Core Recommended CPD Update 2022

This talk will provide delegates with an up-to-date review of the latest information about the impact of the ongoing COVID 19 pandemic, other respiratory diseases as well as blood borne virus infections on general dental practice. As we learn more about these infections we have to remain flexible and able to respond to the evolving changes to infection control and decontamination national standard operating procedures and practice based protocols. The talk will reflect on the current scientific evidence in relation to ventilation, PPE, environmental cleaning, occupational health measures and discuss how practices can manage the risk to their patients and the team.

Learning objectives

By the end of this activity, the participant should be able to:

• Understand their role in managing the current risk of COVID 19 in a dental practice
• Explain to their team members what changes are necessary to their infection control and decontamination SOP in the light of the latest evidence
• Review the changes in the guidance on managing Healthcare workers with BBV and other occupational health measures.
• Appreciate the improvements that can be made in surgery ventilation and implementing HTM03-01
• Explain the importance of robust Antimicrobial stewardship and the current best prescribing guidance

This talk satisfies the GDC’s learning outcome: C - Maintenance and development of knowledge and skill within your field of practice Dr Caroline Pankhurst BSc PhD BDS MSC MRCPath (Specialist in Oral Microbiology)

Biography

Dr Caroline Pankhurst BSc PhD BDS MSC MRCPath (Specialist in Oral Microbiology) Caroline Pankhurst has published extensively on oral microbiology including two books on infection control most recently “Basic Guide to Prevention and Infection Control in Dentistry, 2nd edition”. She was formerly a Senior Lecture in Oral Microbiology at KCL Dental Institute and is now actively involved in postgraduate dental education and was a finalist in the e- Learning Awards 2012. She served on the SAC in Medical Microbiology, Royal College of Pathologists, Editorial Boards of “Primary Dental Care” & BMC Oral Health and a past President of the BDA Metropolitan Branch. She is a Trustee of the Fungal Infection Trust and the Affordable Health Initiative.

The impact of a restricted access to primary care services during the Covid-19 pandemic is manifesting in 2022 in the form of mouth cancers that are relatively large with a high incidence of neck metastases. Both these factors will result in the need for more extensive forms of treatment and poorer outcomes for patients. The number of Urgent Suspected Cancer (USC) referrals to secondary care has fortunately now returned to pre-pandemic levels but conversion rates are still low due to inappropriate use of the system. This presentation will include an interactive clinical component to help dental healthcare workers with the most effective use of the USC system for patients found to have a mucosal or soft tissue orofacial abnormality. The Delivering Better Oral Health guidance for the UK, which was updated in November 2021, will be reviewed and the changes in the sections related to mouth cancer, in particular risk factors and prevention post-treatment, presented.

Learning objectives:

Following the presentation delegates will:

• Understand the impact that the Covid-19 pandemic has had on mouth cancer
• Have an increased appreciation of the difference between cancer / potentially malignant conditions and benign mucosal disorders
• Be able to use of the USC referral system effectively
• Be aware of the cancer related information in the updated Delivering Better Oral Health guidance

This talk satisfies the GDC’s learning outcome: C - Maintenance and development of knowledge and skill within your field of practice Professor Michael A. O. Lewis PhD, FDSRCPS, FDSRCS (Eng), FRCPath, FFGDP(UK), FHEA, Emeritus Professor, Cardiff University

Biography

Mike Lewis served as the Professor of Oral Medicine at Cardiff University from 2000-2020.  He was also Dean of the School of Dentistry at Cardiff University, Dean of the Dental Faculty of the Royal College of Physicians & Surgeons of Glasgow and Director of the Clinical Board for Dentistry, Cardiff & Vale University Health Board. Professor Lewis has published over 200 scientific articles and co-authored six medical textbooks. He has delivered more than 600 postgraduate lectures worldwide. In addition, Mike has been President of the British Society for Oral Medicine, President of the British Society for Oral & Dental Research, Dental Representative on the Advisory Council for Misuse of Drugs (Home Office) and Dental Representative on the Scientific Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infection (Department of Health).  Professor Lewis is presently a registrant member of the General Dental Council.

