1. National Dental Core training curriculum and assessment framework Dental Core Trainee training slides September 2016

2. Background
From September 2016 we will have a DCT curriculum in the UK for the first time Aim : “To improve educational standards for Dental Core Training whilst maintaining a focus on patient safety”

3. Objectives of today’s training
Understanding the structure of dental core training in the UK
Understand the format of the curriculum
Knowledge of the evidence required to demonstrate that the pre-agreed learning objectives have been achieved

4. Background DCT 1 focus on generic outcomes
DCT 2/3 focus on further development of these with additional optional outcomes.
Trainees will have PDP
Certificate of achievement
No DCT 4 posts. Max 3 year training programme.

5. DCT training -how is it different?
Curricula usually start at point A and describe how a trainee moves to single exit point B and describes the outcomes required
DCT has a single entry point- Dental Foundation (or equivalent)
DCT is different in that it has multiple exit points

6. DCT training -how it fits together
The route will depend on the your final proposed career path
DCT2
DPH
DCT1
DCT3
Oral Surgery
Paeds
Restorative

7. Structure of the Curriculum 1/2
broad things that have to be done at DCT1 or DCT2/3 levels
Mandatory outcomes
Specialty specific outcomes
Agreed at the beginning of a training period which ones are to be met
Optional outcomes

8. Structure of the Curriculum 2/2
Competency descriptors
Examples of things that are used to provide evidence that the higher level outcomes have been met
There does not need to be evidence of every individual competence.
Knowledge
Skills
Behaviours (i.e. evidence of attitudes)

9. Purpose of Dental Core Training
Consolidate and develop knowledge of clinical and organisational governance
Learn through service delivery ensuring that patients are not put at risk
Experience training in a different setting/s with adequate supervision
Practise within their own level of competence and develop additional skills
Development & feedback to reach higher levels of competence
Become part of a large multidisciplinary team
Work with experts in their field
Develop leadership skills
Develop their preference of career choice

10. Expectations of DCTs Values and commitment to patient safety
A good trainee is a safe, compassionate and effective practitioner who is committed to high quality patient care and treats all patients with respect. The dental trainee will be expected to demonstrate the following values:
Working together for patients
Respect and dignity
Care and compassion
Improving lives
Everyone counts
Openness, honesty and responsibility
Quality and teamwork

11. Expectations of DCTs
Overall, the expectation of trainees is that they will drive their training against an agreed set of objectives and timeline in order to maximise their training opportunities and development. Clinical Supervisors, Educational supervisors and members of the Deanery or local HEE teams all have a role, but the primary responsibility for training progression sits with the individual trainee.

12. Educational Support Educational and clinical supervisors
Induction, educational and clinical supervisor
Learning agreement
PDP
Workplace based assessments
E Portfolio
Reflective practice

13. Outcomes of DCT1
Trainees should be able to demonstrate evidence against the following areas/outcomes:
Enhanced clinical skills relevant to primary or specialist dental care
Understanding the impact, mechanism, benefits and appropriateness of specialist or inter-specialty referral
Options to work partly in OMFS services, dental hospital services and partly in community/ public dental services
Out of hours work where this forms part of the contract of employment
Increased team working and working in multidisciplinary teams
Development as a professional
Enhanced skills in self-reflection and construction of effective PDP
Improved self-awareness
Academic achievement (Membership of the Faculty of Dental Surgery (MFDS)/ Membership of the Joint Dental Faculties (MJDF, Audits, Presentations, Prizes)
Enhanced awareness of career options and intentions
Ability to cope with patients with more challenging and complex conditions
Communication with different providers/referrers and patients and their carers as well as other peer groups

14. Outcomes of DCT 2/3
in addition to the DCT 1 outcomes it is expected that there will be increased evidence of these areas:
Enhanced clinical skills
Portfolio of outcomes which may be required for provision of referral services in the future.
Portfolio of outcomes required for entry to specialty training
Increased generic experience and level of responsibility, including leadership and audit/governance
More specialty specific experience
Enhanced academic achievement (e.g. publications, presentations, teaching, research, further examinations)
Awareness of leadership and importance of this to clinical care and the work environment and for the work environment.

