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Information Pack for Edinburgh Orthodontic Therapist Training Programme 2012 This pack contains: 1. Outline of Edinburgh Orthodontic Therapist Training Programme and how to apply 2. Person specification for the Student Orthodontic Therapist 3. Person specification for the Trainer 4. Duties and obligations of the Student 5. Role of the Trainer 6. Work Placement requirements 7. Student Application Form 8. Trainer Application Form 9. Outline of Work Placement Form 10. Trainer/Supervisor Commitments Form 11. The Programme Directors 1 1. Outline of Edinburgh Orthodontic Therapist Training Programme Programme outline and format The Edinburgh Orthodontic Therapist Training Programme is run by Edinburgh Dental Institute in conjunction with NHS Education for Scotland, lasts for approximately 12 months and has gained full approval from the General Dental Council for training Orthodontic Therapists. There will be 6 places available for the next course commencing on the 5th March 2012. The initial core course (Introduction to Clinical Practice) lasts for 20 days over the first 4 weeks, after which students will train in their work placements for approximately a further 9 months, before being eligible to sit the Diploma in Orthodontic Therapy awarded by the Royal College of Surgeons of Edinburgh. During this period of work placement, students will return to Edinburgh Postgraduate Dental Institute for around a further 15 days of training, which will be spread over the remaining period of the course, and which will include support and preparation for the Diploma examination. Who is eligible to apply? To be eligible to join the course, applicants must be registered as a Dental Care Professional with the GDC and have appropriate professional indemnity insurance. They must also have the written support of a suitably qualified orthodontist trainer, who is on the Orthodontic Specialist list of the GDC. Trainers must attend a ‘trainer training’ event to prepare them for their trainer role on the programme. The information pack contains detailed person specifications for both prospective students and their trainers, including essential and desirable criteria which will be taken into account in the shortlisting, interview and appointment process. When does the programme start? The programme starts on Monday 5th March 2012 with the ‘Introduction to Clinical Practice’ core course, which will last for 4 weeks (20 days). How much does it cost? The course fees are £6,250 for student orthodontic therapists working within NHS Scotland and £12,500 for any students working outwith NHS Scotland. Course fees are payable in advance, and must be paid at the time of acceptance of a course place, no later than 6 weeks before the start of the course. Failure to pay the course fee in time will lead to your offer of a place being withdrawn and offered to an alternative student. No fees will be refundable after acceptance. 2 How do I apply? This information pack contains detailed person specifications for both prospective students and their trainers, including essential and desirable criteria which will be taken into account in the shortlisting, interview and appointment process. Places will be allocated by competitive entry. As part of the process of being appointed to the course, there will be a work placement assessment to ensure the facilities are suitable for the clinical work placement. This will be similar to the process of assessing a General Dental Practice for Dental Vocational Training. You should fully complete the following application forms: Student Application Form Trainer Application Form Outline of Work Placement Form Trainer/Supervisor Commitments Form These forms must be completed electronically, and emailed by noon on Monday 19th December 2012 to: [email protected] Interviews will be held in week commencing 9th January 2012 and applicants must be accompanied by their prospective trainer when attending for interview. Please note that no alternative interview date will be available. The interview process will involve an individual interview with the applicant and a joint discussion with the applicant and their prospective trainer. Prospective trainers will also have an opportunity to discuss the trainer role with course tutors separately. The work placements of those provisionally selected for the programme will be inspected in late January and the ‘trainer training’ course will be run in February in Edinburgh. Provisional offers will only be confirmed after a successful work placement assessment. Applicants are required to identify two referees who can comment on their academic and professional suitability for the course. The prospective trainer must be one of the referees. What if I have any further questions? Please email [email protected] 3 2. Person Specification for the Student Orthodontic Therapist Essential Desirable Qualifications Registrable GDC DCP qualification Experience and Training A minimum of one year of full-time (or part-time equivalent), post-qualification experience Skills and Abilities Good communicator Manually dextrous Sound basic IT skills – email and the Internet Caring approach to patients Able to work under pressure Evidence of high degree of integrity in all professional areas and an