Milestone write up

TOPICS WHICH NEED TO BE COVERED

• History and examination

  • Needs to be comprehensive under the following headings: PCO, HPC, PDH, MH, SH, FH, EOE, IOE, PERIO, TSL, Reported OH habits

  • Also consider: Language barriers, Anxiety ?

  • Include a copy of then odontogram if beneficial

• Appropriate special investigation(s)

  • Radiographs need to be properly reported on including: Type of radiograph. Justification, Quality, Teeth visible, Cavities, Restorations, Bone levels, Pathology ...etc

  • Any other appropriate investigations: Mobility, Tooth Slooth, Percussion (axial and lateral), Sensibility Testing (cold spray on CWP), Sensitivity Testing (air from 3-in-1), Palpation over root apices, Transillumination, Fremitus... etc

• Interpretation of clinical findings

  • Diagnosis - provisional and differential as appropriate

  • Information given to patient - improving OH, Sugar, Fluoride, Smoking, TSL advice... etc

• Justification of actions

  • Treatment options - including discussion of the pros and cons of each

  • Patient feedback - what option did they go for and why. Did they compromise on your advised plan?

  • Consent - verbal/written

• Quality of clinical work

  • Accurate write up of treatment carried out. Most of this should be in your clinical notes

  • Include any post op radiographs here (with appropriate reporting)

• Ability to reflect on own work

  • Candid reflection on what went well and what can be improved

• Evidence base and referencing

  • Reference appropriate national guidelines and select journal articles

• Accuracy of the write up

  • as long as you have included all the above it should be fine