the full version with all supporting documents
Transcription
the full version with all supporting documents
July Missive 2014 Firstly to wish you all a “Happy New Financial Year”. Alas, we do not know where it is going as Australia will take on 942 new dentists from overseas in 2014/2015 as reported in the “Australian”. The Minister for Education has had a further press release on dental education (see “Politics” below 3 July 2014). WEBSITE This has been more than an embarrassment for over a year and is still not complete for either AAPD nor ANZSPD. I tried to be all inclusive back on 19/4/13 see emails. Publicly I feel we all need an explanation, and I shall defer to the Committee. POLITICS Correspondence has been forwarded to the Minister for Health both on the Cleft Lip and Palate Scheme (1/4/14) as well as the Child Dental Benefit Scheme (21/5/14) (8/7/14). With the latter, picking on two issues only: that of dental treatment carried out by specialists for paediatric dental treatment under general anaesthesia and the other being dental trauma, unlimited funding. No Response to date. Pyne on a visit to Charles Sturt University School of Dentistry and Health Services and made comments on HELP Debt. AUSTRALIAN DENTAL COUNCIL 1/5/14 Standard Review Forum notes are tabled for general comment. ADA/Affiliated Societies Meeting The Federal Executive of the ADA met with the Affiliated Societies on 14 May 2014 – the day after the Budget night in Canberra. Having suggested this to our Federal President Dr Karin Alexander, it was gratifying to see the cross-pollination of ideas. The minutes were of a general nature but that which I did report was: 1. BUPA and Medibank Private have an 86% share of the private health insurance in Australia. 2. ASPEN Medical has the infrastructure to service medical and dental areas for the Federal Government in rural and remote areas as well as some overseas (I met with Glen Keys on Budget night). Were Paediatric Dentistry to volunteer services it may offer an ideal vehicle. EAPD 5-8 June Sopot Poland Sopot is a beachside resort for the Polish – freezing water! The Congress was well attended and the Australian contingent was at its ambassadorial, diplomatic best. I have subsequently written a thank you to now Past-President Monty Duggal and the Chair of the Scientific Committee. The Abstracts were not available or time but have now been re-edited (? In the UK) and are produced. Peter Gregory is now going around Poland with 3M to introduce stainless steel crowns for use in paediatric dentistry!!! DENTAL BOARD OF AUSTRALIA Yes … Melbourne came to Adelaide and I was given a 1.5hr overview (see communiques). The most striking exercise was to suggest that one day we might have a “clinical skills review” as I have a biennial flight review for flying. At my GA’s on 4/7/14 I discovered that ANZCA do have a proper booklet for just that – now forwarded to Federal ADA and the DBA. This might upset some of our academic s who may not have planned to have enough dental chairs in their Universities to cope if this is on a sessional basis (leave you to do the maths). DENTAL HEALTH WEEK Posters were sent to the Committee for comment – none yet. Now I put it out there for all. NZDA Correspondence tabled. Q&A FAT v SUGAR Held in the Convention Centre Adelaide but hosted by Tony Jones for SAHMRI (South Australian Health and Medical Research Institute). Dentistry was not mentioned once – even though $7-8bn is spent per annum. ADVERTISEMENT – from USA SUBSCRIPTIONS PLEASE PAY – Despite not having an active website, we have found a way of forwarding current information with attachments and zip files. Our next committee meeting is planned for late Aug/Sept. Please forward relevant comments for our agenda in order to be all inclusive. President PJW VERCO A.A.P.D. From: Joe Verco Sent: Friday, 19 April 2013 9:26 AM To: [email protected]; [email protected]; 'Kareen & Sarah Mekertichian' ([email protected]) Cc: Joe Verco Subject: AAPD "Home Page" Dear ALL, Please find attached a “Home Page” for us all to work on (at least I have made a comprehensive start). I believe we start with a framework and then do the “fill in” afterwards. I would also like to involve Nina Vasan in NZ, John Winters WA and Fiona Bell ACT, as they have had serious involvement in the past. The composite is from AAPD (America), EAPD,IAPD,RACDS,ADA & ANZSPD – we need to outperform the collective! With Regards, PJW Verco Paediatric Dentist North Adelaide Medical Centre 183 Tynte Street, North Adelaide SA 5006 AUSTRALIA P - +61 8 8267 4081 F - +61 8 8267 4976 E - [email protected] Australasian Academy of Paediatric Dentistry Tuesday, 1 April 2014 Mr Peter Dutton Minister for Health PO BOX 2012 STRATHPINE QLD 4500 Dear Minister, I am writing to raise an issue of inequity in our funding of dental care for individuals with developmental defects of their teeth or oral structures. As you would be aware, the Commonwealth Cleft Lip and Palate Scheme (CL&PS) provides much needed support to children with cleft lip and /or palate and other developmental oral conditions. Many conditions involve several missing teeth, both primary (baby) and permanent – some individuals will have no permanent teeth at all. Once these individuals reach adulthood, their dental care often becomes complicated and expensive due to the need for dental implants, prosthodontic care and further orthodontic treatment. This necessary care is not covered by the CL&PS This treatment is primarily for functional reasons, however also has psychological importance due to self-regard and aesthetic reasons I ask you to review the Cleft Lip and Palate scheme to include definitive treatment for these most deserving individuals Yours faithfully, Dr Joe Verco President Australasian Academy of Paediatric Dentistry Dr PJW Verco President Australasian Academy of Paediatric Dentistry 183 Tynte Street, North Adelaide, South Australia, AUSTRALIA 5006 Tel: +61 8 82674081 Fax: +61 8 82674976 Email: [email protected] From: Joe Verco Sent: Friday, 4 April 2014 11:57 AM To: [email protected] Subject: CHILD DENTAL BENEFIT SCHEME Dear Minister Dutton We met in Adelaide on Tues 18th Feb. 2014 and you were kind enough to give me a hearing with others at 07.30am Now that the Child Dental Benefit Scheme has been operating for 3 months ,I wonder if we could please have some feedback. We also have a meeting between the Federal Australian Dental Association and the Australasian Academy of Paediatric Dentistry on 14th May2014 in Sydney. We would be grateful of a response at your earliest convenience. With Regards, Joe PJW Verco BDS,BSc(Dent)Hons,MDS,FAAPD,FPFA.MRACDS,FICD President Australasian Academy of Paediatric Dentistry Paediatric Dentist North Adelaide Medical Centre 183 Tynte Street, North Adelaide SA 5006 AUSTRALIA P - +61 8 8267 4081 F - +61 8 8267 4976 E - [email protected] Australasian Academy of Paediatric Dentistry Meeting with Minister Dutton Minister for Health and Sport th Tuesday 18 Feb 2014 EXECUTIVE SUMMARY The Australasian Academy of Paediatric Dentistry and the Australian and New Zealand Society of Dentistry for Children have both made submissions to Government on 17 May 2013 for “Grow Up Smiling” now the “Child Dental Benefit Scheme”. 1. 2. 3. 4. 5. 6. It is acknowledged that: The Scheme is for 3-4 million children based upon $1000 per 2 year period. In 2000, 27% of children had 75% of caries. In 2006, of 27,000 children, 8114 were pre-schoolers who were admitted to hospital for dentistry. TERMINOLOGY REVIEW The Child Dental Benefit Schedule should be aligned with the Australian Schedule of Dental Services and th Glossary (10 Edition). NO LOWER AGE LIMIT Injuries and Severe Early Childhood Caries (ECC) should be treated immediately within the first two years of life under Child Dental Benefit Scheme. TREATMENT UNDER GENERAL ANAESTHESIA The Australian Society of Anaesthetists supports the Australasian Academy of Paediatric Dentistry and the Australian and New Zealand Society of Paediatric Dentistry in this modality of treatment of young children. There should be Introduction of Items 8016 Consultation by Referral and 88016 Consultation by Referral (extended >30mins). ASA members should be renumerated on a time bases. TARGET POPULATION Those with highest unmet oral health needs. Those with genetic and behavioural manifestations eg Spectrum Disorders The Quality of Life outcomes being paramount. RURAL AND REMOTE AREAS Children requiring specialist restorative services should be treated appropriately and not offered “extractions only”. The IPTAS scheme should be available. Specialist referrals should be appropriately compensated. DENTAL TRAUMA Should not be limited by $ value in the CDBS. PJW Verco President Australasian Academy of Paediatric Dentistry 183 Tynte Street, North Adelaide, South Australia, AUSTRALIA 5006 Tel: +61 8 82674081 Fax: +61 8 82674976 Email: [email protected] From: Joe Verco Sent: Wednesday, 21 May 2014 9:34 AM To: [email protected] Cc: Gaskin, Kaye (C. Pyne, MP) ([email protected]) Subject: FW: CHILD DENTAL BENEFIT SCHEME Dear Minister I know that you are in Adelaide today for the RFDS. If there is any chance to speak with you for 15 mins …even in the Presidents lounge upon your departure it would be appreciated. Topics Child Dental Benefit Scheme Dental School, The University of Adelaide Please thank Lyndel in your office for her help. With Regards, Joe Verco PJW Verco Paediatric Dentist North Adelaide Medical Centre 183 Tynte Street, North Adelaide SA 5006 AUSTRALIA P - +61 8 8267 4081 F - +61 8 8267 4976 E - [email protected] E - [email protected] From: iSentia Digital Service [mailto:[email protected]] Sent: Thursday, 3 July 2014 11:31 AM To: [email protected] Subject: Media Alert THU 03 JULY 2014, 12:02 PM Media Alert 1 media item prepared for Robert Boyd-Boland, Australian Dental Association. For queries regarding this Media Alert or other Media Intelligence services, contact [email protected]. TV (1 item) Federal Education Minister Christopher Pyne has dropped into... WIN Canberra, Canberra hosted by Newsreader 03 Jul 2014 12:15 AM WIN’s All Australian News - 1 min 53 secs - ID: M00057972907 Federal Education Minister Christopher Pyne has dropped into Dubbo, giving local university authorities the chance to voice their concerns over higher education reforms. Pyne visited the school of Dentistry and Health Services at CSU. CSU Vice Chancellor Prof Andrew Vann is concerned about the impact on regional students, as well as the interest rate on the HELP debt. Pyne says rural students wanting to move to the city have access to Youth Allowance and relocation allowances form the Commonwealth. The Commonwealth Grant Scheme is being expanded to include non-University higher education providers. Order presentation file or transcript Keywords Dentistry (1), Health (1) Interviewees Christopher Pyne, Minister for Education, Leader of the House Professor Andrew Vann, CSU Vice Chancellor Also broadcast from the following 6 stations 14,000 ALL 5,000 MALE 16+ 8,000 FEMALE 16+ www.gdc-uk.org Standards for Education Standards and requirements for providers of education and training programmes November 2012 GDC Standards for Education The Standards for Education and the requirements that underpin these apply to all UK programmes leading to registration with the GDC. They cover programmes in dentistry, dental hygiene, dental nursing, dental technology, dental therapy, clinical dental technology and orthodontic therapy. The Standards cover four areas the GDC expects providers to meet in order for training programmes to be accepted for registration. These areas are: • • • • Patient protection Quality evaluation and review Student assessment Equality and diversity The following table contains the Standards and requirements, accompanied by examples of appropriate types of evidence that the GDC expects to be produced by a provider to demonstrate that a requirement is being met. A provider must make available appropriate evidence for each requirement. We believe it is important that the type of evidence the GDC expects to be provided is set out for transparency and clarity for all parties. The aim of the Standards for Education is to implement a ‘right touch’ approach with clear expectations communicated to providers. Further guidance on the documents that providers need to complete and the evidence that should be presented to the GDC at different stages of the process is contained in the following documents: • • GDC Quality Assurance Process: Guidance for Providers New Programme Submissions ! Pre-inspection questionnaire ! GDC Standards mapping table ! GDC Learning outcomes mapping table If a provider produces similar evidence for other purposes, the GDC will seek to use this to minimise the administrative burden on providers. It may be possible for a provider to use a particular document as evidence across a number of requirements. 1 Standard 1 Protecting Patients Providers must be aware of their duty to protect the public. Providers must ensure that patient safety is paramount and care of patients is of an appropriate standard. Any risk to the safety of patients and their care by students must be minimised Requirements Evidence 1 Students must provide patient care only when they have demonstrated adequate knowledge and skills. For clinical procedures, the student should be assessed as competent in the relevant skills at the levels required in the pre-clinical environments prior to treating patients Timetable of assessments, student sign off records, student progression statistics and reasons for not progressing, relevant policy and procedures, student portfolio, self-assessment forms, handbooks, and student evaluations and reflection 2 Patients must be made aware that they are being treated by students and give consent Policy on communicating treatment by students to patients, consent forms, notices in the clinical environment 3 Students must only provide patient care in an environment which is safe and appropriate. The provider must comply with relevant legislation and requirements regarding patient care Monitoring reports of institutions and placement providers, audit reports, policy on clinical and workplace safety, Inspection reports, availability and accessibility of literature on clinical governance and health and safety requirements, incident logs and actions taken, Care Quality Commission, Healthcare Inspectorate Wales, Regulation and Quality Improvement Authority and Healthcare Improvement Scotland reports, minutes of relevant committee meetings 4 When providing patient care and services, students are to be supervised appropriately according to the activity and the student’s stage of development. Relevant policy and procedures, staff to student ratio, records/timetable showing who is supervising, 2 Standard 1 Protecting Patients Requirements Evidence 5 Supervisors must be appropriately qualified and trained. Clinical supervisors must have appropriate general or specialist registration with a regulatory body Policy and procedures for student supervision, evidence of registration, qualifications and training, timetable showing supervisor allocation 6 Students and those involved in the delivery of education and training must be made aware of their obligation to raise concerns if they identify any risks to patient safety and should be supported to do so Relevant policy and procedures, communication mechanism, records of concerns raised and actions taken 7 Should a patient safety issue arise, appropriate action must be taken by the provider Incident logs and records of actions taken, reporting and recording systems for serious untoward incidents, relevant policy and procedures, minutes from relevant internal meetings 8 Providers must have a student fitness to practise policy and apply as required. The content and significance of the student fitness to practise procedures must be conveyed to students and aligned to GDC student fitness to practise guidance. Staff involved in the delivery of the programme should be familiar with the GDC Student Fitness to Practise Guidance Student fitness to practise policy and procedures, method of communication, details of student fitness to practise cases 3 Standard 2 Quality evaluation and review of the programme The provider must have in place effective policy and procedures for the monitoring and review of the programme Requirements Evidence 9 The provider must have a framework in place that details how it manages the quality of the programme which includes making appropriate changes to ensure the curriculum continues to map across to the latest GDC learning outcomes and adapts to changing legislation and external guidance. There must be a clear statement about where responsibility lies for this function Relevant policy, procedures and documentation supporting quality management of the programme, review policy and timeline, use of multisource feedback including patient feedback, changes to the programme submitted to the GDC where relevant 10 The provider must have systems in place to quality assure placements Relevant policy and procedures, feedback from staff, patients and students, audit reports, monitoring reports from the provider and from placement providers. 11 Any problems identified through the operation of the quality management framework must be addressed as soon as possible Minutes from programme review committee, audit reports, resulting amendments made to policy and procedures or the programme 12 Should quality evaluation of the programme identify any serious threats to the students achieving learning outcomes through the programme, the GDC must be notified immediately. (NB where there is geographical variation in oral health needs, providers must inform the GDC of the issues and action to be taken to demonstrate that the outcomes have been met) Relevant minutes from meetings, relevant policy and procedures including escalation process, whistleblowing policy, risk log with solutions and actions taken, evidence of past notifications to the GDC 4 Standard 2 Quality evaluation and review of the programme Requirements Evidence 13 Programmes must be subject to rigorous internal and external quality assurance procedures Relevant policy and procedures, information on external review bodies e.g. QAA, Ofqual, information about external examiners and verifiers, internal verification/quality assurance reports 14 External examiners must be utilised and must be familiar with the learning outcomes and their context. Providers should follow QAA guidelines on external examining where applicable Details of external examiners, minutes of external examination meetings, external examiner role profile 15 Providers must consider and, where appropriate, act upon all concerns raised, or formal reports on the quality of education and assessment Reports received and actions taken, contracts with external review bodies 5 Standard 3 Student assessment Assessment must be reliable and valid. The choice of assessment method must be appropriate to demonstrate achievement of the GDC learning outcomes. Assessors must be fit to perform the assessment task Requirements Evidence 16 To award the qualification, providers must be assured that students have demonstrated attainment across the full range of learning outcomes, and that they are fit to practise at the level of a safe beginner. This assurance should be underpinned by a coherent approach to aggregation and triangulation, as well as the principles of assessment referred to in these standards Assessment strategy for the programme(s), assessment timetable, assessment records/central recording system, assessment mapping document, student portfolio, student progression policy and procedures, student progression statistics, exit strategy 17 The provider must have in place management systems to plan, monitor and record the assessment of students throughout the programme against each of the learning outcomes Central recording and monitoring system, relevant policy and procedures, external examiner reports 18 Assessment must involve a range of methods appropriate to the learning outcomes and these should be in line with current practice and routinely monitored, quality assured and developed Mapping and description of assessments, assessment development framework and meetings, internal programme review process, access to assessments used on a programme 19 Students must have exposure to an appropriate breadth of patients/procedures and should undertake each activity relating to patient care on sufficient occasions to enable them to develop the skills and the level of competency to achieve the relevant GDC learning outcomes Relevant policy and procedures, central recording system, clinical treatment records, assessment records, competency sign off policy and procedures, student portfolio 6 Standard 3 Student assessment Requirements Evidence 20 The provider should seek to improve student performance by encouraging reflection and by providing feedback1. Student portfolio, relevant training in reflection and receiving feedback, evidence of reflection, evidence of mentoring sessions and feedback, relevant policy and procedures 21 Examiners/assessors must have appropriate skills, experience and training to undertake the task of assessment, including appropriate general or specialist registration