Satisfactory Completion of Vocational Training the story so far

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Satisfactory Completion of Vocational Training -
the story so far

• Tony Anderson
• Director of Postgraduate General Dental Practice
  Education
• South East Scotland

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Criteria forSatisfactory Completion

• Contract of Service
• Attendance at Study Days
• LEP
• PAQ
• ToK
• MME
• Trainer/Adviser Statements

• Evidence of all the above collected in an RPA

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Longitudinal Evaluation of Performance (LEP)

• Continuous assessment 1 / week
• Observation of real practice (average 20 mins
• observation/10 mins feedback)
• Addresses all round competence in all four
  domains
• Clinical, Communication, Management,
  Professionalism
• Feedback and Summary of Performance (SoP)
  reports
• every 4 months

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Patient Assessment Questionnaire (PAQ)

• Communication / Professionalism only
• Anonymous
• Minimum 50 PAQ to be given to patients (2 times
  Oct and Feb)
• Minimum of 20 returns needed each time
• Minimal time commitment (VDP/Trainer)
• Feedback/SoP sheet for each round sent to
  
• VDPs and trainers

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Test of Knowledge

• Managerial domain randomised bank of questions
  on NHS Rules Regulations, Infection Control,
  Health Safety, Practice Management etc.
• Computer-based MCQ type test
• Can be used as a learning tool
• Sat under exam conditions when VDP feels ready

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Management ofMedical Emergencies

• Clinical domain only
• Emergencies simulator
• Attend practical training sessions
• (half a scheme at a time)
• 10 medical emergencies within 5 scenarios
• set in advance
• Assessment of technical abilities
• BLS equivalent certificate

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Trainer and Adviser Statements

• Supporting statements from Trainer and Adviser
• Any reservations highlighted

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Certificates
Assessments
Personal details
Study days
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Record of Progress and Achievement

• Portfolio of Evidence
• Built up throughout year
• Submitted for assessment at the end of VT at both
  regional and national level

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Regional pre-screening

• RPAs screened against criteria/requirements
• Director/Assistant Director/Adviser
• Pre-screening form completed
• 3 outcomes
• Okay (may be called in for QA)
• Something missing but could be provided before
  NRP
• Refer to NRP

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Criteria forSatisfactory Completion (1)

• Contract of Service
• 1 year/365 days in Practice
• Attendance at Study Days
• minimum attendance - 25 days

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Criteria forSatisfactory Completion (2)

• LEP
• Min 46 (less holidays and sickness) 42
• All clinical areas covered
• All patient age groups covered
• All complexities covered
• At least 2 evaluators per block
• No outstanding Needs Improvements
• 3 reports and 3 signed Summary of Performance
  sheets

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Criteria forSatisfactory Completion (3)

• PAQ
• 2 rounds of a minimum of 20 PAQs
• 2 PAQ reports and 2 signed SoP sheets
• Test of Knowledge
• Certificate of attainment present
• Management of Medical Emergencies
• Certificate of attainment present
• Trainer and Adviser statements
• Both present, signed and no concerns raised

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National Review Panel

• Directors, Assessment Team, External VT
  Experts, Non-Dentists
• Split into 2 teams, all members review each RPA
• Whole NRP discussion of those judged not to meet
  criteria
• Paperwork/signatures for each VDP

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National Review Panel - Possible Outcomes

• Possible outcomes
• Pass
• Fail
• Provisional Pass subject to meeting specified
  requirement(s)
• Extension of training
• Appeal

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2004/5 Outcome

• 53 RPAs reviewed by the NRP
• 25 for QA / 28 from pre-screening
• 28 comprised
• East/North East 1
• West 12
• South East 15 (mainly paperwork)
• Outcome
• 2 VDPs 1 further round of PAQs
• 1 VDP resat ToK
• 1 VDP additional LEPs

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2005/6 Outcome

• 62 RPAs reviewed by the NRP
• 23 for QA / 39 from pre-screening comprising

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2005/6 Outcome

• Outcome 6 deemed to have not met criteria for
  SC
• 1 VDP 2 additional LEPs by external evaluator
• 1 VDP 6 hours of verifiable CPD required
• 1 VDP all okay except only 8 months in Practice
• 1 VDP extension of training - additional
  minimum 3 months in a different training practice
• 1 VDP 2 days of specified verifiable CPD
  required
• 1 VDP Study days LEP reports/SoPs PAQ
  reports/SoPs Adviser statement Trainer statement

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Summary

• System now pretty well tested
• New tools being developed for FP
• Identifies strong and weak areas quickly
• Should be seen as formative and not summative
• 4 years in (2 years for real) - hard to imagine
  not having SC
• Only a matter of time before other countries/GDC
  require it (Personal view)

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