02 DID Regulations

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Diploma in Implant Dentistry of the Royal Collegeof Surgeons of Edinburgh (Dip Imp Dent RCSEd)

March 2009

Revised with effect from January 2010

Regulations

Contents Page

1. Introduction2. Purpose of the examination3. Structure of the examination4. Entrance requirements

5. Eligibility for the award of the Diploma6. Application for admission to the examination7. Results8. Feedback9. Limitations on the number of attempts10. Infringement of the regulations11. Appeals and complaints12. Withdrawal from the examination13. Candidates with special circumstances14. Exemptions15. Proof of identity at the examination16. Diploma certificate

17. Curriculum18. Appendix A - Learning outcomes


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1. Introduction

1.1 This document contains the Regulations for the Diploma in Implant Dentistry of the RoyalCollege of Surgeons of Edinburgh.

Further information can be obtained from the Examinations Section:Examinations SectionThe Royal College of Surgeons of Edinburgh3 Hill PlaceEdinburgh EH8 9DSPhone +44 0131 527 [email protected]

1.2 All parts of the examination are conducted in English.

2. Purpose of the Examination

2.1 The Diploma in Implant Dentistry of the Royal College of Surgeons of Edinburgh is anassessment of core knowledge and competence in the field of implant dentistry. It is intended totest the candidates competency at a level expected of a general practitioner with a particularinterest in implant dentistry and will include aspects of minor augmentation. The Diploma is notintended to test the candidates competency or detailed knowledge of the more advancedprocedures such as major bone grafting (block onlay grafting), sinus grafting or full archprosthodontic rehabilitation.

Aims

To allow the candidate to demonstrate a core knowledge of implant dentistry

To allow the candidate to demonstrate a level of competence in the planning andexecution of dental implant treatment

3. Structure of the Examination

3.1 The Examination consists of three parts which must all be passed independently. All partsshould normally be passed at the same time. For exception please view item 14.2 of theseRegulations.

The examination will be held in the UK and overseas according to demand.

3.2 Part 1: Written Examination

This examination consists of two written papers, each of 90 minutes duration:

3.2.1 Paper 1 consists of multiple choice questions (single best answer type) and extendedmatching questions.

3.2.2 Paper 2 consists of multiple short answer questions.

3.3 Part 2: Objective Structured Clinical Examination (OSCE)

3.3.1 This examination consists of an Objective Structured Clinical Examination (OSCE) of 90minutes duration.
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3.4 Part 3: Case Presentation and Structured Oral Examination

3.4.1 This examination consists of an assessment of case presentations. Four cases will besubmitted for consideration at least one with multiple implants and at least one other with morethan 12 months documented follow-up. Cases that were started more than five years before theexamination date cannot be submitted. The case presentations must be submitted online by theclosing date. There will be a 30 minute structured oral examination which will examine the

candidate on selected case presentations.

4. Entrance requirements

4.1 To be eligible to enter for the Diploma examination all candidates must provide certifiedevidence of:

4.1.1 Possession of a primary dental qualification that is acceptable to the Council of the RoyalCollege of Surgeons of Edinburgh.

4.1.2 Having been working as a qualified dentist for at least three years, including the completionof 36 months full-time postgraduate experience in dentistry (general practice, hospital,community, academic, armed forces). Normally, equivalent part-time experience will beacceptable if gained within a period of six years.

4.2 Submission of a Log Book record of implant-related activity. The Log Book shoulddemonstrate a broad range of activity over a period of at least 12 consecutive months. Activitymust be recorded on the standard format record sheet and according to the guidelinesrecommended in the Guidance for Candidates document. The completed Log Book andsummary sheet must be submitted to the College by the closing date. The Log Books will beexamined to ensure that a range of experience is demonstrated. Candidates who fail to showthis adequately may not be considered as eligible to enter for the Diploma examination.

4.3 Submissionof all four of the four completed case presentations before the application toenter the examination can be considered. The procedure for submission is detailed in Section 4of the Guide to Candidates.

