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OF ORAL PATHOLOGISTS  
For the international development of oral pathology and medicine  
 
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February 2007


International Association of Oral Pathologists
For the international development of oral pathology and medicine


 
ORIS AFFECTUS NOSCERE
 
 

Dear members,
My apologies for the delay in preparing and publishing this newsletter. I hope that you find the wait worthwhile. To assist in members and others communicating with the Association, please note the following new email addresses:

president@iaop.com
secretary@iaop.com
treasurer@iaop.com

Michael Aldred
Secretary/Treasurer
IAOP
Contents
Letter from the President      Page 2
13th International Congress on Oral Pathology and Medicine Page 3
14th International Congress on Oral Pathology and Medicine Page 5
15th International Congress on Oral Pathology and Medicine Page 5
IAOP website update       Page 6
IAOP Council biographies     Page 10
News from IAOP councillors     Page 11
Honour for Professor D Murray Walker    Page 13
Obituaries  Ahmed Uthman, Gordon MacDonald,
Bob Gorlin and Harold Fullmer     Page 14
Symposium in honour of Gordon MacDonald   Page 17
Changes to IAOP Prizes and Awards    Page 19
Rod Cawson Prize      Page 21
New Member Application Form     Page 22
Subscription renewal credit card payment form   Page 24
Payment of subscriptions by PayPal    Page 25
Minutes of IAOP General Meeting 25 June 2006   Page 26


COUNCIL

President:
Dr Paul Speight
School of Dentistry
University of Sheffield
Claremont Crescent
Sheffield S10 2TA UK

President-Elect:
Dr John Wright
Dept. of Diagnostic Sciences
Baylor College of Dentistry,
TAMUSHSC
3302 Gaston Avenue
Dallas TX 75246 USA

Past President:
Dr Roman Carlos
Centro de Medicina Oral de Guatemala
16 Calle 4-53 Zona 10
Edificio Marbella
Guatemala City 01010
Guatemala

Councillors:
Africa: Dr Shabnum Meer
Division of Oral Pathology
School of Oral Health Sciences
Private Bag 3
Wits 2050
South Africa

Asia: Dr Takashi Takata
Dept of Oral and Maxillofacial Pathobiology
Hiroshima University
1-2-3 Kasumi, Minami-Ku
Hiroshima Japan 734-8553

Australasia: Dr Anna Talacko
Suite 6.6 Epworth Centre
32 Erin Street
Richmond Victoria 3121
Australia

Europe: Dr Dan Dayan
Department of Oral Pathology &
Medicine
Tel Aviv University
Ramat Aviv 69978
Tel Aviv, Israel

North America: Dr John Wright
Dept. of Diagnostic Sciences
Baylor College of Dentistry,
TAMUSHSC
3302 Gaston Avenue
Dallas TX 75246

Latin America:
Dr Wilson Delgado-Azañero
Facultad de Estomatología
Av Honorio Delgado 430
Urb Ingenieria
Lima 31 Peru

Secretary/Treasurer
Dr Michael Aldred
Dorevitch Pathology
18 Banksia Street
Heidelberg Victoria 3084
Australia


 
 
Letter from the President

Dear Colleagues,

 

One of the stated missions of the International Association of Oral Pathologists is to promote The International Development of Oral Pathology and Medicine.  Nowhere was this better demonstrated than at the 13th International Congress held in Brisbane in June 2006.  This meeting was attended by over 200 delegates from 30 different countries who presented more than 550 clinical and research papers.  Without doubt this was one of our most successful meetings in recent years and all delegates enjoyed a thoroughly professional scientific programme as well as a wonderful opportunity to socialise and meet with colleagues.  The Association owes a great debt of gratitude to the organising committee and especially to its Chairman Dr Neil Savage for putting together an excellent meeting.  Those of us who have been involved in organising these meetings are aware of the enormous amount of hard work involved usually over a period of 2 years up to the final date.  In this case, the whole meeting and social programme were organised with great precision to the enjoyment of all concerned.  Special thanks must also go to Dr Camile Farah who put together an excellent scientific programme and who was a thoroughly efficient and courteous host to all our international invited speakers.  Thanks also to our Secretary Michael Aldred who acted as a link with the IAOP council and kept everything on track.

At this meeting it was a great honour for me to become the President of the Association.  I follow in the footsteps of some great Presidents including my UK colleagues, the late Gordon McDonald and Colin Smith and latterly my dear friend Dr Roman Carlos.  Roman Carlos has been an outstanding custodian of the Association.  He is a great and renowned Oral Pathologist but he conducts himself with a quiet modesty, while at the same time leading the Association with great skill and wisdom.  I will endeavour to do my best to lead the Association with similar skill and to represent our members in the best possible way.  In this regard I would be happy to hear from any member who has any issues or ideas which they would like the association to consider.  You will also notice that, thanks to Michael Aldred we now have a new website which contains much updated information about the Association, as well as an archive of all our news letters and a members section which contains educational material derived from recent meetings. 

Finally I would like to encourage all our members and their guests to attend the next IAOP congress which will be held in San Francisco in June 2008.
 
13th International Congress on Oral Pathology and Medicine
Provided by Neil Savage

Fig 1. A picture postcard of beautiful Brisbane,                         Fig 2. President Roman           
host city for the Congress                                                                         Carlos at the Opening Ceremony

Fig 3. Nunukul Yuggera           Fig 4. Clockwise:
Aboriginal Dance Troupe               Bob Williamson delivering the opening Plenary Lecture on
at the Opening Ceremony              Health Ethics and the Human Genome Project;
                                  John and Susan Wright at the Congress Banquet; 
 Margaret Brandwein-Gensler answering questions, in her                       own very special way, on Oral Cancer Risk Assessment;
Newell Johnson chaired the plenary lecture by Pritinder Kaur on Epithelial Stem Cells.

Fig 5. The IAOP Court of Justice deals with the odontogenic keratocyst. The full pomp of the British legal system defended the accused but South American prosecution was relentless. Who won, who cares? The crowd just wanted a hanging!! 

