Special Care Dentistry.
Special Care Dentistry provides preventive and treatment oral care services for people who are unable to accept routine dental care because of some physical, intellectual, medical, emotional, sensory, mental or social impairment, or a combination of these factors.
Special Care Dentistry is concerned with the improvement of oral health of individuals and groups in society who fall within these categories. It requires a holistic approach that is specialist led in order to meet the complex requirements of people with impairments.
Specialists in this field of dentistry take a very holistic approach and work very closely with other professionals, in order to serve the individual’s needs and provide the best patient care.
Health Education England working across Yorkshire and the Humber is delighted to offer training in Special Care Dentistry across two areas: North/West Yorkshire and South Yorkshire.
Trainees experience a wide range of clinical environments, from domiciliary care to the surgical theatre. Special Care professionals can work alongside teams dealing with patients about to receive chemotherapy, and liaise with Restorative Consultants, Orthodontic Consultants, Paediatric Consultants and the Prison Service.
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).
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.
All evidence should be available to the ARCP panel on ISCP prior to the ARCP date.
The following documents should be completed on ISCP:
- Collated Clinical Supervisors Outcome Form (found in Learning Agreement)
- Log Book
- Educational Supervisor's Structured Report (found in Learning Agreement
If for any reason you are unable to complete these forms electronically, please email DentalSupport.firstname.lastname@example.org for a paper copy, which can be uploaded in to the "other evidence" section of ISCP.
The following documents should be completed and sent to DentalSupport.email@example.com prior to the ARCP:
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 Sheffield Programme
In Sheffield we are responsible for the delivery of training to 2 specialty registrars in special care dentistry. The trainees are based in Sheffield and are employed by Sheffield Teaching Hospitals NHS Foundation Trust.
We work in close collaboration with our colleagues in the Leeds programme, sharing training and teaching opportunities and are active, enthusiastic participants in the Northern Study Group in Special Care Dentistry.
Special care dentistry specialty training in Sheffield is characterised by a friendly, inclusive approach. Our strengths include the breadth and depth of experience of our specialist clinical trainers, their extensive links with both local and national networks via the Royal Colleges and Specialist Societies, together with the strong links to other medical and dental specialties via the University Of Sheffield, School Of Clinical Dentistry, and other local healthcare Trusts. In addition we work closely with charitable and voluntary groups to ensure services are delivered with a holistic, patient centred approach.
Special care dentistry has a broad curriculum, and training is delivered by a combination of didactic teaching together with clinical attachments both within primary and secondary care. Trainees have the opportunity to treat patients with inhalation, oral and intravenous sedation, hypnosis, acupuncture and to develop competencies in behaviour therapy. They will deliver treatment in a variety of clinical situations, including on domiciliary visits to patient houses, nursing homes, spinal injury unit, mental health units, homeless projects, and prisons or secure units, special schools, and specialist Consultant clinics. They will have a number of short attachments to other specialty medical clinics, together with the in-patient day case comprehensive special care dental list They work closely with our management teams to gain competencies in commissioning and delivering high quality services in an efficient cost effective way for patent benefit. The Oral Health Promotion Team work closely with the trainees to develop strategies and patient information to promote excellent oral health within special care groups
Trainees electronically record evidence and outcomes of training, clinical portfolio, learning agreements and professional development in a secure electronic format, (Intercollegiate Surgical Curriculum Programme ISCP) which is shared with their clinical and educational supervisors and Training Programme Director. Progression through training is assessed annually at the Annual Record Of Competence Progression (ARCP) meeting with HEE YH, TPD and an SAC RCS(Eng) representative.
Trainees are encouraged to complete the Diploma in Special Care Dentistry RCS (ENG), a self directed distance learning programme assessed by written assignments, clinical portfolio and examination. and benefit from a generous study leave allocation and budget to support this.
Near the end of training the trainees will sit the tricollegiate Membership in Special Care Dentistry MSpec Care Dent and upon satisfactory completion of this and the HEYH training programme will eligible to register as Specialists in Special Care Dentistry.
The Intercollegiate Surgical Curriculum Programme Website
This site houses the curriculum for the dental specialties and, in a secure area, trainees’ electronic portfolios and the learning agreements which support training.
All trainees will eventually use the e-portfolio but this will be done on a rolling programme by specialty. Consultants and other professionals who will be training, assessing and supervising training will also need to register.
View the Specialty Training Curriculum for Special Care Dentistry.
SAC SCD curriculum
Diploma in Special Care Dentistry DSCD RCS(Eng)
Membership in Special Care Dentistry MSpec Care Dent
The Sheffield Programme
Trainees are encouraged to complete module DEN601 Research Methods in Clinical Dentistry (15 credits) delivered by the University of Sheffield. The unit aims to introduce students to patient-centred research methods and includes evidence-based dentistry, critical appraisal, research governance and ethics, quantitative and qualitative research methods, statistical appraisal of research reports
In addition trainees are encouraged to engage with appropriate existing research projects within the University of Sheffield, School of Clinical Dentistry and in the development of primary care research within special care dentistry
"I am currently in my second year of training and have enjoyed the variety that this post has provided. Training within a large team of Consultants and Specialists in Special Care Dentistry, each with their own interests in the field, has enabled me to gain both the knowledge and practical experiences required to develop a career in Special Care Dentistry. In addition to providing the necessary elements of the curriculum this post has also encourage me to broaden my outlook on the ways of delivering Special Care Dentistry to individuals and groups in society."
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.