The document summarizes the first maxillofacial surgical skill competition held in the country. It describes the two modules - soft tissue suturing and hard tissue fixation. For the first module, trainees sutured incisions on chicken and were evaluated on skills and theory. For the second module, trainees performed open reduction and internal fixation on fractured human mandibles and were evaluated. International faculty helped judge the competition which aimed to advance simulated surgical learning for trainees. Winners were recognized at the end. The competition organizers believe this type of event can shift paradigms for advanced simulated training.

1. THE MAXILLOFACIAL SURGICAL SKILL
COMPETITION
THE BLUEPRINT OF HOW WE CONDUCTED
THE FIRST SUCH EVENT IN THE COUNTRY

2. REPORT OF HOW WE DID IT
• We invited colleges from all over the country to
take part in the competition
• 10 colleges and 20 trainees were selected based
on first come first serve basis ( 2 postgraduates
representing a department)

4. RULES OF COMPETITION
• The event was divided into 2 modules
• MODULE 1 – SOFT TISSUE SUTURING
• MODULE 2- HARD TISSUE SEMI RIGID FIXATION

5. MODULE 1 – SOFT TISSUE
• Standard size incisions 5*1*1 CM were placed on
chicken (freeze thawed 3 hour prior)
• 3-0 ethylon was provided to trainees along with
necessary armamentarium

8. RULES OF SOFT TISSUE MODULE
• 1 among the 2 trainees representing the
department had to perform the soft tissue closure
• Trainees were allotted a maximum of 10 minutes
to perform the procedure
• This was followed by a theory viva on suturing by
the judges both of whom were associated with the
Royal college of surgeons

11. SCORING
• The scores were allotted based on the overall skills
& theoretical viva performance

12. PART 2 – SEMI RIGID FIXATION
• MODULE 2 –
• Trainees were provided human mandibles,
chemically treated and surface coated which were
artificially fractured at the unilateral body using a
reciprocating orthopaedic saw

13. RECIPROCATING ORTHOPAEDIC SAW
TO PLACE STANDARDIZED OSTEOTOMY CUTS

14. HUMAN MANDIBLES PRIOR TO
INTENTIONAL FRACTURE

15. RULES OF SEMI- RIGID MODULE
• Both the trainees representing a department were
allowed to take part- one was perform the ORIF
and the other would assist in reduction
• Trainees were given a single 4 hole with gap
stainless steel plate and the necessary standard
armamentarium for ORIF

16. specimen of the ORIF performed by trainees

17. INTERNATIONAL FACULTY
• The advisory board consisted of international
faculty, 2 maxillofacial surgeons from UK who had
adequate experience in surgical skill competitions

18. Results were based on overall scoring
system in all modules and chairside
viva performance

19. Felicitation of winners

20. WHAT NEXT ?

21. The Maxillofacial trainee surgical skill
competition is the next paradigm
shift in advanced simulated learning

22. gracias
Dr ARJUN SHENOY
Fellow, International Board
Fellow, CMF Trauma, AOMSI