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5years DentalSurgeryBDS
5years DentalSurgeryBDS
2014-15
Programme Specification
Undergraduate
Applicable to all non-clinical undergraduate programmes*
Please click here for guidance on completing this specification template.
*Excluding Integrated Master’s degrees.
☐ BA (Hons)
☐ BSc (Hons)
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Date new/revised
Ordinance approved by
Council:
14. Other contributors from School ofUG Medicine, Faculty of Health and
UoL: Life Sciences Research Institutes
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London
Oral Diseases – Dr Julie Burke, University of
Leeds
Oral Health - Dr M Moffat, Newcastle Dental
Hospital
Final BDS
Oral Diseases – Dr T Hodgson, Eastman Dental
Hospital
Restorative Dentistry – Prof Alan Gilmour,
Cardiff University
Oral Health – Dr R John, Bristol Dental
Hospital
22. Other reference points: Preparing for Practice (GDC, 1st edn 2012)
Standards for Education (GDC, 1st edn 2012)
Dentistry – The First Five Years (GDC, 3rd edn
2008).
A Curriculum for UK Dental Foundation
Programme Training (Copdend, 2008).
The Framework for Higher Education
Qualifications in England, Wales and Northern
Ireland. (QAA, 2008).
QAA UK Quality Code for Higher Education
(2014)
Profile and Competences for the graduating
European Dentist (Association for Dental
Education in Europe 2009).
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The curriculum has been designed to achieve the following five broad aims:
No. Aim:
1. To produce a practitioner with the Clinical competence and ability of a Dentist to practise on
initial qualification;
2. To promote the development of a Dentist with effective Communication skills capable of
working collaboratively with other members of the dental team, health professionals, patients
and their associates;
3. To promote the development of a practitioner with a level of inherent Professionalism expected
of a Dentist to practise;
4. To promote the development of a Dentist with effective Management & Leadership skills
capable of working with members of the dental team and other health professionals;
5. To produce a Dentist able to understand the scientific basis of dentistry, the mechanisms of
knowledge acquisition, scientific method and evaluation of evidence, to ensure the application
of evidence-based treatment.
Learning Outcomes
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Learning Outcomes
No. Learning outcomes – Diploma in Higher Education award
See Section 38
Learning Outcomes
No. Learning outcomes – Certificate in Higher Education award
See Section 38
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29 Career opportunities:
.
Successful completion of the BDS programme is a pre-requisite for being able to
seek formal registration as a Dental practitioner with the General Dental Council
(GDC). Following formal registration, by the GDC, graduates of the BDS
programme normally enter into a period of further professional training, termed
Foundation Training, which is a pre-requisite before being able to work within the
NHS as an independent Dental Practitioner. Employment prospects are currently
excellent with over 98% of all dentists gaining employment immediately on
qualification.
30 Academic Requirements:
.
Typical offer
A level: AAA in 3 A levels (including Chemistry and
Biology) taken at one sitting after 2 years of study
Scottish AAAAB at Higher level and AAA at Advanced
Higher/Advanced Higher level including Chemistry and Biology
Higher:
International 36 Points including at least 6 in Chemistry and
Baccalaureate: Biology at Higher level
Irish Leaving AAAABB at Higher level with A1 in Chemistry
Certificate: and Biology
BTEC National Distinction required in all modules and substantial
Diploma: Biology and Chemistry content
Access: Applications considered with significant Biology
and Chemistry content. A distinction in 45 credits
at level 3 is required
GCSEs A minimum of 7 Academic GCSE subjects at
grade A including Maths and English
Language. Vocational/Applied GCSEs are not
accepted
General Studies: Not accepted
Key Skills: No
rd
Subject Biology and Chemistry are essential. The 3
requirements: subject may be from the arts or sciences,
although General Studies, Critical Thinking and
Vocational/Applied A levels are not accepted
Candidates whose first language is not English are required to have IELTS with no less than 7.0
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in every component or TOEFL (IBT only) 100 with no less than 22 in every component and at
least 24 in speaking.
31 Work experience:
.
Applicants must demonstrate motivation and commitment to a career in
dentistry. Candidates are expected to show a range of skills and it is desirable
on all Dental programmes that candidates have completed a period of work
experience/shadowing in a local dental practice or hospital and preferably in
more than one establishment.
32 Other requirements:
.
Offers will be made subject to a satisfactory Criminal Records Bureau check,
references and health screening in accordance with professional requirements.
33 Programme Structure:
.
st nd rd th
The A200 BDS programme spans five years, comprising the 1 BDS, 2 BDS, 3 BDS, 4 BDS
and Final BDS. It is a five year clinical programme that enables graduates to apply for
professional registration as a Dental practitioner and subsequent entry into Foundation Training.
Implicit within the structure of a degree programme of this nature is the need to demonstrate that
students are developing their knowledge and skills in an integrated, sequential, longitudinal
pattern (Figure 1).
Consequently, the BDS programme does not conform to a non-clinical modular format, but
rather is designed around an integrated spiral curriculum that focuses on clinical outcomes
underpinned by integrated knowledge and skills.
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Figure 1: Diagrammatic representation of how key programme aims are developed over the five years
of the BDS programme. Vertical scale is a representation of the relative amount of teaching/training
throughout the programme and is not to scale. Dotted line is drawn to highlight the shift in emphasis
from knowledge-based skill training in the first three years to integrated clinical skills training in the final
two years.
To ensure the aforementioned outcomes, during the programme the individual components
are developed sequentially e.g. safe patient management requires an understanding of the
interrelationship of oral disease with systemic disease. This understanding is acquired over
st
the first 4 years of the BDS programme: During 1 BDS the student will begin to learn about
nd
the structure and function of the teeth and the major organ systems. In 2 BDS students
start to appreciate the clinical application of this knowledge in relation to teeth, and an
overview of disease processes begins to be developed through a PBL approach that revisits
st
structural information gained in 1 BDS and builds upon this to illustrate how disease can
rd
arise through structural and functional changes. In 3 BDS students continue to develop their
nd
clinical skills and revisit some of the PBL scenarios from 2 BDS to use the prior knowledge
th
gained as the basis for the development of a critical understanding of human disease. In 4
nd rd
BDS the knowledge of human diseases gained in 2 and 3 BDS is revisited and built upon
to facilitate the development of an understanding of how human diseases is related to Oral
Disease. Final BDS, primarily, focuses on consolidation of the knowledge and clinical skills
spirally acquired and assessed from years 1 through 4.
The example above has been carefully worded to demonstrate the programme structure to
ensure that the development of clinical skills is integrally linked with the acquisition and
correct application of knowledge. In many clinical programmes this need for students to
develop clinical skills, as well as knowledge, is often approached by running two arms within
the clinical degree programme: One arm being concerned with knowledge delivery,
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acquisition, understanding and the assessment thereof; while the other arm is concerned
with the development of clinical skills and professionalism, and their assessment. A potential
problem with this approach is that by the end of a programme student’s know how to do
something and they know about the thing that they are doing, but often they do not know why
they are doing it. This latter point is crucial, as it is the difference between being competent
and not competent.
