An exemplary report on the professional activities of a dentist. Dentist-orthopedist of the 1st qualification category

Dentists receive qualification categories in the same way as doctors of other specialties.

Allocate the second, first and highest categories. In this article, you will learn about the new procedure for obtaining qualification categories, in accordance with Order No. 274 “On the procedure for obtaining qualification categories for employees with higher medical education, with higher and secondary pharmaceutical education of state healthcare institutions.”

1. Federal Law No. 323-FZ dated November 21, 2011 “On the Fundamentals of Protecting the Health of Citizens in Russian Federation,
2. Orders of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n “On Approval of the Unified Qualification Directory for the Positions of Managers, Specialists and Employees,
3. section "Qualification characteristics of positions of workers in the field of healthcare", dated 07.07.2009 No. 415n "On approval of qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare"
4. and dated July 25, 2011 No. 808n "On the procedure for obtaining qualification categories by medical and pharmaceutical workers."
5. Order No. 274

Requirements for dentists when awarding a category:

Second category	at least 3 years of work experience in a certified specialty	Good practical and theoretical training	Work skills: modern methods of prevention, diagnosis and treatment of patients
First category	at least seven years	Required practical experience and good theoretical and practical training in the field of their specialty, well-versed in related disciplines	modern methods of prevention, diagnosis and treatment of patients, active participation in the scientific and practical activities of the medical institution
Top category	at least ten years of professional experience	high theoretical and practical professional training	fluency in modern methods of prevention, diagnosis and treatment of patients in the field of their specialty, who are well acquainted with related disciplines, have good indicators of professional activity, take an active part in the scientific and practical activities of a medical institution and improve the skills of specialists with higher medical education.

What documents must a dentist provide to receive a category?

1. application of a specialist addressed to the chairman of the attestation commission, which indicates the qualification category for which he is applying, the presence or absence of a previously assigned qualification category, the date of its assignment, the personal signature of the specialist and the date (Appendix No. 2);
2. a printed qualification sheet, certified by the personnel department (Appendix No. 3);
3. a report on the professional activities of a specialist, agreed with the head of the organization and certified by its seal, and including an analysis of professional activities over the past three years with a personal signature (Appendix No. 4).

Requirements for the report of a specialist (work for the category of a doctor):

You can find more detailed documentation by downloading the documentation for .

What should be contained in the work for the category of dentist (in the certification report)

1. The first chapter contains information about the healthcare institution in which the dentist works, the dental department, the equipment of the office and workplace of the dentist,
2. The second chapter is a report on the work over the past three years. It analyzes the dynamics of the quality of medical work. Implementation modern technologies mastering new methods of treatment by a doctor. Also here are the main indicators of the work of a specialist in the form of tables and graphs, namely, qualitative and quantitative indicators (percentage and absolute number of sanitized, the number of seals, UET in direct connection with the number of working days of the year). Do not forget to indicate the number of sanitations per bet, the number of sanitations, the number of fillings per day and the ratio of uncomplicated to complicated caries, % of one-session treatment of complicated caries. Each table and graph should end with a brief summary (1-2 sentences). Write down what treatment methods you use in your work. Indicators of preventive work and clinical examination.
3. The third section includes an analysis of new methods of treatment and prevention.

On the Internet, there are reports of dentists for a category in free access, you can read them on our website. I made a selection of reports, did the initial editing in formatting in Microsoft Office Word. However, all of them leave much to be desired and do not fully meet the requirements. They can only be used as a basis, an example.

In addition to the treatment of pulpitis and periodontitis, I carry out endodontic preparation of teeth before prosthetics: depulp for crowns, process previously sealed canals for inlays. Such work is carried out at the request of an orthopedist after a joint examination of the patient with him. Sometimes orthopedists and orthodontists consult with me about the possibility of performing certain therapeutic procedures for optimal treatment of patients.

Non-carious lesions of the teeth

In recent years, the number of patients with non-carious lesions of the teeth (erosion, pathological abrasion, enamel hypoplasia, hyperplasia, etc.) has increased. Toxic necrosis of tooth tissues appeared as a result of substance abuse and drug addiction. In such cases, correct diagnosis is very important in order to eliminate the cause of the disease and prescribe complex treatment. Cosmetic restoration is often required, which I do using light-curing materials. In addition to eliminating cosmetic imperfections, I prescribe general and local treatment and in some cases I put patients on dispensary registration.

