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
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