after which the cycle following the first passing of Part II written examination can be repeated.

III- General Rules:

a. The clinical/Oral examination of Part II shall be held at least once in a year at one or more centre 3 to 8 weeks after the written examination.

b. If the number of failure in this examination is 20 or more, the examination shall be repeated about 6 months.

c. Even if the number of failures is less than 20, it may be repeated in March at the discretion of the Specialty Board.

d. Each Specialty Board Should submits to the Examination Department the fixed annual schedule of Clinical/Oral examinations.

IV- Examination Format:

a. The Clinical/Oral examination should include two or more of the following components:

Long case(s) Short case (s) OSCE(Objective Structures Clinical

Examination) Simulated Clinics Oral examination Data interpretation Slides

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b. As far as possible, each component should have a structured format to make it uniform for each candidate and to minimized subjectivity is assessment.

c. Each candidate shall be examined by a panel of two or more examiners in each component.

d. Each examiner in a panel shall mark independently and the average of these scores shall be assigned to the candidate.

e. Marking should be done in round numbers (No fraction)

f. Observation during clerking of a long case is not mandatory and final decision on this matter is left to each Scientific Board.

g. The following timings are recommended for various Clinical/Oral examination components:

Clerking long case : 45 min Examination of long case : 30-40 min Examination of short case :10-15 min Oral examination :15-20 min OSCE Stations : 5-10 min Simulated Clinical Exam : 5-10 min Data Interpretation : 5-7 min Slides : 1-2 min

V- Marking System:

a. Each examiner will mark independently in whole numbers on a scale of 11, 10, 9, 8. However, the final score of the candidate may sometimes be in fractions because of calculating the average of 2-3 examiners in one panel.

b. The various scores awarded to the candidate by each examiner in the panel of a component are assigned the following meanings: b-1) Score 11 – outstanding pass – shall be awarded to a candidate who demonstrates outstanding judgment and ability in the management of clinical entities. Has a excellent understanding of the underlying physiologic and pathologic mechanism. Demonstrates maturity in behavior and response to posed questions beyond what is normally expected from one his/her level. b-2) Score 10- clear pass- shall be awarded to a candidate who demonstrates good judgment and ability in the management of clinical entities. Has an adequate

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understanding of the underlying physiologic and pathologic mechanism. Does not make any major errors in the interpretation of data or in the management of problems. Is able to practice independently and provide consultation in the general domain of his/her specialty to other health care professional. b-3) Score 9- Borderline- shall be awarded to candidate who demonstrates barely adequate judgment and ability in the management of clinical entities. Has limited understanding of the underlying physiologic and pathologic mechanism. Has gap in knowledge and makes errors in some of the more difficult problems in the interpretation of data and/or in management. Has doubtful ability to practice independently and provide consultation to other health care professionals in the general domain of his/her specialty. b-4) Score 8- clear fail – shall be awarded to a candidate who demonstrates poor judgment and very limited ability in the management of clinical entities. Lack of understanding of the underlying physiologic and pathologic mechanism. Has great difficulty in the interpretation of any data and/or the management of even simple problems. Is not able to practice independently and provide consultation in the general domain of his/her specialty to other health care professional.

c. Passing Score: To pass in the Clinical/Oral examinations, a candidate must obtain an overall average score of 9.75 or above. d. Pass with honor: any trainee having an average score of 10.50 or above in the final clinical/practical examination, and any trainee having an average score of 90% or above in the final written examination including all of the examination’s parts – if the specialty does not include a final clinical/practical examination-will be declared to have passed examination with honor under the following conditions: 1. Passing in the first trial of all board examinations (first part, final written and oral part). 2. Scoring 80% or higher than the highest score in a written examination. 3. Scoring at least an average of Very Good in the periodical reports during the training years.

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4. Not receiving any warnings during the training period. 5. Completing the training within the specified time, unless the delay was approved by the Scientific Board. e. Each Scientific Board shall lay down guidelines for conducting Clinical/Oral examination in their specialty, giving details of its components, format etc, for examiners/candidates which conform to the general examination rules and bylaws. This will ensure smooth and uniform conduct of examination by each examiner.

VI- Examiners:

It is the responsibility of the Examination Committee of the specialty to appoint examiners based on their teaching ability and examination skills according to the following guidelines: 1. For the University Teaching Staff, should be at least Associate Professor or had 5 years experience as Assistant Professor. 2. For others, should be a consultant with a minimum of 7 years experience as such. 3. Should have observed the Clinical/Oral examination in his/her specialty at least once. 4. Should have attended pre-examination workshop conducted by the organizers of Clinical/Oral examination for training the examiners on examination format/procedures.

VII- Examiners’ Monitoring: The examiner’s performance (e.g. their manner, style of behavior, interaction with candidates, their faithfulness in following the agreed upon protocol, grading practices (See Appendix II) may be monitored by an independent observer whenever possible. The results of monitoring should be used to improve the entire examination process.

