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									Information Pack for Edinburgh Orthodontic Therapist Training Programme 2011

This pack contains:

   1. Outline of Edinburgh Orthodontic Therapist Training Programme and how to apply

   2. Person specification for the Student Orthodontic Therapist

   3. Person specification for the Trainer

   4. Duties and obligations of the Student

   5. Role of the Trainer

   6. Work Placement requirements

   7. Student Application Form

   8. Trainer Application Form

   9. Outline of Work Placement Form

   10. Trainer/Supervisor Commitments Form

   11. The Programme Directors




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1. Outline of Edinburgh Orthodontic Therapist Training Programme

Programme outline and format

The Edinburgh Orthodontic Therapist Training Programme is run by Edinburgh Dental
Institute in conjunction with NHS Education for Scotland, lasts for approximately 12 months
and has gained full approval from the General Dental Council for training Orthodontic
Therapists. There will be 8 places available for the next course commencing on the 16th
May 2011.

The initial core course (Introduction to Clinical Practice) lasts for 20 days over the first 4
weeks, after which students will train in their work placements for approximately a further 9
months, before being eligible to sit the Diploma in Orthodontic Therapy awarded by the
Royal College of Surgeons of Edinburgh. The course has run twice previously and all our
students have successfully completed their training and have passed their diploma
examination.

During this period of work placement, students will return to Edinburgh Postgraduate Dental
Institute for around a further 15 days of training, which will be spread over the remaining
period of the course, and which will include support and preparation for the Diploma
examination.

Who is eligible to apply?

To be eligible to join the course, applicants must be registered as a Dental Care
Professional with the GDC and have appropriate professional indemnity insurance. They
must also have the written support of a suitably qualified orthodontist trainer, who is on the
Orthodontic Specialist list of the GDC. Trainers must attend a trainer training event to
prepare them for their trainer role on the programme.

The information pack contains detailed person specifications for both prospective students
and their trainers, including essential and desirable criteria which will be taken into account
in the shortlisting, interview and appointment process.

When does the programme start?

The programme starts on Monday 16th May 2011 with the ‘Introduction to Clinical Practice’
core course, which will last for 4 weeks (20 days).

How much does it cost?

The course fees are £6,250 for student orthodontic therapists working within NHS Scotland
and £12,500 for any students working outwith NHS Scotland. Course fees are payable in
advance, and must be paid at the time of acceptance of a course place, no later than 6
weeks before the start of the course. Failure to pay the course fee in time will lead to your
offer of a place being withdrawn and offered to an alternative student. No fees will be
refundable after acceptance.




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How do I apply?

This information pack contains detailed person specifications for both prospective students
and their trainers, including essential and desirable criteria which will be taken into account
in the shortlisting, interview and appointment process.

Places will be allocated by competitive entry. As part of the process of being appointed to
the course, there will be a work placement assessment to ensure the facilities are suitable
for the clinical work placement. This will be similar to the process of assessing a General
Dental Practice for Dental Vocational Training.

You should fully complete the following application forms:

      Student Application Form

      Trainer Application Form

      Outline of Work Placement Form

      Trainer/Supervisor Commitments Form

These forms must be completed electronically, and emailed by noon on Monday 7th March
2011 to:

edin.dental@nes.scot.nhs.uk

Interviews will be held in late March or early April (date tbc) and applicants must be
accompanied by their prospective trainer when attending for interview. Please note that no
alternative interview date will be available.

The interview process will involve an individual interview with the applicant and a joint
discussion with the applicant and their prospective trainer. Prospective trainers will also have
an opportunity to discuss the trainer role with course tutors separately.

The work placements of those provisionally selected for the programme will be inspected in
April and the trainer training course will be run in early May in Edinburgh. Provisional offers
will only be confirmed after a successful work placement assessment.

Applicants are required to identify two referees who can comment on their academic and
professional suitability for the course. The prospective trainer must be one of the referees.

What if I have any further questions?

