{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:10:39Z","timestamp":1787019039591,"version":"build-2736575974"},"reference-count":12,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T00:00:00Z","timestamp":1747267200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>As a follow-up study, we solicited opinions a decade later from fellowship-trained craniofacial surgeons to explore shifting perspectives on their training and assess the impacts on careers and practice patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>An anonymous 26-question survey was sent to all surgeons completing craniofacial fellowships in 2013. Additionally, current craniofacial fellowship descriptions were tabulated to assess variations in program experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>With a 47% response rate out of 30 original respondents, 14% reported no longer practicing craniofacial surgery. Among those still engaged, 42% described no longer performing intracranial\/midfacial osteotomies, with 21% desiring more intracranial\/midfacial volumes, 29% more cleft\/orthognathic, and 30% less pediatric plastic surgery. Surprisingly, 31% reported in retrospect they would have chosen a different training program. Fifty percent had changed jobs since fellowship, with 50% practicing at centers with an average of 4.5 craniofacial surgeons. A review of current craniofacial fellowship descriptions revealed aside from intracranial\/midface and cleft training, an additional 29 different surgical procedure types were advertised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This follow-up assessment suggests most trainees remain active in craniofacial surgery, but many expressed dissatisfaction with their training. Almost one-third indicated they would have selected a different program, raising questions about the perceived quality of training. Considering the diversity of procedures currently falling under the craniofacial marque, a clearer description of expected case volumes might improve reported levels of fulfillment. An additional consideration is restricting the term craniofacial to programs focused on intracranial\/midfacial surgery, while developing more descriptive alternative labels that better reflect the unique surgical experiences provided at each center.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251340787","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T03:27:34Z","timestamp":1747279654000},"page":"1548-1552","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Craniofacial Fellowship Training: How Are We Doing?"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6801-4586","authenticated-orcid":false,"given":"Demetrius M.","family":"Coombs","sequence":"first","affiliation":[{"name":"The Craniofacial Center, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niyant","family":"Patel","sequence":"additional","affiliation":[{"name":"Akron Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanlaya","family":"Ditthakasem","sequence":"additional","affiliation":[{"name":"HCA Healthcare Research Institute, Dallas, TX, USA"},{"name":"Medical City Dallas Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3308-600X","authenticated-orcid":false,"given":"Jeffrey A.","family":"Fearon","sequence":"additional","affiliation":[{"name":"The Craniofacial Center, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,15]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000007340"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003189"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1744418"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001061"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2016.08.014"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e318267bcde"},{"issue":"5","key":"e_1_3_2_8_2","doi-asserted-by":"crossref","DOI":"10.1097\/SAP.0000000000001046","article-title":"Effect of surgeon volume and craniofacial fellowship training on cleft palate complication rates","volume":"78","author":"Schoenbrunner AR","year":"2017","unstructured":"Schoenbrunner AR, Dalle Ore CL, Lance S, McIntyre J, Jones M, Gosman A. Effect of surgeon volume and craniofacial fellowship training on cleft palate complication rates. Ann Plast Surg. 2017;78(5 Suppl 4):S229\u2013S232.","journal-title":"Ann Plast Surg"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000008204"},{"key":"e_1_3_2_10_2","volume-title":"Plastic Surgery","author":"Grabb WC","year":"1979","unstructured":"Grabb WC, Smith JW. Plastic Surgery. 3rd ed. Boston, USA: Little, Brown; 1979.","edition":"3"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/2732501620949186"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000009079"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000004243"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251340787","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656251340787","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251340787","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:48:49Z","timestamp":1778867329000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656251340787"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,15]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/10556656251340787"],"URL":"https:\/\/doi.org\/10.1177\/10556656251340787","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,15]]}}}