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.
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.
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.