Audit title: KB-R1/R2 Resident Performance in General Dental Practice
Resident’s name Dr. Aliah Alenezi
Rotation o 1st o 2nd o3rd
Site coordinator’s name Dr. Nada Alansari
District/Polyclinic Capital / Khaifan
Date
18 - 11 - 24
Point of assessment
1st 2nd
Patient assessment and history Yes No Yes No
1 Take comprehensive medical history (diseases, hospitalization, surgeries)
2 Review the dental history
3 Review any relevant allergies/medication/smoking
4 Document patient concern or symptoms
Diagnostic procedures
5 Perform clinical extraoral examination accurately
6 Perform clinical intraoral examination soft tissue
7 Perform clinical intraoral examination hard tissue
8 Perform basic periodontal examination (BPE)
9 Request appropriate radiographs (if needed)
10 Interpret the radiograph accurately
11 Perform diagnostic tests (e.g.: sensibility test….)
12 Discuss accurate finding related to the chief complaint
13 Provide differential diagnosis (if necessary) NA
14 Document appropriate final diagnosis
Treatment
15 Discuss treatment options with the patient
16 Explain benefits and risks of treatment
17 Provide accurate treatment to the patient
18 Follow-up appointment scheduled (if needed)
Communication skills
19 Deliver understandable information to the patients/families
20 Establish therapeutic relationship with patients/families
21 Provide OHI/postoperative instructions to the patient
Referrals (if applicable)
22 Select the patients who need referrals correctly NA
23 Document Medical / Dental referrals accurately NA
Practice related audit
24 Adhere to appropriate dress code and professional appearance
25 Comply with Infection control guidelines
Total Score % 91 % %
Goal to be achieved next audit in % % %
1
1st 2nd
Strength Identified
- Confident in clinic and patient management.
- Good patient history investigation.
- Good extra- and intra-oral examination.
- Good time management.
Area of
improvement
(weakness) 1. Need to focus more on Case presentation and
patient education (show patient the clinical case
and radiographs and explain the case)
2. Pre-operative patient communication can be
improved (explain more about the tx. options
available, pros&cons and also prognosis)
Action Plan:
* Resident: needs to be aware of the areas that
1. Corrective action need improvement, and welling to improve. Then
keep practicing these aspects in her routine
clinical practice.
* Clinical Tutors: Need to observe cases on daily
bases and notice these aspects, monitor and
provide comments for further improvement.
* Site Coordinator: Repeat the audit after one
month period to evaluate the level of
improvement.
2. Responsible person
Resident, Clinical tutor and Site coordinator.
3. Time frame
18-11 till 18-12-24 (one month period)
Auditor’s Signature
