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Royal Medical Services Professional Training Division Logbook for Pedodontics

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Royal Medical Services

Professional Training Division

Logbook for Pedodontics

Explanatory Notes

This is an important document. The logbook is an integral part of basic training

and it will provide a record of your experience and your academic and educational

activities. It will be part of your assessment as you move through basic training

and it will be required for the final year of residency and Board examination.

This logbook is intended to be a record of all procedures you perform or

participate in as part of your training.

Training Posts Held

On this page you are required to list, in chronological order, the posts which you

have held during residency program at the completion of each post, the trainer or

consultant to whom you have been attached must sign to indicate that you have

satisfactorily completed the post. When you apply to sit the final assessment, the

trainer or consultant with whom you are attached will verify that the log book is

complete and authenticated.

Educational and Academic Activities

You must record the fact that you have sat for and succeeded the basic board

examination. A copy of the Jordan Medical Council Primary board certificate

should be included with your logbook. On this sheet, records of attendance at

other training courses, meetings, and lectures should be recorded. It is not

intended that you record educational activities within the unit to which you are

attached. Publications and other personal contributions should be included as

well as any involvement in research projects.

The logbook is divided into numbered segments, corresponding to the training

posts held. Details of your record of practical procedures should be completed for

each of these posts. There is a consolidation page to summarize the record of

procedures performed.

Personal details:

Full Name in Arabic:

Full name in English:

National number:

Start date of your residency program:

Your signature: _________________________

Head of the Department: _____________________________

Signature & Stamp: ______________________ Date: ___________

Training Posts Held

Post Number

Hospital Residency Year

Start Date Finish Date Consultant Consultant signature

1st

2nd

3rd

4th

5th

6th

7th

8th

9th

10th

11th

12th

13th

14th

15th

16th

17th

18th

19th

20th

This form should only be signed by the consultant or trainer at the end of the post, provided that the trainee has

finished the period of the training satisfactorily.

Educational and Academic Activities

Mandatory Certificate (s):

Jordan Medical Council First Part Board Examination Certificate:

Date of Issuing the Certificate:

Certificate Number:

Other Courses:

Course Date Location Course Director

Other activities, including CME hours:

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Pedodontics curriculum

The duration of the program is a 3 years full time training program, upon

successful completion of all requirements the trainees will be eligible to sit for the

final Jordan board exam, and once the exam is passed successfully the Jordan

board certificate will awarded.

Theoretical requitement:

First year

I. Human Physiology

1. Calcium and Phosphorus Metabolism and Physiology of Bone

Function of metabolism of Ca.

Function of metabolism of P.

Hormones regulate Ca and P metabolism.

2. Physiology of Nerve + Synaptic and Junctional Transmission

Histology: structure of nerve.

Nerve impulse.

Membrane potential.

Excitability.

All or None principle.

Salutatory conduction.

Speed of nerve impulse.

Conduction across synapses.

Excitatory transmission.

Inhibitory transmission.

Neurotransmitters.

3. Physiology of Muscle

Types.

Physiology of contraction.

Sliding filaments theory.

Neuro muscular junction.

Energy for contraction.

Muscle length and force of contraction.

All or None principle.

Kinds of contraction.

4. Energy metabolism

5. Metabolism

Carbohydrate: fate of carbohydrate

glucose catabolism

glucose anabolism : glycogensis

glycogenolysis

gluconeogensis

Lipid: fate of lipids

Fat storage glycerol

lipid catabolism fatty acids

lipid anabolism lipogenesis

Protein: fate of protein

protein catabolism

protein anabolism

6. Nutrition:

Essential dietary components.

Caloric intake and distribution.

Mineral requirements.

Vitamins.

7. Physiological function of thyroid gland:

Formation, storage and release of thyroid hormones.

Function and control of thyroid hormones.

