Standard 2

Question 1

What does Standard 2 involve?

Answer 1

EDUCATIONAL PROGRAM

Question 2

2-1 The program must provide didactic and clinical training to ensure upon completion of training, the resident is able to:

Answer 2

a. Act as a primary oral health care provider to include:
1. providing emergency and multidisciplinary comprehensive oral health care;
2. obtaining informed consent
3. functioning effectively within interdisciplinary health care teams, including consultation and referral;
4. providing patient-focused care that is coordinated by the general practitioner; and
5. directing health promotion and disease prevention activities.

b. Assess, diagnose and plan for the provision of multidisciplinary oral health care for a wide variety of patients including patients with special needs.
c. Manage the delivery of patient-focused oral health care.

Question 3

What is the intent of standard 2-1?

Answer 3

“Patients with special needs” is defined in the Definition of Terms on page 10 of this document.

Patient-focused care should include concepts related to the patient’s social, cultural, behavioral, economic, medical and physical status

Question 4

Standard 2-1: What are 7 examples of evidence to demonstrate compliance?

Answer 4

1. Written goals and objectives or competencies for resident training organized by the areas described above
2. Didactic and clinical schedules
3. Resident evaluations
4. Documentation of treatment planning sessions
5. Documentation of chart reviews
6. Records of resident clinical activity including procedures performed in each area described above
7. Documentation of case simulations

Question 5

What is standard 2-2?

Answer 5

The program must have written goals and objectives or competencies for resident training and provide didactic and clinical training to ensure that upon completion of training the resident is able to provide the following at an advanced level of skill and/or case complexity beyond that accomplished in pre-doctoral training:

 a) operative dentistry;
 b) restoration of the edentulous space;
 c) periodontal therapy;
 d) endodontic therapy;
 e) oral surgery;
 f) evaluation and treatment of dental emergencies; and
 g) pain and anxiety control utilizing behavioral and/or pharmacological techniques.

Question 6

What is the intent of standard 2-2?

Answer 6

Determination of “complexity beyond that accomplished in a pre-doctoral training” may be from various aspects including, but not limited to: depth of topic discussion, variety of topic/procedures, quantity of topics/procedures, underlying medical/health considerations related to delivery of topic/procedures, etc.

Question 7

Standard 2-2: 5 Examples of evidence to demonstrate compliance

Answer 7

1. Written goals and objectives or competencies for resident training organized by the areas described above
2. Didactic and clinical schedules
3. Records of resident clinical activity including procedures performed in each area described above
4. Patient records
5. Resident evaluations

Question 8

What is standard 2-3?

Intent?

Answer 8

The program must have a written curriculum plan that includes structured clinical experiences and didactic sessions in dentistry and medicine, designed to achieve the written goals and objectives or competencies for resident training.

Intent:
The program is expected to organize the didactic and clinical educational experiences into a formal curriculum plan.

For each specific goal or objective or competency described in response to Standard 2-1, 2-2, and 2-4, the program is expected to develop educational experiences designed to enable the resident to acquire the skills, knowledge, and values necessary in that area.

The program is expected to organize these didactic and clinical educational experiences into a formal written curriculum plan.

Question 9

Standard 2-3 What are 2 examples of evidence to demonstrate compliance?

Answer 9

1. Written curriculum plan with educational experiences tied to specific written goals and objectives or competencies
2. Didactic and clinical schedules

Question 10

What is standard 2-4?

The program must provide training to ensure that upon completion of the program, the resident is able to manage the following:

Intent?

Answer 10

a) medical emergencies;
b) implants;
c) oral mucosal diseases;
d) temporomandibular disorders; and
e) orofacial pain

Intent:
The program is expected to provide educational instruction, either didactically or clinically, during the program which enhances the resident’s ability to manage the above areas.

Question 11

Standard 2-4: What are 5 examples of evidence to demonstrate compliance?

Answer 11

1. Written goals and objectives or competencies for resident training and proficiencies organized by the areas described above
2. Didactic and clinical schedules
3. Records of resident clinical activity including procedures performed in each area described above
4. Patient records
5. Resident evaluations

Question 12

What is standard 2-5?

Each assigned rotation or experience must have:

Intent?

Answer 12

a) written objectives that are developed in cooperation with the department chairperson, service chief, or facility director to which the residents are assigned;
b) resident supervision by designated individuals who are familiar with the objectives of the rotation or experience; and
c) evaluations performed by the designated supervisor.

Intent: This standard applies to all assigned rotations or experiences, whether they take place in the sponsoring institution or a major or minor activity site.
**Supplemental activities are exempt.

Question 13

Standard 2-5

What are 3 examples of evidence to demonstrate compliance?