understanding and adherence to all GDC Standards documentation Aware of own limitations and when to ask for assistance in line with GDC Scope of Practice Excellent team player Able to attend core course on a full time basis Aware of and fully committed to the requirements of the course Demonstrate both a desire and capability to learn Access to computer and broadband internet Disposition Others National Examining Board for Dental Nurses (NEBDN) Certificate in Orthodontic Dental Nursing 2 years of full-time (or part-time equivalent) experience in a specialist orthodontic practice or hospital orthodontic department Experience in the use of Word and PowerPoint or equivalent programmes Open minded and able to manage change Hard working with attention to detail 4 3. Person Specification for the Trainer Essential Desirable Qualifications Registered on the Specialist Orthodontist List of the GDC Training Skills Willingness to undertake appropriate preparation and training required to become and remain a trainer and to apply this whilst acting as a trainer Commitment to the course Willing to re-organise own daily routine and that of practice/clinic to take account of the presence of a student orthodontic therapist Willing to supervise student clinical treatment, maintaining an appropriate case load, selecting appropriate patients and supervising their management by the student orthodontic therapist during each visit Demonstrates a desire to train and an enthusiasm for orthodontic therapy training Be willing to monitor the students progress in the clinical setting, undertake assessment and provide regular feedback Be prepared to work closely with the programme directors throughout the course Prepared to ensure that the training environment consistently meets the requirements for work placements Provide a designated dental chair and appropriate nursing and administrative support for the student orthodontic therapist Support work placement assessment visits and willingly respond to reports Proven commitment to postgraduate education and CPD Providing appropriate training environment Audit and CPD Skills and Abilities Disposition Others A capable and ethical clinician Good communicator Sound basic IT skills – confident with the use of email and the internet and with a level of ability capable of assisting the student in these areas Willing to offer appropriate pastoral support to a student orthodontic therapist Evidence of high degree of integrity in all professional areas and understands confidentially and ethics Dynamic and open to educational opportunities Works as part of a team in a well-run practice or hospital department Able to work as trainer throughout duration of training programme Aware of and committed to the requirements of the course Demonstrate flexibility and the desire to learn Registered Diploma or Membership in Orthodontics of one of the Royal Colleges Previous experience of training Previous experience of undergraduate or Dental VT supervision Is up to date on current best clinical practice Can demonstrate involvement in staff appraisal, training and development Current participation in peer review, audit and research Experience in the use of Word, PowerPoint and Excel or equivalent programmes Skilled in digital photography Open minded and able to manage change Demonstrate leadership qualities Enthusiastic and positive 5 4. Duties and obligations of the Student The following is a list of obligations expected to be contained within the educational obligations document to be issued to the Student Orthodontic Therapists. The Trainer will need to ensure that the student fulfils all these obligations: 1. Attend the practice or hospital department for the agreed hours and perform such clinical duties as appropriate for patient care and personal learning needs 2. Be willing to act as a participant in clinical orthodontic exercises performed by other trainees, during the core training programme. 3. Determine personal learning needs in discussion with the Trainer 4. Maintain and keep up to date the logbook and be prepared to submit it for inspection when requested 5. Take an active part both in weekly tutorials with the trainer and periodic progress reviews 6. Attend all of the core course and all study days organised during the training period; normally, the only reason for not attending a study day will be sickness [prior written approval from the course directors must be obtained for absence from the core course and study days other than sickness] 7. Ensure that holidays do not lead to absence from the study days 8. Complete a set project during the training period 9. Adhere to all the course rules and regulations 6 5. The Role of the Trainer The main part of the student’s training will occur within the work placement under the close supervision of an appointed Trainer. S/he must be on the GDC Orthodontic Specialist list and must be able and willing to modify the running of the practice/department to provide a suitable training environment. They will be responsible for the selection of appropriate patients for training and will act, not only as a clinical trainer, but also as a mentor and role model. The provision of the required level of supervision will be very demanding. Each Trainer must appreciate that they are embarking on a process