Fig 6. Colin Smith and Bryan Radden
discussing secret men's business

Fig 7.  Eddy Odell receiving the                  Fig 8. The Past Presidents table at the Banquet 
Rod Cawson Prize from President Roman Carlos

A selection of photographs from the Congress are available at the following website:

http://au.pg.photos.yahoo.com/ph/michaeljaldred/slideshow?.dir=/9d29scd&.src=ph


14th International Congress on Oral Pathology and Medicine
The 14th International Congress on Oral Pathology and Medicine will be held in June 2008 as a joint meeting of IAOP and the American Academy of Oral and Maxillofacial Pathology.
The meeting will run from Saturday, June 21 to Thursday, June 26, 2008, at the Fairmont Hotel, Knob Hill, San Francisco, CA. Save these dates in your diary now!
Some of the currently planned highlights include:
* Welcome reception
* Excellent continuing education courses including the AFIP course
* Continued Competency Assurance Program
* Plenary sessions/symposia
* Slide seminar
* Rod Cawson lecture
* Founders slide symposium
* Table top exhibits
* Papers/abstracts sessions
* Clinicopathological conference
* Joint President's gala reception/dinner
Mike Kahn, DDS
AAOMP, Secretary-Treasurer
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The draft programme for the meeting is provided below to give members and others interested in attending the meeting further encouragement to attend.
IAOP/AAOMP Draft schedule June 2008

 Saturday 21 June Sunday 22 June Monday23 June Tuesday 24 June Wednesday 25 June Thursday 26 June
7.00    AAOMP/IAOP Bus. meetings  
8.00-9.00  Fellowship exam AFIP Course OM
Deborah Greenspan    
9.00     Symposium 1
V-B disorders
Anholt, Diaz
Amagai Symposium 2
Oral Dysplasia
Speight, Lingen Symposium 3
Molecular genetics and developmental disorders
Flanagan, Thakkar, Hammond CPC
Wright & AAOMP VP
        
 IAOP Council       
12.00-1.30 IAOP Lunch  
    
1.30-2.30 AAOMP Council  
CE Courses

4 courses 

 


Founders symposium

Julia Bridge 1 PM Rod Cawson Lecture  1 PM Plenary Keynote
David Kessler Plenary Keynote
??
2.30-3.00     Free papers I Free papers II Slide Seminar
Fibro-osseous lesions Speight, Carlos, Flanagan
 Symposium 4
Tobacco & oral health
Warnakul-asuriya
Rodu, Axel, Walsh 
3.00-5.00         


Free time
     Free papers III Free papers IV   
5.00-6.00        
Evening IAOP Presidents Dinner
AAOMP Council Dinner  Welcome reception Receptions
Indiana, Emory, Canadian residents Reception and gala Dinner 


15th International Congress on Oral Pathology and Medicine

The 15th International Congress on Oral Pathology and Medicine will be held in Seoul, South Korea, in 2010. Further details will be posted on the IAOP website as they become available.


IAOP website update

The IAOP website  www.iaop.com  continues to be updated. Educational material from the 13th International Congress has been placed on the website for access by IAOP members.


The material available includes:

Continuing education courses
Therapeutic management of oral mucosal lesions - Stephen Porter, UCL Eastman Dental Institute, London, United Kingdom
As a consequence of increasing longevity of life, improved health care strategies, the emergence and re-mergence of infectious disease and changing migration patterns the spectrum of disorders that can affect the oral mucosa continues to widen Changes in the oral mucosa can reflect local and systemic congenital and acquired disease, can give rise to local symptoms that may compromise quality of life, and, albeit rarely, cause significant morbidity and mortality. The course will provide an overview of the contemporary management of both common, and uncommon oral mucosal disease. It will highlight controversies as to the diagnosis and treatment of oral mucosal disease, review possible future strategies for complex relevant disease and detail disease that has proven difficult to manage.
Molecular techniques in oral pathology - Richard Jordan, University of California, USA
Alterations and abnormalities in genes, transcribed RNA and translated proteins underpin the pathological basis of many human diseases. Analysis of these molecules has led to a new understanding of the biological basis and classification of many diseases including cancer. Much of this work has been done on pathological specimens and is being advanced by the discovery of new techniques to analyze DNA, RNA and proteins in diagnostic material. This course will cover modern methods of genetic analysis in pathology specimens examining methods study DNA, RNA and proteins and how these techniques have provide new insights into the pathological basis of human disease. This seminar will provide an overview of specific techniques of relevance to the working pathologist including blotting methods, in situ hybridization, quantitative RT-PCR, microsatellite analysis, ploidy analysis, immunohistochemistry, flow cytometry and proteomic discovery tools. Specific applications will be emphasized to illustrate how their application to the study of disease is providing new knowledge of human disease and their relevance and use in diagnostic surgical pathology.
Non-neoplastic salivary gland pathology - John Eveson and Paul Speight, Bristol and Sheffield, UK
The histopathological diagnosis of salivary gland tumours can be challenging. There are nearly 40 named epithelial neoplasms in the latest World Health Organisation classification, and some of these show a wide range of variants. In addition, there are many non-neoplastic diseases of salivary glands which present as 'tumours' and some also fall into the histological differential diagnostic spectrum of neoplastic lesions. Such conditions include cheilitis glandularis, sclerosing polycystic adenosis, necrotising sialometaplasia, salivary gland hyperplasias and others. The non-neoplastic lesions, however, have tended to be the Cinderella of salivary disease and are not commonly covered in international continuing education courses. The object of the present course, therefore, is to review a wide range of non-neoplastic salivary gland diseases and, where appropriate, their differential diagnosis and pathogenesis. The diseases selected have been broadly divided into developmental defects, cysts, sialadenitis, tumour-like lesions and Sjogren's syndrome.
Maxillofacial imaging: techniques and indications - Radiographic interpretation, Advanced diagnostic imaging, Extraoral radiology, Quiz cases - Dr Paul Monsour, Queensland Diagnostic Imaging, Australia
This series of lectures will cover the theory of rotational panoramic radiography, including radiographic anatomy on rotational panoramic radiographs, ghost images, effect of positioning errors on the image and how to interpret rotational panoramic radiographs. The various imaging techniques available for assessment of odontogenic pathology; non-odontogenic pathology of the jaws; TM joint pathology; pathology involving the salivary glands and pathology of the maxillary sinuses will be covered. The imaging techniques covered will include: conventional radiography; tomography; computed tomography; MRI; Nuclear Medicine and ultrasound. Finally a series of interesting cases will be presented to illustrate the various types of pathology found in the jaws and the value of radiology.

