Satisfactory Completion of Dental Foundation Training (DFT) Pilot Programme 2015/16 Recommended Minimum Requirements September 2015

Purpose of Recommended Minimum Requirements  Recommended minimum requirements are designed to ensure that the purpose of Foundation Training as set out in the DF Curriculum and Dental Performers’ List Regulations is met  Individual LETBs/Deaneries may make some or all requirements mandatory at their discretion.  RCP Panels will take account of local LETB/Deanery guidance, extenuating circumstances and/or the overall performance of a FD in making an Outcome recommendation  The requirements should not be seen as a maximum.

 Practice induction to be completed within first two weeks  Induction checklist in e-portfolio to be used  Record of pre-Foundation clinical activity also to be completed Induction

 FD and ES reports to be completed by end of Month 2 and meetings with TPD held  ESR information available to the Panels for information Early Stage Review (ESR)

 Two required - completed within first two to four weeks  Templates in e-portfolio  1.New patient examination (to review basic communication skills)  2. Simple restoration (to review basic clinical skills)  Concerns to be discussed with TPD Direct Observation of Procedural Skills (DOPS)

 Completed in Month 3  Template in e-portfolio  10 records reviewed by FD  Minimum 3 of the 10 records reviewed by ES Patient Record Review

 Eighteen completed by end of Month 9  Minimum of 8 completed by Interim RCP  Minimum of 18 completed by Final RCP Stage 1  All 11 major clinical competencies should be assessed at least once by the ES or another dentist  ADEPTs with scores less than 3 in ‘treatment planning’ and/or ‘procedural knowledge’ and/or ‘technical ability’ must be repeated until score of 3 or above is achieved  At least 1 ADEPT should be carried out by an assessor (TPD or ES) other than the FD’s ES(s) ADEPTs

 Ten completed by end of Month 9  Minimum of 3 completed by Interim RCP Stage  One CbD to be formally presented and assessed at a Study Day Case-based Discussions (CbDs)

 All Logs must be completed, action plans generated and identified learning needs addressed  Minimum of eight to be completed by end of Month 2  Minimum of one to be completed each month between Months 3 and 12  Log entries should be linked to events which lead to a learning need  Action plans should be created (and followed through) as part of each entry  Additional entries (when appropriate) are to be encouraged to support reflective practise  FDs will not be reminded to complete a Log each week/month. Meeting the requirements set out above is the responsibility of the FD – monitored and encouraged by their ES! Reflective Clinical Log

 Activity should demonstrate experience of a broad range of treatments and patient types relevant to NHS General Dental Practice  It is important that you record completed Units of Dental Activity (UDAs). Completion of in the region of 1875 UDAs will help you to prepare for contracted activity levels after Foundation Training  Record to be completed monthly. Each record will be locked 5 working days after end of each month  Complex treatments – recommended activity should include a minimum of:  Twelve crowns, inlays, onlays and veneers. (To include at least one of each type, if possible)  Three bridges. (To include one conventional and one adhesive bridge, if possible)  Twelve acrylic prostheses  Two Co-Cr prostheses  Eight single-rooted endodontic cases (incisors and/or canines)  Four multi-rooted endodontic cases (molars and/or premolars)  Two surgical extractions: One undertaken as ADEPT with ES by the end of Month 4 Clinical Activity Record

 Completed by end of Month 9  Two audit cycles to be completed  Topic and timings to be set by individual LETBs/Deaneries  The Record Card Review in Month 3 does NOT count as a clinical audit Clinical Audit

 Completed in Month 4  Minimum of 8 submitted forms required per round  Please use HEYH specific msf forms and attach in epdp  Respondents must include ES(s), FD’s Dental Nurse, Practice Receptionist  FDs can use other Scheme FDs to ‘top-up’ if less than 8 respondents in practice  FD is responsible for ensuring 8 returns (may need to issue more than 8 feedback forms)  Interim RCP Panels can require a second round in Months 8/9 if necessary Multi-Source Feedback (MSF)

 Completed in Month 4  Minimum of 20 submitted forms required per round  FD is responsible for ensuring 20 returns (may need to issue more than 20 questionnaires to patients)  Interim RCP Panels can require a second round in Months 8/9 if necessary Patient Survey Questionnaire (PSQ)

 Evidence of training to be submitted by FD by end of Month 9  List of topic areas set out in matrix  Evidence required to demonstrate learning will be set by each LETB/Deanery  Normally based on matrix options but other methods (e.g. Test of Knowledge) may be used Professionalism and Management & Leadership Domains

 Study Day attendance is mandatory  Normally 30 Study Days in 12 months period (may be local LETB/Deanery variations)  All LETB/Deanery Study Days must be recorded and evaluated reflectively  Exceptionally, alternative arrangements may be accepted – subject to prior approval  Study Days held after Final RCP recommendation must be attended to demonstrate Satisfactory Completion Study Day Attendance

 Participation in Tutorials is mandatory  Normally 40 Tutorials in 12 months period (may be local LETB/Deanery variations)  All Tutorials required by LETB/Deanery must be recorded and evaluated reflectively  Tutorials held after Final RCP recommendation must be attended to demonstrate Satisfactory Completion Educational Supervisor Tutorial Programme

 Reporting required in e-portfolio and ESs’ Structured Reports  Significant events and complaints should be recorded and analysed on practice documentation or LETB/Deanery template (where available)  Reports should be uploaded to e-portfolio by FD and any personally identifiable information removed  Any learning needs identified should be recorded in the e- portfolio  Panels will take account of the evidence and its relevance in their overall assessment Significant Events and Complaints

 Reporting required in e-portfolio and ESs’ Structured Reports  Absences of 10 days or more will be reviewed by the LETB/Deanery  Panels will take account of the evidence and its relevance in their overall assessment Sickness Absence

 FDs are required to upload this information into the e- portfolio monthly following receipt of first BSA report  The information is used as part of the assessment of clinical experience during the training period  It is reviewed in conjunction with the FD’s own entries in the Clinical Activity Record NHS Business Services Authority (BSA) Data

 Both surveys should be completed where available  Not all LETBs/Deaneries carry out a local survey  Surveys may be compulsory or voluntary as decided by each LETB/Deanery  Final page of each survey should be uploaded into e- portfolio to confirm completion National and Local FD Surveys

 ES and TPD structured reports to RCP Panels are an integral part of the Satisfactory Completion process  Panel reports and recommendations for Outcomes will guide the Postgraduate Dental Dean in Satisfactory Completion decisions RCP Reports

 Outcomes are based on the ARCP model  Outcome 6  Satisfactorily demonstrated the requirements  Certificate to be awarded  Outcome 2  Targeted training required (Interim RCP only)  Outcome 3  Additional training time required (Final RCP only)  During the pilot year take up of additional training time is voluntary and at the discretion of the Postgraduate Dental Dean  Full details are in the ‘Blue Guide’ Outcomes