General Information Sessions

Kellie Hildebrandt, RDH, MBA Sheryl Sloshower, RDHRegistrar – Executive Director CCP Coordinator

Welcome & Introductions CCP General Requirements & Policies

CCP – Year 1 & Year 2 onward Reporting Period Late/Inadequate Submissions Assessment of Submissions

Professional Development Component Professional Participation Component Forms Review Questions

Thank you CCP Coordinator – Sheryl Sloshower

CDHM Website – www.CDHM.info PowerPoint presentations• CCP Package Material & Forms• Video/Audio recording of the session• Upcoming posts – blogs, resources, courses, online

forms, etc Newsletter

Feedback/Questions to ccp@cdhm.info

Unique, evidence-based Ensure continued competence Much consideration given Achievable Flexible Mandatory program Life-long learning

CE Credits, Points, Hours

Portfolio

1. Self-directed assessment

1. Self-directed assessment

2. Goal development and activity planning

2. Goal development and activity planning

3. Activity implementation and evaluation

3. Activity implementation and evaluation

Continuing Competency Program

Professional Development Component

Professional Participation Component

Continuing Competency Record (CCR)

Professional Activity Record (PAR)

REQUIRED OPTIONALProfessional Development

Component

1 Competency Goal

1 Continuing Competency Record (CCR)

Professional Participation Component

Professional Activity

Professional Activity Record (PAR)

OPTION 11 Competency Goal & 1 Professional Activity

Professional Development Component

1 Competency Goal

1 Continuing Competency Record (CCR)

Professional Participation Component

Professional Activity

1 Professional Activity Record (PAR)

OPTION 22 Competency Goals

Optional Professional Activity

Professional Development Component

2 Competency Goals

2 Continuing Competency Records (CCR)

Professional Participation Component

1 Professional Activity

Professional Activity Record (PAR)

Learning year May 2010 to April 2011

Feedback will be provided for all members based on the CCRs and PARs submitted

Subsequent to the initial year, all members will submit CCP documents to review for completion, but only a predetermined randomly selected proportion of members will undergo a full assessment/audit.

The Reporting Period Deadline will be defined as April 30th for the current CCP year

All members on the Practising Register as of April 30th must satisfy the required components Continuing Competency Record (CCR) for each competency

goal identified, and if applicable: Professional Activity Record (PAR) describing participation in

professional activities

Keep a personal copy of the forms/documents submitted

Please complete the declaration at the end of the CCR. Providing false or misleading information will be considered misconduct and may be subject to a Complaints/Disciplinary Committee Review

To ensure unbiased evaluation, please provide only your CDHM number on the CCR & PAR

Failure to meet CCP requirements by the reporting period deadline (April 30) = Late Fee of $100.00

Failure to submit requirements by May 31, may be subject to an additional fine and disciplinary action

Members not meeting CCP requirements within 6 months of the reporting period deadline and want to remain on the Register of Dental Hygienists – Practising, must successfully complete one of the following: Council-approved Competency Assessment or

Refresher Education course in dental hygiene; or The Canadian National Dental Hygiene

Certification Examination (NDHCE)

Successful completion of an approved Competency Assessment, Refresher Course in dental hygiene or the NDHCB Examination will be considered valid for the purpose of registration for a period of 12 months following completion

For members failing to satisfy the above requirements, application for renewal will be deniedCCP Submission Time Associated Fee(s)

Submits* CCP by midnight on April 30 No fees

Submits* CCP after midnight April 30 $100.00 late fee

Submits* CCP after midnight May 31 $100.00 late fee and subject to additional fine and disciplinary action

Failure to submit* CCP by midnight October 31 Assessment/Refresher Course (and associated fees) or NDHCE (and associated fees)

The individual member’s practice setting and environment will be considered when assessing CCP submissions

Competency activities carried out within 24 months of the reporting period deadline (April 30th) will be considered eligible

Members achieving more than two continuing competency goals in a given reporting year should submit the two goals of most priority or contributing most to competency

Assessment and feedback of CCP submissions will be conducted by trained CDHM Continuing Competency Assessors and provided to members

Random assessments/audits may be conducted to validate the information provided by members

Assessment Guidelines are being developed to assist with proper completion of forms

The philosophy of the program is to facilitate and encourage rather

than to discipline.