with a regulatory body List of assessors/examiners showing qualifications, training, experience, and registration status, relevant recruitment and appointment policy and procedures, assessor calibration and recalibration, external examiner/verifier reports 22 Providers must ask external examiners to report on the extent to which assessment processes are rigorous, set at the correct standard, ensure equity of treatment for students and have been fairly conducted External examiners reports, records showing actions taken 23 Assessment must be fair and undertaken against clear criteria. Standard setting must be employed for summative assessments Relevant policy and procedures including managing bias, evidence of a range of assessors being used, standard setting procedures, arrangements for failed candidates, appeals process 24 Where appropriate, patient/peer/customer feedback should contribute to the assessment process Relevant policy and procedure, patient feedback forms and details of actions taken, patient/peer/customer comments Assessment records, minutes of patient forum, patient guidance/systems for giving feedback 1 Reflective practice should not be part of the assessment process in a way that risks effective student use 7 Standard 3 Student assessment Requirements Evidence 25 Where possible, multiple samples of performance must be taken to ensure the validity and reliability of the assessment conclusion Relevant policy and procedures, assessment schedule and records showing continuous assessment 26 The standard expected of students in each area to be assessed must be clear and students and staff involved in assessment must be aware of this standard Student and staff handbook, clear marking/assessment criteria and guidance, communication mechanism, review meetings 8 Standard 4 Equality and Diversity The provider must comply with equality and diversity legislation and practice. They must also advocate this practice to students Requirements Evidence 27 Providers must adhere to current legislation and best practice guidance relating to equality and diversity Availability and accessibility of discrimination and equality policy to students, records of complaints received and how they have been addressed 28 Staff must receive training on equality and diversity, development and appraisal mechanisms will include this Records of staff training2 29 Providers must convey to students the importance of compliance with equality and diversity law and principles of the four UK nations both during training and after they begin practice Multi-source feedback, student portfolios, assessment records, programme syllabus 2 It is recognised that some staff will have received training from another source 9 Description of Terms Used Assessment There are many references to ‘assessment’ in 'Preparing for Practice', ‘The First Five Years’, ‘Developing the Dental Team’ and 'Standards for Education'. Assessment is the process or exercises which measure and record a student’s progress towards achieving the learning outcomes necessary for completion of their programme and registration as a dental professional. Assessment means those forms of assessment which enable staff involved in the delivery of a programme to form an opinion of student performance. A wide variety of assessment methods are commonly used and these might include continuous assessments, student portfolio, case presentations, written exercises, research exercises, peer feedback etc., as well as summative end of module/year/programme examinations. Assessments should have clear criteria for success and examiners and assessors should be properly trained and briefed to carry out assessments. Each individual learning outcome does not necessarily require its own assessment; one assessment may cover several learning outcomes and some learning outcomes will be assessed many times in many different ways throughout a training programme. A provider should be able to demonstrate to the GDC how a student has achieved the learning outcomes throughout the duration of the programme. A central system that records student performance would be expected to provide evidence of how successful students have been assessed in the relevant learning outcomes. Competence, Safe Beginner, Independent Practice The publications The First Five Years and Developing the Dental Team contain a definition of ‘competence’. Preparing for Practice defines the terms ‘safe beginner’ and ‘independent practice’. External Examiners These are usually experienced GDC registrants who are not affiliated with the provider. There may be situations where there are exceptions to this, where external examiners are affiliated to the awarding body, but not the organisation delivering the programme. The term includes all external assessors and verifiers. Some programmes will use external examiners who are not registered with the GDC. This is acceptable if the external examiner is appropriately qualified for the section of the programme they will be assessing. Equality and Diversity In England, Wales and Scotland, the Equality Act 2010 places responsibilities on further and higher education institutions not to discriminate against, harass or victimise: • • • • prospective students students at the institution in some limited circumstances, former students and disabled people who are not students at the institution but who hold or have applied for qualifications conferred by the institution. Institutions may also have responsibilities as employers, bodies that carry out public functions and as service providers. 10 The Equality Act protects students from discrimination and harassment based on ‘protected characteristics’. The protected characteristics for the further and higher education institutions provisions are: • age • disability • gender reassignment • pregnancy and maternity • race • religion or belief • sex • sexual orientation. Being married or in a civil partnership is NOT a protected characteristic for the further and higher education institutions provisions. The law that applies in Northern Ireland is different from that cited above. Individuals in Northern Ireland are protected against discrimination on the grounds of: • • • • • • • age disability race religious belief political opinion sex sexual orientation. All institutions, where ever they are based, have a responsibility to know what their equality and diversity responsibilities are and to comply with them. Patients A patient means any individual treated by students and includes other students if treated by their colleagues. Placements Placements are all places where a student will work clinically outside the providers’ main clinic(s), or vocationally in the workplace and away from the central education institution. Programme A programme is the entire qualification that leads to registration. This incorporates the taught course and assessments and includes the final assessment. Provider A provider is the organisation or organisations who are responsible for delivery of the programme and assessment. If the awarding body is not the same as the organisation responsible for the delivery of the programme, this will not make a difference to the approach of the GDC as all providers will be treated as one organisation. It is the responsibility of the lead organisation to liaise with the GDC and to obtain information from other organisations involved when information is requested. 11 Staff This means all staff involved with the quality management, delivery and assessment of the programme. Students This means all students enrolled on the programme. Supervisors Supervisors are those responsible for students working clinically or overseeing practical work. 12 From: Shana Ludwell [mailto:[email protected]] Sent: Wednesday, 21 May 2014 2:17 PM To: Joe Verco Subject: Affiliate Meetings During Congress 2015 Dear Dr Verco, I am following up on the letter you were sent in March pertaining to the 36th Australian Dental Congress in 2015 and whether or not the AAPD would be holding a meeting during this time. Forms were also provided and requested to be completed and returned by Monday the 28th April, so we can commence our meeting room allocation. For your convenience, I have attached the letter and forms again. If you are planning on having a meeting but the details have not been finalised as of yet, that is not an issue, please fill in all the fields you can for now and update me as the information becomes available. If you can return these forms to us at your earliest convenience it would be greatly appreciated. If you have any questions please don’t hesitate to contact me. Thank you, Shana Shana Ludwell Assistant Federal Sales & Events Manager Australian Dental Association Inc. 02 9906 4412 02 9906 4676 [email protected] www.ada.org.au 14-16 Chandos Street St Leonards NSW 2065 PO Box 520 St Leonards NSW 1590 T: F: E: W: AUSTRALIAN DENTAL ASSOCIATION INCORPORATED MINUTES FEDERAL EXECUTIVE WITH AFFILIATES May 14, 2014 Minutes of the Meeting of Federal Executive with Affiliated Societies held in the Federal Council Room, ADA Inc., 14-16 Chandos Street, St Leonards, New South Wales, on Wednesday May 14, 2014, commencing at 1.30 p.m. CONFIDENTIAL NOT FOR REPRODUCTION OR CIRCULATION PRESENT: K.J. Alexander C. Bonanno R.J Olive RFD AM P.H. Sachs Federal Federal Federal Federal President [in the Chair] Vice President Treasurer Executive Councillor P. Verco D. Cable G. Whyte J. Sheahan K. Mamootil D. Collett M. Cutler V. Tumuluri A. Georgiou J. Taylor E. Street M. Walker J. Berne K. Punshon K. Watkins R. Sawers Australian Academy of Paediatric Dentistry Australian & NZ Academy of Endodontics Australian & NZ Academy of Periodontists Australian & NZ Society of Paediatric Dentistry Australian Society of Endodontology Australian Society of Orthodontists Australian Society of Orthodontists Australian Society of Periodontology Oral Medicine Academy of Australia Australian Society of Forensic Odontology Academy of Dentistry International Australian Society of Dental Anaesthesiology Australian Society of Implant Dentistry Australian Society of Special Care in Dentistry International College of Dentists Pierre Fauchard Academy IN ATTENDANCE: R.N Boyd-Boland S. Reid E. Irving K. Whelan Chief Executive Officer Council & Committee Services Manager Manager, Policy & Regulation [in part] ADAF Development Officer [in part] APOLOGIES: T.K. Pitsikas AM A. Heggie Federal Executive Councillor Australian and New Zealand Association of Oral & Maxillofacial Surgeons Federal Executive with Affiliates Page 2 of 13 May 14, 2014 WELCOME AND ANNOUNCEMENTS The Chairman welcomed all present and provided a brief background on the history of Affiliate meetings. She noted that the meetings used to be held between a member of Federal Executive and the Affiliated Societies and then reported back to Federal Executive. The meetings had ceased due to a lack of interest. At the Melbourne Congress a breakfast meeting of Affiliates was held at which time it was felt that it was important to reinstate these meetings on an annual basis. The Chairman thanked everyone for supporting the initiative noting the importance for the profession to demonstrate a united front. The meeting sought to exchange as much information as possible and to open communication channels. Each attendee was then invited to introduce them self to the meeting. AGENDA The Chairman advised that Mr Keith Whelan, Australian Dental Association Foundation [ADAF] Development Officer, would join the meeting at 2.00 pm to provide a brief overview of the Foundation’s objectives and requested that discussion of Item 1.9 ‘ADAF’ be brought forward to 2.00 pm. It was noted that in developing the Agenda issues for discussion had been sought. A number of Affiliates had raised specific issues and these would be addressed during the meeting. The Chairman invited attendees to identify any new Items for discussion. Dr Sheahan requested the inclusion of a new Item ‘Establishment of a Specialist Committee of the ADA’. This was supported and would be included under 1.11 ‘General Business’. The Chairman then confirmed the order of the Agenda. Federal Executive with Affiliates 1 Page 3 of 13 May 14, 2014 ITEMS FOR DISCUSSION 1.1 Submissions The Chairman advised that the ADA participated in the provision of many submissions. In particular, she referred the meeting to the submission provided to the Dental Board of Australia [DBA] on Scope of Practice which illustrated how the ADA Inc., ADA Branches and Affiliates could work together to add weight to the arguments presented to the DBA. It was noted that messages had been received from Affiliates and Specialists Societies advising that they wished for greater participation in the submission process. The Australian & New Zealand Society of Paediatric Dentistry [ANZSPD] suggested the establishment of a formal consultation process. The Chairman advised that although the ADA attempted to consult widely on submissions, often this was restricted due to the short turnaround time. Dr Sheahan thanked the ADA for reinstating the Affiliates meeting and congratulated the ADA on the great work done on behalf of the profession. Generally the meeting supported greater participation and welcomed the opportunity. Dr Olive, Chairman Policy Committee, drew the meeting’s attention to the ADA Policy Statements and to the obligation that all submissions be developed in accordance with ADA Policy. Having the entire profession working together was welcomed and would add weight to any stance. In order to inform all groups of the submissions that the ADA was working on and to request input into that process, the Chief Executive Officer invited all members to provide the ADA office with a contact email address. He also requested that if an Affiliate became aware of an issue/submission to reciprocate by advising the ADA. 1.2 Workforce Various documents/links were provided for information. The Chairman advised that the Australian Society of Orthodontists [ASO] had raised the following issues for discussion: ADA’s position with regard to dental practitioners on the preferred migration list [given the workforce surplus]; University dental courses and number of dental students in each course – over supply; ADA members who were teaching at universities. Federal Executive with Affiliates Page 4 of 13 May 14, 2014 Dr Collett added that the underlying concern was that the total number of dentists graduating in Australia was not sustainable in terms of gaining useful employment. He requested some direction from the ADA as to the future guidelines and policies in place to address this. The Chairman advised that the ADA had made several submissions, had written to the Ministers and had undertaken some member surveys on the issue. Dr Olive, Chairman Special Purpose Committee on Dental Workforce advised that workforce oversupply had been an issue for a number of years. Health Workforce Australia’s activities were described to the meeting. Dr Olive then advised that with allowing for dentists leaving the profession/retirement and population growth, that 520 dentists were needed each year. Currently 375 came from overseas hence there was a need for a cap on the number of dentists graduating from Australian dental schools and/or a reduction in the number of dentists accepted from overseas. Policy Statement 3.1 ‘Dental Workforce’ detailed this further. He noted the importance for the profession as a whole to advocate for this position. With the recent Federal Budget announcement that universities would be able to set their own tuition fees, the issue of quality training was raised. Generally it was felt that graduates were under-trained and underexperienced. Discussion ensued on workforce issues. Dr Punshon raised the issue of CPD courses/training to equip general dentists with the skills required to work in Aged Care facilities. This was an area of significant growth and offered opportunities for general dentists to expand their scope of practice in this area of need. The Chairman advised that one of this year’s campaigns would focus on Aged Care. The Oral Health Committee had commenced preliminary planning for this campaign which would have a multi-pronged approach in an effort to not only gain sustainable change but also be embraced by the aged care sector. The Committee would consult with a number of stakeholders shortly including the Australian Society of Special Care in Dentistry [ASSCD]. Federal Executive with Affiliates 1.3 Page 5 of 13 May 14, 2014 Australian Health Practitioner Regulation Agency [AHPRA] 1.3.1 Dental Board of Australia [DBA] 1.3.1.1 Scope of Practice The Chairman referred the meeting to ADA’s Hope for Scope petition which had been presented to Minister Dutton and the co-signed submission to the Dental Board of Australia on the draft Scope of Practice Registration Standard and Guidelines dated June 19, 2013. She advised that the ADA was awaiting DBA confirmation on what would be adopted. Some discussion ensued. The DBA’s confusing use of terminology, particularly in regard to allied dental practitioners and the requirement for DBA approved CPD courses of training, was noted. The Chairman confirmed that the ADA had raised and requested clarity on these and other issues with the DBA. 1.3.1.2 Dental Specialists The Chairman advised that the Australian & NZ Academy of Periodontists [ANZAP] had sought ADA’s position on the DBA’s project to document competencies for the thirteen dental specialties. She advised that the ADA had not been consulted in regard to this review. The group then raised some issues encountered with specialist registration and the anomalies of the AHPRA system. It was noted that the ADA supported the current model that specialists also be registered as general dentists. 1.3.1.3 Specialist Recognition By letter dated May 12, 2014, the Oral Medicine Academy of Australasia [OMAA] advised that the University of Sydney, Faculty of Dentistry was planning to create a Doctor of Clinical Dentistry [DClinDent] programme in Orofacial Pain. The DClinDent was supported by the Australian and New Zealand Academy of Orofacial Pain [ANZAOFP]. Federal Executive with Affiliates Page 6 of 13 May 14, 2014 To date the OMAA had not been formally consulted and had strong objections to the establishment of a specialty in Orofacial Pain and the mounting of a DClinDent, designed to graduate specialist level dental graduates. Dr Anastasia Georgiou, OMAA advised that the OMAA wanted to bring this matter to the attention of the ADA and the Affiliates. She stated that “pain” lay across the entire spectrum of dentistry and the diagnosis and management of pain by nature of that. OMAA felt that orofacial pain fell within the scope of practice of Oral Medicine. Further, a specific specialty in orofacial pain would not serve the profession nor provide better outcomes for patients. Dr Olive confirmed that the ADA did not currently list orofacial pain as a separate specialty in Policy Statement 3.4 ‘Specialist Dentists’. However, orofacial pain management was within the definition of the specialty of Oral Medicine. He suggested that whilst the ADA was a long way off supporting a separate specialty, orofacial pain was an area worthy of further research and academic interest. It was agreed that the group maintain a ‘watching brief’ on the matter and share updates as and when available. 1.3.1.4 CPD The following documents were provided: DBA Guidelines on Continuing Professional Development DBA Fact Sheet ‘Continuing Professional Development ADA Inc. By-Law II ‘Code of Ethics’ The Chairman advised that the Australian Society of Orthodontists [ASO] had expressed concern as to unsuitable courses being awarded CPD credits and the advertising of some of those courses within ADA publications. Dr Collett suggested that the ADA should exercise more discretion as courses advertised within ADA publications reflected credibility. The credibility issue was recognised. The matter of protocol was raised and it was noted that the ADA abided by its Advertising Code. Further, an appropriate disclaimer was included in each issue of the News Bulletin. Dr Bonanno advised that the DBA chose not to accredit courses. Federal Executive with Affiliates Page 7 of 13 May 14, 2014 The Chairman stated that the CPD Committee had published numerous articles in the News Bulletin for members on selecting appropriate and relevant CPD. However as professionals they would make their own judgement calls. 1.4 Australian Dental Council [ADC] 1.4.1 ADC Accreditation Review The Australian Dental Council & Dental Council of New Zealand ‘Accreditation Standards for Dental Practitioner Programs’ – Review Discussion Paper dated December 2013 was provided. The Chairman advised that the ADA had formed a Special Purpose Committee – Dental Education Accreditation [SPC-DEA] to address this matter and that the SPC had commenced work in preparing a submission to the ADC on the Review of the Accreditation Standards for Dental Practitioner Programs. Dr Olive, Chairman SPC-DEA advised that the SPC members had significant involvement with the ADC and accreditation. Further, the SPC comprised of one professor and three specialists. 