{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T14:09:21Z","timestamp":1788876561180,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose\/Objectives<\/jats:title>\n                    <jats:p>To describe self\u2010reported confidence of final\u2010year oral and maxillofacial surgery (OMS) residents in managing pediatric sedation and to explore associated training\u2010related factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective, cross\u2010sectional, multicenter electronic survey was distributed to all CODA\u2010accredited OMS residency programs in the United States during 2025\u20132026, using an instrument adapted from two validated OMS resident confidence tools. Of 108 confirmed eligible final\u2010year residents reached across 25 programs, 61 responded (56.5%; 22.4% of 272 eligible residents nationally). Primary analyses were descriptive and nonparametric; ordinal logistic regression was exploratory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean overall confidence was 3.54 (SD 0.96; scale 1\u20135). IV sedation showed the highest self\u2010rated proficiency (54.1% at expertise level) and IM sedation showed the lowest (13.1%). At least one adverse event during training was reported by 72.1% of residents; 23.0% reported insufficient pediatric anesthesia education. Autonomy as primary operator showed the strongest bivariate association with confidence (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.651;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), and mean confidence differed by perceived training quality (4.32, 3.47, and 2.00 for training exceeding, meeting, and falling below residents' needs;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Procedural volume correlated with confidence across all four modalities (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.256\u20130.412). Early responders reported higher confidence than late responders (3.83\u00a0vs. 3.26;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.027).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Senior OMS residents report moderate confidence in pediatric sedation, with IM sedation proficiency and educational sufficiency being the most prominent gaps. These descriptive findings are hypothesis\u2010generating. Confidence developed within supervised, hospital\u2010based residency training should not be equated with readiness for independent single\u2010operator practice or with objective competence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jdd.70366","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:30:41Z","timestamp":1788874241000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ready or Hesitant? Pediatric Sedation Confidence Among Senior OMS Residents"],"prefix":"10.1002","author":[{"given":"Emilie","family":"Dosoudil","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery College of Dentistry University of Illinois  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael V.","family":"Joachim","sequence":"additional","affiliation":[{"name":"Unit of Oral and Maxillofacial Surgery Department of Plastic and Reconstructive Surgery Shamir (Assaf ha\u2010Rofeh) Medical Center Affiliated to the Gray Faculty of Medical and Health Sciences Tel Aviv University Tzrifin Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Miloro","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery College of Dentistry University of Illinois  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2020.09.039"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2022.11.053"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/978-981-19-7287-4_14","volume-title":"Anesthesia for Oral and Maxillofacial Surgery","author":"Li J.","year":"2023"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2020.12.002"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.21474\/IJAR01\/19089"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2023.07.144"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.24873\/j.rpemd.2024.12.1412"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.2135"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000002657"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e31828b6552"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.161.8.740"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2020.09.035"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2017.06.037"},{"key":"e_1_2_8_15_1","unstructured":"\u201cAccreditation Standards for Advanced Dental Education Programs in Oral and Maxillofacial Surgery \u201dCommission on Dental Accreditation 2025 https:\/\/coda.ada.org\/\u2010\/media\/project\/ada\u2010organization\/ada\/coda\/files\/oms.pdf?rev=85ab27279ac040cd8ada3f359a080ae2&hash=58AAB363B0059774276FB8AA8E73F25F."},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.coms.2022.03.012"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010025\u201006980\u20108"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0290503"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2019.07.007"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010021\u201002614\u2010x"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2021.11.53890"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer407"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00540\u2010018\u20102460\u20105"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431\u2010018\u20103241\u20108"},{"issue":"5","key":"e_1_2_8_25_1","first-page":"380","article-title":"Assessing Pediatric Dental Resident Sedation Skills and Confidence with Simulation: a Pilot Study","volume":"45","author":"Hansen M. 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