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Dentists with Enhanced Skills (DES) Eric Rooney Faculty Board Invited Member December 2013

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Page 1: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Dentists with Enhanced Skills

(DES)

Eric Rooney

Faculty Board Invited Member

December 2013

Page 2: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Structure

• How the college is contributing to the bigger picture

• Working group recommendations

• Current thinking re "curricula" development and the method of accreditation

– Transitional recognition

– Recognised training

– Relationships and Relativities

Page 3: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Structure

• How the college is contributing to the bigger picture

• Working group recommendations

• Current thinking re "curricula" development and the method of accreditation

– Transitional recognition

– Recognised training

– Relationships and Relativities

Page 4: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

NHS EnglandDepartment of

Health

Contract Reform Programme

AccessiblePreventively focussedIntegrated dental care

Supported by pathways Delivered by skilled people to

high quality

Health Education England

Commissioning

General Dental Council

Care Quality Commission

Delivering Better Oral Health

National and Local Dental Networks

Public Health England

BDA

Faculty of Dental SurgeryRCS Eng

DES Standards Negotiation

Advice

Pathway development Pathway development

COPDEND

Specialist Societies

Specialist Societies

Page 5: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Structure

• How the college is contributing to the bigger picture

• Working group aims and recommendations

• Current thinking re "curricula" development and the method of accreditation

– Transitional recognition

– Recognised training

– Relationships and Relativities

Page 6: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

DES Working Group Aim

• To advise the FDSRCS and establish frameworks for the education, assessment and development of dentists with enhanced skills which are consistent with the demands of NHS commissioners, current career pathways and which facilitate national recognition of DES.

DES working Group Terms of Reference

Page 7: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)
Page 8: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Working group recommendations

• Priorities

– Initial focus should be on Oral Surgery and Paediatric dentistry

• Architecture

– FDSRCS (Eng) should utilize existing structures and expertise, recognising that there may need to be interim structures

Page 9: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Working group recommendations

• Standards

– Standards for training and education for DES should be the responsibility of the existing Specialty Advisory Committees (SAC)

• Education and Training Opportunities

– FDSRCS (Eng) should work with other providers to support educational and training opportunities for those seeking DES status and CPD for established DES

Page 10: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Working group recommendations

• Assessment and Awards

– FDSRCS (Eng) should establish an educationally robust method of assessment for those wishing to be considered as a DES but which facilitates access to a nationally recognised award, complimentary to those currently in existence

Page 11: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Structure

• How the college is contributing to the bigger picture

• Working group aims and recommendations

• Current thinking re "curricula" development and the method of accreditation

– Transitional recognition

– Recognised training

– Relationships and Relativities

Page 12: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Transitional recognition

• Appreciation of the skills that already exist

• Need to develop a recognition system that

– Assures the capability of practice at level 2

– Is educationally sound

– Is reputationally sound for the college, the profession and the NHS

– Proportionate for the context

Page 13: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Transitional recognition thoughts

• Reflective portfolio on cases supported by local Consultant

• Observed practice by College assessor

• Knowledge verification (MCQ)

Page 14: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Structure

• How the college is contributing to the bigger picture

• Working group aims and recommendations

• Current thinking re "curricula" development and the method of accreditation

– Transitional recognition

– Recognised training

– Relationships and Relativities

Page 15: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

+2 Consultant accreditation

Specialty Training

DES

Dental Core training

HEE Foundation

1

2

3a

3b

Career Development

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Reflective Portfolio

MCQ

Observed Practice

Experienced practitioner

Work with localnetwork

HEE Training

HEE Foundation

Other Educational Provider

DESS

Page 17: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Reflective Portfolio

MCQ

Observed Practice

Experienced practitioner

Work with localnetwork

HEE Core Training

HEE Foundation

Other Educational Provider

DESS

Level 1

Level 2

Page 18: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Structure

• How the college is contributing to the bigger picture

• Working group aims and recommendations

• Current thinking re "curricula" development and the method of accreditation

– Transitional recognition

– Recognised training

– Relationships and Relativities

Page 19: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Relationships and Relativities

• Other qualifications in the college

• Other qualifications in Universities

• GDC

• Local Clinical Networks

Page 20: Dentists with Enhanced Skills (DES) · dentists with enhanced skills which are consistent ... MCQ Observed Practice ... Dentists with Enhanced Skills (DES)

Dentists with Enhanced Skills

(DES)

[email protected]

December 2013