Plenary lectures
Head and neck soft tissue pathology - Leon Barnes, University of Pittsburgh, USA
This three-hour soft tissue seminar will cover eight benign and malignant soft tissue tumors of the head and neck with emphasis on vascular lesions. A standard didactic approach emphasizing the clinical, gross and microscopic features, immunoprofile, clinically relevant molecular-genetic data, differential diagnosis and treatment and prognosis will be utilized. A comprehensive document is available on the website for IAOP members.
Soft Tissue Tumours of the Head and Neck in Children - Dr Susan Arbuckle, The Children's Hospital at Westmead, Australia
This presentation will highlight a range of paediatric soft tissue tumours in the head and neck which have been encountered over the past 10-20 years at The Children's Hospital at Westmead. The presentation is not intended to be exhaustive, but will concentrate on the clinical presentation, and macroscopic and microscopic features of myogenic tumours, adipose tumours, vascular lesions, and myofibroblastic lesions.
Symposia

Enamel and Dentine Pathology - Michael Aldred, Dorevitch Pathology and Murdoch Children's Research Institute, Australia

Developmental anomalies of the teeth may be acquired or inherited. Genetic disorders can be inherited as an X-linked, autosomal dominant or autosomal recessive trait. Sporadic cases are also encountered, some of which might represent new dominant mutations. Several classifications for the most common disorders, amelogenesis imperfecta and dentinogenesis imperfecta, have evolved. These are based primarily on phenotype, with the mode of inheritance being used in some systems as a secondary factor in allocating a case into a particular category. The benefits and shortcomings of these systems are reviewed. As a result of advances in molecular genetic studies in the past decade it has become apparent that there is considerable variability in the manifestations of different mutations in the same gene in both enamel and dentine disorders. Furthermore, mutations in different genes appear able to yield virtually identical clinical phenotypes. As we move further into an era of establishing the molecular basis of dental genetic disorders a robust mechanism for classification and cataloguing of these disorders is proposed which parallels systems used in medical genetics. This system is applicable to individuals and families irrespective of current or future knowledge of the molecular defect involved. This system is of probably of more benefit to these individuals and families than previous classifications.
Multifocal epithelial hyperplasia - Roman Carlos, Guatemala
Challenging cases in oral medicine - Stephen Porter, UCL Eastman Dental Institute, London, United Kingdom
An increasingly wide spectrum of disorders can affect the oral mucosa, these sometimes reflecting emerging and re-emerging disease, changing patterns of population, improved care of congenital and acquired systemic disease, and increasing lifespan. Additionally patients have ever-increasing expectations for their oral health care. The lecture will comprise detail patients with oral mucosal disease that is complex and/or challenging to diagnose and manage. The clinical presentation, pathology and therapy of relevant disorders will be reviewed, and the challenges such disease bring to attending clinicians highlighted.
Slide seminar 2006
Paediatric Head and Neck Pathology Slide Seminar Cases - Session sponsored by Dorevitch Pathology (Australia),  part of Symbion
Case Histories, virtual microscope images and presentations relating to each case are available on the website.
" Seminar Case 1 - A 3 year old boy with papillomatosis in the palate.
" Seminar Case 2 - A 10 month old baby girl with a large congenital mass affecting the right side of the face. There was marked facial deformation with a progressive increase in size. Scanning reveals a heterogeneous image which was well-demarcated.
" Seminar Case 3 - A 3 year old boy with a history of spontaneous dental abscesses requiring extraction of teeth.
" Seminar Case 4 - A 3 year old boy with abscesses of the deciduous maxillary right central and lateral incisors and canine. These teeth appear hypoplastic and microdontic. Radiographs show permanent successors also affected.
" Seminar Case 5 - A 9 year old boy with a mobile hard mass ~3mm in diameter attached to operculum overlying the partially erupted mandibular left first molar.
" Seminar Case 6 - A 10 year old girl with a soft tissue mass in the right posterior mandible, invading bone and displacing the mandibular first and second molars.
" Seminar Case 7 - A 1 year old boy with a firm mass located in the right anterior tongue, covered by normal mucosa and present since birth. The lesion measured 1.3 cm in greatest diameter. Did not increase in size, but became painful one month prior to referral.
" Seminar Case 8 - A 13 year old girl with a swelling of the buccal aspect of the right anterior maxillary alveolus. radiographs showed a unilocular radiolucency between the roots of the lateral incisor and canine causing separation of the roots.
" Seminar Case 9 - A 15 year old girl with a radiolucency associated with the unerupted mandibular right third molar.
" Seminar Case 10 - A 6 year old girl with a radiolucency associated with the deciduous mandibular right second molar causing displacement of the developing second premolar.
" Seminar Case 11 - A rapidly growing mass in a 19 month old girl.
" Seminar Case 12 - A 14 year old girl with enlargement of the left parotid gland of 3 months duration. The lesion measured 6cm in its greatest dimension, was covered by intact skin and was hard and tender on palpation. There were no signs of erythema or increased local temperature. The patient had recently finished chemotherapy for acute myeloblastic leukaemia which was considered to be in remission.
" Seminar Case 13 - A 14 year old boy with bilateral radiolucencies in the angles of the mandible.
" Seminar Case 14 - An 11 year old boy with a radiolucency surrounding the crown and root of an unerupted tooth in the left mandible.
" Seminar Case 15 - An 11 year old girl with intermittent swelling of the right mandible and associated soft tissues with pain and trismus.
" Seminar Case 16 - A 5 year old girl with a recurrent papillomatous lesion in the midline of the hard palate extending into the soft palate. Initially papillomatous then sloughs, ulcerates and resolves. First noted 6 months ago and seen twice since. Question of abuse raised.
" Seminar Case 17 - An 8 year old boy male with rapidly growing intra-osseous mass affecting the anterior mandible. There had been an episode of trauma to the affected region one month prior to consultation. The lesion measures 4.0 x 4.0 cm with expansion into and destruction of the adjacent cortical bone, but is otherwise asymptomatic.
" Seminar Case 18 - A 16 year old boy with an asymptomatic slightly inflamed pigmented lesion buccal to the mandibular left first molar.
" Seminar Case 19 - A 15 year old boy with a swelling palatal to the maxillary central incisors for the past six months.
" Seminar Case 20 - A 6 year old girl with a small soft tissue nodule on the interdental papilla lingual to the mandibular right permanent lateral incisor/deciduous canine.
" Seminar Case 21 - A 2 year old boy with a lesion of the tongue covered by mucosa. Probably present since birth and growing with the child.
" Seminar Case 22 - A 2 month old girl with a persistent neonatal granuloma incisive foramen region of hard palate.
" Seminar Case 23 - A 14 year old boy with a large nasopharyngeal mass obstructing the upper airway and producing marked facial asymmetry. The lesion extended into the ethmoidal and sphenoidal sinuses. The patient related frequent episodes of severe epistaxis.
Education and Training Workshop
Postgraduate Training in Australia and New Zealand  Dr Alison Rich, School of Dentistry, New Zealand
Oral pathology, either alone or with oral medicine, is recognised as a dental speciality in Australia and New Zealand, but there is lack of uniformity in registration requirements in the various regions. Training in oral pathology has traditionally been university based, with eligibility for specialist registration after a Masters degree (usually three years full-time study). In 1996, the Faculty of Oral Pathology (FOP) of the Royal College of Pathologists of Australasia (RCPA) was formed. Dental graduates, after undertaking accredited training, could now take examinations to become a Fellow of the FOP. Some State Dental Boards recognise the FFOP as a requirement for registration, but for most the Masters degree remains the requirement. Consultation between the State Boards, the Australian Dental Council, the Dental Council of New Zealand, the RCPA and the Universities is necessary to address these issues. Increased university tuition fees, scarcity of funded training positions and uncertain career opportunities has meant there are few applications for positions in oral pathology postgraduate programmes. Pathology laboratories in Australasia must be formally accredited to receive government funding for the tests they provide. Approved Continuing Professional Development (CPD) is mandatory for all Fellows of the RCPA and Dental Boards are increasingly requiring evidence of CPD before issuing annual practising certificates.
