Monospeciality Training in
         Periodontology

               4 Year Programme



          Handbook 2003-2007
Contents
Faculty ............................................................................................................
Aims and Learning Outcomes: Academic Domain..................................................................37

APPENDIX ...
Faculty
Professor R A Seymour, BDS, PhD, FDSRCS, FDSRCS (ad eundem).
Professor of Restorative Dentistry and Head of School...
Introduction and Entry Requirements
The 4-year programme at Newcastle includes the MSc in Restorative Dentistry as a
found...
Overall Aims and Learning Outcomes
The aim of the Monospeciality training programme in Periodontology is to enable
appropr...
Outline of Programme Structure
The JCSTD curricula for each Restorative Monospeciality specify that training should
be bro...
In order to progress to years 3 and 4 Trainees must complete the MSc programme as
part of their training and pass the Univ...
Year 2
Based on academic year

Module           Activity                                         Weekly            Total h...
Sample Timetables
Changes may be made to suit the needs of individuals


Year 1
            Monday           Tuesday      ...
Years 1 & 2 Overview
Clinical Domain
Clinical activity comprises:
•   Clinical skills training during 1st term
•   A labor...
Assessment
Formative:
   1. Quality of clinical skills work                            [Term 1]
   2. Feedback from clinic...
Years 3 & 4 Overview
Clinical Domain
Clinical activity comprises:
•   Supervised personal treatment.
       Patients are a...
Assessment
Formative:
   1. Contribution at Case Discussion Forum                            [Weekly]
   2. Contribution a...
MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007   14
Years 3 & 4 Periodontology Modules

Full Mouth Disinfection

Introduction
     Full mouth disinfection involves a combinat...
Risk Factors for Periodontal Disease

    Introduction
    There are many recognised risk factors for periodontal disease,...
Use of Lasers in Periodontology

    Introduction
    Lasers have a variety of uses in dentistry. However, there are many ...
Impact of Periodontal Disease on General Health

   Introduction
   Recent evidence suggests that the extent and nature of...
Interface between Periodontitis and other Dental Specialities

Synopsis
The periodontal tissue can be affected by a variet...
Advanced Implantology

Introduction
This module is designed to provide advanced training in implantology to supplement the...
Periodontal Surgery (I and II)

Introduction
Indications for periodontal surgery include recontouring the gingival tissues...
Bifurcations and Trifurcations

    Introduction
    Intra-radicular bone and attachment loss can be classified I, II, or ...
Mucogingival Surgery

   Introduction
Mucogingival surgery is essentially concerned with either preserving or increasing t...
Crown Lengthening Procedures
   Introduction
   Crown lengthening is an important part of any periodontist’s training. Cro...
Data Interpretation of Periodontal Studies

   Introduction
   Periodontal research is an ever-expanding field. It is impo...
Regenerative Techniques

   Introduction
   Regeneration of lost periodontal ligament and alveolar bone remains the ultima...
Generic Modules
The generic modules which follow are common to all monospeciality training
programmes.
•   Interdisciplina...
Inter-disciplinary Care
Introduction
This module is based on the importance of knowledge in the other disciplines that mak...
The Medically Compromised Patient
Introduction
There are several medical conditions that can impact upon the delivery of d...
Evidence Based Learning
Introduction
As with medicine there is an increasing need to use evidence based on clinical trials...
Management, Team Building and Interpersonal Skills
Introduction
It is acknowledged that trainees will become team leaders ...
Clinical Governance and Audit
Introduction
Across medicine and dentistry, there is an increasing emphasis on clinical gove...
The Specialist Practitioner and Education
Introduction
This module is designed to provide the required theoretical and pra...
Specialist Dental Practice: Management, Ethics and Medico-
legal Aspects
Introduction
Most monospeciality trainees enter t...
Preparation for the MRDRCS Examination (Periodontology)
Introduction
Scheduled sessions to ensure that trainees have adequ...
Appendix 1
Aims and Learning Outcomes: Clinical Domain
General educational aim for this element:
To provide opportunities ...
Appendix 2
Aims and Learning Outcomes: Academic
Domain
General educational aim for this element:
To provide core academic ...
Appendix 3
Aims and Learning Outcomes: Research
Domain
General educational aim:
To provide, as part of the requirements of...
Appendix 4