GENERAL RULES FOR CANDIDATES

Withdrawal or Absence from the Examination: 1. On withdrawal from the examination, if received

in writing at the Saudi Council Headquarters at least thirty (30) calendar days or more prior to

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the examination date, the WHOLE fee will be transferred to the next examination.

2. On withdrawal from the examination, if received in writing at the Saudi Council Headquarters at least fourteen (14) calendar days and up up twenty nine (29) days prior to the examination date, HALF of the fee will be transferred to the next examination.

3. On withdrawal from the examination, if received in writing at the Saudi Council Headquarters at least fourteen (14) calendar days or absence on the day of the examination, the candidate will forfeit the WHOLE examination fee.

CONDUCT/MISCONDUCT AND DISCIPLINARY ACTIONS

Registration and Conduct of the Examination:

1. Each candidate will be issued an admission card. 2. The card should be presented on the day of the

examination at the Registration Desk. 3. Candidates arriving at the examination center

more than 30 minutes from the starting time will not be allowed to sit for the examination.

4. Each candidate should present an official I.D. card for the registration Staff.

5. Each candidate will be assigned a seat, which may be changed by the proctor at any time during the examination for a variety of reasons.

6. Once stated, candidate cannot leave the Examination room without permission from the proctor, but definitely not before 30 minutes has lapsed.

7. Candidates who complete the examination early may be permitted by the proctor to leave, if they can do so quietly and without disturbing others. 8. No candidates will be allowed to leave during the last ten (10) minutes of the examination.

Prohibition (Misconduct): 1, Candidates arriving at the examination center

more than 30 minutes from the starting time will not be allowed to sit for the examination.

2. Calculators, monograms and scratch papers are not permitted to be brought into the examination hall.

3. Candidates are not permitted to bring any books, notes papers or cameras into the examination hall.

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4. Smoking will not be allowed in the examination room.

5. Beepers, alarm watches and mobile telephones must be set in the off position during the examination.

6. Candidates are not permitted to give or obtain unauthorized information or aid.

7. Candidates are not allowed to look at the examination material of others.

8. Candidates are not allowed to take any written examination material from the examination center.

9. Candidates are not permitted to talk to each other during the conduction of the examination.

10. Candidates will not be allowed to engage in any disruptive behavior.

Disciplinary Actions:

1. Non-compliance with any of above rules would be considered misconduct. At the discretion of the proctor of the examination various actions may be taken. This could vary from verbal warning, marking of the candidate’s answer sheet with an accompanying report by the proctor recommending to the central examination committee the appropriate action.

2. If the misconduct is severe enough, the proctor has the right to nullify the candidates’ submission by writing a note on the answer sheet.

3. If the candidate is required to leave the examination hall at the discretion of the proctor, he/she should comply.

4. Failure of the candidate to provide an official I.D. will prevent the candidate from being admitted into the examination hall. 5. Impersonation or false identity will be subject to the applicable government rules.

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Oral Part of Saudi OMFS Board Exam

Room 1 (45 minutes) Examiners: 2-3 examiners Exam areas:

1. Facial Trauma 2. Management of medically compromised

patients 3. BLS, ACLS, ATLS 4. Maxillofacial infections

Room 2 (45 minutes) Examiners: 2-3 examiners Exam areas:

1. Orthognathic surgery 2. Cleft lip and palate and Craniofacial

syndromes 3. TMJ 4. Implantology

Room 3 (45 minutes) Examiners: 2-3 examiners Exam areas:

1. Minor surgeries 2. Dento-alveolar 3. Pathology 4. Reconstruction 5. Distraction osteogenisis

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Board Members: Scientific Committee Chairman: Dr. Messad Bahatheq Members: Dr. Ahmed Al Yamani Dr. Abdullah Al Gorashi Dr. Nasser Nooh Dr. Saleh Al Bazie Dr. Abdullah Al Atel Dr. Hamed Al Bargi Dr. Abdulaziz Al Weteid

Accreditation Committee: Chairman: Dr. Messad Bahatheq Members: Dr. Abdullah Al Gorashi Dr. Ahmed Al Zahrani Dr. Maisa Al Sebaie

Examination Committee: Chairman: Dr. Saleh Al Bazie Members: Dr. Ahmed Al Yamani Dr. Abdulaziz Bin Ahmed Dr. Hamed Al Bargi Dr. Nasser Nooh Dr. Mesaad Bahatheq

Local Training Committee- Central Region Chairman: Dr. Abdullah Al Atel- RMH Members: Dr. Mesaad Bahatheq - KFSH Dr. Saleh Al Bazie - KSU Dr. Abdulaziz Bin Ahmed- NGH Dr. Bishi Al Garni- RDC

Local Training Committee-Western Region Chairman: Dr. Abdullah Al Gorashi Members: Dr. Ahmed Al Yamani-KAAUH-Jeddah Dr. Hamed Al Bargi-NGH- Jeddah Dr. Awwad Al Bishri- Makkah

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For more information

please contact:

Saudi Commission for Health Specialties

Tel. No: 4800-800 Ext 2508

Fax 4800-800 Ext: 1542/1566

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