Biography

Mike qualified in Glasgow in 1999 and is a member of the Royal College of Physicians and Surgeons (Glasgow). He has a Masters in Hypnosis Applied to Dentistry from UCL and obtained a Postgraduate Certificate in the Management of Dental Anxiety from the University of Edinburgh.

Mike has also trained in Cognitive Behavioural Therapy with Prof Tim Newton at Kings College London, is an NLP Practitioner, and completed the SAAD Conscious Sedation training. He is a past president of The British Society of Medical and Dental Hypnosis (Scotland) and is a founding member of The International Society of Dental Anxiety Management. Mike has written many papers and book chapters on the topic of dental anxiety and dental hypnosis. He has appeared on BBCs ‘Horizon’, removing a wisdom tooth, having previously participated in two documentaries to undertake ‘world’s firsts’ with dental implant procedures (sinus lift and placement and extractions and immediate placement) – all using hypnosis in place of Local Anaesthetics for pain control!

Mike is a partner at ‘The Berkeley Clinic’ a private dental clinic in Glasgow, where his work is dedicated to managing anxious dental patients and dental hypnosis.

He is regularly involved with teaching and presenting on the topics of dental anxiety and hypnosis. Mike is editor and presenter of a new dental Youtube channel ‘Interdental.tv’ following his previous role as editor of ‘DentaltownUK’.

Learning Objectives

• Understand the nature of dental hypnosis, trance and suggestion
  
  
• Understand how dental hypnosis can be used alone or integrated with conscious sedation for anxious patients.
  
  
• Be able to use some simple language, rapport, communication and distraction techniques with adults and children
  
  
• Be able to use a basic and fast anxiety management technique
  
  
• Be able to use a basic and fast pain control/distraction technique to assist IV cannulation

Abstract

Hypnosis has been utilised within medicine in various guises for thousands of years, however it wasn’t until the mid 19^thcentury that it began to be investigated and understood scientifically.

Interestingly it was around this same time that pioneering medics and dentists also began to discover the effects of anaesthetic agents. The early adopters of hypnosis recognised the fact that it was not a panacea and it should always have been considered as an ‘adjunct in the majority of cases’ however sadly hypnosis received some reputational damage due to sensational or erroneous claims by charlatans and ‘entertainers’ and mainstream 20^thcentury medicine largely ignored its possibilities in favour of seemingly more ‘predictable’ pharmacological alternatives.

In the 21^stcentury however, healthcare providers have an increasing number of challenges regarding providing safer, faster and more effective healthcare solutions for patients with a wide range of needs. Scientific research can now demonstrate that hypnosis has vast potential in offering ways to help manage patients as an alternative to, or in combination with pharmacological techniques. This presentation will dispel some of the myths of hypnosis and introduce delegates to some safe, fast and effective techniques that they can use immediately in dental practice. The presentation will act as an introduction to dental hypnosis, allowing delegates to see the potential value in undertaking further training so that they can integrate it with their current skills and practice and better help their patients.

Biography

Chris currently works as a consultant in Special Care Dentistry at Guy’s and St. Thomas’ NHS Foundation Trust (GSTT) and is also a senior lecturer for King’s College London Faculty of Dentistry, Oral and Craniofacial Sciences (KCL). He is on GDC specialist lists for special care dentistry and prosthodontics.

His GSTT treatment clinics cover interests in all areas of Sedation and Special Care Dentistry with special interests in restorative oral health care for patients with haematological disorders, Epidermolysis Bullosa, patients with severe medical conditions, extreme phobia and gagging problems.

Chris is the teaching programme lead for the undergraduate sedation & special care course and the postgraduate taught diploma in conscious sedation for dentistry. He also teach on the SAAD national course where he is the lead for the hygiene and therapy course for inhalation sedation.

Prior to becoming a consultant at Guy’s Chris spent 13 years in the community dental service starting as a dental officer with Camden & Islington CDS and ending as deputy clinical director of Merton, Sutton and Wandsworth CDS.

Learning Objectives

• Be aware of conditions where acupuncture may be an asset to the provision of dental treatment
  
  
• Be able to assess the suitability of the patient and their condition for treatment using acupuncture
  
  
• Be able to recognise the limitations of use, risk and benefit issues of acupuncture techniques
  
  
• Be aware of the requirements to prepare the patient and clinical environment for the delivery of acupuncture techniques
  
  
• Be aware of the appropriate equipment required and the need for practical training in the application of appropriate needles to the correct sites of application

Abstract

Acupuncture is a treatment derived from Traditional Chinese Medicine and dates back to 400BCE. Fine needles are inserted at certain sites in the body for therapeutic or preventative purposes. It has been used by several medical disciplines to aid the treatment of a number of conditions and diseases.

