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Foundation Training Programme Year 1 - North Western Deanery.doc

VIEWS: 11 PAGES: 85

									                                     North Western Deanery


              Modernising Dental Careers


                Dental
                Foundation
                Training &
                Learning
                Portfolio

            Name:

            Trainer:



Committee ofYear 1 Vocational Training
            Postgraduate Dental Deans and Directors


                                                2007
                                                   1
Foundation Training Programme Year 1
Vocational Training in General Practice
Contents

                                                                Pages
Welcome                                                       4
Acknowledgements                                              5
Dental Foundation Training Programme                          6
Modernising Dental Careers Framework                          7
Dental Foundation Curriculum outline      Domains             8
                                          Competencies        9-10
Dental Foundation Training Education Agreement                11

Section 1    Introduction                                     12
             Trainee/Trainer details                          13-14
             Aims of dental vocational training               15
             Objectives of dental vocational training         16

Section 2    What is expected of trainers                     17-18
             What is expected of VDPs                         19
             Expectation of training year                     20
             Values for good clinical practice                21
             Training agreement                               22
             Induction for new VDPs                           23
             Induction checklist                              24-26

Section 3    Initial clinical experience checklist            27-28
             Professional development weekly record sheet     29-37
             Peer review and 4 week report guide              38-39

Section 4    Collaborative clinical records audit             40-42

Section 5    Self assessment of VDP progress at 2 months      43
             Trainer assessment of VDP at 2 months            44
             Clinical experience checklist at 2 months        45-47

Section 6    Radiology Review/Audit between VDP and trainer   48
             Cross infection and workload review              49
             VT experience - monthly records                  50-53

Section 7    Self assessment of VDP progress at 6 months      54
             Trainer assessment of VDP at 6 months            55
             Acquisition of clinical experience at 6 months   56
             VDP led practice meeting 6 months                57
             VT experience review at 9 months                 58




                                                                        2
Section 8    Work analysis log                               59-62
             Study day summary sheet                         63
             Record of other courses and meetings attended   64
             Record of tutorials - Term record               65
             CPD guidance                                    66
             Record of CPD hours                             67
             Significant event record                        68
             Interesting/difficult cases record              69

Section 9    Final appraisal statements                      70
             Advisers final summary                          71
             Finishing VT - what’s next                      72

Appendix 1 VDP Domains of competence                         73-74
Appendix 2 Draft statements       New VT certificate         75
                                  Trainer statements         76
Appendix 3 Skills Evaluation Procedure                       77-81
Appendix 4 FGDP Key Skills                                   82
VT End of Year Feedback sheets                               83-85




This document can be found on the North Western Deanery
website at www.nwpgmd.nhs.uk/dentistry




                                                                     3
                  Welcome to Dental Foundation Training
                         in England and Wales


The Postgraduate Dental Deans and Directors UK are delighted to welcome you to
Vocational Training in England and Wales. We would also wish to congratulate you
on your appointment.

You now have every opportunity to further develop your skills while gaining wider
experience in primary dental care.

This portfolio has been designed following consultation with many stakeholders
involved in dental foundation training. It has been developed to be a value based
portfolio which prompts you continually to reflect on your experiences throughout
the year.

You are encouraged to identify your own professional learning requirements in order
for your Trainer and Adviser to facilitate your further development. This portfolio will
provide evidence of your commitment to your own continuing professional
development and should be retained, as it may be requested by the GDC.

If you intend to take one of the exams of the Dental Faculties of the Royal Colleges
of Surgeons in the UK, you will be required to maintain this portfolio and keep
evidence of competencies and certificates obtained during your training.




                                                                                      4
Acknowledgements

This portfolio has been developed using many sources. It is based upon A Curriculum
for UK Dental Foundation Programme Training commissioned by COPDEND and
funded by the Department of Health in England.

A substantial part of the Portfolio was developed by CVT Wales under the direction of
the Postgraduate Dental Dean, Mr Eric Nash.

The work on VT Competencies was done by Mike Milne, VT Adviser in the North West
Deanery.

The LEP Skills assessment was developed by the Mersey Deanery and is based on
that developed in Scotland; the secondary care section is based on work done in the
Welsh Deanery by Mr Eric Nash, the Postgraduate Dental Dean, and his team and in
Mersey by Dr Collette Balmer with the support of the Postgraduate Dental Dean, Dr
Brian Grieveson.

Andrew North and Lee Worthington, VT Advisers in South Yorkshire / East Midlands
have reviewed some sections and mapped the various documents available on
vocational training. Lee Worthington contributed the audit templates.

Professor Farida Fortune, Chair of the Education Committee, Dental Faculty, Royal
College of Surgeons England, provided the requirements for the new MJDS exam


A Curriculum for UK Dental




                                                                                      5
                 Dental Foundation Programme Outline

Introduction
Modernising Medical and Dental Careers

In February 2003 the UK Departments Health published a white paper on
'Modernising Medical Careers'1 which outlined agreed principles for the reform of
postgraduate medical training. This policy arose out of further work on an earlier
report on the same issue, ’Unfinished Business’2. In April 2004 ’Modernising Medical
Careers – The Next Steps', was published which contained further detail on the policy
direction for the management of the early postgraduate years in medicine.

The concept of a two-year dental foundation programme builds on the DH white
paper ‘Creating the Future’ Modernising Careers for Salaried Dentists in Primary Care
that is broadly comparable to the structured two year General Professional Training
(GPT) Programme currently available for a proportion of dental graduates in the UK.

Background
Foundation Year 1 (DF1)

For the majority of trainees this will equate to one year vocational training based in
General Dental Practice.

Foundation Year 2 (DF2)

This will build upon the existing two year GPT schemes. However as most dental
graduates have a final career in primary care, with a minority having a career in
secondary care, additional models will be developed with an increased emphasis on
training within primary care, as this will provide the most appropriate environment
for the graduates’ future needs.

Figure 1 gives an outline of dental education and training in the UK.




                                                                                         6
Dental Education and Training in the UK

                       Modernising Dental Careers Framework
                                               Dental School – 5 years




                                            Dental Appointments
                       Consultant and Specialist School – 5 years


                        Specialist training
                                                                          Career Posts
                           programmes
                                                                           in Primary                  For OMFS or Oral
                         Including FTTA
                                                                              Care                         Medicine
                              posts
                                                                                                         Foundation &
                                                                                                       Specialist training
                                                       Career                                           programmes -
                                                     Development                                       See MMC Careers
                                                        Posts
                                   F2
                                                                                                          Framework
                                   F1


                         Dental School – 5                                                              Medical School –
                              years                                                                        3-5 years

     Career Development Posts: These posts will be a mixture of training posts and service posts and will provide appropriate
      experience to enable graduates to consolidate their experience in a range of dental specialties.
     Dental graduates wishing to pursue a career in Oral and Maxillofacial Surgery will undertake a variable period of
      postgraduate training within dentistry before applying for entry to medical school.


                                                                                                                                 7
The Dental Foundation Training Curriculum

Outline
Domains




                                            8
Major Competencies within each domain




                                        9
10
           Dental Vocational Training Educational Agreement

Name of VDP:………………………………..                       GDC Number:………………..

Training Period From: ……………………………….. To:………………………………………..

Trust: ……………………………………. Department……………………………………………...

At the first meeting the trainee and Educational/Clinical Supervisor should read and sign
an educational agreement.

The Trainee dentist will:

      Take an active part in the appraisal process including setting educational
       objectives and development of a personal learning plan.
      Endeavour to achieve the learning objectives by:
          o Utilising the opportunities for learning provided in everyday practice
          o Attending all formal teaching sessions
          o Undertaking personal study
          o Utilising locally provided educational resources
          o Using designated study leave funds appropriately
          o Act on the principles of adult learning:
          o Reflecting and building upon their own learning experiences
          o Identifying his/her learning needs
          o Be involved in planning his/her education and training
          o Evaluating the effectiveness of their own learning experiences

The Educational/Clinical Supervisor will:

      Be available for, and take an active part in the appraisal process including setting
       educational objectives in a personal learning plan.
      Ensure that objectives are realistic, achievable and within the scope of available
       learning opportunities.
      Ensure help and advice is always available.
      Ensure that there is a ‘climate for learning’.
      Ensure that an individual dentist’s timetable allows attendance at formal teaching
       sessions, is appropriate for his/her learning needs and that there is a correct
       balance between training and service in the post.

I have read and understand the requirements of my role as set out above.

VDP                                              Trainer

Signature:…………………………………                          Signature: ………………………………..