8. Physiological function of adrenal gland:

Adrenal cortex: mineralcorticoids

glucocorticoids

gonadocorticoids

Adrenal medulla: epinephrine

nor epinephrine

9. Control of adrenal hormones

10. Physiological function of pituitary gland

Hormones of adenohypophysis

Hormones of neurohypophysis

Control of pituitary hormones

Physiological function of gonads

11. Gastrointestinal secretion

Mouth saliva

Esophagus

Stomach gastric juice and hormone stomach gastrin

Pancreas as endocrine and exocrine liver

Gall bladder

Intestine enzymes and hormones

Digestion of carbohydrate, protein, fat, nucleic acid

Absorption of carbohydrate, protein, fate, water and electrolytes

Vitamins

12. The circulatory system

Blood

Lymph

Immune mechanism

13. The heart as a pump

Conduction system

Blood flow through the heart

Cardiac cycle

Cardiac output

Electrocardiogram

14. Respiration

Pulmonary function

Gas transport between lungs and tissues

Regulation of respiration

15. Renal function

Glomerular filtration

Tubular reabsorption

Tubular secretion

Formation and excretion of urine

16. Saliva

Production

Chemical characteristics (pH)

Function

17. Mastication and deglutition

Requirements of proper mastication

Stages of deglutition

18. Dental caries

Causes

Theories

Prevention

II. human anatomy

1. Embryology of head and neck

Pharyngeal aches

Pharyngeal pouches

Pharyngeal clefts

2. Development and growth of:

Face

Jaws

Teeth

Tongue

Palate

Thyroid gland

3. The skull

4. Fascia of the neck

5. The posterior triangle of the neck

6. The anterior triangle of the neck

Muscles

Thyroid and parathyroid glands

7. Trachea and larynx

8. Oesophagus

9. The suprahyoid region

1o. The side of the neck

11. The root of the neck

12. The scalp and the muscles of the face

13. Cranial nerves

14. Blood supply of the face:

Arterial blood supply

Venous drainage

Lymphatic drainage

15. Nerve supply of the face:

Sensory

Motor

Parasympathetic

16. Contents of the infratemporal fosse

17. Carotid artery and its branches

External carotid

Internal carotid

18. The nose and paranasal sinuses

19. Anatomy of the mouth:

Tongue, Hard and soft palate, floor of the mouth

20. Enamel

Development

Composition and structure

21. Dentine

Development

Composition and structure

22. Pulp

23. Cementum

24. Periodontal membrane

25. The alveolar bone and jaws

Structure and changes

26. The mucous membrane of the mouth

27. Teeth eruption and shedding

III. Human PATHOLOGY

1. Cell and tissue damage

Degeneration

Changes associated with accumulation of water

Changes associated with accumulation of fat

Chemical consideration of cell damage

Cell death and necrosis

Types of necrosis

Changes in necrotic tissue

2. Acute inflammation

Causes

Changes : vascular response

Inflammatory exudate

Local sequelae of acute infection

3. Chronic inflammation

Causes

Classification

Features and components of chronic inflammation

General effects of chronic inflammation

4. Wound healing

Causes of tissue destruction

Aspects of healing process

Healing by primary intention

Healing by secondary intention

Regeneration

Organization

Factors affecting wound healing

Healing of skin wound fracture

Healing of dental extraction wound

Complications of wound healing

5. Infection

Body defences against infection

Body response to infection

6. Some important bacterial infections

Pyogenic

Anaerobic

Mycobacterial

Spirochetal

7. Mycoplasmal infections

Chlamydial infections

Rickettsial infections

8. Immune response

Non specific immunity

Specific immunity

Humoral immunity

Cell mediated immunity

Antigen antibody union

Factors influencing antibody production

Functional steps in the immune response

Hypersensitivity reaction

Some autoimmune diseases

9. Viral infection

Viruses, general properties, classification

Chemical constituents

Life cycle and reproduction

10. Some important viral diseases

Hepatitis

Mumps

Herpes viruses

Immunity to viral infections

11. Disorders of growth

Excessive growth

Hyperplasia

Pseudoneoplastic hyperplasia

Hypertrophy

Diminished growth

Atrophy

Abnormalities of cellular differentiation

Metaplasia

Dystrophy

12. Neoplasia

Definition

Possible causes

Classification (Benign-malignant), (Canciroma-sarcoma)

Stages of carcinogenesis

Spread of malignancy

Effect of benign and malignant tumours

Pre-malignancy

13. Ionizing radiation

Effects of radiation on the body

Effects of total body irradiation

Radiotherapy

14. Disorders of circulation

Active hyperaemia

Venous congestion

Ischemia – thrombosis

Embolism

Haemorrhage

Oedema

15. Fever and hypothermia

Mechanism of temperature regulation

Fever: clinical features – pathogenesis

Hypothermia: infants

Adults

16. Metabolic disorders

Diabetes mellitus

Gout

Disorders of Ca. Metabolism

17. Diseases of endocrine glands

Hyperthyroidism

Hypothyroidism

Disease of hypothalamus

Disease of adrenal gland (Cushings Syndrome)