Time commitment years 1 & 2– full time trainee
The tables below show the number of sessions and full-time stud...
Year 2
                               No.          of   Mean session       Student      contact
                          ...
Time commitment years 1 & 2 – part time trainee
The tables below show the number of sessions and part-time student contact...
Year 2
                             No.          of   Mean session       Student      contact
                            ...
Analysis of years 1 & 2 and years 3 & 4 relative to 4500hrs
Full time specialist trainee
                      4500hrs ove...
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  1. 1. Monospeciality Training in Periodontology 4 Year Programme Handbook 2003-2007
  2. 2. Contents Faculty ...........................................................................................................................................3 Introduction and Entry Requirements........................................................................................4 Overall Aims and Learning Outcomes........................................................................................5 Outline of Programme Structure.................................................................................................6 Progression.....................................................................................................................................6 Programmed Hours of Training..................................................................................................7 Sample Timetables.........................................................................................................................9 Years 1 & 2 Overview..................................................................................................................10 Years 3 & 4 Overview..................................................................................................................12 Years 3 & 4 Periodontology Modules ......................................................................................15 Full Mouth Disinfection............................................................................................................15 Risk Factors for Periodontal Disease.........................................................................................16 Use of Lasers in Periodontology...............................................................................................17 Impact of Periodontal Disease on General Health.....................................................................18 Interface between Periodontitis and other Dental Specialities..................................................19 Advanced Implantology.............................................................................................................20 Periodontal Surgery (I and II)...................................................................................................21 Bifurcations and Trifurcations...................................................................................................22 Mucogingival Surgery...............................................................................................................23 Crown Lengthening Procedures................................................................................................24 Data Interpretation of Periodontal Studies................................................................................25 Regenerative Techniques...........................................................................................................26 Generic Modules..........................................................................................................................27 Inter-disciplinary Care...............................................................................................................28 The Medically Compromised Patient........................................................................................29 Evidence Based Learning..........................................................................................................30 Management, Team Building and Interpersonal Skills.............................................................31 Clinical Governance and Audit.................................................................................................32 The Specialist Practitioner and Education.................................................................................33 Specialist Dental Practice: Management, Ethics and Medico-legal Aspects ...........................34 Preparation for the MRDRCS Examination (Periodontology)..................................................35 APPENDIX 1....................................................................................................................36 Aims and Learning Outcomes: Clinical Domain......................................................................36 APPENDIX 2....................................................................................................................37 MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 1
  3. 3. Aims and Learning Outcomes: Academic Domain..................................................................37 APPENDIX 3....................................................................................................................38 Aims and Learning Outcomes: Research Domain...................................................................38 APPENDIX 4....................................................................................................................39 Time commitment years 1 & 2– full time trainee.....................................................................39 Time commitment years 1 & 2 – part time trainee....................................................................41 Analysis of years 1 & 2 and years 3 & 4 relative to 4500hrs....................................................43 MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 2
  4. 4. Faculty Professor R A Seymour, BDS, PhD, FDSRCS, FDSRCS (ad eundem). Professor of Restorative Dentistry and Head of School of Dental Sciences, University of Newcastle upon Tyne. Honorary Consultant in Restorative Dentistry, Newcastle upon Tyne Hospitals NHS Trust. (Monospeciality Course Director). Mr S C Barclay, BDS, MSc FDSRCS (Edin), DRD, MRDRCS(Edin) Consultant in Restorative Dentistry, Newcastle upon Tyne Hospitals NHS Trust. Professor P A Heasman, BDS, PhD, MDS, FDSRCPS, DRD Professor of Periodontology, School of Dental Sciences, University of Newcastle upon Tyne. Honorary Consultant in Restorative Dentistry, Newcastle upon Tyne Hospitals NHS Trust Mr N Paterson, BDS, FDSRCS (Edin), DRD Specialist Practitioner in Periodontology and Visiting GDP, Department of Periodontology, Newcastle upon Tyne Hospitals, NHS Trust. Mr D G Smith, BDS, DRD, FDSRCS Edin; FDSRCS Eng Consultant in Restorative Dentistry, Newcastle upon Tyne Hospitals NHS Trust. Dr P M Preshaw, BDS, FDSRCS (Edin), PhD Lecturer in Restorative Dentistry, School of Dental Sciences, University of Newcastle upon Tyne. Honorary Specialist Registrar in Restorative Dentistry, Newcastle upon Tyne Hospitals NHS Trust. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 3
  5. 5. Introduction and Entry Requirements The 4-year programme at Newcastle includes the MSc in Restorative Dentistry as a foundation with further training in the chosen Monospeciality. The proportion of the Monospeciality element of training increases throughout the programme, particularly the clinical component. For details relating to the MSc in Restorative Dentistry please refer to the current MSc Course Handbook and Course Specification which should be read in conjunction with this document. The MSc Course Handbook explicitly distinguishes between application and admission for the MSc degree programme and that for Specialist Training. It states that transfers from the MSc degree programme to a Specialist Training programme are not possible after entry to the MSc. Applicants for Specialist Training must be in possession of MFDS, FDS or have equivalence granted by the Equivalence Sub-committee of the Joint Committee of Specialist Training in Dentistry (JCSTD). The admissions process will involve the Postgraduate Deanery to ensure compliance with entry requirements, appropriate competitive selection and allocation of a National Training Number (NTN). Specialist trainees will hold an NTN; degree-only candidates will not. Applications are welcome from both part-time and full-time trainees up to a maximum of three trainees per year (including all Monospecialities). The University distinguishes between part-time and full-time MSc students on the basis of a part-time