Contemporaneous, Complete and Accurate Record Keeping. GDC 4.1
This course provides dental professionals with essential strategies for maintaining comprehensive and accurate patient records in adherence to GDC Standard 4.1.
Effective record-keeping is very important for ensuring patient safety, legal compliance, and enhancing the trust in patient-dentist relationships.
The course covers critical aspects, including:
Importance of maintaining accurate, complete, and contemporaneous patient records.
Best practices for documenting patient discussions and informed consent.
Storage, retention, and disposal of records in compliance with UK GDPR and Data Protection Act.
Documenting referrals and fostering collaborative care for better patient outcomes.
Amendments, clarity, and accessibility in record-keeping to ensure continuity and accountability.
Participating in this course will equip you to safeguard patient confidentiality, minimise legal risks, and support optimal patient care through exemplary documentation practices.
Member Feedback on Contemporaneous, Complete and Accurate Record Keeping. GDC 4.1
Extremely informative course that highlights the importance of good record-keeping.
Very important for understanding and implementing GDC standards in practice.
Well-structured module with practical guidelines for daily documentation.
Essential learning for any dental professional aiming for best practice.
The course provided clear insights into maintaining legal compliance through records.
Your Professional Development Plan: Regulatory authorities recommend that CPD/CE is undertaken based on learning needs that you have identified and entered into your PDP. Some authorities may not accept your CPD as verifiable unless it has been identified in the PDP before you undertake it.
Here is an example, using the GDC's recommended format, for a PDP entry for this course.
PDP Learning or Maintenance need
High standards of record-keeping to comply with GDC Standard 4.1 and support optimal patient care.
How does this relate to my field of practice?
This knowledge is essential for dental professionals to maintain comprehensive and accurate patient records to ensure patient safety and legal compliance.
Which GDC development outcome(s) does it link to?
A B D
What benefit will this have to my work?
By enhancing my record-keeping skills in compliance with GDC Standard 4.1, I can:
Ensure high standards of patient care through accurate documentation.
Minimise legal risks by maintaining complete records.
Improve communication with colleagues through legible and clear records.
Enhance patient trust by properly documenting discussions and consent.
Comply with UK GDPR and Data Protection Act for patient privacy.
How will I meet this learning or maintenance need?
I plan to achieve this by completing the 'Contemporaneous, Complete and Accurate Record Keeping' course on Dentaljuce, focusing on best practices for documentation, compliance with GDC standards, and understanding the legal implications of record keeping. Additionally, I will implement these strategies in my daily practice.
When will I complete this by?
2025
PDP Learning or Maintenance need
Effective record-keeping in compliance with GDC Standard 4.1.
How does this relate to my field of practice?
Fundamental for patient safety and legal compliance in dental practice.
Which GDC development outcome(s) does it link to?
A B D
What benefit will this have to my work?
Improved patient care and legal compliance through accurate, complete, and contemporaneous record-keeping.
How will I meet this learning or maintenance need?
Complete 'Contemporaneous, Complete and Accurate Record Keeping' course and apply the principles in daily record-keeping practices.
When will I complete this by?
2025
Contemporaneous, Complete and Accurate Record Keeping. GDC 4.1
This online learning course has clear and concise aims, objectives and anticipated outcomes, listed below. These will appear on the Dentaljuce Enhanced CPD Certificate, along with the time spent, dates, and detailed topics you studied within the module. Certificates can be printed at any time, covering any range of dates. Dentaljuce CPD complies with the UK GDC's requirements for enhanced verifiable continuing professional development.
Aim:
The aim of the learning and teaching materials in this Dentaljuce course is to equip dental professionals with the strategies to maintain comprehensive and accurate patient records in line with GDC Standard 4.1.
Objective:
to update dental professionals with current best practices in accurate and complete record-keeping.
Anticipated learning outcomes:
The learner will:
Recognise the importance of maintaining accurate, complete, and contemporaneous patient records.
Understand how to document informed consent and patient discussions effectively.
Apply best practices for storage, retention, and disposal of records according to UK GDPR.
Implement organised documentation for improved clinical continuity and accountability.
Provide an enhanced level of service to patients through improved record-keeping practices.
GDC Outcomes: A,B,D
Script container
Aim
The aim of the learning and teaching materials in this Dentaljuce course is to equip dental professionals with the strategies to maintain comprehensive and accurate patient records in line with GDC Standard 4.1.
Course objective
to update dental professionals with current best practices in accurate and complete record-keeping.
Anticipated learning outcomes:
Recognise the importance of maintaining accurate, complete, and contemporaneous patient records.
Understand how to document informed consent and patient discussions effectively.
Apply best practices for storage, retention, and disposal of records according to UK GDPR.
Implement organised documentation for improved clinical continuity and accountability.
Provide an enhanced level of service to patients through improved record-keeping practices.
GDC Development Outcomes
This CPD will support the learner in meeting the following GDC Development Outcome(s): A, B, D.
With enhanced CPD Certificates. Dentaljuce is brought to you by the award winning Masters team from the School of Dentistry, University of Birmingham, UK. All have won awards for web based learning and teaching and are recognised as leaders and innovators in this field, as well as being highly experienced clinical teachers. Full access to over 150 courses, no extras to pay.
Student Membership
No Certificates. With universities cutting down on traditional lectures, many students are currently having to rely more on online resources. If you don't need CPD Certificates, we are offering an amazing discount on your Dentaljuce personal membership fee. Special student price just £29 for 12 months individual membership.