Postgraduate training programs in South America - Dr Roman Carlos, Oral Medicine Center of Guatemala, Guatemala
The analysis of the answers to a list of questions sent to heads of Departments of Oral Pathology of 10 Dental Schools of South America is presented. The aim of the questionnaire was to obtain information about the characteristics of the programs available to train oral pathologists and regulations to practice oral pathology in that part of the world. It was asked about number of postgraduate students per class, duration of the program, number of hours per week the students are requested for training (part of full time), percentage of lectures, seminars, microscopic slide work, experimental pathology, experience in immunopathology, rotations in general pathology and oncology services, clinical pathological sessions, training in clinical diagnosis and treatment of oral lesions, training in taking oral biopsies, interactions with other disciplines such as oral and maxillofacial surgery, oral and maxillofacial radiology, dermatology, internal medicine. Also, it was asked if the program counts on a biopsy sevice, if the oral pathology lab is part of a general pathology department in a hospital or it is a pure oral pathology laboratory located in a dental school. It was included also questions on requirements for enter to the program, official recognition as specialists in each country and requirements to practice oral pathology as specialist. Additional questions were addressed to know background of the staff, training fee, kind of document the trainee gets such as: Certificate, Title of Specialist in Oral Pathology, Master Degree.
Postgraduate Training in North America  - Professor John Wright, Texas A&M University System Health Science Center, USA
Advanced education programs in oral and maxillofacial pathology in the United States are accredited by the Commission on Dental Education which derives its authority from the US Department of Education. The newest accreditation standards were effective January 1, 2000 and define the minimum standards for program compliance. The presentation will review the six Commission accreditation standards which include: Standard 1 Institutional commitment/ Program effectiveness/ Affiliations; Standard 2 Program Director and Teaching Staff; Standard 3 Facilities and Resources; Standard 4 Curriculum and Program Duration; Standard 5 Advanced education students; Standard 6 Research. The presentation will include an overview of the Commission on Dental Accreditation and the minimum requirements for the accreditation of advanced education programs in oral and maxillofacial pathology. Since all training programs must have access to an accredited independent laboratory, laboratory certification in the US will also be addressed. A complete text of the Commission's standards is available at http://www.ada.org/prof/ed/accred/standards/omp.pdf
Postgraduate Training in Japan - Professor Takashi Saku, Niigata University, Japan
It has been 15 years since the Board of Pathology for the Certifying Examination in Oral Pathology was started by the Japanese Society of Pathology. To date, there are 94 certified oral pathology specialists in this country. Most of them are faculty members of the 29 dental schools. They teach dental and graduate students and practice surgical pathology services in their attached dental hospitals simultaneously. In such a situation, professional training for oral pathologists in this country is not only targeted towards diagnostic pathologists but also towards teachers as well as researchers. After graduates of dental schools are certified as dental practitioners by the national examination, they are obliged to take a one-year program for general dental practice. After this training, they can enter graduate schools for further professional training or obtain a fellow position in hospitals or private offices. Therefore, this is the only way for a dentist who wants to work as an oral pathologist to enter graduate school, although a PhD is not a requirement for qualification as a specialist. In graduate school, students have to spend most of their time on their Ph.D. thesis work, which is usually oriented toward experimental pathology. It is thus difficult for new PhD graduates to take the certifying examination, because the requirement for the board eligibility includes 20 autopsies and 1000 surgical pathology reports during at least a five-year professional training period. These graduates usually need to practice another two years or more in general hospitals to meet the requirement.
Postgraduate Training in South Africa - Professor Willie F van Heerden, University of Pretoria, South Africa
Oral Pathology is a registered speciality with the Health Professions Council of South Africa (HPCSA). Training takes place at four Universities with Dental Schools. Vacancies for training (registrar) posts are advertised in the national press and candidates must have a dental qualification registered with the HPCSA with two years post qualification experience. The training programme consists of a four year, full-time course leading to a Masters degree of which two years are spent in Anatomical Pathology. A research report (minor dissertation) is a requirement from all four the Universities. The course content is fairly similar between the different Universities as it has to comply with the minimum standards prescribed by the HPCSA. Internal and external examiners in the primary subjects and in both anatomical and oral pathology monitor the course and the examinations. The specialist training programmes of the different Universities are also inspected every four years by the HPCSA and amendments are made if recommended. A Fellowship in Oral Pathology has been initiated by the South African College of Pathologists and discussions are currently underway to move towards a unitary final examination. This will go hand in hand with the development of a national framework for pathology programs under the auspices of the Federation of South African Societies of Pathology which will lead to an outcomes-based programme with unitary assessment of registrars while allowing the Universities their individual training programs.
Oral & Maxillofacial Pathology Training in the UK - Professor Chris D Franklin, School of Clinical Dentistry, United Kingdom
Oral Pathology is a Dental Specialty overseen by the GDC. Entry to specialist training follows a two-year period of general professional training, comprising a year each in primary and secondary care. At present it is necessary to pass the Membership in Dental Surgery from one of the Royal Colleges in the UK or Ireland. Owing to changes authorised by the GDC, entry requirements may change from 2006. Specialist training takes five years in the NHS but may take longer(usually another 3 years)for those appointed to clinical academic posts where it is necessary to undertake a higher academic qualification. Posts and educational job descriptions are jointly approved for training by the Specialist Advisory Committee (SAC) of the Royal Colleges of Surgeons together with the Royal College of Pathologists. The national Lead Postgraduate Dean for the specialty confirms training numbers and funding for the post are available by liaising with the NHS Workforce Review Team. Training numbers are matched to local and national need based on impending retirements, weighted capitation and central or local funding. Appointment to posts is by competitive entry. Trainees are provided with an educational supervisor who does formal appraisal twice each year. There is an annual assessment by a panel led by the local postgraduate dean. This process checks that there is a completed and validated logbook, personal development plan, and CPD log that complies with GDC requirements. All trainers involved complete an SAC assessment form. The trainee also completes an evaluation of training received. Satisfactory completion of each year is required to progress, with funding, to the next year. Completion of all five assessments is required, together with completion of both parts of the MRCPath examination to obtain a Certificate of Completion of Specialist Training awarded by the GDC. Competency in histological diagnosis and report writing is required to various levels in eight diagnostic categories.
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IAOP Council biographies

