Clinical Record Keeping

Training Aim

The aim of this course is to increase your knowledge and raise awareness of ‘good practice’ in relation to clinical record keeping.

Training Objectives

• Understand the importance of good record keeping
• Increased knowledge of obtaining consent
• Understand how to keep confidential information secure
• Recognise information that must be recorded within the patients record
• Recognise when the use of automatic templates can question the accuracy of clinical records
• Understand how long records should be retained for how they be destroyed

GDC Development Outcome

A - Effective communication with patients, the dental team and others across dentistry, including when obtaining consent, dealing with complaints, and raising concerns when patients are at risk.

D - Maintenance of skills, behaviours and attitudes which maintain patient confidence in you and the dental profession and put patients’ interests first.