Oral and Maxillofacial Pathology.
Oral and Maxillofacial Histopathology concerns the scientific study of the causes and effects of disease in the Oral and Maxillo-facial complex. Understanding this is essential for diagnosing and developing rational treatment and preventative programmes.
All trainees will be subject to an annual ARCP, as per the Dental Gold Guide (fourth edition, 2016). The ARCP provides a formal process which uses the evidence gathered by the trainee, relating to his/her progress in the training programme (Dental Gold Guide, fourth edition, 2016 p21). In Oral and Maxillofacial Pathology, this is a co-ordinated National ARCP process, overseen by HEEY&H.
The ARCP process is applicable to:
- specialty trainees
- academic trainees
- trainees that are out of programme
- post CCST trainees
Trainees will, wherever possible, be given twelve weeks notice of the date of their ARCP to collate their evidence. The timeline for the ARCP process is available here.
The following documents should be completed and sent to DentalSupport.firstname.lastname@example.org prior to the ARCP:
- Training Assessment Form
- Annual Summary of Clinical Activity
- Appraisal Record
- Clinical Supervisors Recommended Outcomes
- Educational Supervisor's Structured Report
- Personal Development Plan
- Verifiable and Non-Verifiable CPD Log
- Annual Declaration of Probity and Health
- Form R
- Trainee Assessment Form
Academic trainees will also be required to complete a Report on Academic Progress.
Please note that all documents require a handwritten or an electronic signature. Typed signatures will not be accepted by the SAC.
The number of specialist registrars in Oral and Maxillofacial Pathology based at Sheffield (South Yorkshire) and Leeds (West and North Yorkshire) varies with approximately two trainees at each site. The clinical programme is designed to provide training towards a CCST in Oral & Maxillofacial Pathology. The curriculum for training will follow the national curriculum for Oral and Maxillofacial Pathology which is available on the GDC website. Training is undertaken following the guidelines of the Royal College of Pathologists and is normally for a period of 5 years. The first three years of training must include one year (or equivalent) training in general pathology and will prepare the trainee for the Part 1 FRCPath examination. This is followed by 2 years of more advanced specialty training in order to gain competencies in the full range of oral and maxillofacial and relevant head and neck and general pathology. Trainees can sit the FRCPath Part 2 examination after a minimum of 48 months of commencement of training. The successful candidate will join other trainees in Oral & Maxillofacial Pathology and will train in rotation with colleagues. There are numerous opportunities to get involved in teaching and research.
There are also academic ACF posts that provide an exciting opportunity to combine clinical training in Oral & Maxillofacial Pathology with research training. Academic Clinical Fellowships (ACFs) are 3-year fixed-term national training posts, which attract an NTN(A). Trainees undertake 75% clinical and 25% academic training, which will be achieved through a rotational system, with dedicated periods devoted to research. Academic Clinical Fellows join the ACF programme within the Graduate School of the Faculties of Medicine/Dentistry and undertake a Masters as a part of their training.
OMFP trainees are currently not using an electronic portfolio.
The Unit of Oral & Maxillofacial Pathology is an academic unit with responsibilities for undergraduate and postgraduate teaching and provision of a specialist, diagnostic head and neck reporting service. The Unit also has an international reputation for high quality research.
Research in the Unit lies mainly within the Integrated Biosciences research group of the School of Clinical Dentistry, and is focused on microbiological and immunological aspects of oral disease and on Head and Neck cancer, including biomarker discovery and the biology of the tumour microenvironment. The Unit accommodation is on the third floor of the modern Dental School building, which contains recently refurbished and extended core laboratories with state-of-the-art facilities, including for cell culture, cell and moleocular biology, histology and microscopy and image analysis.
The Faculty of Medicine and Health is a major international centre for research and education. With around 1600 staff and 6500 students it is the largest faculty in the University comprising the Leeds Dental Institute, the School of Healthcare, the School of Medicine and the Institute of Psychological Sciences. It contributes one quarter of the University’s annual turnover and generates around £35m in annual research income, demonstrating its status as one of the most important and powerful research institutions in the UK.
There are good research links with the Section of Pathology and Tumour Biology of the University of Leeds, housed in the new Welcome Trust Brenner Building on the St James’s site. There are also strong links with Oral Biological Sciences, a significant strength of the Dental School whose key research theme and aspiration is translation of innovative scientific development into clinical practice.
"I think Leeds histopathology department is an excellent unit for Head and Neck pathology training as we report a wide range of specimens including oral and maxillofacial, ENT and thyroid glands.
Trainees also benefit from good general pathology training as we are integrated with general pathology and have excellent specialist histopathologists in various subspecialities.
There are good opportunities to participate in clinically relevant research projects as we have Leeds Institute of Molecular Medicine which provides excellent infrastructure and expertise for the same."
Consultant in Oral Maxillofacial Histopathology, Leeds
“The Clinical School of Dentistry, Sheffield, is an excellent centre to undertake Oral and Maxillofacial Pathology specialty training. Here, you will become an integral part of the Oral pathology department, reporting a wide range of specimens from the head and neck, with a particular emphasis on oral, dental and salivary gland disease. Alongside this, we receive both national and international referrals, giving us exposure to particularly complex and interesting cases.
General pathology training is undertaken close by in the Royal Hallamshire Hospital, with whom we have good links and exposure to expert pathologists from other sub-specialities.
At Sheffield, our department is integrated with academic researchers and we lead several aspects of Undergraduate Dental teaching, therefore there are excellent opportunities for, and you will be actively encouraged to get involved with, both teaching and research within the Dental School.”
StR in Oral and Maxillofacial Pathology, Sheffield
Every specialty trainee whether in pre- or post-CCST training is allowed to request a Period of Grace (PoG). This period, which is generally six months, is part of the Terms and Conditions of the StR contract of employment. The aim of the PoG is to allow time to look for suitable employment.
Once a trainee has accepted a Consultant post or Locum Consultant post, they must resign from their training programme with effect from either their end of training date or following the appropriate period of notice (See Termination below for full details). In doing so the trainees National Training Number (NTN) is relinquished and the right to a Period of Grace is given up. There is no option to return to training after this.
The standard Period of Grace is six calendar months. There is no pro-rata modification for less than full time working. The period of grace will start on the CCST/end of training date whether or not a CCST has been applied for by the trainee.
You can apply for a period of grace by using this form.
The decision has been made to include patient feedback in to the ARCP requirements for dental specialty trainees.
This should be completed in ST1 - and ST4 if you are in a post-CCST training programme.
The process will be as follows:
- Place your name on the patient feedback form (attached) provided and prints out 30 copies. Please also provide self-seal envelopes with the name of your Educational Supervisor written on them.
- The forms and envelopes are handed out to 30 consecutive patients (by either you or the clinic nurse) to complete and hand in to the Receptionist.
- Receptionist collects and forwards/internal posts on to the Educational Supervisor named on the envelopes.
- A minimum of 20 responses is required for validation. Once that number is received, the Educational Supervisor hands them back to you to collate and tabulate the responses including comments. You should then share and discuss this with your Educational Supervisor at one of your routine meetings. Any development needs identified can be added to your PDP.
- Trainee uploads collated and validated responses to ePortfolio (if not a specialty that has an online portfolio).
You can find a patient feedback template here.
HEE want to ensure that your training is enjoyable and that it allows you to fulfil your curriculum requirements.
Should you experience any problems or have any concerns during you training, there are a number of people in place to help.
If you wish to raise concerns please follow the process described in this flowchart.