Professor Paul M Speight
PhD, BDS, FDSRCPS, FDSRCS (Eng), FDSRCS (Edin), FRCPath
President
University of Sheffield, UK
Paul Speight qualified in Dentistry at the University of Manchester in 1978, followed by clinical training and research at the University of Dundee. He was Senior Lecturer in Oral Pathology at the Royal London Hospital Medical College and then from 1994 to 2003 was Professor and Head of the Unit of Oral & Maxillofacial Pathology at the Eastman Dental Institute and from 2002 was Head of Cellular Pathology at University College London Hospitals NHS Trust.  In September 2003 he moved to the Chair of Oral Pathology at the University of Sheffield.  He has a number of national and international assignments, including Editor-in-Chief of Archives of Oral Biology, President of the International Association of Oral Pathologists and a Past-President of the British Society for Oral and Maxillofacial Pathology.
He is a diagnostic pathologist with special expertise in lesions of the jawbones, including odontogenic tumors, and salivary glands. His main research interests are in the field of oral cancer, including biomarkers and studies to evaluate oral cancer screening.  He has published over 150 original research papers as well as a number of chapters in specialist textbooks.
John Wright
President-Elect
Baylor College of Dentistry, Texas, USA
Dr. John M. Wright is Regents Professor and Vice Chairman of the Department of Diagnostic Sciences, Baylor College of Dentistry, a member of the Texas A&M University System Health Science Center in Dallas, Texas.  He is Director of Pathology, Director of the Advanced Education Program in Oral and Maxillofacial Pathology and Director of laboratory services.  He is a Diplomate of the American Board of Oral and Maxillofacial Pathology and the American Board of Oral Medicine.  He received his dental degree from West Virginia University and oral pathology training at Indiana University.  He maintains a part-time private practice in clinical oral pathology.  He has contributed approximately 100 publications to the scientific literature, as well as 13 book chapters and three textbooks.  Dr. Wright is a past President of the American Academy of Oral and Maxillofacial Pathology, and currently a Director of the American Board of Oral and Maxillofacial Pathology. He is the North American representative to the Council of the International Association of Oral Pathologists and currently serves as President-Elect.
Roman Carlos
Past President
Centro de Medicina Oral de Guatemala, Guatemala
Dr Carlos completed his Advanced Specialty Education Program in Oral and Maxillofacial Pathology at the University of Florida, USA. He is a fellow of the American Academy of Oral and Maxillofacial Pathology and a diplomate on the American Board of Oral and Maxillofacial Pathology. Dr Carlos has been a member and President (2004-2006) of the International Association of Oral Pathologists (IAOP). Dr Carlos has worked at the University Mariano Galvez in Guatemala as a Professor in the Advanced Specialty Program in Oral Pathology and Medicine. He is also an honorary member of the Spanish Society of Oral Medicine and an International Professor of the Federacion Odontologica Latinoamericana (FOLA). Dr Carlos was at the La Salle University, Leon Gto in Mexico as a visiting Professor and lectured at the Campinas State University, Piracicaba in Brazil. Dr Carlos has been an author or co-author of 2 chapters and 31 papers. He was also the convenor of the Xth. International Congress of Oral Pathology and Medicine (IAOP) which was held in La Antigua Guatemala, Guatemala in 2000.

 

Shabnum Meer
IAOP Councillor for Africa
University of the Witwatersrand, Johannesburg, South Africa
Dr Meer is a senior specialist consultant and senior lecturer in the Division of Oral Pathology, School of Oral Health Sciences, University of the Witwatersrand. She is a dental graduate of the University of the Western Cape (1988) and obtained a Master of Dentistry in the field of Oral Pathology from the University of Witwatersrand in 2001. In addition to teaching, diagnostic service rendering and research in oral pathology at the University, Shabnum practices as a private oral pathologist at Lancet Laboratories in Johannesburg. Her special interests are HIV, soft tissue and salivary gland pathology. Dr Meer is currently researching the molecular pathology of oral HIV lymphomas.