Please email edin.dental@nes.scot.nhs.uk




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    2. Person Specification for the Student Orthodontic Therapist



                 Essential                                                                                 Desirable

Qualifications         Registrable GDC DCP qualification                                                        National Examining Board for Dental
                                                                                                                  Nurses (NEBDN) Certificate in
                                                                                                                  Orthodontic Dental Nursing
Experience             A minimum of one year of full-time (or part-time equivalent), post-qualification         2 years of full-time (or part-time
and Training            experience                                                                                equivalent) experience in a
                                                                                                                  specialist orthodontic practice or
                                                                                                                  hospital orthodontic department
Skills and             Good communicator                                                                        Experience in the use of Word and
Abilities              Manually dextrous                                                                         PowerPoint or equivalent
                       Sound basic IT skills – email and the Internet                                            programmes
Disposition            Caring approach to patients                                                              Open minded and able to manage
                       Able to work under pressure                                                               change
                       Evidence of high degree of integrity in all professional areas and an                    Hard working with attention to detail
                        understanding and adherence to all GDC Standards documentation
                       Aware of own limitations and when to ask for assistance in line with GDC Scope
                        of Practice
                       Excellent team player
Others                 Able to attend core course on a full time basis
                       Aware of and fully committed to the requirements of the course
                       Demonstrate both a desire and capability to learn
                       Access to computer and broadband internet




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    3. Person Specification for the Trainer



                  Essential                                                                                             Desirable

Qualifications          Registered on the Specialist Orthodontist List of the GDC                                            Registered Diploma or Membership in
                                                                                                                               Orthodontics of one of the Royal
                                                                                                                               Colleges
Training Skills         Willingness to undertake appropriate preparation and training required to become and                 Previous experience of training
                         remain a trainer and to apply this whilst acting as a trainer                                        Previous experience of undergraduate
                                                                                                                               or Dental VT supervision
Commitment to           Willing to re-organise own daily routine and that of practice/clinic to take account of the
the course               presence of a student orthodontic therapist
                        Willing to supervise student clinical treatment, maintaining an appropriate case load,
                         selecting appropriate patients and supervising their management by the student
                         orthodontic therapist during each visit
                        Demonstrates a desire to train and an enthusiasm for orthodontic therapy training
                        Be willing to monitor the students progress in the clinical setting, undertake assessment
                         and provide regular feedback
                        Be prepared to work closely with the programme directors throughout the course
Providing               Prepared to ensure that the training environment consistently meets the requirements for             Is up to date on current best clinical
appropriate              work placements                                                                                       practice
training                Provide a designated dental chair and appropriate nursing and administrative support for             Can demonstrate involvement in staff
environment              the student orthodontic therapist                                                                     appraisal, training and development
                        Support work placement assessment visits and willingly respond to reports
Audit and CPD           Proven commitment to postgraduate education and CPD                                                  Current participation in peer review,
                                                                                                                               audit and research
Skills and              A capable and ethical clinician                                                                      Experience in the use of Word,
Abilities               Good communicator                                                                                     PowerPoint and Excel or equivalent
                        Sound basic IT skills – confident with the use of email and the internet and with a level of          programmes
                         ability capable of assisting the student in these areas                                              Skilled in digital photography
Disposition             Willing to offer appropriate pastoral support to a student orthodontic therapist                     Open minded and able to manage
                        Evidence of high degree of integrity in all professional areas and understands                        change
                         confidentially and ethics                                                                            Demonstrate leadership qualities
                        Dynamic and open to educational opportunities                                                        Enthusiastic and positive
                        Works as part of a team in a well-run practice of hospital department
Others                  Able to work as trainer throughout duration of training programme
                        Aware of and committed to the requirements of the course                                                                                 5
                        Demonstrate flexibility and the desire to learn
4. Duties and obligations of the Student

The following is a list of obligations expected to be contained within the educational
obligations document to be issued to the Student Orthodontic Therapists. The Trainer will
need to ensure that the student fulfils all these obligations:

   1. Attend the practice or hospital department for the agreed hours and perform such
      clinical duties as appropriate for patient care and personal learning needs

   2. Determine personal learning needs in discussion with the Trainer

   3. Maintain and keep up to date the logbook and be prepared to submit it for inspection
      when requested

   4. Take an active part both in weekly tutorials with the trainer and periodic progress
      reviews

   5. Attend all of the core course and all study days organised during the training period;
      normally, the only reason for not attending a study day will be sickness [prior written
      approval from the course directors must be obtained for absence from the core
      course and study days other than sickness]

   6. Ensure that holidays do not lead to absence from the study days

   7. Complete a set project during the training period

   8. Adhere to all the course rules and regulations




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5. The Role of the Trainer

The main part of the student’s training will occur within the work placement under the close
supervision of an appointed Trainer. S/he must be on the GDC Orthodontic Specialist list
and must be able and willing to modify the running of the practice/department to provide a
suitable training environment. They will be responsible for the selection of appropriate
patients for training and will act, not only as a clinical trainer, but also as a mentor and role
model.