1.5 Private Health Insurers [PHIs] 1.5.1 Preferred Provider Schemes The Chairman advised that ANZAP had raised the issue of Preferred Provider Schemes. A brief background was then given in relation to a preferred provider situation in Western Australia. ADA’s advice and clarification of its policy on Preferred Providers was requested. The Chairman advised that whilst the ADA did not encourage members to become Preferred Providers, it was ultimately a member’s personal business decision. The Schedule and Third Party Committee had compiled information to assist members on subjects such as Preferred Providers which was available on the website. Numerous articles had also been published in the News Bulletin. Dr Olive advised that the strongest approach taken by the ADA without breaching the Trade Practices Act was to advise members that they seek independent advice before entering into a Contracted Preferred Provider arrangement. Reference was made to Policy Statement 5.5 ‘Funding Agencies’. It was noted that the Policy Committee would welcome any input from the Affiliates on any of the ADA’s policies. Federal Executive with Affiliates Page 8 of 13 May 14, 2014 The quality and potential complications of overseas treatment, the use of overseas made prosthetics and the long term need to retain these skills within Australia were discussed. The Chairman advised that numerous articles had been published in the News Bulletin reminding members that the onus was on them to ensure quality treatment. The ADA could only warn members of the risks associated with overseas made dental materials, but ultimately it was the member’s responsibility. It was noted that the Dental Instruments, Materials & Equipment Committee [DIME] regularly monitored this space. 1.5.2 Differential Rebates for Specialists In response to ANZAP’s enquiry, the Chairman confirmed that the ADA supported differential rebates for specialists. She referred the meeting to ADA’s Policy Statement 5.5 ‘Funding Agencies’. In particular Clause 3.2 which stated: “In fixed rebate systems, treatment by specialists in their area of specialisation should attract a rebate higher than the rebate paid for a similar service rendered by a general practitioner. Where rebates on certain categories of treatment or procedural groups are subject to maximum allowances, if the treatment is provided by a specialist, these limits should be higher than if provided by a general practitioner. A differential rebate system must not be established by lowering rebates available on general practitioner services.” 1.5.3 The Australian Schedule of Dental Services and Glossary There was discussion regarding the item codes and descriptors contained in The Australian Schedule of Dental Services and Glossary [Schedule]. It was noted that the Schedule was under constant review and published in hard copy every three to five years. An electronic publication was also being investigated which would allow release of updates when required. It was noted that the Specialist Societies were consulted in the review process and that input via the Chief Executive Officer was welcomed. This input would be forwarded onto the Schedule & Third Party Committee for consideration before presenting the Schedule to Federal Council for adoption. It was suggested that if an electronic publication became available that it also be made available in EXCEL format. Dr Bonanno noted the request and advised that he would raise this matter with the Schedule & Third Party Committee. Discussion followed in relation to the equity issues hindering access to hospitals for dental treatment under general anaesthesia and the role of PHIs. Medicare Codes for procedures were discussed noting the difficulty for dental procedures to be ranked against Medicare procedures. Federal Executive with Affiliates Page 9 of 13 May 14, 2014 This often led to patients being medically compromised due to the required procedures being performed in dental surgeries. Affiliates were requested to forward on any information on the issues to support discussions with the Minister. The Chairman advised that these concerns had been raised with the Minister and would be raised again. It was noted that the Independent Hospital Pricing Authority [IHPA] was the body who determined the activity based funding and Diagnostic Related Groups [DRG] amount and how they related. With IHPA’s role being absorbed into the Department it was important for the ADA to meet with that group to discuss the issues identified and to understand how dentistry was costed and how the ADA could influence that process. 1.6 Assistance/Support By email correspondence dated February 28, 2014, the Chief Executive Officer extended Federal Executive’s offer of support to Affiliates to assist in the conduct of their affairs. It was an exploratory request to gauge the level and type of support needed and made in an effort to obtain a closer community between the ADA and each of its Affiliates. The Chief Executive Officer requested that the Affiliates respond to the abovementioned email detailing the support they would be interested in. This would assist in measuring the extent of assistance required, the cost to the Association and its feasibility. Advertising for Affiliates was briefly discussed. Some issues were identified however because not all the details were at hand, it was requested that further details be provided to the Chief Executive Officer. The matters would be followed up with the relevant departments, discussed by Federal Executive and reported back. 1.7 Government Schemes 1.7.1 Child Dental Benefits Schedule [CDBS] The following documents were provided: ADA Inc. submission dated May 17, 2013 on the Child Dental Benefits Schedule – previously Grow Up Smiling. ANZPD Executive Summary of the issues membership’s care of children’s oral health. affecting ANZPD General discussion on the CDBS and its uptake followed. It was noted that reports on the CDBS Items claimed and the associated spend could be run from the Medicare website. Federal Executive with Affiliates Page 10 of 13 May 14, 2014 Concern was raised with a number of excluded services, in particular dental trauma and preventive services. It was noted that in children dental disease was largely preventable and that its exclusion from the CDBS was unacceptable. The President advised that the ADA had initially lobbied for the entire schedule of services. Unfortunately, this was not accepted by the Department. The Manager, Policy & Regulation reported that the ADA was trying to work in collaboration with the Department of Health and Department of Human Service. The ADA saw value in this scheme in terms of changing future generations and for members’ revenue streams. There would be a review of the scheme and the ADA could put a strong case forward for further changes. The Department would be willing to consider the case provided there would be no change to the funding envelope. The ADA had a good working relationship with the Department and was happy to take on board the comments made as well as those detailed in the ANZSPD paper and to present those in meetings with the Department. The CDBS’ administrative burden on dentists was noted. The matter of Medicare staff rebilling invoices and retrospective claiming was discussed. The Affiliates undertook to forward to the ADA details on any of the abovementioned points for discussion with the Department. Dr Sheahan noted that although low income Tax Benefit A recipients qualified for the CDBS, many of them also had PHI anciliary cover. The CDBS prevented the use of the PHI rebates as both CDBS and PHI could not be used to reimburse for a child’s dental treatment. Dr Sheahan requested that the ADA push for those individuals to be able to claim both the CDBS and PHI. The President advised that the ADA had requested that the Department consider allowing those with PHI to claim the gap but this had been denied. The ADA would raise it again. 1.7.2 Cleft Lip & Cleft Palate Scheme [CLCP] The following documents were provided: ADA Inc. letter dated April 29, 2013 to Dr Megan Keaney, Medicare Benefits Branch following up on the Medicare Cleft Lip and Cleft Palate Scheme and ADA’s submission developed in consultation with the Australian and New Zealand Association of Oral and Maxillofacial Surgeons, the Australian Society of Orthodontists and the Australasian Academy of Paediatric Dentistry in support of a review of the Medical Benefits Schedule fees for items under the CLCP. Federal Executive with Affiliates Page 11 of 13 May 14, 2014 Department of Health & Ageing letter dated June 3, 2013 in response to ADA’s abovementioned letter. It noted that at that time no comprehensive review of the CLCP fees was being considered and that if the ADA felt the services under the CLCP were not aligned with current clinical practice that a submission and evidence be provided to the MBS Management Committee for consideration. Dr Sheahan commended the ADA on being proactive in responding to CLCP and for consulting with the Paediatric Academy. He requested that in future consultation also take place with ANZSPD. He noted that the CLCP covered high end dentistry but did nothing for patients who had increased risk of other oral diseases like tooth decay. He suggested that CLCP be extended to make patents who qualify for CLCP eligible for the CDBS irrespective of means. 1.7.3 General 1.7.3.1 ADA Federal Budget Submission The ADA Inc. 2014-2015 Federal Budget Submission was noted. The Chairman advised that the process for the 2015-2016 year had commenced and requested that if the Affiliates had any comment to please forward these to the ADA. It was hoped that this submission would be finalised and approved by Federal Council at its November 2014 meeting. 1.7.3.2 Dental Treatment Under General Anaesthesia Refer to Item 1.5.3. 1.8 ADA Publications/Events 1.8.1 Advertising Standards The ADA Inc. Advertising Planner and Advertising Code were noted. Refer to Item 1.6. 1.8.2 Affiliates Access to Advertising The Chief Executive Officer advised that PFA’s correspondence in relation to opportunities for Affiliates at Congress had been forwarded to the Congress Local Organising Committee [LOC] for consideration. The LOC would then make any appropriate recommendation to Federal Executive. Also refer to Item 1.6. Federal Executive with Affiliates 1.9 Page 12 of 13 May 14, 2014 Insurance The Chairman advised that Dr Sawers, PFA, had raised the issue of ‘Office Bearers Insurance’. The Chief Executive Officer advised that the ADA Policy did not cover Affiliates and that he had undertaken preliminary investigations regarding cover for Affiliates. He would forward the advice when received for comment and input. 1.10 Australian Dental Association Foundation Mr Keith Whelan, Australian Dental Association Foundation [ADAF] Development Officer, joined the meeting to provide a brief overview of the Foundation’s objectives. By way of background, he advised that the ADAF’s mission was to address the inequality between those Australians that could access the dental care they needed and those that reported that they could not. Formed in 2008 by the Australian Dental Association, the ADAF had seen dentists across Australia come together to improve the oral health of disadvantaged Australians. Dentists around the country had volunteered their time or made financial contributions so support and resources could be sent where they were needed most. One of the ADAF’s main benefactors (and Trustee) was the ADA. Through funds raised by dentists and donated by the ADA the Foundation was established. The ADA continued to provide financial assistance by way of the funds derived from the Seal of Approval programme. However, the ADAF had begun to bring other supporters on board to continue to expand the work it did. The ADAF secured external funding, applied for grants, found projects to apply for funding and formulated those projects. Also two to four fundraising events were held each year. Further, facilitated by Give2Asia, the Wrigley Company Foundation supported the ADAF Community Service Grants which enabled dentists, students of dentistry and teams of allied dental professionals led by a dentist to help improve the oral health of some of Australia’s most deprived communities . Currently the ADAF was offering up to five study grants annually to students of Aboriginal or Torres Strait Islander background who were undertaking a course of study that would lead to registration as a dental hygienist. Mr Whelan reported that the ADAF was building sustainability and looking at collaborative measures in indigenous and regional and remote areas and through these collaborations building capacity to roll out projects that would give a sustainable outcome with a life span to them. He welcomed ideas, participation and information on innovative projects that could be funded. Federal Executive with Affiliates Page 13 of 13 May 14, 2014 A number of Affiliates advised that they knew of some suitable projects and would forward the information onto Mr Whelan directly. 1.11 General Business The Chairman invited Dr Sheahan to provide further detail regarding his request to establish a Specialist Committee of the ADA. Dr Sheahan reported that with his work in regard to the National Oral Health Plan Workshop it had become apparent that there were a lot of common issues to the various dental specialties. He suggested that there would be value in appointing a committee to establish networks between the affiliated bodies. Although the ADA was strong in representing the interests of GP dentists he was a little concerned that the ADA did not always represent the interests of specialists as it is did not have a committee with the expertise to feed into that. Due to time constraints the Chairman requested that Dr Sheahan present some further detail on the establishment of this committee for Federal Executive’s consideration. Dr Punshon raised the issue of affiliation for groups with less than 50 members, in particular the Academy of Special Needs Dentists in which there were less than 50 specialists in Australia and New Zealand. The Chairman requested that Dr Punshon present the case in writing for consideration by the Constitution Committee. The Chief Executive Officer requested that all feedback/comments be sent to him at [email protected]. The Chairman thanked everyone for their input and attendance. Dr Street, on behalf of the Affiliates, thanked ADA Inc., Federal Executive and the ADA secretariat for arranging this meeting which he felt benefited all attendees. There being no further business, the Chairman declared the meeting closed at 5.20 pm on Wednesday, May 14, 2014. SIGNED AS A CORRECT RECORD …………………………………………………………………………………… Chairman …………………………………………………………………………………… Date Provide contact email addresses to the Chief Executive Officer. Submissions Review ADA’s Policy Statements [available from the ADA website] and forward any comment to the Chief Executive Officer. Circulate Affiliates with Federal Executive Action Sheet for May 14, 2014. Provide comment/approve for circulation the Affiliates with Federal Executive Action Sheet for May 14, 2014. Prepare Affiliates with Federal Executive Action Sheet for May 14, 2014. Circulate DRAFT May 14, 2014 meeting of Affiliates with Federal Executive Minutes. Provide comments and approve circulation of DRAFT Minutes of the May 14, 2014 meeting of Affiliates with Federal Executive. Prepare DRAFT Minutes of the May 14, 2014 meeting of Affiliates with Federal Executive for approval by the President. ACTION Affiliates Affiliates Affiliates S Reid Chairman/CEO S Reid S Reid Chairman S Reid RESPONSIBILITY URGENT ASAP ASAP ASAP ASAP ASAP ASAP ASAP ASAP ASAP DUE DATE Done Done Done Done Done Done STATUS AUSTRALIAN DENTAL ASSOCIATION INC. AFFILIATES WITH FEDERAL EXECUTIVE ACTION SHEET STATUS AS AT MAY 26, 2014 MEETING/ ITEM NO. MAY 14, 2014 1.1 1.4 ADC Accreditation Review Forward any comments on the ADC review to the Chief Executive Officer. Page 1 of 3 Arrange meeting with the Independent Hospital Pricing Authority to discuss the issues identified and to understand how dentistry is costed and how the ADA can influence that process. Forward information on issues pertaining to GAs, Medicare Codes etc to the Chief Executive Officer. In Schedule & Third Party Committee investigations regarding an electronic publication, consider availability of the Schedule in EXCEL format. The Australian Schedule of Dental Services & Glossary Forward any comments/requests regarding Item Numbers for inclusion or review to the Chief Executive Officer. ADA Inc. CEO Affiliates CEO Affiliates CEO Affiliates C. Bonanno SCHED Affiliates ASAP ASAP Next meeting Ongoing Next meeting ASAP ASAP Ongoing Next SCHED meeting Ongoing 1.5.3 Cleft Lip & Cleft Palate Scheme In future reviews include ANZSPD in the consultation process. Affiliates 1.7.1 1.6.1 1.7.2 ADA Federal Budget Submission Forward any comments for inclusion in the 2015-2016 Submission to the Chief Executive Officer. staff rebilling Present comments made at the meeting and those contained in the ANZSPD paper in meetings with the Department. Child Dental Benefits Schedule Forward details in relation to Medicare invoices/issues to the Chief Executive Officer. Follow up on issues raised by Dr Tumuluri re advertising for the ASP Conference and advertising for affiliates in general. Assistance/Support Forward details of assistance required to the Chief Executive Officer. 1.7.3.1 Insurance CEO 1.9.1 Page 2 of 3 1.10 Australian Dental Association Foundation [ADAF] Provide Mr Keith Whelan with any information pertaining to potential ADAF projects. Forward advice on insurance cover to the Affiliates when received for comment/input. 1.11 General Business Present details on establishing a Specialist Committee to the Chief Executive Officer [for consideration by Federal Executive]. Present case of affiliation for groups with less than 50 members to the Chief Executive Officer [for consideration of the Constitution Committee]. Page 3 of 3 J. Sheahan Affiliates ASAP Ongoing K. Punshon 1 12th Congress of the European Academy 5th–8th June 2014, Sopot, Poland Professor Monty Duggal (UK) – President Professor Katarzyna Emerich (Poland) – Co-President Dr Paddy Fleming (Ireland) – President Elect Professor Norbert Krämer (Germany) – Past President Dr Elias Berduses (Greece) – Secretary Professor Jack Toumba (UK) – Journal Editor Dr Teresa Leisebach (Switzerland) – Treasurer Dr Paddy Fleming (Ireland) – Chair Members: Professor Norbert Krämer (Germany) Professor Jack Toumba (UK) (Poland) (UK) (UK) Professor Monty Duggal (UK) Dr Nick Lygidakis (Greece) 2 Contents M. Madouh, J. Toumba, J. Tahmassebi F. S. Alzahrani, M. S. Duggal, J. Tahmassebi S. Rajasekharan, R. Cauwels, J. Vandenbulcke, L. Martens E. Nadolska-Gazda, K. A. Emerich A. Faridoun, J. Toumba, M. Duggal C. Lint, S. Rajasekharan, R. G. Cauwels, L. C. Martens C. Cuadros, J. Garcia, S. Sandra, A. Lorente, M. Montse I. Madan A. McKay, S. Al-Badri C. J. De Jong, J. B Krikken primary molars: preliminary results ................................................................................................................................ 21 S. M. Awad, D. M. Moheb, M. A. Rashed D. M. Moheb, S. M. Awad J. Vandenbulcke, S. Rajashekharan, R. Cauwels, L. Martens J. Norderyd, D. Faulks, G. Klingberg O3.2 Oral health care in children with epidermolysis bullosa ........................................................................................ 25 3 J. Verco L. Gartshore, S. Albadri, K. Fox, F. Jarad E. Ali Akbari, S. Barber, J. Spencer, S. Barry, M. Duggal M. Malinowski, Z. Mandinic, T. Toyama, J. Toumba, M. Duggal with Early Childhood Caries ........................................................................................................................................... 33 R. M. Bussell, J. Toumba Rendeniece, R. Care, A. Brinkmane, K. Krasone 4 V. Boka, K. Arapostathis, N. Kotsanos, V. Karagiannis, J. Veerkaamp K. Ridell, M. Borgstrom, S. Brogardh-Roth, E. Lager, G. Magnusson M. AlSarheed, M. AlMalik K. Bach, D. J. Manton M. Larmas R. Balmer, J. Toumba, T. Munyombwe, M. Duggal K. Chatzidimitriou, N. N. Lygidakis, N. Theologie-Lygidakis, N. A. Lygidakis 5 D. Emmanouil, J. Y. Yeon, R. M. Quock A. M. de Souza- Y. J. Cho J. Kalnina, R. Care, A. Brinkmane, J. Gudkina T. Ris Koler, R. Kosem J. Ryu, K. T. Jang M. A. Durhan, G. Kulekci, N. Topcuoglu, I. Tanboga B. Jankauskiene, J. I. Virtanen, J. Narbutaite, R. Kubilius M. Tome, M. Skapin A. T. Tanyeri, M. Koruyucu, F. Seymen A. Vinereanu, A. M. Bratu, R. Ghiran, M. Mesaros, A. Balan I. Descamps, L. Marks, R. Leroy L. C Martens, S. Rajasekharan, R. Cauwels R. G. Cauwels, S. Rajasekharan, L. C Martens M. Malul 8 A. Getsman B. N. Dogan, L. Kuru, S. Akyuz, A. Yarat M. Koruyucu, N. Topcuoglu, F. Seymen, G. Kulekci A. Alawami, M. Duggal S. Sara Eryuruk, Z. Cehreli G. Vansteenkiste, K. Van Dromme, A. Verdonck, D. Declerck C. Farcasiu, A. Munteanu, A. T. Farcasiu, R. Luca B. Karabulut M. Goworowska-Truchan, K. Emerich, E. Nadolska-Gazda A. Goudakou, V. Kaitsas, K. Arapostathis I. Aydintug, A. Alacam 10 D. Akay Kotan, A. Alacam M. I. Al-Malik, L. Mirza N. Jegat M. Kukurba-Setkowicz K. G. Berge, M. L. Agdal, M. Vika, M. S. Skeie OPD10.11 Combined anaesthesia in paediatric dental treatment ............................................................................... 121 11 A. Stroianu in children – an audit ................................................................................................................................................... 