4.4 Submission of the Candidate and Patient Declaration Form(Appendix B).

5. Eligibility for the award of the Diploma

5.1 To be eligible for the award of the Diploma all candidates must provide evidence of havingcomplied with all parts of the Regulations and passed the examination.

6. Application for admission to the examination

6.1 Applications for admission to the examination must be made online through the Collegewebsite or fully completed on paper and sent to the College with the required certified evidenceand accompanied by the full amount of the fee payable for the examination. They must includethe Case Presentations and completed Log Book (including summary sheet).

6.2 Applications for the examination must be received by the closing date specified in theexaminations calendar. Applications received after the closing date will not normally beprocessed.

6.3 Postal applications for the examination should be sent to the Examinations Section of theCollege. For detailed information on submission of case presentations please refer to item 2.3.3

of the Guide to Candidates. Further information regarding the examination can be downloadedfrom the College Websitewww.rcsed.ac.ukor obtained from this address:
http://www.rcsed.ac.uk/http://www.rcsed.ac.uk/http://www.rcsed.ac.uk/http://www.rcsed.ac.uk/


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Examinations SectionThe Royal College of Surgeons of EdinburghThe Adamson Centre3 Hill PlaceEdinburghEH8 9DSScotland

Telephone No +44 0131 527 [email protected]

7. Results

7.1 Results will be posted on the College website and distributed by post.

8. Feedback

8.1 Candidates will be given written feedback on their performance as appropriate and whererequested.

9. Limitations on the number of attempts

9.1 There is no limit on the number of times a candidate may apply to sit the Diploma as long ashe/she complies with all parts of the Regulations.

10. Infringement of the Regulations

10.1 The College may refuse to admit to the examination, or may not allow to proceed with theexamination, any candidate who infringes any of the regulations or who is considered by theexaminers to be guilty of behaviour prejudicial to the proper management and conduct of the

examination. Examples of such infringements are as follows:

10.1.1 Entry to the examination being attempted by making false claims about eligibility orfalsifying entry documentation, including the submission of case presentations or a Log Bookcontaining plagiarized or incorrect content. The College reserves the right to make checks tovalidate any information or documents supplied by the candidate.

10.1.2 Unfair advantage being sought or obtained: by possession of material during anexamination that might give advantage (including electronic communication devices); byplagiarism of any description; by communicating or attempting to communicate with anothercandidate once the examination has commenced; or by refusing to follow instructions given byexaminers or examinations staff regarding the conduct and procedure of the examination;

10.1.3 Removal of, or an attempt, to remove from the examination room, any confidentialexamination material;

10.1.4 Any attempt to obtain confidential information relating to the examination from anexaminer or examination officials;

10.1.5 Passing confidential information on the content of the examination to a third party.

10.2 This list is not exhaustive. Further information can be obtained from the guidelines onsuspected malpractice available on the College Website.
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11. Appeals and Complaints

11.1 Candidates wishing to lodge an appeal or complaint must do so in accordance with theCollege Examinations Complaints and Appeals Procedures. The full procedural document canbe downloaded from the College website atwww.rcsed.ac.ukor obtained from:

Examinations Section

The Royal College of Surgeons of Edinburgh3 Hill PlaceEdinburghEH8 9DSTelephone No +44 0131 527 [email protected]

12. Withdrawal from the examination

12.1 Any candidate who wishes to withdraw an application for admission to any part of theexamination must submit a request in writing to the College. A refund of the fee paid may bemade (less an administrative fee of 20%), provided that notice of an intention to withdraw isreceived by the Examinations Section before the closing date by which applications are due, asshown in the examinations calendar. Refunds are not normally made to any candidate whowithdraws after the closing date.12.2 Any candidate who wishes to withdraw an application for admission to any part of theexamination on medical grounds and request a refund must submit a request in writing to theCollege, accompanied by a medical certificate. An application for consideration of a refund oncompassionate grounds should be supported by full details, plus a supporting letter from anappropriate professional. Each such application must be submitted to the Examinations Sectionwithin 28 days following the date of the candidates programmed examination date.

