Training activity: 3

Details

Plan design and manufacture custom fixation devices for the management of complex mandibular fractures in the elderly, minimally dentate/edentulous patients and evaluate against treatment goals

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
• Pre surgical planning using imaging, analogue models and a 3D model
• The information required prior to manufacture
• Device design, material selection and manufacture custom medical devices, e.g. gunning splints and arch bars with acrylic saddles
• Manufacture protocols and device risk assessment
• Use of the devices in theatre for inter-maxillary fixation and reduction
• Design, production and use of surgical occlusal guides
• Surgical fixation options, e.g. wiring or plating
• Evaluation of planned patient outcome
• Impact of plan/design on patient quality of life
• Communication with the multidisciplinary team
• National guidance and external resources for complex fracture management

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.
# 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.