Community Based Teaching Conference 2009

Alasdair Miller, BDS, FDS, DPDS, DGDP, F.AcMed Ed.

Acting Clinical Director

• Right Place

• Right Time

• Right Student

• Right Result

Truro

Travelling timesPlymouth – Exeter -1 hourPlymouth – Truro – 1.5 hoursExeter – Truro – 1.75 hours

RIGHT PLACE

Right place

• Physical ~appropriate facilities, materials, Exeter, Devonport, Derriford & Truro

• Cultural~ values ~ attitudes and role models ~ reflection and enquiry ~ learning culture

Right Time

• Spiral curriculum~ increasing complexity each year

• Case based learning.• Contextualised learning ~ aids recall

• Clinical supervisors encourage students to question and reflect on care they provide as soon after the event as possible

Right Student• Mature entry at degree level or equivalent.

• Student selection ~ recruit on the immutable’s, train the skills ~ structured interviews based on scenarios

• Right learning environment ~ encourage reflection and questioning ~ PDS is a learning organisation.

Right Result

• Use of appropriate standards~ set by negotiation

• Train to standards• Record of outcomes of each patient visit ~

Form K ~ reviewed with tutors

• Reflective practice ~ develop insight

• Audit results

Standards

• ADEE & FGDP(UK) standards.• Developed in partnership ~ academic, CS’s,

students.

• Taught in Simulated Dental Learning Environment (phantom head)

• Practised on clinic – overseen by Clinical Supervisors ~ results recorded on Form K

Form K

• Modification of Birmingham rating system

• Categories ~– Competent : - able to complete task independently – Learner: -Completed task , needed help & assistance – N.I.R.: - needed immediate remediation on clinic– Observer: -Assisted in provision of treatment– Remediation: - needs formal remediation

Quality Assurance• Clinical supervisors are pivotal

• Work to agreed standards ~ which students are taught

• Standards on intranet ~ available to all

• Train supervisors to the standards

• Monitoring of standards ~ students, staff

• Regular review and refinement

• GDC

OverviewStudents Teachers Supervisors

Set Standards √ √ Curriculum

Train to standards √ √ √ SDLE

Monitor standards √ √ √ Clinics

Reflect on standards √ √ √ QA committees

Monitoring on clinic - FORM K – audits, student passports

Summary

• Select students carefully.

• Set clear standards

• Train students and staff

• Monitor standards

• Reflect & improve.

THANK YOU