WALES POSTGRADUATE DENTAL DEANERY 8th Floor, Neuadd Heath Park, CF14 4YS

Betsi Cadwaladr University Health Board

JOB DESCRIPTION

REGIONAL SPECIALTY TRAINING (StR) PROGRAMME IN ORTHODONTICS

POST TITLE: Specialist Registrar (ST1-5) in Orthodontics & Postgraduate Student (Doctor of Dental Science)

(1 post at ST1-5)

SALARY SCALE: Available at: Medical and Dental Pay Circular M&D(W)1/2017

WORK BASE: Liverpool University Dental Hospital and Hospital for ST1-3 Glan Hospital (TBC) for ST4-5

The programme is approved by the Director, Dental Postgraduate Education in and supported by the SAC in Orthodontics for the training of Specialty Trainees.

TRAINING PROGRAMME

This full-time training programme, commencing in October 2018, is of five years’ duration. The ST1-3 programme satisfies the requirements of the Specialist Advisory Committee (SAC) / General Dental Council (GDC) Orthodontic Curriculum September (2010) and for the Membership in Orthodontics of The Royal Colleges. The ST4,5 programme will fulfil the guidelines of the SAC in Orthodontics for higher specialty training (ST4,5).

The ST1-3 must also enrol for the degree of Doctor of Dental Science (DDSc) of the University of Liverpool, which will be taken simultaneously. The training programme offers comprehensive training in theoretical, clinical and laboratory aspects of orthodontics with experience in removable, functional and fixed appliance treatment.

The DDSc is a full-time, modular, Professional Doctorate providing a theoretical and clinical training in orthodontics, together with training in research methodology in preparation for the completion of a thesis. It is essential that applicants are possession of MFDS, MJDF, FDS or be exempt from MOrth part I to be enrolled on the DDSc programme.

The post will be based at Liverpool University Dental Hospital (LUDH) with rotation Wrexham Maelor Hospital (ST1-3) and Glan Clwyd Hospital or Wrexham Maelor Hospital for ST4,5. It will offer the opportunity for a five-year run-through (ST1-5) training.

PARTICIPATING ORTHODONTIC STAFF

ORTHODONTICS Mr G Barry BDS; MScD; FDSRCPS; MOrth Mr S Chadwick BDS; FDS(Orth)RCSEd; MSc; MOrth Dr S Dominguez-Gonzalez PhD; FDS(Orth)RCSEng; Lic Odont Mr I Edwards BDS, MFDS RCSEng; MOrth; MPhil; FDS(Orth); Dr N Flannigan PhD; BDS; MOrth; MFDS RCPS; FDS(Orth) Miss S Gale BDS; MFDS RCSEng; MOrth; MPhil; FDS(Orth) Dr J Harrison PhD; BDS; FDS(Orth)RCPSGlasg; M Dent Sci; MOrth Miss J Hickman BDS; FDS(Orth) RCSEng; MScD, M.Orth, MPhil Mr J Husain BDS; FDS(Orth)RCSEd; MSc; MOrth Mr B Lewis BDS; FDS(Orth); M.Orth RCSEng, MFDS RCSEng Miss R Little BDS; MFDS; MOrth; MPhil; FDS(Orth) Mr H Mazey BDS; MFDS RCPS; MOrth; FDS(Orth) Mr C Melrose BDS; FDS(Orth)RCSEd; M Dent Sci; MOrth Mr T Morris BDS; FDS(Orth)RCSEd; MSc; MOrth Mr S Rudge BDS; FDSRCS (Ed. & Eng.); MOrth Mrs M Seshu BDS; MDS; MOrth; FDS(Orth)

MAXILLO-FACIAL SURGERY Mr M Boyle FRCS; FDSRCS Miss A Begley FRCS; FDSRCS Mr M Dodd FRCS; FDSRCS

OTHER DENTAL SPECIALTIES Members of Liverpool University Dental Hospital staff. Visiting speakers are also invited to participate in teaching seminars. 2

OUTLINE OF THE ST1-3 TRAINING PROGRAMME

The ST1-3 training programme will give the trainee a thorough grounding in all aspects of orthodontics and is broken into four major aspects, namely theoretical, clinical, laboratory work and a research programme. In practice, these aspects will be running, to a large extent, simultaneously.