Therefore, to fulfil all of the above, the starting point for the design of the BDS programme
structure was to focus on the final outcomes. This approach not only ensured that the
programme is compliant with the statues set out by the University, QAA and GDC, but also
made certain that it prepared the graduates for a seamless entry into Foundation Training
because a process of reverse engineering enables:
Identification of the clinical outcomes that students must have acquired by completion of
the programme through the use of Aims and Objectives, as well as making clear to
students throughout the programme how these skills are being developed;
Demonstration of how these Outcomes are being developed longitudinally, over the five
years of the programme, through the use of Learning Outcomes;
Linking the Learning Outcomes to: (a) sequential academic components within the
programme delivering knowledge and understanding; and (b) interlaced clinical
development activities.
Figure 2: Diagrammatic representation of the BDS Programme Structure demonstrating how Aims and
Objectives are linked through the use of clearly defined Learning Outcomes to the Programme
components designed to deliver knowledge and clinical development
As detailed above and illustrated in Figure 2, the BDS programme has five aims that are
supported by twenty-six objectives. In turn, each objective is met through a series of specific
learning outcomes (191 in total). These learning outcomes are delivered through student
attendance at specific academic components (within the programme) to acquire knowledge, and
attendance on designated clinics where the students apply the knowledge gained from the
programme components, develop clinical skills, and identify further personal learning
objectives.
Figure 3 is a worked example that demonstrates how the structure in Figure 2 integrates the
programmes Aims, Objectives, Learning Outcomes, academic components and clinical
development. The programme Aim illustrated in Figure 3 is to “To Promote the development
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Two fundamental educational aspects afforded by this programme structure (Figures 2 and 3)
are: (a) it demonstrates to the student why they are undertaking a certain academic component
and clinical activity at a particular time point within the programme; and (b) it allows the student
to always have sight of their ultimate goal i.e. to develop competency in the skill they are
working towards.
As the programme objectives are ultimately defined in terms of the Outcomes that need to be
developed over the five years of the programme, they are by definition the same for each year
of the programme. This requirement may seem to pose a potential problem in terms of defining
how a student’s is to progress through the programme. Therefore, to directly address this issue
we have defined 5 levels (based on QAA FHEQ 2008) that direct the expectation of student
attainment through relevant assessment of the required learning outcomes:
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In terms of academic development, with reference to the QAA level, the BDS programme could
be very simply regarded as 3 years of academic development with integrated clinical training,
followed by 2 years of further clinical development and integrated knowledge acquisition at the
rd
same academic level as 3 BDS. Figure 1 shows how the relative importance of the aims of the
curriculum change over the 5 years of the programme. The first three years have a main focus
of knowledge acquisition, understanding and application through the PBL components: Basic
Medical Sciences for Dentistry and Oral Science and Medicine 1 and 2. In this way, the first
three years of the curriculum mirrors a Bachelors programme, including critical reasoning and
writing skills, which is reflected in the assessment. The final two years shift in focus to integrated
clinical training including professionalism, communication and management skills. Students
therefore spend the majority of the final two years on clinic or on placement and this is reflected
in the assessment methods used.
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nd
Oral Sciences and Medicine Programme component 1 (2 BDS). In addition, new more
complex clinical skills and knowledge are developed through designated Programme
components and/or clinical patient management in Oral Surgery, Radiology, Restorative
Dentistry, Paediatric Dentistry and Orthodontics. Professionalism and team working aspects
are further developed through continuous and longitudinal ‘assessment for learning’
strategies embedded into both PBL and clinical activity.
th
4 BDS: Clinical activity in the form of patient treatment continues in the areas developed in
rd
3 BDS. However, further clinical skills are now developed. The major theoretical component
th
of 4 BDS is delivered through the Oral Diseases Programme component where students
develop a critical understanding of the aetiology and management of Oral Diseases. The
Oral Diseases Programme component relies extensively on a critical understanding of the
rd
content of the Oral Sciences and Medicine Programme component 2 (3 BDS). In addition,
advanced clinical surgical skills are developed in Oral Surgery, which are combined with
exposure to advanced methods of: pain and anxiety control through IV Sedation, and
inhalation sedation in Paediatric Dentistry; endodontics, tooth replacement, and advanced
periodontics in Restorative dentistry; dealing with medical emergencies; and integrated
patient management developed through the Special Care Dentistry Programme component
and subsequent clinical attendance at Special Care Dentistry clinics, consultant Oral Surgery
clinics and Oral Medicine clinics, as well and Dental Accident and Emergency. Furthermore,
students commence outreach placements to Maxillofacial surgery, where they attend
consultant led clinics and observe major head and neck surgery for the management of facial
th
deformity and cancer. During the 4 BDS students are also exposed to aspects of NHS
infrastructure that reinforces their management, professionalism and team working skills
developed through continuous and longitudinal assessment for learning strategies
embedded into both PBL and clinical activity.
Final BDS: is designed to allow the students to consolidate their knowledge and clinical skills
prior to qualification, through continued clinical activity and attendance at events such as
clinico-pathology programme and a Clinical Governance day. The only new programme
components are advanced aspects of Dental Public Health and Law and Ethics, which are
essential components that prepare the students for their Final BDS Outreach placements in
the Primary Care dental sector. While in these placements, the students are exposed to a
new clinical environment and patterns of working, team working, management, legislative
and financial areas essential for their future careers.
Please note that the BDS is a clinical, non-modular programme and so individual programme
components do not have associated contact hours related to CATs points and assessment.
Individual Programme Component timetables are provided in the year handbooks and in the
Master Timetable.
FIRST BDS
Programme Academic
Programme Clinical Skills Learning
Component Knowledge
Component Title Development Objectives
Code component
A PBL
programme
component
supported by
1,3,5, 9,
lectures.
Basic Medical 10, 12, 13,
Includes
Sciences for 14, 15, 16,
BMSD normal human NA
Dentistry 17, 21, 22,
anatomy,
23, 24, 25,
physiology,
26
immunology
and
biochemistry
and introduces
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some
elements of
pathology and
therapeutics
through study
of disease.
Anatomy and
pathology in
particular are
presented in a
dental context
(e.g tooth
morphology,
caries &
periodontal
disease etc)
and some
aspects of oral
biology are
introduced.
There is also
considerable
emphasis on
relevant social
sciences,
epidemiology
and public
health,
including
dental public
health and
health
education. The
component
also includes
understanding
of statistics
and data
analysis.
Programme
component
comprising
lectures
Operative Skills
covering
Suite based
simple
programme
Special Dental conservation,
component 10, 13, 14,
Component REST1 and an
developing simple 17
(Restorative 1) introduction to
clinical skills in
oral anatomy,
conservative
dental
dentistry.
materials and
key aspects of
cross infection
control.
A series of
scenarios with
seminars and
Communication role play 1, 13, 14,
Clinical
for Clinical COMMS designed to 17, 21, 22,
Communications
Practice provide a basis 23
for clinical
communication
skills.
SECOND BDS
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Programme Academic
Programme Clinical Skills Learning
Component Knowledge
Component Title Development Objectives
Code component
An integrated
PBL programme
component for
dental students
including tutorials,
plenaries,
clinicopathological
conferences and
a human anatomy 2, 4, 5, 8,
Oral Sciences programme 9, 10, 12,
OSM1 NA
and Medicine 1 component 13, 14, 17,
focussed on the 23, 25
Head and Neck.
The PBL
scenarios include
aspects of
Behavioural
Sciences (Clinical
psychology and
sociology).
