ORE Part 2 Exam Coaching in India
OUR AIM:
TO IMPROVE KNOWLEDGE AND SKILLS ABOUT ATTAINING GENERAL DENTAL COUNCIL PRACTICAL EXAM SUCCESSFUL RESULTS.
EXAM DOMAINS
- The Clinical Domain
- The Professionalism Domain
- The Communication Domain
- The Management and Leadership
EXAM DETAILS
MEDICAL EMERGENCY
– An interactive oral and practical assessment based on three structured
scenariosselected from an agreed Medical Emergency question bank, and A
demonstration of single-handed basic life support on an adult or child.
– Each assessment lasts 13 minutes. The first 8 minutes is the structured oral,
the last 5minutes the demonstration of single-handed basic life support skills.
DIAGNOSIS AND TREATMENT PLANNING
Assessment in 5 separate aspects
– Oral History assessed by 2 examiners
– Provisional diagnosis, special investigations, radiographic
request and radiographic report assessed by 1 examiner
– Contemporaneous notes assessed by 1 examiner
– Written treatment plan assessed by 1 examiner
– Oral treatment plan assessed by 2 examiners
OSCE STATIONS
– The OSCE consists of a single continuous session of up to 2½ hours. A maximum
of 3 circuits will be held in a day
– During the session candidates will complete a circuit of up to 24 stations.
DENTAL MANIKIN EXERCISES
– Three tasks- technical skills
– Preparation based tasks
– Restoration based tasks
– One session of 3 hours
– Two major exercises and one minor exercise.
COURSE HIGHLIGHTS
1. COMPREHENSIVE GUIDANCE AND APPRAISAL PROGRAM
– TOTAL 15 WORKING DAYS AT A PHYSICAL
CENTRE IN AMRITSAR, Patiala, Chandigarh and New Delhi.
– TWO INSTRUCTORS WILL BE AVAILABLE FROM MONDAY TO
SATURDAY THROUGHOUT THE DAY EXCEPT FOR LUNCH BREAK.
–
INITIALLY STUDENTS WILL BE EXPOSED TO BENCH MOUNT MANIKINS (7 UNITS)
AND AFTER THAT THEY WILL BE TRANSFERRED TO CHAIR MOUNT SECTION.
– COURSE IS DIVIDED INTO FOUR PARTS-
- DENTAL MANIKIN OPERATIVE TASKS
- MEDICAL EMERGENCIES
- OSCE STATIONS
- DIAGNOSIS AND TREATMENT PLANNING
1. DENTAL MANIKIN TASKS
- Amalgam: Prepare a Class I cavity in a molar or premolar involving the occlusal pit(s) and occlusal fissure. This cavity will be lined as necessary. This tooth or an alternate tooth may be packed with amalgam on request.
- Prepare a Class I cavity in an upper molar involving the occluso palatal fissure. This cavity will be lined as necessary. This tooth or an alternate tooth may be packed with amalgam on request.
- Prepare a Class II cavity in an upper molar or premolar tooth involving the occlusal and either one or both proximal surfaces. This cavity will be lined as necessary. This tooth or an alternate tooth may be packed with amalgam on request.
-
- Prepare a Class III cavity in the proximal surface of an upper anterior tooth. This cavity will be lined as necessary. Pack the indicated cavity with composite and finish it to restore the tooth’s shape and contour.
- Restore a Class IV fractured incisal edge for an upper anterior tooth. Prepare the fractured tooth as required. Place a lining as necessary. Restore the tooth’s shape and contour with composite. A sheet of questions to ask the patient may also need to be completed.
- Prepare a Class V cavity in the labial or palatal surface of an upper tooth. This cavity will be lined as necessary and filled with composite and finished as required.
- Restore a fractured cusp and cavity in an upper premolar or molar tooth. Prepare the tooth as necessary, place a lining where appropriate and restore and finish the contour of the tooth in composite.
- Root Canal Therapy:
- Prepare an access cavity in the tooth provided. The tooth may be an anterior tooth, a premolar or molar tooth. Direct access to the canal(s) needs to be demonstrated with an endodontic instrument. This exercise may be combined with the placement of a rubber dam.
