Core Recommended CPD Update 2024

KEY SUBJECTS

• DENTAL RADIOGRAPHY UPDATE – FROM RADIATION DOSE TO IMAGE INTERPRETATION
• THE SEVEN DEADLY SINS – NON-COMPLIANCE WITH INFECTION PREVENTION AND CONTROL
• LEGAL & ETHICAL: MIND THE GAP – SOME RISK MANAGEMENT LESSONS
• BENIGN, POTENTIALLY MALIGNANT OR MOUTH CANCER? WHAT TO DO WITH A MUCOSAL ABNORMALITY
• SAFEGUARDING – WHERE ARE WE NOW?
• THE SYSTEMATIC APPROACH TO MEDICAL EMERGENCIES IN DENTAL PRACTICE

SPEAKERS

Lee Feinberg, Consultant Dental and Maxillofacial Radiologist

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

Len D’Cruz  BDS LDS LLM MFGDP DipFOd PGCert Med Ed FFFLM Cert Cii

Dr Patricia Langley BDS

Alice Gribble, Resuscitation Officer, University Hospital Southampton. Advanced Life Support and European Paediatric Advanced Life Support Instructor

Dani Tirel, Resuscitation Officer, University Hospital Southampton. Advanced Life Support and European Paediatric Advanced Life Support Instructor

Rebecca Peckham, Resuscitation Officer and Emergency Department Sister, University Hospital Southampton. Advanced Life Support and European Paediatric Advanced Life Support Course Director and GIC Instructor

CONFERENCE PROGRAMME

09.00am CHAIRMAN’S INTRODUCTION

DENTAL RADIOGRAPHY UPDATE – FROM RADIATION DOSE TO IMAGE INTERPRETATION

This talk will provide an update on the risks associated with ionising radiation, looking at the doses of dental radiographs and CBCT, and comparing these doses to the doses from common medical imaging procedures and other sources of radiation in our environment. The second part of the talk will focus on tips and tricks to improve your confidence in interpretation of panoramic radiographs. Helping you to differentiate between common artefacts and pathology.

Learning objectives

• To understand the risks associated with ionising radiation
• To have knowledge of the doses from dental radiographs and CBCT
• To improve confidence in panoramic radiographic interpretation

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

Lee Feinberg, Consultant Dental and Maxillofacial Radiologist

Biography

Lee Feinberg is specialist in Dental and Maxillofacial Radiology and works as a Consultant Dental and Maxillofacial Radiologist at Kings College Hospital, London and at the Eastman Dental Hospital, University College London Hospitals. He is currently the Honorary Secretary of the British Society of Dental and Maxillofacial Radiology.

He completed his specialist training in Liverpool being trained by both Dental and Maxillofacial and ENT/Head and Neck Radiologists. He has clinical experience reporting Radiographs, CBCT, CT and MRI examinations. He performs specialist salivary gland imaging, diagnostic ultrasound and ultrasound-guided biopsies of the head and neck region.

Lee is passionate about education and holds a formal qualification in learning and teaching in higher education. He lectures regularly to postgraduate dental professionals. He is also an Honorary Senior Clinical Lecturer at Kings College London where he is involved in undergraduate teaching in Dental Radiology.

THE SEVEN DEADLY SINS – NON-COMPLIANCE WITH INFECTION PREVENTION AND CONTROL

It is expected that dental care is provided in a safe environment both for patients and clinical staff.  This presentation will highlight seven aspects of infection control and prevention where procedures frequently go wrong.  The material will cover important processes related to waterlines, inoculation injuries, immunisation, decontamination, instrument storage, waste and infection control audit.  The importance of appropriate use of antimicrobial agents in dentistry is being increasingly recognised and updated prescribing guidelines will be presented. Finally, it is now expected that all clinicians should be able to recognise sepsis in a patient and therefore the clinical symptoms of this life-threatening condition will be presented.

Learning objectives

Following the presentation delegates will:

• Have knowledge of the contemporary standards for infection prevention and control
• Understand the range of processes required for the safe delivery of dental care
• Have knowledge of appropriate antimicrobial prescribing
• Be aware of the need to be able to recognise sepsis

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 is Emeritus Professor at Cardiff University. He has held a number of senior professional positions including, President of the British Society for Oral Medicine, President of the British Society for Oral & Dental Research, Dean of the Dental Faculty of the Royal College of Physicians & Surgeons of Glasgow, Dean of the School Dentistry at Cardiff University, Dental Member of the Department of Health specialist advisory committee on Antimicrobial Resistance and Hospital Acquired Infection and the dental member of the Advisory Council for Misuse of Drugs at the Home Office. Academically, Mike has published over 200 scientific articles and delivered more than 700 invited lectures worldwide. He is the author of best-selling textbooks on the subjects of Oral Medicine and Oral Microbiology. Mike is a Registrant Member of the General Dental Council and was recently awarded the John Tomes Medal by the British Dental Association for outstanding service to the dental profession.