The theoretical
aspect of this
Builds on the
programme
clinical skills
component
developed in
comprises a
REST1 and
series of tutorials
introduces
that builds upon
fundamental
BMSD and
practical
REST1, covering
aspects of:
Introduction to fundamental 1, 6, 13,
treatment
Clinical Practice REST2 aspects of: cross 14, 15, 16,
planning, local
(Restorative 2) infection control, 17, 30, 31
anaesthesia,
local anaesthesia,
periodontics
restorative
and
dentistry,
removable
prosthetics and
prosthodontics
periodontics. It
and cross
includes a
infection
communication
control
element and team
working
Integrated
within REST 2
this practical
Basic Life programme
BLS1 NA 15
Support 1 component
maintains
competence in
BLS.
Integrated within A short
REST 2, the intensive
theoretical aspect programme
of this programme component in
component the Operative
comprises Skills Suite 1, 6, 13,
Paediatric
PAED1 lectures and concerned 14, 15, 16,
Dentistry 1
seminars with 17, 19, 20
covering aspects prevention
of: Prevention of and
dental caries, restorative
management of treatment of
the child patient the primary
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A series of
lectures
containing within
the REST 2
programme
component
covering
Radiology Core theoretical and
RAD1 NA 6, 11, 13
of Knowledge legal aspects of
ionising radiation
as specified by
the Ionising
Radiation
(Medical
Exposure)
Regulations,
2000.
Supportive for
all clinical
components,
providing
Decontamination essential
STERDIS 10, 49
Training NA practical
training in
sterilisation
and
disinfection
THIRD BDS
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(crowns, veneers,
Inlays onlays and
posts) appropriate
restoration design
considerations,
colour and
aesthetics
Lecture-based
programme component A short
and series of seminars intensive
that builds on PEAD1 by programme
covering fundamental component in
theoretical aspects of the Operative
clinical paediatric Skills Suite
dentistry: Management concerned
Paediatric 1, 13, 14,
PAED2 of anxiety and pain, with pulp
Dentistry 2 17, 19
consent, caries treatment and
management and advance
treatment planning in restorative
children, the techniques of
management of dental the primary
trauma in primary and dentition
permanent teeth and
safeguarding of children
The theoretical aspect of
this programme
component comprises
symposia covering:
Malocclusion, This practical
Radiographic views, programme
Dental development component
(builds on PAEDS 1), introduces
Orthodontics Management of key aspects 3, 9, 13,
ORTHO1
1 crowding, deciding on of clinical 14, 17
extraction patterns, examination
Dento-Skeletal and the
relationships and the diagnosing of
biology of Tooth malocclusion
Movement. These later
aspects build on BMSD,
REST 2, OSM 1 & OSM
2.
FOURTH BDS
Programme Programme
Academic Knowledge Clinical Skills Learning
Component Component
component Development Objectives
Title Code
This theoretical
programme component
builds upon the knowledge
acquired through BMSD,
OSM1 and OSM 2. The
1, 2, 3, 4,
programme component
5, 8, 10,
Oral comprises integrated
ORALD NA 12, 13, 14,
Diseases seminars and e-learning
15, 16, 17,
materials (oral medicine,
18, 22
oral microbiology,
therapeutics, maxillofacial,
oral pathology and oral
radiology) covering all
aspects pertaining to the
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diagnosis and
management of oral
diseases, and their
relationship to systemic
disease.
The practical
programme
component is
based in the
Operative
The theoretical aspect of Skills Suite
this programme (building on
component is based on the skills
integrated symposia learned in
building on knowledge OS1)
acquired from OS1. The Students
programme component undertake
covers: Basic principles surgical 2, 6, 13,
Oral Surgery
OS2 of minor oral surgery, techniques on 14, 16, 18,
2
general anaesthesia, the dedicated 19
assessment and models: Flap
management of unerupted design, bone
teeth, antral removal, tooth
communications, antral root elevation
surgery, apicectomy and suturing.
(supporting REST 4), In addition,
biopsy and flap design. advanced
aspects of
cross infection
control in the
theatre setting
are covered
In this
component
there are
Operative
Skills Suite
programme
This course component elements
comprises symposia, where
tutorials and clinical skills students learn
laboratory sessions on the practical
advanced restorative skills to
techniques building on undertake-
the knowledge acquired
through REST 1, REST 2 The use of
and REST 3 covering Denar
theoretical knowledge in: articulators /
Management of the 1, 3, 10,
facebows and
Restorative 4 REST4 elderly patient, treatment 13, 14, 17,
the
of advanced, toothwear, 18, 19, 20
Construction
advanced endodontics, and use of
including surgical anterior
endodontics, periodontal guidance
surgery and basic tables,
Implantology. Further it impressions
covers dental materials and tooth
for bridges, bridge design preparation for
and occlusal bridge work.
considerations.
Basic occlusal
analysis
Treatment
planning for
the elderly /
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compromised
patient.
Advanced
endodontic
Techniques
The practical
elements of
this
programme
component
comprise the
The theoretical aspect of development
this programme of key skills
component comprises through the
lecture covering: consent use of a series
(building on the of skills
knowledge acquired in stations
PAED 2 and OS1), covering: Drug
relevant pharmacology preparation,
IV Sedation IVS (adding to the knowledge 13, 14, 16
B.P.
of therapeutics acquired monitoring,
in ORALD and to be Pulse
acquired in MEDEM), and oximetry,
patient monitoring Airway
(supporting the management
knowledge to be acquired and IV
in MEDEM). cannulation
practice
(Many of this
practical skill
underpin skills
needed for
MEDEM)
The theoretical aspect of The practical
the programme component elements of
are delivered through this
Medical integrated symposia programme
MEDEM 2, 13, 15
emergencies covering fundamental component
aspects of: Airway comprise the
management; Emergency development
drugs and routes of of key skills
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FINAL BDS
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Lecture-based
programme
component
building on
Orthodontics 2 ORTHO1,
ORTHO2 NA 1, 13, 14, 17
covering:
treatment of
malocclusion
and facial
deformity
Attendance at
clinical oral
pathology 1, 2, 3, 4, 5,
where students 8, 10, 12,
Clinico-path
CLINSEM consolidate NA 13, 14, 15,
Programme
applied 16, 17, 18,
knowledge 22
gained during
ORALD
Attendance at 1
clinical
governance
Clinical Governance sessions
CLINGOV NA 25
Day organised by
the NHS trust to
gain knowledge
and insight
Integrated
within REST
2 this
practical
Basic Life Support 3 BLS3 NA programme 15
component
maintains
competence
in BLS.
Supportive for
all clinical
components,
providing
Decontamination essential
STERDIS NA 10, 49
Training practical
training in
sterilisation
and
disinfection
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Figure 4: Diagrammatic representation of how the integrated academic programme components and
assessments are timetabled throughout the BDS Years. Please note that this is a highly simplified
representation and that students should refer to the master timetable for the individual times and dates.
It is quite possible that the timetabling of individual components may change within the BDS Years.
As stated earlier (and illustrated by Figures 2 and 3), the programme has been structured so
that the Aims and Objectives are fixed over the five BDS Years. However, the outcomes (and
hence the Aims and Objectives) are sequentially developed to the appropriate level through
carefully timetabled academic programme components that underpin the promotion of
increasingly demanding clinical skills.
