COPDEND Standards for Dental Educators - UK Committee … high... · Introduction...
Transcript of COPDEND Standards for Dental Educators - UK Committee … high... · Introduction...
Text © COPDEND 2013.All rights reserved for commercial use. This document may only be copied or reproducedwith the following acknowledgement: COPDEND 2013
These standards have been developed by COPDEND and should not be adapted.Only COPDEND can edit or amend these standards or provide further guidance.
This document should be cited as:COPDEND UK (2013) Standards for Dental Educators. Oxford: COPDEND
This document was prepared for COPDEND by Alison Bullock and Julie Browneat Cardiff University working in consultation with the Advisory Group.
Membership of the Advisory Group
Chair: Helen FalconChair of COPDEND and Postgraduate Dental Dean, Oxford & Wessex Deaneries
Jon CowpeDirector, Postgraduate Dental Education in Wales
Lisa Hadfield-LawEducation Adviser for the Royal College of Surgeons of England
Donna HoughDCP Tutor, North West Deanery
David HusseyPostgraduate Dental Dean, Northern Ireland
Stephen Lambert-HumblePostgraduate Dental Dean, Kent, Surrey and Sussex Deanery
Will McLaughlinConsultant in Restorative Dentistry, Cardiff Dental Hospital
Shalin MehraAssociate Dental Dean, Oxford & Wessex Deaneries, Dental Corporate Body Director
Lawrence MudfordVice Dean FGDP(UK)
Graham OrrDirector of Postgraduate GDP Education, North East Scotland,NHS Education for Scotland
Stephen PorterDental Schools Council representative, Director Oral Medicine,UCL Eastman Dental Institute
Ian SharpAssociate Postgraduate Dental Dean, West Midlands
Forewordby Helen Falcon
The UK Committee of Postgraduate Dental Deans and Directors(COPDEND) plays a leading role in the co-ordination of postgraduatedental education and training programmes and activities, and aims topromote and share best practice and continuously improve theexperience of our learners.
I am delighted to introduce theseStandards for Dental Educators that buildon the successful “COPDEND Guidelinesfor Dental Educators” published in 2008.I want our Dental Educators to berecognised for the skilled work that theydo, in the same way that we recognise andreward clinicians’ achievements withpatient care. There has been a sea changein attitudes since I first became involvedwith postgraduate dental training andeducation, over twenty years ago. It’s nowalmost unthinkable that a trainer of dentistsor DCPs should be expected to carry outtheir critically important role without someformal induction and training for the job.
However, there is as yet no consistentapproach or agreement about what isneeded to underpin this much improvedsituation. We know that where there areclear standards for people to achieve, wecan monitor how well we are doing, andalso help shape training and educationprogrammes to meet those standards.We can assist those who aspire to becomeeducators to better understand what theyneed to learn and what competences theyshould acquire and demonstrate toprogress their own careers.
The recent publication of the FrancisReport1 has highlighted the essential linkbetween high quality education and trainingand high quality patient care; and these
standards will help us to evaluate criticallywhat we do to support the delivery ofpostgraduate education and training indentistry and to plan how we can improve.We need to consider carefully how best toincorporate these standards, not only in thework of postgraduate dental deaneries butalso across the wider field of postgraduatedental education and to make sure they areuseful to our regulators, commissionersand learners.
I should like to acknowledge the sterlingwork of those involved in the design,testing and refinement of these standards.We have had very wide involvement fromacross the dental professions and this is atruly multi professional piece of work.Particular thanks must go to the workinggroup members and especially to AlisonBullock and Julie Browne for sharing theirconsiderable expertise in this field, and fortheir unfailing efficiency and good humour.Last but not least, I am extremely gratefulto one respondent to the consultation thattook place as part of the development ofthese standards for so eloquentlysummarizing what we are trying to do:
“ These Standards will hopefully actas an inspiration to the profession.At worst they are an aspiration towhich we can all work.”
COPDEND Standards for Dental Educators | 1
1. Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. Chaired by Robert Francis QC. February 2013.London: The Stationery Office. Available from http://www.midstaffspublicinquiry.com/report.
IntroductionStandards for dental educatorsThe drive towards excellence in dental education requires dentaltrainers and teachers to hold themselves accountable for theireducational performance and commitment to continuous qualityimprovement in their practice.
