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Specialty - ORTHODONTICS Introduction Orthodontics is the branch of dentistry that is concerned with the development and growth of the teeth and jaws and is involved with correcting anomalies in development when they are recognised early and treating established dental malocclusion. The speciality requires a thorough understanding of general dentistry as well as the application of the knowledge on tooth development, facial growth, facial aesthetics and medical conditions that impact upon the facial bones and soft tissues. Specialty Attractions Orthodontics requires an understanding of the growth and development of the head and neck: a knowledge that is not only utilised to achieve facial harmony and a functioning dentition but also extended to manage medical conditions such as sleep apnoea, cleft lip and palate, developmental anomalies and facial asymmetry. Orthodontic management of complex malocclusions often means working with clinicians from various specialties such as oral and maxillofacial surgeons, paediatric dentists and restorative dentists which therefore requires good communication and organisational skills. Research in orthodontics is continuously advancing with regards to the current technology in materials, new mechanics and patient related outcomes, so that the duties of orthodontists include the ability to critically appraise, extrapolate, and apply the research to improve the quality of care of their own patients. Recent research studies have demonstrated that following orthodontic treatment, children and adults gain more confidence, experience less bullying and enjoy a better quality of life. Is (Orthodontics) the job for me? Orthodontics is a challenging yet enormously rewarding profession. A modest cohort of patients at the Birmingham Dental Hospital often require a combined approach with specialities from various other branches of medicine and dentistry and therefore postgraduate trainees are introduced to a multidisciplinary working right from the start of their training. The orthodontist or the trainee will have ample opportunities to build upon their clinical experience through supervision of cases by various orthodontic consultants. Members of the team also have the opportunity to strengthen their research experience with the support of an academic and clinical supervisor. Trainees and consultants aspire to create a caring and supportive environment in which patients are treated to the highest standards and learning and teaching is considered the norm. The West Midlands Training Programme (Description of Programme, how many years / how many trainees / which hospitals are involved / what is expected of trainees throughout the training programme / what additional experience do posts on the rotation offer?) Postgraduate specialist training in orthodontics is a 3 year full time post which integrates research leading to a Masters of science awarded by the University of Birmingham. The first 3 years of training aims to give trainees a competent understanding and practical training in orthodontics and orthodontic research as well as preparation for the Membership in Orthodontics exam in order to enter the GDC specialist list. The following 2 years of training or Post –Certificate of Completion of Specialist Training (CCST) builds upon the first 3 years of training and teaches skills required for a hospital consultant post such as management of complex multidisciplinary cases, teaching of junior trainees, NHS management and preparation for the ISFE exam. Currently there are 10 junior post graduate trainees and 3 post-CCST who all train at the Birmingham Dental hospital and at a district general hospital in the West Midlands. This allows the trainee to treat patients from varying social backgrounds and learn different methods of treatment from different consultants and work in various clinical settings in order to broaden their experience. On-call Experience All trainees are timetabled part of a treatment session every week to assess and manage orthodontic emergencies. Each year, Christmas cover is the responsibility of 2nd year StRs , whilst out of hours emergency care is managed by the Oral and Maxillofacial team at the Birmingham Children’s Hospital or the Queen Elizabeth Hospital. Correct as at 03/03/2014 - Kiran Training Days (How are they organised / what is the frequency of them etc..) The West Midlands orthodontic training programme has been devised to offer maximum training and learning opportunities for the post-graduate students. Prior to commencement of clinical training, all new trainees attend a typodont course which is held at the Birmingham dental hospital in order to introduce basic orthodontic principles and clinical skills such as wire bending and use of fixed appliances. A protected training day, usually a Friday, is provided on a weekly basis involving tutorials which covers a broad range of topics over the 3 years. The first 2 years are dedicated to teaching basic principles and practical skills and the third year concentrates on consolidating the knowledge gained in the first two years into order to diagnose, treatment plan and manage the individual cases. The orthodontic department of the Birmingham dental hospital is affiliated with other post-graduate orthodontic centres in the UK north of Birmingham which collaborate to provide teaching days throughout the training. This allows the trainee to meet their peers, network, discuss topics as well as observe how cases are managed elsewhere. Lunchtime tutorials led by consultants are provided on a weekly basis which permit the trainee to present cases and further their learning. Particular emphasis is placed upon the gaining a thorough understanding in research and therefore journal clubs lead by post- CCST trainees are held on a monthly basis: these sessions are used to review contemporary and key publications, appraise of the literature and give an insight into developing a research idea and protocol. Additional Opportunities Available – Research / Teaching / Management etc / OOP / Higher Degrees All post-graduate trainees are required to undertake a research project leading to a Masters of science degree awarded by the University of Birmingham and are encouraged to perform audits, oral and poster presentations at conferences on a national or an international level as well as prepare publications. Trainees will have a regular opportunity to teach and perform PowerPoint presentation to peers in their tutorial group and Post-CCST trainees are required to teach undergraduate as well as post-graduate students. Supervision, Appraisal and Assessments (details on ARCP requirements / frequency of ES meetings) All cases that trainees treat are supervised by a consultant. Opportunities are made available to perform work based assessments such as case based discussions, direct observation procedures and clinical evaluation exercise in order to enhance training. Undertaking an appraisal on a three monthly basis with the regional consultant is encouraged and an annual review of competence progression is undertaken to assess and address any difficulties to ensure that the trainee is gaining the level of training required to gain competence. Examinations (Details on any specialty specific examinations required, eg. SCE, when does it take place / how many diets per year) Bimonthly essays on various orthodontic topics are required to be submitted and regular written examinations give feedback to the trainers as well as the trainees on the level of comprehension and progression. Third year students present for the Membership in Orthodontics exam at the Royal College of Surgeons of Edinburgh or at the Royal College of Surgeons of England. Trainees are encouraged to sit the exam in June of the 3rd year. Useful website links (national links to Specialty specific websites) http://www.bos.org.uk/public-patients-home http://www.bos.org.uk/professionals-members-home/committees-groups/groups/tgg https://www.gdc-uk.org/Dentalprofessionals/Specialistlist/Documents/OrthodonticCurriculum.pdf Key Contacts (who is the STC Chair / TPD / LTFT advisor / Trainee Rep etc..) Training Programme Director = Mr P J Turner Regional advisor to the faculty of dental surgery of the Royal College of Surgeons of England = Mr K Webster Specialty adviser in orthodontics to the Faculty of Dental Surgery of the Royal College of Surgeons of England = Mr R Linklater Postgraduate Dental Dean = Mrs K Elley