Disease of pituitary gland (hyper and hypo secretion)

Hyperparathyroidism – hypoparathyroidism

18. Disease of bone-muscle of joint

Bone - developmental anomalies

Fractures

Infections

Metabolic disorders

Muscles - inflammation

Atrophy

Muscular dystrophy

Myasthenia gravis

Joint - Acute arthritis

Tubercles arthritis

Ankylosing spondylitis

Osteoarthritis

Specific disease of TMJ

19. Some skin diseases with oral manifestation

Dermatitis and eczema

Papulesquamous eruptions

Vesiculobollus disease

Intra epidermal vesicles

20. Diseases of the heart

Congenital : etiology

Signs and symptoms

Individual lesions of chronic heart diseases

Acquired heart disease

Hypertensive heart disease

Rheumatic heart disease

Endocarditis

Valvular heart disease

Heart failure

21. Diseases of the liver

Function of the liver

Degenerative conditions

Fatty changes

Hepatic necrosis

Alcohol and the liver

Hepatitis

Cirrhosis

Jaundice

22. Disease of the salivary glands

Developmental anomalies

Infection (bacterial and viral)

Obstruction and traumatic lesions

Salivary duct fistula

Mucocele

Functional disorders

Xerostomia

Sialosis

Sjogrens and Sicca syndrome

23. Amyloidosis

Classification of amyloid disease

Effects of amyloid disease

Nature and pathogenesis of amyloid

24. Disorders of the blood

Anaemias

Polycythaemia

Neutrophilia

Neutropenia

Lymphocytosis

Monocytosis

Eosinophilia

Leukaemias

Multiple myeloma

Bone marrow aplasia

Agranulocytosis

Haemorrhagic disease

25. Shock and Haemorrhage

Haemorrhage: causes

Types

Effects

Shock: Primary

Secondary

26. Diseases and tumours of the oral mucosa

White lesions of oral mucosa

Ulcerative lesions of oral mucosa

Pigmented lesions of oral mucosa

Benign tumours of epithelial and connective tissue

Malignant tumours of epithelial and connective tissue

27. Salivary gland tumours

Benign: Pleomorphic adenoma

Monomorphic adenoma

Cystadenolymphoma

Maligant: Adenocarcinoma

Malignant pleomorphic adenoma

Adenocystic carcinoma

Acinic cell carcinoma

28. Diseases of blood vessels

Diseases of arteries

Diseases of veins

Diseases of capillaries

IV. Pharmacology 1. Analgesic

2. Antimicrobial

Mechanism and action

Second year

1.child development

2.Craniofacial growth and development

3. infection control

4. behavior management

5. history taking ,diagnosis and treatment planning for dental child patient

6. prevention of dental disease :nutrition, infant oral care, sealants, fluoride

therapy, dietary counseling

7. restorative dentistry

8. dental material

9. development of dentition

10. dental trauma

11. pulp biology and therapy for primary and young permanent teeth

12. oral histology

13. oral pathology

14. oral sugery

15. dental anomalies

16. periodontology in children

17. radiology: applied radiation physics, radiation hygiene ,radiograph analysis

and interpretation

18. pharmacology in pediatrics: local anesthesia, analgesia, antibiotics, other

medication commonly encountered in pediatric patients

Third year:

1. Guidance of the developing occlusion: normal occlusion, normal development, space management , acive tooth movement, interceptive orthodontics , oral habits and therapy, analysis of occlusion, appliance biomechanics

2. craniofacial syndromes

3. child abuse and neglect

4. conscious sedation and procedures and monitoring

5. hospital dentistry

6. emergency medicine

7. special care patients : medical and dental management

8. temporomandibular joint function / dysfunction

9. jurisprudence , risk management and ethics

10. research design

Clinical requirements :

Minimum Requirements for eligibility of finishing residency program in pediatric dentistry in

Royal Medical Services of Jordan Armed forces

Procedure Number 1st

year

2nd

year

3rd

year

Unit Notes

Pulp therpay primary (pulpotomy, IPT,

pulpectomy--)

200 at least

150

pulpotomy

50 75 75

Tooth

Pulp therapy permanent

(pulpotomy, root end

closure, RCT,

regeneration--)

