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3.list of Competencies

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BDS PROGRAM

ATTRIBUTES / COMPETENCIES

At the completion of the undergraduate training program the graduates shall be competent in the
following. -

General Skills

• Apply knowledge& skills in day-to-day practice


• Apply principles of ethics
• Analyze the outcome of treatment
• Evaluate the scientific literature and information to decide the treatment
• Participate and involve in professional bodies
• Self-assessment & willingness to update the knowledge & skills from time to time
• Involvement in simple research projects
• Minimum computer proficiency to enhance knowledge and skills
• Refer patients for consultation and specialized treatment
• Basic study of forensic odontology and geriatric dental problems

Practice Management

• Evaluate practice location, population dynamics & reimbursement mechanism


• Co-ordinate & supervise the activities of allied dental health personnel
• Maintain all records
• Implement & monitor infection control and environmental safety programs
• Practice within the scope of one’s competence

Communication & Community Resources

• Assess patients’ goals, values and concerns to establish rapport and guide patient care
• Able to communicate freely, orally and in writing with all concerned Participate in improving the
oral health of the individuals through community activities.

Patient Care – Diagnosis

• Obtaining patient’s history in a methodical way


• Performing thorough clinical examination
• Selection and interpretation of clinical, radiological and other diagnostic information
• Obtaining appropriate consultation
• Arriving at provisional, differential and final diagnosis
Patient Care – Treatment Planning

• Integrate multiple disciplines into an individual comprehensive sequence treatment plan using
diagnostic and prognostic information
• Able to order appropriate investigations

Patient Care – Treatment

• Recognition and initial management of medical emergencies that may occur during Dental
treatment Perform basic cardiac life support
• Management of pain including post-operative
• Administration of all forms of local anesthesia
• Administration of intra muscular and venous injections
• Prescription of drugs, pre-operative, prophylactic and therapeutic requirements
• Uncomplicated extraction of teeth Trans alveolar extractions and removal of simple impacted
teeth Minor oral surgical procedures
• Management of Oro-facial infections
• Simple orthodontic appliance therapy
• Taking, processing and interpretation of various types of intra oral radiographs
• Various kinds of restorative procedures using different materials available
• Simple endodontic procedures
• Removable and fixed prosthodontics
• Various kinds of periodontal therapy

ORAL MEDICINE & RADIOLOGY

• Able to identify precancerous and cancerous lesions of the oral cavity and refer to the
concerned specialty for their management
• Should have an adequate knowledge about common laboratory investigations and
interpretation of their results.
• Should have adequate knowledge about medical complications that can arise while treating
systemically compromised patients and take prior precautions/ consent from the concerned
medical specialist.
• Have adequate knowledge about radiation health hazards, radiations safety and protection.
• Competent to take intra-oral radiographs and interpret the radiographic findings
• Gain adequate knowledge of various extra-oral radiographic procedures, TMJ radiography and
sialography.
• Be aware of the importance of intra- and extra-oral radiographs in forensic identification and
age estimation
• Should be familiar with jurisprudence, ethics and understand the significance of dental records
with respect to law

PAEDIATRIC & PREVENTIVE DENTISTRY

• Able to instill a positive attitude and behavior in children towards oral health and understand
the principles of prevention and preventive dentistry right from birth to adolescence.
• Able to guide and counsel the parents in regards to various treatment modalities including
different facets of preventive dentistry.
• Able to treat dental diseases occurring in child patient.
• Able to manage the physically and mentally challenged disabled children effectively and
efficiently, tailored to the needs of individual requirement and conditions.

ORTHODONTICS & DENTOFACIAL ORTHOPAEDICS

• Understand about normal growth and development of facial skeleton and dentition.
• Pinpoint aberrations in growth process both dental and skeletal and plan necessary treatment
• Diagnose the various malocclusion categories
• Able to motivate and explain to the patient (and parent) about the necessity of treatment
• Plan and execute preventive orthodontics (space maintainers or space retainers)
• Plan and execute interceptive orthodontics (habit breaking appliances)
• Manage treatment of simple malocclusion such as anterior spacing using removable appliances
Handle delivery and activation of removable orthodontic appliances
• Diagnose and appropriately refer patients with complex malocclusion to the specialist

PERIODONTOLOGY

• Diagnose the patient’s periodontal problem, plan and perform appropriate periodontal
treatment  Competent to educate and motivate the patient
• Competent to perform thorough oral prophylaxis, subgingival scaling, root planning and minor
periodontal surgical procedures
• Give proper post treatment instructions and do periodic recall and evaluation
• Familiar with concepts of osseointegration and basic surgical aspects of implantology

PROSTHODONTICS AND CROWN & BRIDGE

• Able to understand and use various dental materials


• Competent to carry out treatment of conventional complete and partial removable dentures
and fabricate fixed partial dentures
• Able to carry out treatment of routine prosthodontic procedures.
• Familiar with the concept of osseointegration and the value of implant-supported Prosthodontic
procedures
CONSERVATIVE DENTISTRY AND ENDODONTICS