The structure and content of the training programme follows the recommendations of the SAC in Orthodontics of the Royal College of Surgeons of England.

1. THEORETICAL A comprehensive series of seminars will take the StR through a programme of Orthodontics and allied subjects. A list or relevant literature is available to guide reading and one or more seminars will be delivered on each topic. Relevant articles will be discussed and StRs will prepare essays on selected topics.

2. CLINICAL WORK The StRs will be introduced to the Clinic early on in the training programme. Emphasis will initially be placed on diagnosis and treatment planning and the preparation of proper records.

Soon after the commencement of the training programme, treatment will be started on patients so as to allow maximum time for the completion of treatment during the three- year training programme period. The majority of patients will be treated using a pre- adjusted edgewise appliance (0.022” slot). The Tip-Edge appliance, self ligating brackets, temporary anchorage devices, functional and removable appliances will also be used.

The start of the programme will be spent solely at Liverpool University Dental Hospital. After this, some sessions will be spent at the District General Hospitals with the others being at LUDH. Throughout the training period, approximately four sessions per week will be at a District General Hospital in order to provide greater opportunities for seeing patients in a district centre.

3. LABORATORY WORK The StRs will carry out a certain amount of laboratory work under the guidance of the Senior Orthodontic Technician. However, the bulk of the laboratory work will be done by the Orthodontic Technicians to allow StRs to devote more time for clinical and research purposes.

4. RESEARCH PROGRAMME Each StR will carry out a research project on a subject agreed between the StR and the Head of Department. The subject will be looked at in-depth and work will be carried out so that a thesis can be prepared for submission towards part of the DDSc requirements.

5. STUDY LEAVE AND ANNUAL LEAVE Study leave for external courses are allowed where appropriate. Application for Study or Annual leave must be made at least 6 weeks prior to the period of absence and ALL consultants involved in training during the planned dates must be consulted. Application forms are to be submitted to the Postgraduate Dental Dean, via the TPD, online. 3

A. AIMS OF THE DOCTOR IN DENTAL SCIENCE PROGRAMME

1. Aims of the programme

Context

The Doctorate in Dental Science programme provides a 3 year Doctoral level programme in Orthodontics. This programme prepares students for the Royal Colleges examinations (MOrth) and has a research component required to become a Specialist. The MOrth curriculum is embedded into the programme. The DDSc aims and outcomes are mapped against the MOrth outcomes.

Curriculum design has been informed by the external reference points such as the Quality Assurance Agency Code of Practice for the Quality Assurance of Academic Quality and Standards in Higher Education Section 1. Postgraduate Research Programmes, The Framework for Higher Education Qualifications in England, Wales and Northern Ireland, the JCPTD / SAC Curriculum and Specialist Training Programme in Orthodontics and the MOrth curriculum of the Royal Colleges of Surgeons.

More specifically, the curriculum has been designed to achieve to produce:

1. A Specialist capable of the creation and interpretation of new knowledge, through original research or other advanced scholarship, of a quality to satisfy peer review, extend the forefront of the discipline, and merit publication;

2. A Specialist capable of a systematic acquisition and understanding of a substantial body of knowledge which is at the forefront of professional practice;

3. A Specialist capable of the general ability to conceptualise, design and implement a project for the generation of new knowledge, applications or understanding at the forefront of professional practice, and to adjust the project design in the light of unforeseen problems;

4. A Specialist with an awareness of the Health Service;

5. A Specialist capable of independent practice;

6. A Specialist capable of a detailed understanding of applicable techniques for research and advanced academic enquiry.

2. Subject-based learning outcomes:

The JCPTD / SAC Curriculum and Specialist Training Programme in Orthodontics and Royal Colleges of Surgeons have set out the learning outcomes expected of an MOrth graduate. These, combined with the learning outcomes expected of a Doctoral student, form the Learning Outcomes of the DDSc programme.

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3. DDSc Module Outline

The DDSc is a 3-year full time Doctorate programme comprising 540 credits. The programme has 180 credits in year one mostly at M level and 360 credits in years two and three at D level. All modules are mandatory i.e. must be passed, and make up the taught, clinical and research components of the programme. The programme consists of 5 core modules and 4 specialty specific modules.

