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Remote access to clinics: build back better

Abstract

Since the advice to 'stay at home' on 23 March 2020, there has been an enforced upsurge in the use of remote services. Clinical constraints within the dental schools have drastically reduced trainee/patient exposure and utilising available tools to increase patient contact is invaluable. Developing robust protocols and frameworks for remote activities is key to ensuring safe, secure and effective learning experiences. In Dundee, we have invested in careful planning to implement online engagement with clinical activity. A collaborative and iterative approach with NHS Tayside and other key stakeholders has resulted in a safe, online, clinical protocol that trainees, trainers and patients can have confidence in. The purpose of this article is to share our experience and to open a dialogue to work synergistically with other institutions to contribute towards a UK-wide remote training strategy.

Key points

  • A common challenge all trainers are experiencing - of interest to trainers and potential trainees.

  • Contemporaneous subject - remote clinical engagement is becoming more commonplace and this is an area that dentists will need to explore.

  • Detailed thought processes mapped which could help develop a structure for other departments with similar issues.

  • May serve as a starting point for larger discussions on how to make national guidance.

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References

  1. Scottish Government. What is Near Me? 2020. Available at https://www.nearme.scot (accessed January 2021).

  2. NHS Scotland Video Conferencing Service. About Near Me. 2021. Available at https://www.vc.scot.nhs.uk/near-me/ (accessed January 2021).

  3. Scottish Government. Attend Anywhere/Near Me video consulting service evaluation 2019-2020: report. 2017. Available at https://www.gov.scot/publications/evaluation-attend-anywhere-near-video-consulting-service-scotland-2019-20-main-report/pages/2/ (accessed January 2021).

  4. NHS Education for Scotland. Covid 19 Placement Recovery. 2019. Available at http://www.knowledge.scot.nhs.uk/ahppe/covid-19-placement-recovery.aspx (accessed January 2021).

  5. General Dental Council. Preparing for Practice: Dental team learning outcomes for registration (2015 revised edition). 2015. Available at https://www.gdc-uk.org/docs/default-source/quality-assurance/preparing-for-practice-(revised-2015).pdf (accessed November 2021).

  6. The European Commission. Adequacy decisions: How the EU determines if a non-EU country has an adequate level of data protection. Available at https://ec.europa.eu/info/law/law-topic/data-protection/international-dimension-data-protection/adequacy-decisions_en (accessed November 2021).

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Authors and Affiliations

Authors

Contributions

Clement Seeballuck: lead author. Marc Beswick: contributing author regarding Near Me and online platforms. Joseph Donnelly: contributing author. regarding information governance and data protection. Peter Mossey: contributing author to main body of text. Simon Shepherd: contributing author to main body of text.

Corresponding author

Correspondence to Clement Seeballuck.

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The authors declare that there are no conflicts of interest.

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Seeballuck, C., Beswick, M., Donnelly, J. et al. Remote access to clinics: build back better. Br Dent J 231, 704–708 (2021). https://doi.org/10.1038/s41415-021-3714-4

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  • DOI: https://doi.org/10.1038/s41415-021-3714-4

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