student being able to submit approved and planned work carried out in practice as part of his or her course requirements. In this way it is possible for both part-time and full-time trainees to complete the MSc programme in 2 years. In the same way a proportion of specialist training can be carried out in practice during years 3 and 4 allowing both part-time and full-trainees to complete the programme in 4 years. Hence the terms part-time and full-time relate to faculty attendance and, in reality, the amount of time each type of trainee commits to the programme is not significantly different. The part-time training posts are designed principally for dentists with GDC registration who are employed locally in practice, hospital, community services or the armed forces where a proportion of specialist training can take place. However they will be required to discuss the treatment planning and progress of all training cases, at various stages for scrutiny by their trainers in the Dental Hospital and School. Part-time trainees are expected to spend at least 60% of their time on Faculty premises (normally 3 days a week unpaid with access to 4 clinically related sessions per week at the Dental School) and to carry out a significant proportion of research or seminar preparation out with this time. The full-time training posts will appeal most to overseas dentists who do not have GDC registration and do not have a suitable position locally where a proportion of specialist training can take place. Therefore full-time trainees have unpaid access of up to 6 clinically related sessions per week at the Dental Hospital. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 4
  6. 6. Overall Aims and Learning Outcomes The aim of the Monospeciality training programme in Periodontology is to enable appropriately qualified dentists to acquire advanced skills, knowledge and research experience in the field of Periodontology. This will enable them to sit the Membership in Restorative Dentistry of one of the Royal Colleges, and if successful to be issued with a certificate of completion of specialist training (CCST) and to be registered by the GDC on the specialist list in Periodontology. Satisfactory completion of the MSc in Restorative Dentistry at Newcastle School of Dental Sciences will be used to inform the Record of In-Training Assessment (RITA) at the end of year two as an indicator of satisfactory completion of the first two years of the Monospeciality programme. The MSc programme provides trainees with most of their research requirement and, as detailed below, year two of the programme is structured to reflect the emerging specialist. The broad aims and objectives of the MSc programme are contained in the MSc Programme Specification as well as the MSc Course Handbook. These aims complement those of Monospeciality training, which are: • To acquire advanced knowledge in clinical periodontics, including non-surgical and surgical management of periodontal defects, regenerative techniques, mucogingival procedures, an analysis of occlusal factors in the expression of periodontal diseases, implantology (linked to Prosthodontics module) as well as the integration of Periodontology with other specialist care. • To demonstrate an understanding of Clinical Governance, including risk management, the ethical and medico-legal aspects of Specialist Dental Practice and practical experience of clinical audit. • To acquire knowledge about the management of Specialist Dental Practice. • To understand the importance of the educational role of the Specialist Practitioner and to have experience of Undergraduate clinical teaching, delivery of MSc seminars and involvement in the provision of Postgraduate courses. A more detailed exposition of the aims and learning outcomes associated with the clinical, academic and research domains of the programme are contained in Appendices 1-3 while the specific aims of individual programme modules are contained in: • The MSc module guides • The module outlines specific to the Monospeciality (referred to in this document) • The module outlines generic to all Restorative Monospecialities (also referred to later). The specialist trainee will be required to compile a log book which meets with SAC approval and to participate fully in the RITA process from the time of entry onto the Specialist training programme. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 5
  7. 7. Outline of Programme Structure The JCSTD curricula for each Restorative Monospeciality specify that training should be broad based in all aspects of restorative dentistry and clinical dental science. The MSc programme provides the broad clinical and scientific foundation to Monospeciality training. However as the programme progresses trainees will require an increasingly sharp focus on their speciality area. For this reason trainees will undertake an MSc research project in their chosen Monospeciality. In addition year 2 of the MSc programme will have: • The majority of supervised clinical sessions entirely Monospeciality based • The four patients reviewed by the internal examiners at the end of the second year chosen to exhibit treatment of Monospecialist nature (MSc students are expected to submit cases of a general restorative nature at the end of both year 1 and year 2) • Current literature review sessions to allow trainees to keep abreast of targeted journals of importance to the Monospeciality. The modules for Years 3 and 4 have a large clinical emphasis to support specialist training. Academic topics comprise Monospeciality specific subjects (e.g. implant placement and regenerative techniques) and generic subjects common to all three Restorative Monospecialities, which have not already been introduced in years 1 and 2. Where appropriate, subjects introduced during years 1 and 2 are extended in years 3 and 4. For instance, a trainee would be expected to attend audit and clinical governance meetings in the first year, identify a subject for audit in the second year, perform and report the audit in the third year and where possible re-audit to complete the audit cycle in the fourth year. It should be emphasised that during years 3 and 4 trainees will be expected to engage more and more in directed self-learning. Certain educational activities will be linked with the Restorative Trainees (e.g. current literature reviews and appreciation of evidence based dentistry). Progression Progression from year 1 to year 2 relies on the trainee passing the MSc written examinations and submission of the research literature review. Should a trainee fail the written papers he or she may re-sit during the month preceding re-registration for the second year (i.e. during September). MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 6
  8. 8. In order to progress to years 3 and 4 Trainees must complete the MSc programme as part of their training and pass the University examinations, with the possible exception of the research project oral examination. In such a case the experimental work for the project would still need to be completed in Years 1 and 2. Trainees must however realise that the MSc must be passed as a whole to be awarded a CCST (certificate of completion of specialist training). Specialist trainees will participate in the RITA exercise and any future Competence assessments specified by the SAC in addition to other programme assessments of a formative and summative nature. The RITA processes are scheduled at 6, 12, 24 and 36 months. It must be emphasised that unsatisfactory progress, including failure of one or more components of the MSc examination, would normally result in the award of a RITA ‘D’ or ‘E’ form. Award of a RITA ‘D’ would involve the trainee undertaking targeted or remedial training within the period of their training programme; while a RITA ‘E’ requires a repetition of, and an extension to training. The trainee would be responsible for funding any such extension to training. Where the RITA panel detects continued unsatisfactory performance it will recommend to the Postgraduate Dental Dean and, during years 1 and 2, the Graduate School Dean, that training is discontinued. Programmed Hours of Training The required numbers of hours, in the various years, to comply with SAC approval are shown in Appendix 4. In order to provide at least 4500 hours of training our Monospeciality programmes have been designed over a four-year period (see calculations in Appendix 4). Specimen weekly timetables for years 1, 2 and 3&4 are shown below. Part-time trainees are expected to use a proportion of their own clinical time to undertake training in their practice setting. Year 1 Based on academic year Module Activity Weekly Total hrs+ sessions Clinical Personal patient treatment 4 342 Diagnostic clinics 1# 120 Academic Restorative literature seminars 1 563 Research Lit rev and programme of work 1 310 MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 7