Core Modules

Year 1 ILT 704 - Research Methods Online CDEN233 – Communication Health Promotion and Clinical Governance CDEN299 – Research Protocol

Year 2 & 3 CDEN304 – Clinical Research and Investigation CDEN399 – Doctoral Thesis

Orthodontics Specialty Modules

Year 1 CDEN201 – Orthodontic Patient Clinical Assessment CDEN202 – Orthodontic Treatment Planning CDEN203 - Orthodontic Appliances A CDEN204 - Orthodontic Appliances B

Year 2 CDEN301 – Growth Modification and Anchorage

Year 2 & 3 CDEN303 – Clinical Practice

Year 3 CDEN302 – Multidisciplinary Orthodontics

For further details, please see: https://www.liverpool.ac.uk/study/postgraduate-taught/taught/ddsc-orthodontics/module-details/

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Professional and Research Skills Training Programme

Professional and Research skills are imbedded throughout the programme as separate modules (ILT704), workshops, a weekly Journal Club and conferences. Workshops are provided by the Northern Universities Consortium and the Mersey Deanery. The Journal Club runs on a Friday morning and students are expected to present to the class in rotation. Students are also provided with MOrth training in order to prepare for the Royal Colleges exams.

The following list summarises the professional and research training programme for DDSc students.

Year One Course Location Contact Incorporated in Type Hours Module Quantitative Research Methods Liverpool 150 total ILT704 Module Journal Club Liverpool 24 CDEN299 Taught Introductory Typodont Sheffield 21 CDEN203 NUSD Materials Birmingham 7 CDEN203 NUSD Clinical Photography Chesterfield 7 CDEN201 NUSD Research Methods Manchester 7 CDEN299 NUSD IOTN Manchester 7 CDEN202 NUSD Tip Edge Technique Course Leeds 14 CDEN203 MD Straight Wire Course London Hospital 28 CDEN203 MD Functional Appliance Course SWA course London 14 CDEN203 MD Clinical Demonstration Training Liverpool 3 CDEN206 Taught Seminars on Professional and Research Skills Liverpool 27 CDEN299 Taught British Orthodontic Conference Various 3 days CDEN299 Conference

Year Two Course Location Contact Incorporated in Type Hours Module Journal Club Liverpool 24 CDEN399 Taught Materials Birmingham 7 CDEN301 NUSD Wire Bending Liverpool 7 CDEN301 NUSD Twin Block Course Chesterfield 7 CDEN301 NUSD Audit and Report Chester 20 CDEN302 Other Excellence in Orthodontics London 14 CDEN301 MD RCS MOrth study day Varies 7 MOrth SWA Course London 14 CDEN301 MD British Orthodontic Conference Various 4 days CDEN399 Conference

Year Three Course Location Contact Incorporated in Type Hours Module Journal Club Liverpool 24 CDEN399 Taught Audit and Report Chester 20 CDEN302 Other Leeds MOrth revision course London 7 MOrth RCS MOrth study day Varies 7 MOrth British Orthodontic Conference Various 4 days CDEN399 Conference Key: NUSD: Northern Universities’ Training Days MD: HEE NW (Mersey) Training MOrth: Preparation for MOrth examination 6

LUDH and Wrexham Orthodontic ST1-3: PROVISIONAL Time table 1st October 2018- 30th September 2021

Monday am Monday pm Tuesday am Tuesday pm Wed am Wed pm Thurs am Thurs pm Friday am Friday pm Consultant JEH JEH SJR SJR NF NF SJR SJR TM/RG TM/RG at LUDH NF JEH JEH RG RG JEH JEH Rotation Wrexham Wrexham Wrexham LUDH LUDH Wrexham Wrexham LUDH LUDH LUDH LUDH (BL) Clinic Study Research Research Clinic Clinic Clinic Clinic Clinic/JEH Seminar Week 1 Week 2 Wrexham Wrexham LUDH LUDH Wrexham Wrexham LUDH LUDH LUDH LUDH Clinic Study Clinic Clinic Clinic Clinic Clinic Study Clinic/JEH Seminar

OUTLINE OF THE ST4,5 TRAINING PROGRAMME This post will fulfil the guidelines of the SAC in Orthodontics for higher specialty training.

