THE SAC LOGBOOK FOR RESTORATIVE DENTISTRY AND
ITS MONOSPECIALTIES
Introduction
The logbook is required by the SAC in Restorative Dentistry as a record of training
and learning during SAC approved programmes for specialist registrars and those
with national training numbers in restorative dentistry and its mono-specialties. It is
used as part of the assessment as to their suitability for the award of a CCST in the
appropriate specialty.
The trainee should maintain the logbook in a loose-leaf format or electronic format.
The logbook will need to be made available in paper form to the Specialty
Assessment Board in Restorative Dentistry at the time of the Intercollegiate Specialty
Examination. The standard format sheets enclosed should be used and duplicated as
required.
Trainees must ensure that they comply with the Caldicot Report 1997 and the Data
Protection Act 1998 (in force from 01 March 2000) in compiling their information.
Patient data must be safeguarded and made anonymous by means of a coding system.
This may be in the form of:
(i) A coding system personal to the trainee – the key to which is not kept with the
data
(ii) A coding system such as the patient’s hospital or record number
(iii) Any other such system as may be advised by the Joint Committee for
Specialist Training in Dentistry or the SAC in Restorative Dentistry
Components of the Logbook
The enclosed sheets are designed to provide:
(i) a record of different training and learning activities,
(ii) a patient-based record of cumulative experience relevant to all areas of
restorative dentistry.
(i) Training and learning activities
The logbook contains a number of individual sheets to record the following training
and learning activities:
• Consultant led diagnosis and treatment planning
• Teaching clinics
• Other teaching experience
• Journal/study groups
• Professional courses attended
• Audit
• Research activities
• List of publications
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A cumulative list of each area should be kept with start dates and finish dates as
appropriate or in the case of journal/study groups/audit/research a yearly report.
The information to be collected for these sheets is as follows:
Consultant-led diagnosis and treatment planning clinics. (Sheet 1)
A cumulative record, in date order, of the clinics attended should be recorded,
including joint ones with other dental and medical specialties. This record will include
the identity of the Consultant(s), the location and number of the clinics, and the
typical pattern of referral to those clinics, using key words as appropriate from the list
in Appendix A. A single record sheet per year will be compiled.
Teaching clinics. (Sheet 2)
A cumulative record, in date order, of undergraduate and postgraduate teaching
clinics attended should be recorded. This record will identify the number of sessions
per term, the clinical specialty, the academic year of the students and the staff/student
ratio on the clinics. A single record sheet per year will be compiled.
Other teaching experience. (Sheet 3)
A cumulative record, in date order, of other teaching experience gained should be
recorded. Identification of the programme, the recipient groups and the number of
contributions made will be kept. Teaching should be divided into the following
groups:
1. Undergraduate
2. Internal Postgraduate (including ‘Masters’ students)
3. Section 63 (Section 2 for Wales and as appropriate for Scotland and N.
Ireland)
4. Private Courses
5. Professionals Complimentary to Dentistry (PCDs)
Journal/study groups. (Sheet 4)
Individual dates and amount of time spent are required. Summary details regarding
staff attendance and leadership, format and general subject areas should be included.
A cumulative record as a single record sheet per year will be compiled.
Professional Courses attended. (Sheet 5)
All courses attended, including management courses should be listed chronologically
by course title. Information regarding the organiser(s) of the course, the presenter(s),
dates and times should be recorded together with a brief summary. The courses can be
identified by:
Clinical relevance
Academic relevance
Management relevance
Overall value of course
The standard and relevance of the courses should be graded according to the
categories – excellent, good, satisfactory and unsatisfactory.
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Audit. (Sheet 6)
A record of the frequency of audit meetings, including dates and amount of time
spent, projects undertaken and completed, and a record of personal involvement must
be recorded. An annual report will be presented.
Research activities. (Sheet 7)
This record should include the title of each project, date of commencement and
completion, degree of involvement and anticipation of publication.
List of Publications. (Sheet 8)
All authors should be listed, followed by the title of the article, abbreviated according
to the style of Index Medicus and Index to Dental Literature; the year of publication;
the volume number; and the first and last page number in full.
(ii) Patient-based Records
(a) Case reports
Completed cases should, where practical, be reviewed with the training Consultant
concerned. The Consultant's comments should be more than just a note of the
adequacy of treatment, e.g. they should include comment concerning case discussion
for study club, review of the literature, need for further training, and possibility of
publication.
Mini case reports must be documented demonstrating treatment performed throughout
training. Depending upon the training programme, the numbers and categories of
reports should be completed as follows:
RESTORATIVE DENTISTRY SPECIALTY
• Fixed prosthodontics 5 cases
• Removable prosthodontics 5 cases
• Periodontics (including surgical, 1 to be a graft) 5 cases
• Endodontics (including surgical) 5 cases
• Implantology 5 cases,
to include 1 complete removable case, 1 fixed complete arch case,
1 single tooth, 1 short span fixed case and 1 more of any of the above.