• Competent to diagnose all carious lesions


• Competent to perform Class I and Class II cavities and their restoration with amalgam
• Restore class V and Class III cavities with glass ionomer cement
• Able to diagnose and appropriately treat pulpally involved teeth (pulp capping procedures)
• Able to perform RCT for anterior teeth
• Competent to carry out small composite restorations
• Understand the principles of aesthetic dental procedures

ORAL & MAXILLOFACIAL SURGERY

• Able to apply the knowledge gained in the basic medical and clinical subjects in the
management of patients with surgical problems
• Able to diagnose, manage and treat patients with basic oral surgical problems  Have a broad
knowledge of maxillofacial surgery and oral implantology
• Should be familiar with legal, ethical and moral issues pertaining to the patient care and
communication skills
• Should have acquired the skill to examine any patient with an oral surgical problem in an orderly
manner
• Understand and practice the basic principles of asepsis and sterilisation
• Should be competent in the extraction of the teeth under both local and general anaesthesia
• Competent to carry out certain minor oral surgical procedure under LA like trans-alveolar
extraction, frenectomy, dento alveolar procedures, simple impaction, biopsy, etc.
• Competent to assess, prevent and manage common complications that arise during and after
minor oral surgery
• Able to provide primary care and manage medical emergencies in the dental office
• Familiar with the management of major oral surgical problems and principals involved in the in-
patient management

PUBLIC HEALTH DENTISTRY

• Apply the principles of health promotion and disease prevention


• Have knowledge of the organization and provision of health care in community and in the
hospital service
• Have knowledge of the prevalence of common dental conditions in India.
• Have knowledge of community-based preventive measures
• Have knowledge of the social, cultural and env. Factors which contribute to health or illness.
• Administer and hygiene instructions, topical fluoride therapy and fissure sealing.
• Educate patients concerning the aetiology and prevention of oral disease and encourage them
to assure responsibility for their oral health.
MDS PROGRAM

ATTRIBUTES / COMPETENCIES

I. PROSTHODONTICS AND CROWN & BRIDGE COURSE


AIM:
To train the dental graduates so as to ensure higher level of competence in both general and
specialty areas of Prosthodontics and prepare candidates with teaching, research and clinical abilities
including prevention and after care in Prosthodontics – removable dental prosthodontics, fixed dental
prosthodontics (Crown &Bridge), Implantology, maxillofacial prosthodontics and esthetic dentistry.
GENERAL OBJECTIVES OF THE COURSE
Training program for the dental graduates in Prosthetic dentistry– removable dental
prosthodontics, fixed dental prosthodontics (Crown & Bridge), Implantology, maxillofacial
prosthodontics and esthetic dentistry and Crown & Bridge including Implantology is structured to
achieve knowledge and skill in theoretical and clinical laboratory, attitude, communicative skills and
ability to perform research with a good understanding of social, cultural, educational and environmental
background of the society.

• To have adequate acquired knowledge and understanding of applied basic and systemic
medical sciences, both in general and in particularly of head and neck region.
• The postgraduates should be able to provide Prosthodontic therapy for patients with
competence and working knowledge with understanding of applied medical, behavioral
and clinical science, that are beyond the treatment skills of the general BDS graduates
and MDS graduates of other specialties.
• To demonstrate evaluative and judgment skills in making appropriate decisions
regarding prevention, treatment, after care and referrals to deliver comprehensive care
to patients.

