Clinical Rules and Clinical Rules and Regulations for InternsRegulations for Interns

Dr. Wedad Awliya & Dr. Ra’ed Al-Sadhan

The internship program is a training The internship program is a training program specifically designed to meet program specifically designed to meet the needs of the interns in enhancing the needs of the interns in enhancing their skills as general practitioners. their skills as general practitioners.

The specified period of training shall be The specified period of training shall be continuous and uninterrupted.continuous and uninterrupted.

IntroductionIntroduction

Internship Training Internship Training ProgramProgram

• Clinical Training (GP/OMF Surgery).

• Intern Research Presentation.

• Treatment Planning Session.

• Advanced Education Lectures.

هـ۱٤۲٧رجب ١26 July 2006

Internship Training Internship Training ProgramProgram

• Attendance in the clinic.Attendance in the clinic.• Booked patients clinic.Booked patients clinic.• Primary care clinic.Primary care clinic.• Professional ethics and conduct in the Professional ethics and conduct in the

clinic.clinic.• General rules, system and procedure in the General rules, system and procedure in the

clinic.clinic.

Clinical Rules & Regulations (for Interns)

Official timeOfficial time

Sat-WedSat-Wed 8:00 – 12:00 noon 1:00 –5:00 8:00 – 12:00 noon 1:00 –5:00 (regular Semester)(regular Semester)

Sat-WedSat-Wed 8:00 – 12:00 noon 1:00 –4:00 8:00 – 12:00 noon 1:00 –4:00 (summer)(summer)

Thursday Thursday 9:00 – 12:00 noon 9:00 – 12:00 noon

Attendance

•Attendance will be recorded at start of the clinic.Attendance will be recorded at start of the clinic.

•Interns should not leave the building before the official Interns should not leave the building before the official hours. hours.

•Interns who finished their rota in the college then move to Interns who finished their rota in the college then move to other hospitals/locations that have Thursdays off, other hospitals/locations that have Thursdays off, should should report to the college every Thursdayreport to the college every Thursday to see patients to see patients either as ER or Regular booked Pt.either as ER or Regular booked Pt.

Attendance

Attendance

•The AM attendance records are to be closed at The AM attendance records are to be closed at 8:008:00 AM. AM.

•The AM attendance records are to be sent to the office of The AM attendance records are to be sent to the office of

the Director of Clinics at the Director of Clinics at 8:158:15 AM. AM.

•The AM attendance records are to be open at The AM attendance records are to be open at 11:3011:30 AM. AM.

•The PM attendance records are to be closed at The PM attendance records are to be closed at 1:001:00 PM. PM.

•The PM attendance records are to be sent to the office of The PM attendance records are to be sent to the office of

the Director of Clinics at the Director of Clinics at 1:151:15 PM. PM.

•The PM attendance records are to be open at The PM attendance records are to be open at 4:304:30 PM. PM.

Attendance

Attendance

Leave applicationLeave applicationLeave request form signed by clinic Leave request form signed by clinic directordirectorLeave request + cancellation form Leave request + cancellation form should be submitted 1 week before should be submitted 1 week before designated leavedesignated leave

العياداتامتياز طبيب

االمتياز تدريب برنامج رئيس

• Unapproved absence, negligence, misconduct Unapproved absence, negligence, misconduct or any unacceptable behavioror any unacceptable behavior Report to Report to Interns’ Training Committee for action.Interns’ Training Committee for action.

Change of Clinical Schedule

Treatment ModalitiesTreatment Modalities

1. Booked Patients

2. Primary Care Patients

Booked Patients

Log Book

No. of cases: 10-12 cases in different disciplineNo. of cases: 10-12 cases in different discipline

Booking of patients through the booking area only.Booking of patients through the booking area only.

Pts. Should be requested to register their appoint.Pts. Should be requested to register their appoint.

Maximum time 1 h. per pt.Maximum time 1 h. per pt.

Files should be filled-up completely (history, charting, Files should be filled-up completely (history, charting,

Tx, Tx. procedure and interns' signature)Tx, Tx. procedure and interns' signature)

Cancellation of booked patientsCancellation of booked patients cancellation formcancellation form

Approval of the clinic directorApproval of the clinic director

Booked Patients

• The appointment slips must be filled-up completely specifying the preferred time and number of hours including the type of treatment needed.

• Interns are not allowed to book patients for themselves. All Pt. will come from the booking area in accordance with the waiting list system.

