Janice Fiske Training in SCD Dec 2008

							          BSDH Winter Conference 2008


Specialty in Special Care Dentistry
               and
        Specialty Training




Dr Janice Fiske, Specialist in Special Care Dentistry
   Achieving the dream – a brief history
   Mediation on to the specialist list
   The roles of JCSTD, GDC and the SAC
   Specialist training
   The Birmingham Study Group
    1968-1974
   1976, British Society of Dentistry       for
    the Handicapped formed
    (renamed British Society for
    Disability and Oral Health, 1999)
   1990, British Society of Gerodontology formed
   1990, GDC and DoH sought to formalise
    specialist care in the UK
   1995 Development Group for
    Community Dental Practice
    established under the aegis of
    RCS England
   Report “Moving Forward – Establishing the Specialty of
    Special Care Dentistry”
   1999, Dean of RCS England established a working
    group in SCD which recommend the establishment of a
    Joint Advisory Committee in Special Care Dentistry
    (JACSCD) as a free standing committee to oversee:
        the introduction of training programmes
        the development of curricula, training standards
          and formative assessments
   JACSCD established in 2000 (2000-
    2007) produced 2 documents
       1. A Case of Need: Proposal for a
          Specialty in Special Care Dentistry
       2. Training in Special Care Dentistry

   Standing Dental Advisory Committee
    specialty review
   GDC specialty review
   7th December 2005 – GDC
    announcement to support, in
    principle, the development of
    a Specialty in SCD
   2007, SDEB approved the specialist training
    curriculum

   2007/8 - consultant appointments made in
    anticipation of specialist recognition,
    increasing from 2 to circa 14
   2008, SAC in SCD set up
   September 2008 GDC formal recognition
    of specialty in SCD and SAC formed
   October 2008 - specialist list opened for
    transition
 Based on equivalence of 3
  years specialist training –
  based on experience and
  training in a number of areas
 Guidance is on the GDC
  website www.gdc-uk.org
 Mediation period runs from
  1st October 2008 to
  30th September 2010
The process begins with:
 Assembling your CV and
  portfolio of expereince in
  line with the sections in the
  GDC guidance
 Sending your application,
  supporting papers and fee
  to the GDC
The process for mediation
                            Assemble
                           portfolio and
                                CV


  In the event of
 non-acceptance,
  you can enter                                    Apply to
    the appeal                                      GDC
      process




             GDC informs
                                        GDC requests
           individual of the
                                       advice from SAC
           decision to add              and accepts or
          their name to the            questions advice
               list or not              given by them
Key bodies
involved in
specialist
training
   Quality assures specialist training and
    specialist listing
   Decides the suitability for specialist listing
    (CCST)
   Determines revalidation criteria
   Sets principles for entry to specialist
    training
   Develops flexibility in the recognition of
    previous training, experience and
    qualifications towards specialist training
   Development of a generic curriculum
    framework
   Approves curricula for each specialty
   Sets guidelines for the approval
    of training programmes & posts
   Establishes guidelines for the
    recognition of previous training,
    experience and qualifications
    towards specialist training
   Development of a framework for the
    assessment of applications for equivalence
    of non-UK specialist training
   Approves equivalence on non-
    standard applications for specialist
    listing
   Considers all other matters relating
    to specialist training and listing
    within the GDC
 The Dental Faculties
 The Universities
 The Postgraduate Dental Deans and
  Directors
 The Specialist Advisory
  Committees
   Developing curricula, based on GDC guidance for
    training in the various dental specialties, and
    submitting them to the GDC for approval

   Liaison amongst the Dental Faculties, the Specialist
    Societies, the Council of Heads and Deans of Dental
    Schools and the Postgraduate Dental Deans for the
    purpose of developing curricula for specialist training
    and related matters

   Devising appropriate assessments
    and examination regulations in the
    dental specialties
   Advising the GDC on applications for
    specialist listing based on claimed
    equivalence in accordance with GDC
    guidelines
   Making recommendations to the GDC for the
    determination of entry qualifications; on the
    length and quality of training; and on the
    recognition of previous training towards the
    specialist training programme
   Develop curricula and examination regulations for the
    award of postgraduate degrees and university
    diplomas in the dental specialties, where appropriate
    contributing to the award of CCSTs

   Quality manage those postgraduate degrees and
    diplomas through processes for academic quality
    assurance

   Provide advice, through the JCSTD on the specialist
    training of clinical academics in dentistry and the award
    of CCSTs to such individuals, together with advice on
    academic elements of training programmes in the
    specialties
   Approve and quality manage postgraduate
    training programs in the dental specialties
   Quality manage specialist training
    programmes, according to GDC
    requirements, and with external input
   Appointment of trainers, trainees and
    training programme directors
   Conduct assessment
   Recommend the award of CCSTs to the GDC
   Training programme director submits
    request to set up new training programme
    to Deanery
 Deanery expects to communicate with
  SAC but the decision to proceed rests with
  Deanery
 No more routine SAC visits. If the Deanery
  considers that a visit/virtual visit would be
  helpful, it will invite the SAC
   PG Dean/Director will normally set
    CCST date
   Deanery will seek advice from SAC
    when a SpR requests a reduction in
    training time on the basis of previous
    learning/experience
   Deanery will seek advice from SAC in
    relation to programme changes,
    maternity leave and CCST date
    revisions
   Is the focus and location for the work of the
    Dental Faculties
   Keeps a national register of trainees, including
    self-financed/sponsored trainees
   Collates and analyses information from an annual
    survey of trainees
   Is available to the GDC and other parties to
    advise on practical aspects of training
   Alerts the GDC and other parties to trends and
    important changes in the practice of the
    respective dental specialist
   To be available to the GDC to advise on
    matters pertaining to prior training and
    learning and equivalence for the purpose
    of mediated entry or accredited prior
    learning
   SAC as a body should provide advice on:
      approval of new programmes
      recognition of prior
       learning/experience towards
       specialist training
     Membership of SAC in SCD
Nominating Body                                       Representative



Royal College of Surgeons of England                  Janice Fiske (Chairperson)

Royal College of Surgeons of Edinburgh                Roger Davies

Royal College of Physicians and Surgeons of Glasgow   Petrina Sweeney

Royal College of Surgeons in Ireland                  June Nunn

Faculty of General dental Practice                    Michael Wood

Postgraduate Dean                                     Helen Falcon

British Society of Gerodontology                      Karen Gordon

British Society of Gerodontology                      Mark Taylor

British Society for Disability and Oral Health        Selina Master

British Society for Disability and Oral Health        Sue Greening

Consultants’ Group in SCD                             Vanita Brookes

Teachers’ Group in SCD                                Shelagh Thompson

Lay member                                            Nick Goss

Trainee in SCD                                        Tbc
 Approved 3 year training programme that covers the
  specialist training curriculum
 Current curriculum being revised to SDEB standard
  format
 Appointment of trainer(s)
 Appointment of trainee(s)
 Regular assessments throughout training
 Membership or Intercollegiate Fellowship examination
 CCST gained
 Entry onto the specialist list
Requires
preparation,
organisation and
endurance




   Thank you for your time and attention