Non-Practising members wishing to transfer to the Register of Dental Hygienists – Practising between May 1-October 31, are required to submit full CCP requirements

Non-Practicing members wishing to transfer to the Register of Dental Hygienists – Practising between November 1-April 30, are required to submit partial CCP requirements (one CCR/goal)

The above reporting policies will also apply to new members in their first reporting period

For the learning year of May 2010 to April 2011, full requirements will be required regardless of when a transfer or new application occurs

 

Applicants for transfer who do not meet the required components of the CCP must provide evidence of successful completion of a Council-approved dental hygiene Competency Assessment or Refresher Education course; the course must have been completed no longer than 12 months prior to application for transfer

Non-practicing members are not required to report their continuing competency activities (but may contact the CDHM if they would like to do so)

 

Continuing Competency Activities

Educational Courses/SeminarsOnline Courses

Advanced Formal Education Professional Journals/ Articles

Study or Journal Clubs

Videos or DVDs (DVD Quarterly)

Continuing Competency Activities

Educational Courses/SeminarsOnline Courses

Advanced Formal Education Professional Journals/ Articles

Study or Journal Clubs

Videos or DVDs (DVD Quarterly)

BEFORE:•Self-directed assessment•Goal development & activity planning

QUESTIONS to ask: •Why am I participating in this activity?•What competency need or interest do I have that leads me to this activity?•What is my competency goal?

AFTER:•Evaluation

QUESTIONS to ask: •What did I learn?

•Did the activities meet my goal? What change(s) would I like to

make?What change(s) did I make?Did it benefit my practice?

Method Description Practice Problems and Reflection

One of the best ways to maintain competence is to reflect on and learn from one’s own day-to-day practice problems. Problems stemming directly from client care such as complex medical conditions, communication challenges, procedural difficulties, and poor treatment outcomes can provide rich opportunities for improving practice. In addition, one’s overall practice environment may also provide challenges to the dental hygiene practitioner. For example, antiquated office policies, conflicting treatment philosophies and structural inadequacies are fairly typical in health care practice and signal areas of practice that would benefit from improvement. Practice problems often generate emotional responses and such cues help identify competency challenges. Maintaining a practice log aids in recalling challenges for later reflection.

Once the dental hygienist ‘cues in’ that she/he is experiencing a practice problem, careful reflection is required. This involves deliberately mentally exploring one’s understanding of the problem. Asking one’s self ‘why’ questions (i.e. why did my patient’s periodontal status deteriorate?) in addition to trying to solve the problem is key to full understanding and improvement.

Using the CDHM Competencies and Practice Standards

Using provincial Competencies and national Practice Standards can be helpful for determining professional strengths and weaknesses and directing one’s continuing competency goals. Using these documents involves comparing one’s own practice performance to the competency/standard outlined in the document. Members determine if they have competency in the specific item or if additional development is required—often due to insufficient knowledge, skill and/or experience. Where additional development is required, the dental hygienist is cued in to develop a corresponding continuing competency goal.

Questions, Discussions and External Feedback

Self-directed assessment should increasingly rely on external sources. Discussions, questions and feedback from peers, employers and clients provide excellent resources for identifying deficiencies, continuing competency goals and professional development opportunities. These discussions often highlight topics or issues that one has limited knowledge about or contradict one’s current beliefs or understanding. It is often human nature to dismiss negative feedback or conflicting philosophies, but these are key opportunities for ensuring competent performance. While these opportunities may occur spontaneously (i.e. client questions, employer/colleague comment and discussions), more often individuals must solicit others for feedback. It is important to ask for others to be specific and limit feedback (See a sample of an external feedback form in Appendix 1-D.