- Prepare an access cavity. Identify the canal to be prepared which may be in a single rooted tooth or a single canal in a multi rooted tooth. Complete the debridement of the root canal and finalise its preparation. Obturate the canal, and record a post-operative radiograph. The use and number of radiographs recorded will form part of the assessment of good clinical judgement. The access cavity may already be completed in the tooth provided.
- Crown Preparation:
- Prepare a molar tooth to receive a full gold veneer crown. A written prescription/instructions for the laboratory technician may also need to be completed.
- Prepare either an anterior or posterior tooth to receive a metal ceramic crown. A written prescription/instructions for the laboratory technician may also need to be completed.
- Labial Veneer:
- Prepare an upper anterior tooth to receive labial veneer. A written prescription / instructions may also need to be completed.
- Temporary Crown:
Fabricate a temporary crown for an already prepared anterior or posterior tooth.
- Impression taking:
- Record a working impression of a tooth already prepared to receive a crown. Appropriate written instructions for the laboratory may also need to be completed.
- Record an impression of a whole arch for a study model. Appropriate written instructions for the laboratory may also need to be completed.
- Rubber Dam:
- The rubber dam is to be applied to isolate the tooth or teeth indicated in the Instruction Sheet for the Examination. The rubber dam needs to be secure and applied atraumatically, anchoring the dam in a way that facilitates access and isolation of the tooth to be prepared. Note: This may also be included as a component in another exercise.
- Partial Denture:
- Prepare restseats on a phantom head model.
- Take a working impression for a removable partial denture. Appropriate written instructions for the laboratory may also need to be completed.
- Design a partial denture for the study cast or phantom head model provided and draw this on the study cast or on the odontogram to enable a technician to fabricate the required design. Note that these exercises may be used separately or in combination
2. MEDICAL EMERGENCIES
- ASSESSMENT: It aims to assess competence in the management, in both
adults and children, of:
- anaphylaxis
- acute shortness of breath including asthma and hyperventilation
- swallowed / inhaled foreign body
- a collapse of unknown cause
- vaso-vagal attack
- post-operative haemorrhage
- hypoglycaemia
- fitting
- acute onset chest pain
- corticosteroid insufficiency
- needlestick injury
- Basic Life Support
Resuscitation technique and the management of cardiac arrest including the
use of the automatic defibrillator in adults and children.
It involves CPR training and automated external defibrillator training.
3. OSCE STATIONS
- The stations are designed to test different skills or combinations of skills such
as:
- History taking
- Assessment of a patient
- Simple practical procedures
- Communication;
- Patient education
- Clinical judgment
- Decision making
- Ethics
- Professional attitude
- Some stations have an actor present, playing a patient or a patient’s relative,
who has been briefed with the relevant information for their role. These
stations are used to test the candidate’s ability to:
- Take a history
- Assess patient’s needs
- discuss treatment options
- obtain informed consent
- give oral health education advice
- interpret radiographic evidence
- prioritise treatment
- It is divided into all three clusters- Information gathering, diagnosis and
management, Treatment planning and evaluation.
4. DIAGNOSIS AND TREATMENT PLANNING
1. History taking and contemporaneous note making – 10 minutes
You will meet your patient, who will be a role player who has been briefed on the clinical scenario and should in all respects be treated as the “patient”. You will not be able to examine the patient or their mouth.
You will have ten minutes to take the necessary history for this patient. During this time you will be expected to make contemporaneous notes, which will be marked.
An examiner, who will remain mainly silent during this part, will observe you and complete a structured mark sheet. The examiner will make sure that the role player’s responses are accurate and may ask for clarification if they do not understand any of your responses.
The contemporaneous notes will not be collected until the end of the examination and then will be assessed by another examiner.
You will therefore be able to keep these notes with you during the other stages of the examination.
Available at this chair will be (artefacts) the clinical results from the routine examination you would normally undertake. Examples of the results are:
- Study casts or photos of study casts to give you information such as
◦ the occlusion
◦ number and position of teeth
- Details of obvious pathology with unaided vision such as caries
- BPE
- Photographsto show you such things as
◦ lip line
◦ gingival colour
It is advised that you do not spend time looking at these until you have completed your history taking. This information will then help to inform you to complete the forms in the next section.
