What artefacts constitute clinical records course for Dental Practitioners
The clinical record is not restricted to what is written in the clinical notes. This session looks at what also constitutes clinical records and how these can be kept safely for the required period of time. The benefits and drawbacks of computerised systems are also explored.
Learning objectives
By the end of this session you will be able to:
- list the artefacts that also constitute a clinical record
- describe how these might be stored safely
- discuss the relative merits and drawbacks of computerised systems
- identify how to minimise any potential drawbacks of keeping computer records
- evaluate what needs to be kept, for how long and what constitutes safe storage
Together with the detailed patient records described in the e-Den session Patient assessment/The patient’s profile/What should be recorded in clinical notes, these also constitute clinical records.
Before commencing this session you should:
- complete the e-Den session Patient assessment/The patient’s profile/The importance of good record keeping
- complete the e-Den session Patient assessment/The patient’s profile/What should be recorded in clinical notes
- have a basic knowledge of what constitutes a good patient record
- have a basic knowledge of the General Data Protection Regulation
After qualifying Pat combined general practice with part time oral surgery teaching posts at Manchester and Guys.
She was a founder member and Deputy Chief Dental Officer of Denplan, combining this with part time general practice. Pat was instrumental in the development and implementation of Denplan’s much admired quality and training programmes.
Pat is currently Clinical Director at Oasis Healthcare and the Course Director of the FGDP Certificate in Appraisal of Dental Practices.
She has had a life long interest in helping dentists keep good clinical records and is the author of the record keeping section of the FGDP Key Skills modules.
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