Examples are neurological and pathological pain and, addictions, anxiety. Other associated and related disciplines are acupressure, cupping, moxibustion and reflexology all of which are gaining credence in modern western medicine.

In dentistry acupuncture has been used for a variety of conditions including anxiety/phobia, hyperactive gag reflexes, analgesia, facial pain conditions and temporo-mandibular disorders. This lecture will attempt to show the value of acupuncture in selected areas and describe some of the considerations necessary to allow its use in clinical dental practice.

Biography

During her twenty-eight-year training and coaching career Marion has designed and implemented leadership development and individual, team and organizational performance improvement programmes for a wide range of organizations, in both the private and public sector, including the NHS. Having achieved her Masters in Human Resource Strategy as a mature student in the mid 90’s she has developed three highly successful parallel careers; developmental workshop designer and facilitator, performance coach, and professional mediator (workplace conflict). She has also worked in a voluntary capacity as a Non-Executive Director and coach within the third sector in the UK, Europe and the Levant.

As an experienced non clinical medical educator, with a keen interest in psychology, she has been recognised as a Fellow of the Academy of Medical Education. As a founder member of the training organisation Dedici Ltd, her focus is on taking research and learning from both the public and private sectors and translate it in to highly interactive development solutions, with a keen interest unpacking the ‘black box’ of how human interactions work.

Marion has a passion for practical people development and workplace performance and has extensive working knowledge of the GMC Revalidation process, as well as clinical and educational supervision within the National Health Service.

Learning Objectives

• Explain the role of cognition in human error
  
  
• Identify the eight key anesthesia cognitive biases
  
  
• Recognise the known predispositions to error

Abstract

There is widespread recognition that human factors are key to the safe delivery of healthcare in the UK. Human factors are defined as: “enhancing clinical performance through an understanding of the effects of teamwork, tasks, equipment, workspace, culture and organisation on human behaviour and abilities and application of that knowledge in clinical settings” Catchpole, K.; or more simply, “the science of improving human performance and well‐being, by examining all the effectors of human performance.” Moneypenny, MJ

There is now worldwide acknowledgement that there is ‘value’ associated with developing a greater awareness of human factors (HF) among all healthcare staff in terms of improving patient safety in their clinical practice. Anaesthesia has often led the way in patient safety matters and yet HF are still not part of core training.

An HF approach considers the interplay between the healthcare staff providing care (people and culture) and the organisational and clinical contexts in which this care is delivered (systems and processes). It helps describe and explain the limitations and potential fallibility of human performance within complex systems and links to broader contexts of organisational performance and risk management.

Biography

Susan Suliman is a co-owner and director of Patient Safety Science Not For Profit Limited where they deliver high quality, interactive training in Patient Safety Investigation, Duty of Candour/Being open, Human Factors and Just Culture for the health and social care sector.

She has more than 30 years NHS experience as a physiotherapist, senior manager and company secretary across all healthcare settings. She is a specialist in Corporate and Clinical Governance, Risk Management, Patient Safety and Public Involvement.

From 2005 to 2013, Susan was engaged by the National Patient Safety Agency (latterly NHS England and NHS Improvement) to deliver their Root Cause Analysis and Being Open training programme for the NHS. She has extensive experience and expertise in safety culture and patient safety investigation and delivers training to professionals in a variety of industries, both in the UK and internationally.

Learning Objectives

• Be able to comprehend the theory underpinning patient safety investigation – addressing myths and misconceptions
  
  
• Have an understanding of the core principles of effective investigation process
  
  
• Explain the links between Human Factors and Duty of Candour
  
  
• Have an understanding about the impact of a ‘Just Culture

Abstract

Healthcare will never be an error free environment however there are opportunities to reduce or eliminate the potential for error. Patient safety is about maximising the things that go right and minimising the things that go wrong for people experiencing healthcare. The aim in healthcare is to improve the quality, outcomes and value of investigation for learning and significantly eradicate repeat patient safety incidents, one by one. NHS England/NHS Improvement have recently published the NHS Patient Safety Strategy which includes a visionto build on two foundations: a patient safety culture and a patient safety system, across all settings of care.

Patient Safety Investigation (Root Cause Analysis) is a structured technique that focuses on finding the real reasons an incident occurred and dealing with these, rather than continuing to deal with the symptoms. The process is aimed at helping stakeholders in understanding causes fully to achieve permanent resolution of these problems. Organisations must develop strategies for patient safety which consider their triggers for investigation and seek to conduct fewer, better investigations.

The goal of Patient Safety Investigation is to find out what happened, why it happened and what can be done to prevent it from happening again. There are core principles for investigation - an effective investigation requires detailed evidence gathering and analysis of the contributory factors to determine the root cause(s). Healthcare staff operate in complex systems, with many factors influencing the likelihood of error. These factors include medical device design, volume of tasks, clarity of guidelines and policies, human factors and behaviour of others. A ‘systems’ approach to error considers all relevant factors and means our pursuit of safety focuses on strategies that maximise the frequency of things going right.