Name (Print): ……………………………                        Name (Print): ……………………………

Date: ……………………………………….                           Date: ……………………………………….


                                                                                         11
Section 1

Introduction
The purpose of this portfolio is to help you in the completion of your Vocational Training
in General Dental Practice. It has several parts for you to complete which will give a
record and overview of your year of Continuing Professional Development.

At this stage in your career, you are required to complete the portfolio and keep it up to
date in order to benefit fully from your tutorial sessions and the study day programme.
It includes:

      Professional development logs
       (Personal and planning records)
      Self-assessments
       (Undertaken throughout the year)
      Clinical and practice activity logs
       (Qualitative/Quantitative records)
      Evidence of completion of a Clinical Audit Project
      A final appraisal procedure

You can use your portfolio to store additional useful material or evidence of other
learning you have undertaken for your own professional development.

The completion of your Vocational Training in General Dental Practice will include:

      Submission of your portfolio to the Director of Dental Postgraduate Education
      Completion of a relevant project and case presentation
      Completion of the study day programme
      Completion of your practice-based year
      A Clinical Audit – with supporting evidence

The portfolio will remain your property. During your period of vocational training it will
be confidential to you, your Trainer and for formative assessment purposes to the
designated lead on vocational training in your deanery.

You might wish to select and keep elements of the portfolio for your future career and
professional development purposes.

It is important to keep the portfolio up to date. If you do not complete your training
period, you will need to include the portfolio as evidence of experience equivalent to
that of vocational training.

The portfolio was devised after extensive consultation, evaluation and review within the
profession, particularly with those involved in Vocational Training for General Dental
Practice.


                                                                                       12
Trainee Details

Name:

Current address:




Tel No:

Mobile No:

Date of birth:

E-mail:

Qualifications (with dates):

Dental School/University:

GDC Registration Number:

NI Number:

Defence Org Membership No:

Name & address of
Defence Organisation:




Tel No:

Date of joining Training Practice:

Previous experience:

NHS Contract Number for:
Trainer                              VDP



                                           13
Trainer Details

Name:

Practice address:




Tel No:

Fax No:

E-mail:


Home address:




Tel No:

Mobile No:

E-mail:

Qualifications (with dates):

Dental School:




                               14
Aim of Vocational Training for General Dental Practice

The aim of Vocational Training (VT) for General Dental Practice is to enable the
Vocational Dental Practitioner (VDP) to meet the needs of unsupervised dental practice,
by developing the clinical skills learned as an undergraduate with administrative and
practice management skills to promote high ethical standards and quality care for
patients.

The aim is achieved by:

      Introducing the VDP to general dental practice.

      Identifying personal strengths and weaknesses and balancing them through a
       planned programme of training.

      Enabling the VDP to practise and improve skills free from undue financial
       pressure.

      Promoting the implementation of peer and self-review.

      Establishing the need for professional education, training and audit as a
       continuing process throughout the dentist’s professional life.




                                                                                    15
Objective of Vocational Training for General Dental Practice

The objective of VT is that the VDP should be eligible to practise unsupervised as a
principal within the General Dental Practice. By the end of the training period the VDP
should be able to:

      Demonstrate the clinical skills, knowledge and values relevant to the work of a
       General Dental Practice principal.

      Manage the psychological aspects of patient care.

      Work successfully as a member of the practice team.

      Make competent and confident professional decisions with an awareness of
       personal strengths and weaknesses, including the need to refer when
       appropriate.

      Demonstrate that he or she is working within the relevant guidelines regarding
       ethics and confidentiality of general dental practice.

      Implement regulations and guidelines for the delivery of safe practice.

      Know how to draw on the wide range of advice and support available to general
       dental practitioners and health care workers.

      Demonstrate that he or she understands              that   continuing   professional
       development should be a lifelong commitment.

      Demonstrate the necessary knowledge and some of the skills for the organisation
       and management of successful practice.




                                                                                        16
Section 2
What is expected of the trainers?
The Trainers are expected to offer the VDP the following under each of the various
headings:

1       Facilities Agreement

       Employ a VDP as a salaried assistant under the terms of the nationally agreed
        contract and, before he/she starts work, deposit a copy of the signed contract
        with the Director of Dental Postgraduate Education and to inform the Director in
        advance of any intended variations in the contract (such variations to be
        approved by the Director prior to the start of the Trainee’s employment).

       Work in the same premises as the VDP, in a surgery to which he or she has good
        access for not less than three days a week.

       Provide the VDP with adequate administrative support and the full-time
        assistance of a suitably experienced dental nurse.

       Provide satisfactory facilities (including an adequate supply of hand-pieces and
        instruments, sufficient to allow them to be sterilised between patients) and
        relevant opportunities so that a wide range of NHS practice is experienced and so
        that as far as is reasonably possible the VDP is fully occupied.

2       Mentoring

       Conduct an initial assessment interview to identify his/her strengths and
        weaknesses and draw up a training agreement.

       Be available for guidance in both clinical and administrative matters: provide help
        on request or where necessary.

       Assess and monitor the VDP’s progress and professional development using the
        professional development portfolio provided for this purpose. To also provide
        feedback and liaise with the Adviser as necessary.

3       VT Portfolio

       Ensure that the VDP’s professional development portfolio and the processes
        involved in assessment are maintained and kept up to date.

       Set time aside to be available for Adviser visit/s as required, including ad hoc
        visitations.

       Advise on the final certification of the VDP’s completion of vocational training.



                                                                                            17
4       Training

       Allow and require the VDP to attend the 30 day study course and ensure that
        holidays and other functions do not lead to absence from study days.

       Prepare and conduct regular weekly tutorials within normal practice hours (such
        tutorials to be of at least one hour’s duration).

       Acquire the skills necessary to undertake the role of Trainer. To undertake
        training in assessment through participation in educational courses prior to the
        employment of a VDP in the practice and during the training period as required.

       Attend Trainer meetings, study days and scheme assessment sessions as per
        contract.

       Provide reference material for the use of the VDP.

5       Additional Information

       Inform the Director in writing if the circumstances of either the Trainer, the VDP
        or the practice change in such a way as to alter the contract of employment
        between the Trainer and the VDP.




                                                                                       18
What is expected of the VDP?

The VDP is expected to:

     Enter into a nationally agreed contract of employment with the Trainer.

     Attend the practice for the agreed hours and perform such clinical duties as
      appropriate for patient care and personal learning needs.


     Determine personal learning needs in discussion with the Trainer.


     Maintain an up to date professional development portfolio, discuss it with the
      Trainer as part of the formative assessment process and submit it to the VT
      Adviser when requested.


     Take an active part in weekly tutorials with the Trainer and the self-assessment
      and development profile reviews.


     Attend the 30 day study course organised during the training period; normally the
      only reason for not attending a study day will be sickness (prior written approval
      from the Adviser must be obtained for absence from the 30 day study course for
      reasons other than sickness).


     Complete an appropriate case study report and project presentation during the
      training period to a level comparable with that of his/her peers.


     Participate in a collaborative audit project with other members of his/her VT
      scheme.


     Lead a practice staff meeting or training session.




                                                                                     19
Expectations of the training year

You will need to complete the training agreement on page 11, following your initial
interview.

Before you do this you should discuss the following issues, so that Trainer & VDP
understand what is expected of each other, in regard to these matters: -


      Dress code                                  Open door policy

      Emergency code                              Supervision

      Holiday                                     Monitoring

      Sickness policy                             Attitude to staff

      Punctuality                                 Team responsibility




Your agreement should include: -

       VDP’s expectations of vocational training; including requests for training or
       experience in specific areas, type and amount of support most needed:

       Trainer’s expectations of vocational training; including availability of the VDP, the
       day to day organisation of the practice, communication, hierarchy and practice
       philosophy.


The values chart on the next page may also help you in recording your initial
                       expectations for the training.




