By Dina George DFY2 Oral and Maxillofacial Surgery Princess Alexandra Hospital, Harlow

What are your career goals? Stay in practice? Specialise? Academic? House-wife/ house husband? Change career altogether? Any other?

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

 A portfolio can be defined as a collection of material that records and reflects upon key events and processes – FGDP

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

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!

Need to do 5 key skills in total – 3 mandatory 2 optional 3 core key skills which are mandatory: 1) Infection control 2) Radiography and radiation protection 3) Medical emergencies 2 optional to be selected from: 1) Health and safety in clinical practice 2) Record keeping 3) Team work (managing the dental team) 4) Law and ethics 5) Prevention and Dental Public Health

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

 Follow templates by FGDP  Bullet points wherever possible  Use tables/flow diagrams if you can  Clear headings and subdivisions  Include references at the end

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.

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

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?

 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 possible  Don’t forget to anonymise evidence  Include a variety

 What evidence can be included for the cross- infection key skill?

 Practice’s infection control policy  Checklist outlining essential procedures that need to be performed each morning and evening.  Hand washing protocol  Staff immunisation record  Photo of autoclave  Minutes of a practice meeting on x-infection  Copy of an accident book entry

 Medical history form (filled in)  Medical emergencies course certificate  Photos of our practice’s drug box  Copy of a referral letter (filled in)  Photo of local rules displayed next to x-ray machine  Risk assessment carried out by the practice

 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)

 ‘RESUS’ website  HTM booklet  Selection Criteria for Dental Radiography, FGDP  Textbooks –e.g ‘Essentials of dental radiography and radiology’ (by Eric Whaites)

 Not knowing where to start!  Not enough time  Challenges with finding evidence items/policies etc  HARD WORK

START EARLY!!!!

 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

 Application form – end of Jan/early Feb + 2 key skills  Interviews – early March  SHO job starts first week August Induction Course - mid July

 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.

 Attending ward round with registrars/consultants  Assisting in theatres – excision of BCC’s and repair, wisdom teeth extractions, repairing # mandibles  Performing biopsies  On calls – Examining patients in A&E - Suturing facial/ intra-oral lacerations

 Great clinical experience  Gives a taste of hospital practice  Good to do when you are young/newly qualified  Need 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!