Evidence-based Practice

In health care practice, it is often the case that practitioners are unaware of what they do not know. Dental hygienists may not realize that current research does not support a specific routine procedure. Reading professional journals and articles, attending professional conferences and lectures, conducting research and participating in journal clubs provide valuable opportunities for individuals to be exposed to new research that may be considered for goal development.

Practice Problems and Reflection Why did my patient’s periodontal status

deteriorate? Using The CDHM Competencies and Practice

Standards Eg. Assessment Competency #20 – Selects

and uses appropriate oral health indices (PSR) Questions, Discussions and External Feedback

Discussions, questions and feedback from peers, employers, clients

External Feedback Form Evidence-based Practice

Reading professional journals – disconnect between research and current practice

Task Description Example Goal Development

Perceived Practice Deficiency: Describe in detail the perceived practice deficiency or potential weakness that may be compromising one’s competence and would benefit from improvement; at this point, the dental hygienist may still need to validate that there is an actual deficiency and this will be part of the overall learning experience. At this point the member is only aware that she/he is unsure about something surrounding practice. The description can include all or some of the following:

What led me to believe I have a potential deficiency/weakness/need

What do I know about this area of practice Is it possible that my knowledge/skill could be updated Is it possible that my practice is not based on credible, evidence-

based information Corresponding Goal: In one sentence, define a goal that would capture the deficiency you have described above. A good goal has a subject (usually one’s self), action, timeline and a measurable outcome.

Example: “I heard other dental hygienists at a meeting talking about implant maintenance that did not conform with our practice routine and policy (implant probing, polishing); I thought our practice procedures were up to date, but now I’m not sure; I can’t really recall where or when we established our policy and I’m not even sure what everyone in the office is doing; we do a lot of implant care so this is really important to my practice” “Within 6 months, I will ensure that the dental implant care I provide/recommend is based on the most current evidence available”

Objectives to meet Goal

Typically when attempting to accomplish a major continuing competency goal, several minor objectives will need to be outlined and achieved over the time frame of the overall goal. These can be thought of as mini-goals and are extremely important for working towards a more complex or larger goal. Sometimes practice deficiencies will be less complicated and will not require a staged approach. When thinking about objectives remember to include not only the learning component, but also what will be necessary for implementing changes to practice.

>Learn current evidence-based implant care >Discuss current procedures with dental hygienists in my practice >If necessary, change my current practice behaviours to conform with current evidence >Discussion with employer regarding necessary new instruments/ supplies and additional time and fees for clients

Potential Activities

Once the dental hygienist has outlined the minor objectives, it is relatively straightforward to plan what activities will be needed to accomplish them. The important point to consider is what resources will be available and accessible to achieve one’s goals. Where one lives, time and finances available, one’s knowledge base and the nature of the goal will all influence the selection of activities. The choice of activities should be realistic so that minimal obstacles are encountered when carrying out the activity plan.

1. Do literature search of internet using credible research on dental implant care 2. Watch CDHA DVD & do quiz on implant care 3. Contact colleague at university dental hygiene school to determine current procedures 4. Discuss during staff meeting current procedures and necessary policy changes.

Goal Development Perceived practice deficiency or area of

need Objectives

Mini-goals Potential Activities

What you choose based on resources Location Time Finances

Task Description Implement Activities Once a detailed and realistic activity plan has been developed, it is relatively

straightforward to carry it out. The implementation of activities is usually conducted over a period of time to achieve continuing competency goals within a reasonable timeframe. Matching activities to actual practice deficiencies/needs ensures the most efficient use of one’s time—rather than spending numerous hours on activities that are irrelevant to one’s practice. Despite the most carefully developed activity plans, some obstacles may be encountered such as a planned activity is cancelled or postponed, technological problems occur or personal issues arise unexpectedly. In these cases it will be necessary to implement a contingency plan and adjust one’s timeline accordingly. On the CCR, please indicate the type of activity or activities performed for each competency goal and the date, location, organization, etc for each respective activity. If more than one activity is carried out, please complete this information for any activities that apply. Examples of activities and resources to locate activities are:

Educational Courses/Seminars (MDHA, Faculty of Dentistry, MDA, CDHA) Online Courses (CDHA) Advanced Formal Education (i.e. Bachelor, Master’s or Ph. D programs) Professional Journals/ Articles (Canadian Journal of Dental Hygiene, Journals

on PubMed/Cochrane) Study or Journal Clubs Videos or DVDs (DVD Quarterly)

Evaluate Achievement of Continuing Competency Goals

Perhaps the most important but most overlooked continuing competency task is the evaluation of goals. Just like in the Dental Hygiene Process of Care, without evaluation it is impossible to know whether one’s goals are met and how to subsequently proceed. The CCR has been designed to assist the dental hygienist member to move through the process as effortlessly as possible. Three possible outcomes to the evaluation are possible:

goal is met, goal is unmet, goal is in process.

Based on the outcome, the member will think about what will need to occur next. For example, where goals are fully met, the member can focus on new or other continuing competency activities. For unmet or in process goals, more learning, supplementary activities or additional expertise may be necessary to achieve the goal or a need to revise the goal may also become apparent.

Implement Activities Educational Course/Seminars (MDHA) Online Courses (CDHA) Professional Journals/Articles Study or Journal Clubs Videos/DVDs (DVD Quarterly) Advanced Formal Education Other

Evaluate Achievement of Continuing Competency Goals Goal is met, unmet or in process

Self-directed assessment: My clothes are not fitting properly anymore I am not happy with the way I look

Goal Development: I would like to lose 20 pounds by May

Activity Planning Join the YMCA to take scheduled classes Treadmill at home regularly Drink more water

Evaluation Not drinking enough water – try harder Not doing so well – focus on making exercise a

priority

Self-directed assessment: Multiple patients are inquiring about over-the-counter

whitening products (toothpastes, other applications) I am not as familiar with the new products as I should be

(i.e. efficacy, safety, costs) and I am not sure how to advise them

Goal Development: I would like to acquire knowledge about teeth whitening and

apply that knowledge to my clinical practice Activity Planning

Walk through dental section at Shoppers Drug Mart to see what is being marketed

Research products online (e.g. PubMed) Read journal article from The Journal of Dental Hygiene Attend course being offered by MDHA Research dental companies

Evaluation Information gained and can speak knowledgeably to

patients

1 CCR submitted for each goal identified

Complete the questions asked Check boxes Short answer

Declaration

Purpose: To encourage members to be engaged in the profession

Provide information on professional activity participated in: Attending professional meetings (CDHM, MDHA) Volunteering on professional committees , councils,

boards Providing information sessions, workshops, courses

(professional or community) Be a dental hygiene mentor (MDHA/SDH mentorship

program) Volunteering for existing community outreach programs

1 page Check boxes Short answer

Current professional work description

Anticipate future practice environment(s)

Most recent workplace performance evaluation

Staff meetings discussions

Feedback, discussion and questions from colleagues and clients

Consider your own learning style

Sections: Introduction & General Policies Professional Development Component:

(Blue) Professional Participation Component:

(Purple) Appendices/Sample Forms (yellow) Continuing Competency Record (CCR)

(Blue) Professional Activity Record (PAR)

(Purple)

The CDHM in no way intends to limit participation in continuing competency activities, the development of practice goals or changes to practice through the implementation of the CCP. Dental hygienists are encouraged to participate in supplementary continuing competency activities that may not be directly related to continuing competency goals, develop additional goals and implement practice change beyond that required by the CCP.

To keep abreast of developments within the profession of dental hygiene, RDHs have a basic professional responsibility to read professional oral health journals and newsletters and to keep abreast of developments within the profession of dental hygiene