                                                                                         20
Values for good
dental practice                                                              Sound
                                                                          professional
                                 Commitment to a                           judgement
                           professional life of integrity                                               Good
                                and accountability                                                   Leadership



        Strong personal                  Continual re - evaluation         Sharing good practice with
                                          of clinical skills and             colleagues - knowledge,                    Providing the best
          organisation                                                                                                   care under the
                                                techniques                  skills, attitudes and values
                                                                                                                          circumstances
                          Encourage lifelong                                                                Willingness to
                           learning for all                      Commitment to
                                                                 patient centred                             engage in the
                           members of the                                                                  development of
       Respond                                                       practice
                             dental team                                                                    the profession
   immediately to
  complex events -
    think, act and                           Recognise that  Patient Care Recognise the                                             Work in
                                                                                                                                 collaboration
                                                                 Manage
     communicate
                       Willingness to
                        continuously
                                           the patient should
                                             be considered           g significance of patient
                                                                  patient  involvement in                    Commitment
                                                                                                                                with colleagues
                                                                                                                                  and patients
                      develop practice         holistically       expectation      continuing care            to lifelong
                           through                                                                             learning
                          reflection
                                                                Patient Care
                  Finds
             educating and                                                                                             Financial and
               informing                                                                                               management
                patients                           Personal and Professional                                               skills
               rewarding                                 Development

                                                            Professional Practice

                                                                                                                                         21
             Dental Foundation Training Programme VT Year 1

                           Your Training Agreement
This agreement is a personalised version of the obligations of both Trainer and VDP,
incorporating values and expectations discussed at initial interview.

                               This is a joint exercise

                 VDP                                      Trainer




VDP Signature:                                                   Date:

Trainer Signature:                                               Date:




                                                                                 22
Induction for new VDPs

Introduction

Note for Trainers

Please use your discretion as to how and when each of these proposed components
for the induction period takes place; the time frame to complete this checklist is
flexible, it could be completed at the start of the contract or it may take several
months to complete all of the components.

Please ensure that a range of practice staff are involved in the induction process, and
that your VDP gets the chance to observe the breadth of activities in your practice
e.g. working with receptionists, practice manager, nurses, other associates, hygienists
and therapists. You will probably have devised your own ways of welcoming your new
VDP so that he or she is able to settle quickly into a happy and productive life in your
practice. You might also want to ensure that your VDP meets or speaks to the dental
technicians who work with your practice, and that he or she gets to visit their
premises.

Note for VDPs

You are provided with a checklist which indicates the components which might be
included in your induction. Whilst it is primarily the responsibility of the Trainer to
ensure that these components are covered, please note that it is your responsibility to
ensure that you are pro-active in your own induction. This might include seeking
advice (especially at the outset of the VT year) from your Trainer and others, meeting
all members of the practice staff, and generally becoming a useful member of the
practice team.



Induction checklist form

This form on the next page is intended to act as a guide to Trainers when developing
their induction procedure for new VDPs joining the Practice. Many of these items can
be covered by other members of the practice team. Some items may not be applicable
to your practice, if this is the case then please mark as n/a.




                                                                                     23
Induction checklist form
GENERAL (Within the First Week)                                     DATE COMPLETED
Introduction to Staff Members
Practice Layout: Toilet, Tea Room, Reception Etc.
Location of Important Items: -
    i. Water Mains
   ii. Electricity Mains etc
  iii. Gas Supply
  iv. Emergency Drugs

VDP Signature:
Trainer Signature:

VDPs INDUCTION
Patient’s Charter
Newsletter
Patient Information Leaflets
Confidentiality

VDP Signature:
Trainer Signature:

DAILY PROCEDURES
Hours of work
Opening/Closing Practice (Alarm, Compressor, Mains, Answer phone)
Protocol for Ordering Stock
Routine Procedures at Start & End of Session & in between Patient

VDP Signature:
Trainer Signature:
HEALTH & SAFETY                                                     DATE COMPLETED
Health & Safety Policy
Health & Safety Routine Checklist
Cross Infection Policy
CPR Procedure
Emergency Drugs & Equipment
Fire Drill Procedure
Decontamination Policy for Laboratory Work
Waste Disposal Policy
Accident Book
Accident Report Form
Guidelines for Handling Mercury
Mercury Spillage Routine
Accidental Spillage of Infected Materials Action
Action in Case of Sharps Injury
Radiation Protection – Local Rules
Emergency X-ray Malfunction Procedure
Guidance in Developing/Fixing
Film Usage Record
Risk Assessments
Hepatitis Status Review

VDP Signature:
Trainer Signature:


                                                                                     24
                COMPUTER TRAINING                                                   DATE
                                                                               COMPLETED
Data Protection
Confidentiality
Start Up, Shut Down & Emergency Procedures
Correct Operator Posture & Positioning
Finding a Patient
Adding a Patient
Personal Details
Scheme Set Up
Medical History
Course of Treatment, Opening, Correcting, Completing
Charting:                                           i. Tooth Notation
                                                   ii. Filling Materials
Items of Treatment/Treatment Codes
Patients Charges
Software Support
Hardware Support
Appointments
Backup


VDP Signature:
Trainer Signature:


SURGERY PROCEDURES                                                         DATE COMPLETED
Safety Equipment: Glasses, Gloves, Mask, Apron,
Light Curing Unit, Radiation, Pregnancy
Cross Infection – Training
Cross Infection – Policy
Care and Maintenance of Instruments
Trays set ups
Syringes – Loading/Unloading
Waste Disposal:     Sharps, Syringes Etc
X-ray:        i. Taking
             ii. Developing/Fixing
            iii. Mounting/Storing
            iv. Monitoring
Patient Management
Stock Control
Equipment Care/Maintenance
Mains Switch
Compressor
Aspirator Maintenance Procedures

VDP Signature:
Trainer Signature:




                                                                                       25
REFERRALS
G.A. Referrals
Orthodontic Referrals
Oral Surgery Referrals
Community Referrals

VDP Signature:
Trainer Signature:


BUSINESS INDUCTION                           DATE COMPLETED
Functional Structure
Business Objective
Equal Opportunities Policy
Customer Care & Complaints Procedure
Practice Manual
Business Plan
Medico – Legal Issues
Freedom of Information

VDP Signature:
Trainer Signature:


CLINICAL GOVERNANCE & PERSONAL DEVELOPMENT
VDP Audit Topic for year
Case Presentation Selection
Project Presentation Selection
Subject for VDP lead Practice Meeting

VDP Signature:
Trainer Signature:




                                                              26
Section 3
Initial Clinical Experience Checklist
Please complete the clinical experience checklist with your trainer to give an up to date, detailed
account of your experience together with an impression of how confident you feel about various
aspects of your work.

Confidence          Indicate how confident you now feel on a scale of 1 to 6 (where 6 is ‘very confident’).
Number              Approximate numbers of procedures you have carried out.

Description         Please give an account, in the space available to add detail and salient points. In
                    particular, provide detail regarding advanced work (e.g. bridge work).

                                     Confidence                            Your Comments
Diagnosis

Radiography

Treatment planning

Control of pain

Dental emergencies

Dental trauma

Prescribing

                               Number       Confidence                     Your Comments
Paediatric dentistry
       Restorations

         SS Crowns

         Extractions

         Deciduous
         Endodontics
Orthodontics

Preventive dentistry

Periodontics
       Simple scale

         Complete care
         Pockets >5 mm

Prosthodontics
       Acrylic Complete

         Acrylic Partial

         Chrome Partial

Oral Surgery                                                               Your Comments
        Extractions

         Surgery involving
         flap, bone
         removal, suture




                                                                                                         27
                                  Number   Confidence                    Your Comments
Restorative dentistry
Amalgam restorations

         Primary caries

         Replacement

Anterior composite
         Primary caries

         Replacement

Posterior composite

Endodontics
       Incisor/Canine                                        .

         Premolar

         Molar

Crown, veneer, gold
(enter precise type)




Bridgework
        Resin retained

         Conventional


Medical emergencies
        Diagnosis

         Basic Life Support                             Date of last BLS Practice

Patient management                         Confidence                    Your Comments
        Children (routine care)

         Anxious children

         Children in pain


         Adults (routine care)

         Anxious adults

         Aggressive patients

         Adults in pain




                                                                                         28
Professional Development Weekly/Monthly Record Sheets

     You will be required to keep a professional development log during your
      vocational training. Its purpose is to help you to identify your achievements
      and your on-going learning needs.

     As a dentist, you have begun a career in which you will participate in
      continuing professional development along with your professional colleagues.
      In this way you will develop and maintain your professional skills.

     Your log gives you the opportunity to reflect on events that have happened
      during your vocational training. ‘Reflection’ will help you to learn from your own
      experience and is one aspect of professional development.

     This places a particular and professional responsibility on you to observe
      yourself, analyse your practice and plan your future activities to assist your
      continuing professional development.

     You are advised to keep patient confidentiality in the log by describing your
      clinical practice and learning without using the names of your patients.

     You will need to keep a weekly log for the first eight weeks of your vocational
      training. After the initial eight weeks, you will be expected to complete a
      monthly log to month 6 and then a further monthly log in month 9.