12.3 The College reserves the right to review admission to the examination on an individualbasis in exceptional circumstances.

13. Candidates with Special Circumstances

13.1 Special examination and other assessment arrangements may be made for candidates withpermanent or temporary disability. These arrangements are intended to allow candidates toperform to the best of their ability. It is the responsibility of the candidate to notify theExaminations Section when they submit their application of any special circumstances.Applications for special consideration must be supported by written evidence in the form of amedical report from their General Practitioner for medical conditions (an educationalpsychologist's report is required for requests for extra time because of dyslexia). The policy can

be viewed on the College website: www.rcsed.ac.uk

14. Exemptions

14.1 No applications for exemption from any part of the examination will be considered.

14.2 Exemption from Part 3 of the examination (Case Presentations) will only be granted tocandidates who fail the Diploma in Implant Dentistry Examination of the Royal College ofSurgeons of Edinburgh but obtain a pass mark in Part 3 of the examination. This exemption willnormally be restricted to the examination diet immediately following the first unsuccessfulattempt.
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15. Proof of Identity at the Examination

15.1 Candidates must bring their passports to each part of the examination. Exceptionally,candidates who are not in a position to provide a passport must produce an official documentthat includes their name, signature and a current photograph e.g. current photographic drivinglicence.

15.2 For the purposes of visual identification, any candidate sitting the examination may berequired to remove any clothing and/or other item which covers all, or part of, the candidatesface. The College will observe sensitivity in the visual identification of candidates.

16. Diploma Certificate

16.1A candidate who passes the examination shall be entitled to the designation of Diplomate inImplant Dentistry of the Royal College of Surgeons of Edinburgh (Dip Imp Dent RCSEd) andshall receive a Diploma bearing the Seal of the College signed by the President, Dean andConvener and Secretary to the College. The form of the Diploma shall be as follows:

The President and Fellows of the Royal College of Surgeons of Edinburgh hereby grant theDiploma in Implant Dentistry to . who has passed the necessary examination

The ceremonies for the presentation of diplomas are normally held four times a year.

17. Curriculum

17.1 The curriculum for the Examination is defined by the Learning Outcomes.

18. Learning Outcomes (Appendix A)

18.1 The list is intended not to be prescriptive but to give candidates a guide to the topics that

may be included.

18.2 It is important to note that the examination is not a specialist examination and that the levelof knowledge expected in any area will not exceed that which would be expected of a dentistwho has three years experience of clinical dental practice together with a particular interest inimplant dentistry.


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Appendix A

Aims and Learning Outcomes for the Diploma in Implant Dentistry,The Royal College of Surgeons of Edinburgh

The Diploma in Implant Dentistry of the Royal College of Surgeons of Edinburgh is anassessment of core knowledge and competence in the field of implant dentistry. It is

intended to test the candidates competency at a level expected of a general practitionerwith a particular interest in implant dentistry and will include aspects of minoraugmentation. The diploma is not intended to test the candidates competency ordetailed knowledge of the more advanced procedures such as major bone grafting (blockonlay grafting), sinus grafting or full arch prosthodontic rehabilitation.

Aims

To allow the candidate to demonstrate a core knowledge of implant dentistry

To allow the candidate to demonstrate a level of competence in the planning andexecution of dental implant treatment

Learning Outcomes

What the Candidate is able to do

1. Clinical Assessment Skills

For the patient presenting with an established or anticipated need for tooth replacement,the candidate should be able to:

Elicit and record a comprehensive medical and dental history

Understand the relevance of the case history to the individual case

Complete a thorough extra-oral and intra-oral examination, including detailedassessment of the teeth, restorations, periodontal tissues, oral mucosa, residual alveolarridges and aesthetic requirements

Assess the occlusion and its relevance in relation to the treatment proposed

Recognise the need for appropriate further investigations.

