How to Survive Dental Performance Difficulties

Foreword, ix Acknowledgements, xi Abbreviations, xiii Chapter 1 The basics of performance, 1 Introduction, 1 What is performance? 3 What is poor performance? 6 Fitness to practise, 9 Red door/green door, 10 Chapter 2 Background and contributory factors: How performance issues can arise, 13 Introduction, 13 Pressures on dentists, 14 Factors that underpin poor performance, 15 Chapter 3 Professionalism, 27 What is professionalism? 27 What does professionalism encompass? 30 How should a professional behave? 30 Societal expectations of professionals, 31 Character, 32 Building blocks of character, 33 Ethical frameworks within which professionals operate, 34 How does character relate to professionalism? 36 Tests of integrity, 36 Virtue ethics, 37 Honesty and dishonesty, 38 Communication, 42 Criminal record, convictions and cautions, 43 Scotland, 45 Protected conviction or caution, 45 Chapter 4 Regulation of dentistry and dental professionals, 48 Regulation, 48 General Medical Council, 49 General Pharmaceutical Council, 50 General Dental Council, 50 Registration, 51 NHS England, 52 Care Quality Commission, 53 Healthcare Inspectorate Wales, 54 Scotland, 54 Northern Ireland, 55 Professional Standards Authority, 56 Regulation of Dental Services Programme Board, 57 Health and Safety Executive, 58 Medicines and Healthcare Products Regulatory Agency, 59 Right‐touch regulation, 60 Chapter 5 Organisations that play a supporting role, 63 Specialist indemnity providers, 63 Educational support, 64 Health support, 67 Mentoring/professional support, 68 Advisory support, 69 Conclusion, 70 Chapter 6 The anatomy of a fitness to practise case, 72 Introduction, 72 Fitness to practise, 74 General Dental Council, 74 Fitness to practise process, 75 Interim Orders Committee, 77 Investigating Committee, 77 Practice Committees, 78 Sanctions, 78 Convictions/cautions, 82 Analysis, 83 Erasure, 86 Conclusion, 91 Chapter 7 The registrant’s journey, personal statements and case studies, 93 How it can begin, 94 The Hero’s Journey, 95 Case studies, 101 Stages of change or grief, 111 Taking a preventive approach, 113 Chapter 8 Building self‐awareness and insight, 115 Self‐awareness, 116 Insight, 116 Learning styles, 119 Tools to deepen self‐awareness, 124 Conclusion, 138 Chapter 9 Tools that can help, 140 Personal development plan, 141 Peer review, 144 Professional discussion and dialogue, 144 Case studies and presentations, 145 Clinical audit, 146 Staff meetings, 148 Patient surveys (feedback), 148 360° multisource feedback, 150 Standards, national guidelines, 151 Working with a mentor, 151 Working with a coach, 152 Appendix A Personal development plan template, 154 Appendix B Patient engagement questionnaire, 156 Appendix C Influencing skills questionnaire – 360° colleague feedback, 157 Chapter 10 Supporting colleagues who struggle, 160 Being non‐judgemental, 160 Listening, 160 Paraphrasing, 161 Questioning, 161 Guiding, 161 Reflective practice/writing and learning, 161 Working one to one, 172 Force field analysis, 176 Neurological levels, 177 Conclusion, 181 Index, 183