2. Complete provisional (possible) diagnosis, special investigations & radiographic prescription forms – 11 Minutes
At the end of the first 10 minutes the “patient” and examiners will leave the surgery and you will have 11 minutes to complete your contemporaneous notes, examine the artefacts and prepare the following:
Please Note it is your responsibility to check that all the artefacts are present. There is a list on the top of the artefacts stating what is present. (A cast is a single upper or lower so upper and lower will be 2 casts.) If you believe the artefacts do not agree with the list please contact the helper immediately and inform them of the issue.
- Written provisional (possible) diagnosis.
- Radiographic prescription including clear justification for this request. If no radiographs are required please indicate this on the request form.
- Written list of any special investigations you would make if you were examining this patient.
The provisional (possible) diagnosis should be formulated from the complaint, history, and routine investigations (artefacts). It will guide you in prescribing any necessary special investigations. You should only request information you need to acquire for this patient during a clinical examination, including radiographs, etc. to allow treatment planning.
Examples of Special investigations other than radiographs(this is not an inclusive list)
- Vitality tests
- Full mouth periodontal charting
- Body temperature
- Condition of muscles of mastication
- Cracked tooth tests
At the end of this time a helper will collect the
- Written provisional diagnosis. (sheet 3)
- Radiographic prescription including the clear justification for this request (sheet 4).
- Written list of special investigations you would make if you were examining this patient. (sheet 5)
and bring you a further folder with other artefacts giving the results of any special investigations and the necessary radiographs. Do not worry if they do not contain all the requests you made. There will be enough for you to make your treatment plan.
3. Written Treatment Plan – 23 minutes
You will now have all the necessary artefacts and information required to plan your treatment for your “patient”. You will have twenty-three minutes to consider these artefacts and formulate a treatment plan and write down the treatment options and their advantages and disadvantages. You will also have to complete a written radiographic report for one radiograph, which will be clearly identified. You should use the real radiograph and not the one illustrated on the sheet. Your treatment plan should also consider the potential risks of treatment, the long term stability, your patient’s wishes and the suitability for your patient. If you consider it necessary to refer your patient you should give some justification and reasons for the referral, and be able to inform your patient of the possible outcomes of such a referral.
4. Presentation of Treatment Plan to the patient – 10 minutes
At the end of the treatment planning time your “patient” will return with the examiner. The examiner will ask you to present your treatment plan to your “patient”. This treatment plan should be presented to the “patient” in lay terms explaining your essential findings in such a way that the “patient” has sufficient information to understand the advantages and disadvantages of the possible options that you consider are available, and to give valid consent for your proposed preferred option. (In view of the difficulty of understanding costs of treatment in a foreign country you will not be expected to give indication of costs other than the relative difference of any treatment recommended e.g. implants high-cost relative to denture).
It is expected that the treatment plan will include not only active treatment but also any necessary care and prevention and the possible influence of any medical problems.
While you are explaining the advantages and disadvantages of any treatment you consider and finally giving your preferred choice, the patient or examiner may seek further clarification of your suggested treatment options.
This oral treatment plan will be assessed by the examiner.
At the completion of your treatment plan you must hand in all your written sheets of your contemporaneous notes and treatment plan for marking. If you do not hand these sheets in you will be unable to attain full marks.
You must not make copies of these sheets or remove any information
from the examination area. Removing such information would be seen as infringing the regulations.
All examiners will mark independently and also asses your professionalism. You should refer to the GDC web site for further information on professionalism.
5. Advice on completing the written forms
5.1 Patient History Form
You should record in legible handwriting:
- the “patient’s” demographic details
- the “patient’s” main complaint and any other concerns they may have listing their symptoms and when they started and any modifying factors.
- a structured record of the medical (including any medications), social & past dental history
- any other relevant information such as dental care routines, diet and any other factors which influence dental health
- “Patient’s” wishes
5.2 Provisional or possible Diagnosis Form
This form will be pre-populated with the patient’s demographic data and requires you to enter what are the most likely reasons for the “patient’s” complaint(s) from the evidence you have received from your history taking and the artefacts supplied in relation to the examination. Where possible you should indicate the reasons for your conclusions.