     If you are away from your practice for any reason (e.g. on holiday, ill or at a
      block course) show your absence in the logs.

     The headings in the logs are intended to act as prompts to help you focus your
      thoughts and reflections.




                                                                                     29
           Dental Foundation Training Programme VT Year 1
VT Experience Record                                      Week ….
               (create new sheets as necessary or download from www.copdend.org.uk)

 VDP GDC No:                                                           Date:

    Please comment on the week’s events using a new sheet for each week 1-8

What has gone well this week?




What problems have you experienced this week?




What have you learnt from the above?




What tutorial topics were discussed:




New ideas/skills acquired this week:




Things I need to learn more about:




Trainer Comments:




 Reviewed by Adviser (Initials)                  Reviewed by Trainer (Initials)


                                                                                      30
           Dental Foundation Training Programme VT Year 1
VT Experience Record                                      Week ….
               (create new sheets as necessary or download from www.copdend.org.uk)

 VDP GDC No:                                                           Date:

    Please comment on the week’s events using a new sheet for each week 1-8

What has gone well this week?




What problems have you experienced this week?




What have you learnt from the above?




What tutorial topics were discussed:




New ideas/skills acquired this week:




Things I need to learn more about:




Trainer Comments:




 Reviewed by Adviser (Initials)                  Reviewed by Trainer (Initials)


                                                                                      31
           Dental Foundation Training Programme VT Year 1
VT Experience Record                                      Week ….
               (create new sheets as necessary or download from www.copdend.org.uk)

 VDP GDC No:                                                           Date:

    Please comment on the week’s events using a new sheet for each week 1-8

What has gone well this week?




What problems have you experienced this week?




What have you learnt from the above?




What tutorial topics were discussed:




New ideas/skills acquired this week:




Things I need to learn more about:




Trainer Comments:




 Reviewed by Adviser (Initials)                  Reviewed by Trainer (Initials)


                                                                                      32
           Dental Foundation Training Programme VT Year 1
VT Experience Record                                      Week ….
               (create new sheets as necessary or download from www.copdend.org.uk)

 VDP GDC No:                                                           Date:

    Please comment on the week’s events using a new sheet for each week 1-8

What has gone well this week?




What problems have you experienced this week?




What have you learnt from the above?




What tutorial topics were discussed:




New ideas/skills acquired this week:




Things I need to learn more about:




Trainer Comments:




 Reviewed by Adviser (Initials)                  Reviewed by Trainer (Initials)


                                                                                      33
           Dental Foundation Training Programme VT Year 1
VT Experience Record                                      Week ….
               (create new sheets as necessary or download from www.copdend.org.uk)

 VDP GDC No:                                                           Date:

    Please comment on the week’s events using a new sheet for each week 1-8

What has gone well this week?




What problems have you experienced this week?




What have you learnt from the above?




What tutorial topics were discussed:




New ideas/skills acquired this week:




Things I need to learn more about:




Trainer Comments:




 Reviewed by Adviser (Initials)                  Reviewed by Trainer (Initials)


                                                                                      34
           Dental Foundation Training Programme VT Year 1
VT Experience Record                                      Week ….
               (create new sheets as necessary or download from www.copdend.org.uk)

 VDP GDC No:                                                           Date:

    Please comment on the week’s events using a new sheet for each week 1-8

What has gone well this week?




What problems have you experienced this week?




What have you learnt from the above?




What tutorial topics were discussed:




New ideas/skills acquired this week:




Things I need to learn more about:




Trainer Comments:




 Reviewed by Adviser (Initials)                  Reviewed by Trainer (Initials)


                                                                                      35
           Dental Foundation Training Programme VT Year 1
VT Experience Record                                      Week ….
               (create new sheets as necessary or download from www.copdend.org.uk)

 VDP GDC No:                                                           Date:

    Please comment on the week’s events using a new sheet for each week 1-8

What has gone well this week?




What problems have you experienced this week?




What have you learnt from the above?




What tutorial topics were discussed:




New ideas/skills acquired this week:




Things I need to learn more about:




Trainer Comments:




 Reviewed by Adviser (Initials)                  Reviewed by Trainer (Initials)


                                                                                      36
           Dental Foundation Training Programme VT Year 1
VT Experience Record                                      Week ….
               (create new sheets as necessary or download from www.copdend.org.uk)

 VDP GDC No:                                                           Date:

    Please comment on the week’s events using a new sheet for each week 1-8

What has gone well this week?




What problems have you experienced this week?




What have you learnt from the above?




What tutorial topics were discussed:




New ideas/skills acquired this week:




Things I need to learn more about:




Trainer Comments:




 Reviewed by Adviser (Initials)                  Reviewed by Trainer (Initials)


                                                                                      37
              Dental Foundation Training Programme VT Year 1

Peer Review and 4 week Report Guide

   After week 4 you are invited to present to your Trainer a prepared cavity and
    completed restoration of moderate complexity of your choice.
   You and your Trainer should also compare radiographs of recent endodontic
    treatment and working models from recent treatments involving laboratory work.
    You should also review the record cards of the cases that you present.

   These procedures may have been carried out on the same tooth or different teeth.

   Your Trainer will present similar procedures to you.

   You are requested to write a description of your own cases and your Trainer’s
    cases in the four week assessment.

   Your Trainer will in light of all three areas viz: Induction Checklist, Clinical
    Experience Checklist and Peer Review Exercise, answer the final question at the
    foot of the four week assessment.

   By this process we will hopefully be able to identify if you require additional
    support at this very early stage.


NB. This assessment can be used several times during the year




                                                                                  38
          Dental Foundation Training Programme VT Year 1
4 Week Assessment
Trainer’s Peer Review

                                   To be completed by the VDP

VDP’s Name:

Trainer’s Name:

Description of procedures presented by the Trainer:




Description of procedures presented by the VDP:




VDP’s Status at 4 weeks:
(To be completed by the Trainer)




Trainer’s signature:                                            Date:



                                                                        39
Section 4
Collaborative Clinical Records Audit

User’s Guide

For a tutorial, randomly select 5 sets of Trainer’s patient’s records and 5 sets of VDP’s
patient’s records with recently completed courses of treatment.

Determine a target for each criterion as a percentage (e.g. 70% of records will follow
the practice protocol for radiography).

Scrutinise the clinical records for patient 1 (Trainer may wish to go first) and enter ‘S’
(Satisfactory), ‘R’ (Review) or ‘N/A’ in column 1, on the Trainer’s audit sheet, for each
criterion. Repeat for VDP patient 1, using the VDP’s audit sheet, then alternate
through the rest of the records, 2-5.

Give a score for each criterion for the number of ‘S’ expressed as a percentage of the
number of ‘S + R’, excluding any N/A Boxes. (See example below).

During the process, the discussion may digress and other aspects of the patient’s care
may be considered. This is not to be discouraged as one of the aims of the curriculum
is to improve the quality of professional dialogue and enhance tutorials.

When the scoring process is complete any areas for improvement should be noted in
the box available and the Trainer should sign the VDP’s audit sheet.

If necessary, one or more further audit cycles, analysing the areas for improvement
noted in the first cycle may be carried out.

Example

               1          2           3           4         5        Target      Score
Medical        S          S          N/A          R         S        70%
History

    Score =              3 ‘S’                =       3            =            75%

                     3 ‘S’ + 1 ‘R’                    4

In this example the score is 75%, thus exceeding the set target.




                                                                                         40
Key points to check in patients’ clinical records

Medical history                   Has a medical history been recorded according to the
                                  practice protocol?

Charting                          Is there a relevant charting of the teeth?

BPE                               Is there a recent screening chart of the periodontal
                                  condition?

Soft tissues                      Is there a record of the condition of the soft tissues?

Risk factors                      Is there a note of risk factors such as smoking,
                                  alcohol consumption or dietary habits together with a
                                  record of any discussion that has taken place?

Radiography

       Protocol                   Have appropriate radiographs been taken with due
                                  regard to the practice protocol?

       Protocol Justification     The practitioner should record a justification for taking
                                  the radiograph.

       Evaluation                 The practice quality assurance policy should be
                                  followed.

       Findings                   A record of relevant information gleaned from the
                                  radiograph.

Valid consent                     Where appropriate there should be a record of the
                                  patient’s consent to treatment with details of options,
                                  risks and prognoses.

Treatment plan                    Where appropriate, is there a written treatment plan?

Estimate                          Where appropriate, was the patient given an estimate
                                  of the cost? Was form FP17 used as appropriate?

Treatment                         Is the record of treatment carried out complete?

