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How to Survive Dental Performance Difficulties

How to Survive Dental Performance Difficulties

Janine Brooks

ISBN: 978-1-119-25562-8

Jul 2018, Wiley-Blackwell

208 pages

Select type: E-Book


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How to Survive Dental Performance Difficulties offers an authoritative guide for successfully navigating and overcoming dental performance issues.  

  • Offers a practical guide for preventing and overcoming dental performance issues
  • Highlights case studies of dental professionals who have direct experience of being referred for fitness to practise issues
  • Includes information on the support available to dental professionals, the requirements that need to be met, and how to meet them
  • Contains information on the effective use of evidence, improvement practice tools such as personal development plans, continuing professional education, reflective diaries, and audits
  • Offers guidance on how to increase self-awareness and insight


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Chapter 1  The basics of performance


What is performance?

What is poor performance?

Fitness to Practise

Red Door/Green Door

Chapter 2 Background and Contributory factors – how performance issues can arise


Pressures on Dentists

Factors that underpin poor performance


Clinical Knowledge and expertise


Behavioural/Attitudinal Factors

Patient Factors



Work-life balance

Emotional state

Chapter 3  Professionalism

What is professionalism?

What does professionalism encompass?

How should a professional behave?

Society expectations of professionals


Building blocks of Character

Ethical frameworks professionals operate within

The GDC principles

Where does Character stand in relation to professionalism?

Tests of Integrity

Virtue Ethics

Honesty and Dishonesty

Nelsonian Dishonesty


Criminal record, convictions and cautions


Conditional discharges


Protect conviction or caution

Chapter  4 Regulation of Dentistry and Dental Professionals


General Medical Council

General Pharmaceutical Council

General Dental Council


NHS England

Care Quality Commission

Healthcare Inspectorate Wales


Northern Ireland – The Regulation and Quality Improvement Authority

Health and Social Care Board

Professional Standards Authority

Regulation of Dental Services Programme Board

Health and Safety Executive

Medicines and Healthcare Products Regulatory Agency

Right touch regulation

Chapter  5 Organisations that play a supporting role


Specialist Indemnity Providers

Educational Support

Health Educational England – Local Education and Training Boards

Post graduate Dental Deaneries

NHS Education for Scotland

Training, Revision and Mentoring Support Programme

NHS Wales

Northern Ireland

The UK Committee of Postgraduate Dental Deans and Directors

Health Support

Dentists’ Health Support Trust

Practitioner Health Programme

British Doctors and Dentists Group

Sick Doctors Trust

Mentoring/Professional Support

Local Dental Committees

Dental Mentors UK

Advisory Support

National Clinical Assessment Service

Health Boards

Practitioner Services Division


Chapter  6 The Anatomy of a Fitness to Practise case


Fitness to Practise

General Dental Council

Fitness to Practise process

Interim Orders Committee

Investigating Committee

Practise Committees

Professional Conduct Committee

Professional Performance Committee

Health Committee




Most common findings



Chapter 7  Registrant’s Journey, Personal Statements and Case Studies

How it can begin

Outline of the Hero’s Journey

Case Studies

Stages of change or grief

Taking a preventive approach

Chapter  8 Building self-awareness and insight

Self awareness


Learning Styles

Meyer-Briggs Type Indicator

Neuro-Linguistic Programming

Common Limiting Beliefs

Representational Systems

Perceptual Positions

Thomas-Kilmann Conflict Mode Instrument

Chapter  9 Tools that can help

Enhanced CPD

Personal Development Plan

Peer Review

Professional discussion and dialogue

Case Studies/Case Presentations

Clinical Audit

Staff Meetings

Patient surveys

360 degree feedback

Standards, national guidelines

Working with a mentor

Working with a coach

Appendix A Personal Development Plan template

Appendix B Patient Engagement Questionnaire

Appendix C Influencing Skills Questionnaire – 360 colleague feedback

10 Supporting colleagues who struggle

Skills for supporters

Reflective practice/writing and learning

The roots of Reflective Practice

Reflective models

Gibbs model

Writing reflectively

Johari Window

Karpmann Triangle

Cost Benefit Analysis

Force Field Analysis

Neuro-logical levels