How to Survive Dental Performance Difficulties

JANINE BROOKS MBE, DMedEth, MSc, FFGDP(UK), MCDH, DDPHRCS, BDS, FAcadMEd, is a Lead Clinical Tutor at the University of Bristol; Educational Inspector for the General Dental Council; Trustee of the Dentists' Health Support Trust; Coach for the Professional Support Unit, Thames Valley; CEO of Dentalia Coaching and Training Consultancy; Director of the Dental Coaching Academy and co-founder of Dental Mentors UK.

• Foreword, ixAcknowledgements, xiAbbreviations, xiiiChapter 1 The basics of performance, 1Introduction, 1What is performance? 3What is poor performance? 6Fitness to practise, 9Red door/green door, 10Chapter 2 Background and contributory factors: How performance issues can arise, 13Introduction, 13Pressures on dentists, 14Factors that underpin poor performance, 15Chapter 3 Professionalism, 27What is professionalism? 27What does professionalism encompass? 30How should a professional behave? 30Societal expectations of professionals, 31Character, 32Building blocks of character, 33Ethical frameworks within which professionals operate, 34How does character relate to professionalism? 36Tests of integrity, 36Virtue ethics, 37Honesty and dishonesty, 38Communication, 42Criminal record, convictions and cautions, 43Scotland, 45Protected conviction or caution, 45Chapter 4 Regulation of dentistry and dental professionals, 48Regulation, 48General Medical Council, 49General Pharmaceutical Council, 50General Dental Council, 50Registration, 51NHS England, 52Care Quality Commission, 53Healthcare Inspectorate Wales, 54Scotland, 54Northern Ireland, 55Professional Standards Authority, 56Regulation of Dental Services Programme Board, 57Health and Safety Executive, 58Medicines and Healthcare Products Regulatory Agency, 59Right‐touch regulation, 60Chapter 5 Organisations that play a supporting role, 63Specialist indemnity providers, 63Educational support, 64Health support, 67Mentoring/professional support, 68Advisory support, 69Conclusion, 70Chapter 6 The anatomy of a fitness to practise case, 72Introduction, 72Fitness to practise, 74General Dental Council, 74Fitness to practise process, 75Interim Orders Committee, 77Investigating Committee, 77Practice Committees, 78Sanctions, 78Convictions/cautions, 82Analysis, 83Erasure, 86Conclusion, 91Chapter 7 The registrant’s journey, personal statements and case studies, 93How it can begin, 94The Hero’s Journey, 95Case studies, 101Stages of change or grief, 111Taking a preventive approach, 113Chapter 8 Building self‐awareness and insight, 115Self‐awareness, 116Insight, 116Learning styles, 119Tools to deepen self‐awareness, 124Conclusion, 138Chapter 9 Tools that can help, 140Personal development plan, 141Peer review, 144Professional discussion and dialogue, 144Case studies and presentations, 145Clinical audit, 146Staff meetings, 148Patient surveys (feedback), 148360° multisource feedback, 150Standards, national guidelines, 151Working with a mentor, 151Working with a coach, 152Appendix A Personal development plan template, 154Appendix B Patient engagement questionnaire, 156Appendix C Influencing skills questionnaire – 360° colleague feedback, 157Chapter 10 Supporting colleagues who struggle, 160Being non‐judgemental, 160Listening, 160Paraphrasing, 161Questioning, 161Guiding, 161Reflective practice/writing and learning, 161Working one to one, 172Force field analysis, 176Neurological levels, 177Conclusion, 181Index, 183