Legibility                        Are the written notes legible? (not relevant if
                                  computer record)

Signature                         Are written notes signed?

Conversational notes (optional)   Has the clinician noted an ‘aide memoire’ to facilitate
                                  conversation at the next visit?




                                                                                         41
Clinical records audit sheet (use in either cycle 1 or 2 )
VDP Name                                       Date                    Audit Cycle ….

Enter ‘S’ for satisfactory and ‘R’ for review as relevant for each case discussed
                               1        2        3        4        5       Target      Score
Medical history

Charting

BPE

Soft tissues

Risk factors

Radiography
      Protocol

       Justification

       Evaluation

       Findings

Valid consent

Treatment plan

Estimate

Treatment

Legibility

Signature

Conversational notes

Please note any changes you will make to your clinical record keeping following this audit.




   VDP’s Signature                                                  Date

                                                                                              42
Section 5
Self Assessment of VDP Progress (at 2 months)

In the evaluation of your progress through Vocational Training, please indicate on a
six point scale what you consider to be your ability at this point in time.

Very Unsatisfactory            1    2     3       4     5      6      Very Satisfactory

Note:     It is expected that most judgements will fall in the middle of the range (3, 4)
          if satisfactory. VDP: If you feel you need help from your Trainer in
          developing your skills, please indicate so in the right-hand column.

                                          Score                    Comments
A       History taking


B       Examination of patients


C       Making a diagnosis


D       Treatment planning


E       Quality of record keeping


F       Clinical ability


G       Communication with
        patients

H       Professional relationship
        with the team

I       General professional
        attitude


VDP’s Signature:                                              Date:




                                                                                      43
Assessment of VDP by Trainer (at 2 Months)

In the evaluation of your VDP’s progress through Vocational Training, please indicate
on a six point scale what you consider to be their ability at this point in time.

Very Unsatisfactory            1    2   3        4    5     6       Very Satisfactory

Note:       It is expected that most of the judgements will fall in the middle of the
            range (3, 4) if satisfactory. Trainer: please make any specific
            comments you might have in the right-hand column.


                                         Score                  Comments
A       History taking


B       Examination of patients


C       Making a diagnosis


D       Treatment planning


E       Quality of record keeping


F       Clinical ability


G       Communication with
        patients

H       Professional relationship
        with the team

I       General professional
        attitude




Trainer Signature:                                          Date:




                                                                                   44
Clinical Experience Checklist 2
Please complete the clinical experience checklist with your trainer to give an up to date, detailed
account of your experience together with an impression of how confident you feel about various
aspects of your work.
Confidence          Indicate how confident you now feel on a scale of 1 to 6 (where 6 is ‘very confident’).
Number              Approximate numbers of procedures you have carried out.

Description         Please give an account, in the space available to add detail and salient points. In
                    particular, provide detail regarding advanced work (e.g. bridge work).
                                     Confidence                           Your Comments
Diagnosis

Radiography

Treatment planning


Control of pain

Dental emergencies

Dental trauma

Prescribing

                               Number       Confidence                    Your Comments
Paediatric dentistry
       Restorations

         SS Crowns

         Extractions

       Deciduous
       Endodontics
Orthodontics

Preventive dentistry

Periodontics
       Simple scale

         Complete care
         Pockets >5 mm
Prosthodontics
       Acrylic Complete

         Acrylic Partial

         Chrome Partial

Oral Surgery                                                              Your Comments
        Extractions

         Surgery involving
         flap, bone
         removal, suture




                                                                                                         45
                                  Number   Confidence                   Your Comments
Restorative dentistry
Amalgam restorations
       Primary caries

         Replacement

Anterior composite
         Primary caries

         Replacement

Posterior composite

Endodontics
       Incisor/Canine

         Premolar

         Molar

Crown, veneer, gold
(enter precise type)




Bridgework
        Resin retained

         Conventional


Medical emergencies
        Diagnosis

         Basic Life Support                             Date of last BLS Practice

Patient management                         Confidence                   Your Comments
        Children (routine care)

         Anxious children

         Children in pain


         Adults (routine care)

         Anxious adults

         Aggressive patients

         Adults in pain




                                                                                        46
Acquisition of Clinical Experience (at 2 months)
DO YOU THINK YOU ARE:

A    Gaining about the right amount of clinical experience?

     YES (please select)             No

B    Seeing too few patients to gain sufficient experience?

     YES                            No

C    Seeing so many patients that you do not have enough time to learn from the job?

     YES                            No

D    Given sufficient help with administration such as letter writing, and
     organisation of the Practice?

     YES                            No

E     Do you have the continual support of an experienced dental nurse?

     YES                            No


                        VDP’s Overall Assessment of Training

Comments on training and experience gained:




Suggestion for improvement within the training programme:




Agreed Action Plan:




VDP’s Signature                                                   Date



                                                                                       47
Section 6
Radiography review and Audit between VDP and Trainer

The VDP and Trainer are expected to bring to Tutorial, ten of their most recent
radiographs. The radiographs should then be jointly assessed against the Faculty of
General Dental Practitioners book ‘Selection Criteria for Dental Radiography’,
which has been provided to each training practice. Please refer to Page 66, Table
8.2.5 of the above listed book, which provides details of the quality criteria.
Record sheet
                   1      2     3      4      5     6     7      8     9      10

Trainer X-Ray                                                        
Grades

VDP X-Ray                                                            
Grades

Agreed targets %

                    Grade 1          70
                    Grade 2          20
                    Grade 3          10


Achieved targets %
                                    Trainer                VDP
                    Grade 1
                    Grade 2
                    Grade 3


Comments for future action:




                                                                                  48
Cross infection review

You are invited to consider your own and the practice’s cross infection protocols and
then review them against the latest BDA A12 Advice Sheet.

You are encouraged to involve your practice staff in this process.




Work load review


You should collect the data shown below during your third month in the practice.

Month 3 –

                                                                     Numbers
                                                  st
      1.   Total number of patients (including – 1 visit patients)
      2.   Number of patients 1st visit to VDP
      3.   Number of clinical hours worked
      4.   Unfilled hours (including DNA’s)
      5.   Number of adult patient appointments
      6.   Number of children appointments


You should review your workload with your trainer to ensure that you have
  an appropriate workload and mix of both Patient and Treatment types.




                                                                                   49
                Dental Foundation Training Programme VT Year 1
VT Experience Record                                                                       Month …..
  VDP GDC No:                                                               Date:
   Please comment on the month’s events using a new sheet for each month 3-6
What has gone well this month?




What problems have you experienced this month?




What have you learnt from the above?




What tutorial topics were discussed:




                                            Number of tutorials provided

New ideas/skills acquired this month:




Things I need to learn more about:




Trainer Comments:




      Reviewed by Adviser      (Initials)             Reviewed by Trainer     (Initials)


                                                                                                  50
                Dental Foundation Training Programme VT Year 1
VT Experience Record                                                                       Month …..
  VDP GDC No:                                                               Date:
   Please comment on the month’s events using a new sheet for each month 3-6
What has gone well this month?




What problems have you experienced this month?




What have you learnt from the above?




What tutorial topics were discussed:




                                            Number of tutorials provided

New ideas/skills acquired this month:




Things I need to learn more about:




Trainer Comments:




      Reviewed by Adviser      (Initials)             Reviewed by Trainer     (Initials)


                                                                                                  51
                Dental Foundation Training Programme VT Year 1
VT Experience Record                                                                       Month …..
  VDP GDC No:                                                               Date:
   Please comment on the month’s events using a new sheet for each month 3-6
What has gone well this month?




What problems have you experienced this month?




What have you learnt from the above?




What tutorial topics were discussed:




                                            Number of tutorials provided

New ideas/skills acquired this month:




Things I need to learn more about:




Trainer Comments:




      Reviewed by Adviser      (Initials)             Reviewed by Trainer     (Initials)


                                                                                                  52
                Dental Foundation Training Programme VT Year 1
VT Experience Record                                                                       Month …..
  VDP GDC No:                                                               Date:
   Please comment on the month’s events using a new sheet for each month 3-6
What has gone well this month?




What problems have you experienced this month?




What have you learnt from the above?




What tutorial topics were discussed:




                                            Number of tutorials provided

New ideas/skills acquired this month:




Things I need to learn more about:




Trainer Comments:




      Reviewed by Adviser      (Initials)             Reviewed by Trainer     (Initials)


                                                                                                  53
Section 7
Self Assessment of VDP Progress (at 6 months)

In the evaluation of your progress through Vocational Training, please indicate on a
six point scale what you consider to be your ability at this point in time.

