_DwSI_ in Orthodontics but without a formal qualification - British by ajizai


									                                      Advice for PCTs, LHBs and SHAs

Assessment for Dentists with a
Special Interest (DwSI) in Orthodontics
but without a formal qualification

This document has been produced by the British Orthodontic Society
What is a DwSI in Orthodontics?               Appointment of DwSI

• A DwSI in Orthodontics is a primary         • Formal recognition of the status as a
care dentist with all round experience        DwSI is given by a PCT.
and training in general dental practice,
who has developed a special interest in       • Applicants must be able to offer a
orthodontics but is not a specialist.         range of evidence as confirmation that
He or she will have gained additional         the DwSI has gained the appropriate
training and/or experience in                 training in his/her special interest either
orthodontics.                                 through previous experience or via a
                                              formal training programme. In order to
• A DwSI in Orthodontics will have to         be appointed as a DwSI, he/she will have
demonstrate a continuing level of             had to submit evidence of this experience
competence in their generalist activity       and/or training to their local Primary Care
and an agreed minimum level of                Trust.
competency in orthodontics.
                                              A demonstration of competency may
• The role of the DwSI within the clinical    include both formal qualifications and
network is to treat cases within their        experiential evidence. This will be in
competence and to refer patients              addition to, and development of, GDC’s
outwith their competence. A referral          First Five Years and Dental Vocational
may be made by a DwSI to a consultant         Training. Experience and knowledge
orthodontist for advice and treatment         gained in General Professional Training
planning so that they can treat the case      will be considered if undertaken.
themselves. Complex cases will be
referred for treatment to a specialist        • Applicants without formal qualifications
orthodontist or into a hospital               should present a portfolio listing their
orthodontic department.                       most recent 20 consecutively completed
                                              cases including before and after PAR
In the event that treatment for a patient     scores and percentage improvement.
is not progressing as planned, the patient
should be referred to the local consultant    • Two cases will be selected by an
or specialist for advice. The treatment       appointed accreditation panel for formal
may be continued within the hospital          assessment.
service or by an orthodontic specialist
practitioner.                                 • The cases selected will be discussed
                                              with the applicant with due attention to
• Whilst not offering the same range of       the principles outlined below:
clinical activity as a specialist, the DwSI
will be required to practise to a standard      Understanding of occlusion and its
consistent with that expected from              development;
established specialists in the discipline.
   Ability to diagnose and recognise
   malocclusion and know when to

   Able to assess the need for orthodontic

   Know when to refer or provide
   treatment within their competency;

   Understand the limitations of
   appliance therapy and demonstrate an
   understanding of clinical skills.


• The assessment will usually be an
evaluation of the evidence presented in
the applicant’s portfolio.

• The evaluation will be carried out by a
local accreditation panel which would
normally include a consultant and/or
specialist in the clinical area, an FGDP(UK)
representative representing primary care
dentistry, a Local Dental Committee
representative and a PCT representative.

• PCTs may also consider it appropriate to
interview potential candidates for
accreditation as DwSIs.

A full explanation of the approval process
is contained in the Department of Health/
Faculty of General Dental Practice (UK)
document, “Guidelines for the appointment
of Dentists with Special Interests (DwSIs) in
Orthodontics” available at:
              Front cover photograph reproduced with kind permission of Ormco

                    Produced by the Consultant Orthodontists Group
                        of the British Orthodontic Society 2008

                                  British Orthodontic Society
                             12 Bridewell Place London EC4V 6AP
Email: ann.wright@bos.org.uk www.bos.org.uk Telephone: 020 7353 8680 Fax: 020 7353 8682
                                Registered Charity No: 1073464

                                                                                CB 2 Nov 08

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