  9. 9. Year 2 Based on academic year Module Activity Weekly Total hrs+ sessions Clinical Personal patient treatment 3* 420 Diagnostic clinics 1 30 Undergraduate teaching 1# 60 Academic Current literature review 1 255 Research Complete project and write-up 1 450 Years 3 & 4 Based on 40 hour week Module Activity Weekly Total hrs sessions (2 years) Clinical Personal patient treatment 4* Diagnostic clinic 1 1680 (full time) Undergraduate, postgraduate and 1 Section 63 teaching 1320 (part time) * Academic Thematic literature 1 610 Current literature 1 Research ** 25hrs/yr # For Full-time trainees only * Part-timers can see patients 2 of these sessions/week in practice. Only one third of the total time spent in practice during the programme is recognised as training time where there is no specialist practice trainer (JCSTD A Guide to Training and Training Posts in Restorative Dentistry Sept. 2001, Appendix 5, p39). If this option is taken part-timers will have 1320 hours of clinical time in the hospital compared with 1680 hours for full-timers. ** It is assumed that 3rd and 4th year trainees will continue to be engaged in research activity, such as the preparation of research papers, review articles, case reports and preparation for scholarly presentations. This is over and above the formal research component of training detailed in years 1 and 2. + Total hours takes account of directed self learning and non-clinical modules. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 8
  10. 10. Sample Timetables Changes may be made to suit the needs of individuals Year 1 Monday Tuesday Wednesday Thursday Friday # am Seminars Personal treatment Diagnostic clinic Personal treatment Seminars/ Research # # # pm DSL Personal treatment DSL Personal treatment DSL Year 2 Monday Tuesday Wednesday Thursday Friday # # am DSL Personal treatment / DSL Diagnostic clinic Personal treatment DSL # # pm DSL Personal treatment / DSL Personal treatment Undergraduate # Teaching Diagnostic clinic Years 3 & 4 Monday Tuesday Wednesday Thursday Friday # am Study/admin Personal # Personal Treatment Personal treatment Personal # treatment treatment # pm Current literature Undergraduate clinical teaching Thematic literature Diagnostic clinic Study/admin # for full-time trainees only DSL Directed Self Learning MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 9
  11. 11. Years 1 & 2 Overview Clinical Domain Clinical activity comprises: • Clinical skills training during 1st term • A laboratory course during 1st term with trainees encouraged to make some indirect restorations for their patients • Supervised personal treatment. During the first year patients are allocated to trainees by their clinical supervisors in Conservation, Endodontics, Periodontics and Prosthodontics to give broad Restorative experience. During the second year patients are allocated to focus experience in the Monospeciality. • Attendance at diagnostic clinics. • Undergraduate teaching (for full-time trainees) See generic module The Specialist Practitioner and Education. • Weekly Case Discussion Forum. The following modules are undertaken during years 1 and 2: • Introduction to Implantology. • Occlusal management • TMD management • Introduction to sedation • And the following modules listed on p18 are started: • Clinical governance and audit • Interdisciplinary care • Management of the medically compromised patient • Evidence based dentistry Academic Domain Restorative literature review Seminars based on chapters from texts and key journal publications. Trainees are expected to prepare revision notes on each topic and essays on selected topics. Trainees are expected to present some seminars within Dental Materials Science. Medical statistics A series of 13 seminars complementing the research dissertation. Research Domain Trainees are allocated a supervised research project within their chosen Monospeciality that should be completed within two years (see note on extended projects p6). The dissertation is written up as a literature review combined with a manuscript ready for submission to a targeted journal. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 10
  12. 12. Assessment Formative: 1. Quality of clinical skills work [Term 1] 2. Feedback from clinical trainers and patients [Sessional] 3. Essay writing and practice for MSc examination [Year 1] 4. Literature review [Year 1] Summative: 1. MSc written papers [Year 1] 2. Verbal presentation of 4 treated cases [Annual] 3. Fully documented restorative case presentation [Year 2] 4. MSc vivas [Year 2] 5. MSc dissertation [Year 2] 6. RITA MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 11
  13. 13. Years 3 & 4 Overview Clinical Domain Clinical activity comprises: • Supervised personal treatment. Patients are allocated to trainees by the Course Director according to training requirements. • Attendance at diagnostic clinics. • Undergraduate teaching. See generic module The Specialist Practitioner and Education. • Treatment carried out either in practice or in a paid hospital post under the guidance of a specialist trainer. • Weekly Case Discussion Forum. The following clinical modules are undertaken throughout years 3 and 4: • Further non-surgical management of patients with moderate to advanced periodontitis, including the adjunctive use of local (controlled release) antimicrobials and full mouth disinfection • Basic periodontal surgical techniques, including: gingivectomy, replaced flap, modified Widman flap, crown lengthening procedures and the apically repositioned flap • Mucogingival surgery, including: free gingival grafts, frenectomy, coronal advancement flaps, connective tissue grafts • Regenerative surgery • Implantology Aims and learning outcomes are detailed below. Academic Domain Thematic literature review Based on chapters from texts and key journal publications. Trainees prepare summary sheets on each topic. Current literature review One session per month will be devoted to reviewing current literature from a list of journals held in the library. Articles may be added to the thematic literature review. Research Domain It is assumed that 3rd and 4th year trainees will continue to be engaged in research activity, such as the preparation of research papers, review articles, case reports and preparation for scholarly presentations. This is over and above the formal research component of training detailed in years 1 and 2. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 12
  14. 14. Assessment Formative: 1. Contribution at Case Discussion Forum [Weekly] 2. Contribution at current literature review groups [Monthly] 3. Feedback from clinical trainers and patients [Sessional] 4. Summary sheets on thematic literature [Termly] Summative: 1. Essays on thematic literature [Termly] 2. Written documentation of 3 treated cases [Annual] 3. RITA [Annual] 4. MRD MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 13
  15. 15. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 14
  16. 16. Years 3 & 4 Periodontology Modules Full Mouth Disinfection Introduction Full mouth disinfection involves a combination of root surface debridement and adjunctive use of chlorhexidine spray, gel and mouthrinse over a short time frame (24 hours). The seminar will focus on the rationale, methodology, and outcomes of this procedure Aims To provide: • The biological basis and indications for full mouth disinfection. • To discuss the responses of the periodontal tissues to such treatment and the factors that can affect outcome Learning Outcomes On completion of this seminar, the Trainee will have an understanding of: • The indications for full mouth disinfection • The biological basis for such treatment • The advantages, disadvantages and outcomes of full mouth disinfection • The factors that can effect the outcomes of this form of periodontal treatment Leader Dr N Patterson MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 15
  17. 17. Risk Factors for Periodontal Disease Introduction There are many recognised risk factors for periodontal disease, including certain medical conditions, environmental factors and stress. Such factors contribute to the expression of periodontal disease or render the patient more at risk from periodontal breakdowns. Aims To provide: • A knowledge and understanding of the risk factors for periodontal disease. Learning Outcomes On completion of this seminar, the trainee will have an understanding of: • The various risk factors that are associated with the expression of periodontal disease • The mechanisms whereby such factor render the patient more susceptible to periodontal disease • The impact of such factors on diagnosis and patient management. Leader Professor R A Seymour MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 16