Answer 13

1. Description and schedule of rotations
2. Written objectives of rotations
3. Resident evaluations

Question 14

What is standard 2-6?

The program MUST provide formal instruction in physical evaluation and medical assessment, including:

Intent?

Answer 14

a) taking, recording, and interpreting a complete medical history;
b) understanding the indications of and interpretations of laboratory studies and other techniques used in the diagnosis of oral and systemic diseases;
c) understanding the relationship between oral health care and systemic diseases; and
d) interpreting the physical evaluation performed by a physician with an understanding of how it impacts on proposed dental treatment.

Intent:
Residents should be able to interact appropriately with other health care providers.
It is intended that medical assessment be conducted during formal instruction as well as during inpatient, same-day surgery, and ambulatory patient care.
The program is expected to define the type of documentation of physical evaluation and medical assessment that is required to be entered into inpatient and ambulatory care records.
The program is expected to ensure that such data is being recorded.

Question 15

Standard 2-6: What are 3 examples of evidence to demonstrate compliance?

Answer 15

1. Didactic Schedules
2. Course Outlines
3. Resident evaluations

Question 16

What is standard 2-7?

Intent?

Example of evidence:

Answer 16

The program must provide instruction in the principles of practice management.

Intent:
Suggested topics include: management of allied dental professionals and other office personnel; quality management; principles of peer review; business management and practice development; principles of professional ethics, jurisprudence and risk management; alternative health care delivery systems; informational technology; and managed care.

Example: course outline

Question 17

2-8 Formal patient care conferences must

Intent?

Example of evidence?

Answer 17

be scheduled at least twelve (12) times a year.

Intent:
Conferences should be distributed throughout the year so that diagnosis, treatment planning, progress, and outcomes can be followed and discussed. These conferences should be attended by residents and faculty and should not replace the daily faculty and resident interactions regarding patient care.

Example: Conference schedule

Question 18

Standard 2-9: Residents must…

Intent:

Example of evidence:

Answer 18

…be given assignments that require critical review of relevant scientific literature.

Intent:
Residents are expected to have the ability to critically review relevant literature as a foundation for lifelong learning and adapting to changes in oral health care. This should include the development of critical evaluation skills and the ability to apply evidence-based principles to clinical decision-making.

Example: Evidence of experiences requiring literature review

Question 19

What is standard 2-10?

2 Example of evidence?

Answer 19

2-10 The program must be one or two calendar years in length.

1. Program schedules
2. Written curriculum plan

Question 20

What is standard 2-11?

3 Example of evidence?

Answer 20

Programs must be designed as either a one-year program, a one-year program with an optional second year or a mandatory two-year program.

1. Written second year goals and objectives or competencies for resident training
2. Written curriculum plan
3. Schedules

Question 21

2-12: Residents enrolled in the optional second year of training must…

Answer 21

…have completed an accredited first year of Advanced Education in General Dentistry or General Practice Residency training at this or another institution.

Question 22

Example of evidence for standard 2-12?

Answer 22

Resident records or certificate

Question 23

What is standard 2-13?

2 Examples of evidence?

Answer 23

The program must have written goals and objectives or competencies for resident didactic and clinical training in the optional second year of training that are at a higher level than those of the first year of the program.

1. Written second year goals and objectives or competencies for resident didactic and clinical training
2. Written curriculum plan

Question 24

Standard 2-14: Where a program for part-time residents exists, it must…

Intent?

Answer 24

be started and completed within a single institution and designed so that the total curriculum can be completed in no more than two years of study for a one-year program and four years of study for a two-year program.

Intent:
Part-time residents may be enrolled, provided the educational experiences are the
same as those acquired by full-time residents and the total time spent is the same.

Question 25

2-15: The program’s resident evaluation system MUST assure that, through the director and faculty, each program:

Intent:

Answer 25

a) periodically (at least three times annually) evaluates and documents the resident’s progress towards achieving the program’s written goals and
objectives or competencies for resident training using appropriate written criteria and procedures;
b) provides residents with an assessment of their performance after each evaluation. Where deficiencies are noted, corrective actions MUST be taken; and
c) maintains a personal record of evaluation for each resident that is accessible to the resident and available for review during site visits.

Intent:
While the program may employ evaluation methods that measure a resident’s skills or behavior at a given time, it is expected that the program will, in addition, evaluate the degree to which the resident is making progress toward achieving the specific goals and objectives or competencies for resident training described in response to Standard 2-1, 2-2, 2-3, and 2-4. The final resident evaluation or final measurement of educational outcomes may count as one of the three evaluations

Question 26

Standard 2-15: Four examples of evidence to demonstrate compliance?

Answer 26

1. Written evaluation criteria and process
2. Resident evaluations
3. Personal record of evaluation for each resident
4. Evidence that corrective actions have been taken