LEGAL & ETHICAL: MIND THE GAP – SOME RISK MANAGEMENT LESSONS

This presentation will outline 10 common areas that lead dental teams into problems that can be avoided. These range from meeting patient expectations, communication skills, record keeping, reducing errors, consent and ethics. Dental teams appear to have an existential fear of litigation but being mindful of these areas will ensure you have an long, enjoyable and rewarding career in dentistry.

Learning objectives

Following the presentation delegates will:

• Recognise the top 10 risks in dental practice and how to mitigate them
• Meet patient expectations and understand the risks of social media
• Reduce errors in a systems-based way
• Build rapport to avoid 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

Len D’Cruz  BDS LDS LLM MFGDP DipFOd PGCert Med Ed FFFLM Cert Cii

Biography

Len D’Cruz qualified from the Royal London Hospital in 1989 and did his vocational training at Whipps Cross.

After an associateship in Hertfordshire he bought into his practice in Woodford Green as an expense sharing partner a year later and eventually took over the practice with his wife Anne who is also a dentist. He has done clinical assistantships in Restorative Dentistry and orthodontics.

Len has been a Foundation trainer/Education supervisor for the London Deanery for a number of years and the practice is a Gold BDA Good Practice Scheme member.

It is now a seven surgery practice and the practice was part of the NHS new contract pilots prototypes from September 2011 till April 2022.

Len was an Examiner for the Faculty of General Dental Practitioners for the MJDF exam and is currently an examiner for the Overseas Registration Exam (ORE).  He completed a Masters in Law at Cardiff in 2003 and the Certificate in Practice Appraisal from the FGDP in 2004.He completed a Postgraduate Certificate in Medical education from the University of Westminster in 2009 and has completed his FGDP Mentoring Certificate in 2012.He was a Director of the BDA (PEC member)  from 2015- 2019). He has recently completed the Certificate in insurance from the Chartered Insurance Institute (CertCii)

He currently splits his time between clinical general dental practice, and working with the BDA as Head of BDA Indemnity ,having worked at  Dental Protection Ltd for 21 years. He is a  Visiting Lecturer at the University of Bedfordshire for the MA in Dental Law and Ethics. He is module  lecturer on the Advanced Minimally Invasive Dentistry MSc at Kings College.

He has  published  “Dental Law and Ethics” with Raj Rattan ( 2022)  and co-authored “Understanding NHS Dentistry” with Raj Rattan and Michael Watson. He writes and lectures regularly on dento-legal issues and has published chapters on medical legal aspects in widely read texts ( The Principles of Endodontics OUP (2013) , Odell’s Clinical Problem solving in Dentistry 4th Edition Elsevier 2020), Tooth Wer Ed Andrew Eder Springer/BDJ (2022)

His hobbies include photography, reading fiction and non fiction and trying to keep fit . He has been awarded a Licentiateship from the Royal Photographic society (LRPS).

BENIGN, POTENTIALLY MALIGNANT OR MOUTH CANCER? WHAT TO DO WITH A MUCOSAL ABNORMALITY

In health the oral mucosa is constantly being renewed due to normal cell replication and turnover.  However, this process can be influenced by external factors that result in tissue abnormalities which may be benign, potentially malignant or cancer.  This presentation will describe the features of each type of these mucosal conditions and how best to manage an individual patient.  Specific emphasis will be given to the monitoring and treatment of potentially malignant mucosal abnormalities.  The material will contain an interactive quiz to allow attendees to assess their ability to recognise mouth cancer.  Unfortunately, the incidence of mouth cancer in the UK continues to rise and detection whilst the tumour is small (less than 2cm) without nodal spread has the greatest influence on improving the overall 5-year survival of 50%.

Learning objectives

Following the presentation delegates will:

• Know how to adequately examine the soft tissues to detect mucosal changes
• Understand the difference between benign conditions, potentially malignant abnormalities and cancer
• Have an understanding of the management of non-malignant mucosal disease
• Be able to appropriately refer a patient with suspected cancer to secondary care

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 is Emeritus Professor at Cardiff University. He has held a number of senior professional positions including, President of the British Society for Oral Medicine, President of the British Society for Oral & Dental Research, Dean of the Dental Faculty of the Royal College of Physicians & Surgeons of Glasgow, Dean of the School Dentistry at Cardiff University, Dental Member of the Department of Health specialist advisory committee on Antimicrobial Resistance and Hospital Acquired Infection and the dental member of the Advisory Council for Misuse of Drugs at the Home Office. Academically, Mike has published over 200 scientific articles and delivered more than 700 invited lectures worldwide. He is the author of best-selling textbooks on the subjects of Oral Medicine and Oral Microbiology. Mike is a Registrant Member of the General Dental Council and was recently awarded the John Tomes Medal by the British Dental Association for outstanding service to the dental profession.