Very Unsatisfactory            1    2     3      4     5      6      Very Satisfactory

Note:           It is expected that most of the judgements will fall in the upper range
                i.e. 4 to 6, if satisfactory.


                                                                  Comments
A       History taking


B       Examination of patients


C       Making a diagnosis


D       Treatment planning


E       Quality of record keeping


F       Clinical ability


G       Communication with
        patients

H       Professional relationship
        with the team

I       General professional
        attitude


VDP’s Signature:                                             Date:




                                                                                    54
Assessment of VDP by Trainer (at 6 months)

In the evaluation of your VDP’s progress through Vocational Training, please indicate
on a six point scale what you consider to be their ability at this point in time.

Very Unsatisfactory            1    2     3      4     5      6      Very Satisfactory

Note:           It is expected that most of the judgements will fall in the upper range
                i.e. 4 to 6, if satisfactory.

                                                                  Comments
A       History taking


B       Examination of patients


C       Making a diagnosis


D       Treatment planning


E       Quality of record keeping


F       Clinical ability


G       Communication with
        patients

H       Professional relationship
        with the team

I       General professional
        attitude




Trainer Signature:                                           Date:




                                                                                    55
Acquisition of Clinical Experience (at 6 months)
DO YOU THINK YOU ARE:

A    Gaining about the right amount of clinical experience?

     YES (please select)                    No

B    Seeing too few patients to gain sufficient experience?

     YES                                    No

C    Seeing so many patients that you do not have enough time to learn from the job?

     YES                                    No

D    Given sufficient help with administration such as letter writing, and
     organisation of the Practice?

     YES                                    No

E     Do you have the continual support of an experienced dental nurse?

     YES                                    No

                        VDPs Overall Assessment of Training

Comments on training and experience gained:




Suggestion for improvement within the training programme:




Agreed Action Plan:




VDP’s Signature                                                   Date




                                                                                       56
VDP led practice meeting (at 6 months)
VDP GDC No:                                                           Date:

You should place a copy of the agenda and minutes of your practice meeting at the end of
this portfolio (Pocket A) together with a list of attendees of the practice meeting.

Purpose of meeting




Agreed Outcomes




Plans to be implemented




Date of future meetings agreed




People involved in task completion




VDP Declaration:

I declare that I led a Practice Meeting on …………………………………………………………………

 VDP Signature:                                                      Date:



                                                                                     57
                Dental Foundation Training Programme VT Year 1
VT Experience Review at -                                                       MONTH 9
  VDP GDC No:                                                               Date:
                            Please comment on the month’s events
What has gone well this month?




What problems have you experienced this month?




What have you learnt from the above?




What tutorial topics were discussed:




                                            Number of tutorials provided

New ideas/skills acquired this month:




Things I need to learn more about:




Trainer Comments:




      Reviewed by Adviser      (Initials)             Reviewed by Trainer     (Initials)


                                                                                           58
Section 8    Work Analysis Log

You should complete the Weekly Activity Log forms for each week of your VT year.
The forms have been designed to help you, your Trainer and your Adviser to identify
areas where you are not gaining sufficient experience and also to safeguard you
against inappropriately high levels of activity.

The aim during your VT year is to ensure that you undertake as full a range as
possible of NHS treatment on all categories of NHS patients. You and your Trainer
should regularly review these activity logs and identify areas where you need to gain
more experience.

Every four weeks you will need to complete the monthly summary form by adding the
weekly totals together. You must arrange for these monthly totals to be reviewed by
your Trainer and Scheme Adviser to ensure you are gaining appropriate experience.
At the end of the VT year you will need to complete the year’s summary by adding the
twelve months’ totals together.

It is your responsibility to retain these records as a permanent part of your portfolio.
They are a required record of activity during your VT year. Your Adviser will retain a
photocopy of your monthly and year’s summaries.



Subsequent copies of the weekly log can be photocopied or downloaded
from the COPDEND website at www.copdend.org.uk




                                                                                     59
                                           Dental Foundation Training Programme VT Year 1
Weekly Log
   VDP GDC No:                                                                                           Week No. …….

Date: Week …/…./…. to …/…./….               Monday             Tuesday            Wednesday          Thursday           Friday

                                       A     C   EP   No   A   C   EP    No   A    C   EP   No   A   C   EP   No    A   C   EP   No
Exam (with or without simple S&P)
Perio (other than simple)
Fillings
Endodontic – Anterior
Endodontic – Posterior
Crowns/Veneer
Dentures – Acrylic Complete
Dentures – Acrylic Partial
Dentures – Chrome
Bridges – Conventional
Bridges – Resin Bonded
XLA
M.O.S
                         Daily Total


          Weekly Totals                     Adult (A)          Child (C)      Emergency Patient (EP)            No of items (No)




                                                                                                                                      60
                Dental Foundation Training Programme VT Year 1

Monthly Summary

    VDP GDC No:
           Add your weekly totals and insert monthly totals into the table below.

Month: _________________                  Adult        Child    Emergency       No of items
                                                                Patient
Exam (with or without simple S&P)
Perio (other than simple)
Fillings
Endodontic – Anterior
Endodontic – Posterior
Crowns/Veneer
Dentures – Acrylic Complete
Dentures – Acrylic Partial
Dentures – Chrome
Bridges – Conventional
Bridges – Resin Bonded
XLA
M.O.S
Comments:




VDP Signature: …………………………………………………………………………………


Trainer Signature: …………………………………                               Date: ………………..

Reviewed by Adviser: ………………………………… .                           Date: …………………….



                                                                                     61
                Dental Foundation Training Programme VT Year 1

Yearly Summary

    VDP GDC No:
        Add all of your month’s totals and insert yearly totals into the table below.

Year: 200 /200                           Adult         Child      Emergency       No of items
                                                                  Patient

Exam (with or without simple S&P)
Perio (other than simple)
Fillings
Endodontic – Anterior
Endodontic – Posterior
Crowns/Veneer
Dentures – Acrylic Complete
Dentures – Acrylic Partial
Dentures – Chrome
Bridges – Conventional
Bridges – Resin Bonded
XLA
M.O.S
Comments:




VDP Signature: …………………………………………………………………………………
Trainer Signature: …………………………………… Date: ……………….

Reviewed by Adviser: ………………………………………                             Date: ……………………




                                                                                        62
Study Day Summary Sheet* - Term
VDP Name:

   VDP GDC No:                                                                  Scheme: …………………………………

  DD       MM          YY          Title/Topic of Study Day/Session                              Venue               Full Day/ Session




*Complete separate sheet for each term

I confirm from the course register that this VDP has attended the above sessions.      Adviser’s Signature: ………………………………………………..
You should retain this sheet as evidence of your CPD record during your Vocational Training year/ as it may be required by the GDC


                                                                                                                                         63
Record of other courses and meetings attended
VDP Name:

  VDP GDC No:                                                                 Scheme: …………………………………


       Course Title                        Venue                Date                 Main topics                        Speakers




    You should retain this sheet as evidence of your CPD record during your Vocational Training year/ as it may be required by the GDC
                                                                                                                                         64
Record of Tutorials* – Term ….
VDP Name:

   VDP GDC No:                                                               Scheme: …………………………………

  Date        Subject                    Trainer Signature   VDP Signature       VDP/Trainer Comments/Feedback




*Complete separate sheet for each term



                                                                                                                 65
Continuing Professional Development

Having now completed your vocational training, you have the responsibility and
commitment to continue your own professional development.

The GDC requires that all dentists to undertake a minimum of fifteen hours of
verifiable CPD and 35 hours non-verifiable CPD per year. You will need to complete
75 verifiable CPD hours and 175 non-verifiable CPD hours over a five year period.

Verifiable CPD should be based upon:             Non-verifiable CPD could include:
     Concise educational aims and                    Reading professional journals
      objectives - the activity should have a
      clear purpose or goal                           Research
     Clear anticipated outcomes - you
      should know what you can expect to              Presenting lectures/seminars
      gain as a result of taking part in the
      activity                                        Practice meetings
     Quality control - you should have an
      opportunity to comment, with a view             Committee meetings
      to improving quality
     Documentary proof of attendance or              CPD tutor meeting visits
      been involved in Verifiable CPD by
      obtaining a certificate of participation        Discussion periods/questions at
      from the course/activity provider. You           the end of formal meetings
      may be asked to submit this proof to
      the GDC

You are also required to complete fifteen hours of audit in every 3 year cycle. From
2007, the GDC has set out a number of recommended core areas for CPD. These
topics will be covered during your VT year.