The provision of the required level of supervision will be very demanding. Each Trainer must
appreciate that they are embarking on a process which is more akin to teaching a first year
undergraduate dental student than a Vocational Dental Practitioner or Specialist Registrar.
Each patient treated by the student will need to be seen at the commencement, during and
at the end of each visit. This will be highly disruptive to the running of a practice/department
unless it is well organised and managed.

There may be some advantage for training to occur in a site with multiple Specialists who
can share responsibility by designating specific sessions for supervision. A designated
‘Lead’ Trainer could be responsible for coordinating the trainers within a training site. The
details of all those who may be involved in student supervision must be included with the
trainer application form.

All trainers within such a site would have to be on the Specialist Orthodontic list and would
be required to undergo trainer training to prepare them for their teaching, support and
assessment roles before a student commences their training work placement. This training
will be organised by the Course Coordinator supported by other NES staff and will be based
upon the well-established Dental Vocational Training and Clinical Supervision training
courses already run by NES. It will additionally contain elements defining the selection of
patients for the student, clinical log book keeping, assessment procedures, case
presentations, course project and practice visits.

Trainers will be expected to fulfil their educational obligations as detailed within a trainer
obligations document, modelled on the standard Dental VT version. Students will be
expected to fulfil their educational obligations as detailed within a student obligations
document, modelled on the standard Dental VT version. Students will at all times, remain
employees of their specialist practice or NHS Health Board.




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6. Work Placement Requirements

Having satisfactorily completed the 4 week core teaching programme, each student will have
had their first experience of working within a patient’s mouth and have started to acquire
initial patient management and technical skills. It is essential as they move to their work
placements that they enter a suitable and supportive training environment.

Selection of Work Placements:

The training site must be one where the highest standards of dental care are routinely
practiced by all members of staff. The facilities must be appropriately equipped, maintained,
managed and staffed. A designated chair and qualified dental nurse must be available to the
student.

Each site will be inspected, prior to student selection, and assessed against a detailed
practice/department inspection document to ensure that it meets the requirements specified.
Experienced NES practice inspectors will be used and the inspection document will be
modelled from the Scottish Dental Vocational Training practice inspection document.
Requirements will include safe practice environment, equipment and instrumentation,
support staff and practice/department organisation and the training environment.

A copy of the inspection document is available upon request and will be sent out to all
prospective work placements upon receipt of the student and trainer application forms.

It is likely to include:

A   Safe Practice/Clinic Environment

   Compliance with all necessary legislation including Health and Safety

   Infection control and decontamination demonstration

   Appropriate medical emergency drug kit

   Examination of drug kit and emergency oxygen supply

   Date and evidence of CPR training



B   Equipment and Instrumentation

   Identified clinical space for student orthodontic therapist

   Appropriate quality and quantity of contemporary orthodontic instrumentation and
    materials

   Light cure systems

   Access to radiographic equipment for panoramic and lateral cephalometric radiographs

   Access to digital photography

   Appropriate storage and retrieval system for study casts

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   Availability of appropriate orthodontic educational resources e.g. books; videos; journals



C   Support Staff and Practice/Clinic Organisation

   Nursing support identified for student orthodontic therapist

   Appropriate administrative and secretarial support

   Availability of practice literature and patient information leaflets for orthodontic treatment

   Good quality of clinical records [photos, study models and radiographs]

   Appointment book – sufficient time for procedures and treatment of non-medical
    emergencies [guidelines to be provided]

   Clinical audit/peer review undertaken

   Clinical governance in place



D The Practice/Clinic as a Training Environment

   Proximity of trainer – as every patient will need to be seen with the trainer

   Colleagues other than the trainer prepared to be involved if required

   Range of work [variety of malocclusions and treatment approaches in common use]

   Use of a laboratory providing appliances to an appropriate standard

   Access to internet and email and computer with standard Microsoft software



Weekly timetable

The details of working hours and annual leave will be a matter for agreement between the
Student and the Trainer. However, it is expected that during each week of the work
placement, students will receive no less than 27 hours of supervised clinical training. This
should be tailored to ensure a broad exposure to clinical problems and the techniques used
to manage them. The student’s performance during each session will be recorded by the
trainer and allocated gradings/marks which will be fed back to the student.