The clinical activities and the timetable for them are shown in the table below and in Figure
5:
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nd nd
2 BDS Restorative (2 )
rd
Oral Radiology (3 )
rd
Oral Surgery (3 )
rd rd
3 BDS Orthodontics(3 )
rd
Paediatrics (3 )
rd
Restorative (3 )
th
Dental Accident and Emergency (4 )
th
IV Sedation (4 )
th
Maxillofacial Surgery (4 )
th
Oral Medicine (4 )
th
Oral Radiology (4 )
th th
4 BDS Oral Surgery (4 )
th
Orthodontics (4 )
th
Paediatrics (4 )
th
Restorative (4 )
th
Special Care Dentistry (4 )
Outreach
th
Dental Accident and Emergency (5 )
th
IV Sedation (5 )
th
Maxillofacial Surgery (5 )
th
Medical Accident and Emergency (5 )
th
Oral Medicine (5 )
th
Oral Pathology (5 )
FINAL th
Oral Radiology (5 )
BDS th
Oral Surgery (5 )
th
Orthodontics (5 )
th
Paediatrics (5 )
th
Restorative (5 )
th
Special Care Dentistry (5 )
Outreach
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The successful delivery of a BDS programme provides a unique challenge because by the
end of the programme students must be able to independently undertake the treatment and
management of patients to the standards prescribed by the General Dental Council.
Furthermore, as well as knowledge and skills, students must also demonstrate the levels of
professionalism, ethical behaviour, communication, self-directed learning, and reflection
befitting of a Dental practitioner.
To ensure that these significant challenges are met, it is essential that students
demonstrate a critical understanding of the required knowledge to the academic level
appropriate for the award of Bachelor Degree, in tandem with their developing clinical skills
(both operative and non-operative) and professional behaviour. Therefore, the programme
structure has been fully informed by the teaching, learning and assessment strategy.
Figure 6: Diagrammatic representation of how the use of Outcomes (Programme Objectives) links all
the Aims of the BDS programme.
As discussed above, the programme Aims are realised through the Objectives that are
defined in terms of Outcomes that need to be acquired, and therefore sequentially developed
over the five years of the BDS. Figure 6 demonstrates how these Outcomes are central to the
academic, clinical and professional development of BDS students. Therefore this focus on
Outcomes is fundamental to the teaching and learning strategy of the BDS programme
because it makes the acquisition of Outcomes the central driver for learning and
understanding (Figure 6) i.e. linking the know how to do something with the why they are
doing it.
Learning from the integrated academic programme components (see Tables for structure
and description).
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Programme Specification UG
This is promoted through a wide range of approaches that include: traditional lectures;
practical sessions (in both HARC and the Operative Skills Suite); tutorials; small and large
group teaching; interactive seminars; and technology-enhanced learning. Essential
academic skills for any degree include the need for the student to develop abilities in self-
directed learning, reflection, critical appraisal and writing. Development of these skills is
embedded in the BDS programme through both the use of PBL scenarios which form the
basis of the BMSD, OSM1 and OSM2 (The combined content of these programme
components forms over 40% of the BDS programme), and a bespoke clinical development
system developed at Liverpool, LIFTUPP (Longitudinal Integrative Foundation Training
Undergraduate Postgraduate Pathway). Both these systems allow the developing clinical
student to explore complex issues related to the knowledge and practice of dentistry such
as ethics and professionalism. Furthermore, it is well established that the use of PBL
engages students in cognitive and humanist approaches to learning that more frequently
lead to the deep learning of a subject area.
All programme components are supported throughout the BDS programme within the
Universities virtual learning environment, VITAL (Virtual Interactive Teaching at Liverpool).
th
In 4 BDS year students participate in the Oral Disease programme component (ORALD),
a large applied theoretical component of the BDS programme. A pre-requisite for ORALD is
students having critical understanding of the knowledge gained from BMS, OSM1 and
OSM2. To be in keeping with the PBL based delivery of the earlier programme components
a problem-based approach for large group teaching has been developed for ORALD. This
approach utilises blended-learning resources (developed in-house) to facilitate students
undertaking self-directed acquisition of the background knowledge, followed by interactive
technology supported clinical case driven symposia for them to apply their knowledge and
hone their diagnostic skills.
Learning through clinical activity (see Tables for structure and description).
With reference to the above, a large proportion of the learning that supports the
st rd
understanding of the clinical skills occurs through 1 to 3 BDS during the PBL-based
BMS, OSM1 and OSM2 programme components. Therefore, over the first three years of
the BDS programme students are engaged in academic activities that encourage team
working and engender cognitive and humanist approaches to learning. A potential problem
is that traditional clinical environments encourage behavioural approaches to learning that
focus on only performing the skill, or the recalling lists of facts with little or no emphasis on
understanding, or developing a self-reflective practitioner inculcated in life-long learning
practices. This approach is contrary to that expected on a degree programme, or of a
Dentist.
Therefore, this problem is avoided in the BDS programme: firstly, through the use of the
integrated academic programme components where the essential clinical knowledge is
delivered alongside the developing skills (see Tables for structure and description); and
secondly as a result of the use of Outcomes (Figure 6) that are monitored during the
student’s clinical activity and effectively utilised as a patient based PBL opportunity through
the use of continuous formative and inter-dispersed summative assessment (see below).
An additional component in the Teaching and Learning Strategy of the BDS programme is
the timetabling of students from different years to work together on some of the clinics. This
facilitates peer learning which has been shown to be a valuable approach to learning.
As with all other aspects of the programme the assessment strategy is based around
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assessing the learning outcomes that underpin the development of the programme
objectives. Fundamental to the assessment strategy is constructive alignment. To facilitate
this there has been centralisation of the management of assessment. Furthermore, the
leaning outcomes are linked to both the knowledge attainment through the academic
programme components and the clinical development (Figures 2, 3 and Assessment
handbook). To progress from one BDS year to another, students must satisfy the academic
AND clinical outcomes at the required level as stated in the assessment handbooks.
The assessment strategy for the academic components of the programme adopts a varied
and constructively aligned approach including: EMI (Extended Matching Items); SBA
(Single Best Answer); Short Answer; Critical Reasoning, long answer; OSCE (Observed
Structured Clinical Examination); and 1st, 2nd and 3rd BDS in-programme component
essays to develop and assess critical writing skills. As the BDS programme progresses the
assessments are carefully designed and appraised so that they assess application and
understanding of knowledge as applied to the clinical situation, so as to link with the
essential clinical skills ethos and ensure contextual learning that is known to be essential
for clinical competence (Figure 6).
Summative examinations are preceded by formative assessments, after which the students
receive detailed personalised feedback over their performance in each of the outcomes
assessed. In addition, the contents of all formative and summative assessments are: (a)
formerly peer reviewed and standard set, to the required minimally competent level for the
BDS year, using a modified Angoff’s method; (b) individually blueprinted to the programme
learning outcomes; (c) externally approved; and (d) undergo appropriate psychometric
analysis to ensure aspects such as internal consistency, a key indicator of reliability.
Following the assessments the results are formally assessed and appraised not only for
quality assurance purposes but also to drive both programme component, and assessment
development.
As discussed above many of the integrated academic programme components are linked
with the development of clinical skills. In these situations students must first formerly
demonstrate basic clinical competence (Operative Skill Suite based) in the newly acquired
skill before being allowed to use this skill on a patient, as the public must be protected. This
is a stipulation made by the General Dental Council.