5.3 Radiographic Prescription Form
This form will be pre-populated with the “patient’s” demographic data but you should enter which radiographic film(s) you require clearly indicating when necessary the site and tooth. You should also indicate the justification for the request. If no radiographs are required write this clearly on the form. Remember it is unethical to prescribe more radiographs than are required to make a diagnosis.
5.4 Special Investigations Form
This form will be pre-populated with the “patient’s” demographic data and you should enter any special investigations that you would wish to carry out. This should not be a list of all possible examinations and investigations but carefully considered and only those which are justified from the history.
5.5 Written Treatment Plan Form
This form of two sheets will be pre-populated with the “patient’s” demographic data and you should enter the treatment and care options for the “patient”. This should include any urgent, immediate and planned treatment as well as long term care plans together with your preferred treatment. You should then complete the other questions on the second sheet. You should also indicate any risks of the proposed treatment. You will be expected to explain if you would treat the “patient” yourself or would refer them for all or part of the treatment explaining your reasons. You should also give the “patient” some information about the possible outcomes from such a referral.
5.6 Radiographic Report Form
This form will be pre-populated with the “patient’s” demographic data and a copy of the radiograph or section of radiograph on which you should report. It will only be necessary to report on the one view shown on the report form. You should use the real radiograph to make the report and not the one illustrated on the sheet. Your report should be the standard expected by the GDC and should include which film view it is, details of the side, bone quality, bone level, teeth present, restorations or caries present, and any other relevant details. Finally you should comment on the quality, and any issues related to the film itself.
MATERIAL PROVIDED
– DENTAL WORKING UNIT
– Phantom Head Models: Frasaco AG3
– AMALGAMATOR
– CPR MANIKIN + AED TRAINER
– RPD CASTS
MATERIAL REQUIRED IN THE COURSE
KaVo Dental SimulationUnit
KaVo Handpieces: Turbine, Contra-angle, Straight handpiece (when required)
Replacement Teeth: AG3- ZE
Burs Stand
High Speed
Tungsten Carbide Burs
170, 330, 331, 331L, 56, 557
Diamonds Double Striper
L767C, L767VF, 170L, 260.8F, 120C, 285.5VF
Slow Handpiece / Latchgrip Steel
Burs
Rose head burssize: ½, 1, 3, 5, 8
Flat Fissure: 1, 4 White Stone
Shofu Round Shofu Flame:
FL2 Brownie
Flame Mandril for SoflexDiscs
Endodontic Exercise
Gates Gliddenssizes 1 – 6
K-Flex files sizes 10 – 60 Length 30mm
Finger Spreaderssizes XF, FF, MF, F, FM, M
Gutta Percha Points sizes 15 – 40
Accessory Points Sizes XF, FF, MF, F, FM, M
Plastic Tray
Plastic Cup
Endo Locking syringe
Endo Ring
Sybron Endo Tubi Seal Extended working time
Wax pads
Instrument Tray
Mirror
SurfaceNo 5
Straight
ProbeNo 6
Thymoxin
probe
Williams
Probe
American Patterned
Probe No 3 College
Tweezers
Excavatr
129/30
Flat
Plastic
156
Enamel Hatchet No. 53 + 54
Gingival Margin Trimmer U1/U2 + U3/U4
Amalgam Plugger G
Mortensons
Plugger
Hollenbach
Carver Ball
Burnisher
Pencil
Scalpel No 11
Spatula
Ruler
Suture scissors
Equipment / materials on the bench top
Floss
Amalgam Carrier