50 15 15 20 Tooth

Extracoronal restoration

200, at least

50

permanent

50 75 75

Tooth

Intracoronal restoration

100

30 30 40

Tooth

Prevention#

200

50 75 75 case

Space management

*(maitainers, regainers)

50 10 20 20 case

Interceptive orthodontics

*(cross bites, derotation,

habit breakers, functionals,

sectionals--)

20 - 10 10 case

Dentoalveolar truama*

30 5 10 15 case

Sedation (RA, Enteral,

50 at least 20

oral

- 10 40 case

Medically compromised **

10 - 5 5 case

Dental rehabilitation under GA; observation **

30 - 10 20 case

Dental rehabilitation under

GA; Observation

50 10 40

Admission and discharge

50 10 20 20 case

Referals

10 - 5 5 case

Interdisciplinary

15 - 5 10 case

Structural defects

5 - 2 3 case

In addition to the above, candidates have to present proof that they have at

least 200 patients under their care during the residency/training program

Candidates have to present a basic life support (BLS) certificate within the previous two years # preventive cases should contain individually taillored preventive

programs with all components properly applied to individual cases based

on caries risk

*At least 12 months follow up

** cases with effect on dental treatment or dental implications

Proof of the above requirements has to be supported by a summary log

book properly signed and authenticated by the training center(s).

Summary log-book

Pediatric dentistry

Category

Procedure No. Signature

PULP PRIMARY

Pulpotomy primary

Pulpectomy primary

IPT primary

Total

PULP PERMANENT

Pulpotomy permanent

Pulpectomy permanent

IPT permanent

Root end closure

Regeneration

Total

RESTORATION

Intracoronal primary

Intracoronal permanent

Extracoronal primary

Extracoronal permanent

Total

DENTO ALVEOLAR TRAUMA

Space maintainers

Space regainers

Total

NTERCEPTIVE ORTHODONTICS

Functional appliances

Sectional fixed appliances

Habit breakers

Removable appliances

Total

Fissure sealant

Preventive resin restoration

Diet councelling

OHI

Risk assessment and management

Fluorides and other caries control procedures

Total

Sedation

Nitrous oxide (RA)

Oral Sedation

Combination

Total

Medically compromised*

Total

Hospital dentistry

Admission and discharges

Referrals

Dental rehabilitation under GA; treatment

Dental rehabilitation under GA; observation

Total

Interdisciplinary

With orthodontics

With surgery and OM

With prosthetics

With perio

Total

Structural defects*

*Indicate details

Case presentation

Each candidate has to present the following cases to the examination committee

two weeks before the exam with complete records

Case Number Follow up Cases with early childhood caries or multiple 2 12 months carious lesion in the primary or mixed dentition Deto-alveolar Trauma 2 18 months Interceptive orthodontics 2 12 months Medically compromised 1 12 months

Procedure Log

Date Patient’s

name

Case diagnosis Procedure Mentor’s

signature

Patient’s Name: ______________ Age: _________ Gender:_______

Chief Complaint:

________________________________________________________________________

_______________________________________________________________________

Medical History:

________________________________________________________________________

________________________________________________________________________

Dental History:

________________________________________________________________________

____________________________________________________________

Extra-oral Examination:

________________________________________________________________________

____________________________________________________________

Intra-oral Examination:

________________________________________________________________________

____________________________________________________________

Vitality Testing:

________________________________________________________________________

Radiographic Findings:

________________________________________________________________________

Diagnosis:_______________________________________________________________

_____________________________________________________________________

Treatment Plan:

________________________________________________________________________

____________________________________________________________

Journal club

Date Title Mentor’s

signature

Courses, workshops, meetings – Log

Date Title Mentor’s

signature

Summative evaluation:

5: excellent 4: very good 3: good 2: poor 1: unacceptable

Clinical and technical skills 5 4 3 2 1

Problem identification

Patient management

Emergency treatment

Procedure skills

Descriptive evaluation :

Personal and professional maturity 5 4 3 2 1

Punctuality

Emotional and professional maturity

Relationship with other medical personnel

Appling ethical principls in patient care

Communication skills

Descriptive evaluation :

5 4 3 2 1

Overall performance

Descriptive evaluation :

Recommended to sit for exam: Yes No

If No why:

The resident eligibility for exam should include:

1. Overall evaluation should not be less than 3

2. Lack of any documented misconduct or unethical behavior

Supervisor name and signature ___________________________________________________

Program director signature _____________________________________________________

Chief of department name and signature ___________________________________