Training activity: 21

Details

Lead the planning of a complex segmental (analogue) orthognathic bimaxillary surgical case

Provide the multidisciplinary team with a comprehensive plan, design and manufacture the surgical occlusal splints

Type

Developmental training activity (DTA)

Evidence requirements

Evidence the activity has been undertaken by the trainee​.

Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.

An action plan to implement learning and/or to address skills or knowledge gaps identified.

Considerations

• Patient centred care and support
• Indications for treatment
• Information requirements to complete the device
• Device design, material selection and manufacture custom medical devices
• Manufacture protocols and device risk assessment
• Patient expectations and experience
• Clinical fitting procedure
• Care and use instructions
• Requirements of each of the stakeholders in the multidisciplinary team
• Psychological, aesthetic and functional nature of the dento/skeletal deformity and its impact on the patient
• Potential errors
• Communication with the patient and family/carers
• Impact of plan/design on patient quality of life
• Patient safety, dignity and confidentiality
• Complications and onward referral

Relevant learning outcomes

#	Outcome
# 1	Outcome Deliver quality patient centred care with the best interests of patients in all elements of practice.
# 2	Outcome Practice in accordance with local and national health and safety policies, regulatory requirements and overall service governance.
# 3	Outcome Communicate effectively with patients, relatives, healthcare professionals and other stakeholders.
# 4	Outcome Identify patients who need further specialist support and refer to the appropriate healthcare specialist.
# 5	Outcome Analyse and interpret patient investigations, multimodal imaging and information.
# 6	Outcome Perform clinical investigations, formulate treatment plans and manufacture medical devices to a safe clinical standard.
# 7	Outcome Prepare surgical treatment plans for complex head and neck surgery.
# 8	Outcome Select appropriate biomedical materials and components/instrumentation used in the treatment of patients and the manufacture of custom-made medical devices.
# 9	Outcome Practice in partnership with other clinical specialisms as part of a multidisciplinary team and understand their roles and their impact on patient care and pathway.
# 10	Outcome Apply the principals of a quality management system to their professional practice.
# 12	Outcome Assess and interpret patients’ needs to provide customised treatment dependent on medical, physical, social and psychological requirements.