Such accountability extends to patientsand the public, their learners (in whateverguise, be they students, trainees orpractitioners in primary or secondary care),and their colleagues. In developing theStandards for Dental Educators,COPDEND has for the first time set out thevalues, knowledge and behavioursexpected of dental educationprofessionals.2
In presenting these Standards, COPDENDseeks to ensure that skilled educatorsprovide high quality educationalexperiences for all learners. Standardsclarify the expectations of educators, offergreater recognition of the role, greaterconsistency for learners, and shape theeducational content for dental educators.
Dental educator roles are diverse anddesigned to support different members ofthe dental team, in primary and secondarycare and academic settings. Roles includebut are not confined to: Dental and DentalCare Professional (DCP) CPD Tutors,supporting lifelong learning; DCP Tutorssupporting dental nurses, dentaltechnicians, clinical dental technicians,dental therapists, orthodontic therapistsand dental hygienists’ programmes; DentalFoundation Training (DFT) ProgrammeDirectors, Advisers and Trainers (andequivalents in Scotland); Specialty TrainingEducational and Clinical Supervisors,Training Programme Directors and Trainers;
Royal College and Faculty examiners andtutors; and Postgraduate Deans(Directors/Heads of Schools) and AssociateDeans. The educator role may be full-timebut is frequently undertaken on a part-timebasis and alongside a busy clinical postand/or academic research activities.
Dental education is practised in a complexenvironment and under conditions thatrequire a unique set of standards.
� The General Dental Council regulatesthe entire dental team and therefore thestandards must be applicable both inter-and multi-professionally.
� Dentists and DCPs generally work withina team; this means that the learningenvironment is particularly complex,especially where multiple practitionersare involved simultaneously in patienttreatment and the education of juniorprofessionals.
� The majority of dental practitioners workin primary care, where practical skillspredominate and learning is one-on-onewith the trainer in the dental practice.
� The workplace learning context isaffected by the business contract andfunding arrangements and regularlyincludes practitioners discussingpayment for treatment directly withpatients.
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2. We note that COPDEND’s responsibility is for postgraduate and continuing education and training
COPDEND Standards for Dental Educators | 3
These unique features require Standardsfor Dental Educators which can recognisethis context. However, whilst there is nodoubt that dental education requires aunique mix of knowledge, skills andattitudes, COPDEND recognises that manyof the competences required of dentaleducators are generic to all healthcareeducators and to this end the COPDENDStandards have been set out in a formatthat allows them to be mapped againstother existing standards frameworks.
These include: the Academy of MedicalEducator’s (AoME) Professional Standardsfor Medical Educators and its Frameworkfor the Professional Development ofPostgraduate Medical Supervisors; theGeneral Medical Council’s (GMC) work onthe Recognition and Approval of Trainers;the Higher Education Academy’s (HEA)Professional Standards Framework; and inWales, the Standards for Health Servicesand the Quality Development Plan.
How the standards were developed
The COPDEND Guidelines for DentalEducators were used as a starting point.Information about current training for dentaleducators was gained from an onlinequestionnaire (completed by over 400dental educators and providers of trainingfor educators) and discussions with allPostgraduate Dental Deans/Directors ortheir representatives.
Draft standards were extensively discussedby the Advisory Group, led by HelenFalcon, chair of COPDEND. During a10-week consultation period 83 responseswere received from individuals andorganisations. Revisions were made andthe final Standards were approved byCOPDEND in February 2013.
Description and organisation of the Standards
The Professional Standards are divided intothe core values and five domains. Withinthe five domains, the core knowledgerequired of all dental educators has beenset out.
Beyond the core values and core domainspecific knowledge, the standards arearranged into two levels which broadlyreflect the roles of dental educators (levelone) and the strategic leaders andmanagers of dental education (level two).
Not all standards are relevant to alleducators; rather the application ofstandards should reflect the individualeducator’s role. For example, for the DF1
trainer, the standards related to level one inthe domains ‘Teaching and Learning’,‘Assessing the Learner’ and ‘Guidance forPersonal and Professional Development’will be most relevant, together with some ofthe standards in level one of the ‘QualityAssurance’ domain. It is possible thatsome in an ‘advisory’ role (for example,training programme directors) might havesome standards applicable at both levelsone and two, depending on the relevanceof the domain. However, all dentaleducators are expected to demonstratethat they understand and share the corevalues and core knowledge set out in thestandards.
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COPDEND Standards for Dental Educators | 5
Why have Standards?