Takashi Takata
IAOP Councillor for Asia
Hiroshima University, Japan
Professor Takata is the Chair of the Department of Oral and Maxillofacial Pathobiology at the Graduate School of Biomedical Sciences and the Director of Dental School, Hiroshima University. His main research field is the molecular pathology of oral neoplasms, experimental periodontal pathology and the diagnostic histopathology of oral lesions. Professor Takata is a councillor of IAOP, JSOP, the Japanese Association of Periodontology, Japanese Society of Pathology and others. Professor Takata is associate editor of Journal of Oral Pathology and Medicine and Archives of Oral Biology and editor of Pathology International, Oral Medicine and Pathology, Journal of Oral Biosciences, Journal of Head and Neck Pathology and others. He has authored or co-authored more than 120 peer-reviewed international publications and 20 book chapters.

Anna Talacko
MDSc, FRCPath, FFOP(RCPA)
IAOP Councillor for Australasia
Dr Anna Talacko is a dental graduate of the University of Melbourne (1981). She obtained a Master of Dental Science from the University of Melbourne in Oral Pathology and Oral Medicine in 1988. She then spent one year as a Commonwealth Fellow at the Royal College of Surgeons, London. Anna was admitted to Membership of the Royal College of Pathologists of the United Kingdom in 1994 and became a Fellow in 2002. She was a Foundation Fellow of the Faculty of Oral Pathology, which was established by the Royal College of Pathologists of Australasia in 1996. Anna has been a member of the committee of the Faculty of Oral Pathology since 2002 and she is currently the Chairman. Anna works as an oral pathologist at Dorevitch Pathology in Melbourne. She also has a specialist clinical practice in Oral Medicine and Oral Pathology.

Dan Dayan
IAOP Councillor for Europe

Wilson Delgado-Azañero
IAOP Councillor for Latin America and the Caribbean
Wilson A. Delgado was trained in Pathology in the University of Maryland and in the Armed Forces Institute of Patholoy at Washington D.C. He teaches Oral Medicine and Pathology for under and postgraduate students in his country. He has an Oral Tropical Diseases Service and runs a biopsy service.


Michael Aldred
BDS, PhD, GradCertEd, FDSRCS, FRCPath, FFOP(RCPA)
Secretary/Treasurer
Dorevitch Pathology, Australia
Michael Aldred graduated with a Bachelor of Dental Surgery (with Commendation) from the University of Wales in 1977. In 1978 he was appointed Lecturer in Oral Pathology at the University of Wales College of Medicine in Cardiff, UK. He obtained his Fellowship in Dental Surgery in 1981, a PhD in 1986 and Membership of the Royal College of Pathologists in 1987. He spent the period 1989 to 1992 at the Institute of Medical Genetics in Cardiff on two consecutive Medical Research Council fellowships. In 1991 he became a Senior Lecturer in Oral Medicine and Pathology at the University of Wales College of Medicine before moving to Australia in 1992 to take up the appointment of Senior Lecturer in Oral Biology in the Department of Dentistry at The University of Queensland. In 1995 he was promoted to Reader and Associate Professor. In 1996 he was awarded a Foundation Fellowship of the Royal College of Pathologists of Australasia in 1996 and his FRCPath (UK) was granted in 1997. In 1997 he was appointed as Professor of Dental Medicine at The University of Melbourne. In 2001 he resigned from his academic position to concentrate on diagnostic Oral Pathology and clinical Oral Medicine. As well providing Oral Pathology reports for Dorevitch Pathology, he runs a specialist private practice in Oral Medicine and holds appointments as Consultant in Oral Medicine at the Royal Dental Hospital of Melbourne and Honorary Fellow at the Murdoch Childrens Research Institute.
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News from IAOP Councillors

News from IAOP Councillor for Africa

Oral Pathology in Africa

South Africa is at the southern-most tip of Africa, a diverse continent consisting of some 52 different countries. Unfortunately, at present there appears to be minimal contact within the African Oral Pathology fraternity, and as such this article will outline Oral Pathology in South Africa only.

In South Africa, the discipline of Oral Pathology is well-established, with the quality of diagnostic services, teaching and research being of an excellent international standard. The pioneer South African Oral Pathologists such as Professor Mervyn Shear and Professor van Wyk attained world recognition, with international publications in journals and textbooks, in the fields of both Oral Pathology and Oral and Maxillofacial and Surgery. This international status has been sustained by the likes of Professors Altini, van Heerden, Raubenheimer and Hille; and now more recently by myself.
Professor Willie van Heerden, the previous IAOP Councillor for Africa, outlined the training of Oral Pathology at the 13th International Congress on Oral Pathology and Medicine in Brisbane, 2006 (Abstract 325). Oral Pathology in South Africa is a registered speciality with the Health Professions Council of South Africa (HSPCA). Training is within the Departments of Oral and Maxillofacial Pathology at the four universities with dental schools. The training entails a four year full-time program, with two intensive years spent in Anatomical Pathology, leading to a Masters degree. A research report (minor dissertation) is a requirement for this degree. The training also includes dermatopathology, cytology, and autopsies. In addition, two of the four Departments of Oral Pathology concentrate on Oral Medicine and Forensic Odontology. Examinations are offered by the Universities as well as by the College of Pathology of South Africa.

Stringent accreditation processes exist in the routine and research laboratories. There is close collaboration between the Departments of Oral Pathology and Anatomical Pathology. In addition, examinations are well-monitored and accredited by both the HSPCA and the University Departments of Oral and Anatomical Pathology. There is however, limitation regarding research funds, travel funds and technical assistance for research.

There are currently about 12 registered and practicing oral pathologists in South Africa, some practicing entirely within the university whilst others practice in both academia and in the private sector.

I would like to invite oral pathologists from the rest of the African continent to contact me so that we can establish stronger African links in Oral Pathology.