In addition to undertaking quality investigations, energy must be invested in effective solution development. This requires lateral thinking and a systems approach which includes consideration of human factors and improvement science. ‘Treat the illness not the symptoms.’ Intended solutions must be within the staff’s or organisation’s control to remedy or escalated appropriately.

For effective Patient Safety Investigation to flourish, a just culturemust be in place to ensure staff involved in a patient safetyincident are treated fairly and to support openness to maximise opportunities to learn from mistakes. To ensure the involvement of patients, families and staff, Patient Safety Investigation must also be conducted hand in hand with the Duty of Candour.

Biography

Mahnaz is a consultant psychiatrist based in the the liaison psychiatry service at the Queen Elizabeth Hospital, a large general teaching hospital in Birmingham. She studied medicine at Cardiff University, before going on to postgraduate training in psychiatry at University College Hospital London and the Royal Free Hospital. She was appointed a consultant in Birmingham in 2009.

Along the way she gained an MSc in Medical Anthropology from UCL where her research subject was Counter-Terrorism and Civil Liberties. Her clinical interests lie in the interface between mental and physical disorders and she has particular expertise in working with patients with 'medically unexplained’ physical symptoms in a general hospital setting. As a liaison psychiatrist, she is also concerned with issues of mental capacity and consent in a medical setting.

Between 2009 and 2014, Mahnaz was one of the driving forces behind the innovative and award-winning RAID (Rapid Assessment Interface and Discharge) model of liaison psychiatry pioneered at City Hospital in Birmingham, which was evaluated by the London School of Economics as saving the health service £4 for every £1 invested and later rolled out across the UK by the Department of Health as an exemplar for liaison psychiatry services. She sits on the Executive Committee of the Liaison Psychiatry Faculty of the Royal College of Psychiatrists and is regional co-Chair of the NHS England Liaison Psychiatry Expert Advisory Group. She has a strong interest in digital health, founding a health tech start up, Medstars, in 2016 of which the NHS is now a stakeholder. When she is not juggling the above she sits on the Development Board of the Birmingham Hippodrome Theatre, a charity that aims to make the performing arts more accessible, and enjoys the whirlwind of family life with 3 children and a black pug called Peppa.

Learning Objectives

Abstract

Biography

A New Jersey native, Jonathan attended Rutgers University where he graduated with a Bachelor’s degree in Exercise Science and Nutrition. He then earned his Doctorate of Dental Medicine from the University of Pittsburgh School of Medicine. Jonathan completed a post-doctoral residency in Dental Anaesthesiology at the University of Pittsburgh School of Dental Medicine, at the University of Pittsburgh Medical Centre (UPMC). Jonathan’s anaesthesia training involved hospital rotations through various specialties. During each rotation, he provided general anaesthesia in the areas of dentistry, general surgery, otolaryngology (ENT) surgery and obstetrics. In addition, he received specialised training for office-based anaesthesia

Learning Objectives

• Review of American Society of Anesthesiologists sedation guidelines and techniques
  
  
• Discussion of United States Individualised State inspection requirements for dental professional utilising sedation techniques in the dental office
  
  
• Examination of individual cases and the use of single agent techniques
  
  
• Exploration of the daily routine of a dental anaesthesiologist in his ambulatory anaesthesia practice in the United States

Abstract

The need for sedation in the dental office is on the rise. With advances in medicine and dental procedures, sedation is being utilised by millions of dental professionals on a daily basis. A select group of providers are providing ambulatory sedation services to dental practices throughout the world. Jonathan Mendia, is part of a small group of providers in the United States traveling to dental practices. In his presentation he will examine the rigorous training, inspections, requirements and laws that must be completed in order to provide this much needed service to patients in need. Additionally Jonathan will provide an inside look to his day to day practice and how he provides his patients with the optimal patient experience.

Biography

Bryan was inspired by his undergraduate teaching in Sedation at Glasgow Dental Hospital and won the SAAD student essay prize in 2003. He then when on to pursue a career focused on the delivery and teaching of conscious sedation techniques.

He completed a MSc in Sedation and Special Care Dentistry at King's College London (KCL) and is now a Consultant at Guy's Hospital, London.

He provides training in conscious sedation to undergraduate and postgraduate dentists at KCL. Bryan is the current chair for DSTG and in the SAAD teaching faculty.

Learning Outcomes

• Have any overview of remimazolam as a potential sedative for dental procedures
  
  
• Understand the remimazolam pharmacokinetics / dynamics
  
  
• Be aware of current published evidence for the use of remimazolam
  
  
• Be updated on new developments in clinical trials