Other pathology of the oral cavity

In addition to dental treatment, my duties include the detection of pathological processes in the oral mucosa, their preliminary diagnosis. During the examination of the patient, I determine the presence of neoplasms or manifestations of sexually transmitted diseases in the oral cavity, periodontal disease, periodontitis, gingivitis, stomatitis, fungal diseases, etc. If a pathology is detected, I refer the patient to a periodontist. In addition, I mastered the splinting of teeth with glassspan threads.

The polyclinic has a physiotherapy room, where I refer patients, if necessary, for additional medical procedures (remotherapy, laser, etc.) If available common diseases the patient requires specialist advice before providing dental care. With severe cardiovascular diseases I send patients to the day hospital of hospital No. 15, for blood diseases - to the Institute of Hematology, for the setting of allergic tests - to the 1st City Polyclinic.

Aesthetic restoration of teeth

The development of dentistry, materials science, the development of modern treatment technologies have opened up fundamentally new opportunities for dentists in clinical practice. Today, not only tooth treatment is of great importance, but also its aesthetic restoration, that is, the reproduction of the anatomy of color and transparency. Veneers have become an important trend in dentistry.

Veneers is an aesthetic restoration of the vestibular surface of the teeth. They are direct (made directly in the oral cavity from composites or ormokers) and indirect (made from composite or ceramics, made on a model and cemented on the tooth).

Indications for the manufacture of veneers:

1. Change in tooth color (natural, associated with the presence of a non-carious lesion or with previous depulpation).
2. The desire of the patient to change the shape of the tooth.
3. Dystopia.
4. The presence of a class IV cavity or a splitting of the angle, which occupies more than 1/3 of the crown of the tooth.
5. The presence of two significant cavities according to class III on the medial and distal faces.

Relative contraindications:

• height reduction or bite pathology;
• bruxism;
• bad habits;
• poor oral hygiene.

Before preparation, we clean the surface of the tooth, evaluate the opacity, the main tone and color shades, and the location of the transparency zones along the cutting edge. In case of periodontitis, surgical intervention is required before the restoration. The tooth is isolated with a rubber dam or a retraction thread. For preparation, we use a torpedo-shaped bur. In the cervical region, we form a ledge of at least 2 mm. Its depth depends on the degree of staining of the tooth. The more stained the tooth, the more hard tissue must be removed. To change the position of the tooth in a row, the amount of hard tissue is prepared individually.

Then we process the tooth body, form grooves on the medial and distal faces. The cutting edge is shortened by 2 mm or more. From the palatal surface, we prepare a retention groove with a depth and width of 2 mm. With a thin fissure bur, we bevel the surface of the enamel adjacent to the ledge. After the preparation is completed, we proceed to the restoration:

• we condition the surface of enamel and dentin with gel;
• we introduce an adhesive system;
• restore the vestibular surface.

There are several ways to restore the vestibular surface:

1. Layered restoration: from the neck to the cutting edge; the incisal edge and palatal surface are treated last.
2. Restoration by anatomical elements: after the cervical region, we restore the enamel rollers, fill the area between them, then form the cutting edge, then the palatal surface.
3. Mixed restoration combines elements of the first and second methods.

We select the color of the materials according to the tables: from the darkest on the neck of the tooth to the transparent on the cutting edge. The material is applied in excess. To restore the contact point, we use contoured plastic matrices.

A very important step is polishing. We use finishers, polishers, discs, silicone and rubber heads. Polishing starts from the palatal surface. The cutting edge is polished only with discs. We invite the patient to re-grinding after two or three days.

Restorative materials for veneers: Filtek A-110, Filtek Z-250, Filtek Supreme, Prodigy, Admira.

Restoration of teeth with veneers allows the patient to quickly and relatively cheaply get a beautiful smile and, moreover, it is interesting, creative work for the dentist.

Training

At present, new technologies, materials, tools are constantly appearing, and the doctor needs to use the novelties of the dental industry in his work, to be aware of all discoveries and achievements. I learn about them from the Internet from the Russian Dental Portal (http://www.stom.ru), from the newspapers "Dentist", "Medical Review", "Monthly newspaper for dentists" and so on.

In addition, I attend lectures and seminars held by the Training Center of JSC Amphodent, the Medical Academy of Postgraduate Education and conferences that take place in our clinic.

Conclusion

Based on the attestation report on my work for 2001-2003, one can judge how the work of a dentist has changed in recent years.

The level of dental health of the population has increased markedly. If in 2001 the number of fillings per sanitation was 14.5, in 2003 it was only 4.7. This is due to the higher level of dental care.

With the development of insurance medicine, patients have become more attentive to their health. The number of patients increased from 1932 in 2001 to 2520 in 2003. The number of primary patients increased from 26.5% to 42.2% of the total. That is, now even those patients who have not applied before come for treatment.

