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A Survey of Multidisciplinary Cleft Palate and Craniofacial Team Examination Formats

Laub, Donald R. Jr MS, MD,; Ajar, Amir H. MD

Journal of Craniofacial Surgery: July 2012 - Volume 23 - Issue 4 - p 1002–1004
doi: 10.1097/SCS.0b013e31824e67c2
Original Articles

We surveyed 229 multidisciplinary cleft and craniofacial teams listed in the American Cleft Palate–Craniofacial Association directory regarding frequency of meetings, numbers of patients treated, sources of funding, their format of examination of children, and their satisfaction with that format. One hundred fifteen (50%) of 229 surveys were completed. Thirty-seven percent of clinics report meeting monthly; 43% of clinics report actively following up 300 or less patients; 40% of clinics report funding by third-party insurance reimbursement, and 38% by government funding; 48% of clinics report the patients moving from one examination room to another to see specialists, in another 33%, the patient stays in 1 examination room while the specialists move, and in only 20%, all specialists see a patient simultaneously. Significantly more specialists are dissatisfied with clinics where they move to examine children; significantly more families are satisfied in clinics where specialists move to examine the child or examine them simultaneously.

From the Department of Surgery, University ofVermont College of Medicine, Burlington; Dr Ajar is in private practice in California.

Received October 15, 2011.

Accepted for publication January 2, 2012.

Address correspondence and reprint requests to Donald R. Laub Jr, MS, MD, Department of Surgery, University of Vermont College of Medicine, Fletcher-Allen Plastic Surgery, 354 Mountainview Dr, Suite #103, Colchester, VT 05446-5923; E-mail:;

The authors report no conflicts of interest.

© 2012 Mutaz B. Habal, MD