123 Y. Yilmaz, A. Mete, S. Simsek Derelioglu I. A. Baldag, C. Cinar Y. Bae, T. Noh, J. Y Kim, S. Kim M. A. Raducanu, I. V. Feraru, M. Tanase N. K. Choi E. Y. Ballikaya, Z. C. Cehreli D. Sakaryali, A. Alacam, G. Dimiller 12 E. Arat Maden, C. Altun, S. Secer, K. Gyder A. B. Ammari S. A. Tukmachi, D. Baldwin, J. Long 13 14 Date: Chair: Time: 11:30–13:00, A pilot study M. Madouh*, J. Toumba, J. Tahmassebi - - any treatment outcome. F. S. Alzahrani*, M. S. Duggal, J. Tahmassebi - the included studies. - 15 S. Rajasekharan*, R. Cauwels, J. Vandenbulcke, L. Martens - - O1.4 Dental trauma issues among Polish boxers and their coaches E. Nadolska-Gazda*, K. A. Emerich - A. Faridoun*, J. Toumba, M. Duggal - outcomes. 2 C. Lint*, S. Rajasekharan, R. G. Cauwels, L. C. Martens in children 5–18 years old. ence. Date: Time: Chair: C. Cuadros*, J. Garcia, S. Sandra, A. Lorente, M. Montse - up. I. Madan* - 18 T. D. Nguyen* 1 A randomized controlled trial 1 , M. J. Casas1, P. L. Judd1, M. J. Sigal2 1 2 A. McKay*, S. Al-Badri - as barriers to use. COMMENTS - - E. Stringhini Junior1, 2, M. E. Becker Vitcel2 1 1 2 C. J. De Jong* 1, J. B Krikken2 1 Kindertand, Netherlands 2 ondary dental care clinics. 2 - - 20 primary molars: preliminary results. 1 M. Rubanenko* 1 , R. Petel2, A. Fuks1 1 2 Dental Volunteers for Israel (DVI) Center, Israel similar to that described in the literature. S. M. Awad*, D. M. Moheb, M. A. Rashed - - in this study, as hypothesized. 21 D. M. Moheb*, S. M. Awad - - - M. Schmidt* 1, I. Dige2 2 , M. Vaeth3 2 1 2 3 - - - 22 materials in children J. Vandenbulcke*, S. Rajasekharan, R. Cauwels, L. Martens - - 2 - chosen. - 23 Date: Chair: Time: 14:00–15:30, - - - lo-Morales as well as other braces. J. Norderyd* 1, D. Faulks2, G. Klingberg3 1 2 3 - - 24 - - - 25 - - - J. Verco* - COMMENTS - - Date: Chair: Time: 14:00–15:30, M. Mielnik-Blaszczak* 1, M. Kaminska-Jaloza2, E. Pels1 1 2 - - S. Barry* 1, J. Spencer2, N. Houghton2, S. Barber2, M. Duggal1 1 2 bone with it. - COMMENTS - G. Tsilingaridis* 1, B. Malmgren1, C. Skutberg2 1 1 2 - H. Juric* 1 2 , J. Skaricic2 3 1 1 2 3 - 28 L. Gartshore*, S. Albadri, K. Fox, F. Jarad - - E. Ali Akbari* 1, S. Barber2, J. Spencer2, S. Barry1, M. Duggal1 1 2 - - 1 , U. Potoenik2, J. Jazbec2 1 2 - - E. M. Fistes* 1 2 , P. Tramini1, J. Nancy2, E. Trzaskawka-Moulis1 1 2 - - 30 Date: Time: 14:00–15:30, Chair: A. H. BaniHani* 1, C. Deery2, T. Munyombwe3, J. Toumba1, M. Duggal1 1 2 3 - - M. Malinowski1, Z. Mandinic* 2, T. Toyama3, J. Toumba1, M. Duggal1 1 2 3 - - 31 E. Theodorou*, R. Hill, P. Anderson - - - R. M Santamaria* 1, N. Innes2, V. Machiulskiene3 4 , C. Splieth1 1 2 3 4 in primary molars. - 32 - Z. Abbasoglu* 1, I. Tanboga2, E. Kuchler3, A. R. Vieira3, 4 1 2 3 4 contribute to ECC. - R. M. Bussell*, J. Toumba - 33 - - - - B. L. Kreps* 1, P. J. De Coster, L. A. Marks2 1 - - - - 34 Date: Time: Chair: S. Gizani* 1, G. Petsi1, S. Twetman2, C. Caroni3, L. Papagiannoulis1 1 2 3 Lactobacillus reuteri - S. Subka*, H. Rodd, Z. Nugent, C. Deery - - - - 35 R. P. Anthonappa*, P. Nicol, N. M. King, L. Slack-Smith, S. Cherian - - H. Isaksson* 1, 4, A. Alm1, 2, G. Koch3, D. Birkhed4, L. K. Wendt5 1 2 3 4 5 - - - Rendeniece*, R. Care, A. Brinkmane, K. Krasone - - - 1 2 , Z. Broukal3, J. Dort4 1 Czech Republic 2 3 4 - study. - 38 Date: Time: Chair: J. Kuhnisch* 1, E. Thiering2, 4, R. Heinrich-Weltzien3, R. Hickel1, J. Heinrich2 1 2 Neuherberg, Germany 3 4 - - A. Ronneberg*, K. Strom, A. B. Skaare, T. Willumsen, I. Espelid - - 1, 2 , L. L. Lim2, D. Do3, N. G. Herman2, A. M. Moursi* 3 1 2 3 prior to dental treatment. - - V. Boka* 1, 2, K. Arapostathis1, N. Kotsanos1, V. Karagiannis1, J. Veerkaamp2 1 2 - 40 K. Ridell*, M. Borgstrom, S. Brogardh-Roth, E. Lager, G. Magnusson - - M. AlSarheed* 1, M. AlMalik2 1 2 - also recorded. - 41 L. Kronina* 1, R. Care1 2 1 2 propriate. R. Das*, T. I. Wigen, N. J. Wang Norway - - - 42 1 , E. Boyarkina* 1, P. Leus2 1 2 - K. Bach*, D. J. Manton - - 43 areas of Stockholm M. I. K. Anderson* 1, 2, G. Dahllof2 1, 2 1 2 - - among Brazilian children C. M. Viegas* 1 1 1 , D. P. Raggio2, C. C. Bonifacio1 1 2 - - 44 Date: Time: Chair: M. Larmas* - lence. R. Balmer*, J. Toumba, T. Munyombwe, M. Duggal - - - 45 L. Wong* 1, S. Khan2 1 2 reports - between 1 to 28 years. P. E. Jacobsen* 1, T. B. Henriksen2, D. Haubek1 3 1 2 3 - - Clinical study of 46 children K. Chatzidimitriou*, N. N. Lygidakis, N. Theologie-Lygidakis, N. A. Lygidakis - - data were recorded. - S. Walley*, S. Albadri, R. Harris, J. C. Jones, L. Dawson - - - - O8.8 E-logbooks for clinical skills programmes: using mobile technologies to support learning and assessment S. Parekh* - - 48 T. Andrikoula* 1, A. Katsantoni2, G. Kotantoula3 4 1 2 3 4 - - and chronically-stressed mice D. Emmanouil* 1, J. Y. Yeon2, R. M. Quock2 1 2 - - - M. de Jong-Lenters* 1 1 , E. Verrips2 1 2 The Netherlands - 50 51 Date: Chair: Time: 11:30–13:00, A. M. de Souza-Barros1, C. M. Ferreira-Gradella* 2, G. Cabral da Costa1, T. Queiroz-Abreu1 1 2 - - 2001 and 2010. 52 Kaunas, Lithuania - - N. Ghimire* 1, P. Nepal2 1 2 Chitwan Medical College, Bharatpur, Chitwan, Nepal - 53 S. Haidary* 1, M. Agathi Petrou2, R. Hashim3, A. Alhumrani4, C. Splieth1 1 2 3 4 - Academisch Centrum Tandheelkunde Amsterdam, Netherlands - 54 OPD1.7 Management of an anomalous permanent lateral incisor secondary to primary incisor trauma - - 1 , Y. MacAuley1, E. Al-Awadhi2, P. Fleming1 1 2 - - - 55 H. S. Halawany*, T. Al Moharib, J. Al Harbi, F. Salama, N. Abraham - Date: Chair: Time: 14:00–15:00, C. Palma Portaro* 1, R. Mayne1, G. Redondo2, X. Maristany2 1 2 appliances. - - Y. J. Cho* - - - - G. Pellegrino*, G. del Vecchio, M. Federico manent teeth - - 58 G. Pimentel*, A. Lipari, S. Toledo, F. Figueroa - - 1 , P. Kriz1 1 , J. Veleminska2, M. Peterka3 1 2 3 - - Date: Chair: Time: - - 1 , E. D. Berdouses* 1, N. Lygidakis2, K. Tsinidou1, A. Vlachou1 1 2 Community Dental Center for Children, Athens, Greece - - E. Ronning-Naess, K. A. Moan, N. J. Wang, T. I. Wigen* Norway - - - Z. Mandinic1 2 , M. Curcic2 2 2 1 2 - - - M. A. Kehl*, A. B. Skaare, I. Espelid, H. J. Bangstad - - - S. Y. Loeken*, T. I. Wigen, N. J. Wang - - in 12 months period J. Kalnina*, R. Care, A. Brinkmane, J. Gudkina - - - T. Ris Koler* 1, R. Kosem2 1 2 - H. Fellagh, S. Guner*, N. Sandalli - Z. A. Guclu* 1, N. Donmez2, T. Tuzuner3 4 1 2 3 4 - A. Lipari*, A. Vera, G. De La Fuente, A. Munoz, G. Pimentel - H. E. Kim*, K. R. Kang, H. K. Hyun, K. T. Jang, S. H. Lee J. Ryu*, K. T. Jang - Date: Chair: Time: 11:30–13:00, K. Buecher*, I. Metz, V. Pitchika, R. Hickel, J. Kühnisch 1 , M. Duggal2 1 2 - COMMENTS presented. among Lithuanian children J. Narbutaite* 1, V. Machiulskiene1, C. H. Splieth2, N. P. T. Innes3, R. Santamaria2 1 2 3 - - in case of caries in children - A. Gera*, U. Zilberman - - 1 2 , J. Jelicic3 4 , H. Juric2 1 2 3 4 - - - Amsterdam, Netherlands - in proximal caries lesions E. Diab* 1, D. Hesse, C. Bonifacio 1 - - - M. Bakkal* 1, B. Kargul2, Timucin Ari3 3 , W. L. Siqueira4 1 2 3 4 - M. A. Durhan*, G. Kulekci, N. Topcuoglu, I. Tanboga - H. Nishimata, K. Sato, Y. Kamasaki, T. Hoshino, T. Fujiwara* - - - - a pilot study. - Date: Time: 14:00–15:30, Chair: - - - - - B. Jankauskiene* 1, J. I. Virtanen2, J. Narbutaite1, R. Kubilius1 1 2 - M. Tome*, M. Skapin J. C Harris* 1, A. R Vora1, D. Worsley2, Z. Marshman2 1 2 - - ment. A. T. Tanyeri*, M. Koruyucu, F. Seymen - - - A. Vinereanu* 1, A. M. Bratu2, R. Ghiran3, M. Mesaros3, A. Balan4 1 2 3 4 - I. Descamps* 1, L. Marks1, R. Leroy2 1 2 (DS). - C. Fernandez* 1, I. Kaschke2, S. Perlman, B. Koehler, L. Marks1 1 2 - - - - to be considered, are described. - Czech Republic - - 1 , A. Halle1, A. N. Astrom1 1 2 2 , M. S. Skeie1 - - - - - 80 Date: Time: 14:00–15:30, Chair: L. C Martens*, S. Rajasekharan, R. Cauwels - - - R. G. Cauwels*, S. Rajasekharan, L. C Martens - - 81 - - M. E. Elfrink* 1, K. L. Weerheijm2 1 2 82 J. Heijdra* 1, J. Veerkamp2 1 2 KINDERTAND, Amsterdam, Netherlands - be decided upon. - - F. Seymen*, P. Barlak, M. Koruyucu - - in primary teeth. 83 A Case report G. Inan*, T. Ulusu - - M. Malul* - 84 S. E. Yoldas, H. M. Gorcek*, H. Bodur incisor. - - H. J. Tong* 1, J. J. Ng2, V. Yu1 1 2 - ture intracanal and apically was noted. 85 A. Getsman* - - closure. H. Nazzal* 1, J. Kang2, M. S. Duggal1 1 2 - - - - - 1 1 , Z. Broukal2, J. Dort3 1 2 3 - - - p < 0.01 – p < 0.0001). B. N. Dogan* 1, L. Kuru2, S. Akyuz1, A. Yarat3 1 2 3 - - 88 M. Koruyucu* 1, N. Topcuoglu2, F. Seymen1, G. Kulekci2 1 2 - - Date: Time: 14:00–15:30, Chair: - - their parents. J. Sabbarini* 1, M. Al-Hijawi2 1 2 - - A. Alawami*, M. Duggal - F. Parree* - - S. Sara Eryuruk*, Z. Cehreli - - polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) 1 1 2 1 2 - COMMENTS - OPD7.7 Primary triple tooth in mandible: A rare case report I. Mergen*, S. Uysal, S. Dural, M. D. Turgut, M. Tekcicek - appointments. C. Serna Munoz* 1 1 , C. Finke2 1 1 2 - ated unerupted permanent central incisor, one erupted supernumerary tooth and one unerupted supernumer- COMMENTS to be made. M. A. Petrou* 1 2 , C. H. Splieth3 1 2 3 - - K. Van Dromme* 1 1 2 1 2 , D. Declerck1 M. Kalkani* 1, J. Baird2, R. Balmer1, J. Hammond2, P. Day1 1 2 - - - in three ten-year old children G. Vansteenkiste* 1, K. Van Dromme1, A. Verdonck2, D. Declerck1 1 2 - COMMENTS - 1 , N. Capa2, D. Germec-Cakan3, N. Sandalli1 1 2 3 - constructed. The mandibular primary molars were reshaped with composite resin in order that they resembled - T. H. Noh*, Y. E. Bae, S. Kim, T. S. Jung, J. Y. Kim - - as with other intraoral tumours. - Date: Chair: Time: C. Farcasiu1, A. Munteanu1, A. T. Farcasiu2, R. Luca* 1 1 2 - - B. Karabulut* - M. Goworowska-Truchan*, K. Emerich, E. Nadolska-Gazda - - - - 100 K. Parker*, S. Parekh A. A. Pawlowski*, I. Espelid, A. L. Maseng Aas, A. B. Skaare - - - 2 101 Y. K. Han*, K. U. Song, S. E. Lee, J. H. Park - - - - A. Goudakou* 1, V. Kaitsas2, K. Arapostathis3 1 2 3 - 102 S. Peker* 1, A. Durhan1, P. Kulan1, R. Pisiriciler2, B. Kargul1 1 2 - - plinary way. 103 - E. Caglar1, S. Peker2, A. Durhan2, P. Kulan2, B. Kargul* 2 1 2 - - 104 OPD8.13 Fracture resistance of simulated immature teeth restored I. Aydintug*, A. Alacam 2 - 2 therapy. W. H. Kouwenberg-Bruring* 1, H. C. Kouwenberg2, J. B. Krikken3 1 Mondmaatjes, Netherlands 2 Kouwenberg-Bruring, Netherlands 3 - 105 J. Erb* 1, A. Fontolliet2, A. Spoerri1 1 1 2 - - anaesthesia. COMMENTS - E. Birpou* 1, A. Tzouanaki2 2 , G. Vadiakas2 1 2 - and complete pulpotomy indicated in mature and immature teeth. - teeth. - Date: Chair: Time: - - OPD9.2 Amelogenesis imperfecta J. Vaalas*, H. Yli-Urpo - 108 J. T. Mangan* 1, P. Fleming1, K. FitzGerald1, Y. MacAuley1, C. McMahon2 1 2 - - - - COMMENTS - - OPD9.5 The total absence of teeth in a child of 6-years old - - - - H. Batley, H. J. Rogers*, M. S. Ali, C. Deery COMMENTS - 110 D. Akay Kotan*, A. Alacam to be 1 per 4 million people. - 111 - A. Hollis* 1, L. Carter2, A. High3, R. Bryan1 1 2 3 sion and tooth displacement. - 112 A. Wallace*, A. M. Hegarty, H. Zaitoun - - - OPD9.12 Three case reports of primary canine agenesis 1 , R. E. Gomes2, C. Palma3 1 2 3 - 113 E. Garot*, Patrick Rouas, Y. Delbos, C. Couture (PI), and also on the other teeth. - - M. I. Al-Malik* 1, L. Mirza2 1 2 North Speciality Dental Center, Saudi Arabia - 114 OPD9.15 Amelogenesis imperfecta - - - - - 115 Date: Time: Chair: A. Pinar-Erdem* 1, G. Ykikarakayali, E. Sepet1, N. Topcuoglu2, N. Yalman 1 2 - - Barzilai Medical Center, Israel - - - 1 , S. Iljoska2 1 , A. Rexhepi1, Blerta Xhemajli1 1 2 caries. E. Dursun* 1, 2, C. Vargas1, 2 1, 2 , F. Bdeoui2, M. M. Landru1, 2 1 2 - N. Jegat* A report of 4 clinical cases M. Kukurba-Setkowicz* - 118 F. Clauss1, C. Tardieu* 2, S. Hadj-Rabia3, N. Philip4, M. C. Maniere1 1 2 3 4 Marseille, France - - - - H. AlShammasi* 1, P. Ashley1, H. Buchanan2 1 2 - Preliminary results K. G. Berge*, M. L. Agdal, M. Vika, M. S. Skeie - - K. Stroem*, A. Ronneberg, A. B. Skaare, T. Willumsen, I. Espelid - - - - 120 1 1 2 1 2 - - 1 1 1 , Z. Broukal2 1 2 - - 121 A randomized clinical trial 2 1 , T. Cordeschi1, M. Bonecker1 J. Abanto* 1 1 2 - used to analyse the data. - - A. Stroianu* - - - 122 A. Ni Chaollai*, K. FitzGerald, J. McGinley, P. Fleming - - N. M. King, R. P. Anthonappa, S. Wong, R. Yawary* rare. - - 123 Date: Sunday 8th June, Time: 12:00–13:00, Chair: 1 , I. S. Shcherbina1 1 2 2 1 2 - Y. Yilmaz*, A. Mete, S. Simsek Derelioglu - teeth. 124 J. M. Sun*, J. H. Park, H. J. Ahn, S. C. Choi - - N. Mohd Kenali* 1 2 , M. Patel3 1 2 3 (3.2 cm–1 - 125 I. A. Baldag*, C. Cinar - periods (p < 0.05). and composite material U. Zilberman* materials. - on extracted primary molars Y. Bae*, T. Noh, J. Y Kim, S. Kim - - - 128 Date: Time: Place: - - M. A. Raducanu, I. V. Feraru, M. Tanase* - - - and rapid maxillary expansion therapy N. K. Choi* COMMENTS A case report COMMENTS - 130 M. C. Wang*, S. W. Yu - COMMENTS - E. Y. Ballikaya*, Z. C. Cehreli COMMENTS - symptoms 131 PND7 Treatment of Ameloblastoma in a Child: A case report D. Sakaryali* 1, A. Alacam1, G. Dimiller2 1 2 COMMENTS there were no metastases. J. Hassi*, L. Arancibia, C. Danzijner, V. Soto - COMMENTS - 132 A. Hassan* - COMMENTS - M. Armas*, P. Lorente, F. Guinot Jimeno, C. Cuadros, A. I. Lorente Rodriguez COMMENTS - 133 I. Grzesiak-Gasek*, U. Kaczmarek COMMENTS - 134 E. Arat Maden, C. Altun*, S. Secer, K. Gyder Gulhane Military Medical Academy, Ankara, Turkey - the tooth down. COMMENTS - A. B. Ammari* - COMMENTS - - 135 Gulhane Medical Academy, Ankara, Turkey - COMMENTS - S. A. Tukmachi*, D. Baldwin, J. Long COMMENTS - - U. Kaczmarek*, M. Kowalczyk-Zajac M. S. Park*, N. K. Choi - dental caries. - - S. Korun1 1 , A. Islam1 1 , T. Sakar2 1 2 - - - 138 ances in 2013. From: Wendy Chappell [mailto:[email protected]] Sent: Tuesday, 17 June 2014 11:20 AM To: undisclosed-recipients Subject: Dental Board of Australia - Communiqué Good Morning The communiqué in relation the Dental Board of Australia’s meeting held on 23 May 2014 is now available on the Board’s website at http://www.dentalboard.gov.au/News/Communiques.aspx Kind regards Wendy Chappell Board Support Officer Dental Board of Australia Email | [email protected] Web | www.ahpra.gov.au Australian Health Practitioner Regulation Agency G.P.O. Box 9958 | Melbourne VIC 3001 | www.ahpra.gov.au CONFIDENTIAL INFORMATION This email and any files transmitted with it are confidential and intended solely for the use of the named addressee. If you have received this email in error or you are not the named addressee notify the sender immediately and delete this e-mail. Do not disseminate, distribute or copy this e-mail. If you are not the named addressee disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited. Please consider the environment before printing. From: Dental Board Practice Forums [mailto:[email protected]] Sent: Thursday, 26 June 2014 10:31 AM To: undisclosed-recipients Subject: Dental Board of Australia - Scope of Practice Forums Dear All As you would be aware, the Dental Board of Australia’s revised Scope of practice registration standard will come in to effect from 30 June 2014. To inform dental practitioners and the Dental Board's stakeholders about the changes to the revised registration standard the Dental Board is holding a series of forums around Australia. On behalf of the Dental Board, I would like to invite you and relevant staff to attend one of these forums. The details for the forums are below. Please note registration opens 30 minutes prior to the start time. City Date Location Time Perth Thursday 17 July Duxton Hotel, 1 St Georges Terrace, Perth 4.00pm Melbourne Friday 25 July Crest Room, Level 2, Gate 6, Etihad Stadium, Docklands, Melbourne (map attached) 4.00pm Sydney Thursday 31 July Rydges World Square, 389 Pitt St, Sydney 4.00pm Canberra Friday 1 August Mercure Canberra, Corner of Ainslie and Limestone Avenue, Braddon 4.00pm Adelaide Thursday 7 August Mercure Grosvenor Hotel, 125 North Terrace, Adelaide 4.00pm Hobart Friday 8 August The Old Woolstore Apartment Hotel, 1 Macquarie Street, Hobart 12.00pm Darwin Thursday 14 August AHPRA Office, Level 5, 22 Harry Chan Avenue, Darwin 9.30am Brisbane Friday 15 August Adina Apartment Hotel, 15 Ivory Lane, Brisbane 4.00pm Please register your interest by emailing [email protected] with your contact details, location of the forum and names of those who wish to attend. There is no registration fee for this event. The Dental Board is also exploring the use of other forms of media (e.g. webinar) for those dental practitioners unable to attend the forums. Further information about this will be provided in coming weeks. Additional information relating to the revised standard can be found on the Dental Board's website. Scope of practice registration standard (effective 30 June 2014) Guidelines - Scope of practice registration standard FAQ on the transition from the current to revised / new documents If you have any queries regarding this event please contact 1300 419 495 or email [email protected]. Kind regards Michelle Thomas Executive Officer - Dental Australian Health Practitioner Regulation Agency G.P.O. Box 9958 | Melbourne VIC 3001 | www.ahpra.gov.au CONFIDENTIAL INFORMATION Continuing Professional Development program Handbook December, 2013 ANZCA 2014 CPD Program Handbook – December 2013 Table of Contents 1. Introduction .................................................................................................................... 4 2. Statement of purpose ..................................................................................................... 5 3. Mandatory participation in CPD – regulatory authorities ................................................. 6 4. CPD Program requirements ........................................................................................... 7 5. Special consideration ................................................................................................... 10 6. Accruing CPD credits ................................................................................................... 11 - Practice evaluation - Knowledge and skills - Emergency responses 7. ANZCA/FPM Roles in Practice ..................................................................................... 20 8. CPD portfolio system ................................................................................................... 20 9. CPD plan and evaluation.............................................................................................. 21 10. Qualified privilege (QP) and professional quality assurance activities (PQAA) ............. 22 11. Participation in alternative programs ............................................................................ 23 12. Annual and triennial certificates.................................................................................... 23 13. Verification of activities completed ............................................................................... 24 14. Important dates ............................................................................................................ 25 15. Help and support from the CPD unit ............................................................................. 25 ANZCA 2014 CPD Program Handbook Published in 2013 by: Australian and New Zealand College of Anaesthetists (ANZCA) 630 St Kilda Road Melbourne VIC 3004 Requests to reproduce original material should be addressed to the publisher. © Copyright 2013 Australian and New Zealand College of Anaesthetists (ANZCA) All rights reserved To ensure that users have access to the latest version of the ANZCA 2014 CPD Program Handbook, the version (and version date) of the document appears within. There will be periodic updates to this document so please consider this if printing or downloading the document. The College only provides this document online and not in print. 