SAFEGUARDING – WHERE ARE WE NOW?

It is now well over 20 years since the tragic and well publicised murder of  Victoria Climbié took place. This lecture will look at how, all these years on warning signs are still being ignored because all those involved in the care of children and adults at risk still fail to ‘join the dots’.  It will look at the impact of COVID-19 and what dental practices can do to ensure  they play their part in recognising potential or actual abuse, responding appropriately, referring when required and what they should record to ensure their records support the victim should this be required.

Learning objectives

To understand:

• Safeguarding responsibilities
• How to recognise the signs and symptoms that dental professionals may see or notice
• How the dental team should respond to suspected or actual cases of abuse
• When and how to refer
• How to make records relating to a safeguarding concern
• What to do in different potential safeguarding scenarios

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

Dr Patricia Langley BDS

Biography

Since qualifying from Manchester University Pat’s career has included over 30 years in general practice, oral surgery teaching positions at Guys and Manchester, Deputy Chief Dental Officer at Denplan, Group Clinical Director at Oasis Dental Care, and Course Director at the FGDP(UK).

In 2010 Pat founded Apolline with the aim of providing a complete dental compliance solution to dental practices and dental groups of all sizes, offering innovative compliance-management software, in-practice support, and online and in-practice training. She has lectured widely on all compliance-based subjects, including on Safeguarding.

THE SYSTEMATIC APPROACH TO MEDICAL EMERGENCIES IN DENTAL PRACTICE

An ‘ABCDE’ approach to managing deteriorating patients has proved an effective method of recognising deteriorating patients in hospital. Now updated for community settings this presentation will take you through the recommended approach used by Emergency Healthcare Professionals and endorsed by the BDA.

Learning objectives

By the end of this lecture delegates will be able to demonstrate knowledge and understanding in the following subject areas:

• Adult, child & infant CPR and choking
• Automated External defibrillation
• Anaphylaxis
• Recognition and first aid of seizures, acute asthma, hypoglycaemia & other potential emergencies
• Safe delivery of oxygen and basic airway management

This session is intended to prepare staff for potential clinical emergencies in dental practice, building on previous training and experience. The content is designed to conform to GDC development outcomes A (Communication skills), B (Effective practice management and teamwork), C (Maintenance and development of knowledge and skill within your field of practice) and D (Professional behaviours).

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

Alice Gribble, Resuscitation Officer, University Hospital Southampton. Advanced Life Support and European Paediatric Advanced Life Support Instructor

Dani Tirel, Resuscitation Officer, University Hospital Southampton. Advanced Life Support and European Paediatric Advanced Life Support Instructor

Rebecca Peckham, Resuscitation Officer and Emergency Department Sister, University Hospital Southampton. Advanced Life Support and European Paediatric Advanced Life Support Course Director and GIC Instructor

Biography

Alice is a currently a Resuscitation Officer at University Hospital Southampton; responding to medical emergencies and cardiac arrests across the hospital. Alice initially started as a staff nurse on a surgical unit, but her main background is in intensive care nursing. She worked for 6 years on a General Intensive Care Unit, initially as a staff nurse and then a deputy sister. She instructs on both Adult and Paediatric advanced, immediate and basic life support courses.

Dani is a registered nurse working at Southampton General Hospital, a trauma centre in the South East. Dani has worked in Acute and Emergency Medicine for 6 years covering the Acute Medical Unit and the Emergency Department. For the past three years, Dani has been working as a Resuscitation Officer at Southampton Hospital; covering the emergency bleep for medical emergencies and cardiac arrests, whilst also teaching paediatric and adult advanced Life Support courses.

Rebecca works for Southampton General hospital as an Emergency Department Sister and Resuscitation Officer. She has been working within Emergency Medicine for 12 years. Rebecca deals with medical emergencies, the critically unwell and cardiac arrest patients daily as part of her role within ED and Resus Services. Alongside this Rebecca also teaches Resuscitation skills to hospital staff and is a course director for Advanced life support courses for both adults and children.

5.30pm CLOSE OF PROCEEDINGS