The First Hybrid International Educational Comprehensive Cleft Care Workshop

Rami S Kantar^{1

2

3}, Elçin Esenlik⁴, Omar S Al Abyad¹, Antonio Melhem¹, Robert A Younan¹, Mario Haddad¹, Kristen Keith¹, Serena Kassam^{1

5}, Beyhan Annan¹, Charanya Vijayakumar^{1

6}, Arnaud Picard⁷, Bonnie L Padwa⁸, Brian Sommerlad⁹, Cassio Eduardo Raposo-Amaral¹⁰, Christopher R Forrest¹¹, David A Gillett¹², Derek M Steinbacher¹³, Christopher M Runyan¹⁴, Daniela Y S Tanikawa¹⁵, David K Chong¹⁶, David M Fisher¹¹, Hans Mark¹⁷, Halil Ibrahim Canter¹⁸, Joseph E Losee¹⁹, Krishna G Patel^{1

20}, Larry D Hartzell²¹, Adam B Johnson^{1

21}, Marcus Vinícius Martins Collares²², Nivaldo Alonso²³, Philip Kuo-Ting Chen²⁴, Raymond Tse²⁵, Robert J Mann²⁶, Jose Rolando Prada-Madrid²⁷, Shinji Kobayashi²⁸, Syed Altaf Hussain⁶, Ann Kummer²⁹, Debbie A Sell³⁰, Valerie J Pereira³¹, Kelly Mabry³², Courtney K Gonsoulin³³, Martin Persson³⁴, Gareth Davies³⁵, Navil F Sethna^{1

36}, Jennifer C Munoz-Pareja^{1

37}, Anne Marie Kuijpers-Jagtman^{38

39

40}, Barry H Grayson⁴¹, Bruno Grollemund⁴², Daniela G Garib⁴³, Maria Costanza Meazzini⁴⁴, Om P Kharbanda⁴⁵, Pedro E Santiago⁴⁶, Prasad Nalabothu⁴⁷, Puneet Batra⁴⁸, Erin Stieber⁴⁹, Dushyant Prasad⁵⁰, Hugh Brewster⁵¹, Ruben Ayala⁵², Elif Erbay⁵³, M Okan Akcam⁵⁴, J Peter W Don Griot³, Raj M Vyas^{1