Following the student demonstrating that they are safe, a crucial aspect of the BDS
programme is the centralised monitoring of clinical development (Figure 6). This
relationship was demonstrated in Figure 3. Therefore, by reference to Figure 3 it is possible
to see that if the specified Learning Outcome is progressively met following the assessment
of the knowledge gained from BMS, ORALD, MEDEM and LAW, combined with
progressive demonstration of the clinical development on Restorative, Dental A&E, Oral
Medicine, IV Sedation, Oral Radiology, Paediatric Dentistry and Orthodontics clinics, then
ultimately the programme Objectives and hence programme Aims can be achieved by the
end of the BDS programme. To facilitate the monitoring of this complex set of relationships
the entire BDS programme (in conjunction with its relationship to the GDC First Five years,
GDC Preparing for Practice, ADEE (2009) and the QAA benchmarking standards) has
been mapped onto an electronic relational database (LIFTUPP Core, see Assessment
Handbook).
The monitoring of clinical development is undertaken using case reports, selected outreach
reports and a purpose designed clinical development system, LIFTUPP. LIFTUPP is
grounded in work-based assessment strategies that have been validated for use in
postgraduate Dentistry and Medicine. An important aspect of the approach is integration
and triangulation of the developmental areas monitored by LIFTUPP and its requirement to
be used over multiple different clinics. This latter point is crucial to both transparency in
decisions, and showing student attainment of the required Outcomes throughout the BDS
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All decisions on clinical progress are made by the Clinical Assessment Panel (CAP), which
is a formal board of examiners. However, in the terms prior to the meeting of CAP, a
formative Clinical Development Monitoring Panel (CDMP) (please see the BDS
Assessment Handbook for further details), meets to help ensure that students are
developing appropriately through providing feedback, and where necessary providing
additional developmental support.
LIFTUPP is used on the clinics on a daily basis to: (a) provide formative feedback to
students to focus their development through modifying their self-regulation following self-
reflection; and (b) provide information over their individual amount clinical experience.
Crucially, all LIFTUPP components are not required to be observed at any one time, as this
is compensated due to the multiple overlapping areas of clinical monitoring (See
Assessment Handbook for more detail).
Overall, LIFTUPP represents a core component of the BDS programme as it serves to: (a)
integrate the clinical development with the knowledge delivery (Figure 6); (b) facilitate
students identifying their personal learning outcomes, (c) develop communication, self-
directed learning and reflective skills in students, and (d) link undergraduate to
postgraduate development through the provision of a validated transferable portfolio (See
Assessment Handbook for more detail).
The University has a Code of Practice on Assessment which brings together the
main institutional policies and rules on assessment. The Code is an authoritative
statement of the philosophy and principles underlying all assessment activities
and of the University's expectations in relation to how academic subjects design,
implement and review assessment strategies for all taught programmes of study.
The Code of Practice includes a number of Appendices which provide more detail
on the regulations and rules that govern assessment activity; these include:
Please click here to access the Code of Practice on Assessment and its
appendices; this link will also give you access to assessment information that is
specific to your cohort:
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Full details of the assessment procedures can be found in the Year Handbooks.
Clinical Assessment
Panel to determine
clinical competence
st
at 1 BDS level.
CAP will assess
performance in:
Knowledge Domain
st
Longitudinal
1 Assessment of
BDS Knowledge during
phantom head and
clinical sessions
Clinical Domain
st Longitudinal st
1 BDS 1 BDS
Assessment of Various Summer
CAP CAP
practical skills, both
during phantom head
and clinical sessions
Communications
Domain
Longitudinal
Assessment of
Communications skills
during PBL, Phantom
Head Clinics. In
addition - Presentation
of Clinical Poster, and
Presentation of report
on Community
Placements
are to act as further
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Programme Specification UG
points of assessment
along the longitudinal
assessment
continuum
Professionalism
Domain
Longitudinal
Assessment of
Professionalism during
PBL, Phantom Head
and Clinics
Management &
Leadership Domain:
Longitudinal
Assessment of
Communications skills
during PBL, Phantom
Head Clinics.
Knowledge
EMI An assessment
of core knowledge in
multiple choice and 2 hours Summer OSM1.1
OSM extended matching
Knowledge item format
Paper (EMI Slide A series of
60% and questions related to
Slide paper patients, projected
Approximately
40%) images or sets of Summer OSM1.2
1 hour
data relating to core
knowledge in any of
the subject areas
An assessment of
OSM Long
nd understanding,
2 Answer 2 ½ hours Summer OSM1.3
deeper knowledge
BDS paper
and critical reasoning
Clinical
Multi-component
assessment of
Clinical Knowledge,
Skills and
Professionalism. The
Clinical Radiology core of
See Table
Readiness knowledge part of March/April CRE
below.
Exam this exam is taken in
November/December
The whole of CRE
must be passed
before a student is
allowed on clinic.
Clinical Assessment
nd Panel to determine
2 BDS
clinical competence
CAP nd
at 2 BDS level.
CAP will assess
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Programme Specification UG
performance in:
Knowledge Domain
Longitudinal
Assessment of
Knowledge during
clinical sessions
Clinical Domain
Longitudinal
Assessment of
practical skills during
clinical sessions and
Decontamination
Training
Communications
Domain
Longitudinal
Assessment of
Communications
skills during PBL,
clinics and
Decontamination
Training.
Professionalism
Domain
Longitudinal
Assessment of
Professionalism
during PBL, Clinics,
and Decontamination
Training
Management &
Leadership Domain:
Longitudinal
Assessment during
PBL, clinical
sessions and
Decontamination
Training
Knowledge
rd
OSM EMI An assessment
3 Knowledge of core knowledge in
BDS Paper (EMI multiple choice and 2 ½ hours Summer OSM2.1
60% and extended matching
Slide paper item format
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Clinical
Clinical Assessment
Panel to determine
clinical competence
rd
at 3 BDS level.
CAP will assess
performance on
clinics including
rd rd
3 Year Oral Radiology, Oral 3
Various Summer
CAP Surgery, Paediatrics CDMP
and Restorative
Dentistry.
In addition, CAP will
assess a critical and
reflective practice
written assignment in
Paediatric dentistry.
Knowledge
Application of
Oral knowledge-based
Diseases assessment, in single 1 ½ hours Summer OD
paper best answer (SBA)
format
Application of
knowledge-based
th
4 Restorative
assessment, in single 1 ½ hours Summer REST
BDS paper
best answer (SBA)
format
Application of
knowledge-based
Oral Health
assessment, in single 1 hour Summer OH
paper
best answer (SBA)
format
Clinical
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Programme Specification UG
Clinical Assessment
Panel to determine
clinical competence
th
at 4 BDS level. CAP
will assess
th performance on
4 Year th
clinics including 4
CAP Various Summer
Dental A&E, IV CDMP
Sedation, Oral
Medicine, Oral
Radiology, Oral
Surgery, Paediatrics,
Restorative and
SCD.
Knowledge
Clinical
OSCE covering the FINAL
Final OSCE 2 hours Summer
whole of Dentistry OSCE
Clinical Assessment
Panel to determine
clinical competence at
Final Final BDS level. CAP
BDS will assess
performance on clinics
including
Dental A&E, IV
Sedation, Oral
Final CAP FINAL
Medicine, Oral Various March/April
CDMP
Radiology, Oral
Surgery, Paediatrics,
Restorative, SCD, the
Restorative Case
Report and
performance in
Decontamination
Training
Examination Based
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Clinical
Knowledge-
Failure in
based
this
assessment
Radiology examination
of Core of Standard
Core of 60 1 hour Nov will result in
Knowledge set
Knowledge a candidate
Radiology, in
re-taking this
single best
aspect
answer
(SBA) format
Clinical Failure in
Knowledge- this
Clinical Core based examination
1 ½ Standard
Knowledge assessment 60 Apr will result in
hours Set
Assessment in single best a candidate
answer re-taking this
(SBA) format aspect
10 Stations Failure in
covering this
Clinical Core clinical core examination
1 hr 40 Standard
Skills skills to 10 Apr will result in
mins Set
Assessment demonstrate a candidate
clinical re-taking this
readiness aspect
Failure to develop
in any domain of
Continuous
the Longitudinal
Clinical Assessment assessment of
Based
Panel knowledge, practical
Assessments will
clinical skills,
Assessed in result in a
Knowledge (A) professionalism and
line with the candidate
communication
school undertaking
Skills (B) skills and observed
Longitudinal further training
in lectures, tutorials,
Assessment and being re-
Professionalism (C) the operative skills
Matrix evaluated in the
suite, the
failed domain(s)
Communication (D) prosthetics teaching
at the end of the
laboratory and the
component
clinics.
