About this course
This fredd course, which follows the FGDP (CGDent) guidelines on Clinical Examination And Record Keeping, is carefully designed to enhance the skills of dental professionals in conducting comprehensive new patient examinations and maintaining accurate patient records.
The course provides in-depth training on the various aspects of dental examinations and effective record-keeping. It covers the importance of informed consent, treatment planning, clinical examination protocols, and much more.
Understanding and effectively implementing these protocols is very important for maintaining high standards of patient care and legal compliance. This course offers practical insights into the best practices of dental examinations and record-keeping.
This course is relevant to dentists, dental care professionals, receptionists, and practice managers.
CPD Time: 1.5 hours (1.5 CPD Credits)
Customer feedback on this course
- Exceptionally informative, helped in refining my patient examination techniques.
- Comprehensive and very practical, especially in record-keeping aspects.
- Essential for all dental care professionals for accurate documentation.
- Greatly improved my understanding of correct record keeping.
Assessment: 12 MCQs. Pass mark 75%. more…
On passing the assessment you will immediately receive a GDC-recognised Enhanced CPD Certificate.
Aim:
To provide dental professionals with comprehensive knowledge and skills in conducting dental examinations and maintaining accurate patient records.
Course objective:
• To understand the objectives and importance of dental examinations in informed consent and treatment planning.
• To learn the protocols and components of clinical examinations and effective record-keeping.
Anticipated learning outcomes:
The learner will:
• Conduct thorough dental examinations and document findings effectively.
• Implement informed consent and treatment planning protocols.
• Assess and record both extra-oral and intra-oral conditions.
• Identify and manage periodontal diseases using appropriate diagnostic tools.
• Use special investigations and maintain dynamic treatment records.
GDC Development Outcomes:
A, D
Learning content:
Examination Objective | Initial Discussion | Extra-Oral Examination | Soft Tissue Examination | Charting and Assessment of Teeth | Periodontal Disease | Planning for Periodontal Disease | Special Investigations | Recording of Information | Progressive Notes | Course Completion
View full course description
New Patient Exams - Record Keeping
Course Description
Examination Objective
This section emphasises the importance of conducting a thorough new patient examination to formulate a treatment plan and obtain informed consent. It covers how effective communication and listening skills are essential in understanding patient concerns and treatment preferences.
Initial Discussion
The initial conversation sets the stage for the patient’s examination. This section guides dental professionals on gathering very important information about the patient’s dental and medical history, understanding their concerns, and establishing trust.
Extra-Oral Examination
This section details the steps of an extra-oral examination, covering facial symmetry, skin, lymph nodes, and the temporomandibular joint (TMJ) assessment. It provides insights into how these observations can help detect systemic health issues and TMJ disorders.
Soft Tissue Examination
A thorough examination of oral soft tissues, including gums, tongue, cheeks, and lips, is essential for early detection of lesions and oral cancers. This section highlights the importance of documenting any abnormalities and suspicious lesions for follow-up.
Charting and Assessment of Teeth
This section focuses on the systematic recording of tooth conditions, including caries, structural integrity, and previous restorations. It also covers how to assess for anomalies in tooth development and eruption.
Periodontal Disease
Understanding and assessing periodontal disease is very important for patient management. This section outlines the use of clinical probing and radiographs to identify the severity of periodontal disease, with guidelines on how to chart and monitor progress.
Planning for Periodontal Disease
Effective treatment planning for periodontal disease is discussed, including non-surgical therapies and regular maintenance. The importance of establishing a baseline for oral hygiene before proceeding with in-depth treatment is emphasised.
Special Investigations
In some cases, additional tests such as radiographs, vitality testing, and occlusal analysis are required to diagnose complex conditions. This section covers how to implement and document these special investigations as part of the patient’s record.
Recording of Information
Accurate documentation is very important for patient care and legal compliance. This section provides guidelines on how to record examination findings, radiographic results, and treatment plans comprehensively.
Progressive Notes
This section stresses the importance of maintaining detailed, dated entries for each treatment session, including the type of treatment provided, medications used, and post-operative care instructions to ensure continuity and quality of care.
Course Completion
Participants will complete a feedback survey and take a multiple-choice exam. Upon passing, they will receive a GDC-compliant CPD certificate. The course ensures that dental professionals master new patient exams and maintain accurate records for effective patient management.
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 |
| Comprehensive understanding of new patient exams and record-keeping. |
| How does this relate to my field of practice? |
| Very important for maintaining patient care standards and legal compliance. |
| Which development outcome(s) does it link to? |
| A, D |
| What benefit will this have to my work? |
| Improves patient examination techniques and ensures accurate record-keeping. |
| How will I meet this learning or maintenance need? |
| Take the Verified Learning course "New Patient Exams - 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.