Core Recommended CPD Update 2022

KEY SUBJECTS

• RADIOGRAPHY AND RADIATION PROTECTION: WHAT ARE YOU LOOKING AT? DEVELOPING A SYSTEMATIC APPROACH TO IMAGE INTERPRETATION
• WHAT’S NEW IN INFECTION CONTROL AND PREVENTION IN DENTISTRY?
• MOUTH CANCER – WHERE ARE WE POST COVID-19?
• COVID-19 – THE DENTO-LEGAL LEGACY
• DEVELOPING AN ORGANISATIONAL SAFEGUARDING CULTURE FOR DENTISTS AND DENTAL CARE PROFESSIONALS
• PREVENTING MEDICAL EMERGENCIES IN DENTAL PRACTICE…AND WHAT TO DO IF IT DOES HAPPEN!

SPEAKERS

Ed Walker BDS, DDMFR RCR

Dr Caroline Pankhurst BSc PhD BDS MSC MRCPath (Specialist in Oral Microbiology)

Professor Michael A. O. Lewis PhD, FDSRCPS, FDSRCS (Eng), FRCPath, FFGDP(UK), FHEA, Emeritus Professor, Cardiff University

Shaam Shamsi BDS (Lond), LDS RCS (Eng), MFGDP RCS, PGCTLCP, FGDP Pg Cert Appr, Pg Cert BAIRD, Pg Dip Med Eths & Law

David Blain

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)

CONFERENCE PROGRAMME

09.00am CHAIRMAN’S INTRODUCTION

RADIOGRAPHY AND RADIATION PROTECTION: WHAT ARE YOU LOOKING AT? DEVELOPING A SYSTEMATIC APPROACH TO IMAGE INTERPRETATION

Radiographs are an essential diagnostic aid in dentistry, providing information on a broad range of different pathologies. Anatomy outside the dentoalveolar region is frequently demonstrated on dental radiographs and this must be reviewed in addition to the teeth and their supporting structures. This lecture will aim to highlight the importance of a systematic approach to interpreting dental radiographs, highlighting key review areas and an approach to less familiar findings. Consistently producing high quality radiographs is crucial in order to maximise their diagnostic yield. This session will therefore also revisit operator technique and its role in optimisation to achieve this aim.

Learning objectives

Following this session delegates will:

• Recognise the importance of interpreting dental radiographs systematically
• Be aware of key review areas in the radiographic image
• Recognise common abnormalities in dental radiographs

Understand the importance of operator technique in producing high quality dental radiographs

This talk satisfies the GDC’s learning outcome:

C – Maintenance and development of knowledge and skill within your field of practice

Ed Walker BDS, DDMFR RCR

Biography

Ed Walker is a Consultant in Dental and Maxillofacial Radiology at Leeds Dental Institute and Pinderfields General Hospital, Wakefield.

Prior to specialist training Ed gained experience in both general dental and hospital settings. This included periods of training in Oral and Maxillofacial Surgery,​ Oral Surgery and Oral Medicine. He has experience reporting a broad range of Dental and Maxillofacial two-dimensional and cross-sectional imaging including plain radiography, Cone Beam CT, Conventional CT and MRI. He also performs diagnostic and interventional ultrasound and sialography.

Ed has a postgraduate certificate in medical education and is an Honorary Senior Lecturer at The University of Leeds. He has a number of peer-reviewed journal publications relating to Dental and Maxillofacial Radiology.

WHAT’S NEW IN INFECTION CONTROL AND PREVENTION IN DENTISTRY?

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.

MOUTH CANCER – WHERE ARE WE POST COVID-19?

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.

COVID-19 – THE DENTO-LEGAL LEGACY

This presentation will review the potential dento-legal challenges faced by dentists in the post-Covid world including the clinical and business impact and what effect this is likely to have from a dento-legal perspective. This will include an overview of complaints, claims, consent, ethical considerations, record keeping and patient communications and what lessons can be learned from the pandemic. The presentation will conclude with some thoughts on risk management in the present climate and in particular reflect on the latest issues experienced by colleagues facing Vicarious Liability and Non-Delegable duty.

Learning objectives:

Delegates will:

• Have an understanding of the Post-Covid dento-legal landscape
• Be able to apply the principles of risk management in everyday practice
• Understand the risks for practices associated with Vicarious liability and non-delegable duty
• Appreciate how good communication minimises complaints

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

Shaam Shamsi BDS (Lond), LDS RCS (Eng), MFGDP RCS, PGCTLCP, FGDP Pg Cert Appr, Pg Cert BAIRD, Pg Dip Med Eths & Law

Biography

Shaam Shamsi qualified from the Royal London in 1994 and is the Clinical Director for Horizons Dental Centre in Staffordshire. He has an interest in cosmetic and Implant dentistry. As a former lecturer in the restorative department at Manchester Dental School teaching final year students, he continues to instill this ethos of learning with his students and course delegates.

Shaam has been involved with Dental Foundation Training since 2001, teaching and mentoring new graduates in practice. In 2008, he was appointed to the post of Training Programme Director in Midlands & East and is responsible for running the training schemes at Stafford County Hospital & Royal Stoke hospital.

His other roles include Specialist Advisor for the CQC, LDC Board member for North & South Staffordshire and senior examiner for Overseas Registration examination in London, Royal College of Surgeon’s LDS examination and the MFDS in Edinburgh.

In 2006, he acquired a Postgraduate Diploma in Medical Ethics and Law and has worked as a Clinical panelist for the GDC’s Dental Complaints Service. In December 2020, Shaam completed his 10 year appointment sitting as a panelist for the GDC’s Fitness to Practice procedures adjudicating matters on clinical and professional misconduct. In 2021, he recently set up with a colleague the first ever PG Cert in Dental Risk Mitigation to help mentor colleagues in the profession facing Fitness to practice allegations.

Shaam lectures nationally and internationally on Medico-Legal matters and in the last 8 years, he has been well known for his lecture on ‘Raising Medico-Legal Awareness in Implant Dentistry’ for many established organisations.

He was recently appointed on the Council for Medical Protection Society Advisory Board and presents the Risks Management workshops for Dental Protection Society. He also sits on Committee for Barts and the London Alumni.

Outside dentistry he is blessed with a wife and 3 children but also enjoys sport, photography, and is a keen traveler to different countries.

SAFEGUARDING AND THE DENTAL TEAM

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.

PREVENTING MEDICAL EMERGENCIES IN DENTAL PRACTICE…AND WHAT TO DO IF IT DOES HAPPEN!

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’.

5.30pm CLOSE OF PROCEEDINGS