Dr Shabnum Meer
IAOP Councillor for Africa

News from IAOP Councillor for Asia

It is great news for Oral Pathologists of Asian countries that the 15th IAOP meeting in 2010 will be held in Seoul, Korea.  Professor Jin Kim, President of Korean Academy of Oral and Maxillofacial Pathology (KAOMP), made a very attractive proposal for the meeting at Council meeting in Brisbane. Congratulations on the honourable hosting of the Congress, KAOMP!  Details have not yet been decided. More than 50 participants from Asia joined the 13th IAOP Meeting in Brisbane.  It was excellent to have an opportunity to get to know each other and enjoy renewing old friendships at the meeting.  Please see the report for more information about the 14th IAOP Meeting in San Francisco from June 21 to 26, 2008. As you already know, a Meeting of Asian Society of Oral and Maxillofacial Pathology (ASOMP) is held once every two years between IAOP Meetings.  The Taiwan Academy of Oral Pathology (TAOP) will host the Third Meeting of ASOMP which will be held at Howard International House in Taipei on the 17th and 18th of November in 2007.  I hope that many people who are interested in Oral Pathology and Medicine will join the ASOMP and IAOP meetings.

Takashi Takata
IAOP Councillor for Asia


News from IAOP Councillor for Australasia

Oral Pathology in Australasia
 
As you all know, our part of the world has recently had the privilege of hosting the 13th International Congress on Oral Pathology and Medicine which took place in Brisbane, Queensland, Australia from 21-25 June. The theme of the conference was "Oral Pathology at the Molecular Cutting Edge". The conference was very successful from both the academic and social aspects, with 200 delegates attending. Many members of the Australasian oral pathology community worked had to make the Congress such a success.
 
In addition to this Congress highlight, Oral Pathology is represented annually at the Royal College of Pathologists of Australasia (RCPA) Pathology Update Meeting which takes place in March. The programme is organised by the Committee of the Faculty of Oral Pathology of which the current Chairman is Anna Talacko. The programme for next year is complete and includes a morning of case presentations followed by a combined session with Anatomical Pathology in which Professor Torsten Remmerbach will speak about molecular pathogenesis of HPV in head and neck cancer and diagnostic methods for early detection of malignancies of the oral cavity.
 
Michael Aldred is the Convenor of the RCPA QAP Oral Pathology programme. This programme comprised an initial pilot programme in 2003, with the programme proper launched in 2004. Enrolments are steadily increasing and include a significant number of anatomical pathologists.

Anna Talacko
IAOP Councillor for Australasia

News from IAOP Councillor for North America

In the United States, oral pathology is represented by the American Academy of Oral and Maxillofacial Pathology (AAOMP). The 60th annual meeting of the AAOMP was held in San Antonio, Texas on April 22-26, 2006.  The meeting was well attended and contained the usual mix of social and scientific programs.  New officers were elected and installed and included: Dr. Michael D. Rohrer, President; Dr. John E. Fantasia, President-Elect; Dr. Valerie A. Murrah, Vice President; Dr Brad W. Neville, Immediate Past President, Dr. Mark W. Lingen; Editor, Dr .John W. Hellstein, Director of Education; Dr.James Kratochvil, Director of the American Board of Oral and Maxillofacial Pathology and new Executive Councilors, Drs. Robert D. Kelsch and Cindy Kleinegger.

At the business meeting, President Neville announced the anticipated joint meeting of the AAOMP and IAOP in 2008 in San Francisco, California.  Academy members are excited about the prospect of a second joint meeting with our international colleagues.  Members were provided an update and encouraged to attend the IAOP meeting in Brisbane, Australia.

The next meeting of the AAOMP is scheduled for May 04-09, 2007 in Kansas City, Missouri.  Information about the academy, its activities and future meetings can be found at www.aaomp.org

In Canada, oral pathology is represented by the Canadian Academy of Oral and Maxillofacial Pathology and Oral Medicine.  Training can be in oral pathology, oral medicine or both. The annual meetings tend to alternate between the AAOMP and the AAOM meetings in the US.

John Wright
IAOP Councillor for North America

Honour for Professor D Murray Walker

IAOP is pleased to extend its congratulations to Professor D Murray Walker who has been awarded the Medal of the Order of Australia in the Australia Day Honours List published on 26 January 2007. The citations reads: For service to oral pathology and oral medicine as an academic and clinician, and to public health through research and diagnostic services relating to oral and maxillofacial pathology.


Obituaries

Ahmed Uthman

Ahmed Ali Uthman died December 14, 2005 after a long illness. Dr. Ahmed Uthman, Professor in the Department of Oral Diagnostic Sciences, retired from UB in December 1999. Dr. Uthman was born in Sulaymaniyah, northeast of Baghdad in the Kurdish part of Iraq sometime in the early 1930s. He received his primary and secondary education there and was awarded a scholarship to study in England in 1950. He studied English and Dentistry at Leeds University, graduating from that Institution in 1957 with the degree of B.Ch.D (the equivalent of an American DDS). During his stay in Leeds, he met Barbara, married her, and took her back to Iraq when he graduated. On his return to Iraq, Dr. Uthman entered private practice and was appointed to the faculty at the University of Baghdad School of Dentistry. Three years later he was awarded another scholarship for postgraduate study at the Royal College of Surgeons in London. He graduated as a Fellow of the College in 1963 and then spent one year on the faculty of Leeds University in the Department of Oral Surgery. Dr. Uthman returned to a teaching position at the University of Baghdad in 1964 and maintained his private practice, during which time he treated many of the political elite in Baghdad, including the former President of Iraq, Sadam Hussein. During his academic tenure in Baghdad, he was promoted to the position of Professor and then Associate Dean and finally Dean in 1971.

In 1971, Dr. Uthman was awarded a Visiting Professorship in Oral Medicine at the University at Buffalo. Just before he was to return to Iraq in 1973, there was a profound political upheaval there and he learned that it would not be advisable for him to return.  Thus, Dr. Uthman extended his stay in Buffalo as a Visiting Professor and, in 1980, became a U.S. citizen. Soon thereafter he was appointed a full Professor at UB. Dr. Uthman was known as a very experienced diagnostician whose clinical acumen in the area of oral medicine and orofacial pain were well recognized.

Over the years he was also active as a member of the Kurdish National Congress in the U.S., having held high office in that group. He appeared frequently as guest commentator about Kurdish affairs on local radio stations and on National Public Radio.  And, on one occasion he was one of three Kurdish National Congress Officers who held a nationally televised conference at the Washington Press Club.

Dr. Uthman and his wife Barbara had one son, three daughters, one granddaughter and three grandsons. He had many friends at the Dental School and will always be remembered as a knowledgeable professional and good teacher with a dry wit and an enviable reputation.

