Dental Core Training Curriculum in the UK

National Dental Core training curriculum and assessment framework Ghazala Ahmad-Mear Associate Postgraduate Dental Dean HEEYH TPD Development Day Tankersley Manor 24thNovember 2016

Background From September 2016 we have a DCT curriculum in the UK for the first time This presentation will provide training for trainers

Objectives Understanding the structure of dental core training in the UK Knowledge of the evidence required to demonstrate that a DCT has met the pre-agreed learning objectives Understand the format of the curriculum

DCT curriculum Aim : To improve educational standards for Dental Core Training whilst maintaining a focus on patient safety Curriculum sets mandatory outcomes for all levels of DCT

Background DCT 1 focus on generic outcomes DCT 2/3 focus on further development of these with additional optional outcomes. Trainees will have PDP Certificate of achievement No DCT 4 posts. Max 3 year training programme.

DCT training -how is it different? Curricula usually start at point A and describe how a trainee moves to single exit point B and describes the outcomes required DCT has a single entry point- Dental Foundation (or equivalent) DCT is different in that it has multiple exit points

DCT training -how it fits together The route will depend on the trainee s final proposed career path DCT2 DPH DCT3 DCT1 Oral Surgery Paeds Restora tive

Structure of the Curriculum 1/2 Mandatory outcomes broad things that have to be done at DCT1 or DCT2/3 levels Optional outcomes Specialty specific outcomes Agreed at the beginning of a training period which ones are to be met

Structure of the Curriculum 2/2 Examples of things that are used to provide evidence that the higher level outcomes have been met There does not need to be evidence of every individual competence. Behaviors (i.e. evidence of attitudes) Competenc y descriptors Skills Knowledge

Purpose of Dental Core Training 1/3 Dental Core Training will allow trainees to: Experience training in a different setting/s Work in a supportive environment with adequate supervision Learn through service delivery ensuring that patients are not put at risk Practise within their own level of competence Development & feedback to reach higher levels of competence

Purpose of Dental Core Training 2/3 Learn from many different supervisors in different settings Learn to manage patients referred from Primary Care Become part of a large multidisciplinary team Consolidate knowledge of clinical and organisational governance including audit Learn to communicate with a wide variety of different healthcare workers

Purpose of Dental Core Training 3/3 Work with experts in their field Participate in local learning opportunities Develop leadership skills Study and take postgraduate exams Present at local/regional meetings Learn many new clinical skills Maintain a portfolio of learning development and formative assessment Develop their preference of career choice

NHS values and patient safety Values and commitment to patient safety A good trainee is a safe, compassionate and effective practitioner who is committed to high quality patient care and treats all patients with respect. The dental trainee will be expected to demonstrate the following values: Working together for patients Respect and dignity Care and compassion Improving lives Everyone counts Openness, honesty and responsibility Quality and teamwork

Expectations of DCTs Overall, the expectation of trainees is that they will drive their training against an agreed set of objectives and timeline in order to maximise their training opportunities and development. Clinical Supervisors, Educational supervisors and members of the Deanery or local HEE teams all have a role, but the primary responsibility for training progression sits with the individual trainee.

Educational Support Educational and clinical supervisors Induction, General and Local departmental Learning agreement PDP Workplace based assessments E Portfolio Reflective practice

Mandatory Outcomes and competence descriptors A. The Dental Core Trainee as a developing professional Domain 1. Professional behaviour and trust Domain 2. Communication, team working and leadership Domain 3. Clinical safety and quality B. The Dental Core Trainee as a safe and effective practitioner Domain 4. Good Clinical Care C. Specialty specific outcomes OPTIONAL OUTCOMES (agreed at the beginning of a training year in PDP)

Specialty specific outcomes E.g. Paediatric dentistry DCT1 outcome: Have a basic understanding of Paeds provision in the secondary care service. Able to made Paeds diagnosis and undertake basic emergency dental treatment for children. DCT2/3 outcome: Have a practical set of skill and knowledge base to deliver a range of dental management for children in primary and secondary care

The Assessment of the Dental Core Trainee Review of competence progression Certificate of achievement Learning agreement WBA (24 per year)

Assessment Initial meeting to set smart objectives Review at 3 months Interim review of competency progression at 6 months Final competency review to agree outcomes achieved (or not achieved) Certificate of achievement

Quality management Programme management is local i.e. by country or HEE local team Existing arrangements to continue for now- COPDEND has set quality standards previously Systems are likely to vary by country HEE is developing a new educational quality management system and DCT will fit into that as it evolves External quality assurance systems to be considered ( GDC currently only QA specialty)

Summary We have covered how DCT training works How the curriculum is structured How the assessment process works Feedback please

National Dental Core training curriculum and assessment framework Questions?