2 ANZCA 2014 CPD Program Handbook – December 2013 List of appendices The following appendices are available for download from the College website as separate documents to this handbook. Please note ‘A’ indicates an appendix for anaesthetists and PM indicates an appendix for pain medicine specialists. Appendix 1A Patient experience survey (anaesthesia practice) Appendix 1.1A Patient experience survey summary sheet (anaesthesia practice) Appendix 1PM ANZCA patient experience survey (pain medicine practice) Appendix 1.1PM Patient experience survey summary sheet (pain medicine practice) Appendix 2A Patient experience survey guidelines (anaesthesia practice) Appendix 2PM Patient experience survey guidelines (pain medicine practice) Appendix 3 Patient experience survey confidentiality and CPD verification form Appendix 4A Multi-source feedback (anaesthesia practice) Appendix 4PM Multi-source feedback (pain medicine practice) Appendix 5A Multi-source feedback guidelines (anaesthesia practice) Appendix 5PM Multi-source feedback guidelines (pain medicine practice) Appendix 6 Multi-source feedback confidentiality and CPD verification form Appendix 7A Peer review of practice (anaesthesia practice) Appendix 7PM Peer review of practice (pain medicine practice) Appendix 8A Peer review of practice guidelines (anaesthesia practice) Appendix 8PM Peer review of practice guidelines (pain medicine practice) Appendix 9 Peer review of practice agreement form Appendix 10 Clinical audit resources Appendix 11 Guidelines on case discussion/conferencing Appendix 12 Standards for CICO education sessions Appendix 13 Standards for cardiac arrest education sessions Appendix 14 Standards for anaphylaxis education sessions Appendix 15 Standards for major haemorrhage education sessions Appendix 16 Mapping CPD program to ANZCA Roles in Practice Appendix 17 CPD plan Appendix 18 CPD evaluation Appendix 19 Verification of CPD activity records 3 ANZCA 2014 CPD Program Handbook – December 2013 1. Introduction Welcome to the Continuing Professional Development (CPD) Program Continual professional development is part of our responsibility as doctors (1,2,3) and the College and its Faculty of Pain Medicine (FPM) seek to support this important activity for its members. We are pleased to introduce a CPD standard and program, which will facilitate safe and high quality patient care in accordance with the ANZCA, and FPM (ANZCA) mission, “To serve the community by fostering safety and high quality patient care in anaesthesia, perioperative medicine and pain medicine”. Throughout 2013, the ANZCA/FPM CPD Committee Fellows and College staff have been working hard to develop the new program. This has included input from many ANZCA and FPM Fellows from throughout Australia and New Zealand, representing those in public, private, rural and urban practice. Developments were informed by the Fellow CPD survey conducted in May 2013. We thank Fellows for the helpful responses submitted. We also examined the programs of other colleges, both in Australia and New Zealand as well as internationally, to ensure our program aligns with modern developments in CPD. An online advisory group of Fellows has been heavily involved in the design of the new CPD portfolio system to ensure it is useful and workable for Fellows in busy clinical practice. We would like to thank the many Fellows who have devoted their time and effort to developing CPD Program. This handbook is intended to make it easier to meet the requirements of the program by providing descriptions about activities, credits as well as activity templates and tools (in the appendices). As always, if you have any questions about CPD, assistance is readily available through the CPD unit at [email protected] and +61 3 9510 6299. Dr Lindy Roberts FANZCA, FFPMANZCA, FAICD ANZCA President [email protected] Dr Vanessa Beavis Chair, ANZCA CPD Committee 1. 2. 3. Good Medical Practice: A code of conduct for doctors in Australia. Medical Board of Australia. www.medicalboard.gov.au/Codes-Guidelines-Policies.aspx Good Medical Practice. Medical Council of New Zealand. www.mcnz.org.nz/news-and-publications/goodmedical-practice/ ANZCA Code of Conduct. www.anzca.edu.au/resources/professional-documents 4 ANZCA 2014 CPD Program Handbook – December 2013 SUMMARY The CPD Program operates on a three-year cycle, commencing on January 1 and concluding on December 31 of the third year. The triennium includes minimum annual requirements. Participants must accrue a minimum of 30 credits each year and 180 credits across the triennium. The CPD Program has been streamlined to include three categories: practice evaluation; knowledge and skills; and emergency responses. Participants must accrue 100 credits from practice evaluation and 80 credits from knowledge and skills. Participants are required to complete some mandatory activities from the categories of practice evaluation and emergency responses. Participants who neither administer anaesthesia and/or sedation, nor work in a practice environment where it would be expected that the practitioner would be able to respond in an emergency have different minimum CPD requirements. Participants who are not directly involved in patient care are also catered for within the program. The new online CPD portfolio system will make it easier and simpler for participants to record, monitor and provide evidence of their CPD activity. 2. Statement of purpose Continuing professional development (CPD) is a career-long learning activity for all registered medical practitioners. The purpose of CPD is to maintain and advance each individual doctor’s knowledge, skills and professional behaviour to ensure the highest standards of patient care. This is achieved through ongoing practice evaluation, learning with peers and engaging in educational activities targeted to each specialist’s needs. It is also important to demonstrate to external parties, including government, the medical board and council (regulatory authorities), hospitals (credentialing), and patients and communities that Fellows have been taking part in a program that maintains professional development. Involvement in the ANZCA CPD Program will provide tangible evidence of participation and compliance through annual participation and triennial compliance certificates. Without such evidence, employment, clinical privileges and medical registration may be affected. The College conducts the CPD Program in accordance with the standards and requirements for accreditation set by the Australian Medical Council and the Medical Council of New Zealand. The College has produced a standard, including a framework for directing education provided by others and to guide self-directed learning. The ANZCA CPD standard applies to all specialist anaesthetists and specialist pain medicine physicians in Australia and New Zealand, even if they are completing another CPD program or a self-directed program (Australia only). 5 ANZCA 2014 CPD Program Handbook – December 2013 3. Mandatory participation in CPD – regulatory authorities Medical Board of Australia In Australia, medical practitioners who are engaged in any form of medical practice are required to participate regularly in CPD, which is relevant to their scope of practice. This became mandatory from July 1, 2010 under the Australian Health Practitioner Regulation Agency (AHPRA) and a failure to comply is a breach of legal requirements for registration. CPD must include a range of activities to meet individual learning needs including practicebased reflective elements, such as clinical audit, peer-review or performance appraisal, as well as participation in activities to enhance knowledge such as courses, conferences and online learning. Members or Fellows of medical colleges accredited by the Australian Medical Council can adhere to the registration standard by meeting the standards of CPD set by their College. For more information, refer to the Medical Board of Australia’s Continuing Professional Development Standard. Medical Council of New Zealand The Medical Council of New Zealand (MCNZ) defines CPD as involvement in audit of medical practice, peer review and continuing medical education, aimed at ensuring that a doctor is competent to practise medicine. CPD is also intended to foster a culture of peer support and lifelong learning. The MCNZ requires all doctors registered in a vocational scope of practice to participate in an accredited recertification program administered by the relevant vocational education advisory body (VEAB, formerly known as branch advisory bodies) to receive an annual practising certificate (recertification). For the vocational scope of anaesthesia, ANZCA is the approved VEAB and FPM is the approved VEAB for the specialty of pain medicine. More information regarding the requirements can be found in the MCNZ’s document on Recertification and Continuing Professional Development. 6 ANZCA 2014 CPD Program Handbook – December 2013 4. CPD Program requirements Overview of CPD Program requirements The ANZCA CPD Program contains three categories: Practice evaluation; Knowledge and skills Emergency responses. Participants need to complete 180 credits across the triennium, participating in learning activities from all three categories (refer to Table 1, p8). All participants will need to complete the CPD plan at the beginning of their triennium, and an evaluation at the end. To be considered an active participant in the ANZCA CPD Program, participants need to complete the CPD plan and earn a minimum of 30 credits a year. Practice evaluation This category focuses on the evaluation of a participant’s own practice for quality assurance. Evaluation activities that are directly relevant to a participant’s practice include clinical audits, multi-source feedback, patient experience surveys and peer review of practice. Practice evaluation activities that may not be directly relevant to a participant’s own practice include attendance at morbidity/mortality meetings, participation in case conferencing, accreditation inspections of hospitals or other training sites and medico-legal report writing. Knowledge and skills This category includes activities such as attending conferences, courses and workshops, as well as self-directed learning, such as completing online modules and journal reading. Participating in the teaching and assessment of trainees, and contributing to research also are options that earn credits. Emergency responses This is a new category incorporated into the program from 2014 to facilitate regular education in those emergency responses considered “core” to safe practice, which Fellows otherwise infrequently encounter. Participation in a crisis management courses such as Effective Management of Anaesthetic Crisis (EMAC) or advanced life support (ALS) will achieve this requirement, however, it is not mandatory to attend any specific courses. 7 ANZCA 2014 CPD Program Handbook – December 2013 CPD requirements for various participants Triennial minimum requirements Practice type Clinical CPD plan Yes Have contact with patients for the purpose of assessment/ evaluation, diagnosis or treatment, or, where any procedures are performed. Annual minimum requirements Practice evaluation Knowledge and skills Emergency responses Triennial evaluation 100 credits (including 80 credits Two activities Yes Plan plus 30 credits Two of the mandated activities) This is inclusive of FANZCA and FFPM practitioners. Non-interventional Neither a) administer anaesthesia and/or sedation; nor b) work in a practice environment where it would be expected that the practitioner would be able to respond to an emergency situation (for example, a vasovagal event during an interventional pain procedure). Yes 100 credits (including two of the mandated activities) 80 credits N/A Yes Plan plus 30 credits Non-clinical Are not involved in direct patient care. Yes N/A 80 credits N/A Yes Plan plus 15 credits Table 1: CPD requirements according to practice type Participants who envisage difficulties in meeting the CPD requirements for their type of practice are encouraged to contact the College CPD unit for advice and assistance (see section 15). Faculty of Pain Medicine Fellows Faculty of Pain Medicine Fellows may choose to do the CPD program of their primary college, however, they will be required to adhere to the ANZCA (including the FPM) CPD Program Standard when selecting activities and accruing credits toward that program. Therefore, Fellows whose practice does not include performing interventional pain procedures will need to complete activities commensurate with the practice evaluation and knowledge and skills categories of the ANZCA CPD Program. Fellows whose scope of practice includes interventions will need to complete the equivalent of all three categories of the ANZCA program. It is expected that activities completed for CPD purposes in any CPD program reflect the balance between that Fellow’s scope of practice in pain medicine and their other specialty Please also refer to Section 12 - Verification of activities completed. 8 ANZCA 2014 CPD Program Handbook – December 2013 Trainees completing provisional fellowship training Provisional fellowship trainees (PFTs) are automatically enrolled in the ANZCA CPD Program from the start of their provisional fellowship training in accordance with regulation 37: 37.5.5.7.9 Provisional Fellows must enrol in the ANZCA Continuing Professional Development (CPD) Program at the commencement of their PFT, and participate in the program throughout the minimum 52 weeks training period and during any extended provisional fellowship training if applicable. Evidence of participation on a pro-rata basis will be required in order to complete the vocational training program. The pro-rata CPD requirement will be a minimum of 60 CPD credits to be achieved by the conclusion of the minimum 52 weeks PFT. Additional CPD credits on the same pro-rata basis will be required for time spent in extended training. Participation in the ANZCA CPD Program enables trainees to prepare for the responsibilities of fellowship. Provisional fellowship trainees can claim CPD credits for the scholar role activities that they have submitted within the training portfolio system and also workplacebased assessments (WBA) that they compete as WBA assessors for more junior trainees. The CPD portfolio system has been designed to synchronise data from the training portfolio system automatically and provisional fellowship trainees just need to verify the entries in their CPD portfolio. The CPD cycle will be based on a triennium, which correlates with the start date of the trainees’ provisional fellowship training. Provisional fellowship trainees need to meet the annual pro-rata requirements of the CPD Program for the purposes of completing their training requirements, however, the first year of their CPD triennium includes the remainder of the calendar year. CPD cycles follow the calendar year and this flexibility reduces pressure on provisional fellowship trainees after achieving fellowship. Example: Provisional fellowship training: March 1, 2014 to February 28, 2015 (Provisional fellowship trainees must achieve the pro-rata requirements of CPD during this time, that is 60 credits.) Year 1 of CPD triennium: Year 2 and 3 of CPD triennium: March 1, 2014 to December 31, 2015 January 1, 2016 to December 31, 2017 This may be adjusted if the provisional fellowship trainee needs to be extended. For more information contact the College CPD unit for advice and assistance. Retired Fellows Fully retired Fellows, or Fellows who are not maintaining their Australian Medical Board or Medical Council of New Zealand registration, are not required to participate in the CPD Program. Retired Fellows who are not involved in direct patient care, though work in any other capacity, are required to achieve 80 credits across the triennium through participation in knowledge and skills activities. They are not required to complete practice evaluation or emergency responses activities. An annual statement of participation will become available to retired Fellows upon completion of the CPD plan and 15 credits. Fellows working part-time Both Fellows in part-time and full-time practice are required to meet the same CPD requirements according to the type of practice they are involved in (refer to Table 1). There is no reduction in minimum annual requirements or minimum triennial requirements for those working part-time as it is important that the requirements are intended as a minimum to demonstrate that every practitioner is keeping up to date. 9 ANZCA 2014 CPD Program Handbook – December 2013 Australian and New Zealand Fellows residing overseas Fellows residing overseas are still required to participate in CPD. An Australian Fellow may participate in a program in a jurisdiction administered outside Australia, provided that CPD activities undertaken comply with the ANZCA CPD Standard. New Zealand Fellows are required to participate in the ANZCA CPD Program as it is the only program recognised by the Medical Council of New Zealand for specialist registration in both anaesthesia and pain medicine. Non-Fellows and international medical graduate specialists The ANZCA CPD Program is open to all registered medical practitioners who choose to join the program as non-Fellows. Those in the non-fellow category may include, for example, general practitioners who practise anaesthesia in Australia, and New Zealand general registrants with a scope of practice restricted to anaesthesia in New Zealand. International Medical Grauate Specialists (IMGS) undergoing assessment by ANZCA may also be required to enrol in the CPD program, and are classificied as a non Fellow. Non-Fellows must complete the same CPD requirements as ANZCA or FPM Fellows, depending on the participant’s practice type (refer to Table 1). They receive the same access to the CPD portfolio system and other College benefits such as the services of the ANZCA Library. Non-Fellows will also be included in the selection for the annual verification of CPD activities. For non-Fellows, an annual fee is payable in order to participate in the ANZCA CPD Program. An application form to register and participate is available for download via the College website. 5. Special consideration Participants who are unable to meet the minimum CPD requirements due to exceptional circumstances may apply for special consideration. The ANZCA CPD Committee chair or FPM CPD Committee chair as relevant will assess all such applications. Examples of the types of circumstances that may be considered are: serious illness, loss or bereavement, leave of absence from professional duties, parental leave and other leave or absence from professional duties. Special consideration is considered on a case-by-case basis and, if approved, may lead to the minimum requirements being adjusted for the applicable triennium. Advice and guidance can be provided to assist with maximising credit totals. Enquiries regarding special copnsideration should be made as early as possible within the triennium, to allow time to action the outcomeof the application or provide assistance before the end of the triennium. Applications for a special consideration must be made in writing and addressed to the. A response from the CPD unit will be sent within five working days, advising of eligibility for special consideration. All correspondence will be handled in the strictest of confidence. 10 ANZCA 2014 CPD Program Handbook – December 2013 6. Accruing CPD credits Tables in this section provide a description of each activity, the number of credits accrued (if relevant) and the type of evidence required for verification of the completion of the activity. Electronic files of evidence can be uploaded to the CPD portfolio system when the activity is recorded. Examples of evidence files include a PDF of a scanned document or an image of document taken by a mobile device. Category: Practice evaluation Practice evaluation – 100 credits per triennium **Participants are required to complete two of the following four Practice Evaluation activities each triennium. The same activity may be completed twice to satisfy this requirement. These activities involve direct evaluation of a participant’s clinical practice. ** Patient experience survey The purpose of the patient experience survey is to obtain feedback from patients on the care they received from their anaesthetist and the anaesthesia team, or their pain medicine specialist. There are a number of developed validated surveys that assess patient satisfaction, however, participants must use a survey that has been developed specifically for the specialty of anaesthesia or pain medicine (as relevant). Specialists must obtain feedback from a minimum of 15 patients who represent a good cross section of patients from their everyday practice. For an example of a patient experience survey that could be used for this activity, refer to Appendix 1A for anaesthesia and 1PM for pain medicine. For guidelines on the administration of the patient experience survey, including the collation of results, refer to Appendix 2A for anaesthesia and 2PM for pain medicine. Credits: 20 Evidence: A copy of the survey used plus a completed Patient Experience Survey Confidentiality and CPD Verification Form (refer to Appendix 3). ** Multi-source feedback (MsF) The purpose of the multi-source feedback (MsF) is to guide improvement by asking colleagues and co-workers to identify attributes that can be developed further and/or addressed if suggested. Participants must obtain feedback from a minimum of six colleagues and co-workers with whom they work with on a regular basis. It is recommended that feedback responses be sought from another anaesthetist (where possible), a surgeon, an anaesthetic assistant (nurse/technician) and a trainee (if applicable). Participants may use a MsF form that is already in use within in their workplace. To be considered valid activity (for audit/verification purposes), the form must request feedback on a minimum of 15 attributes covering a range of behaviours included in the ANZCA Roles in Practice, which describe the attributes of a specialist anaesthetist (see Appendix 16). The form must incorporate items on clinical work, communication, teamwork, teaching and learning and professional aspects of their role as an anaesthetist or pain medicine specialist. An example of a MsF form that could be used for this activity is in Appendix 4A and 4PM. For guidelines on the administration of the multi-source feedback form, selfassessment and collation of the results, refer to Appendix 5A and 5PM. Note that the specialist providing the MSF feedback can claim CPD credits in Knowledge and Skills under Review of ANZCA/FPM Fellows or trainees. Credits: 20 11 ANZCA 2014 CPD Program Handbook – December 2013 Practice evaluation - 100 credits per triennium Evidence: A copy of the MsF form used plus a completed MsF Confidentiality and CPD Verification Form (refer to Appendix 6). ** Peer review of practice The purpose of the peer review of practice is for a participant to consider their practice including how they may improve in their role as an anaesthetist, with the help of a trusted colleague. Participants select a colleague to observe their practice over half a day and record observations. After the observation, the colleague uses observation notes to initiate a feedback discussion regarding various approaches to patient care. To be considered valid activity (for audit/verification), the observation form must prompt notes and discussion on a range of behaviours included in the ANZCA Roles in Practice, and therefore, as a minimum, incorporate items on patient management, communication, team work and list management. For an example of a peer review of practice form that could be used for this activity, refer to Appendix 7. For guidelines on the conduct of the peer review of practice, refer to Appendix 8. Credits: 20, for both recipient and reviewer Evidence: A copy of the peer review of practice form used plus a completed Peer Review of Practice Agreement Form (refer to Appendix 9). ** Clinical audit of own practice or significant input into a group audit of practice* Participants complete a systematic analysis of an area of practice to improve clinical care and/or health outcomes, or to confirm that current management is consistent with the current available evidence or accepted guidelines. An identified standard is used to measure current performance and outcomes are documented and discussed with a colleague. The process may be repeated on a regular basis (for example, every few years) in a cycle of continuing quality improvement. A clinical audit may involve one practitioner or a group of practitioners in single or multiple disciplines (for example, an anaesthetist and surgeon working together could jointly undertake an audit). For resources on the conduct of the audit, refer to Appendix 10. Credits: 20 Evidence: A summary of audit results (see Appendix 10). 