All results of the Longitudinal Based Assessments will be reviewed at the Clinical
Assessment Panel and a decision made as to those students who are deemed
clinically ready in all 4 domains. There is no cross-compensation between domains.
Pass marks
The pass mark for each knowledge assessment of the BDS programme is normalised to
50%
All clinical assessments i.e. Clinical Readiness Exam, Clinical Development Monitoring
Panels and Final OSCE are marked according to the expected level of a (minimally
competent) student in the relevant BDS year. The Clinical Developmental and Experience
indicators for each year can be found in the BDS Assessment Handbooks.
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Programme Specification UG
Progress
In order to progress to the next year of study, students must successfully meet the required
standards for all knowledge and clinical assessments independently.
http://www.liv.ac.uk/tqsd/pol_strat_cop/cop_assess/appendix_E_cop_assess.pdf
Re-sits
The actual marks achieved following a re-sit assessment will be recorded, but such marks
will be recorded as having been achieved at the second attempt.
For the purposes of determining progression, the actual marks achieved following re-sits
will be used to calculate the average mark.
For the purposes of arriving at the final mark for the award, marks achieved following re-sits
will be capped at 50%.
Rules relating to the re-sitting of assessments can be found in the BDS Assessment
Handbook.
In the CRE a re-sit examination may also require a clinical skills test. Details can be found
nd
in the 2 BDS assessment handbook.
Marking descriptors
The majority of knowledge-based assessments outlined are standard set with numerical
outcomes and so do not have associated marking descriptors. Essay-based assessments
will use the School of Dentistry marking descriptors. Details of these marking descriptors
and a definition of the standard setting process can be found in the BDS Assessment
Handbook.
The calculation of the final Award is based solely upon performance in the Final BDS
Examination.
1. The Final BDS Examination comprises the Final Clinical Assessment Panel, Final
Knowledge Paper and Final Clinical OSCE.
2. Students must pass the Final Clinical Assessment Panel in order to sit the Final BDS
Knowledge Paper and Final BDS Clinical OSCE. The Final Clinical Assessment Panel
shall meet not less than one month in advance of the Final Examination to consider the
developmental attainment of all individual candidates, and thereby determine the list of
candidates to be admitted to the Final Examination. Failure to pass the Clinical
Assessment Panel would result in a student being required to undertake further clinical
attachments in order to meet the developmental standards to proceed to the Final
Examination.
3. The Final Knowledge Paper and OSCE assess general dentistry, covering the entire
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Programme Specification UG
spectrum of knowledge studied over the five years of the BDS programme. Within these
papers, the three main subjects of General Dentistry covered are Oral Health, Oral
Diseases and Restorative Dentistry
For each subject there shall be a Senior Examiner appointed by the Head of School,
1
and an External Examiner nominated by the Board of Studies. The Board of
Examiners shall comprise the Head of the School of Dentistry (who shall be its
Chairman), the Director of the BDS and the Senior Examiner and External Examiner for
each subject.
For the Final Knowledge Paper, marks will be identified for each of the three disciplines
for the purpose of determining distinctions.
In order to achieve a BDS, students must successfully pass the Final BDS Clinical
Assessment Panel, the Final BDS Knowledge Paper and the Final OSCE, independently.
Candidates must normally be attempting the Final Examination for the first time and should
normally have passed each component of the preliminary year examinations at the first
attempt.
Students with a combined mark (rounded to nearest integer) of 75% or more will be
awarded honours. A combined mark will be calculated with the following weightings:
rd
12.5% - OSM Core Knowledge (3 year)
rd
12.5% - OSM Critical Reasoning (3 year)
rd
6.25% - Clinical Core Knowledge (3 year)
th
6.25% - Oral Diseases (4 year)
th
6.25% - Oral Health (4 year)
th
6.25% Restorative (4 year)
25% - Single Best Answer papers (Finals)
25% - OSCE (Finals)
Candidates must normally be attempting the Final Examination for the first time and the mark
of distinction is determined based on performance in the BDS Finals Knowledge Exam. Details
are contained in the Assessment Handbook.
1
It is currently a requirement of the GDC for all BDS programmes that External Examiners participate in the clinical
assessment of patients for all Final BDS students.
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Programme Specification UG
If a student fails to meet the criteria for the award of a BDS degree, or is unable to complete
his or her degree programme, he or she may be awarded one of the following
qualifications:
Certificate in Higher Education* – this will be awarded provided that the student has
st
passed the 1 BDS, equivalent to the first year of an honours degree programme. Such
students will have demonstrated:
Knowledge of the underlying concepts and principles associated with their areas of
study and an ability to evaluate and interpret these within the context of that area of
study;
An ability to present, evaluate and interpret qualitative and quantitative data, to
develop lines of argument and make sound judgements in accordance with basic
theories and concepts of their subject(s) of study.
Diploma in Higher Education* – this will be awarded provided that the student has
nd
passed the 2 BDS, including the Clinical Readiness Examination, equivalent to the
second year of an honours degree programme. Such students will have demonstrated:
BSc in Biomedical Sciences (Dental)* – This will be awarded provided that the student has
rd
passed the 3 BDS, excluding the 3rd BDS Clinical Assessment Panel. Students who are
awarded the degree of BSc in Biomedical Sciences (Dental) will not normally be allowed to
return to the BDS programme.
Students who withdraw from the University of Liverpool may be awarded one of the above
qualifications provided that they meet the necessary criteria.
In should be noted that the degrees marked * do not provide eligibility for graduates to
apply for GDC registration.
Board of Examiners
The role, membership and function of the School of Dentistry Board of Examiners operate
in accordance with the University Codes of Practice and Guidelines. Please see the
appropriate year’s Assessment handbook for further details or refer to:
http://www.liv.ac.uk/tqsd/pol_strat_cop/cop_assess/appendix_D_cop_assess.pdf
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Programme Specification UG
External Examiners are responsible for ensuring that awards made by the University of
Liverpool are of a comparable standard with those of similar subjects and awards of other
Higher Education Institutions in the United Kingdom, as stated in the Code of Practice on
External Examining:
http://www.liv.ac.uk/tqsd/pol_strat_cop/cop_assess/appendix_H_cop_assess.pdf
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Programme Specification UG
The BDS Staff-Student Liaison Committee is established in accordance with the University
Code of Practice on Student Representation (copy of the code can be accessed at:
http://www.liv.ac.uk/tqsd/pol_strat_cop/cop_on_student_representation.doc). This
committee normally meets at least three times per year. The membership of the committee,
its terms of reference, and the manner in which it conducts its business conforms to the
requirements of the Annexe to the Code of Practice on Student Representation. Elections
to the committee are carried out within the structure determined by the University Student
Representation Steering Group and Programme Representatives are encouraged to attend
the training provided for them through the Liverpool University Student Training Initiative.