One case should involve fixture placement.
• In addition to the above, 10 cases of multi-disciplinary care within
Restorative Dentistry.
• 5 cases involving joint management with other dental and/or medical
specialties. Including:
- treatment under general anaesthesia.
- treatment under inhalation and intra-venous sedation.
- treatment of special care patients, including those with development
disorders and learning disabilities, physical, sensory and cognitive
impairment, mental illness and medically compromised.
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MONOSPECIALTIES
ENDODONTICS
25 cases including:
Non surgical root canal treatment
Non surgical root canal retreatment
Periradicular surgery
Trauma
Deciduous teeth
Restoration of the root filled tooth
FIXED AND REMOVABLE PROSTHODONTICS
25 cases including:
Complete dentures
Partial dentures
Overdentures
Obturators
Crowns
Inlays/Onlays
Veneers
Bridges
Conventional
Resin retained
Implant restorations
Complete removable
Fixed complete arch
Fixed short span
Single tooth
PERIODONTICS
25 cases including:
Non-surgical
Surgical
Gingivectomy
Open flap curettage
Guided tissue / bone regeneration
Grafting
Root resections
Antimicrobial therapy
Implant placement
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These short case reports should include:
• demographic details
• diagnosis (es)
• treatment plan
• treatment provided
• any changes to treatment, including justification
• outcomes of treatment
• maintainence
• educational value
It is not necessary to include photographs or radiographs with these cases. Each report
would be a maximum of two sides single spaced A4 paper.
Each report is to be commented on, including an indication of the difficulty of the
case, and signed by the supervising Consultant.
Although the logbook will remain the property of those to whom it has been issued it
will be required that it is presented to the consultant in charge of their programme on
a biannual basis for review and comment. The trainee or the consultant in charge of
the programme may request a review by the SAC for advice or comment.
Trainees should be aware that the logbook forms part of the Intercollegiate Specialty
Fellowship Examination (Restorative Dentistry).
Case reports are required in the Membership in Restorative Dentistry
(Monospecialties). It is the responsibility of the trainee to be aware of the
requirements for these examinations.
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Cumulative patient based records - personal treatment clinics
The range of clinical experience is recorded by maintaining a cumulative record of the
number of treatment procedures undertaken within specified categories. The
following listings are not considered to be totally prescriptive, if further detail to an
entry is considered appropriate this can be added.
ENDODONTICS UNITS
Non surgical endodontics
Non surgical root canal treatment
Single canal ___
Multirooted ___
Pulpotomy ___
Apexification ___
Apexogenesis ___
Non surgical root canal retreatment
Single canal ___
Multirooted ___
Dismantling of coronal restoration ___
Removal of post ___
Repair of perforation (internal) ___
Use of matrix ___
Removal of fractured instrument ___
Periradicular surgery
Surgical root canal treatment ___
Repair of perforation ___
Root resection ___
Periradicular curettage ___
Guided tissue regeneration ___
Trauma
Treatment of fractured root ___
Inflammatory resorption ___
Re-implantation ___
Deciduous teeth
Non vital pulp therapy ___
Vital pulp therapy ___
Restoration of root filled tooth
Post retained crown
Cast ___
Prefabricated ___
Core build up ___
Others ___
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FIXED PROSTHODONTICS UNITS
Crowns: Metal ceramic ___
Gold ___
Porcelain ___
Others ___
Post and cores: direct ___
Post and cores: indirect ___
Full arch reconstruction ___
Bridges: Resin bonded: cantilever ___
fixed – fixed ___
hybrid ___
Conventional: cantilever ___
fixed – fixed ___
fixed – moveable ___
Veneers: Labial ___
Palatal ___
Inlays / Onlays: ___
Basic Conservation – Amalgam ___
Resin Based ___
Glass Ionomer ___
Others: ___
IMPLANTS UNITS
First Stage Surgery
Immediate placement ___
Bone grafting ___
Delayed placement ___
Second stage ___
Overdentures ___
Fixed bridge - full arch ___
- short span ___
Crown ___
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PERIODONTICS UNITS
Gingivitis ___
Chronic Adult Periodontitis ___
Aggressive Periodontitis ___
Surgical Procedures
Gingivectomy ___
Surgical Pocket Therapy ___
GTR / GBR ___
Muco-gingival procedures ___
Crown Lengthening ___
Root resection ___
Chemotherapy
Systemic ___
Topical ___
Maintenance Care ___
Occlusal Therapy ___
Splinting ___
Others ___
REMOVABLE PROSTHODONTICS UNITS
Complete Dentures Conventional ___
Copy ___
Immediate ___
Hard reline ___
Soft lining ___
Partial Dentures Acrylic ___
Cobalt- Chrome ___
Onlay ___
Sectional ___
Precision retained ___
Overdentures Simple ___
Precision attachment ___
Obturators ___
Occlusal Splints ___
Others ___
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No of Cases
TREATMENT UNDER GENERAL ANAESTHESIA ___
TREATMENT UNDER INHALATION SEDATION ___
TREATMENT UNDER INTRA-VENOUS SEDATION ___
TREATMENT OF SPECIAL CARE PATIENTS
Developmental disorders ___
Learning Disability ___
Physical Impairment ___
Sensory Impairment ___
Cognitive Impairment ___
Mental illness ___
Medically compromised ___
Others ___
Some trainees may have a particular interest in specific areas of Restorative Dentistry
and may choose to provide further summaries in these areas of interest.
