SAUDI BOARD RESIDENCY TRAINING PROGRAM Paediatric Dentistry Promotion Examination 2018 Objectives: The general objective of the annual promotion assessment is to evaluate that the trainee has satisfactorily acquired the theoretical knowledge and clinical competences that he/she should have acquired during the relevant year(s). The annual promotion assessment consists of the following components: a. Written examination b. Continuous Assessment Eligibility for Written Examination: Valid registration with the SCFHS. Completion of at least nine months of training in the concerned year of residency/fellowship training. Written Examination Format: A written examination shall consist of one paper with not less than 100 MCQs with a single best answer (one correct answer out of four options). The examination shall contain type K2 questions (interpretation, analysis, reasoning and decision making) and type K1 questions (recall and comprehension). The examination shall include basic concepts and clinical topics relevant to the specialty and its relation to different dental specialties. Clinical presentation questions include history, clinical finding and patient approach. Diagnosis and investigation questions; includes the possible diagnosis and diagnostic methods. Management questions; including treatment and clinical management, either therapeutic or nontherapeutic, and complications of management. Materials and Instruments questions; including dental material properties, usage, and selection of dental instruments and equipment used. Health maintenance questions; includes health promotion, disease prevention, risk factors assessment, and prognosis, see examples below. Page 1 Promotion Examination; Paediatric Dentistry 2018
Continuous Assessment Formats: Continuous assessment formats (R1 and R2): consist of: a. In-training evaluation reports (ITERs). 20% o ITERs should be conducted at least three times that covers 9 training months per year. o ITERs are submitted to local supervisory committee for each trainee based on Case-based Discussion ratings considered relevant by the specialty. b. Academic assignments 25%. I. Regional treatment plan oral presentation (CBD): 10% o The resident will be evaluated based on an oral presentation as part of the his/her annual promotion assessment where he/she describes a case, including history-taking, diagnostic tools used, diagnosis in each discipline, and how he/she can formulate an integrated treatment plan and identify alternative plans. II. Quizzes: 15% o Three quizzes contacted through the year c. Log book 20% o Daily evaluation of resident his\her cases base on quality and quantity of treatment. Continuous assessment formats (R3) consist of: a. In-training evaluation reports (ITERs). 25% o ITERs should be conducted at least three times which covers 9 training months per year. o ITERs are submitted to local supervisory committee for each trainee based on Case-based Discussion ratings considered relevant by the specialty. b. Academic assignments 15%. I. Regional treatment plan oral presentation (CBD): 15% o The resident will be evaluated based on an oral presentation as part of the his/her annual promotion assessment where he/she describes a case, including history-taking, diagnostic tools used, diagnosis in each discipline, and how he/she can formulate an integrated treatment plan and identify alternative plans. Page 2 Promotion Examination; Paediatric Dentistry 2018
c. Log book 25% o Daily evaluation of resident his\her cases base on quality and quantity of treatment. If any other assessment format (not mentioned above) is used the CAC must agree to its implementation. Passing Score for Promotion: An average of 60% score in the annual promotion assessment with a minimum of 50% in each component (written and continuous assessment) is required for passing. Score Report: All written examination score reports shall go through a post-hoc item analysis before being approved by both the Assistant of General Secretary for Postgraduate studies of SCFHS and Scientifics Examination Committee (SEC), and then reported to the scientific council for the specialty for promotion decisions for all trainees, within two weeks of the examination. SEC is encouraged to provide the scientific council for the specialty with results feedback represent the performance of all residents based on each section of the exam according to the test blueprint, and based on their training center if possible. General Rules: The written examination shall be held once a year within 4-6 weeks of completion of nine months of training in that particular year. There shall be no re-sit examination. There shall be no promotion written examination at the end of final year. Promotion written examination and continuous assessment results are valid for the specific year in which they were conducted. Page 3 Promotion Examination; Paediatric Dentistry 2018