This presentation will provide an update on current medico-legal issues that impact the whole dental team, looking at vicarious liability claims, the NHS complaints procedure and the management of serious incidents, that used to be known as ‘never events’. The learning outcomes are that by the end of the session the delegates will:

• Be able to explain what non-delegable duty of care means in the context of dental practice
• Appreciate the implications of the recent Hughes v Rattan case for practice owners and the rest of the team
• Understand the NHS complaints procedure
• Know what to do when a serious incident happens to a patient in the practice in terms of reporting to NHSE&I and CQC

This talk satisfies the GDC’s learning outcomes: A – Effective communication with patients, the dental team, and others across dentistry, including when obtaining consent, dealing with complaints, and raising concerns when patients are at risk B – Effective management of self, and effective management of others or effective work with others in the dental team, in the interests of patients at all times; providing constructive leadership where appropriate D – Maintenance of skills, behaviours and attitudes which maintain patient confidence in you and the dental profession and put patients’ interests first Stephen Henderson BDS LLM FCGDent FFFLM

Biography

Stephen Henderson is the Head of the Dental Division at MDDUS and is a Specialist in Oral Surgery who qualified in London  in 1984. After five years in full time hospital practice he went in to general dental practice in Oxford. He continued to work part-time in the Oral & Maxillofacial Surgery Department of the John Radcliffe Hospital until 2000, when he joined Dental Protection. He converted his practice to a largely private referral oral surgery practice when he became a full time adviser at DP in 2007.  He continued to work as a visiting specialist in the same practice and at a practice in Bedford until the pandemic commenced. He has undertaken Expert Witness training with Bond Solon. In December 2017 he left DP and joined MDDUS. In his medico-legal career Stephen’s expertise has been complex GDC cases as his medical law degree included a dissertation on Regulatory Law in UK. He has experience of international regulators and the management of dental and maxillofacial claims in a number of different jurisdictions.

It is essential that a safeguarding culture is embedded at all levels within health organisations. Governance and Quality processes must be robust and responsive to protect vulnerable people and families within current legislative duties and guidance. This talk will look at the affect this has on dental professionals and will include:

• Safe Recruitment
• Dealing with Safeguarding Allegations against staff and professionals
• Multi-Disciplinary Working
• Involvement and Learning from Multi-Agency Safeguarding Reviews
• Support and Safeguarding Supervision for staff and professionals

This talk satisfies the GDC’s learning outcomes: A – Effective communication with patients, the dental team, and others across dentistry, including when obtaining consent, dealing with complaints, and raising concerns when patients are at risk B – Effective management of self, and effective management of others or effective work with others in the dental team, in the interests of patients at all times; providing constructive leadership where appropriate C - Maintenance and development of knowledge and skill within your field of practice D – Maintenance of skills, behaviours and attitudes which maintain patient confidence in you and the dental profession and put patients’ interests first David Blain

Biography

Dave Blain is an Independent Safeguarding Consultant with DTK Safeguarding Associates, and has worked in safeguarding children and adult roles for the past 20 years in the NHS. A paramedic by clinical background, Dave worked in the NHS for a total of 42 years including safeguarding roles within NHS provider Trusts, Clinical Commissioning Groups and also NHS England/Improvement, supporting/delivering local, regional and national safeguarding agendas. During this time Dave has been involved with over 100 multi-agency child and adult safeguarding reviews and over 30 Domestic Homicide Reviews around the UK.  A keen interest in all things educational, Dave has been involved in the development of numerous national safeguarding educational packages in partnership with colleagues from Health Education England, DHSC and also supported development of the health inter collegiate competency frameworks.