The main reason why a dental educatorshould engage with these standards relatesto the quality of patient care provided bythe dental profession. At all times, dentalprofessionals seek to address patients’needs. Patients should to be treated byknowledgeable and skilled dentists, DCPs,trainees and students who maintain highprofessional standards. The maintenanceof high quality professional practicedepends upon high quality learningexperiences. This in turn relies uponexcellent educators, who reflect upon andseek to improve what they do with learners.
The role education and training plays insafeguarding patients was made clear inthe Francis Report1. COPDEND believesthat Standards for Dental Educatorsprovides a framework which supports thecontinuous improvement of dentaleducators. The potential to affect thequality of patient care is why dentaleducators should be bothered to read on.
A wide ranging set of benefits wasidentified by the respondents to theconsultation that was carried out as part ofdeveloping the Standards:
� For the profession: standardization, accountability and transparency.
Raise the profile ofthe profession . . .
Reassurance for patientsand regulators that safety isat the centre of practice andtraining.
Improved standards ofeducation make betterpractitioners and therefore animprovement in patientsafety/treatment outcomes.
Uniformity, high standardsexpected as norm.
� For patients and the public: reassurance and improved healthcare as aresult of improved education.
The HEA considers that standards willensure that students receive thehighest quality learning experience.Evidence suggests that educators whoreflect on their own practice provide alearning environment in whichstudents engage in criticalcontemplation, and that this will havea positive impact on patient safety.
Perceived barriers to implementation mainlyrelated to time and resources. Otherimplementation barriers that were notedincluded attitudes (arrogance, fear,resistance to change), lack of awarenessand apathy. A few identified a risk that theintroduction of standards might put off
existing educators and deter therecruitment of new dental educators.Others noted difficulties in monitoring.These all need careful consideration andguidance from organisations such asCOPDEND.
It will make it clear toapplicants what is requiredof them.
� For students/trainees/practitioners: improved learning opportunities andgreater consistency.
By ensuring a minimum levelof standards for educators,the trainees should receive agreater consistency oftraining.
Having standards in place mayencourage new educatorsbecause it gives a frameworkto work within . . .
� For employers and regulators: quality control, clarity of expectationsleading to improved governance, CPD and career planning.
� For individual educators: motivation, job satisfaction, increasedconfidence, career pathways, opportunities for recognition and a betterfoundation for future development both as a dental practitioner and also asan educator.
� For providers: guidance on curriculum content.
This can only be beneficial to theprofession. It will give some consistencyand clarity on what is expected ofeducators. This would be particularlybeneficial to someone like me who isnew to being a trainer.
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COPDEND Standards for Dental Educators | 7
Examples of evidence
Core Values
� Personal development planning,appraisal
� Reflections on education and training
� Feedback from colleagues, learners,patients
� Wider reflection on role; meta-reflections/reflections-on-reflections
� Training in role modelling andprotecting patient safety
Core Knowledge
� Courses or programmes (face-to-face,online) plus reflections
� Readings (from books, journals) plusreflections
� Results of assessments
� Reflective notes on documents(curricula, assessment systems,local/national procedures)
Level 1
� Feedback from learners, patients,colleagues
� Reflections on practice as an educator
� Reflections on (anonymised) examplesof individual learningplans/assessment/guidance/audits etc
Level 2 (as above plus…)
� Reflections on strategy documentsand/or development and contributionto change
� Reflections on approaches to learningplans/assessment/guidance/QA/performance management etc for theregion
� Reflections on the contribution of widerroles (e.g. national committees,examining)
� Grants, awards
� Prizes; local, national and internationalrecognition
A word on evidencing the Standards
Many higher education institutions (HEIs)provide education and training for dentaleducators and offer opportunities to buildcredits towards postgraduate Certificates,Diploma and Masters in dental education.Postgraduate Deaneries also offer localinduction courses for dental educators andother short courses relevant to dentaleducators.
However, dental education is both ascholarly and a practical undertaking.Evidencing standards is therefore not solelyabout courses followed or certificatesgained; rather, that knowledge and skillscan be demonstrated through the work ofthe dental educator, for example bydescribing dental education activity andcritically reflecting on events, referencingtheory and literature, or by seekingfeedback about performance as aneducator from learners and peers.
COPDENDStandards for Dental Educators
v. 1 Enhancing the care of patients through dental education
v. 2 Modelling good professional behaviour and attitudes at all times
v. 3 Continuously seeking to improve his or her educational practice
v. 4 Learner-centred education, safeguarding learner wellbeing
v. 5 Enabling a culture of personal and professional development
v. 6 Actively contributing to and supporting the education of colleagues
v. 7 Equality and diversity
v. 8 GDC Standards promoting high quality, ethical, safe patient-centred careat all times, and seeking to maintain oral health, prevent oral disease and ensurepatient dignity
Core ValuesThe dental educator is committed to:
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Domain1.Teaching
andlearning
1.k.