Students are also represented on the School of Dentistry BDS Management Group,
Student Experience Committee and Board of Studies. Minutes and papers are circulated to
the students by email.
Annex 1
Annex of Modifications Made to the Programme
Please complete the table below to record modifications made to the programme.
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Programme Specification UG
19, 26,
Develop ability to diagnose and treat localised
27, 39,
odontogentic infections and post-operative surgical
Oral Surgery 1, Oral Diseases, Oral Longitudinal, 42, 46,
2 complications with the appropriate therapeutic SBA
Surgery 2 OSCE 50, 78,
agents, and diagnose and refer major odontogenic
80, 85,
infections with the appropriate degree of urgency.
101
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Programme Specification UG
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Programme Specification UG
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Programme Specification UG
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Programme Specification UG
Develop ability to recognise the signs and symptoms Introduction to Clinical Practice
Longitudinal, 6, 7,
13 of periodontal diseases, and identify conditions (Restorative 2), Restorative 3, SBA
OSCE, CRE 46, 104
which may require treatment or onward referral. Restorative 4
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Programme Specification UG
Develop ability to discuss with the patient (in a Introduction to Basic Medical Sciences,
manner they can understand) their responsibilities Introduction to Oral Health, 4, 18,
associated with the treatment plan, including Communication skills, Introduction to Longitudinal, 62, 68,
14
preventive education, time requirements for Clinical Practice (Restorative 2), OSCE, CRE 69, 70,
treatment, fees and payment methods where Communication skills GE, Oral Diseases, 72
appropriate. Oral Surgery 2, Dental Public Health
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Programme Specification UG
36, 37,
Develop ability to describe the benefits, limitations IV Sedation, Oral Diseases, Oral Surgery
16 SBA Longitudinal 44, 49,
and risks of using general anaesthesia and sedation. 2
52
Develop ability to describe the indications,
contraindications and technical requirements for
conscious sedation techniques, including the steps 36, 37,
16 IV Sedation, Paediatric Dentistry 3 SBA Longitudinal
in achieving safe effective sedation and post- 49, 52
sedation care, minimising the risks of unwanted
effects
Introduction to Basic Medical Sciences,
Develop ability to evaluate the periodontal tissues Introduction to Oral Health, Introduction Longitudinal,
17 SBA 6, 7
and diagnose a patient’s periodontal condition. to Clinical Practice (Restorative 2), OSCE, CRE
Restorative 3, Restorative 4
Develop ability to measure and record periodontal Longitudinal,
17 Restorative 3 SBA 7
indices accurately, according to current guidelines. OSCE
Develop ability to assess the requirement for and Introduction to Basic Medical Sciences,
Longitudinal,
17 perform oral hygiene instruction, scaling and Introduction to Clinical Practice SBA 18, 20
CRE
mechanical root debridement. (Restorative 2), Restorative 3
Develop ability to carry out an accurate pre and post Longitudinal, 26, 27,
18 Oral Diseases, Oral Surgery 2
operative assessment of the patient. OSCE 39, 42
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Programme Specification UG
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Programme Specification UG
70, 71,
Develop ability to provide treatment for patients from
108,
all age groups and situations in an organised and
22 Longitudinal 118,
efficient manner through the appropriate interaction
119,
with other members of the clinical team.
120
70, 71,
Develop ability to communicate with all members of Introduction to Basic Medical Sciences, 108,
Longitudinal,
22 the clinical team & peers in an appropriate manner, Communication skills, Communication 118,
OSCE
which inspires confidence, motivation and teamwork. skills GE 119,
120
Develop ability to interact with all members of the 70, 71,
clinical team and peers to an appropriate standard, Introduction to Basic Medical Sciences, 108,
Longitudinal,
22 in practice policies, rules and regulations, health & Communication skills, Communication 118,
OSCE
safety procedures and appropriate clinical skills GE, Law and Ethics 119,
techniques. 120
Introduction to Oral Health, Oral
Develop ability to communicate effectively with other Longitudinal,
23 Sciences and Medicine 1, Oral Sciences 69, 70
professionals verbally and in writing. OSCE
and Medicine 2
Introduction to Basic Medical Sciences,
Develop ability to communicate effectively (verbally
Communication skills, Oral Sciences and
23 and in writing) with referral bodies, and a willingness Longitudinal 46, 118
Medicine 1, Communication skills GE,
to seek advice when necessary.
Oral Sciences and Medicine 2
Introduction to Basic Medical Sciences,
Develop awareness and understanding of the need Longitudinal,
24 Restorative 3, Restorative 4, Law and 91, 109
to provide compassionate care for all patients. OSCE
Ethics
Introduction to Basic Medical Sciences,
Develop awarenes of the need to demonstrate Longitudinal,
24 Restorative 3, Restorative 4, Law and
effective and ethical decision making. OSCE
Ethics
Develop ability to provide treatment for all patients
with courtesy and respect, provide treatment options Longitudinal, 90, 91,
24 Restorative 3, Restorative 4
that are sensitive to the needs of the patient, and OSCE 95, 109
recognise the patients’ right to choose.
Introduction to Basic Medical Sciences,
Develop awarenes of the need to maintain honesty 90, 95,
24 Restorative 3, Restorative 4, Law and Longitudinal
and confidentiality with all patients. 96, 110
Ethics
Introduction to Basic Medical Sciences,
Develop ability to interact with patients without Longitudinal, 47, 97,
24 Restorative 3, Restorative 4, Law and SBA
discrimination. OSCE 109
Ethics
Develop ability to maintain the confidentiality and
90, 95,
24 security of patient records, with respect to Restorative 3, Restorative 4 SBA Longitudinal
96
contemporary legislation.
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Programme Specification UG
63, 89,
Develop a thorough understanding of the
91,
25 professional responsibility of a dentist and his/her SBA Longitudinal
114,
role within and outside the NHS.
115
98,
Develop a commitment to Continuing Professional 107,
Development (CPD) through regular efforts to 111,
25 Longitudinal
update and improve knowledge and skills, and the 116,
incorporation of these skills into everyday practice. 117,
121
Develop an understanding of the importance of
111,
25 Continuing Professional Development within Law and Ethics Longitudinal
121
dentistry and its recording.
Develop ability (and commitment) to self assess and 93,
reflect upon his/her own capabilities and limitations 111,
25 Longitudinal
in order to provide the highest standards of patient 117,
care. 118
92,
Develop ability to critically evaluate published Introduction to Oral Health, Oral
107,
25 research and integrate this information to improve Sciences and Medicine 1, Oral Sciences SBA, EMI
108,
the quality of care for the patient. and Medicine 2
116
Develop ability to recognise, integrate and reflect on
25 Restorative 3, Restorative 4 Longitudinal 117
learning opportunities within the workplace.
