The Ore Exam1191

The Overseas Registration Exam (ORE) – content and format of the ORE

The Overseas Registration Exam (ORE) is designed to test the knowledge, skills and professionalism relating to the practise of dentistry expected of graduate dentists on first registration with the General ental !ouncil (G!)" This means that #$ graduates and overseas dentists are expected to have the same %asic level of knowledge and skills" &ou are not expected to %e familiar with the 'ational ealth ervice (') or *ritish culture other than in the way it might affect how you treat patients" &ou should %e familiar  with how people in the #$ might %ehave + you should not make assumptions a%out a patient %ased on their gender or ethnic origin, for example" t is advisa%le to familiarise yourself with the G! guidance to registrants as you will %e expected to conduct yourself in line with the advice they give" -ain guidance . tandards for dental professionals / upplementary guidance . 0rinciples of consent/ consent / 0rinciples of confiden confidentiality tiality// 0rinciples of dental team working / 0rinciples of raising concerns/ concerns / and 0rinciples of complaints handling " The following pages descri%e1 •

The level of knowledge and skills re2uired skills  re2uired of a successful ORE candidate/

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ORE 0art 3 format format (including  (including sample 2uestions) and content

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ORE 0art 4 format and content

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ORE %lueprint

Knowledge and Skills

The overseas dentist should %e a%le to demonstrate that his or her clinical skills and knowledge are at the level re2uired for success in a final examination of a #$ *5*!h programme" &ou are expected to a%le to show competence, knowledge and familiarity in different aspects of dentistry as outlined in The First Five Years – A Framework for Undergraduate Dental Education (General Dental Council re!rinted "anuar# $%%&' As stated in paragraph  of TFFY ! candidates sho"ld# $e competent at# you should have a sound theoretical knowledge and

understanding of the su%6ect together with an ade2uate clinical experience to %e a%le to resolve clinical pro%lems encountered, independently, or without assistance %ave knowledge of# you should have a sound theoretical knowledge of the

su%6ect, %ut need have only a limited clinical5practical experience

$e familiar with# you should have a %asic understanding of the su%6ect, %ut need

not have direct clinical experience or %e expected to carry out procedures independently"  7 successful ORE candidate will1 $&O'E&A* S&E+ES A+ ORA* $&O*O,• •

have knowledge of anatomy, physiology and %iochemistry relevant to dentistry/ have knowledge and understanding of %iomedical sciences and of oral physiology and craniofacial, oral and dental anatomy in the management of their patients/

$E%A.&O/RA* S&E+ES •

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%e competent at communication with patients, other mem%ers of the dental team and other health professionals/ %e familiar with the social and psychological issues relevant to the care of patients/

%/'A+ &SEASE •

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have knowledge of the scientific principles of sterilisation, disinfection and antisepsis/ have knowledge of the pharmacological properties of those drugs used in general practice including their unwanted effects/ %e familiar with the pathological features and dental relevance of common disorders of the ma6or organ systems/ %e familiar with the role of therapeutics in the management of patients re2uiring dental treatment/ %e familiar with the general aspects of medicine and surgery/ %e familiar with the main medical disorders that may impinge on dental treatment/ %e familiar with the work of healthcare workers/

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%e familiar with the place of dentistry in the provision of healthcare/

'E&A* E'ER,E+&ES •

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%e competent at carrying out resuscitation techni2ues and immediate management of cardiac arrest, anaphylactic reaction, upper respiratory o%struction, collapse, vasovagal attack, haemorrhage, inhalation or ingestion of foreign %odies, and dia%etic coma/ have knowledge of diagnosing medical emergencies and delivering suita%le emergency drugs using, where appropriate, intravenous techni2ues/

*A0! ET%&S A+ 1RO2ESS&O+A*&S' • • • • • •

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%e competent at maintaining full, accurate clinical records/ have knowledge of responsi%ilities of consent, duty of care and confidentiality/ have knowledge of patients8 rights/ have knowledge of the regulatory functions of the General ental !ouncil/ %e familiar with the legal and ethical o%ligations of registered dental practitioners/ %e familiar with the o%ligation to practise in the %est interest of the patient at all times/ %e familiar with the need for lifelong learning and professional development/

%EA*T% &+2OR'AT&S • •

%e competent at using information technology/ %e familiar with the law as it applies to records/

&+TRO/T&O+ TO *&+&A* E+T&STR• • •

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%e competent at o%taining a detailed history of the patient8s dental state/ %e competent at o%taining a relevant medical history/ %e competent at using la%oratory and imaging facilities appropriately and efficiently/ %e competent at clinical examination and treatment planning/ %e competent at arranging appropriate referrals/ %e competent at maintaining an aseptic techni2ue throughout surgical procedures/ %e competent at o%taining informed consent/ have knowledge of managing patients from different social and ethnic %ackgrounds/ have knowledge of dental pro%lems that may manifest themselves in older patients and of the principles involved in the management of such pro%lems/ have knowledge of working as part of the dental team/ %e familiar with the complex interactions %etween oral health, nutrition, general health, drugs and diseases that can have an impact on dental care and disease/

RESTORAT&.E E+T&STR•

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%e competent at diagnosing and planning preventive, non.operative care for the individual patient who presents with dental caries, periodontal diseases and tooth wear/ %e competent at completing a periodontal examination and charting, diagnosis and treatment plan/ %e competent at supragingival and su%gingival scaling and root de%ridement,