  18. 18. Use of Lasers in Periodontology Introduction Lasers have a variety of uses in dentistry. However, there are many periodontal applications. These include a variety of surgical uses, root planing and treatment of dentine hypersensitivity. Aims To provide rationale and evidence for the use and efficacy of lasers in the management of a variety of periodontal applications. Learning Outcomes On completion of this seminar, the trainee will have an understanding of: • The application of lasers in dentistry with particular reference to use in Periodontology • The advantages and disadvantages of laser in the management of a variety of periodontal conditions. Leader Professor R A Seymour MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 17
  19. 19. Impact of Periodontal Disease on General Health Introduction Recent evidence suggests that the extent and nature of periodontal disease may be a significant risk factor for a variety of systemic conditions, notably coronary artery disease, pre-term low birth weight babies and respiratory diseases. In this seminar, the links between periodontal disease and these various systemic conditions will be further explored and possible mechanisms elucidated. Aim To provide: • An update on the association between oral health and various systemic conditions Objectives On completion of this seminar, the trainee will have an understanding of: • The epidemiological evidence that links periodontal disease as a risk for coronary artery disease, pre-term low birth weight babies and respiratory disease • The putative mechanisms that links periodontal disease with these systemic conditions. Leader Professor R A Seymour MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 18
  20. 20. Interface between Periodontitis and other Dental Specialities Synopsis The periodontal tissue can be affected by a variety of local factors. These include poorly fitting restorations, malocclusions, pulpal pathology, ill-fitting prostheses and the gingival manifestations of various oral medical conditions. Aims To provide: • An overview of the various local factors that can act as a risk for gingival inflammation, periodontal breakdown and/or alveolar bone loss. Learning Outcomes On completion of this seminar, the trainee will have an understanding of: • The role of various local factors in the prevalence and expression of periodontal disease • The management of such local factors and their prevention to ensure periodontal health. Leader To be confirmed MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 19
  21. 21. Advanced Implantology Introduction This module is designed to provide advanced training in implantology to supplement the basic training provided during years one and two (the MSc course). Aims To provide: • A thorough knowledge of the scientific basis of osseointegration • An in-depth understanding of patient selection, systemic considerations and treatment planning for dental implants • An awareness of the role of additional specialists in implant provision • Theoretical and practical experience of surgical procedures as they relate to the provision and reparative management of intra-oral implant borne restorations • A familiarisation with maintenance requirements and implant complications. Learning Outcomes By the end of the course the trainee will be expected to: • Identify and advise patients who may benefit/seek implant restorations. • Carry out thorough assessment, including appropriate investigations, for patients who may benefit from dental implant restorations. • Undertake the surgical procedures necessary to provide dental implant restorations. • Instigate and carry out an appropriate maintenance regime for patients with dental implant restorations. Clinical • Attendance at designated interdisciplinary implant planning and surgical clinics. Academic • Completion of thematic reading summary sheets and contribution at current literature review sessions. Formative: • Contribution at Case Discussion Forum [Weekly] • Feedback from clinical trainers and patients [sessional] • Summary sheets on thematic literature [Termly] Summative: • Essays on thematic literature [termly] • Written documentation of treated cases [Annual] • RITA [Annual] • MRD MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 20
  22. 22. Periodontal Surgery (I and II) Introduction Indications for periodontal surgery include recontouring the gingival tissues, access to root surfaces, in the treatment of early onset periodontal conditions, and in conjunction with the management of furcation lesions (see later). This seminar will discuss the various surgical procedures, the outcome and healing responses of the periodontal tissues. Aims To discuss: • To discuss the rationale and specific indications for completing periodontal surgery, have a detailed knowledge of gingivectomy, modified Widman flap and apically repositioned flap, their indications and the responses of the tissues to such procedures. Learning Outcomes On completion of this seminar the students should have knowledge of: • The various types of periodontal surgical procedures together with their indications • The short and long-term responses of the periodontal tissues to the different surgical procedures. Leader Professor R A Seymour MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 21
  23. 23. Bifurcations and Trifurcations Introduction Intra-radicular bone and attachment loss can be classified I, II, or III, depending on severity. Furcation lesions can be managed by a variety of techniques including non-surgical debridement, GTR root amputation and hemisection or tunnel preparation. Such lesions can be combined with endodontic lesions and/or compromised tooth vitality. This seminar will discuss the diagnosis, classification and management of furcation lesions. Aims • To examine and discuss: • The diagnosis and criteria for classifying furcation lesions • The various treatment options and rationale supporting these options • The perio/endo interface associated with furcation lesions. Learning Outcomes On completion of this seminar the students should have an understanding of: • Clinical and radiographic features of furcation lesions • The classification of furcation lesions • The various treatment modalities and their prognosis • The interrelationship between furcation lesions and pulpal pathology. Module Leader Mr D G Smith • MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 22
  24. 24. Mucogingival Surgery Introduction Mucogingival surgery is essentially concerned with either preserving or increasing the width of attached gingiva. Many of the problems arise as a consequence of inappropriate toothbrushing causing gingival recession or abnormal frenal attachments. Mucogingival procedures include frenectomies, free gingival grafts, and coronal advancement flaps. Aims To describe: • The various mucogingival problems that can affect the periodontium. To discuss the pathogenesis of these problems, the rationale for their management, and the long-term outcome of the various procedures. Learning Outcomes On completion of this seminar, the students should have a knowledge and understanding of: • The various mucogingival problems that can affect the periodontium and the pathogenesis of such problems • The various procedures that can be carried out to correct mucogingival defects and the long-term prognosis. Module Leader Mr D G Smith MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 23
  25. 25. Crown Lengthening Procedures Introduction Crown lengthening is an important part of any periodontist’s training. Crown lengthening is required in several clinical situations, including the restoration of teeth in which restoration margins would otherwise be placed too far subgingivally and the management of the worn dentition in which increased crown height is necessary for providing adequate retention for coronal restorations. Important considerations in crown lengthening include dental anatomy (so that furcations are not inadvertently exposed, for example), the width of attached gingiva and the concept of biological width. Aims To provide: • Instruction in the techniques of crown lengthening by reference to the literature • An awareness of application, risks and benefits of crown lengthening. Objectives On completion of this seminar, the trainee will have an understanding of: • The surgical techniques for crown lengthening • The importance of preserving the biological width • Crown and root anatomy of relevance to crown lengthening procedures. Leader To be confirmed MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 24