55}, Roberto L Flores^{41

49}, Corstiaan C Breugem³, Usama S Hamdan¹

Affiliations

¹ Global Smile Foundation, Norwood, USA.
² The University of Maryland Medical System/Shock Trauma, Baltimore, USA.
³ Amsterdam University Medical Center, Department of Plastic and Reconstructive Surgery, Amsterdam, the Netherlands.
⁴ Faculty of Dentistry, Akdeniz University, Antalya, Turkey.
⁵ British Columbia Children's Hospital, Vancouver, Canada.
⁶ Cleft and Craniofacial Center, Sri Ramachandra University, Chennai, India.
⁷ Université de Paris, Hôpital Necker-Enfants Malades, Paris, France.
⁸ Children's Hospital and Harvard Medical School, Boston, USA.
⁹ Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
¹⁰ Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Campinas, Brazil.
¹¹ Division of Plastic and Reconstructive Surgery, The University of Toronto and Hospital for Sick Children, Toronto, Canada.
¹² Division of Plastic and Reconstructive Surgery, Perth Children's Hospital, Perth, Australia.
¹³ Division of Plastic Surgery, Yale University School of Medicine, New Haven, USA.
¹⁴ Forest School of Medicine, Winston-Salem, USA.
¹⁵ Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês and Departamento de Fissura Lábio Palatina, Hospital Municipal Infantil Menino Jesus, São Paulo, Brazil.
¹⁶ Children's Hospital, Melbourne, Australia.
¹⁷ Sahlgrenska University Hospital and Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg, Sweden.
¹⁸ Anadolu Medical Center, Kocaeli, Turkey.
¹⁹ Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, USA.
²⁰ University of South Carolina, Charleston, USA.
²¹ The University of Arkansas for Medical Sciences, Little Rock, USA.
²² Plastic and Craniomaxillofacial Surgery Division, School of Medicine, Rio Grande do Sul Federal University, Porto Alegre, Brazil.
²³ University of São Paulo, São Paulo, Brazil.
²⁴ Taipei Medical University Hospital, Taipei, Taiwan.
²⁵ University of Washington and Seattle Children's Hospital, Seattle, USA.
²⁶ Division of Pediatric Plastic Surgery, Spectrum Health Medical Group, Michigan State College of Human Medicine, Grand Rapids, USA.
²⁷ Hospital Infantil Universitario de San José, Bogotá, Colombia.
²⁸ Kanagawa Children's Medical Center, Yokohama, Japan.
²⁹ Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, USA.
³⁰ Centre for Outcomes and Experience Research in Children's Health, Illness and Disability (ORCHID), London, UK.
³¹ Division of Speech Therapy, Department of Otorhinolaryngology, Head & Neck Surgery, The Chinese University of Hong Kong, Hong Kong, China.
³² Division of Speech Pathology/Craniofacial, Connecticut Children's Medical Center, Hartford, USA.
³³ State University, Baton Rouge, USA.
³⁴ Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden.
³⁵ European Cleft and Craniofacial Initiative for Equality in Care, European Cleft Organization, the Netherlands.
³⁶ Critical Care and Pain Medicine, Boston Children's Hospital, Boston, USA.
³⁷ University of Miami Miller School of Medicine, Miami, USA.
³⁸ University Medical Centre Groningen, Groningen, the Netherlands.
³⁹ School of Dental Medicine, Medical Faculty, University of Bern, Bern, Switzerland.
⁴⁰ Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.
⁴¹ The Hansjörg Department of Plastic Surgery, New York University Langone Health, New York City, USA.
⁴² Cleft Competence Center, Strasbourg University Hospital, Strasbourg, France.
⁴³ Orthodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP), São Paulo, Brazil.
⁴⁴ Smile House, San Paolo Hospital, University of Milan, Milan, Italy.
⁴⁵ All India Institute of Medical Sciences, New Delhi, India.
⁴⁶ Division of Plastic Surgery, Duke University, USA.
⁴⁷ University Hospital Basel and University of Basel, Basel, Switzerland.
⁴⁸ Manav Rachna Dental College, Faridabad, Haryana, India.
⁴⁹ Smile Train, New York City, USA.
⁵⁰ Deutsche Cleft, Freiburg, Germany.
⁵¹ Transforming Faces, Toronto, Canada.
⁵² Operation Smile, Virginia Beach and The G4 Alliance, Chicago, USA.
⁵³ Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
⁵⁴ Faculty of Dental Medicine, Ankara University, Ankara, Turkey.
⁵⁵ University of California, Irvine, Department of Plastic and Reconstructive Surgery, California, USA.

PMID: 35532040
DOI: 10.1177/10556656221097820

The First Hybrid International Educational Comprehensive Cleft Care Workshop

Rami S Kantar et al. Cleft Palate Craniofac J. 2023 Oct.

. 2023 Oct;60(10):1189-1198.

doi: 10.1177/10556656221097820. Epub 2022 May 9.