which is more akin to teaching a first year undergraduate dental student than a Vocational Dental Practitioner or Specialist Registrar. Each patient treated by the student will need to be seen at the commencement, during and at the end of each visit. This will be highly disruptive to the running of a practice/department unless it is well organised and managed. There may be some advantage for training to occur in a site with multiple Specialists who can share responsibility by designating specific sessions for supervision. A designated ‘Lead’ Trainer could be responsible for coordinating the trainers within a training site. The details of all those who may be involved in student supervision must be included with the trainer application form. All trainers within such a site would have to be on the Specialist Orthodontic list and would be required to undergo trainer training to prepare them for their teaching, support and assessment roles before a student commences their training work placement. This training will be organised by the Course Coordinator supported by other NES staff and will be based upon the well-established Dental Vocational Training and Clinical Supervision training courses already run by NES. It will additionally contain elements defining the selection of patients for the student, clinical log book keeping, assessment procedures, case presentations, course project and practice visits. Trainers will be expected to fulfil their educational obligations as detailed within a trainer obligations document, modelled on the standard Dental VT version. Trainers within Specialist Orthodontic Practice will be required to provide a satisfactory DRO Reference in the same way that all Dental VT Trainers do. Students will be expected to fulfil their educational obligations as detailed within a student obligations document, modelled on the standard Dental VT version. Students will at all times, remain employees of their specialist practice or NHS Health Board. 7 6. Work Placement Requirements Having satisfactorily completed the 4 week core teaching programme, each student will have had their first experience of working within a patient’s mouth and have started to acquire initial patient management and technical skills. It is essential as they move to their work placements that they enter a suitable and supportive training environment. Selection of Work Placements: The training site must be one where the highest standards of dental care are routinely practiced by all members of staff. The facilities must be appropriately equipped, maintained, managed and staffed. A designated chair and qualified dental nurse must be available to the student. Each site will be inspected, prior to student selection, and assessed against a detailed practice/department inspection document to ensure that it meets the requirements specified. Experienced NES practice inspectors will be used and the inspection document will be modelled from the Scottish Dental Vocational Training practice inspection document. Requirements will include safe practice environment, equipment and instrumentation, support staff, practice/department organisation and the training environment. A copy of the inspection document is available upon request and will be sent out to all prospective work placements upon receipt of the student and trainer application forms. It is likely to include: A Safe Practice/Clinic Environment Compliance with all necessary legislation including Health and Safety Infection control and decontamination demonstration Appropriate medical emergency drug kit Examination of drug kit and emergency oxygen supply Date and evidence of CPR training B Equipment and Instrumentation Identified clinical space for student orthodontic therapist Appropriate quality and quantity of contemporary orthodontic instrumentation and materials Light cure systems Access to radiographic equipment for panoramic and lateral cephalometric radiographs Access to digital photography Appropriate storage and retrieval system for study casts 8 Availability of appropriate orthodontic educational resources e.g. books; videos; journals C Support Staff and Practice/Clinic Organisation Nursing support identified for student orthodontic therapist Appropriate administrative and secretarial support Availability of practice literature and patient information leaflets for orthodontic treatment Good quality of clinical records [photos, study models and radiographs] Appointment book – sufficient time for procedures and treatment of non-medical emergencies [guidelines to be provided] Clinical audit/peer review undertaken Clinical governance in place D The Practice/Clinic as a Training Environment Proximity of trainer – as every patient will need to be seen with the trainer Colleagues other than the trainer prepared to be involved if required Range of work [variety of malocclusions and treatment approaches in common use] Use of a laboratory providing appliances to an appropriate standard Access to internet and email and computer with standard Microsoft software Weekly timetable The details of working hours and annual leave will be a matter for agreement between the Student and the Trainer. However, it is expected that during each week of the work placement, students will receive no less than 27 hours of supervised clinical training. This should be tailored to ensure a broad exposure to clinical problems and the techniques used to manage them. The student’s performance during each session will be recorded by the trainer and allocated gradings/marks which will be fed back to the student. Students will record each day’s clinical activity in their clinical log books using the clinical log book data sheets. These will be checked at regular intervals by the Programme Directors to ensure that the students are receiving a broad and balanced training. In addition, work placement Trainers will be expected to provide a one hour tutorial, within protected time, to offer support and to monitor student progress, including reviewing the student’s Portfolio of Progress and Achievement. 