Dr Stuart Fischman

D Gordon MacDonald
1942  7 December 2005

Born in Milngavie near Glasgow in 1942, Gordon Mac-Donald was the son of a local doctor. He was educated at Kelvinside Academy, Glasgow, followed by the University of Glasgow in 1959, whence he graduated Bachelor of Dental Surgery in 1964. Academically gifted, he was an outstanding and popular student, becoming president of the Glasgow Dental Student Society. Immediately upon graduation, he embarked on a career in oral pathology, working in the University of Glasgow's Department of Pathology at Glasgow Royal Infirmary, under the tutelage of Professor Tom Symington, and as a Lecturer in Glasgow Dental School. In 1971, he became the first dental graduate to obtain MRCPath solely by examination.
He also developed several lines of research during this time, including interests in quantitative histopathological techniques and the hamster cheek pouch model of experimental oral carcinogenesis. In pursuit of this, he worked as a Visiting Associate Professor for one year in the University of Illinois, Chicago, and he completed his PhD thesis in 1973.
With the opening of the new dental school in Glasgow in 1969 came unprecedented opportunities and challenges for innovation in research and teaching of pathology. Gordon took on a central role in the development of the general and oral pathology curricula for dental students. Alongside this, by the early 1970s he had developed an outstanding regional oral pathology diagnostic service serving the West of Scotland, much valued by medical and dental colleagues. Foremost in his mind at this time, and throughout his career, was the wellbeing of the patients whose tissues he examined, both in terms of diagnostic pathology but also in the research he conducted.
Over the many years following this, his papers in peer reviewed journals exceeded 110 and he also contributed 15 book chapters. In acknowledgment of his collective academic achievements, he was appointed to a personal chair as -Professor of Oral Pathology at the University of Glasgow in 1991.
In parallel, he developed an interest in forensic dentistry, building on the work of Dr Warren Harvey in the use of bite marks in criminal investigations. He was appointed as Honorary Forensic Odontologist to Strathclyde Police in 1976 and thereafter provided expert testimony in many trial proceedings. His pioneering use of unique photographic overlay techniques resulted in his involvement, not only in many cases in the UK, but also worldwide, including high-profile cases such as the Australian 'Ayers Rock dingo case'. Gordon brought to his forensic work the eye for detail and terminological exactitude that characterised his practice as a highly respected and regarded diagnostic histopathologist. Many a barrister has good cause to remember him with gratitude for the lucid, meticulous and unswerving way in which he presented his expert testimony. In this, as so many other aspects of his life, he truly was the 'expert's expert'. He published widely on research aspects of bite mark analysis and his main textbook in this area, A Colour Atlas of Forensic Dentistry (with DK Whittaker, Wolfe Medical Publications), was published in 1989.
Alongside this rapidly developing dental career, he vigorously pursued his other main interest: the Royal Naval Reserve (RNR). He joined the RNR as a student in 1959 and initially served as a Seaman and Naval Control of Shipping Officer. Subsequently, he was appointed Commanding Officer of HMS Graham in 1982 and later was appointed as the Senior Officer Naval Control of Shipping Branch and Director of Personnel. He served as Commodore RNR 1995-1997, a distinction that brought him great pleasure. During a distinguished career he was awarded the Reserve Decoration with bars and the Northern Ireland Medal. In 1996, he was appointed an Honorary Aide-de-Camp.
In more recent years, he received wide recognition for his achievements and contributions to the discipline of oral pathology, serving as President of the British Society of Oral Pathology (1988-1991); Vice-President of the Association of Head and Neck Oncologists of Great Britain (1987-1990) and was immediate past-President of the International Association of Oral Pathologists (2002-2004). His appointment as Dean of the Dental Faculty and the first Vice-President (Dental) of The Royal College of Physicians and Surgeons of Glasgow (2002-2004) gave him much pleasure and satisfaction. This allowed him to continue his drive to improve training and standards in all avenues of postgraduate dentistry. He served as Specialty Advisor in Oral Pathology to The Royal College of Pathologists (1988-2001), as a senior College examiner and was instrumental in the establishment of the oral pathology EQA scheme. Much of his service to oral pathology was dedicated to the training of junior colleagues in Glasgow Dental School, and in oral pathology throughout the UK generally. The influence he has had upon many within the specialty will continue to be felt for many years. Additionally, many Glasgow dental undergraduates
keenly remember his clear and formidable teaching style, including his legendary (negatively marked) 'true/false' questions. The large number of former students who enquired after him regularly during his years of illness bears testimony to this.
In every aspect of his life, Gordon demonstrated dedication and a meticulous eye for detail, yet married this with a wonderful dry sense of humour. He expected much of those who worked for him, but always led by example. Much of this drive and determination he also carried with him onto the golf course and onto the curling rink; he served as President of both the Bearsden and Kelvinside Academicals curling clubs. Those who worked with him knew well that if the previous evening's matches had gone well, we soon knew about it - but if it was not mentioned, we knew not to ask! Gordon also took great pride in his family, his wife Linda, sons Lindsay and Alastair, daughter Katharine, who died tragically in 1989, and grandson Matthew. The family provided him with the loving, happy, secure home base from which he achieved so much, and which supported him greatly during the last few years of serious illness. He fought adversity with great courage and an indomitable spirit, regularly astounding his colleagues with his determination to continue his work. Gordon died on 7 December 2005, and his many friends and colleagues attended a service at Cairns Church, Milngavie a week later to celebrate his life and work.
Dr Keith Hunter and Professor Sir David Mason
This obituary was published in the Royal College of Pathologists Bulletin 2006; 134:66-67 and is reproduced by kind permission of the Editor.

Robert James Gorlin

11 January 1923  29 August 2006

On August 29 2006 we lost one of the greatest personalities in Oral Pathology and Craniofacial Genetics.

Regents Professor Emeritus Robert J. Gorlin of Minneapolis died at the age of 83 years from lymphoma for which he had been treated for the past eight years.

Bob Gorlin was a very gifted research clinician who became world famous in his field due to his numerous scientific publications and extensive travelling to give lectures and participate in scientific meetings or working groups. His friendly attitude, his extraordinary memory and knowledge of his field together with his ability to present subjects in an interesting and intelligible way made him a lecturer in great demand. His kindness and helpfulness was

 
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