To ensure that you are complying with the regulations, the GDC may write to you
towards the end of years 1-4 within your five-year cycle, asking you to submit an
annual return of the CPD hours (both verifiable and general) that you have
completed that year. The GDC will keep a tally of your yearly totals.

At the end of year 5 of every CPD cycle, the GDC will check your yearly totals to see,
on the basis of the returns you have submitted, whether or not you have met the
250 hour requirement. If you have not, you will be sent notification of erasure, but
you may apply for a 6-month period of grace to complete the outstanding CPD.
There will be a mechanism in place to allow you to appeal against erasure.

While you are continuing your education by attending the relevant courses, you can
claim allowances for attendance and these are paid on completion of an FP84. The
FP84 is available from Postgraduate Tutors on completion of a section 63 course in
England (or Section 2 in Wales) or other approved course.


                                                                                       66
       Record of Continuing Professional Development (CPD)

Date     Conference/Course/Lecture/Tutorial/Audit/Journal      Verifiable        Non-
                                                               CPD hours         Verifiable
                                                                                 CPD hours




Signed……………………………………………….                          …………………………………………..
            Trainee                                         Educational Supervisor


Date………………………………………………….




                                                                                        67
               Dental Foundation Training Programme VT Year 1

                            Significant Event Record Sheet

Name of VDP:
Name of Trainer:
This form should be completed whenever you are involved in a Significant Event.
It should be noted that significant events do not have to be ‘critical’ or ‘adverse’ but can also
‘celebrate’ the confirmation of good practice.
Attach supporting documentation (e.g. incident or complaint and response) to the form.
What happened and where?




Why did this event occur?




How can event like this be prevented / promoted?




What has been achieved / learnt from this case?




Further training / educational needs identified by this case:




Comments from relevant clinical supervisor




                                                                                               68
               Dental Foundation Training Programme VT Year 1

                         Record of interesting / difficult cases
Name of VDP:
Name of Trainer:

This form should be completed whenever you deal with an interesting or difficult case.

Brief history of case:




What made this case difficult / interesting?




What has been achieved / learnt from this case?




How would you manage if this type of problem occurred again?




Further training / educational needs identified by this case:




Comments from relevant clinical supervisor




                                                                                         69
    Section 9                            Final Appraisal Statements
         Use the headings as guidance and add any other relevant information you wish to have
          included in your appraisal.

         You and your Trainer need to sign the final joint appraisal statement. The Adviser will
          complete and sign a summary sheet to record your completion process.

         The Director of Dental Postgraduate Education in Wales will keep a copy of the final appraisal
          statement and the Adviser’s summary as a confidential record of your vocational training.

                                                This is a joint exercise
Please agree statements that reflect the VDP’s experience and achievements in the following areas:
        (You should reflect on the values for good dental practice diagram on page 21, to help you complete this section)

Patient care




Personal and professional development




Professional practice




Administration and management




 Other comments




VDP                                              Trainer
Signature:                                       Signature:                                           Date:


                                                                                                                            70
Adviser Final Summary

I can confirm that                                    has completed their VT year.




He/She has completed                 Study days

He/She has completed a full training year -                                       

He/She has completed a satisfactory FGDP style “Key Assessed by selected          
Skills” Project as required in this deanery.        panel of examiners

He/She has taken part in a collaborative audit supervised by the clinical audit
tutor -                                                                           


He/She has completed their Vocational Training Portfolio -                        




Scheme Adviser Signature


Date




                                                                                  71
Finishing VT? What next?

                                   Other possible options to becoming a performer in
  VT completed and                 the Primary Care Dental Services immediately are:
                                    Move into Dental Foundation general professional
   certificate of VT
                                   training or the hospital services or work overseas.
 completion awarded
                                   With any of the above options – Please seek
                                   advice from the local Dental Deanery. For
                                   further contact details, please refer to the
                                   Postgraduate Portfolio


Become a Primary Care
Services (Independent
  Contractor, Provider
                                         Keep your VT certificate in a safe place.
 employed, or Salaried
    Dental Services)                   You will need it to join a Primary Care Trust
       Performer                       (PCT - England) or Local Health Board (LHB -
                                                  Wales) dental list later

Ask the PCT / LHB in
  which you will be            As soon as you know where
 employed for form         =       you will be working
        GDS1


  Send GDS1 and the
       required                       Concurrently,
 documentation to the
      PCT / LHB            =       as soon as possible

    Ensure Provider
  contacts PCT with
 your payment details


   A performers list
 number will be issued          Performer’s list numbers
     on successful              must be dated after the
   application to the          completion date shown on
      PCT / LHB.
   The PCT/LHB will        =       your VT certificate

 carry out a CRB check
      (Will take 8 Wks)




 Start work in practice         Not until you have your
 or dental services as a
    dental Performer       =          PCT / LHB
                                 Performer’s Number


                                                                           72
                                                                                           Appendix 1
                             VDP Domains of Competence
                   (Based on Performers List Equivalence Applications)

       VDPs may choose to consider collecting copies of the following documents as further evidence of
                                    completion of vocational training.

                                        Presentation of Evidence

Name of Applicant: …………………………………………

Name of Assessor: ………………………………………….                                     Deanery Rep / PCT Rep / External

                                           Assessed by / Evidence provided by:-
         Evidence required                  Adviser / Trainer / VDP / Certificate
                                                                                       Comments
Copy of Personal Development Plan
with training needs identified for                 Adviser / Trainer
next 12 months
Reflective log of recent training
                                                   Adviser / Trainer
GDC “Standards Guidance”
document                                                   VDP

Signed confirmation of
understanding of the requirements                          VDP

Clinical references (2                     Adviser / Trainer / Undergrad.
                                                     Supervisor
Copy of practice complaints
procedure                                                  VDP

Signed confirmation of
understanding of the procedure                             VDP

Written statements from colleagues
on applicant’s patient management                        Trainer
skills
Written statements from colleagues
on applicant’s professional integrity              Adviser / Trainer

Results of patient satisfaction survey               VDP / Trainer
Evidence of audit and/or peer
review experience                              VDP / Adviser / Trainer

CPD record (with certificates) for
previous 3 consecutive years                    VT Certificate / FP84s

Sample patient records
(anonymised)                                       Adviser / Trainer

Sample referral letters (anonymised)               Adviser / Trainer
Copy of practice drug prescribing
protocols

                                                                                                         73
         Evidence required                                              Comments
Evidence of attendance at IRMER or
equivalent radiological training        BDS Degree Certificate

Copy of practice infection control
procedures                                       VDP

Copy of practice Health & Safety
policy                                           VDP

Copy of practice COSHH statements
                                                 VDP
Evidence of previous experience in
NHS primary care dentistry or           Trainer / VT Certificate

Evidence of attendance at NHS
dentistry induction programme or            VT Certificate
equivalent
Copy of the practice employment
contract/associate agreement                     VDP

Signed confirmation of
understanding of the principles                  VDP

Evidence of involvement in staff
training                                        Trainer

Evidence of involvement in practice
meetings                                        Trainer

Evidence of previous GDP
experience or similar (one year full-   VT Certificate / Trainer
time or equivalent part-time)
Copy of previous CPR training
certificate                                      VDP

Evidence of practice emergency
drug protocol                                    VDP


Opinion on VT equivalence & additional comments:




    Signed: …………………………………………..                               Date: ……………………



                                                                                   74
                                                                                         Appendix 2

Draft Statements for new VT Certificate

This certificate confirms that this candidate has undertaken a one year full / part time Dental
Vocational Training Course and confirms that between August and July of the following year
this candidate has:-

       Participated in an induction programme in NHS Dentistry.

       Worked full / time for one year providing primary care dentistry in an approved training
        practice.

       Attended over 150 hours postgraduate education, which meets the GDC criteria for verifiable
        continuing professional development.

(Attendance at CPD events can be further verified by FP84 attendance certificates, and CPD
programme curriculum and learning outcomes are recorded in VT course programmes)

This certificate may be authenticated by contacting the office of the postgraduate dental dean in the
deanery in which VT took place.




                                                                                                    75
Draft Trainers Statement

This candidate worked as a vocational dental practitioner in
……………………………dental practice between ………August 200X and …….July 200X.

During this time, I acted as the trainer and supervised the training by working
alongside this candidate, observing clinical work, collaborating in clinical audits,
providing tutorials and problem solving sessions.

I can confirm that this candidate:-

      has been conducting his/her continuing professional development according to
       a personal development plan.