Be able to request and interpret appropriate investigations and write a report of thefindings

Collate and interpret the information gathered in the history and examination process andarrive at the correct diagnoses

Arrive at a considered prognosis for the remaining dentition

Communicate clearly to the patient, both verbally and in writing, the findings of theexamination, the diagnosis and treatment options

Show an awareness of the evidence base relating to the different options consideredincluding dental implants

Produce a treatment plan considering all options for tooth replacement and thepreventive, functional, aesthetic, psychological and financial requirements of the patient

Understand the interface between implant dentistry and other clinical disciplines

Understanding the differences between fixed and removable implant prostheses

Evaluate the options of both fixed and removable implant prostheses

Understand the current evidence in relation to the different types of implant placementtechniques

Consider and recommend the timing of implant placement and restoration Obtain valid consent for the proposed treatment

Provide or refer for appropriate allied treatment.


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Re-evaluate the clinical situation prior to implant therapy

Recognise and refer cases of a complexity that are beyond the scope of theircompetence

2. Practical Procedures

For the patient requiring implant therapy, the candidate should be able to:

Obtain all records necessary to mount and evaluate study casts and prescribe diagnosticwax-ups

Demonstrate an understanding of the use of the diagnostic wax-up in the construction ofradiographic and surgical guides

Order fabrication of appropriate radiographic templates

Prescribe and interpret appropriate radiographs

Plan in detail the placement of implants

Demonstrate the transfer of planning information to the surgical procedure via the use ofappropriate guides

Select the appropriate form of anaesthesia and manage patient anxiety

Maintain infection control and follow an appropriate aseptic surgical protocol Design appropriate mucoperiosteal flaps

Understand the different types of bone defects and how to manage these

Understand the different types of grafting materials and barriers used for minoraugmentation and their application to implant treatment

Carry out surgical implant placement which may involve minor local augmentationprocedures for the repair of small dehiscence and fenestration defects

Understand the principles of soft tissue handling and wound closure

Provide postoperative care and advice, including the prescription of analgesia andantibiotics as appropriate

Demonstrate an understanding of the management of intra-operative and peri-operative

complications Assess the outcome of implant placement with respect to the treatment plan

Understand the following treatment with respect to restoring dental implantso Provisional restorationso Abutment selectiono Impression techniqueso Jaw registrationo Laboratory prescriptiono Try in and adjustmento Final prosthesis delivery/fit

Carry out the following treatment with respect to restoring dental implantso Provisional restorationso Abutment selectiono Impression techniqueso Jaw registrationo Laboratory prescriptiono Try in and adjustmento Final prosthesis delivery/fit

Plan and implement an appropriate maintenance and re-evaluation programme

Demonstrate an understanding of the management of complications during restorativetreatment and throughout the maintenance programme


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3. The scientific basis of implant dentistry

The candidate should be able to demonstrate knowledge of:

Clinical Implant Dentistry

Anatomyo Detailed knowledge of the mandible, maxilla and related structures

Pathologyo Hard and soft tissue disease affecting implant treatment

Bio-mechanicso Bone and implant componentso Implant design and surfaces

Physiology and Histologyo Wound healingo Bone physiology and osseointegrationo Soft tissue integration

Applied Dental materialso Implant component materials

o Impression materialso Restorative materials

Applied Pharmacologyo Local anaesthetics, analgesics and antibiotics

Radiologyo Dental imaging techniqueso Regulations relating to ionising radiation

4. Appropriate attitudes to professional and clinical practice

The candidate should demonstrate the ability to:

Reflect on their clinical practice Maintain good clinical records

Understand the importance of informed consent

Reflect on their professional and clinical standards

Locate and evaluate the scientific literature and the evidence base relevant to implantdentistry

Analyse personal needs in respect of continuing professional development and life-longlearning

NOTE: These Regulations are under continual review therefore it is recommended thatcandidates keep in regular contact with the College to ensure that they have the most up-

to-date information. The Examinations Section will be able to advise you:

Examinations SectionThe Royal College of Surgeons of EdinburghThe Adamson Centre3 Hill PlaceEdinburghEH8 9DSScotlandTelephone No +44 0131 527 [email protected]
http://www.rcsed.ac.uk/http://www.rcsed.ac.uk/http://www.rcsed.ac.uk/

Documents

02 DID Regulations