12 ANZCA 2014 CPD Program Handbook – December 2013 Category: Practice evaluation (continued) Practice evaluation - 100 credits per triennium The following practice evaluation activities are all optional, with no minimum requirement. Report of clinical audit findings Documentation of clinical audit results, including recommendations and implemented changes as a result of an audit conducted. This may also include time devoted to presentation of findings locally or more widely at a meeting or conference. Credits: Two credits per hour Evidence: Short summary of recommendations and implemented changes, front page of report or correspondence regarding confirmation of presentation. Case discussions/conferencing Case discussions/conferencing presenting cases of interest at a small group discussion, either face to face or by videoconference. It is a planned discussion of at least three participants (may be multi-disciplinary) with the purpose of reviewing the management of the patient(s) and determining the best options. For guidelines on the conduct of case discussions/conferencing, refer to Appendix 11. Credits: Two credits per hour Evidence: Log of discussion times and colleagues involved. Morbidity/mortality meetings The purpose of a morbidity and mortality meeting is to review the anaesthesia management and to determine whether it contributed to mortality or morbidity, and how these could have been averted. There is usually a high degree of interaction and discussion, and anaesthetists involved in individual cases should be participants. Credits: Two credits per hour Evidence: Attendance sheet, diary entry or statement from department or group confirming attendance. Incident monitoring/reporting Learning from both adverse events and near misses is essential for improving quality care. Preparing an incident report, considering the reasons why the incident took place and actions that can be taken if the participant is presented with a similar situation in the future, is a valuable form of practice evaluation. Participants could complete this activity through their department, hospital or practice or use a web based anaesthetic incident reporting system, for example; WebAIRS. Credits: Two credits per hour Evidence: Brief summary of reported event (paragraph), statement from department or group or entry on WebAIRS. 13 Practice evaluation - 100 credits per triennium ANZCA 2014 CPD Program Handbook – December 2013 Review of patient care pathways Active participation in meetings of healthcare institutions or practices with the purpose of reviewing patient care pathways and preparing action plans to address areas identified as requiring improvement. Credits: Two credits per hour Evidence: First page of agenda or minutes or correspondence confirming meeting attendance. Hospital inspections/accreditation ANZCA and FPM accredit hospitals and other training sites to provide approved training for ANZCA and FPM trainees. Involvement in a hospital inspection/accreditation team for another College, being a surveyor for the Australian Council of Healthcare Standards (ACHS), or involvement in health certification in New Zealand through the Ministry of Health can be also logged also within this activity. Credits: Two credits per hour Evidence: Letter of invitation/thanks, confirmation of meeting schedule, or first page of report which includes date and accreditation team. Medico-legal reports/expert witness Requests for medico-legal reports may originate from a variety of sources such as police, lawyers, government tribunals, insurance companies or the patients themselves. This activity is credited according to the time required to prepare a report and/or act as an expert witness. Credits: Two credits per hour Evidence: Letter of invitation to provide a report or to act as an expert witness. Root cause analysis Root cause analysis (RCA) is a structured method used to analyse serious adverse events. The goal of RCA is to identify both active errors (errors occurring at the point of interface between practitioners and a complex system) and latent errors (the hidden problems within health care systems that contribute to adverse events). Participants may be involved in this activity through their department, practice or hospital and credits are earned according to the time required. Credits: Two credits per hour Evidence: Correspondence confirming participation in RCA, or short summary of the event and RCA including the outcome. Team training scenario within own work environment, with usual work team. Should include debrief. Involvement in a training scenario with the participant’s usual theatre team. Examples include: orienting the team to new procedures, introducing a revised algorithm or reinforcing safety protocols. Such scenarios may not be lead by a department, practice or individual, but education, practice and feedback of performance as a group in a shared task with the aim of improving patient safety or care can be recorded within this activity. Credits: Two credits per hour Evidence: Short summary of type of scenario and team involved or correspondence confirming participation. 14 ANZCA 2014 CPD Program Handbook – December 2013 Assessor for international medical graduate specialist workplace-based assessment ANZCA assesses international specialists and advises on their suitability to practice in Australia or New Zealand. Assessment may include observation of practice, review of anaesthesia records and multi-source staff interviews and interviews with the international medical graduate. Credits: Two credits per hour Evidence: Letter of request or correspondence confirming participation. Knowledge and skills - 80 credits per triennium Category: Knowledge and skills Attendance at lectures, presentations or education sessions Face to face scientific meetings, educational conference or online learning (including podcasts) organised/provided by ANZCA or FPM, a Special Interest Group, professional medical organisation, healthcare institution, or research/educational body. Credits: One credit per hour Evidence: Certificate of attendance/participation/completion, official conference listing of attendees, written confirmation of registration. All ANZCA and FPM events participants register for through the online events process will be automatically synchronised in to the CPD portfolio system for participants to confirm credits awarded. Presenting at regional/national/international conferences/meetings Presentation of topic relevant to participant’s practice at a conference or meeting organised by a professional medical organisation, healthcare institution or educational body. Examples include plenary speaker, invited lecturer, paper/poster presentation or facilitating a problem-based learning/small group discussion session (PBLD/SGD). Credits: 10 credits per presentation Evidence: Progam, published abstract or written invitation from organising committee. Short course, workshops, problem-based learning discussions and small group discussions Small group learning with an interactive and/or hands on component. For example, advanced life support (ALS) course, Emergency Management of Anaesthetic Crises (EMAC) course, the ANZCA Foundation Teacher Course and annual scientific meeting workshops and problem-based learning discussion (PBLD) sessions. Credits: Two credits per hour Evidence: Certificate of attendance and/or completion. All ANZCA and FPM events participants register for through the online events process will be automatically synchronised in to the CPD portfolio system, for participants to confirm credits awarded. 15 Knowledge and skills - 80 credits per triennium ANZCA 2014 CPD Program Handbook – December 2013 Courses toward a formal qualification A structured course or higher education program provided by a recognised tertiary institution, such as a university, that is directly relevant to practice (any one of the ANZCA/FPM Roles in Practice - See Appendix 16). Completion the course/program leads to the award of a formal qualification such as a certificate diploma or masters. For example a masters in medical education, graduate certificate in clinical trials research or graduate diploma in medical ultrasound. Credits: Two credits per hour, maximum of 50 credits per course. Evidence: Certificate of enrolment, start and end date. Formal award upon completion. Teaching including preparing and presenting tutorials Preparation and delivery of tutorials to colleagues, to trainees as part of the ANZCA or FPM training program, to trainees of other vocational colleges, or to undergraduate or postgraduate medical students of a recognised tertiary institution. Informal teaching and supervision of trainees is excluded from this activity. Credits: One credit per hour Evidence: Teaching timetable, written invitation or program or written confirmation including duration of activity from university or institution. Workplace-based assessment of trainees, including provision of feedback Completion of a mini clinical evaluation exercise (mini-CEX), direct observation of procedural skills (DOPS) or case-based discussion (CbD) assessment, including provision of constructive feedback to the trainee. Credits: One credit per workplace-based assessment Evidence: The above assessments completed in the ANZCA training portfolio system will be automatically populated in the CPD portfolio for participants to confirm. Review of ANZCA/FPM Fellows or trainees, Reviews completed by a supervisors of training, education officers or specialised study unit supervisors, facilitators for MsF or feedback providers for patient experience surveys. Credits: One credit per hour Evidence: Trainee’s name. Examining, including writing and marking questions Participation as an examiner in the ANZCA primary or final examination or FPM examination for undergraduate or postgraduate students in medicine at recognised tertiary institution or medical college. Credits: One credit per hour Evidence: Written invitation or roster. 16 Knowledge and skills - 80 credits per triennium ANZCA 2014 CPD Program Handbook – December 2013 Journal reading Reading of peer reviewed journals independently or as part of a journal club. Credits: One credit per hour, maximum of 10 credits per year. Evidence: Copy of first page of each article or reference list of read articles or schedule for journal club. Grant proposals and trials Principal or associate investigator of a research grant application. Enhancement of research expertise through leading or contributing to a proposal, recruitment of patients to approved clinical trials etc. Credits: One credit per hour Evidence: Written confirmation of submission or involvement from research organisation, grant body or institutional ethics committee. Reviewer, grant applications or participation on ethics committee Formal reviewer of research grant applications for a granting body. Member of institutional ethics committee. Credits: One credit per hour Evidence: Written request of involvement from research organisation, grant body or institutional ethics committee. Publication of a manuscript in a peer reviewed journal or book chapter To be claimed when the publication is accepted by the peer-reviewed journal. Credits: 10 credits per publication or chapter Evidence: Electronic citation or reprint of article. Reviewer/editor of journal Formal review of a manuscript submitted for publication in a peer-reviewed journal relevant to the participant’s practice. Editor, deputy editor or reviewer of a peer-reviewed journal. Credits: One credit per hour Evidence: Written request to review manuscript. Participation in committees Active involvement and duties with regards to governance, education or training issues, particularly in relation to anaesthesia, pain medicine or professional issues. Examples include ANZCA and FPM committees or working groups, hospital board or management committee and advisory committee involved in standards development. Credits: One credit per hour, maximum of 10 credits per year. Evidence: Documentation , agenda or first page of minutes of meeting confirming participation. 17 ANZCA 2014 CPD Program Handbook – December 2013 Hospital attachments, sabbatical or overseas aid work Extended leave of absence from normal duties approved by head of department or practice and taken by Fellow to broaden knowledge and skills in a particular area of practice or to contribute to aid efforts. Credits: Two credits per hour Evidence: Written confirmation from head of department or practice where attachment was completed, sabbatical/attachment report or correspondence regarding overseas aid commitment. Category: Emergency responses Emergency Responses Participants must complete a minimum of two activities per triennium. Management of “can’t intubate, can’t oxygenate” (CICO) The CICO activity aims to ensure anaesthetists have appropriate regular training to prevent (where possible) and manage a CICO situation. This activity requires completion of an education session or course, which includes a face-to-face simulation component. Simulation in this context may mean bench top training or use of simple mannequins in a local department, not necessarily fully immersive mannequin-based simulation in a simulation centre. The workshop or course must be prospectively recognised by the ANZCA CPD unit. Standards for education session providers refer to Appendix 12. International meetings may be recognised if they comply with the education stanmdards set out in Appendix 12, details on the process of gaining recognition can be found here. Evidence: Certificate of completion issued by a recognised provider. Management of cardiac arrest The cardiac arrest activity aims to ensure anaesthetists and pain medicine specialists (where relevant) have appropriate regular training to manage a cardiac arrest. This activity requires completion of an education session or course, which includes a faceto-face simulation component. Simulation in this context may mean bench top training or use of simple mannequins in a local department, not necessarily fully immersive mannequin-based simulation in a simulation centre. The workshop or course must be prospectively recognised by the ANZCA CPD unit. Standards for education session providers refer to Appendix 13. International meetings may be recognised if they comply with the education stanmdards set out in Appendix 13, details on the process of gaining recognition can be found here. Evidence: Certificate of completion issued by a recognised provider. 18 Emergency Responses ANZCA 2014 CPD Program Handbook – December 2013 Management of anaphylaxis The anaphylaxis activity aims to ensure anaesthetists and pain medicine specialists (where relevant) have appropriate regular training to prevent (where possible) and manage anaphylaxis. This activity requires completion of an education session. The session must be prospectively recognised by the ANZCA CPD unit. Standards for education session providers refer to Appendix 14. International meetings may be recognised if they comply with the education stanmdards set out in Appendix 14, details on the process of gaining recognition can be found here. Evidence: Certificate of completion issued by a recognised provider. Management of major haemorrhage The major haemorrhage activity aims to ensure anaesthetists have appropriate regular training to prevent (where possible) and manage major haemorrhage. This activity requires completion of an education session, which could be face-to-face or online. The session must be prospectively recognised by the ANZCA CPD unit. Standards for education session providers refer to Appendix 15. International meetings may be recognised if they comply with the education stanmdards set out in Appendix 15, details on the process of gaining recognition can be found here. Evidence: Certificate of completion issued by a recognised provider. Examples included in this section are intended as a guide to learning opportunities that are available to participants to accrue credit toward the CPD Program. It is not a comprehensive list. CPD may only be claimed in the calendar year in which the activity was undertaken. No credits may be carried over to the following year or triennium. 19 ANZCA 2014 CPD Program Handbook – December 2013 7. ANZCA/FPM Roles in Practice Fellows have professional roles in common with other medical specialties and they are expressed in the ANZCA and FPM competency-based curriculum framework as medical expert, communicator, collaborator, manager, health advocate, scholar and professional. Learning outcomes within each role are specific to the practice of anaesthesia or pain medicine. The ANZCA CPD Program has been developed with the ANZCA/FPM Roles in Practice in mind. Each role is featured in categories within the CPD Program and Fellows are encouraged to select activities and development of capability across the full spectrum of roles. For more information on how various CPD activities are mapped to the ANZCA/FPM Roles in Practice, refer to Appendix 16. 8. CPD portfolio system The new CPD portfolio system retains some features with which participants will be familiar such as recording each activity, entering a plan at the beginning of the triennium and the triennial evaluation towards the end. It includes new functionality to ensure a streamlined process for recording activities, with the added ability to upload supporting evidence. It is also possible to record data in to the system when offline, for example while travelling on a plane or other situations without internet access. When a participant registers online for an ANZCA or FPM-run event via the ANZCA or FPM website, credits will be automatically entered into the participant’s portfolio to be later confirmed or edited. If assessments are completed on trainees and logged in the ANZCA training portfolio system (TPS), credits will be automatically entered into the participant’s portfolio for later confirmation or editing. Provisional Fellows can also select activities submitted in the TPS within the CPD portfolio system quickly and easily to avoid the need to enter activities twice. The interface of the system has been carefully designed with ANZCA and FPM Fellow input. Resources, tools and helpful information is embedded in the interface so it can be viewed well on computers and mobile devices. The dashboard enables participants to keep track of how they are progressing in each of the CPD categories throughout their triennium. If a participant has completed a previous CPD triennium with ANZCA, all of this information, including the plan, evaluation and previously earned statements and certificates, will be available through the new system. Participants will be able to access the new CPD portfolio system via the ANZCA website, using their College ID number and password. 