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 times Plymouth – Exeter -1 hour Plymouth – Truro – 1.5 hours Exeter – 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

Overview StudentsTeachersSupervisors 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.

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