Authors

Affiliations

¹ Global Smile Foundation, Norwood, USA.
² The University of Maryland Medical System/Shock Trauma, Baltimore, USA.
³ Amsterdam University Medical Center, Department of Plastic and Reconstructive Surgery, Amsterdam, the Netherlands.
⁴ Faculty of Dentistry, Akdeniz University, Antalya, Turkey.
⁵ British Columbia Children's Hospital, Vancouver, Canada.
⁶ Cleft and Craniofacial Center, Sri Ramachandra University, Chennai, India.
⁷ Université de Paris, Hôpital Necker-Enfants Malades, Paris, France.
⁸ Children's Hospital and Harvard Medical School, Boston, USA.
⁹ Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
¹⁰ Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Campinas, Brazil.
¹¹ Division of Plastic and Reconstructive Surgery, The University of Toronto and Hospital for Sick Children, Toronto, Canada.
¹² Division of Plastic and Reconstructive Surgery, Perth Children's Hospital, Perth, Australia.
¹³ Division of Plastic Surgery, Yale University School of Medicine, New Haven, USA.
¹⁴ Forest School of Medicine, Winston-Salem, USA.
¹⁵ Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês and Departamento de Fissura Lábio Palatina, Hospital Municipal Infantil Menino Jesus, São Paulo, Brazil.
¹⁶ Children's Hospital, Melbourne, Australia.
¹⁷ Sahlgrenska University Hospital and Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg, Sweden.
¹⁸ Anadolu Medical Center, Kocaeli, Turkey.
¹⁹ Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, USA.
²⁰ University of South Carolina, Charleston, USA.
²¹ The University of Arkansas for Medical Sciences, Little Rock, USA.
²² Plastic and Craniomaxillofacial Surgery Division, School of Medicine, Rio Grande do Sul Federal University, Porto Alegre, Brazil.
²³ University of São Paulo, São Paulo, Brazil.
²⁴ Taipei Medical University Hospital, Taipei, Taiwan.
²⁵ University of Washington and Seattle Children's Hospital, Seattle, USA.
²⁶ Division of Pediatric Plastic Surgery, Spectrum Health Medical Group, Michigan State College of Human Medicine, Grand Rapids, USA.
²⁷ Hospital Infantil Universitario de San José, Bogotá, Colombia.
²⁸ Kanagawa Children's Medical Center, Yokohama, Japan.
²⁹ Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, USA.
³⁰ Centre for Outcomes and Experience Research in Children's Health, Illness and Disability (ORCHID), London, UK.
³¹ Division of Speech Therapy, Department of Otorhinolaryngology, Head & Neck Surgery, The Chinese University of Hong Kong, Hong Kong, China.
³² Division of Speech Pathology/Craniofacial, Connecticut Children's Medical Center, Hartford, USA.
³³ State University, Baton Rouge, USA.
³⁴ Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden.
³⁵ European Cleft and Craniofacial Initiative for Equality in Care, European Cleft Organization, the Netherlands.
³⁶ Critical Care and Pain Medicine, Boston Children's Hospital, Boston, USA.
³⁷ University of Miami Miller School of Medicine, Miami, USA.
³⁸ University Medical Centre Groningen, Groningen, the Netherlands.
³⁹ School of Dental Medicine, Medical Faculty, University of Bern, Bern, Switzerland.
⁴⁰ Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.
⁴¹ The Hansjörg Department of Plastic Surgery, New York University Langone Health, New York City, USA.
⁴² Cleft Competence Center, Strasbourg University Hospital, Strasbourg, France.
⁴³ Orthodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP), São Paulo, Brazil.
⁴⁴ Smile House, San Paolo Hospital, University of Milan, Milan, Italy.
⁴⁵ All India Institute of Medical Sciences, New Delhi, India.
⁴⁶ Division of Plastic Surgery, Duke University, USA.
⁴⁷ University Hospital Basel and University of Basel, Basel, Switzerland.
⁴⁸ Manav Rachna Dental College, Faridabad, Haryana, India.
⁴⁹ Smile Train, New York City, USA.
⁵⁰ Deutsche Cleft, Freiburg, Germany.
⁵¹ Transforming Faces, Toronto, Canada.
⁵² Operation Smile, Virginia Beach and The G4 Alliance, Chicago, USA.
⁵³ Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
⁵⁴ Faculty of Dental Medicine, Ankara University, Ankara, Turkey.
⁵⁵ University of California, Irvine, Department of Plastic and Reconstructive Surgery, California, USA.

PMID: 35532040
DOI: 10.1177/10556656221097820

Abstract

Objective: Describe the first hybrid global simulation-based comprehensive cleft care workshop, evaluate impact on participants, and compare experiences based on in-person versus virtual attendance.

Design: Cross-sectional survey-based evaluation.

Setting: International comprehensive cleft care workshop.

Participants: Total of 489 participants.

Interventions: Three-day simulation-based hybrid comprehensive cleft care workshop.

Main outcome measures: Participant demographic data, perceived barriers and interventions needed for global comprehensive cleft care delivery, participant workshop satisfaction, and perceived short-term impact on practice stratified by in-person versus virtual attendance.

Results: The workshop included 489 participants from 5 continents. The response rate was 39.9%. Participants perceived financial factors (30.3%) the most significant barrier and improvement in training (39.8%) as the most important intervention to overcome barriers facing cleft care delivery in low to middle-income countries. All participants reported a high level of satisfaction with the workshop and a strong positive perceived short-term impact on their practice. Importantly, while this was true for both in-person and virtual attendees, in-person attendees reported a significantly higher satisfaction with the workshop (28.63 ± 3.08 vs 27.63 ± 3.93; P = .04) and perceived impact on their clinical practice (22.37 ± 3.42 vs 21.02 ± 3.45 P = .01).

Conclusion: Hybrid simulation-based educational comprehensive cleft care workshops are overall well received by participants and have a positive perceived impact on their clinical practices. In-person attendance is associated with significantly higher satisfaction and perceived impact on practice. Considering that financial and health constraints may limit live meeting attendance, future efforts will focus on making in-person and virtual attendance more comparable.

Keywords: craniofacial morphology; dental health; epidemiology; ethics/health policies; hard palate; lip form; lip function; nonsyndromic clefting; nursing; nutrition; oral health; palatoplasty; pediatrics; soft palate; surgical technique.

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The First Hybrid International Educational Comprehensive Cleft Care Workshop

Affiliations

The First Hybrid International Educational Comprehensive Cleft Care Workshop

Authors

Affiliations

Abstract

MeSH terms

LinkOut - more resources

Full Text Sources

Medical