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using %oth powered and manual instrumentation, and in stain removal and prophylaxis/ %e competent at knowing when and how to prescri%e appropriate anti.micro%ial therapy in the management of pla2ue.related diseases/ %e competent at completing a range of procedures in restorative dentistry including amalgam and tooth.coloured restorations, endodontic treatments of single. and multi.rooted teeth, anterior and posterior crowns, post crowns, simple %ridges, and partial and complete dentures/ %e competent at deciding whether severely %roken down teeth are restora%le/ %e competent at designing effective indirect restorations and complete and partial dentures/ have knowledge of when periodontal surgery might %e advised/ have knowledge of how missing teeth should %e replaced, choosing %etween the alternatives of no replacements, %ridges, dentures or implants/ have knowledge of the design and la%oratory procedures used in the production of crowns, %ridges, partial and complete dentures and %e a%le to make appropriate chair.side ad6ustment to these restorations/ %e familiar with the diagnosis and management of temporomandi%ular 6oint disorders/ %e familiar with dental implants as an option in replacing missing teeth/

E+TA* $&O'ATER&A*S S&E+E • • •

have knowledge of the science that underpins the use of dental %iomaterials/ have knowledge of the limitations of dental materials/ %e familiar with those aspects of %iomaterial safety that relate to dentistry/

1AE&ATR& E+T&STR•

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%e competent at diagnosing active caries and planning appropriate nonoperative care/ %e competent at fissure sealing, preventive resin restorations, and pit and fissure restorations/ %e competent in undertaking approximal and incisal tip restorations/ have knowledge of preformed stainless steel crown and pulp therapy in primary molar teeth/ have knowledge of the role of sedation in the management of young patients/ have knowledge of the management of trauma in %oth dentitions/

ORT%OO+T&S •

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%e competent at carrying out an orthodontic assessment including an indication of treatment need/ %e competent at managing appropriately all forms of orthodontic emergency including referral when necessary/ %e competent at making appropriate referrals %ased on assessment/ have the knowledge to %e a%le to explain and discuss treatments with patients and their parents/ have the knowledge to %e a%le to design, insert and ad6ust space maintainers/

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have the knowledge to design, insert and ad6ust active remova%le appliances to move a single tooth or correct a cross%ite/ %e familiar with contemporary treatment techni2ues/ %e familiar with the limitations of orthodontic treatment/

1RE.E+T&.E E+T&STR•

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%e competent at oral hygiene instruction, dietary analysis, topical fluoride therapy and fissure sealing/ %e familiar with an evidence.%ased approach to treatment/

E+TA* 1/$*& %EA*T% • • •

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%e familiar with the prevalence of certain dental conditions in the #$/ %e familiar with the importance of community.%ased preventive measures/ %e familiar with the social, cultural and environmental factors which contri%ute to health or illness/ %e familiar with the principles of recording oral conditions and evaluating data/

O'1RE%E+S&.E ORA* ARE • •

%e competent at working with other mem%ers of the dental team/  have knowledge of providing a comprehensive approach to oral care/

ORA* S/R,ER•

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%e competent at undertaking the extraction of teeth and the removal of roots where necessary/ %e competent at undertaking minor soft tissue surgery/ have knowledge of the management of acute infection/ %e familiar with the principles of assessment and management of maxillofacial trauma/ %e familiar with the diagnosis of oral cancer and the principles of tumour management/ %e familiar with the principles of treatment of dento.facial anomalies including the common orthodontic5maxillofacial procedures involved/ %e familiar with the %asic principles of oral surgery practice/

ORA* 'E&&+E •

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have knowledge of the drugs commonly used in oral medicine and of their side effects and drug interactions/ have knowledge of appropriate special investigations and the interpretation of their results/ %e familiar with the pathogenesis of common oral medical disorders and their treatment/

ORA* 1AT%O*O,- A+ ORA* '&RO$&O*O,• • • •

have knowledge of the role of la%oratory investigations in diagnosis/ have knowledge of the pathogenesis and classification of oral diseases/ have knowledge of the aetiology and processes of oral diseases/ have knowledge of matters relating to infection control/

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have knowledge of the causes and effects of oral diseases needed for their prevention, diagnosis and management/

E+TA* RA&O*O,- A+ &'A,&+, •

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%e competent at taking and processing the various film views used in general dental practice/ %e competent at radiographic interpretation and %e a%le to write an accurate radiographic report/ have knowledge of the ha9ards of ionising radiation and regulations relating to them, including radiation protection and dose reduction/ %e familiar with the principles which underlie dental radiographic techni2ues/

1A&+ A+ A+3&ET- O+TRO* • • •

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%e competent at infiltration and regional %lock analgesia in the oral cavity/ %e competent at when, how and where to refer a patient for general anaesthesia/ %e competent at managing fear and anxiety with %ehavioural techni2ues and empathise with patients in stressful situations/ have knowledge of inhalational and intravenous conscious sedation techni2ues/ have knowledge of conscious sedation techni2ues in clinical practice"

ORE 1art  – 2ormat

0art 3 of the test comprises two, three.hour written papers, undertaken on a computer and is made up of Extended -atching :uestions (E-:s) and -ultiple !hoice :uestions (-!:s) in the form of ingle *est 7nswer 2uestions (*7s)" Extended matching 4"estions (E'5s)

Extended matching 2uestions are grouped into themes" Each theme has a heading that tells you what the 2uestions are a%out" ;ithin each theme there are several num%ered items" These are the 2uestions and the pro%lems you have to solve" There are examples in the next section" ;e recommend that you %egin %y reading carefully the instruction that precedes the num%ered items" ;e recommend that you consider each of the num%ered items and decide what you think the answer is" &ou should then look for that answer in the list of options a%ove the items (each of which is identified %y a letter of the alpha%et)" f you cannot find the answer you have thought of, you should look for the option which, in your opinion, is the %est answer to the pro%lem posed"