1Can
describ
eho
wdifferent
ideas
abou
tlearnersandlearning
makea
differenceto
educationalpractice.
1.k.
2Can
identifygo
odpracticerelating
todifferent
mod
esof
educationaldelivery
inorde
rto
maximiselearnerachievem
ent
1.k.
3Can
discussdifferent
approa
ches
toco
urse
developm
enta
ndprog
ramme
planning
1.k.
4Can
specify
theco
ntento
fthe
learners’p
rogram
me/curriculum
,the
requ
iredprofession
alandclinical
standa
rds,andexpe
cted
outcom
es
1.2.
1Usesresearch
evidence
toimprove
dentaled
ucationandtraining
1.2.
2Promotes
theap
plicationof
educationaltheoryto
dentaled
ucation
andsupp
ortsbe
stpracticeined
ucation
1.2.
3Lead
sthestrategicde
velopm
ento
fde
ntaled
ucationandtraining
throug
hliaison
with
serviceco
mmission
ers,
providers,pa
tientsandtheir
representatives
andby
implem
enting
newandimproved
approa
ches
1.1.
1App
liesed
ucationaltheoryandacriticalevaluationof
evidence
totheired
ucationalpractice
1.1.
2Devises
approp
riate
educationalinp
utto
meetlearners’
need
sandco
ntinually
seeksto
improveinpu
tinthelight
offeed
back
1.1.
3Prepa
resow
nor
uses
others’h
ighqu
ality
learning
resourcesanded
ucationalm
aterials
1.1.
4Plans,sup
ervises,discussesandreview
slearners’
developing
know
ledg
eandskills,e
ncou
raging
increasing
profession
alrespon
sibility
1.1.
5Ensures
learnersareaw
areof
theaims,ob
jectives,c
ontent
andarrang
ementsof
courses/prog
rammes
1.1.
6Employsgo
odco
mmunicationskills
andworks
wellin
team
s
Spe
cific
tole
arni
ngin
the
wor
kpla
ce:
1.1.
7Maximises
oppo
rtunities
forstud
entsto
acqu
irerelevant
expe
rienceintheworkp
lace,w
hilstm
akingthecare
ofeach
patient
thepractitioner’s
primeco
ncern
1.1.
8Lo
oksforop
portunities
toinvolvepa
tientsandthewider
workplace
team
ased
ucators
1.1.
9Maintains
financialandethicalprobitywhere
clinicalpractice
interfa
ceswith
business
practice
Co
reK
now
led
ge
Leve
l2Le
vel1
COPDEND Standards for Dental Educators | 9
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Domain2.Assessing
thelearne
r
2.k.
1Can
identifythestreng
thsand
weaknessesof
different
assessment
proc
esses
2.k.
2Can
describ
etheexpe
cted
standa
rds,assessmentsystem
orgrad
ingcriteria
relatingto
thetraining
they
provide
2.k.
3Can
explaintheprinciples
ofco
nstructivefeed
back
2.k.
4Can
outline
theuseof
form
ative
andsummativeassessmentinstrum
ents
andcanexplaintheirrelationshipto
learning
2.k.
5Can
explainthefeed
back
skills
requ
iredso
that
learning
improves
followingassessment
2.2.
1Lead
sthestrategicde
velopm
ent
andimplem
entationof
assessment
proc
essesandsystem
s,enco
urag
ing
andsupp
ortingco
lleag
uesandlearners
tobe
activelyenga
ged
2.1.
1Usesap
prop
riate
assessmenttoo
lswith
learners,
exchange
sco
nstructivefeed
back,a
ppropriatelydo
cuments
outcom
esanduses
assessmentresultsandreflectionto
inform
future
learning
Co
reK
now
led
ge
Leve
l2Le
vel1
Domain3.Guidan
ceforpersona
land
professiona
ldevelopmen
t(PPD)
3.k.
1Can
access
andthen
detailcurrent
guidance
relatingto
ethicaland
profession
alco
nduct
3.k.
2Can
access
andthen
describe
localand
nationalprocedu
resrelatingto
clinicalgo
vernance
andpo
orpe
rform
ance
andthesupp
orta
vailable
3.k.
3Can
describ
ecurrente
ducational
andprofession
alrequ
irementsforinitial,
postgrad
uate
andco
ntinuing
registration
3.k.