Booked Patients

Referral to specialist or postgrad. uponReferral to specialist or postgrad. upon approval of approval of

interns’ faculty supervisor or interns' coordinator.interns’ faculty supervisor or interns' coordinator.

Stamp pad & signature.Stamp pad & signature.

Use university student No. as Clinician No.Use university student No. as Clinician No.

Out going interns should Finish their cases on Thursdays Out going interns should Finish their cases on Thursdays

or accomplish a Transfer Request to incoming interns. or accomplish a Transfer Request to incoming interns.

Booked Patients

Kingdom of saudi Arabia King Saud University COLLEGE OF DENTISTRY Referral Request/Letter of Reference For Specialist Consultation within the Faculty or with external specialists. From (Doctor’s name and section): To (Doctor’s name and section): Date: Patients name Number Clinical Details Other Relevant Information Provisional Diagnosis: Specialists’ Comments Probable Diagnosis: Signature Name: Date:

LIST OF UNFINISHED CASES (REFERRAL : NEW BATCH OF INTERN )

NAME OF DOCTOR :____________________________ DATE SUBMITTED :_______________

FILE NO. NAME OF PATIENT CATEGORY CASE TEL . NO.

• Preparation of SDS cases for students according to supplied treatment plan.

• Sticker on files’ cover will be placed to indicate SDS prep. cases.

• Finished SDS prep. cases have to be referred in special form to the booking area.

Booked Patients:SDS preparationSDS preparation

KING SAUD UNIVERSITY COLLEGE OF DENTISTRY

MALAZ UNIVERSITY CAMPUS

SDS PREP. FINISHED CASES

ATTENTION: DR.LILIBETH L. GAFFUD Chief RARD, MUC

Kindl y Incl ude The Name Specifi ed Bel ow As Waiting List For Sds Cour ses (Ready Cases).

Name Of Patient :______________________________________ Fil e Number :______________________________________ Tel ephone No. :______________________________________ Categor y :______________________________________ Case :______________________________________ Specifi c Cour se No. :______________________________________ Other Remar ks/ Ref er r al :________________________________ ______________________________________________________________ Name Of Ref er r ing Doctor :__________________________ Date Of Ref er r al : _____________________________________ Note: Kindl y Retur n This For m To The Cl inic

Super visor Af ter Finishing The Sds Pr epar ation.

• Preparation of patients for Ortho. Treatment.

Booked PatientsOrtho. Prep.Ortho. Prep.

• Reserve control room for Pt. with contagious disease.Those patients must NOT be referred to student

courses.

Booked PatientsControl RoomControl Room

Booked PatientsControl RoomControl Room

Primary Care Clinicاألولية الصحية الرعاية

•All pts. should be registered in the booking area.All pts. should be registered in the booking area.

Basic information, med. history, chief complaint & clinical Basic information, med. history, chief complaint & clinical

findings must be recorded in pts’ files.findings must be recorded in pts’ files.

Primary Care Clinicاألولية الصحية الرعاية

•Tx. limited to chief complaint.Tx. limited to chief complaint.

Time allowed for each pt. 45 mins. onlyTime allowed for each pt. 45 mins. only

Primary Care Clinic

Primary care Pts. Primary care Pts. student courses according to student courses according to

the specified criteria the specified criteria (after treatment of chief (after treatment of chief

complaints).complaints).

Walk in pts. Should be registered Walk in pts. Should be registered last last

treated.treated.

The interns are obliged to their respective pc. The interns are obliged to their respective pc.

session till the end of the sessionsession till the end of the session

Primary Care Clinic

Any empty slot in your booked session Any empty slot in your booked session (FTC or no (FTC or no

booking)booking) automatically will be given to PC patients. automatically will be given to PC patients.

PC doctors should not refuse to see any patient sent by PC doctors should not refuse to see any patient sent by

clinic administration for any kind of treatment at any time.clinic administration for any kind of treatment at any time.

D4 pt. D4 pt. (Non Saudi, Non KSU Employees)(Non Saudi, Non KSU Employees) treated only treated only

for ER. Reasons then for ER. Reasons then student courses if the case is student courses if the case is

suitable.suitable.

Productivity will be examined monthly.Productivity will be examined monthly.

Primary Care Clinic

1.1. Treatment of the chief complaint of the Treatment of the chief complaint of the emergency patient.emergency patient.

