About this course
This engaging course is tailored for dental professionals who wish to excel in effective record keeping, with a particular emphasis on history taking. The course covers essential aspects of recording medical, dental, socio-behavioural and trauma histories, very important for comprehensive dental care.
Our course looks at into the details of history taking in record keeping, based on the CGDent Guidelines. You will gain insights into managing patient information and learn how to handle emergency scenarios and recall procedures effectively.
This course is beneficial for dentists, dental nurses, hygienists, therapists and other members of the dental team.
CPD Time: 1 hour (1 CPD Credit)
Customer feedback on this course
- In-depth and practical, improved my record-keeping skills significantly.
- Comprehensive and easy to understand.
- Enhanced my ability to manage patient records in emergency situations.
- Essential for anyone involved in dental care and patient management.
Assessment: 12 MCQs. Pass mark 75%. more…
On passing the assessment you will immediately receive a GDC-recognised Enhanced CPD Certificate.
Aim:
To enhance the knowledge and skills of dental professionals in effective record keeping, focusing on history taking and its implications in dental care.
Course objective:
• To provide a comprehensive understanding of the importance and methodology of recording medical, dental, and socio-behavioural histories in dental practice.
• To educate on the management of patient information, including the handling of emergency situations and the significance of recall procedures.
Anticipated learning outcomes:
The learner will:
• Accurately record and regularly update a patient’s personal, medical, and socio-behavioural history.
• Understand the impact of various medical conditions and medications on dental treatment planning.
• Competently document and manage patient information in emergency and trauma scenarios.
• Proficiently schedule and conduct recall examinations tailored to individual patient needs.
• Recognise the legal and ethical implications of dental record keeping.
GDC Development Outcomes:
A, D
Learning content:
Pre-Examination | Medical History | Relevant Medical Conditions | Relevant Medications | Social and Dental History | Information and Recalls | Emergencies and Trauma | Course Completion
View full course description
History Taking - Record Keeping
Course Description
Pre-Examination
The pre-examination stage gathers essential patient information to understand the patient's overall health and identify factors that may influence dental treatment. This includes personal, medical, and socio-behavioural histories, ensuring a comprehensive approach to patient care.
Medical History
Accurate medical history is very important for dental treatment planning and safety. This section emphasises the importance of recording existing medical conditions, past illnesses, ongoing treatments, and medications to prevent complications during dental procedures.
Relevant Medical Conditions
This section focuses on medical conditions that can impact dental treatment, such as cardiovascular diseases, diabetes, respiratory conditions, and more. Recognising these conditions helps tailor treatment plans and manage risks effectively.
Relevant Medications
Some medications affect dental treatment, such as anticoagulants, bisphosphonates, and immunosuppressants. This section covers the importance of documenting medications that could influence procedures or healing and adjusting treatment accordingly.
Social and Dental History
A patient's lifestyle and previous dental treatments can significantly affect oral health. This section covers recording habits like smoking, diet, and hygiene practices, as well as past dental procedures to develop personalised treatment plans.
Information and Recalls
Managing patient information, including updates to contact details and medical history, is very important for effective care. This section also covers the importance of setting appropriate recall intervals for ongoing oral health maintenance.
Emergencies and Trauma
In emergency situations, prompt and accurate record-keeping is essential. This section highlights documenting the initial complaint, clinical findings, treatment provided, and referrals for follow-up care, ensuring legal and clinical accuracy.
Course Completion
Participants will complete a feedback survey, take a multiple-choice exam, and receive a GDC-compliant CPD certificate. The course enhances record-keeping skills with a focus on history taking, ensuring comprehensive patient care and compliance with UK regulations.
You can copy and adapt this example PDP entry for your own needs and circumstances. The format complies with GDC guidance on PDP structure.
| PDP Learning or Maintenance need |
| Enhancing skills in history taking in dental practice. |
| How does this relate to my field of practice? |
| Very important for maintaining high-quality patient care and legal compliance. |
| Which development outcome(s) does it link to? |
| A, D |
| What benefit will this have to my work? |
| Improved accuracy and efficiency in patient documentation, better handling of emergency situations, and up-to-date recall procedures. |
| How will I meet this learning or maintenance need? |
| Take the Verified Learning course "History Taking - Record Keeping". |
| When will I complete this by? |
Note: After copying and adapting the suggested PDP entry, remember to reflect, plan, act, and evaluate for every CPD activity you undertake.