  26. 26. Data Interpretation of Periodontal Studies Introduction Periodontal research is an ever-expanding field. It is important that periodontists remain abreast of current developments in periodontal research, and can critically appraise and evaluate data presented in scientific articles in the literature. This requires an understanding of the methods of clinical and basic science research in Periodontology, including study design, use of appropriate outcome measures, correct and appropriate statistical analyses, and an understanding of statistical significance in relation to clinical significance. Aims To provide: • Knowledge and understanding of how research is conducted in Periodontology • The ability to critically evaluate published research. Objectives On completion of this seminar, the trainee will have an understanding of: • How periodontal research is undertaken • Concepts such as statistical and clinical significance, and an understanding of statistical methods • How to read a scientific article and critically appraise it. Leader Dr P M Preshaw MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 25
  27. 27. Regenerative Techniques Introduction Regeneration of lost periodontal ligament and alveolar bone remains the ultimate aim of periodontal therapy. New techniques and materials are continually being developed and researched to enhance new attachment following periodontal procedures. Key concepts include guided tissue regeneration (GTR) and guided bone regeneration (GBR). These techniques can be applied at natural teeth or implants. Aims To provide: • Instruction in the techniques of periodontal regeneration by reference to the literature and ensure awareness of application, indication, risks, benefits and limitations of regenerative techniques. Objectives On completion of this seminar, the trainee will have an understanding of: • The surgical techniques for periodontal regeneration (including GTR and GBR); • The indications for regenerative procedures; • The healing responses occurring following regeneration • The materials available for regenerative techniques. Leader To be confirmed MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 26
  28. 28. Generic Modules The generic modules which follow are common to all monospeciality training programmes. • Interdisciplinary care • Management of the medically compromised patient • Evidence based dentistry • Management, team building and interpersonal skills • Clinical audit, quality assurance and clinical governance • The specialist practitioner and education • Specialist dental practice: management, ethics and medico-legal aspects • Revision for the MRDRCS examination MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 27
  29. 29. Inter-disciplinary Care Introduction This module is based on the importance of knowledge in the other disciplines that make up restorative dentistry in order to diagnose, treatment plan and execute treatment that is appropriate to the patient and to the constraints under which the clinician or patient may find him/herself. The module emphasises the need for every treatment plan to take into account possible future dental disease and the need to plan for mechanical failure. Experience is also gained of patients who require management by dental specialities outside restorative dentistry. The trainee(s) will share learning with trainees in the other Restorative monospecialities as well as with Restorative Specialist Registrars. This module will facilitate the documentation of cases required for the MRD exam. Aims To provide: • The opportunity of attending inter-disciplinary treatment planning and review clinics in Restorative Dentistry. • The environment where treatment plans and the stages in execution of treatment can be discussed with other trainees, technical staff and with established specialists. • To provide the opportunity of being closely involved with any laboratory stages of treatment in order to appreciate the importance of communication with the laboratory. Learning Outcomes By the end of the course the trainee will be expected to: • Understand the role of inter-disciplinary teams in the management of selected patient groups. • Fully appreciate the importance of taking into account disease susceptibility and modes of failure in relation to treatment planning. Assigned tasks Clinical • Attendance at designated inter-disciplinary Restorative planning and review clinics. Academic • Presentation of cases for discussion with trainee colleagues from all specialities of Restorative Dentistry and established specialist trainers at Case Discussion Forum. Evaluation Formative: • Contribution at Case Discussion Forum [Weekly] • Feedback from clinical trainers and patients [Sessional] Summative: • Written documentation of treated cases [Annual] • RITA [Annual] • MRD MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 28
  30. 30. The Medically Compromised Patient Introduction There are several medical conditions that can impact upon the delivery of dental care. Furthermore, increasing life expectancy will have a significant impact on the prevalence of medically compromised patients attending for routine dental care. Medical conditions and the accompanying drug treatment that have the potential to affect dental treatment include: valvular heart diseases, anticoagulant therapy, organ transplant patients, patients with impaired haemostasis, patients on long-term corticosteroids and those with primary immunosuppressive disorders. Aims To provide: • An evidence-based review on the effect of various medical conditions on the delivery of dental care. Learning Outcomes On completion of this seminar, the trainee will have an understanding of: • The need for chemoprophylaxis in patients at risk from dental procedure – induced bacteraemia; • The management of patients on anticoagulant therapy and long-term corticosteroids; • The oral and dental problems of solid organ transplant patients and their management; • The oral and dental problems of patients with primary immunosuppression and management strategies for such patients. Leader Professor R A Seymour Suggested reading Seymour R A, Lowry R, Whitworth J M, Martin M V. Infective endocarditis, dentistry and antibiotic prophylaxis: time for a rethink? Br Dent J 2000;189: 610-616. Seymour R A, Thomason J M, Ellis J S. Oral and dental problems in the organ transplant patients. Dental Update 1994 (June): 209-212. Thomason, J M, Girdler N M, Kendall-Taylor, P et al. An investigation in organ transplant patients undergoing gingival surgery. J Clin Periodontol 1999; 26: 577-582. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 29
  31. 31. Evidence Based Learning Introduction As with medicine there is an increasing need to use evidence based on clinical trials and other scientific studies to influence current practice. This module will be incorporated as part of the thematic and current literature reviews in each Monospeciality. Trainees will be expected to consider the quality of the evidence base for clinical practice during each seminar. In addition they will be expected to choose one of their previous review areas and within that area consider evidence supporting clinical practice and the quality of such evidence. This exercise, which is scheduled for year three, will extend to trainees in the other Restorative Monospecialities as well as Restorative Specialist Registrars. Each trainee will make an assessed presentation at the end of year three lasting no more than 30 minutes. Trainees with a particular interest may wish to attend a specific course on EBD (e.g. Oxford University: http://www.conted.ox.ac.uk/health) but this is not a specific requirement. A mentor will be assigned to trainees so that they can discuss their EBD learning requirements on an individual basis. Aims To provide: • An introduction to the concepts of EBD • A familiar context to expound the concepts of EBD • Experience in making a presentation • An opportunity to communicate EBD between specialities Learning Outcomes By the end of the course the trainee will be expected to: • Have accessed information on EBD (e.g. http://www.nature.com/ebd http://www.cche.net) • Understand the terminology related to evidence based dentistry • Know the merits and limitations of the various types of study • Be familiar with the idea of using meta-analysis Assigned tasks • Identification of a suitable subject to make an evidence based presentation • 30 minute presentation to trainers and other trainees Evaluation Formative: • Feedback from trainees and trainers during literature review sessions [Sessional] • Summary sheets on thematic literature [Termly] Summative: • Evaluation of quality of 30 minute presentation [end of year 3] • MRD MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 30