The number of endodontic procedures increased from 588 in 2001 to 711 in 2003. This is due to the fact that a lot of endodontic work is done for prosthetics.

Thus, we can conclude that modern therapeutic dentistry is qualitatively changing. Now it is impossible without communication with other branches of medicine. The number of works for prosthetics and orthodontics has increased. The number of cosmetic procedures (veneers, restorations) has increased. In addition, the dentist-therapist works in contact with doctors of other profiles (hematologists, allergists, mycologists, etc.)

I. Brief CV 3

II. Brief description of the work of the dental office 4

III. Analysis of work for 3 years (2004-2006) 14

IV. Introduction into practice of elements of the scientific organization of labor, new forms of therapy, testing of new medical equipment 23

V. Work with the medical staff of the department 34

VI. Sanitary and educational work 35

I. Brief autobiographical note

I, …. (full name), born on …… (date) in ………. (place of birth), in the family ……….. (origin).

…. (information about studies)

…. (job information)

…. (information about advanced training, courses and cycles)

…. (information about academic degrees)

…. (information about professional achievements)

…. (information about publications and printed works).

II. Brief description of the work of the dental office

There are certain standards and requirements for the organization of the dental office, due, on the one hand, to the equipment used, and on the other hand, to the amount of work and the use of materials that are potentially hazardous to health, which, if used improperly, can have an adverse effect on the health of medical personnel: we are talking about amalgam containing mercury.

According to the current situation, a dental office for one doctor should occupy an area of ​​at least 14 m2. If several chairs are installed in the office, then its area is calculated based on the additional standard - 7 m2 for each chair. If an additional chair has a universal dental unit, the area for it increases to 10 m2.

The height of the cabinet should be at least 3 m, and the depth with one-sided natural lighting should not exceed 6 m.

In connection with the use of amalgam in dental fillings, special attention is paid to the finishing of floors, walls and ceilings of the office. The walls of the dental office should be smooth, without cracks. The corners and junctions of walls, floors and ceilings should be rounded, without cornices and decorations. Walls and ceilings are plastered or rubbed with the addition of 5% sulfur powder to the solution to bind the sorbed mercury vapor into a strong compound (mercury sulphide) that does not undergo desorption, and then painted with silicate or oil paints. The floor of the cabinet is first covered with thick cardboard, and rolled linoleum is laid on top, which should go to the walls to a height of 10 cm. These measures are necessary to ensure effective sanitization and cleaning that eliminates the possibility of accumulation of mercury.


Job published

Requirements for the preparation of a doctor's attestation report

The attestation report is provided for the last 36 months of work.

The attestation report must be enclosed in a folder - folder. The volume of the report for the highest category is 30-35 sheets, for the first and second categories - 20-25 sheets.

General requirements

The attestation report must be printed on a printer, handwritten works are not accepted.

The text must be in black and placed on one side of a standard sheet of A4 white paper (210x297 mm).

Pages of the attestation report should have the following margins: left 30 mm, right 15 mm, top 20 mm, bottom 20 mm.

The main text of the work should be justified.

Uses the standard Times New Roman font. Font size (size) 12

points. Line spacing 1.5. Paragraph indent 1.25 cm.

Text attestation work must be numbered. Page numbers

are affixed without a dot in the lower right corner of the page. Moreover, the number “1” is not put on the title page, but it is taken into account that the next page has the number “2”. The second page of the certification report should contain a table of contents indicating the page numbers of the main sections of the certification report.

The headings in the report are highlighted in a more saturated 14 font, they are not underlined, and there is no dot at the end. Between the title and the text there should be an interval of at least 6-12 points.

Headings of a higher level are aligned "centered", headings of a more

low levels are left-aligned. Titles are numbered in Arabic

numbers, subheadings are numbered through a period ("1", "1.1", "1.2", etc.). Each new chapter should start on a new page.

The attestation report must include such elements as figures, graphs, tables. For them, continuous numbering is used throughout the work. If there is one table or one figure in the work, then they are not numbered.

Table formatting.

The table is indicated by the word "Table" and a number written in Arabic numerals in the upper right corner, the sign No. is not indicated, (for example, Table 1). This should be followed by a centered table header. In the text, a reference to the table is made out as follows: “see. tab.1" or "From tab. 1 shows that ......

When designing tables, the following recommendations are taken into account:

If possible, you should not use the column “number by order” (“No. p / p”), since in most cases it is not needed

Numbers are right-aligned, text is left-aligned, heading text is centered

All table cells are vertically aligned in the middle

The table must not contain empty rows

If the table does not fit on one page and it has to be moved to

the next, then on a new page they write the words “continuation of the table” and indicate its serial number, then the cells containing the column headings are repeated, and then the table continues.

