[Oradlist] CBCT training

[Lennart Flygare]

Dear Dr Ackermann,

The legislation in Sweden is a wee bit unclear.
In Sweden you need to be a specialist in DMFR or Medical radiology to be legally responsible for a CBCT based business if you are doing maxillofacial imaging. You must also collaborate with a medical physicist. This means that a general dentist very well can own and run a CBCT but then need to collaborate closely with both specialist and physicist.
For a CBCT used solely for intraoral or dentoalveolar purposes it is more unclear. As I interpret it any dentist can buy and use such equipment. However, if they do a mistake, even a tiny one they are in deep, deep trouble if they are sued for malpractice. This is because their dental license isn't clearly restricted as long as they adhere to good standard of care.

The specialist curriculum for DMFR in Sweden involves minimum 3 year full-time programmed postgraduate studies - usually it takes a bit longer. Dentists can enter the programme after minimum 2 years of general practice. Most dentists entering the specialist training programme have a long experience beforehand.

The legislation is currently under revision and we don't know the outcome as yet.
Based on the European guidelines Prof Gröndahl and I have suggested diploma courses in intraoral CBCT with demands on annual repetitive education.
In my mind the curriculum of such a course need to involve not only training in image interpretation but also knowledge of radiation physics, radiation biology, dose-risk estimation, selection criteria and diagnostic thinking.  I personally cannot see how this can be achieved in less than a week.

Best wishes

Lennart Flygare


-------------------------------------
Lennart Flygare, Odont Dr
Senior Consultant
Dentomaxillofacial Radiology
Dept of Radiology
Sunderby Hospital
SE-971 80 Luleå
SWEDEN

tel+46-920-282931
mob: +46-70-6743858
fax:+46-920-282942
P  Think of the environment before printing this e-mail.
________________________________
Från: oradlist-bounces at lists.ucla.edu [mailto:oradlist-bounces at lists.ucla.edu] För Ackermann Gábor
Skickat: den 12 januari 2010 20:35
Till: Oral Radiology Discussion Group
Ämne: [Oradlist] CBCT training

Dear Oradlisters,

The EADMFR Basic Principles on the use of Cone Beam CT states that adequate

theoretical and practical training is needed to have the right to use a CBCT equipment.

My question is: How is it applied in your country? How long such a training lasts (theoretical and practical), and what is the curriculum for it?

Anyway, one can not go out to the traffic until having  a driver license!

Thank you for your help

Gabor Ackermann
Hungarian Society of Dento-Maxillo-Facial Radiology
Secretary
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