20 ANZCA 2014 CPD Program Handbook – December 2013 9. CPD plan and evaluation CPD plan The following steps will need to be completed when developing the CPD plan: Step 1 Practice evaluation – select activities you will be involved in and when you might be able to complete them. Step 2 Identify knowledge and skills you wish to improve, learn or develop. Step 3 Knowledge and skills – select activity options (and possible timeframes). Step 4 Emergency responses – select activities you will complete. The CPD plan must be completed via the CPD portfolio system to receive annual statements of participation and a triennial certificate of compliance. For more information on each step of the CPD plan, including examples of broad areas that may be considered when identifying knowledge and skills to learn about or develop further, refer to Appendix 17. CPD evaluation The ANZCA CPD Program requires participants to complete a brief evaluation of their program at the end of the triennium. Completion of the evaluation in the CPD portfolio system is required to obtain a certificate of compliance. For more information, including questions to prompt participants on what could be included when writing the evaluation, refer to Appendix 18. 21 ANZCA 2014 CPD Program Handbook – December 2013 10. Qualified privilege (QP) and professional quality assurance activities (PQAA) Collecting information about patients has important privacy implications under relevant laws and recording personal information about achievements has implications for participants. For patient experience surveys, multi-source feedback, and peer review of practice, the focus of the revised CPD standard is on the educational outcomes of the activities and how participants review feedback to improve their practice. For these activities, the evidence required by the College at times of annual verification relates to (refer to Section 12 – Verification of completed activities): Providing the blank patient experience survey form or multi-source feedback form if the form used is not the ANZCA form and/or Providing the relevant CPD verification form. In collecting and using any information, it is the participant’s responsibility to ensure that all privacy obligations are met, and any necessary consent is obtained. Participants must ensure that their hospital/private practice privacy statement is followed and that the patient has consented as per the hospital or private practice policy. Australia CPD participants should be mindful that quality assurance activities under the 2014 CPD Program do not enjoy qualified privilege in Australia. A notification of change is being processed by the Department of Health for the practice evaluation category quality assurance and emergency responses category quality assurance elements of the program so participants have confidence that their records are protected from disclosure. Participants will be updated regularly with the outcomes of this application. For more information contact the College CPD unit (refer to p26) New Zealand The reapplication process is underway in New Zealand as part of the normal PQAA cycle. An outcome will be confirmed and communicated in May 2014. Further information Fact sheets on qualified privilege and protected quality assurance activities are available from the relevant authorities through the links provided below: Australia: http://www.health.gov.au/internet/main/publishing.nsf/Content/qps-info New Zealand: http://www.health.govt.nz/publication/protected-quality-assurance-activities-under-healthpractitioners-competence-assurance-act-2003 22 ANZCA 2014 CPD Program Handbook – December 2013 11. Participation in alternative programs Australian Fellows may participate in any CPD program, including a self-directed CPD program, provided that CPD activities undertaken comply with the ANZCA CPD Standard. With regards to anaesthesia, the ANZCA CPD Program is the only program recognised by the Medical Council of New Zealand for the purposes of specialist registration. FPM Fellows who are not also ANZCA Fellows may be required to enrol in the CPD program of their primary college, as reciprocity of CPD recognition is not automatically guaranteed by participation in the ANZCA/FPM CPD program. In this case, the FPM Fellow must be conversant with the ANZCA/FPM standard and if audited must provide evidence of having met the standard in all relevant areas. This may mean for some Fellows that full compliance with the requirements of their alternate CPD program does not meet the ANZCA/FPM standardfor example, if Practice Evaluation activities have not been completed. From time to time, regulatory authorities (that is the medical board or council) approach the College to inquire about a Fellow’s CPD participation. For a Fellow who is participating in an alternate CPD program, the College will inform the regulatory authority that it has no knowledge of current participation or compliance with CPD. 12. Annual and triennial certificates Annual statement of participation This statement can be used when the participant needs to demonstrate he or she is actively enrolled in an accredited CPD program. The statement will only be generated from a participant’s CPD portfolio when the CPD plan and the minimum annual requirement of 30 credits have been completed. Once available, this statement can be reproduced at the participant’s convenience throughout the duration of his or her triennium. Upon inquiry, regulatory authorities may be advised that a Fellow is not participating in CPD if a Fellow does not adhere to the minimum annual requirements of the program. Triennial certificate of compliance A triennial certificate of compliance will be generated from a participant’s CPD portfolio system upon completion of: 1. 2. 3. 4. The CPD plan. An evaluation of the plan and CPD achievement across the triennium. A minimum of 30 credits per annum. A minimum of 100 credits, and completion of two ** highlighted activities in practice evaluation. 5. A minimum of 80 credits in knowledge and skills. 6. A minimum of two activities in emergency responses (if these activities be applicable to the participant’s type of practice – refer to the CPD Requirements for various participants table in Section 4). This certificate will be available from a participant’s CPD portfolio after September in the final year of the participant’s triennium. Participants who have been selected for inclusion in the 23 ANZCA 2014 CPD Program Handbook – December 2013 verification process at the end of their triennium will be able to obtain their certificate of compliance after completion of the verification process. Upon inquiry, regulatory authorities will be advised that a Fellow is non compliant with CPD if a Fellow does not adhere to the minimum triennial requirements of the program. 13. Verification of activities completed It is a requirement of the Australian Medical Council and Medical Council of New Zealand accreditation of the CPD program that there is a random audit process for participants. A minimum of 7 per cent of all Fellows and ANZCA CPD Program participants will be randomly selected for audit each year. In addition, 7% of FPM Fellows will be randomly selected for audit. The annual verification of CPD activities will include participants in the first and second year of the triennium. Participants will be notified from September if their records will be subject to verification. From this notification, participants will then have until December 31 to upload any completed CPD activity and collate documentary evidence to substantiate the CPD activities that have been recorded. The verification will take place over the January to March period after which participants will be notified that either: The verification process is complete and the evidence provided has confirmed the CPD they recorded; or Further documentary evidence is required to complete the verification process; or Documentary evidence in significantly disparate to the CPD recorded and will effect the availability of annual statements of participation and/or triennial certificate of compliance. The ANZCA CPD portfolio system enables participants to upload evidence as activities are completed and to automatically select ANZCA/FPM events or assessments completed in the training portfolio system. It is expected that the process of verification will be relatively straightforward for most participants. Participants are encouraged to upload evidence for non-ANZCA events and activities as they go so that the evidence is already in their CPD portfolio, readily facilitating audit (see Evidence, below). Evidence ANZCA events registered through the online events process, or workplace-based assessments logged in the ANZCA training portfolio system, will be automatically populated in to the CPD portfolio system. Participants will still be required to manually verify the activity in order for the credits to populate their portfolio. No additional evidence will be required. Where a participant uploads evidence at the time of recording the CPD activity, the verification process will not require additional evidence, unless the evidence provided does not substantiate the record and more information is specifically requested. For other CPD activities, evidence can be uploaded to the CPD portfolio or sent to the CPD unit via email or hard copy when participants are notified of their inclusion in the verification process. 24 ANZCA 2014 CPD Program Handbook – December 2013 All CPD records/evidence must be kept for three years, in line with the requirements of the Medical Board of Australia’s Continuing Professional Development registration standard. (http://www.medicalboard.gov.au/Registration-Standards.aspx) Participants in alternative CPD programs All Fellows of ANZCA (including FPM Fellows completing their primary college CPD program) are eligible for the random audit process, regardless of which CPD program they are completing. Fellows participating in alternate CPD programs are required to record their CPD activities according to the CPD standard by completing a form that will be provided to them if selected in the verification process. Evidence, as referred for each activity in Section 5 - Accruing CPD credits, must be provided to verify the completion of all activities recorded on the form. This includes copies of certificates of completion, letters of invitation and confirmation etc. Privacy All correspondence and evidence provided to ANZCA as part of the audit process will be treated confidentially in line with ANZCA’s Privacy Policy. For a detailed explanation of the verification process, please refer to Appendix 19. 14. Important dates All trienniums commence on January 1 and conclude on December 31 three years later. Participants are encouraged to keep their CPD portfolio up to date at December 31 each year to ensure availability of annual statements of participation and to streamline the verification process of activities completed, should this be required. Mid-year, participants will receive an individual notification reminding them of their CPD progress in relation to the minimum annual requirement (30 credits) and the minimum triennial requirement. An end of year reminder will also be distributed by the end of November. 15. Help and support from the CPD unit If you require help or support with any aspect of the ANZCA CPD Program, please contact the CPD unit at [email protected] or on +61 3 9510 6299. 25 From: Wendy Chappell [mailto:[email protected]] Sent: Monday, 7 July 2014 10:21 AM To: undisclosed-recipients Subject: Dental Board of Australia - Communiqué Good Morning The communiqué in relation the Dental Board of Australia’s meeting held on 20 June 2014 is now available on the Board’s website at http://www.dentalboard.gov.au/News/Communiques.aspx Kind regards Wendy Chappell Board Support Officer Dental Board of Australia Phone | (03) 8708 9091 Email | [email protected] Web | www.ahpra.gov.au Australian Health Practitioner Regulation Agency G.P.O. Box 9958 | Melbourne VIC 3001 | www.ahpra.gov.au CONFIDENTIAL INFORMATION This email and any files transmitted with it are confidential and intended solely for the use of the named addressee. If you have received this email in error or you are not the named addressee notify the sender immediately and delete this e-mail. Do not disseminate, distribute or copy this e-mail. If you are not the named addressee disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited. Please consider the environment before printing. Babies and Toddlers How To Brush Your baby or toddler’s teeth Babies The concept of brushing your baby’s teeth might seem odd. He or she might only have a few teeth or maybe none at all! However, no matter how many teeth you have and even in the early stages of life, bacteria will find their way into the mouth and can cause decay. bad breath, and lifelong problems. In extreme cases, children as young as two or three end up going to the hospital and being put under general anaesthetic to have all of their teeth removed. This can not only have social ramifications for your child, but is a potentially life threatening procedure. First baby teeth usually come through between 4 and 7 months. Even before you see any teeth it’s best to clean your baby’s mouth by wiping the gums with a soft cloth twice a day. This will help remove bacteria and get both you and your baby used to ‘teeth’ cleaning. Ignore the tears, don’t give in to the tantrums, and adopt some simple tips to make brushing more fun. As soon as the first tooth comes through it’s time for brushing. The easiest way to do this is to place your baby in a secure position such as in your lap, on a bed, or on a change table. Support the head from behind by gently wrapping an arm around and cupping the chin, while gently opening the mouth. Using a soft children’s toothbrush, gently brush each tooth and massage the gum using a soft, circular motion. You won’t need any toothpaste until about 18 months so just use a bit of cold water. It may seem like an overkill but baby teeth need to be flossed daily. If you’re not flossing you are only cleaning half of the mouth and increasing the risk of decay. Gently floss along the sides of each tooth up to the gum, holding the chin for best control of the head. If you’re not confident flossing your babies teeth speak to a dentist who can show you the correct technique. Crying and Fussing You might get a bit of resistance but it is important to brush and floss even if your baby doesn’t like it. Be strong and ignore the tears and the squeals, but don’t be too rough. Just remind yourself, you are maintaining a healthy mouth for a healthy child. Toddlers Brushing through the terrible two’s…and beyond For some parents brushing and flossing their toddlers teeth is like going to war twice a day. Running, kicking, screaming, crying. The simple fact is, most kids do not want you anywhere near their mouth. Sometimes it might not even seem worth the hassle, until you are aware of the alternative. A combination of poor diet, not brushing, not flossing, and avoiding the dentist will undoubtedly mean your child will experience severe decay. This means pain, brown or yellow teeth, facebook.com/HealthyTeethAustralia MAKING BRUSHING TIME FUN 1. Make brushing a game: You can invent and change the rules or create characters and a storyline, as long as your child becomes interested they’ll more passively accept the clean. 2. Lead by example: Brush your teeth first to show that everyone does it and it’s a part of life. This will help you remember to be diligent about your oral care too! 3. Look for fun products that might help: Funny toothbrush holders, ‘singing’ tooth brushes, toothpaste with their favourite TV character on it. Let your child choose their own tools! Just make sure it’s a soft toothbrush and child friendly low fluoride toothpaste. 4. Play music or a song during brushing: This will help keep to time and be a fun distraction. Search YouTube, The APP Store or Google Play for great tooth brushing songs and apps. 5. Create a brushing chart: Sign off your child’s success both morning and night, and create a (nonfood related) reward system. The best way to ensure you’re doing the right things is to make sure you book both yourself and your child in to see the dentist regularly. You will both get a thorough clean of your teeth and gums, and make sure you have healthy teeth for life. twitter.com/AUS_Dental For more information on oral health and looking after your teeth, visit www.ada.org.au Copyright 2014 Australian Dental Association All Rights Reserved Babies and Toddlers When should my child first see the dentist? ,WďVHDV\WRDVVXPHWKDWXQWLO\RXUFKLOGKDVDIXOOVHWRIWHHWKWKDW WKHUHLVQRQHHGWRVHHWKHGHQWLVW7KHUHDOLW\LVGHQWLVWU\LVQďWMXVW DERXWWHHWK,WLVDERXWJXPVOLSVDQGWKHLQVLGHRIWKHPRXWK$W HDFKDQGHYHU\YLVLWZKHWKHULWLVIRU\RXRU\RXUFKLOG\RXUGHQWLVW ZLOOEHFKHFNLQJWKHHQWLUHPRXWKLQWKHLUSUHYHQWDWLYHFKHFNVVR LWďVVLOO\WRZDLWWRRORQJ When to see the dentist $VDUXOHRIWKXPELWLVWLPHIRUDGHQWDOYLVLWZKHQ\RXUEDE\ďV úUVWWRRWKEHFRPHVYLVLEOHRUWKH\UHDFKRQH\HDUROGĘZKLFKHYHU FRPHVúUVW,I\RXQRWLFHDQ\WKLQJ\RXWKLQNLVRXWRIWKHRUGLQDU\ EHIRUHWKLVWLPHLWďVEHWWHUWREHVDIHWKDQVRUU\VRERRNDQ DSSRLQWPHQWVWUDLJKWDZD\ 7KHHDUOLHU\RXUFKLOGYLVLWVWKHGHQWLVWWKHEHWWHU3UHYHQWLRQLV EHWWHUWKDQFXUHDQGHDUO\GHQWDOYLVLWVZLOOKHOSSURWHFW\RXUFKLOG IURPWRRWKGHFD\ Your baby’s first dental visit <RXUOLWWOHRQHPLJKWIXVVGXULQJWKHLUGHQWDOYLVLW7KLVLVWKHVDPH DVZKHQWKH\PLJKWIXVVDWDUHVWDXUDQWRUWKHSHWUROVWDWLRQRU DQ\ZKHUHHOVH\RXďGUDWKHUWKH\ZHUHTXLHW'RQďWZRUU\WKLVLV FRPSOHWHO\QRUPDODQGWKHGHQWDOWHDPLVWUDLQHGWRPDNHVXUH \RXUEDE\LVDVFRPIRUWDEOHDVSRVVLEOHGXULQJWKHLUH[DP&U\LQJ DQGVFUHDPLQJGRHVQďWPHDQ\RXUEDE\LVLQSDLQDQGWKHGHQWLVW ZLOODOZD\VEHDVJHQWOHDVSRVVLEOH -XVWUHPHPEHUWKLVLVDPRPHQWRXVRFFDVLRQ,WLVDPLOHVWRQH LQ\RXUOLIHDVDSDUHQWDQGVKRXOGEHUHPHPEHUHGMXVWOLNHDúUVW KDLUFXWRUWKHúUVWWLPH\RXUFKLOGPHHWV6DQWD7DNHSKRWRVDQG ZULWHDERXWWKHH[SHULHQFH(LWKHU\RXďOOJHWDORYHO\úUVWPHPRU\WR UHûHFWXSRQRUVRPHJUHDWPDWHULDOIRUWKHLUVWELUWKGD\ $VSDUHQWVLWLV\RXUUHVSRQVLELOLW\WRXVHWKHúUVWGHQWDOYLVLWWR EHFRPHZHOOLQIRUPHGDERXW\RXUFKLOGďVRUDOKHDOWK<RXUGHQWLVW ZLOOWDNHDIXOOPHGLFDOKLVWRU\DQGORRNDWIDFWRUVVXFKDV\RXU FKLOGďVRYHUDOOKHDOWKDQGGHYHORSPHQW<RXUGHQWLVWPD\GLVFXVV Ě7HHWKLQJ Ě%UXVKLQJWHFKQLTXHV Ě%LWHKRZ\RXUFKLOGďVWHHWKZLOOFRPHWRJHWKHU Ě6RIWWLVVXHVVXFKDVJXPVDQGFKHHNV Ě5LVNRIGHFD\DQGKRZWRSUHYHQWLW Ě3UHYHQWLRQRIWUDXPDWR\RXUFKLOGďVPRXWK Ě1XWULWLRQDODGYLFH /LVWHQWRWKLVDGYLFHDQGIROORZLW<RXUGHQWLVWKDV\RXUFKLOGďVEHVW LQWHUHVWVDWKHDUWDQGZDQWVWRPDNHVXUHWKDWJRRGKDELWVDUH IRUPHGHDUO\ Preparing for future dental visits 3DUHQWVSOD\DYHU\LPSRUWDQWUROHLQPDNLQJYLVLWVWRWKHGHQWLVWDSRVLWLYH DQGHQMR\DEOHH[SHULHQFH,WLVYHU\LPSRUWDQWWKDWZKHQ\RXWDONDERXW WKHGHQWLVWWKDW\RXXVHSRVLWLYHDQGFKLOGIULHQGO\WHUPVOLNHĐVHHLQJ WKHWRRWKIDLU\ďVIULHQGđRUĐJRLQJIRUDULGHLQWKHGHQWDOFKDLUđ :KDWHYHU\RXGRGRQďWXVHWKHGHQWLVWDVDGHWHUUHQW7KUHDWVOLNH ĐLI\RXGRQďWEUXVK\RXUWHHWKWKHGHQWLVWZLOOSXOOWKHPRXWđDUH XQOLNHO\WRFKDQJHEHKDYLRXUEXWZLOOFHUWDLQO\UHLQIRUFHDQ\IHDU 5HIUDLQWHOOLQJVWRULHVDERXWEDGGHQWDOH[SHULHQFHVHYHQLI\RXďYH KDGRQH\RXUVHOIRUXVLQJZRUGVOLNHĐQHHGOHđĐSXOOđRUĐGULOOđDV WKLVZLOORQO\FDXVH\RXUFKLOGWREHFRPHIHDUIXODQGVFDUHG ,QWKHOHDGXSWRWKHúUVWGHQWDOYLVLW\RXFDQĎSOD\GHQWLVWďDWKRPH DQGFRXQW\RXUFKLOGďVWHHWKDQGH[SODLQWKDWWKHGHQWLVWWDNHVFDUH RIRXUWHHWK7U\QRWWRJRLQWRWRRPXFKGHWDLOWKHGHQWDOWHDPLV ZHOOWUDLQHGWREHDEOHWRWDONZLWKFKLOGUHQ7KH\ZLOOH[SODLQZKR WKH\DUHDQGZKDWWKH\DUHWU\LQJWRGRDWDOHYHO\RXUFKLOGFDQ XQGHUVWDQGDQGUHODWHWR,I\RXDUHQHUYRXVRUDQ[LRXVDERXWWKH YLVLWWKLVFDQUXERIIRQ\RXUFKLOGVRLWďVEHVWWRVWD\SRVLWLYHXQWLO WKHGD\RIHDFKYLVLWDQGOHWWKHSURIHVVLRQDOVGRZKDWWKH\GREHVW THE 5 DON’TS OF DENTAL VISITS 1. Don’t tell your child to be brave (they already are) 2. Don’t bribe your child 3. Don’t tell your child that it won’t hurt (or it will) 4. Don’t use the dentist as a deterrent or punishment 5. Don’t be anxious yourself Ě+DELWVVXFKDVWKXPELQJVXFNLQJ facebook.com/HealthyTeethAustralia twitter.com/AUS_Dental For more information on oral health and looking after your teeth, visit www.ada.org.au Copyright 2014 Australian Dental Association All Rights Reserved Babies and Toddlers Snack Attack You are what you eat Every parent knows that chocolates, lollies, and fizzy drinks are bad for their child’s teeth. It’s because the sugar in these foods and drinks are harmful and cause dental decay, a disease that more than 50% of Aussie kids suffer. A disease that is entirely preventable. Tooth decay is caused by how frequently we snack and how long you are exposed to food at any one time. This doesn’t mean just lollies and fizzy drinks; this includes foods that are high in natural sugars or starch. Every time we eat our teeth are exposed to the sugars in food. The bacteria in our mouths (plaque) use these sugars to make acid, and if teeth are exposed to this acid long enough holes develop this is known as tooth decay. Don’t worry; it’s not all bad news. No one is saying that your children should never be allowed to eat sugary foods again! Rather, when choosing snacks, be aware of how much sugar is in them, but more importantly, reduce the number of times they eat these foods and make sure they are eaten in an appropriate time frame, not over long periods of time. So what can my children snack on? Finding and preparing healthy snacks can be a challenge, especially if you have a fussy eater or a child with food intolerance. Being informed gives you the best chance of making good nutritional choices for your kids. TIPS: Ě5HPHPEHUVQDFNVDUHPHDOVLQEHWZHHQPDLQPHDOVVRWKH\ should be light and low in sugar. Ě)UHVKLVEHVW3DFNDJHGIRRGVDUHJHQHUDOO\KLJKHULQVXJDUWKDQ their fresh alternatives. Ě$OZD\VUHDGWKHODEHOĘLIVXJDULVOLVWHGLQWKHWRSWKUHH ingredients it’s usually not a good sign. Ě6HDUFKLQJRQOLQHLVDJUHDWZD\WRúQGKHDOWK\VQDFNLGHDVIRU you and the kids. There are some simple changes you can make to stop decay in its tracks - and it’s never too late! facebook.com/HealthyTeethAustralia 5 TIPS TO STOP DECAY IN ITS TRACKS 1. Avoid snack foods that are sticky, gummy, chewy or sweet. 