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Appendix 2
GDC First Five Years Outcomes
FFY
No. FFY Learning Outcome
obtain and record a comprehensive history, perform an appropriate physical examination,
1 interpret the findings and organise appropriate further investigations
2 be competent at obtaining a detailed history of the patient’s dental state
3 be competent at obtaining a relevant medical history
4 be competent at clinical examination and treatment planning
5 be competent at maintaining an aseptic technique throughout surgical procedures
be competent at diagnosing and planning preventative nonoperative care for the individual
6 patient who presents with dental caries, periodontal diseases and tooth wear
be competent at completing a periodontal examination and charting, diagnosis and treatment
7 plan
8 be competent at designing effective indirect restorations and complete and partial dentures
9 be competent at diagnosing active caries and planning appropriate non-operative care
be competent at carrying out an orthodontic assessment including an indication of treatment
10 need
be competent at managing fear and anxiety with behavioural techniques (and empathising
11 with patients in stressful situations)
have knowledge of diagnosing medical emergencies and delivering suitable emergency drugs
12 using, where appropriate, intravenous techniques
13 be familiar with the diagnosis and management of temporomandibular joint disorders
14 be familiar with contemporary treatment technique in orthodontics
undertake a range of clinical procedures which are within a dentist’s area of competence,
15 including techniques for preventing and treating oral and dental diseases and disorders
be competent at carrying out resuscitation techniques and immediate management of cardiac
arrest, anaphylactic reaction, upper respiratory obstruction, collapse, vasovagal attack,
16 haemorrhage, inhalation or ingestion of foreign bodies and diabetic coma
17 be competent at obtaining informed consent
be competent at oral hygiene instruction, dietary analysis, topical fluoride therapy and fissure
18 sealings
be competent at knowing when and how to prescribe appropriate anti-microbial therapy in
19 the management of plaque-related diseases
be competent at supragingival and subgingival scaling and root debridement using both
20 powered and manual instrumentation and in stain removal and prophylaxis
be competent at completing a range of procedures in restorative dentistry, including amalgam
and tooth-coloured restorations, endodontic treatments of single- and multi-rooted teeth,
21 anterior and posterior crowns, post crowns, simple bridges and partial a
22 be competent at designing effective indirect restorations and complete and partial dentures
23 be competent at fissure sealing, preventative resin restorations, and pit and fissure restoration
24 be competent in undertaking approximal and incisal tip restorations
be competent at managing appropriately all forms of orthodontic emergency including referral
25 when necessary
be competent at undertaking the extraction of teeth and the removal of roots where
26 necessary
27 be competent at undertaking minor soft tissue surgery
28 be competent at taking and processing the various film views used in general dental practice
29 be competent at infiltration and block local anaesthesia in the oral cavity
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have knowledge of the design and laboratory procedures used in the production of crowns,
bridges, partial and complete dentures and be able to make appropriate chair-side adjustment
30 to these restorations
31 have knowledge of preformed stainless steel crown and pulp therapy in primary molar teeth
32 have knowledge of the management of trauma in both dentitions
33 have the knowledge to be able to design, insert and adjust space maintainers
have the knowledge to design, insert and adjust active removable appliances to move a single
34 tooth or correct a crossbite
35 have knowledge of matters relating to infection control
36 have knowledge of inhalational and intravenous conscious sedation techniques
37 have knowledge of conscious sedation techniques in clinical practice
38 be competent at using laboratory and imaging facilities appropriately and efficiently
be competent at the principles of radiographic interpretation and be able to write an accurate
39 radiographic report
40 have knowledge of appropriate special investigations and the interpretation of their results
41 have knowledge of the role of laboratory tests in diagnosis
42 be familiar with the principles which underlie dental radiographic techniques
share with patients provisional assessment of their problems and formulate plans for their
43 further investigation and management
44 be competent in when, how and where to refer a patient for general anaesthesia
45 be competent at obtaining informed consent
46 be competent at making appropriate referrals based on assessment
47 have knowledge of managing patients from different social and ethnic backgrounds
have knowledge of the pharmacological properties of those drugs used in general practice
48 including their unwanted effects
49 have knowledge of the role of sedation in the management of young patients
50 have knowledge of management of acute infection
have knowledge of the drugs commonly used in oral medicine and their side effects and drug
51 interactions
52 have knowledge of the role of conscious sedation in dentistry
have knowledge of dental problems that may manifest themselves in older patients and of the
53 principles involving the management of such problems
54 have knowledge of the pathogenesis of common oral medical disorders and their treatment
be familiar with the role of therapeutics in the management of patients receiving dental
55 treatment
56 be familiar with the general aspects of medicine and surgery
57 be familiar with the main medical disorders that may impinge on dental treatment
be familiar with the principles of treatment of dento-facial anomalies including the common
58 orthodontic/maxillofacial procedures involved
59 be familiar with the pathogenesis and classification of oral diseases
60 be familiar with the principles of assessment and management of maxillofacial trauma
be familiar with the diagnosis of oral concern (cancer) and the principle of tumour
61 management
62 understand the principles of health promotion and disease prevention
have knowledge of the organisation and provision of healthcare in the community and in
63 hospital
Be familiar with the complex interactions between oral health, nutrition, general health, drugs
64 and diseases that can have an impact on dental care and disease
65 be familiar with the prevalence of certain dental conditions in the UK
66 be familiar with the importance of community-based preventive measures
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be familiar with the social, cultural and environmental factors which contribute to health or
67 illness
68 have knowledge of behavioural sciences and communication
communicate effectively with patients, their families and associates, and with other health
69 professionals involved in their care
be competent at communication with patients, other members of the dental team and other
70 health professionals
71 be competent at working with members of the dental team
72 have knowledge to be able to explain and discuss treatments with patients and their parents
73 use contemporary methods of electronic communication and information management
74 be competent at maintaining full and accurate clinical records
75 be competent at using information technology
76 be familiar with the principles of recording oral conditions and evaluating data
understand the scientific basis of dentistry, including the relevant biomedical sciences, the
77 mechanisms of knowledge acquisition, scientific method and evaluation of evidence
understand disease processes such as infection, inflammation, disorders of the immune
78 system, degeneration, neoplasia, metabolic disturbances and genetic disorders
79 have knowledge of anatomy, physiology and biomedical sciences relevant to dentistry
80 have knowledge of the aetiology and processes of oral diseases
81 have knowledge of the scientific principles of sterilisation, disinfection and antisepsis
82 have knowledge of the science that underpins the use of dental biomaterials
83 have knowledge of the limitations of dental materials
Have knowledge and understanding of biomedical sciences, of oral physiology and
84 craniofacial, oral and dental anatomy in the management of patients
have knowledge of the causes and effects of oral disease needed for their prevention,
85 diagnosis and management
have knowledge of the hazards of ionising radiation and regulations relating to them, including
86 radiation protection and dose reduction
be familiar with the pathological features and dental relevance of common disorders of the
87 major organ systems
88 be familiar with those aspects of biomaterial safety that relate to dentistry
understand the broader issues of dental practice, including ethics, medicolegal considerations,
89 management, and the maintenance of a safe working environment
an understanding of patients’ rights, particularly with regard to confidentiality and informed
90 consent, and of patients’ obligations
an awareness of moral and ethical responsibilities involved in the provision of care to
91 individual patients and to populations
92 an understanding of audit and clinical governance
an awareness that dentists should strive to provide the highest possible quality of patient care
93 at all times
an awareness of the importance of his or her own health and its impact on the ability to
94 practise as a dentist
95 be familiar with the legal and ethical obligations of registered dental practitioners
96 be familiar with the law as it applies to records
97 be familiar with social and psychological issues relevant to the care of patients
98 apply evidence-based treatment
an awareness of the need to limit interventions to the minimum necessary to achieve the
99 desired outcomes
be competent at deciding whether severely broken down teeth are restorable and how
100 missing teeth should be replaced, choosing between the alternatives of no replacements,
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