Examination Conduct and Duration: The exam duration is 2 hours for 100 MCQs and will be delivered as a computer based test when available, otherwise paper and pencil. Blueprint Outlines No. R2 Section Proportion% 1 Research methods 15 2 Scientific Writing 8 3 Prevention and Health Promotion 14 4 Behaviour Guidance and sedation 14 5 Pharmacology 14 6 Oral Diagnosis, Oral Pathology and Oral Medicine 12 7 Oral Facial trauma and Pulp Therapy 13 8 Patient safety and Research 10 Total 100% No. R3 Section Proportion% 1 Public Health 14 2 Education Methods 8 3 Craniofacial Growth and Developing Occlusion 8 4 Prevention and Health Promotion 8 5 Behaviour Guidance and Sedation 10 6 Pharmacology 14 7 Oral Diagnosis, Oral Pathology and Oral Medicine 10 8 Oral Facial Trauma and Pulp Therapy 10 9 Special Healthcare Needs 8 10 Research, Patient Safety and Ethics 10 Total 100% Note: Blueprint distributions of the examination may differ up to +/-3% in each category. Page 4 Promotion Examination; Paediatric Dentistry 2018
Suggested References: 1. American Academy of Pediatric Dentistry s Reference Manual 2017-2018 2. Can MEDS physician Competency framework, Edition 2015, The Royal College of Physicians and Surgeons of Canada 3. Casamassimo, P.S., Fields, H.W., McTigue, D.J., & Nowak, A.J.(2013). Pediatric Dentistry: Infancy Through Adolescence.(5th Edition). St. Louis, MO: Elsevier 4. Dean, McDonald, Avery. (2011). Dentistry for the Child and Adolescent. (9 th Edition). Maryland Heights, MO: Mosby Elsevier 5. Andreasen, Bakland, Flores, Andreasen, Andersson. (2011). Traumatic Dental Injuries (3 rd Editon). UK: Blackwell Publishing LTD 6. Profit, Fields, & Sarver. (2013). Contemporary Orthodontics. (5 th Edition). St. Louis, MO:MosbyElsevier 7. Neville, Damm, Allen, & Bouquot. (2009). Oral and Maxillofacial Pathology. (3 rd Edition). St. Louis, MO: Saunders Elsevier Nowak, A.J., & Casamassimo, P.S. (2011). AAPD Handbook (4 th Edition). American Academy of Pediatric Dentistry 8. Hennekam, Krantz, & Allanson. (2010). Gorlin s Syndromes of the Head and Neck. (5 th Edition). New York, NY: Oxford University Press, Inc 9. Crispian Scully (2010) Medical Problems in Dentistry. (6th Edtion). Churchill Livingstone Elsevier 10. Assigned Literature Review and crash courses references Crash Courses: Outline of each course including suggested reading references given by the provider. Note: This list is intended for use as a study aid only. SCFHS does not intend the list to imply endorsement of these specific references, nor are the exam questions necessarily taken solely from these sources. Page 5 Promotion Examination; Paediatric Dentistry 2018
Example Questions EXAMPLE OF K1 QUESTIONS Question 1 R2: How does Midazolam exert its clinical effects? A. Opioid receptor agonist B. Selective Alpha-2 agonist C. N-methyl-D-aspartate (NMDA) receptor D. Gamma-Aminobutyric acid (GABA) receptor Question 2 R3: Relative to the cranial base, in which direction does the maxilla most commonly move through normal craniofacial growth pattern? A. Up and back B. Straight and down C. Down and forward D. Straight and forward Page 6 Promotion Examination; Paediatric Dentistry 2018
EXAMPLE OF K2 QUESTIONS Question 1 R2: A child patient that was scheduled for treatment under N2O:O2 inhalation sedation. After working on the patient for 1 hour, the patient started to show some complications. Which of the following complications is expected to be seen more? A. Nausea B. Hallucination C. Pain in the teeth D. Severe perspiration Question 2 R3: An 8-year old female presents to the clinic for examination with a complaint that she has a large space between the permanent central incisors. Examination reveals a diastema and a supernumerary is suspected. Which of the following is the most likely choice of film to detect its presence? A. Periapical B. Panoramic C. Cone beam D. Anterior maxillary occlusal Page 7 Promotion Examination; Paediatric Dentistry 2018