9 The remaining portion of each week, comprising approximately 6 or 7 hours will be designated for self-directed learning. Students will be expected to undertake background reading, prepare their case presentations and complete their course projects. Support for these activities will be available from staff within Edinburgh Dental Institute during this time, through a booking process. During the times (outside the designated holiday periods) that there are no scheduled attendances at the Edinburgh Dental Institute, it is intended to provide online support and learning, using a Virtual Learning Environment. It is therefore essential that the student has easy access to a computer and appropriate broadband internet connection. More details of this will be provided in due course. Monitoring of training during work placement 1) Each clinical session from the outset to the conclusion of the course will be scored with feedback provided at the end of the session. Log book data sheet entries must be completed for all patients and filed within the clinical log book. 2) The initial period of work placement training will require very close supervision and a ‘Safe Beginner’ report will be completed at the end of the first month by the work placement Trainer and will be signed off by the Course Coordinator. 3) Assessments within the work placements will use the Direct Observation of Procedural Skills (DOPS) system, modified for use within the Orthodontic Therapy Training Programme. 4) Student performance and progress will be reviewed at monthly scheduled meetings between the Student and the work placement Trainer within the specialist practice/hospital department. This will also provide a forum for the Student to raise any issues they may have about their training. A written record of the outcome will be agreed and a copy kept in the Student’s Portfolio of Progress and Achievement. An additional copy will be forwarded to the Course Coordinator. 5) Formal reviews will be carried out by the Student and the Trainer during months 3, 5 and 8 of the work placement, with a written record of progress to be agreed and a copy kept in the Student’s Portfolio of Progress and Achievement. An additional copy will be forwarded to the Course Coordinator, who will meet with the Student and Trainer, where appropriate, to facilitate in the management of any local difficulties. 6) The Portfolio of Progress and Achievement will comprise the clinical log book, the course project, the two case presentations and all assessments and progress reports. It will be regularly reviewed by the work placement Trainer and Course Coordinator during the work placement and extended training programme and will be presented for review as part of internal final examination. 7) Regular meetings will be scheduled between the work placement Trainer and the Course Coordinator to discuss Student progress. 10 7. Student Orthodontic Therapist Application Form Please see separate document on NES website at: http://www.nes.scot.nhs.uk/media/593811/ot-student-application-form-2012.doc 8. Trainer Application Form Please see separate document on NES website at: http://www.nes.scot.nhs.uk/media/593889/ot-trainer-application-form-2012.doc 9. Outline of Work Placement Form Please see separate document on NES website at: http://www.nes.scot.nhs.uk/media/593892/outline-work-placement-form-2012.doc 10. Trainer/Supervisor Commitments Form Please see separate document on NES website at: http://www.nes.scot.nhs.uk/media/594020/ot-trainer-supervisor-commitments-form-2011.doc 11 9. The Programme Directors Jon Hammond has worked as a consultant Orthodontist within the Edinburgh Dental Institute for 15 years. During this period he has fulfilled a number of roles. He was instrumental in setting up the MSc programme in Orthodontics within the Institute. More recently he has coordinated the establishment of the first Postgraduate Orthodontic programme in the National Dental School in Phnom Penh, Cambodia. Clinically, he is the lead Orthodontist within the South East of Scotland Cleft unit. Tony Anderson is Director of Postgraduate GDP Education for South East Scotland for NHS Education for Scotland. A GDP by background, Tony has been working for NES since 2002 and has been full-time since March 2006, looking after a wide range of workstreams including Dental Vocational Training, Longitudinal Dental Foundation Training, CPD for Dentists and all members of the Dental Team, Practice Development, and pre and postregistration training for Dental Nurses and other DCPs. 12