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Enhance Your Dental Practice with Quality Assurance Program: Forms 6 & 7 Guide

This resource provides a comprehensive framework for dental professionals to develop personalized learning plans that assess and enhance their practice through continuous quality improvement (CQI). By self-evaluating yearly, practitioners can identify key areas for growth and set achievable learning goals. The attached Forms 6 and 7 guide the documentation of progress toward these goals, promoting an ongoing commitment to excellence and professional development in dental hygiene.

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Enhance Your Dental Practice with Quality Assurance Program: Forms 6 & 7 Guide

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  1. Quality Assurance Program Samples – Forms 6 and 7

  2. 6. CQI Activity Plan for the Year 20___ ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● • This is your Personalized Learning Plan. • Self-assess your dental hygiene practice yearly. • Identify areas of your practice that need enhancement. • Develop learning goals that will enhance your practice. 2 Home Prev. Next End

  3. Form 6 Sample ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● The number of goals you select will depend on your needs and the time and learning that is realistically required to complete them.

  4. 7. CQI Activities Evaluation for Goal # _____ ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● • This form reports on your progress towards your goal. • A separate Form 7 must be completed for each goal. 4 Home Prev. Next End

  5. Form 7 Sample Goal #1 ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● …Researching and evaluating the PSR system as a periodontal screening tool.

  6. Form 7 Sample Goal #1 cont’d ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●

  7. Form 7 Sample Goal #2 ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● …Investigating dentin hypersensitivity to better help clients who are presenting with tooth sensitivity.

  8. Form 7 Sample Goal #2 cont’d ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●

  9. Form 7 Sample Goal #3 ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● …Researching ways to better communicate with my clients so I can better establish their priorities and expectations for oral care.

  10. Form 7 Sample Goal #3 cont’d ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●

  11. ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●  Continuing Competency Means Making a Commitment to Lifelong Learning  11 Home Prev. Back End Show

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