4Can
access
andde
scribethetools
andskills
requ
iredto
supp
ortP
PD
planning
3.k.
5Isfamilia
rwith
therang
eof
agencies
andsourcesof
inform
ation
abou
tPPD
3.2.
1Whilstrecog
nising
that
issues
ofpa
tient
safetyarepa
ramou
nt,e
nsures
that
dentaled
ucatorsandlearnersare
approp
riately,
transparently
andfairly
treatedinmattersof
poor
perfo
rmance
3.1.
1Com
plieswith
GDCandNHSstanda
rdsandgu
idance
inrelationto
education,
CPD,c
linicalgo
vernance
andpo
orpe
rform
ance
matters,seeking
andactingon
advice
andsupp
ort
3.1.
2Provide
son
e-to-one
educationalsup
portandgu
idance
tolearners
3.1.
3Con
structivelyandsensitivelychalleng
espo
orpracticein
thede
liveryof
patient
care
Co
reK
now
led
ge
Leve
l2Le
vel1
COPDEND Standards for Dental Educators | 11
Domain4.Qua
lityassuranc
e
4.k.
1Can
describ
eaba
sicrang
eof
course
evaluationtoolsandtherolesof
audit,evaluationandresearch
inde
ntal
education
4.k.
2Can
demon
strate
awarenessof
localand
nationalqualityassuranceand
improvem
entsystemsandproc
esses
relatedto
educationandtraining
4.2.
1App
raises
dentaled
ucatorson
theirpe
rform
ance
4.2.
2Con
tributes
tothestrategic
developm
enta
ndimplem
entationof
QA
system
sforde
ntaled
ucationand
initiatingactionas
approp
riate
4.2.
3Analysesevaluationda
ta,
identifying
areasforstrategic
developm
ent
4.2.
4Develop
saculture
inwhich
the
high
eststand
ards
ofde
ntaled
ucation
areprom
oted
andmaintainedforthe
benefitof
patientsandlearners
4.1.
1Evaluates,reflectsup
onandseeksto
improvehisor
her
owned
ucationalperform
ance
4.1.
2Records
data
(inpu
ts,p
rocesses
andou
tcom
es)for
mon
itoringandauditp
urpo
ses
4.1.
3Implem
entslocaland
nationalqualityassurancesystem
sandproc
essesrelatedto
educationandtraining
4.1.
4Encou
rage
slearnersto
participateinaudit,evaluationand
research
Co
reK
now
led
ge
Leve
l2Le
vel1
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Domain5.Man
agem
ent
5.k.
1Can
explaincurrentreq
uirements
andou
tline
bestpracticeforfair
recruitm
enta
ndselectionto
educational
prog
rammes
5.k.
2Can
explainthefeatures
ofeffectivemanag
ement,lead
ershipand
team
workandtherequ
iredskills.
5.k.
3Can
explainho
wtheenvironm
ent
andthepe
opleinitaffect
learning
5.2.
1Fairlyrecruits,selects,m
anag
esandlead
sde
ntaled
ucators,ensuring
they
areprop
erlysupp
ortedintheirrole
byworkloa
dmanag
ementsystems,
resources,indu
ctionandprofession
alde
velopm
ent
5.2.
2Instigates
orpo
sitivelyco
ntributes
tonationaland
localpolicyde
velopm
ent
fored
ucationandtraining
5.2.
3Lead
sor
contrib
utes
tothe
strategicde
velopm
ento
fdental
educationandimplem
ents
improvem
entsinde
ntaled
ucationand
training
5.1.
1Where
involved
inrecruitm
ent,fairlyandap
prop
riately
selectslearnersfored
ucationalprogram
mes
5.1.
2Participates
inlocaland
/ornationalcom
mittees,
orga
nisations,a
nd/ordiscussion
grou
pson
dentaled
ucation
5.1.
3Works
effectivelybo
thinde
pend
ently
andinliaison
with
others
tomanag
eresourcesforde
ntaled
ucation
5.1.
4Manag
estheed
ucationalinp
utof
others
Co
reK
now
led
ge
Leve
l2Le
vel1
COPDEND Standards for Dental Educators | 13
www.copdend.org
“developing the dental workforceto meet the needs of patients”
COPDEND is the Committee of Postgraduate Dental Deans andDirectors, from England, Northern Ireland, Scotland and Wales.The Deans commission, provide and quality manage high qualitytraining and education for the whole dental team.