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1. Consultant-led diagnosis and treatment planning clinics (including Joint
Clinics) attended from / / to / / .
Hospital Clinic Type Consultant Description of broad Number of
/ Specialty Responsible areas of referral (see attendances by
Key Words from trainee
Appendix A)
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2. Teaching clinics
Hospital Clinical UG/PG & No of Staff/Student No. of
Specialty Year Students Ratio Sessions
Supervised
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3. Other Teaching Experience
Date Venue Type of teaching /Details
Undergraduate
Internal
Postgraduate
Section 63 / 2
Private Courses
Professionals
Complimentary to
Dentistry
Others
Professionals/
Groups
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4. Journal / Study Groups
Date Staff Year of Study Topic Format
Attendance Training
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5. Professional Courses Attended
Course Title
Date(s) of Course
Venue
Topics Covered
Speakers
Clinical relevance
Academic relevance
Management relevance
Overall Value of Excellent
Course
Good
Satisfactory
Unsatisfactory
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6. Audit
Date of Duration of meeting Projects discussed Personal projects undertaken with outcome
meeting
15
7. Research Activities
Title of Project Date of Date of Degree of personal involvement Anticipation of
Commencement Completion publication
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8. List of Publications
Title of paper Authors Journal Title Year of Volume Page
publication number numbers
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9. Cumulative Patient Record
Patient Details
Consultant / Unit
Diagnosis (es)
Start date
Completion date
Procedure undertaken
/ No. of items
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APPENDIX A
RESTORATIVE DENTISTRY REFERRAL CATEGORIES FOR
CONSULTANT CLINICS
Behavioural problems
Bridge problems - Conventional
- Adhesive
Cleft lip and palate
Combined restorative treatment
Denture problems - Complete
- Removable Partial Denture
Dental phobia
Developmental anomalies – medical / skeletal / tooth
Endodontics - Non-surgical – previously untreated
- Non-surgical - retreatment endodontics
- Surgical
Hypodontia
Implants
Management of occlusion
Medically compromised patients
Mental health problems
Oncology
Oral Medicine
Pain diagnosis
Patients with learning difficulties
Periodontics - Non-surgical
- Surgical
Perio-endo lesions
Routine restorative care
Special Care
Temporo-mandibular dysfunction
Toothwear
Traumatic injuries
Other
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Transferable Skills and Personal Qualities
The following list represents the main skills and qualities which every graduate
trainee is expected to develop. The definitions are guidelines and are not intended to
be strictly definitive or exhaustive. Development of the skills will be assessed
formatively by trainers and feedback given to the trainee.
1. Oral Communication
The ability to present ideas and information clearly, concisely and
convincingly to another person, group or audience. To apply presentational
techniques, including the use of visual aids, for effective expression, when
appropriate.
2. Written Communication
The ability to present and elucidate ideas and information clearly, concisely
and in logical sequence, to the reader.
3. Project Management
The ability to set objectives and define priorities, to optimise time and
resources, taking into account short term and longer term aims. The ability to
modify objectives in the light of information.
4. Teamwork Skills
The ability to work as part of a team, to relate to a range of people, and to give
and receive feedback/criticism in a positive and constructive manner.
5. Initiative
The ability to initiate action, to see things through, to take decisions and to
accept responsibility.
6. Enterprise/Innovation/Commercial Awareness
The ability to generate and develop ideas and proposals and to find cost
effective ways for their successful implementation.
7. Analytical Skills
The ability to assimilate information from a number of sources, to sift the
relevant from the irrelevant, and thereby to present a critical analysis of the
situation.
8. Assertiveness
To play a full part in activities. To have confidence in one’s own abilities and
judgement, to be able to state one’s own position, and to defend arguments
(but see 9).
9. Interpersonal skills
To be sensitive to the ideas, attitudes and feelings of others. To win respect
and trust, and to encourage and motivate others.
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10. Numeracy
To make effective use of numerical information using simple graphical,
statistical and computer based techniques
(These guidelines are reproduced with acknowledgement to the University of
Birmingham).
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