Oral and Maxillofacial Surgery
Oral and Maxillofacial Surgery is the branch and specialty of dentistry which is concerned with and includes the diagnosis, surgical and adjunctive treatment of disorders, diseases, injuries, and defects involving the functional and aesthetic aspects of the hard and soft tissues of the oral and maxillofacial regions and related structures.
Examination Format
The Fellowship Examination in Oral and Maxillofacial Surgery evaluates the advanced clinical judgment, diagnostic reasoning, and communication skills required of a Fellow in Oral and Maxillofacial Surgery. The objective is to assess a candidate’s ability to synthesize information, make sound treatment decisions, and manage complex patient care scenarios at the level expected of a Fellow of the Royal College of Dentists of Canada. The examination emphasizes applied clinical reasoning, patient-centered decision making, and professional communication.
| Structure | Takes place over two days, with candidates completing one oral case-based session (90 minutes) on each day. |
| Format | Each session consists of a series of structured clinical cases designed to reflect real-world oral and maxillofacial surgery practice. |
| Assessment | Performance is evaluated using the Global Rating Scale (GRS), which emphasizes judgment, reasoning, and communication across multiple domains. |
| Examiner Role | Examiners are responsible for pacing the examination and guiding the discussion. Examiners may supplement case scenarios with text, clinical photographs, radiographs, or other imaging as part of the discussion. |
| Candidate Role | Candidates are expected to approach each case as they would in practice: by gathering and interpreting information, formulating a diagnosis, developing and justifying treatment options, and communicating their decisions clearly. Candidates are encouraged to think aloud, explain their reasoning, and communicate their approach as they would in a clinical setting. |
Examination Blueprint
| Domain | Weight (%) |
|---|---|
| Patient Assessment, Diagnosis, and Treatment Planning | 30 – 40% |
| Treatment Implementation | 30 – 40% |
| Treatment Evaluation | 15 – 25% |
| Communication | 5 – 15% |
Blueprint
Oral and Maxillofacial Surgery
Preparation
Preparation should focus on applied reasoning and communication rather than memorization. Candidates are encouraged to:
- Practice structured case discussions, individually or with peers.
- Rehearse verbalizing reasoning, including justification of decisions and management of uncertainty.
- Review the example case provided to become familiar with the style of questioning and depth of response expected.
- Focus on clarity, structure, and professionalism in communication
FDI Two-Digit Tooth Numbering Chart
The Fellowship Examination uses the FDI Two-Digit system.
Sample Case
Oral and Maxillofacial Surgery