Design of drawings.

Below the figure, write the name, centered, preceded by

abbreviation "Fig." and the serial number as a number written in Arabic numerals (the sign number is not indicated). For example: "Fig.1".

Application design.

Applications are located outside the text of the attestation report. Applications may include tables, text, pictures, drawings, diagrams. Each application must start on a new page. Applications are indicated by the word "APPENDIX" and a serial number (Arabic numerals) in the upper right corner (without the No. sign). This is followed by a centered application title. Links to applications in the main text

work is performed as follows: see Appendix 5.

I.Introduction

III.Bibliography

1. Own creativity (individually or as part of a team)

Attach a photocopy of your article published in a journal or provide a list of your own monographs, the title of reports that were presented at symposiums, meetings of scientific societies and conferences of various levels over the past 5 years.

2. Literature

Provide a list of literature on the specialty studied over the past 5 years, and

list of literature used in writing the report.

REPORT ON THE WORK OF A DENTIST
FOR 2008 - 2010
MATVEEVA VALENTINA IOSIFOVNA

Kaliningrad - 2011

Report plan

2. Cabinet equipment and organization of work in

dental office…………………………….. 4

2. Equipment of the office and organization of work in the dental office

3. The work of a dentist at a therapeutic appointment.

In recent years, the work of a dentist has undergone significant changes due to the use of:

Turbine installations, which makes it possible to use modern filling materials and makes the preparation of hard tooth tissues painless and fast.
More effective pain relief (alfacain, ultracain, orthocoin, ubestezin).

1. Good adaptation.

2. Water resistance.

3. Color stability.

4. Simple application technique.

5. Satisfactory mechanical strength.

6. Sufficiency of working hours.

7. Required depth of cure.

8. R-contrast.

9. Good polishability.

biological tolerance.

Standard scheme for the use of composite materials:

1. Preparation of a carious cavity.

2. Color choice.

3. Applying a gasket.

4. Pickling.

5. Neutralization of acid.

6. Drying.

7. Adhesive application.

8. Restoration of the anatomical shape of the tooth.

9. Toning of the filling.

10. Strict adherence to instructions.

Curing method Purpose

Powder + curable for cavities I and II class.
Liquid one paste Class B
Paste-paste for cavities III and

IV-V class.

dental caries in the stain stage;
fissure caries;
superficial caries;
medium caries;
deep caries.

1 class- localization of carious cavities in the area of ​​natural fissures of molars and premolars, in blind pits of incisors and molars.

Grade 2- on the lateral surfaces of molars and premolars.

3rd grade- on the lateral surfaces of incisors and canines without violating the integrity of the cutting edge.

4th grade- on the lateral surfaces of incisors and canines with violation of the integrity of the angle and cutting edge of the crown.

5th grade- in the cervical region.

Anesthesia. The choice of anesthesia method is determined by the clinical and individual characteristics of the patient. The workplace has both domestic and imported anesthetics.

The regularity of the action of forces of masticatory pressure on the tissues of the tooth and filling material.

1 and 2 - correct; 3 - incorrect design of the cavity.

R, Q, P - direction of forces.

a - the tooth is located vertically; b - the tooth has an inclination.
R, Q, P - direction of forces.

Often the pathological process goes beyond the carious cavity and the pulp and periodontium are involved in the process.
In recent years, the emotional perception of visiting the dentist's office has changed for the better thanks to the use of modern painkillers based on articaine. Low toxicity of the drug, rapid penetration into tissues, rapid removal from the body, high anesthetic effect allows the treatment of dental patients in a wider range: pregnant women, the elderly, children. Ultracaine does not contain a preservative that causes allergic reactions. The concentration of metabisulphate-antioxidant, a substance that prevents the oxidation of adrenaline, is minimal and is 0.5 mg per 1 ml of solution. Ultracaine is 6 times more effective than novocaine and 2-3 times more effective than lidocaine, the rapid onset of anesthesia is 0.3-3 minutes. allows you to maintain a favorable psycho-emotional background, the possibility of replacing conduction anesthesia with infiltration when working on the lower jaw. The properties of ultracaine listed above make it possible to use it in a wide range of dental diseases, in particular in the treatment of pulpitis.
Classification of pulpitis:

1. Sharp

limited;
diffuse.

fibrous;
gangrenous;
hypertrophic.

Classification of periodontitis:
I. Acute periodontitis

serous;
purulent.

fibrous;
granulating;

granulomatous.