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History Taking - Record Keeping


About this course

This engaging course is tailored for dental professionals who wish to excel in effective record keeping, with a particular emphasis on history taking. The course covers essential aspects of recording medical, dental, socio-behavioural and trauma histories, very important for comprehensive dental care.

Our course looks at into the details of history taking in record keeping, based on the CGDent Guidelines. You will gain insights into managing patient information and learn how to handle emergency scenarios and recall procedures effectively.

Acquire key skills in history taking, ensuring comprehensive and compliant patient care. This course will guide you through the fundamentals to advanced concepts in managing patient records efficiently.

This course is beneficial for dentists, dental nurses, hygienists, therapists and other members of the dental team.

CPD Time: 1 hour (1 CPD Credit)

Customer feedback on this course

  • In-depth and practical, improved my record-keeping skills significantly.
  • Comprehensive and easy to understand.
  • Enhanced my ability to manage patient records in emergency situations.
  • Essential for anyone involved in dental care and patient management.

Assessment: 12 MCQs. Pass mark 75%. more…

On passing the assessment you will immediately receive a GDC-recognised Enhanced CPD Certificate.

To enhance the knowledge and skills of dental professionals in effective record keeping, focusing on history taking and its implications in dental care.

Course objective:
• To provide a comprehensive understanding of the importance and methodology of recording medical, dental, and socio-behavioural histories in dental practice.
• To educate on the management of patient information, including the handling of emergency situations and the significance of recall procedures.

Anticipated learning outcomes:
The learner will:
• Accurately record and regularly update a patient’s personal, medical, and socio-behavioural history.
• Understand the impact of various medical conditions and medications on dental treatment planning.
• Competently document and manage patient information in emergency and trauma scenarios.
• Proficiently schedule and conduct recall examinations tailored to individual patient needs.
• Recognise the legal and ethical implications of dental record keeping.

GDC Development Outcomes:
A, D

Learning content:
Record Keeping: History Taking, Pre-Examination Records, Medical History, Relevant medical conditions, Relevant Medications, Social and Dental History, Information and Recalls, Records for Emergencies and Trauma

Show suggested PDP entry

You can copy and adapt this example PDP entry for your own needs and circumstances. The format complies with GDC guidance on PDP structure.

PDP Learning or Maintenance need
Enhancing skills in history taking in dental practice.
How does this relate to my field of practice?
Very important for maintaining high-quality patient care and legal compliance.
Which development outcome(s) does it link to?
A, D
What benefit will this have to my work?
Improved accuracy and efficiency in patient documentation, better handling of emergency situations, and up-to-date recall procedures.
How will I meet this learning or maintenance need?
Take the Verified Learning course "History Taking - Record Keeping".
When will I complete this by?

Note: After copying and adapting the suggested PDP entry, remember to reflect, plan, act, and evaluate for every CPD activity you undertake.