15. Mandatory Outcomes
A. The Dental Core Trainee as a developing professional
Domain 1. Professional behaviour and trust
Domain 2. Communication, team working and leadership
Domain 3. Clinical safety and quality
B. The Dental Core Trainee as a safe and effective practitioner
Domain 4. Good Clinical Care
C. Specialty specific descriptors
OPTIONAL OUTCOMES
(agreed at the beginning of a training year in PDP)

16. Specialty specific outcomes
E.g. Paediatric dentistry
DCT1 outcome:
Have a basic understanding of Paeds provision in the secondary care service. Able to made Paeds diagnosis and undertake basic emergency dental treatment for children.
DCT2/3 outcome:
Have a practical set of skill and knowledge base to deliver a range of dental management for children in primary and secondary care

17. The Assessment of the Dental Core Trainee
Learning agreement
SLEs (24 per year)
Review of competence progression
Certificate of achievement

18. Assessment Initial meeting to set smart objectives Review at 3 months
Interim review of competency progression at 6 months
Final competency review to agree outcomes achieved (or not achieved)
Certificate of achievement

19. September 2016 https://portfolio.turasdigital.com
ePortfolio for DCTs
September 2016

20. v3 ePortfolio: Homepage

21. v3 ePortfolio: Log in
Forgotten password

22. v3 ePortfolio

23. v3 ePortfolio
Trainee details
Help
v3 portfolio

24. v3 ePortfolio This portfolio is being built using agile methodology
Additional content will be added over the next weeks and months

25. DCT curriculum 2016
The portfolio has been designed to reflect the new Curriculum for Dental Core Training 2016

26. DCT curriculum 2016

27. Benchmark for the successful completion of a DCT programme
Minimum of 24 Supervised Learning Events (SLEs)
A clinical governance/quality improvement project (e.g. audit)
A current personal development plan (PDP) and progress against that PDP
Study Day attendance record and CPD log which is appropriate for GDC requirements
Completed Multisource Feedback (MSF)
Evidence of satisfactory patient feedback
Formal sign-off of training by Educational Supervisor

28. Progress against curriculum: trainee view
Curriculum coverage
There are 18 mandatory learning outcomes
5 in Professional Behaviour, 3 each in Communication and Clinical Safety, and 7 in Clinical Care
Trainees are expected to link a minimum of 2 pieces of evidence to each learning outcome

29. Progress with SLEs: trainee view
Supervised Learning Events
Previously known as workplace-based assessments
Comprise DOPs, CBDs, Mini-CEX and Developing the Clinical Teacher
Reference point is end of training
Minimum of two a month

30. Progress with SLEs: trainer view
Supervised Learning Events
Previously known as workplace-based assessments
Comprise DOPs, CBDs, Mini-CEX and Developing the Clinical Teacher
Reference point is end of training
Minimum of two a month

31. Multi-source Feedback (MSF): trainee view
Trainees should complete self MSF
A minimum of 10 assessors then complete feedback
Educational Supervisor releases summary
At least one MSF round in a training year

32. Supervisor meetings: trainee view
Trainees must have signed Conditions of Taking up a Post form before meetings can be arranged

33. Supervisor meetings: trainer view
Trainees must have signed Conditions of Taking up a Post form before meetings can be arranged

34. Supervisor Meetings September November February March May August
Draft PDP
Meet with Educational Supervisor and finalise PDP
September
Review meeting with Educational Supervisor
November
Interim Review of Competence Progression (RCP)
February
Initial meeting with Educational Supervisor (if on 6 month rotation)
March
May
Final RCP
August

35. v2 ePortfolio
This portfolio will become “read-only” in September 2016.  If trainees need data, they can retrieve it by using the Download Portfolio function before 1st August 2017, when the portfolio will be permanently deleted.

36. Summary We have covered how DCT training works
How the curriculum is structured
How the assessment process works
NES v3