Information Pack for Edinburgh Orthodontic Therapist Training Programme 2016

This pack contains:

1. Outline of Edinburgh Orthodontic Therapist Training Programme including How to Apply and Person Specification for Trainee and Trainer

2. Student Application Form

3. Trainer Application Form

4. Outline of Work Placement Form

5. Trainer/Supervisor Commitments Form

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1. Outline of Edinburgh Orthodontic Therapist Training Programme

Programme outline and format

The Edinburgh Orthodontic Therapist Training Programme is run by NHS Education for Scotland at Edinburgh Dental Education Centre. It lasts for approximately 12 months and has gained full approval from the General Dental Council for training Orthodontic Therapists. There will be 8 places available for the next programme commencing on Monday 6th June 2016

The initial core programme (Introduction to Clinical Practice) lasts for 4 weeks, after which students will train in their work placements for approximately 9 further 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 Dental Education Centre for a further 10 days, which will be spread over the remaining period of the training programme, and which will include support and preparation for the Diploma examination.

Who is eligible to apply?

To be eligible to join the training programme, 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.

When does the programme start?

The programme starts on Monday 6th June 2016 with the ‘Introduction to Clinical Practice’ core programme which will last for 4 weeks.

How much does it cost?

The fees for the programme are £8,000 for student Orthodontic Therapists working within the NHS in Scotland and £12,500 for any students working outwith NHS Scotland. Programme fees are payable in advance, and must be paid at the time of acceptance of a place no later than 6 weeks before the start of the programme. Failure to pay the fee in time will lead to your offer of a place being withdrawn and offered to an alternative student.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.

For information about the current examination fees for the Diploma in Orthodontic Therapy, please visit:

http://www.rcsed.ac.uk

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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 training programme, 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 assessinga 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 e-mailed by noon on Thursday 31st December 2015 to:

edin.dental@nes.scot.nhs.uk

Applicants are required to identify two referees who can comment on their academic and professional suitability for the training programme. The prospective trainer must be one of the referees.

The work placements of those provisionally selected for the programme will be inspected in January/February 2016.

Interviews will be held on Wednesday 9Th March 2016 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 the Programme Tutor separately.

Final offers will be made on completion of the interview process.

The ‘Trainer Training’ course will be run on Monday 11th and Tuesday 12th April 2016 in the Edinburgh Dental Education Centre.

What if I have any further questions?

Please e-mail edin.dental@nes.scot.nhs.uk

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2. Person Specification for the Student Orthodontic Therapist

Essential Desirable

Qualifications Registrable GDC DCP qualification National Examining Board for Dental Nurses (NEBDN) Certificate in Orthodontic Dental Nursing

Experience and Training

A minimum of one year of full-time (or part-time equivalent), post-qualification experience

2 years of full-time (or part-time equivalent) experience in a specialist orthodontic practice or Hospital/SDS orthodontic department

Skills and Abilities

Good communicator Manually dextrous Sound basic IT skills – e-mail and the Internet

Experience in the use of Word and PowerPoint or equivalent programmes

Disposition 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

Open minded and able to manage change

Hard working with attention to detail

Others Able to attend core programme on a full time basis Aware of and fully committed to the requirements of the programme Demonstrate both a desire and capability to learn Access to computer and broadband internet

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3. Person Specification for the TrainerEssential Desirable

Qualifications Registered on the Specialist Orthodontist List of the GDC Registered Diploma or Membership in Orthodontics of one of the Royal Colleges

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

Previous experience of training Previous experience of undergraduate

or Dental VT supervisionCommitment to the programme

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 student’s progress in the clinical setting, undertake assessment

and provide regular feedback Be prepared to work closely with the programme staff throughout the programme

Providing appropriate training environment

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

Is up-to-date on current best clinical practice

Can demonstrate involvement in staff appraisal, training and development

Audit and CPD Proven commitment to postgraduate education and CPD Current participation in peer review, audit and research

Skills and Abilities

A capable and ethical clinician Good communicator Sound basic IT skills – confident with the use of e-mail and the internet and with a level

of ability capable of assisting the student in these areas

Experience in the use of Word, PowerPoint and Excel or equivalent programmes

Skilled in digital photographyDisposition 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

Open minded and able to manage change

Demonstrate leadership qualities Enthusiastic and positive

Others Able to work as trainer throughout duration of training programme Aware of and committed to the requirements of the programme Demonstrate flexibility and the desire to learn

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4. Duties and Obligations of the Student Orthodontic Therapist

The following is a list of obligations contained within a learning agreement document to be issued to the student Orthodontic Therapist. The Trainer will need to ensure that the student fulfils all of 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 students 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 the entire core programme 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 Programme Director or Tutor must be obtained for absence from the core programme 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 programme rules and regulations.

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 Specialty 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

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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 Tutor 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, projects and practice visits.

Trainers and students will be expected to fulfil their educational obligations as detailed within a learning agreement document, modelled on the standard Dental VT version which will be issued to the student. NES will seek a report from PSD for Specialists practising Orthodontics in the GDS.

Students will at all times remain employees of their specialist practice or NHS Health Board.

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

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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

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 e-mail and computer with standard Microsoft software

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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 Tutor, and ultimately by the Programme Director, 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.

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 projects. Support for these activities will be available during the additional days of training.

Monitoring of Training during Work Placement

1. Each clinical session from the outset to the conclusion of the training programme 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. Assessments within the work placements will use the Direct Observation of Procedural Skills (DOPS) system, modified for use within the Orthodontic Therapist Training Programme.

3. Student performance and progress will be reviewed at scheduled monthly meetings between the student and the Tutor. This will also provide a forum for the student to raise any issues they may have about their training.

4. 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 Tutor, who will meet with the student and trainer, where appropriate, to facilitate in the management of any local difficulties.

5. The Portfolio of Progress and Achievement will comprise the clinical log book, the project, the two case presentations and all assessments and progress reports. It will be regularly reviewed by the work placement trainer and Tutor during the work placement and extended training programme and will be presented for review as part of the final examination process.

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7. Student Orthodontic Therapist Application Form

Please see separate document on NES website at:

8. Trainer Application Form

Please see separate document on NES website at:

9. Outline of Work Placement Form

Please see separate document on NES website at:

10. Trainer/Supervisor(s) Commitments Form

Please see separate document on NES website at:

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11. The Programme Director and Tutor

Graham Orr is Director of Postgraduate GDP Education for the East and North East regions, based in Dundee and Aberdeen; and the national workstream lead for DCP Education. He qualified in Newcastle and was a GDP for 25 years alongside a series of posts in dental education in the North East of England before moving to NES in 2008.

Margaret Davie is the Programme Tutor and works part-time for NHS Education for Scotland. A qualified hygienist since 1991, Margaret has worked within hospital and salaried services and within Orthodontics since 1996. She qualified as an Orthodontic Therapist in 2008 and is currently employed part-time as a Hygienist/Orthodontic Therapist by NHS Lothian.

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