  32. 32. Management, Team Building and Interpersonal Skills Introduction It is acknowledged that trainees will become team leaders in their chosen field. They will need generic skills in management, team building and interpersonal communication for effective and enjoyable working in both the Hospital and Specialist practice environments. Aims To provide: • Opportunities for structured training in management skills including: time management, working in meetings, managing a team, delegation, influencing, persuasion, negotiation and managing others. Delivered by professional management trainers from the region. • An understanding of the current structure and funding of the NHS • A supportive environment for applying the skills learnt Learning Outcomes By the end of the course the trainee will be expected to: • Understand basic management theory • Have had opportunities of applying facets of management skill to their daily work • Have had the opportunity of becoming involved with Monospeciality training course organisational issues where appropriate Assigned Tasks • Attend appropriate management training courses. Evaluation Formative: • Feedback from trainees, ancillary staff and trainers MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 31
  33. 33. Clinical Governance and Audit Introduction Across medicine and dentistry, there is an increasing emphasis on clinical governance and audit as tools to improve the quality of our practice and the service provided to patients. Trainee attendance at all Restorative clinical governance and audit meetings is mandatory from the start of the programme. Trainees will be expected to consider the various aspects of governance (quality information, evidence based healthcare and clinical guidelines, clinical performance assessment and professional / managerial relationships) and audit and their relationship to clinical practice. In addition they will be expected to identify a topic for clinical audit, possibly associated with one of their previous review areas, to be carried out and reported on. Ideally, there should be a re-audit of the chosen topic to complete the audit cycle and determine if recommendations have been effective. A mentor will be assigned to trainees so that they can discuss their clinical governance and audit learning requirements on an individual basis. Aims To provide: • An introduction to the concepts of Clinical Governance and audit • Experience in designing and carrying out a clinical audit project • Experience in presenting the results of such a project • Experience in completing the audit cycle and implementing change. Learning Outcomes By the end of the course the trainee will be expected to: • Have accessed information on clinical governance and audit • Understand the terminology related to clinical governance and audit • Know the merits and limitations of the audit process • Be familiar with the concepts of clinical governance Assigned Tasks • Identification of a suitable subject to audit (years 2 and 3) • 30 minute presentation to trainers and other trainees / department clinical governance and audit meeting (year 3) • re-audit (year 4) Evaluation Summative: • Evaluation of quality of 30 minute presentation [year 3] • MRD MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 32
  34. 34. The Specialist Practitioner and Education Introduction This module is designed to provide the required theoretical and practical opportunities for the understanding and practice of teaching, learning and presentation skills appropriate to the specialist practitioner. Aims To provide: • A sound basis from which to approach the educational activities likely to form part of a future specialist career. Learning Outcomes By the end of the course the trainee will be expected to: • Understand the learning process and the limitations of educational formats including lectures, seminars, and practical work. • Have the ability to select appropriate techniques from a range of teaching, learning and assessment skills. • Have experience of the process of peer review of teaching, and of effective methods for communicating feedback. • Be confident in planning and delivery in the appropriate format. • Become familiar with educational technologies currently available for teaching and learning in clinical dental subjects. Assigned Tasks • Attendance at courses delivered by educational specialists. • Presentation at case discussion seminars • Leading topic based MSc seminars (years 3 and 4) • Delivery of lectures • Delivery of post-graduate courses including hands-on elements Evaluation Formative: • Contributie to the teaching facet of Case Discussion Forum [Weekly] • Feedback from participants at assigned educational activities. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 33
  35. 35. Specialist Dental Practice: Management, Ethics and Medico- legal Aspects Introduction Most monospeciality trainees enter training in order to pursue private specialist practice. Whilst the hospital is well equipped to provide didactic education and clinical experiences, exposure to specialist practice and practitioners is essential to ground trainees in the ethical, medicolegal and managerial issues of establishing and running a successful specialist practice. This module will allow trainees to visit specialist practices, to experience management systems and protocols, and to discuss the pitfalls and particular considerations of specialist private practice. Aims To provide: • Opportunities for trainees to spend time in a number of private and specialist practices. • Opportunities to witness systems for patient and business management, record keeping and relationships with referring dentists in successful specialist practices. • Opportunities to discuss emergent issues with experienced specialist practitioners. Learning Outcomes By the end of the course the trainee will be expected to: • Understand the special issues in establishing a specialist referral practice. • Understand the special ethical and medicolegal considerations in managing referred private patients. • Have improved communication skills in correspondence with referring practitioners. • Have improved business sense for running a successful private specialist practice. Assigned Tasks • Attend a number of private and specialist practices (years 3 and 4) • Attend discussion/seminar groups with specialist practitioners. • Incorporate elements of private patient management and developing relationships with referring practitioners during hospital and practice-based clinical activity. Evaluation Formative: • Feedback from practices visited. • Contributions to discussion/seminar groups. • Observation of hospital-based patient management, time management, correspondence with referring practitioners. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 34
  36. 36. Preparation for the MRDRCS Examination (Periodontology) Introduction Scheduled sessions to ensure that trainees have adequate curriculum time for topic-based revision of subjects identified by themselves or by teachers. Aims To provide: • The aim is to prepare for a success at the written and verbal parts of MRD examination and to ensure preparation of appropriate presentation material. Learning Outcomes By the time of taking the MRD the trainee will be expected to: • Have the ability to locate, recall and organise specialist knowledge included in the curriculum to provide well-structured, coherent and focused answers to questions posed verbally or in writing. • Have the skills required to analyse verbal and written questions and frame an argument that will address the elements of the question in an efficient manner. • To be able to effectively evaluate clinical data, casts, records, photographs, radiographs etc. of prosthodontic relevance without preparation time. Assigned Tasks • Revision sessions in selected areas of the curriculum. • Essay practise from past papers Evaluation Formative: • Evaluation of performance at revision seminars. Summative • Results of essay practise from past papers. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 35
