by dina george dfy2 oral and maxillofacial surgery princess alexandra hospital, harlow
TRANSCRIPT
KEY SKILLSBy Dina GeorgeDFY2 Oral and Maxillofacial SurgeryPrincess Alexandra Hospital, Harlow
What are your career goals?
Stay in practice? Specialise? Academic? House-wife/ house husband? Change career altogether? Any other?
Learning outcomes
• Understand what a key skills portfolio is and why it is necessary
• Relevance of Key skills portfolio to the MJDF examination
• Examples of organising key skills
• Be able to plan writing up reflective account
• Know about variety of evidence available and how to sift through evidence to include within portfolio
• Reference material
What is a key skills portfolio?
A portfolio can be defined as a collection of material that records and reflects upon key events and processes – FGDP
Why do you need to do it?• Essential requirement for vocational training year!
• Demonstrates knowledge in the core areas and demonstrates that you are a reflective practitioner
• Important for job interviews – especially DFY2 interviews
• Part of ‘Portfolio of evidence’ for MJDF examination
MJDF Exam
3 main parts:
1) Part 1 – Written paper( MCQ’s)
2) Part 2 - OSCE and structured clinical reasoning exercises
3) Portfolio of evidence – need key skills!
Key skills
Need to do 5 key skills in total – 3 mandatory
2 optional
3 core key skills which are mandatory:
1) Infection control2) Radiography and radiation protection3) Medical emergencies
2 optional to be selected from:1) Health and safety in clinical practice2) Record keeping3) Team work (managing the dental team)4) Law and ethics5) Prevention and Dental Public Health
How to organise Key skills
Each key skill has 3 parts :-
1) Factual write up – what you actually do in practice
2) Reflection 3) Evidence Word limit for each key skill is ~
2000 words
All needs to be well organised!!! – use different colours, labelled tabs, dividers, bullet points and highlight relevant parts
Factual write up
Follow templates by FGDPBullet points wherever possibleUse tables/flow diagrams if you canClear headings and subdivisions Include references at the end
Infection Control key skill – factual write up
1) How does the practice manage infection control procedures? Is there a policy?
2) What is the practice policy on immunisation of staff? Who is responsible for this?
3) How do you cope with the problem of aerosols?
4) How are instruments cleaned and sterilised?
5) How are staff trained in the principles of infection control procedures?
6) What is your inoculation injuries policy?
7) Describe an inoculation injury and how you handled it.
Reflective account
Reflection provides a way to improve your practice
by critically analysing your actions. Assume you are an external observer and
reflect on:
1) what went well? 2) what hasn’t gone well? 3) how can improvements be made?4) what have you learnt from the
situation?5) what changes can you introduce to
your practice as a result?
PICK ONE ASPECT OF CROSS –INFECTION AT YOUR
PRACTICE TO REFLECT ON
Reflection Exercise
1) what went well?
2) what hasn’t gone well?
3) how can improvements be made?
4) what have you learnt from the situation?
5) what changes can you introduce to your practice as a result?
Evidence
Quality not quantity – don’t include blank forms!
Use cross referencing if a piece of evidence is used more than once
Include as many photos as possibleDon’t forget to anonymise evidence Include a variety
Cross infection Key Skill - Evidence
What evidence can be included for the cross- infection key skill?
Some evidence I used
Practice’s infection control policyChecklist outlining essential
procedures that need to be performed each morning and evening.
Hand washing protocolStaff immunisation recordPhoto of autoclaveMinutes of a practice meeting on x-
infectionCopy of an accident book entry
Examples of other evidence I used
Medical history form (filled in) Medical emergencies course certificatePhotos of our practice’s drug boxCopy of a referral letter (filled in) Photo of local rules displayed next to
x-ray machineRisk assessment carried out by the
practice
Reference material
Guide to producing a portfolio of evidence by FGDP
(includes templates for key skills by FGDP )– ask Uday/see FGDP website
MJDF Portfolio guide – gives examples of reflection
(from mjdf.org.uk website)
Reference material for individual key skills
‘RESUS’ website
HTM 01-05 booklet
Selection Criteria for Dental Radiography, FGDP
Textbooks –e.g ‘Essentials of dental radiography and radiology’ (by Eric Whaites)
Difficulties you may face
Not knowing where to start!
Not enough time
Challenges with finding evidence items/policies etc
HARD WORK
Best piece of advice I can give is
START EARLY!!!!
Other helpful tips
Do a little at a time
Get help from your trainers/practice managers
Be organised, know what evidence you want to include
Do not plagiarise information
ANY QUESTIONS?
DFY2 Oral and
maxillofacial surgery
Sequence of events
Application form – end of Jan/early Feb
+ 2 key skills Interviews – early MarchSHO job starts first week August
Induction Course - mid July
Hospital Posts EOE
Beds/Herts and Bucks – Base is Luton and Dunstable hospital
Cambridge – Addenbrooke’s Hosp. Peterborough – Peterborough and
Stamford Hosp. Essex - Basildon and Thurrock hosp. - Princess Alexandra (Harlow) Norfolk - QE Hosp (Kings Lynn) - Norfolk and Norwich hosp Suffolk – Ipswich Hosp.
Things you will be doing as an SHO
Attending ward round with registrars/consultants
Assisting in theatres – excision of BCC’s and repair, wisdom teeth extractions, repairing # mandibles
Performing biopsiesOn calls – Examining patients in A&E
- Suturing facial/ intra-oral lacerations
Why be an SHO?
Great clinical experienceGives a taste of hospital practice Good to do when you are
young/newly qualifiedNeed to do it if you want to
specialise Fixed pay regardless of number of
patients seen – can be good/bad
If you are unsure of what you want to
do in the future this may be a good way to decide!