Matrix Retainers: Siqveland
Matrix Band: Cut strips of wide Stainlesssteelstrip; Directa Clear Matrix Strip
Curing Light (1 between 2 candidates)
SpectrumB3 Composite capsule
Composite Gun
Composite bonding
agent Plastic
Dappens pot
Microbrush
application brush
Lab putty + Activator (1 between 2
candidates) Cotton Rolls
Cotton
pledgets
Wooden
wedges
Rubber Dam
– Rubber dam holder
– Rubber dam clamps
– Rubber dam forceps
– Wedjets Stabilising Cord
Impressions
Impression material
Plastic stock tray
Adhesive
Temporary Crown
Putty Index
Temporary crown and bridge
acrylic Acrylic finishing burs and
discs
Rest Seat Preparation
Appropriate burs
COURSE LAYOUT EXAMPLE
Day 1: Introduction and Overview
- Morning Session:
o Welcome and Introduction
o Overview of ORE Part 2 Exam Structure and Components
o Detailed Explanation of the Training Schedule
- Afternoon Session:
o Introduction to Diagnosis and Treatment Planning (DTP)
o Basic Principles and Case Discussion
Day 2: Diagnosis and Treatment Planning (DTP)
- Morning Session:
- Afternoon Session:
Day 3: Medical Emergencies
- Morning Session:
- Afternoon Session:
Day 4: OSCE Preparation
- Morning Session:
- Afternoon Session:
Day 5: Dental Manikin Exercises
- Afternoon Session:
Day 6: Integrated DTP and Medical Emergencies
- Morning Session:
- Afternoon Session:
Day 7: OSCE Stations and Manikin Exercises
- Morning Session:
- Afternoon Session:
Day 8: Intensive DTP and OSCE Practice
- Morning Session:
- Afternoon Session:
Day 9: Medical Emergencies and OSCE
- Morning Session:
- Afternoon Session:
Day 10: Comprehensive Manikin Exercises
- Morning Session:
- Afternoon Session:
Day 11: DTP and OSCE Review
- Morning Session:
o Review of DTP Principles and Strategies
o Interactive Case Discussions
- Afternoon Session:
o OSCE Stations Review
o Feedback and Individual Performance Analysis
Day 12: Medical Emergencies and Manikin Exercises
- Morning Session:
- Afternoon Session:
Day 13: Mock Exam Day
- Morning Session:
- Afternoon Session:
Day 14: Comprehensive Review and Feedback
- Morning Session:
- Afternoon Session:
Day 15: Final Preparations and Q&A
- Morning Session:
o Final Review of Key Concepts
o Last-minute Tips and Strategies
- Afternoon Session:
o Open Q&A Session
o Motivational Talk and Course Closure
COURSE FEES:
FEES DETAILS: 800 GBP Equivalent to 86000 INR ONLY/-
Payment plan: We accept fees in two equal instalments with inter-instalment period of 1 week with
5% surcharges.
PAYMENT MODE- ONLINE BANK TRANSFER ACCEPTEDPAYMENT MODES- WESTERN UNION, MONEY
GRAM, GOOGLE PAY, REMITTLY, WORLD REMIT AND TRANSFER WISE. CONTACT OUR TEAMABOUT
THE PAYMENT MODES, INVOICE AND OTHER DETAILS.
CONTACT US:
FACEBOOK PAGE- www.facebook.com/atlasdentalscholars
GOOGLE PAGE- www.atlasdentalscholars.com
INSTAGRAM PAGE- https://www.instagram.com/atlasdentalscholars/
EMAIL: Atlasdentalscholars7779@gmail.com
LOCATION: 88, 3RD FLOOR, B-BLOCK, RANJIT AVENUE, AMRITSAR, INDIA
FACEBOOK PAGE- www.facebook.com/atlasdentalscholars
GOOGLE PAGE- www.atlasdentalscholars.com
INSTAGRAM PAGE- https://www.instagram.com/atlasdentalscholars/
EMAIL: Atlasdentalscholars7779@gmail.com
OUR PHYSICAL CENTRE IS LOCATED IN GOLDEN TEMPLE CITY, AMRITSAR
(NORTH INDIA).
THIS CITY CONTAINS INTERNATIONAAL AIRPORT ALSO WHICH ALLOWS
THE CANDIDATES TO FLY FROM DIFFERENT COUNTRIES TO OUR CENTRE
SMOOTHLY. IN ADDITION, OUR CENTRE IS JUST 20 MINUTES DRIVE FROM THE
AIRPORT.
ALL THE BEST FOR YOUR ORE JOURNEY
REGARDS
ATLAS DENTAL SCHOLARS