Conditions such as Asthma, Diabetes and allergies are not uncommon. Acknowledging them with your patient, good documentation and clear communication can keep your patients safer and will prevent many medical emergencies developing. This presentation will cover helpful record keeping, communication with patients and the value of teamwork between clinical and non-clinical staff, the emergency equipment you should be keeping and how to keep it ready for use. Not everything can be prevented! We will also cover delivering excellent first aid for potential medical emergencies in dental practice. Learning Objectives By the end of the presentation delegates should be able to demonstrate knowledge and understanding in the following subject areas:

• Adult, child & infant CPR and choking, covering Covid 19
• Automated External defibrillation
• Anaphylaxis
• Recognition and first aid of seizures, acute asthma, hypoglycaemia, chest pain & breathlessness and stroke.
• Recognising sepsis
• Fainting and the recovery position
• Safe delivery of Oxygen
• Recommended equipment for dental practice
• Useful documentation, handovers, referrals and debriefing
• What’s new in Resuscitation

This talk satisfies the GDC’s learning outcomes: A – Effective communication with patients, the dental team, and others across dentistry, including when obtaining consent, dealing with complaints, and raising concerns when patients are at risk B – Effective management of self, and effective management of others or effective work with others in the dental team, in the interests of patients at all times; providing constructive leadership where appropriate C – Maintenance and development of knowledge and skill within your field of practice D – Maintenance of skills, behaviours and attitudes which maintain patient confidence in you and the dental profession and put patients’ interests first Katie Baker Advanced Life Support & European Paediatric Advanced Life Support Director, APLS, GIC Instructor Tracy Colmer Advanced Life Support & Generic Instructor Course Director (Resuscitation Council UK & Advanced Life Support Group)

Biography

Katie is a senior NHS Resuscitation Officer at University Hospital Southampton. Previously an Emergency Department Sister, she now has 28 years in Critical Care attending in hospital medical emergencies as part of the in-hospital ‘Crash team’ which sees 50-60 emergencies and 10-15 cardiac arrests a month. Katie has an interest in baby & child resuscitation out of hospital and runs resuscitation updates & drills for Dental & Medical practices. She enjoys teaching and has taught around the UK and abroad. She is a registered Instructor and Course Director in Advanced Life Support with the Resuscitation Council (www.resus.org.uk) and a registered Advanced Paediatric Life Support Instructor (www.alsg.org). Tracy Colmer is an  NHS Resuscitation Officer at University Hospital Southampton NHS Foundation Trust. She is a Registered Instructor & Director in Advanced Life Support and runs the Generic Instructor Course. Tracey has over 30 years experience in the Acute Cardiac Unit and Resuscitation Services attending in hospital medical emergencies as part of the ‘Crash team’.

Interpretation of radiographs can occasionally be problematic due to a multitude of reasons. Time constraints in a busy working day, difficulty in taking an adequate radiograph or finding unusual anatomy or pathology can all make diagnosis more difficult. The aim of this presentation is to provide the delegate with tips that they can use on a regular basis to help with diagnosis and provide awareness of when to ask for help. Learning Objectives

• To be aware of anatomical features which can be misinterpreted as pathology
• Understand how image quality can affect radiological interpretation
• To be aware of the radiographic appearances of common dental diseases

This talk satisfies the GDC’s learning outcomes: C – Maintenance and development of knowledge and skill within your field of practice D – Maintenance of skills, behaviours and attitudes which maintain patient confidence in you and the dental profession and put patients’ interests first Kirstyn Donaldson BDS MFDS (RCPSG) PgDip DDMFR (RCR), Consultant/Honorary Senior Clinical Lecturer in Dental and Maxillofacial Radiology

Biography

Kirstyn Donaldson is Consultant/Honorary Senior Lecturer in Dental and Maxillofacial Radiology at Glasgow Dental Hospital and School having taken up the role in 2017. Kirstyn is also the Training Programme Director for specialty training in Dental and Maxillofacial Radiology for NHS Education for Scotland. She qualified from Newcastle Dental School in 2010 and undertook dental foundation training and senior house officer roles in the West of Scotland prior to starting her specialty training in Dental and Maxillofacial Radiology in 2013, where she rotated through Dundee, Glasgow and Edinburgh dental schools and institutes. During her specialty training, Kirstyn won the British Society of Head and Neck Imaging (BSHNI) trainee travel bursary to spend time learning about salivary gland interventional techniques. Kirstyn is a member of the British Society of Dental and Maxillofacial Radiology (BSDMFR) council and is a member of the MFDS Part 2 Preparatory Faculty at the Royal College of Physicians and Surgeons, Glasgow.