Special Care Training DCPs in UK

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Special Care TrainingDCPs in UK

• Janet Griffiths
• University Dental Hospital Cardiff
• June 13th 2008
• ISDH
• Grand Opera House, Belfast

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DCP EducationSpecial Care UK

• Current position Developments
• Dental Nurses Dental Hygienists Therapists

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Recommendations inDeveloping the Dental
TeamGDC 2003

• Comprehensive oral health care for all age groups
• Experience of all types of primary care
• Disability Discrimination Act (1995)
• Human Rights Act (1998)
• Management of vulnerable patients

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Recommendations inDeveloping the Dental
TeamGDC 2003

• Paediatric special needs
• Gerodontology
• Management treatment of patients with physical
  or learning disabilities, mental health problems,
  medically compromised and terminally ill

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Recommendations inDeveloping the Dental
TeamGDC 2003

• Understand their role in special care dentistry
• Domiciliary care
• Emphasis on team approach

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Whats the current positionpre-qualification?

• Cardiff
• DCP Outreach Dental Nurses Hygienists
  Therapists

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CardiffDCP Training AIM

• Provide a broad overview of the oral and dental
  health needs and management of adults with
• physical disability mental illness mental
  health older people

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OBJECTIVES

• Increase awareness and understanding of
• Psycho-social consequences of impairment /
  disability
• Potential for oral handicap
• Barriers to oral health care

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OBJECTIVES

• Increase awareness and understanding of
• Role of DCPs in SC Dental Team
• Communication skills
• Care and support for carers

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DCP Outreach Cardiff

• Seminars Disability awareness Medical
  social models of disability Developmental
  disorders Acquired impairment / disability
  Mental illness Gerodontology

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DCP Outreach Cardiff

• Induction visits
• Placements
• Case Study Hygienists Therapists
• Log sheets Dental Nurses
• Formal teaching Approx 20 hours
• Evaluation Very positive

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DCP Pre and Post Evaluation Anxiety0 very
anxious5 not anxious
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Pre and Post Evaluation Confidence0 not
confident5 very confident
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Cardiff CDS Outreach

• CDS Clinics
• Mobile dental unitsDomiciliary visits
• Learning disabilities

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Post-qualificationCertificate in SC Dental
Nursing

• BSDH Working Group 1995/1996
• Curriculum Assessment
• Piloted 1997 1998
• Accredited by NEBDN 2000

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Certificate in SC Dental Nursing

• 12 Accredited Training Centres
• England 7
• Scotland 3
• Wales 2
• Ireland ?

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Certificate in SC Dental Nursing

• 295 Certificates awarded to successful candidates

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Certificate in SC Dental Nursing2007-08 syllabus

• 1. Disability Awareness, Legislation Ethics
• 2. Special Care Groups
• 3. Focus on Role of Dental Nurse
• 4. Pain and anxiety control5. Communication
• 6. Oral Health Promotion

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Certificate in SC Dental Nursing2007-08
Portfolio

• 20 Log sheets Electronically
• 3 Case Studies 1,500 word limit
• Evidence of GDC registration BLS
  certificate Manual handling
• Experience of SCD

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Certificate in SC Dental Nursing2007-08
Examination

• 1.5 hours
• 30 Multiple Choice Questions
• 3 Short answer questions (choice of 4)
• 1 Patient Care Plan (choice of 2)

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All Wales Special Interest Group (SIG)

• Job Shadowing Scheme
• Open to DCPs working in SCD in CDS
• Select from 8 specialist areas
• 2 days shadowing
• Attract CPD
• Small bursary to cover expenses (SIG BDA)

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Special Care Training Hygienists and Therapists?

• BSDH Working Group (2005)
• Kamasala Chelliah Dental Hygienist / BSDH
  Treasurer Tina Gorman President Elect ISDH
  / BSDH Committee Jacke Helanor OH Manager /
  Past BSDH Treasurer Sue Hilton Dental
  Therapist / BSDH Membership Secretary Selina
  Master Clinical Director / Past President
  BSDH
• Myself

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Remit of Working Group

• Review existing courses NEBDN DN Cert
• RCS Diploma
• Determine interest
• Develop syllabus based on clinical needs
• Identify entry criteria

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Remit of Working Group

• Make recommendations to BSDHRx Modified NEBDN
  syllabusChallenges Accreditation Format
• Questionnaire to identify interest

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Response by geographic location (n 262)

• Wales 43.1
• England 43.1
• Scotland 9
• N Ireland 1.9

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Employment settings of respondents (n 262)

• GDS 69.5
• CDS 17.9
• HDS 4.6
• Combination 9.7

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Clinical experience of SC Groups
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Experience of Mandatory Trainingn - 262
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Source of Funding for SL(n 135)
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Barriers to continuing educationn 262

• Funding 34.2
• Geographical location 23.7
• Family commitments 17.9
• Travel 14.9
• Lack of opportunity 12.6
• Lack of information 11.8

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Interest in Course in SC

• 57.5 expressed interest in course
• Preference for Study Days
• Not asked about Distance Learning
• Results suggest a need for two courses a year (10
  Yrs)

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Development of Postgraduate Diploma for DCPs

• Postgraduate Distance Learning Programme
• To include Special Care
• Modules 1 and 2 Special Care
• 5 Units per module / Marked assignment
• Mandatory Study Day

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Postgraduate Diplomafor DCPs

• Each Module - 15 Credits towards Diploma
• 120 Credits DCP Diploma
• 60 Credits DCP PG Certificate
• Proposals under discussion

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Current position

• Revising the syllabus
• Developing Learning Outcomes
• Cardiff University validation
• Hope to launch October 2009

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www.bsdh.org.ukwww.dentpostgrad.wales.ac.uk