  37. 37. Appendix 1 Aims and Learning Outcomes: Clinical Domain General educational aim for this element: To provide opportunities for clinical practice of increasing complexity in a supportive environment; to provide opportunities to master a full range of periodontal procedures, methods and techniques; develop a spirit of constructive self-criticism and an understanding of limits in the management of clinical cases. Provide opportunities for multi-disciplinary management and perspectives on the management of a private referral practice. On completion of this element, the trainee should be able to demonstrate the following skill/knowledge: • Ability to communicate verbally and in writing with colleagues and patients • Refine skills in periodontal diagnosis, treatment, case review and after-care • Ability to critically self-appraise • Ability to evaluate new techniques and innovations in the practice of periodontology and critically appraise these for the benefit of colleagues and patients • Ability to keep clear, succinct records, and document cases for presentation purposes • Understanding of special issues relevant to patient management in a Private Specialist Practice The assigned tasks in achievement of these learning outcomes are: Attendance at prescribed clinics; effective management of clinical time; accurate documentation of cases; good clinical record keeping; documentation of 3 presentation cases per year. Evaluation of the achievement of theses learning outcomes will be realised by: Formative: Feedback from clinical teachers and patients; contribution at weekly Case Discussion Forum. Summative: End of year documented clinical cases. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 36
  38. 38. Appendix 2 Aims and Learning Outcomes: Academic Domain General educational aim for this element: To provide core academic knowledge required for the safe and effective diagnosis, treatment, follow-up and prognostication for periodontal cases managed in specialist practice. To provide foundations for life-long learning and critical self-appraisal. To highlight the deficiencies in current research base, and the need for ongoing investigation. To encourage the development of academic inquiry. On completion of this module, the trainee should be able to demonstrate the following skills/knowledge: • Ability to assimilate and critically appraise clinical and scientific literature. • Sound understanding of the prevention, diagnosis, clinical treatment and evaluation of patients with periodontic problems / disorders. • Ability to find reference information when needed. • Ability to critically evaluate developments in materials, techniques and clinical practice based on a sound knowledge of current scientific knowledge. The assigned tasks in achievement of these learning outcomes are: • Completion of assigned thematic reading • Preparation of summary sheets • Attendance and contribution at current literature discussion groups • Termly thematic literature essays. Evaluation of the achievement of these learning outcomes will be realised by: Formative: evidence of reading; participation in current literature review discussion; summary sheets on thematic literature review. Summative: Essays on thematic literature. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 37
  39. 39. Appendix 3 Aims and Learning Outcomes: Research Domain General educational aim: To provide, as part of the requirements of the MSc in Restorative Dentistry, experience in reviewing the literature, carrying out, analysis, writing up and reporting of a research project related to the Monospeciality area. Whilst most of this work will be carried out in years 1 and 2 trainees should expect to continue some research activity in years 3 and 4. On completion, the trainee should be able to demonstrate the following skills/knowledge: • Ability to critically review scientific literature relevant to the proposed study. • Ability to formulate a hypothesis and devise methods of testing it • Ability to establish clear aims and objectives for a research project • Ability to work in a structured scientific manner, record findings systematically in a research log book and prepare a research manuscript • An understanding of statistics relevant to the research undertaken • Ability to analyse data and make valid conclusions • Ability to compare results with those of other workers • An appreciation of the clinical relevance and shortcomings of the work The assigned tasks in achievement of these learning outcomes are: • Completion of MSc literature review • Completion of a contemporaneous laboratory log book • Completion of one or more manuscripts for journal submission • Presentation of research findings locally, nationally and, where appropriate, internationally Evaluation of the achievement of these learning outcomes will be realised by: Formative: MSc literature review criticised by internal examiners after one year Presentation of research findings to faculty Summative: MSc dissertation (including lab book, literature review and manuscript). MSc dissertation viva Journal reviewers’ reports MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 38
  40. 40. Appendix 4 Time commitment years 1 & 2– full time trainee The tables below show the number of sessions and full-time student contact/preparation hours over the first and second years of the course including the MSc in Restorative Dentistry. (colour coding: Clinical, Academic, Research) . Year 1 No. of Mean session Student contact hours sessions Duration (hrs) (B) Total (A) x (B) (A) Seminars 14 Cons 9 Endo 25 Interrelated subjects 19 Materials Science 13 Phantom Head 21 Perio 10 Prostho Total 112 1.5 seminar 168 1.5 preparation 168 Phantom Head Practical 13 2 26 Lab Course 12 3 36 1 preparation 12 Clinic terms 2,3 20 Cons 20 Endo 20 Perio 20 Prostho 80 3 240 Total 20 2 40 Case presentation/waxing Statistics 13 1.5 19.5 Research Project Literature review 20 5 100 Practical 30 3 90 Tutorials 10 2 20 Combined practitioner Courses Occlusion & restorations 4 TMD 3 Implant 4 Sedation 2 Total 13 3.5 45.5 Revision 50 3 150 (Including essay practice) Total contact hrs 1115 MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 39
  41. 41. Year 2 No. of Mean session Student contact sessions Duration (hrs) hours (B) (A) Total (A) x (B) Review of Monospeciality 10 1.5hr seminar 15 current literature 3 hrs 30 preparation Teaching experience 20 3 60 Clinic terms 4,5,6 100 3 300 Monospeciality : Restorative 3:1 *Diagnostic Clinics 40 3 120 Research Project Practical 40 8 320 Tutorials 15 2 30 Writing-up 20 5 100 Revision 50 3 150 Total contact hrs 1225 * spread flexibly between years 1 and 2 (colour coding: Clinical, Academic, Research) . MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 40
  42. 42. Time commitment years 1 & 2 – part time trainee The tables below show the number of sessions and part-time student contact/preparation hours over the first and second years of the course including the MSc in Restorative Dentistry (colour coding: Clinical, Academic, Research). Year 1 No. of Mean session Student contact hours sessions Duration (hrs) (B) Total (A) x (B) (A) Seminars 14 Cons 9 Endo 25 Interrelated subjects 19 Materials Science 13 Phantom Head 21 Perio 10 Prostho 1.5 seminar 168 Total 112 1.5 preparation 168 Phantom Head Practical 13 2 26 Lab Course 12 3 36 1 preparation 12 Clinic terms 2,3 20 Cons 20 Endo 20 Perio 20 Prostho Total 80 3 240 Case presentation/waxing 20 2 40 Statistics 13 1.5 19.5 Research Project Literature review 20 5 100 Practical 30 3 90 Tutorials 10 2 20 Combined practitioner Courses Occlusion & restorations 4 TMD 3 Implant 4 Sedation 2 Total 13 3.5 45.5 Revision 50 3 150 (Including essay practice) Total contact hrs 1115 MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 41
  43. 43. Year 2 No. of Mean session Student contact sessions Duration (hrs) hours (B) (A) Total (A) x (B) Review of Monospeciality 10 1.5hr seminar 15 current literature 3 hrs 30 preparation Teaching experience Clinic terms 4,5,6 Monospeciality : 80 3 240 Restorative 15 2 30 3:1 30 2 60 Practice case Case presentation/waxing Diagnostic Clinics 20 3 60 Research Project Practical 40 8 320 Tutorials 15 2 30 Writing-up 20 5 100 Revision 50 3 150 Total contact hrs 1035 (colour coding: Clinical, Academic, Research) MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 42
  44. 44. Analysis of years 1 & 2 and years 3 & 4 relative to 4500hrs Full time specialist trainee 4500hrs over 3y Years 1 & 2 Years 3 & 4 @ 60% clinical (inc. 2 year MSc) 25% academic 15% research Clinical 2700 762 1938 Academic 1125 818 307 Research 675 660 15 Total 4500 2240 2260 Part time specialist trainee 4500hrs over 3y Years 1 & 2 Years 3 & 4 @ 60% clinical (inc. 2 year MSc) 25% academic 15% research Clinical 2700 732 1968 Academic 1125 758 367 Research 675 660 15 Total 4500 2150 2350 NB 4500 hours is the minimum time a trainee would spend on the programme. The figures are not intended to be absolute but to give a guide to how the balance of time spent in clinical, academic and research activities changes between years 1-2 and years 3-4. The research component is front loaded as an MSc requirement at the beginning of the course. Depending on the nature of the project more or less time may be spent during years 1-2. However, the trainee would be expected to submit at least one manuscript for scientific journal publication during years 3-4. MONOSPECIALITY TRAINING IN PERIODONTOLOGY – Handbook 2003-2007 43

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