      Has taken part in continuing peer review on a wide range of clinical and
       professional topics and has under taken 2 formal clinical audit projects.
       Amongst these were audits of clinical record keeping and referral protocols
       which demonstrated competence in these areas.

      Has shown an awareness of their clinical limitations and the ability to seek
       advice or refer appropriately.

      Understands relevant regulations relating to providing NHS primary care
       dentistry.

      Has satisfactory patient management skills. Surveys of patient satisfaction
       show satisfactory performance.

      Has shown evidence of a satisfactory standard of professional integrity and an
       awareness of GDC guidance regarding professional behaviour.

      Has played an active role in practice team meetings and has participated in
       staff training.

      Has satisfactory clinical skills appropriate to their level of experience.




                                                                                       76
                                                                              Appendix 3
                               Skills Evaluation Procedure

Evaluator                                      Status
Trainee                                        Date

DOMAIN
                                       CLINICAL
Key Skills
                   PATIENT EXAMINATION AND DIAGNOSIS
SPECIFIC SKILLS

                                                                   How          Date
            UNSATISFACTORY   ➜            EXCELLENT               Tested      Achieved
   1           1        2          3          4

   2           1        2          3           4

   3           1        2          3           4

   4           1        2          3           4

   5           1        2          3           4

   6           1        2          3           4

   7           1        2          3           4

   8           1        2          3           4

   9           1        2          3           4

  10           1        2          3           4

  11           1        2          3           4

  12           1        2          3           4

  13           1        2          3           4

  14           1        2          3           4

  15           1        2          3           4

  16           1        2          3           4

  17           1        2          3           4

Please refer to the Key Skills document for details of each specific skill.

VDP Signature …………………………………                        Trainer Signature …………………………….




                                                                                         77
Clinical
1.Patient      The trainee can demonstrate to an appropriate standard the ability to: -
Examination
 & Diagnosis   I. Identify from the patient upon examination, the symptoms and principal
                  complaint, and any history associated with the present illness.
               2. Obtain and interpret an accurate medical, dental, family and social history.
               3. Register accurately all treatment details in 'patient' records.
               4. Perform a comprehensive extraoral and intraoral examination that is suitable
                  for the patient, as well as an accurate assessment of vital signs and the ability to
                  record these signs correctly.
               5. To prescribe and perform and accurate radiographic examination that is
                  appropriate for the diagnostic needs of the patient, and to expose, process &
                  assess the radiograph correctly.
               6. Order the relevant clinical laboratory & diagnostic tests when appropriate, and
                  an accurate interpretation of the results.
               7. Produce diagnostic casts and mount them on an appropriate, and an
                  accurate interpretation of the diagnosis results interocclusal and other records.
               8. Assess dental and skeletal occlusal relationship in the primary, mixed and
                  permanent dentition accurately, and identify conditions, which may require
                  treatment or referral to a specialist.
               9. Evaluate the dental state of a patient to identify a need for treatment or
                  referral to a specialist.
               10. Assess the influence of systemic diseases (&associated treatment) on oral
                  health and the delivery of dental treatment.
               11. Distinguish between pulpal health and disease, and identify conditions,
                   which may require treatment or referral to a specialist.
               12. Understand oral hard & soft tissue abnormalities, and the ability to determine
                  a requirement for biopsy, as well as evaluate the results of pathological tests
                  accurately and refer the patient for specialist treatment when appropriate.
               13. Perform soft tissue diagnostic procedures, including biopsy correctly.
               14. Identify the location, extent and activity of caries
               15. Recognise developmental or occlusal abnormalities, and identify conditions,
                   which may require treatment or referral to a specialist.
               16. Recognise patient behaviour, which may contribute to orofacial problems and
                  identify conditions, which require prevention or management.
               17. Determine a patient's aesthetic requirements, and identify the degree to which they
                   can be met.



                                                                                                 78
Evaluator                                      Status
Trainee                                        Date

DOMAIN:               COMMUNICATION, PROFESSIONALISM, MANAGERIAL
Key Skill                                                          COMMUNICATION

SPECIFIC SKILL
1.                                PRACTICE STAFF
                                                                   How          Date
            UNSATISFACTORY    ➜           EXCELLENT               Tested      Achieved
   1           1        2          3          4




   2           1        2          3           4




   3           1        2          3
                                               4




Key Skill                                                       PROFESSIONALISM
SPECIFIC SKILL
2.                                DEALING WITH PATIENTS

                                                                   How          Date
            UNSATISFACTORY   ➜            EXCELLENT               Tested      Achieved
   1           1        2          3          4


   2           1        2          3           4



   3           1        2          3           4


   4           1        2          3           4



   5           1        2          3           4


   6           1        2          3           4




Please refer to the Key Skills document for details of each specific skill.
VDP Signature …………………………………                        Trainer Signature …………………………….




                                                                                         79
Communication
1. Practice
Staff         The trainee can demonstrate to an appropriate standard the ability to:-


              1. Prescribe (verbally / in writing) to the dental therapist, dental hygienist &
                 laboratory technician. The trainee can demonstrate the ability to deal with
                 problems arising with the quality of technical work.

              2. Gain the co-operation of all staff, using effective interpersonal skills and an
                   appropriate attitude. The trainee is able to prescribe in appropriate detail, the
                   role of practice staff and how each can improve the standard of patient care.


              3. Function as part of a team.




Professionalism
2. Patients   The trainee: -
              1. Provides compassionate care for all patients, and demonstrates a willingness to
                   put the needs of the patient before his / her own.
              2. Provides treatment for all patients with courtesy and respect, provides
                   treatment options that are sensitive to the needs of the patient, and recognises
                   the patients' right to choose.
              3.   Interacts with all patients without discrimination.
              4.   Maintains honesty and confidentiality with all patients.
              5. Continually analyses the outcomes of treatment given in an effort to provide
                   the highest standards of patient care.
              6. Provides preventative education for all patients in a manner that they can
                   understand, and regularly promotes the importance of health.




                                                                                              80
     Key Skill                                                               MANAGERIAL

     SPECIFIC SKILL
1.                                      AUDIT

                                                                          How         Date
                          UNSATISFACTORY ➜        EXCELLENT              Tested     Achieved
     1. The Audit           1       2       3         4
        Cycle




     2. The                 1       2       3          4
        assessment
        criteria




     3. The use of          1       2       3          4
        appropriate
        resources




     4. Data                1       2       3          4
        Collection




     5.Implementation       1       2       3          4
       of change




     Please refer to the Key Skills document for details of each specific skill.
     VDP Signature …………………………………                       Trainer Signature …………………………….




                                                                                               81
                  Appendix 4

FGDP Key Skills




                         82
       Vocational Training End of Year Feedback Form
                This form is intended to provide feedback to your Trainer and Adviser. It should be completed and given to your scheme Adviser
Has this year’s VT fulfilled your educational
needs?                                                   If no, why?

                  Yes         No


                                                         If yes, how?



Please consider each pair of statements and decide which most clearly reflects your view and tick one box. The box closest to the
statement indicates stronger agreement.
I found the training year of great value                                                         I found the training year of no value

I received an effective practice induction                                                       I had little or no formal practice induction

There was good clinical teaching within the practice                                             No clinical teaching took place within the practice

Trainer/VDP tutorials were very useful                                                           Trainer/VDP tutorials were not useful

Tutorials were well structured and organised                                                     Tutorials were not well structured and not organised

Portfolios were regularly reviewed                                                               Portfolios were not regularly reviewed

I had excellent Trainer support with my own case presentation                                    I had no Trainer support with my own case presentation

I had excellent Trainer support with my own project presentation                            I had no Trainer support with my own presentation own project

I had all the clinical support I needed                                                          I had no clinical support

I had ample experience of emergency work                                                         I had no experience of emergency work

The practice had excellent working conditions                                                    The practice working conditions were unacceptable
                                                                                                                                                             PTO



                                                                                                                                                        83
                                                   Vocational Training End of Year Feedback Form
I really enjoyed working at the practice                                               I did not enjoy working at the practice

The practice is an ideal training practice                                             The practice is not an ideal training practice

The patient workload was far too heavy                                                 There was not enough patient workload.



What have you enjoyed the most about the VT year?




What would you like changed about VT?




Is there anything you would have liked covered in more detail?




Is there anything the practice can do to improve the VT training
experience?




Trainer’s                              Adviser’s                       VDP’s                       VDP signature
 name                                   name                           name




                                                                                                                                        84
Notes:




         85

								
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