2. Avoid grazing! Have set meals times and form a routine. 3. Limit fruit to two servings per day. Fruit is good but too much can be harmful. 4. Give your kids water with every meal to help wash away lingering food. 5. Be selective with snacks. Vegies, cheeses and lean meats are great and tasty options. Taking care of teeth, gums, lips and the mouth are important from a very early age. The habits your children form today are the ones they will take through life and will have a dramatic effect on their overall health. Teach them good habits and lead by example. Everything you have just read applies to you too! twitter.com/AUS_Dental For more information on oral health and looking after your teeth, visit www.ada.org.au Copyright 2014 Australian Dental Association All Rights Reserved Babies and Toddlers Tooth Decay Does your child have this disease? Tooth decay is a disease that 50% of Australian children under six suffer from that can result in pain, the removal of teeth, bad breath and a whole host of other problems. When we hear the word disease we think that it’s something you ‘get’, that it’s unavoidable or you might have done something to contribute to having it, but overall it was just bad luck. This is not the case with dental decay! 1. Tooth decay is PREVENTABLE and not inevitable 2. Preventing decay is NOT difficult 3. Early decay can be reversed How to stop decay in toddlers The key to stopping decay is forming good habits from an early age, and maybe undoing a few bad ones on the way. importantly, never put soft drink, juice, sports drinks, flavoured milk, or anything sweet in your baby’s bottle. Even if they don’t have teeth, you are exposing their gums to high concentrations of sugar for long periods of time. Similarly, dipping a dummy/pacifier in honey or sugar might get you a gummy smile, but it will do some damage sitting in your baby’s mouth for hours on end. How to check if your child has decay Knowing how to prevent decay and forming good habits is the best method of making sure your child doesn’t have decay, but if you’re not sure, it’s wise to check every now and then. Lift up their top, roll down their lower lip so you can see the gums and look for white patches on the teeth that are close to the gum that don’t come off after brushing. This is an early sign that tooth decay might be a problem. However, if you see grey, brown or black spots anywhere on the teeth this is not a good sign and you should book an appointment with your dentist immediately. Brushing children’s teeth thoroughly twice a day for two minutes is vital. That’s less time than it takes to make a cup of coffee to make sure your child isn’t spending all day with harmful bacteria on their teeth and gums. Changes in behaviour can sometimes be a red flag – if your child is waking regularly in the night, is complaining of tooth ache, or regularly has bad breath these can all be signs of decay. Diet plays a major role. When we think of the foods that are bad for our kids it is chocolate, lollies, and fast food that generally top the list. Yes, these foods are high in sugar and carbohydrates and cause decay, but not in moderation and with proper brushing. It is how frequently we allow kids to eat these foods that cause the real problems. Whose job is it to stop decay? In early childhood this responsibility is yours. Making sure brushing and flossing happen when they should, providing a balanced diet and ensuring foods containing sugar are not eaten too frequently, and teaching your children these habits are not an option but a part of life and a part of being a parent. In fact, it’s not just the foods that we think are bad that cause decay if eaten too often or over a long period of time. Savoury biscuits, cereals, snack bars and muffins cause damage too. It’s best to make sure that your child eats set meals rather than ‘grazing’, has a balanced diet rather than eating too much of one thing, and make sure anything sugary (even if it doesn’t taste sweet) is in moderation. Don’t worry, you’re not alone! There are dental professionals there to advise you and give you specific advice and tips that will work for your family. If you form the habits they will do the maintenance and make sure your child’s mouth is in tip top shape. Babies can get decay too Even if your newborn is not on solid foods yet there are a few things you might be doing that can cause early decay. Most This means taking your child at 12 months for their first dental appointment and a regular check up as recommended by your dentist after that, for the rest of their life. Seeing a dentist regularly is one of the best ways to maintain good oral health. facebook.com/HealthyTeethAustralia twitter.com/AUS_Dental For more information on oral health and looking after your teeth, visit www.ada.org.au Copyright 2014 Australian Dental Association All Rights Reserved Babies and Toddlers Tooth Decay Does your child have this disease? Tooth decay is a disease that 50% of Australian children under six suffer from that can result in pain, the removal of teeth, bad breath and a whole host of other problems. When we hear the word disease we think that it’s something you ‘get’, that it’s unavoidable or you might have done something to contribute to having it, but overall it was just bad luck. This is not the case with dental decay! 1. Tooth decay is PREVENTABLE and not inevitable 2. Preventing decay is NOT difficult 3. Early decay can be reversed How to stop decay in toddlers The key to stopping decay is forming good habits from an early age, and maybe undoing a few bad ones on the way. importantly, never put soft drink, juice, sports drinks, flavoured milk, or anything sweet in your baby’s bottle. Even if they don’t have teeth, you are exposing their gums to high concentrations of sugar for long periods of time. Similarly, dipping a dummy/pacifier in honey or sugar might get you a gummy smile, but it will do some damage sitting in your baby’s mouth for hours on end. How to check if your child has decay Knowing how to prevent decay and forming good habits is the best method of making sure your child doesn’t have decay, but if you’re not sure, it’s wise to check every now and then. Lift up their top, roll down their lower lip so you can see the gums and look for white patches on the teeth that are close to the gum that don’t come off after brushing. This is an early sign that tooth decay might be a problem. However, if you see grey, brown or black spots anywhere on the teeth this is not a good sign and you should book an appointment with your dentist immediately. Brushing children’s teeth thoroughly twice a day for two minutes is vital. That’s less time than it takes to make a cup of coffee to make sure your child isn’t spending all day with harmful bacteria on their teeth and gums. Changes in behaviour can sometimes be a red flag – if your child is waking regularly in the night, is complaining of tooth ache, or regularly has bad breath these can all be signs of decay. Diet plays a major role. When we think of the foods that are bad for our kids it is chocolate, lollies, and fast food that generally top the list. Yes, these foods are high in sugar and carbohydrates and cause decay, but not in moderation and with proper brushing. It is how frequently we allow kids to eat these foods that cause the real problems. Whose job is it to stop decay? In early childhood this responsibility is yours. Making sure brushing and flossing happen when they should, providing a balanced diet and ensuring foods containing sugar are not eaten too frequently, and teaching your children these habits are not an option but a part of life and a part of being a parent. In fact, it’s not just the foods that we think are bad that cause decay if eaten too often or over a long period of time. Savoury biscuits, cereals, snack bars and muffins cause damage too. It’s best to make sure that your child eats set meals rather than ‘grazing’, has a balanced diet rather than eating too much of one thing, and make sure anything sugary (even if it doesn’t taste sweet) is in moderation. Don’t worry, you’re not alone! There are dental professionals there to advise you and give you specific advice and tips that will work for your family. If you form the habits they will do the maintenance and make sure your child’s mouth is in tip top shape. Babies can get decay too Even if your newborn is not on solid foods yet there are a few things you might be doing that can cause early decay. Most This means taking your child at 12 months for their first dental appointment and a regular check up as recommended by your dentist after that, for the rest of their life. Seeing a dentist regularly is one of the best ways to maintain good oral health. facebook.com/HealthyTeethAustralia twitter.com/AUS_Dental For more information on oral health and looking after your teeth, visit www.ada.org.au Copyright 2014 Australian Dental Association All Rights Reserved Babies and Toddlers Terrible Teething What to expect when you’re expecting It’s usually not very difficult to tell if your baby has started teething. At around 3-7 months you’ll notice frequent crying, red cheeks, more drooling, problems sleeping, and general fussiness. You might even notice your little one is refusing food or is trying to nibble anything he or she can get their hands on! It’s teething time. Teething isn’t much fun for anyone. Watching your child be distressed or being woken up in the middle of the night can be difficult, but remember your baby has teeth breaking through their gums for the very first time, ouch! solids it is important that they are low in sugar and that you are around to supervise to prevent choking. If these measures fail to provide relief for teething, ask your dentist or pharmacist for advice before using any pain medication or oral gels that contains a local anaesthetic. These options are not usually suitable for babies under three months. It’s important to remain patient and it’s natural to feel a little helpless. While there is no magic cure for teething there are some tricks that can help soothe the pain and keep things quiet(er), at least for a little while. Soothing your teething tot Each child is different and sometimes you have to use trial and error to get results. The first thing to remember when you have a teething tot is that distracting them from the pain will help, and there are a variety of ways you can do this. First, try affection and attention. Giving your baby plenty of cuddles and extra attention can help keep their mind off their mouth for some short term relief. Some light pressure with something cold can also help relieve sore gums, like gently rubbing or massaging the gums with a clean finger or a cold spoon. Just remember, not too hard and not too cold! A chilled washcloth can also do the trick, but make sure it’s clean and not frozen to avoid ice burn. There are a range of teething rings available for babies to gnaw on. Chilled (not frozen) teething rings offer temporary pain relief through the pressure and cold and act as a distraction. Teething rings can be attached to your babies clothing, but never tie anything around the neck as it risks strangulation. Lots of parents choose to let their baby suck or chew on a dummy (pacifiers) as this can settle a restless baby and provide temporary relief. Using dummies is OK as long as you don’t put anything sweet on them like honey or jam (or you’ll cause decay!). Children who are taking solids can also use remedies such as hardened sugar-free rusks, peeled cucumber or frozen carrots large enough that they cannot be swallowed. If you are providing GBDFCPPLDPN)FBMUIZ5FFUI"VTUSBMJB TEETHING PRACTICES TO AVOID! r%0/5BEETVHBSIPOFZPSKBNUPUIFUJQPGBCBCJFT CPUUMFPSEJQQJOHBEVNNZJOIPOFZ5IJTEPFT OPUIFMQQBJOSFMJFGBOEXJMMDBVTFEFOUBMEFDBZ r%0/5BEENFEJDJOFTUPZPVSDIJMETGPPEPS CPUUMF r"70*%UIFVTFPG"NCFSOFDLMBDFTBOECSBDFMFUT BTUIFZQPTFBDIPLJOHSJTL Should your child present with symptoms not outlined above, do not assume they are simply teething. Symptoms such as diarrhoea, rashes (other than those caused by drooling irritation) and fever are not symptomatic of teething and your child should see a healthcare professional to rule out other illness. UXJUUFSDPN"64@%FOUBM 'PSNPSFJOGPSNBUJPOPOPSBMIFBMUIBOEMPPLJOHBGUFSZPVSUFFUIWJTJUXXXBEBPSHBV $PQZSJHIU"VTUSBMJBO%FOUBM"TTPDJBUJPO"MM3JHIUT3FTFSWFE Babies and Toddlers Teething Chart When the teeth come marching in When will my baby’s teeth appear? When you have your first child it can be both an exciting and anxious time. It’s natural to worry about what’s normal and be particularly concerned about your new addition to the family’s health, and teething is no exception. for alarm if teething starts a little early or a little late. If you’re worried, it is always a good idea to see a dentist to make sure everything is normal. By aged three all twenty baby teeth should have come through, and by around age six your child will likely start losing them to make way for their secondary teeth. As a rough guide, your baby is likely to sprout their first teeth around six months old. Sometimes teeth can come through as early as three months and as late as ten, so there is no need The chart below illustrates the names of each tooth, at what age it is likely to erupt, and at what age they are then likely to be lost (shed). GBDFCPPLDPN)FBMUIZ5FFUI"VTUSBMJB Upper Teeth Erupt Shed Central incisor Lateral incisor Canine (cuspid) 8-12 months 6-7 years 9-13 months 7-8 years 16-22 months 10-12 years First molar 13-19 months 9-11 years Second molar 25-33 months 10-12 years Lower Teeth Erupt Second molar 23-31 months 10-12 years First molar 14-18 months 9-11 years Canine (cuspid) Lateral incisor 17-23 months 9-12 years 10-16 months 7-8 years Central incisor 6-10 months Shed 6-7 years UXJUUFSDPN"64@%FOUBM 'PSNPSFJOGPSNBUJPOPOPSBMIFBMUIBOEMPPLJOHBGUFSZPVSUFFUIWJTJUXXXBEBPSHBV $PQZSJHIU"VTUSBMJBO%FOUBM"TTPDJBUJPO"MM3JHIUT3FTFSWFE From: Pepe Davenport [mailto:[email protected]] Sent: Thursday, 19 June 2014 11:33 AM To: Joe Verco Subject: RE: Affiliation with New Zealand Dental Association Importance: High Good afternoon Dr Verco, We are currently preparing our 2014 Annual Report & Membership List. Our apologies for the short notice but I would be most grateful if you could provide an update email contact for the Secretary of Australasian Academy of Paediatric Dentistry. details of which will be placed against your Society’s name as it appears in the list of NZDA Affiliated Societies in our Annual Report. We have to place copy with the printers very shortly and would be most grateful to receive your information as soon as possible. Many thanks and kind regards Pepe Pepe Davenport | Personal Assistant New Zealand Dental Association NZDA House | 1/195 Main Highway, Ellerslie | Auckland PO Box 28084 | Remuera | Auckland 1541 T: +64 9 579 8001 | F: +64 9 580 0010 | w: www.nzda.org.nz www.healthysmiles.org.nz Ì3062494813871808370016Î Ì3062494813871808370016Î Do you organise events? Start selling in minutes with Eventbrite! www.eventbrite.com.au Australasian Academy of Paediatric Dentistry SUBSCRIPTION NOTICE 2014-2015 Title: ……. Surname: ….…………………….………. Given Names: ………………………………… Phone: Practice………....................... Home……….………..……… Mobile…………….............. E-mail: ……..………………………………………………………………………………………………… Postal Address: …......……………………………………………........................................................ …………………………….………………………………………………………………………………….. Other Professional memberships: □ ADA □ ANZSPD □ NZDA □ Other ……………………………………………………. Payment ONLY ACCEPTED by direct deposit/electronic transfer Account Name: Bank: SWIFT Code AAPD: BSB: Account number: Overseas transfers: Australasian Academy of Paediatric Dentistry Commonwealth Bank CTBAAU2S 062033 10398181 Ensure you have the correct BSB, Account number, and branch details and please pay your transfer fee. It is not the responsibility of the AAPD to pay the transfer fee. Please email the treasurer ([email protected]) to confirm payment & scan and email this membership form. The reference for the direct deposit should be the first 6 letters of your surname followed by the first two letters of your Christian name eg FarmerVi, TajiSu. □ Active Member: AUD $ 150 □ Member in Progress: AUD $ 150 □ Postgraduate Student Member: $0 (Form must be returned with proof of current enrolment) □ Honorary Member: $0 Membership fee does NOT include GST DUE DATE: 30th August 2014 Late fee of AUD $25 is applicable if payment is made after due date. Email: [email protected] All payment & subscription matters should be directed to the above email address From: Ruth Dulin [mailto:[email protected]] Sent: Tuesday, 8 July 2014 3:18 AM To: Ruth Dulin Subject: FW: Ruth Peds Exclusively RE: New Opportunities in FL, CO, SC, NE, OR and MS NEW OPPORTUNITIES FOR PEDS ASSOCIATES FLORIDA TAMPA FLORIDA AREA Great Opportunity to join a well established and highly respected pediatric dental practice. You will be working as an associate for 1 year at one of the satellite locations and then you will be joining them in a partnership with all three locations after your year anniversary. You will be expected to help grow and establish the satellite practice but the rewards will be great. Work in a new office with all the latest in technology receiving guaranteed base salary of $200,000 or 35% on collections once you have built up the practice, paid CE, malpractice, health insurance, licensure and vacation. All OR cases are done in the office with a dental anesthesia doctor that comes to the office 1 day a week. Once the partnership begins the following year, the income potential is GREAT! FORT LAUDERDALE Come join a busy and well established peds office with a full time Peds dentist and orthodontists. The position is offering a guaranteed base pay or 35% on collections on doctor production and hygiene exams, paid malpractice and health insurance. A partnership will be offered to the peds dentist that makes a good fit for the practice and wants to become a partner. MIAMI Make a great income with this position! New peds dental office having a huge built in referral base needs a full time peds dentist. The position offers guaranteed base salary, paid malpractice, health insurance and 35% on ALL PROCEDURES done in the office including: x-rays, fluoride treatments, hygiene cleanings, sealants and restorative. The office will be expanding and adding more treatment rooms. COLORADO DENVER A full time associate is needed in a new and busy peds practice. The opportunity is offering a guaranteed base of $200,000 or 35% on collections on doctor production and hygiene exams. The practice pays for malpractice insurance, CE and Licensure. SOUTH CAROLINA CHARLESTON Growing and very busy Peds practice needs an associate to join their office. Guaranteed base pay or 35% on collections on doctor production and hygiene exams. Other benefits include; malpractice insurance, CE, licensure and dues along with 401K matching plan. Enjoy living in a fabulous location near the ocean working 4 days a week and plenty of OR time. COLUMBIA Large peds practice is looking for an associate that leads to PARTNERSHIP after working 1 year. Join a state of the art practice located in a metro area with all fee for service practice and insurance patients. Guaranteed base salary or 35% on collections on doctor production and hygiene checks. The practice is offering paid malpractice, vacation, CE and health insurance for the associate. NEVADA RENO Experienced pediatric dentist needed working in busy and new pediatric office. Position offers guaranteed base pay or 35% on collections on doctor production, hygiene exams and x-rays. Paid CE, malpractice, health insurance and licensure are also provided. OREGON Extremely busy peds practice is looking for an associate. Come join an office with 2 other satellite locations doing over 1 million in collections in all offices. Work as an associate for 1 year and become a partner. The compensation package is a guaranteed base salary of $200,000 with paid CE, license, fees and dues, medical insurance profit bonuses, malpractice and ALLOWANCE FOR MOVING EXPENSES. The practices are 50% fee for service and 50% Medicaid. The offices are located in Metro area. MISSISSIPPI Brand new peds office is looking for a peds associate working a four day wok week, 3 in the office and 1 day in the OR. Guaranteed base salary or 33% on collections on doctor production and hygiene exams. SIGN ON BONUS, health insurance, malpractice, CE and vacation. There is also a 401K plan contribution. Mission Statement "The objective should not be just finding a job or a candidate, but finding an opportunity or a Dentist/Specialist that matches the passion for the work, the environment and the potential. We strive daily to better the profession of Dentistry." Ruth Dulin Pediatric Dentist Recruiter and Consultant Peds Exclusively Toll Free- 866-533-5899 Fax-704-595-3999 E-Mail- [email protected] Webpage/National PEDS Job Board- www.Peds-Exclusively.com