Students will record each day’s clinical activity in their clinical log books using the clinical log
book data sheets. These will be checked at regular intervals by the Programme Directors to
ensure that the students are receiving a broad and balanced training.

In addition, work placement Trainers will be expected to provide a one hour tutorial, within
protected time, to offer support and to monitor student progress, including reviewing the
student’s Portfolio of Progress and Achievement.



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The remaining portion of each week, comprising approximately 6 or 7 hours will be
designated for self-directed learning. Students will be expected to undertake background
reading, prepare their case presentations and complete their course projects. Support for
these activities will be available from staff within Edinburgh Dental Institute during this time
through a booking process.

During the times (outside the designated holiday periods) that there are no scheduled
attendances at the Edinburgh Dental Institute, it is intended to provide online support and
learning, using a Virtual Learning Environment. It is therefore essential that the student has
easy access to a computer and appropriate broadband internet connection. More details of
this will be provided in due course.



Monitoring of training during work placement

   1) Each clinical session from the outset to the conclusion of the course will be scored
      with feedback provided at the end of the session. Log book data sheet entries must
      be completed for all patients and filed within the clinical log book.

   2) The initial period of work placement training will require very close supervision and a
      ‘Safe Beginner’ report will be completed at the end of the first month by the work
      placement Trainer and will be signed off by the Course Coordinator.

   3) Assessments within the work placements will use the Direct Observation of
      Procedural Skills (DOPS) system, modified for use within the Orthodontic Therapy
      Training Programme.

   4) Student performance and progress will be reviewed at monthly scheduled meetings
      between the Student and the work placement Trainer within the specialist
      practice/hospital department. This will also provide a forum for the Student to raise
      any issues they may have about their training. A written record of the outcome will be
      agreed and a copy kept in the Student’s Portfolio of Progress and Achievement. An
      additional copy will be forwarded to the Course Coordinator.

   5) Formal reviews will be carried out by the Student and the Trainer during months 3, 5
      and 8 of the work placement, with a written record of progress to be agreed and a
      copy kept in the Student’s Portfolio of Progress and Achievement. An additional copy
      will be forwarded to the Course Coordinator, who will meet with the Student and
      Trainer, where appropriate to facilitate in the management of any local difficulties.

   6) The Portfolio of Progress and Achievement will comprise the clinical log book, the
      course project, the two case presentations and all assessments and progress
      reports. It will be regularly reviewed by the work placement Trainer and Course
      Coordinator during the work placement and extended training programme and will be
      presented for review as part of internal final examination.

   7) Regular meetings will be scheduled between the work placement Trainer and the
      Course Coordinator to discuss Student progress.




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7. Student Orthodontic Therapist Application Form



Please see separate document on NES website at:

http://www.nes.scot.nhs.uk/disciplines/dentistry/dental-care-professionals-dcps/orthodontic-
therapists/studentappform2011



8. Trainer Application Form

Please see separate document on NES website at:

http://www.nes.scot.nhs.uk/disciplines/dentistry/dental-care-professionals-dcps/orthodontic-
therapists/trainerappform2011



9. Outline of Work Placement Form

Please see separate document on NES website at:

http://www.nes.scot.nhs.uk/disciplines/dentistry/dental-care-professionals-dcps/orthodontic-
therapists/outlineworkplacementform2011



10. Trainer/Supervisor Commitments Form

Please see separate document on NES website at:

http://www.nes.scot.nhs.uk/disciplines/dentistry/dental-care-professionals-dcps/orthodontic-
therapists/trainersupervisorcommitmentsform2011




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9. The Programme Directors




Jon Hammond has worked as a consultant Orthodontist within the Edinburgh Dental Institute
for 15 years. During this period he has fulfilled a number of roles. He was instrumental in
setting up the MSc programme in Orthodontics within the Institute. More recently he has
coordinated the establishment of the first Postgraduate Orthodontic programme in the
National Dental School in Phnom Penh, Cambodia. Clinically, he is the lead Orthodontist
within the South East of Scotland Cleft unit.




Tony Anderson is Director of Postgraduate GDP Education for South East Scotland for NHS
Education for Scotland. A GDP by background, Tony has been working for NES since 2002
and has been full-time since March 2006, looking after a wide range of workstreams
including Dental Vocational Training, Longitudinal Dental Foundation Training, CPD for
Dentists and all members of the Dental Team, Practice Development, and pre and post-
registration training for Dental Nurses and other DCPs.




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