Clinical Record Keeping

Video 40 mins CPD 40 mins 80% required to pass

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Course Details

  • This course aims to provide learners with a clear understanding of accurate and compliant clinical record keeping in dental practice. It covers regulatory requirements, best practices, common pitfalls, and the importance of clear, secure, and legally sound documentation.
  • You will be presented with a short presentation followed by an assessment.
  • If you achieve a score of 80% or more, you pass the course and will receive a certificate to place in your CPD folder. If you do not pass, you will have the opportunity to review the content and retake the assessment when you feel confident to do so. 

Aims

This course aims to provide learners with a clear understanding of accurate and compliant clinical record keeping in dental practice. It covers regulatory requirements, best practices, common pitfalls, and the importance of clear, secure, and legally sound documentation.

Objectives

By engaging with this course, dental teams will be able to:

  • Explain the importance of accurate and comprehensive dental records.
  • Identify key legal, regulatory, and contractual requirements for record keeping.
  • Apply the principles of good record keeping in daily practice.
  • Improve the clarity and accuracy of clinical entries.
  • Evaluate the quality of their own record keeping and identify areas for improvement.

Learning Outcomes

After completing this course the learner will gain an understanding of:

  • Why dental records are important.
  • The legal, regulatory, and contractual requirements regarding record keeping.
  • Their knowledge of the principles of good record keeping.
  • Their skills in making good clinical entries.
  • The quality of their own record keeping and implement improvements.

GDC Development Outcomes

A,C

Topics covered

Legal & Ethical

Date created

05/05/2025

Last revision

06/05/2025


Relevant for Roles

Clinical Dental Technician, Dental Hygienist, Dental Nurse, Dental Technician, Dental Therapist, Dentist, Infection Control Lead, Orthodontic Therapist, Practice Manager, Receptionist, Trainee Dental Nurse, Trainee Dentist, Treatment Co-Ordinator

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