• Restorative treatment:Restorative treatment: Amalgam and tooth-colored Amalgam and tooth-colored (class I, II, III, IV and V)(class I, II, III, IV and V)

• Re-cementation of the fixed prosthesisRe-cementation of the fixed prosthesis• Repair of provisional FPDRepair of provisional FPD• Night guardNight guard

Tx. that can be performed in the PCC:

2.2. Endodontic Treatment:Endodontic Treatment:

- Pulp extirpation.- Pulp extirpation.- Complete treatment of single rooted - Complete treatment of single rooted

teeth and straight forward cases only.teeth and straight forward cases only.

Unfinished endo. cases can be reserved for Unfinished endo. cases can be reserved for next PC. session next PC. session (Two Visits)(Two Visits)

Tx. that can be performed in the PCC:

Primary Care Reservation Slip

Name of Patient : ___________________________________

File No. : ___________________________________

Tel No. :____________________________________

Doctor :____________________________________

Date :___________________________________

Time :____________________________________

Day : ___________________________________

No. of Hours : ___________________________________

Received by : ___________________________________

Date Received : ___________________________________

Remarks : ___________________________________

To be seen in Control Room

P.M. Session

Signature of Clinic Supervisor_______________

3. 3. Surgical procedure: Surgical procedure: - simple non-surgical extraction should simple non-surgical extraction should be referred to the students.be referred to the students.- other surgical procedure should not be other surgical procedure should not be done without prior arrangement with a done without prior arrangement with a surgeon supervisor.surgeon supervisor.

Tx. that can be performed in the PCC:

4. 4. Removable prosthodontic procedure:Removable prosthodontic procedure: - temporary RPD for esthetic purpose.- temporary RPD for esthetic purpose. - repair of broken complete or partial- repair of broken complete or partial denture.denture.

Tx. that can be performed in the PCC:

5. 5. Periodontics:Periodontics:

- treatment of gingivitis and early- treatment of gingivitis and early periodontitis.periodontitis.

- referral to hygienist.- referral to hygienist.

6. 6. PedodonticsPedodontics

- amalgam and tooth-colored filling- amalgam and tooth-colored filling- extraction - extraction

Tx. that can be performed in the PCC:

Remember : Remember : • No premedication for pedo. patients in No premedication for pedo. patients in

Primary carePrimary care

7. 7. Consultation with specialists.Consultation with specialists.

Tx. that can be performed in the PCC:

•Clinic attire: uniform-with proper ID badge.Clinic attire: uniform-with proper ID badge.

Professional Ethics and Conduct in the Clinics

• Rubber Stamp your name and date with every signature.

Professional Ethics and Conduct in the Clinics

•Observe infection control measures.Observe infection control measures.

Professional Ethics and Conduct in the Clinics

•Proper handling of the dental units, other Proper handling of the dental units, other

equipments and disposable materials.equipments and disposable materials.

Professional Ethics and Conduct in the Clinics

•Maintain respect and confidence of patients. Maintain respect and confidence of patients.

Respect pts. cultural practice and individual Respect pts. cultural practice and individual

differences.differences.

Courtesy, cooperation, and harmonious Courtesy, cooperation, and harmonious

interpersonal relationshipinterpersonal relationship

Professional Ethics and Conduct in the Clinics

•Arrangements should be done with the Interns’ Training Arrangements should be done with the Interns’ Training Committee and Clinic Director.Committee and Clinic Director.

Arrangements should be not to leave the school without Arrangements should be not to leave the school without ER doctors.ER doctors.

Attending meetings, Attending meetings, Symposiums and SeminarsSymposiums and Seminars

• Medical Reports:Medical Reports:

General rules, systems and procedures in the clinics

حضور: مشهد نموذج

•. ) يدويا تكتب•. مرضية إجازة ليست

مسودة: - طبي تقرير نموذج

) يدويا تكتب المسودة

طبي: تقرير نموذج

) يدويا المعبأة المسودة من

التقرير طباعة بعد توقع

في رقم وتأخذ تختم ثمالمعامالت سجل

الصادرة

طبي: تقرير نموذج

لمجرد بالتقرير يكتفى قدإثبات أو المراجعة إثبات

دون القادم الموعدبإجازة التوصية

•Interns are requested to cooperate with the Interns are requested to cooperate with the dental assistants because of the limited No. of dental assistants because of the limited No. of the dental assistants.the dental assistants.

General rules, systems and procedures in the clinics