The two-year ST4,5 programme will provide higher specialty training as run-through training in preparation for the Intercollegiate Specialty Fellowship Examination, and FDS(Orth) of the Royal Surgical Colleges leading to eligibility to be appointed to a Consultant.

RCS Adviser - Mr TA Morris (TBC) Programme Director - Dr J Harrison (TBC) Consultant Trainers - Mr S J Rudge – LUDH Dr J Harrison – LUDH Mr R Gibson – LUDH Mr T Morris – LUDH Mrs M Seshu – Alder Hey Hospital Dr S Dominguez-Gonzalez – Alder Hey Hospital Mr Be Lewis – Wrexham Miss J Hickman – Glan Clywd Miss R Little – Glan Clwyd

Senior Lecturer/Hon Consultant Dr N Flannigan – LUDH

Clinical The appointee will carry out such clinical tasks as may be assigned to him/her by the Senior Staff. These include assisting at out-patient clinics and treatment sessions, primarily in the provision of Orthodontic treatment.

In addition, the appointee may be called upon to treat developmentally delayed patients, medically compromised patients and patients referred from other specialties.

Procedures may need to be carried out under sedation or general anaesthesia.

Arrangements may be made for experience in other departments according to the needs of the appointee and the requirements of the service.

Teaching Some supervision of undergraduate and postgraduate students will be necessary. The appointee will participate in the seminar programme for the StRs and courses for General Dental Practitioners as required. Research Time Time may be made available for suitable research projects if appropriate. A broad range of research facilities are present in the teaching hospital complex.

Administration The appointee will play a full part in the administration of the Orthodontic Clinics and will be expected to serve as elected on appropriate committees of the hospitals involved in the rotation.

Location of Duties Normally, duties will be undertaken at the Liverpool University Dental Hospital (LUDH). The trainee will also attend multidisciplinary clinics and provide orthodontic treatment for patients at either the Wrexham Maelor Hospital or Glan Clwyd Hospital. In addition, they will be involved in the treatment of patients with Clefts and other Craniofacial anomalies, at Alder Hey Children’s NHS Foundation Trust (a centre of the Cleft Lip and Palate Network for the North West & North Wales)

Further Training Attendance at out-patient clinics of relevant medical and surgical disciplines.

The appointees will attend cleft and craniofacial clinics at Alder Hey Children’s Hospital, with Mr D Richardson, Dr S Dominguez-Gonzalez and Mrs Seshu.

The appointee will be encouraged to attend outpatient clinics of relevant and surgical disciplines.

The appointee will be expected to attend relevant meetings of orthodontic societies and the Craniofacial Society of Great Britain. The post allows and anticipates for CPD.

There are regular meetings of the Journal Club and Staff Seminars are held frequently in the Liverpool University Dental Hospital and other hospitals in the Region.

Medical Audit Participation in medical audit at both a regional and Trust level will be required.

Library Facilities The University of Liverpool, Harold Cohen Library is located in nearby Ashton Street. There is a Medical Library within the Royal Liverpool University Hospital.

Study leave Leave to attend courses will normally be granted. Applications for Study leave should be submitted to the Personnel Departments at least 6 weeks prior to commencement of leave in order that adequate locum cover may be arranged, if necessary. The Post-CCST trainee must arrange study leave after discussion with the trainer and training consultant.

Annual Leave Arrangements for leave and other absences must initially be agreed and approved by the trainer and those consultants involved in the rotation and be subject to formal approval by both employing Authorities and the Postgraduate Dental Dean.

Timetable The timetable is to be confirmed but will follow the SAC agreed sessional split for ST4,5 training. Clinical / or per Length of Distribution of sessions per week Non-clinical split month training (mths) Personal treatment 5 per week Total clinical New patients 1 per week 4/5 8 Full-time sessions Multidisciplinary clinics; 2 per week 8/9 24 10 sessions Review clinics; Teaching Research, Study, Audit 1.5 or similar sensible Non-clinical 2 Management & Administration 0.5 balance

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