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Biomedical subjects

Brian Grieveson

Publications and source records attributed to Brian Grieveson.

5 recordsLinked to original sources

The role of the seven key skills portfolios in the assessment of new dental graduates in general dental practice.

In this article, the authors examine the role of the seven key skills portfolios in the assessment of new dental graduates in general dental practice. They discuss the nature and construction of portfolios and explore how the use of portfolios encourages learning. They outline what educational support is available and consider where key skills fit within a career pathway.

Clinical Competence↗

A survey of general dental practitioners on the Mersey postgraduate register regarding the National Institute for Clinical Excellence (NICE) guidelines for the removal of wisdom teeth.

AIM: To ascertain the awareness of and response to the National Institute for Clinical Excellence (NICE) guidelines among general dental practitioners (GDPs) in the Mersey region. METHODS: A pre-piloted postal questionnaire was sent to all GDPs (522) on the Mersey postgraduate register. Day case statistics for third molar surgery at the local hospital were reviewed. RESULTS: Three hundred and eighty-seven (74%) of the GDPs responded and virtually all reported seeing patients with problems arising from third molars in the previous month. Thirteen per cent claimed that they were either unaware or unsure of the NICE guidelines and 34% reported that they did not have a copy. Seventy-eight per cent reported that they either definitely or probably agreed with the NICE guidelines, 56% that the guidelines had definitely or probably changed their management of third molar problems, 64% that they considered that the guidelines had definitely or probably reduced numbers of extractions/surgical removals, and 56% that they definitely or probably referred fewer patients with third molar problems. However, 89% said they had either frequently or occasionally encountered problems when they left a wisdom tooth on review (untreated). Eighty-four respondents provided free text comments on the NICE guidelines; half were favourable and half were critical. The local hospital's day case statistics indicated that there had been a fall in the annual number of patients undergoing third molar surgery from 494 in 1998 to 287 in 2002. CONCLUSIONS: It was concluded that the majority of respondents were aware of the guidelines and were using them. However, it was unclear whether or not the guidelines had, in themselves, led to a reduction in the number of referrals of patients with third molar problems, or that the reduction had already started, before the guidelines were published, and might have continued even if the guidelines had not been published.

Attitude of Health Personnel↗

An investigation into Merseyside General Dental Practitioners' interest in primary care research, their views on research and their training needs.

OBJECTIVES: The aims of this investigation were to evaluate the interests of primary care dental practitioners within the Mersey Postgraduate Deanery in research and their views on research, their experience and research training needs. METHOD: A questionnaire was sent to all practitioners in the Mersey Deanery asking for views on dental research, whether they had been involved in any research projects or had any research training, and whether they would be interested in research training and being part of a primary dental care research network. RESULTS: A total of 192 practitioners from the 1120 in the Mersey Deanery expressed an interest in being involved in primary care research. Most believed that primary care research was very important in providing a stronger evidence-base in dentistry and improved quality of dental care. Over 50% of respondents were interested in collaborative research, provided that their income and time could be protected and it was part of the normal working day. Almost 25% had some research experience and a number had undergone research training, ranging from informal training to part of a degree. CONCLUSIONS: A number of GDPs in the Mersey Deanery are interested in primary care research. With appropriate training, support and recognition within the new Personal Dental Services (PDS) contracts, there is a golden opportunity for more primary care dentists to participate in research. This, in time, will add to the evidence base in dentistry and should improve patient care.

Attitude of Health Personnel↗

Lifelong learning.

This article looks at the theory behind lifelong learning as a concept and applies it to many aspects of the dentist's professional life.

Clinical Competence↗

Assessment in dental VT... can we do better?

During the VT year the VDP and the trainer could choose to progressively check and complete each of the competencies listed and using the skills evaluation document make the appropriate record. Any areas of further training needs would be identified and a learning plan implemented. The whole process would be supervised by the VT advisor group who could be the resource for further training or support in conjunction with the VDP and trainer. This would be a self evaluation with external validation by the trainer and advisor group similar to the AEGD model in the USA. This would be an assessment that was valid, reliable and feasible as identified by Freeman. The use of a skills evaluation procedure would be similar to a LEP which would support the validity of the process. A record of completion of each key skill (competency) could be made using the supplied paper work and presented periodically as a log of achievement to the VT Advisor group. Of course the whole process also relies on the fact that the trainers need to be competent themselves in using practice based assessment, and an appropriately resourced pilot programme will be needed to make this an effective tool in assessing the overall competency of new graduates in vocational training.

Competency-Based Education↗