KNOWLEDGE
The candidate should possess knowledge of applied basic and systemic medical sciences.
• On human anatomy, embryology, histology, applied in general and particularly to head
and neck, Physiology & Biochemistry, Pathology Microbiology & virology; health and
diseases of various systems of the body (systemic) principles in surgery and medicine,
pharmacology, nutrition, behavioral science, age changes, genetics, Immunology,
Congenital defects & syndromes and Anthropology, Bioengineering, Bio-medical &
Biological Principles
• The student shall acquire knowledge of various Dental Materials used in the specialty
and be able to provide appropriate indication, understand the manipulation
characteristics, compare with other materials available, and be adept with recent
advancements of the same.
• Students shall acquire knowledge and practice of history taking, Diagnosis, treatment
planning, prognosis, record maintenance of oral, craniofacial and systemic region.
• Ability for comprehensive rehabilitation concept with pre prosthetic treatment plan
including surgical re-evaluation and prosthodontic treatment planning, impressions, jaw
relations, utility of face bows, articulators, selection and positioning of teeth, teeth
arrangement for retention, stability, esthetics, phonation, psychological comfort, fit and
insertion.
• Instructions for patients in after care and preventive Prosthodontics and management
of failed restorations shall be possessed by the students.
• Understanding of all the applied aspects of achieving physical, psychological well-being
of the patients for control of diseases and / or treatment related syndromes with the
patient satisfaction and restoring function of Cranio mandibular system for a quality life
of a patient.
• Ability to diagnose and plan treatment for patients requiring Prosthodontic therapy
• Ability to read and interpret radiographs, and other investigations for the purpose of
diagnosis and treatment planning.
• The theoretical knowledge and clinical practice shall include principles involved for
support, retention, stability, esthetics, phonation, mastication, occlusion, behavioral,
psychological, preventive and social aspects of Prosthodontics science of Oral and
Maxillofacial Prosthodontics and Implantology
• Tooth and tooth surface restorations, Complete denture Prosthodontics, removable
partial denture Prosthodontics, fixed prosthodontics and maxillofacial and Craniofacial
Prosthodontics, implants and implant supported Prosthodontics, T.M.J. and occlusion,
craniofacial esthetics, and biomaterials, craniofacial disorders, problems of psychogenic
origin.
• Should have knowledge of age changes, geriatric psychology, nutritional considerations
and prosthodontic therapy in the aged population.
• Should have ability to diagnose failed restoration and provide prosthodontic therapy
and after care.
• Should have essential knowledge on ethics, laws, and Jurisprudence and Forensic
Odontology in Prosthodontics.
• Should know general health conditions and emergency as related to prosthodontics
treatment like allergy of various materials and first line management of aspiration of
prosthesis
• Should identify social, cultural, economic, environmental, educational and emotional
determinants of the patient and consider them in planning the treatment.
• Should identify cases, which are outside the area of his specialty / competence, refer
them to appropriate specialists and perform interdisciplinary case management.
• To advice regarding case management involving surgical and interim treatment
• Should be competent in specialization of team management in craniofacial prosthesis
design.
• To have adequate acquired knowledge, and understanding of applied basic, and
systemic medical science knowledge in general and in particular to head and neck
regions.
• Should attend continuing education programmes, seminars and conferences related to
Prosthodontics, thus updating himself/herself.
• To teach and guide his/her team, colleagues and other students.
• Should be able to use information technology tools and carry out research both in basic
and clinical areas, with the aim of publishing his/ her work and presenting his/her work
at various scientific forums.
• Should have an essential knowledge of personal hygiene, infection control, prevention
of cross infection and safe disposal of waste, keeping in view the risk of transmission of
potential communicable and transmissible infections like Hepatitis and HIV.
• Should have an ability to plan and establish Prosthodontics clinic/hospital teaching
department and practice management.
• Should have a sound knowledge (of the applications in pharmacology, effects of drugs
on oral tissues and systems of body and in medically compromised patients.
• SKILLS
• The candidate should be able to examine the patients requiring Prosthodontic therapy,
investigate the patient systemically, analyze the investigation results, radiographs,
diagnose the ailment, plan the treatment, communicate it with the patient and execute
it.
• To understand the prevalence and prevention of diseases of craniomandibular system
related to prosthetic dentistry.
• The candidate should be able to restore lost functions of stomatognathic system like
mastication, speech, appearance and psychological comforts by understanding
biological, biomedical, bioengineering principles and systemic conditions of the patients
to provide quality health care in the craniofacial regions.
• The candidate should be able to demonstrate good interpersonal, communication skills
and team approach in interdisciplinary care by interacting with other specialties
including medical specialty for planned team management of patients for craniofacial &
oral acquired and congenital defects, temporomandibular joint syndromes, esthetics,
Implant supported Prosthetics and problems of Psychogenic origins.
• Should be able to demonstrate the clinical competence necessary to carry out
appropriate treatment at higher level of knowledge, training and practice skills currently
available in their specialty area with a patient centered approach.
• Should be able to interpret various radiographs like IOPA, OPG, CBCT and CT. Should and
be able to plan and modify treatment plan based on radiographic findings
• Should be able to critically appraise articles published and understand various
components of different types of articles and be able to gather the weight of evidence
from the same
• To identify target diseases and create awareness amongst the population regarding
Prosthodontic therapy.
• To perform Clinical and Laboratory procedures with a clear understanding of
biomaterials, tissue conditions related to prosthesis and have required dexterity & skill
for performing clinical and laboratory all procedures in fixed, removable, implant,
maxillofacial, TMJ and esthetics Prosthodontics.
• To carry out necessary adjunctive procedures to prepare the patient before prosthesis
like tissue preparation and pre prosthetic surgery and to prepare the patient before
prosthesis / prosthetic procedures
• To understand demographic distribution and target diseases of Cranio mandibular
region related to Prosthodontics.
• ATTITUDES
• To adopt ethical principles in Prosthodontic practice, Professional honesty, credibility
and integrity are to be fostered. Treatment to be delivered irrespective of social status,
caste, creed or religion of patient.
• Should be willing to share the knowledge and clinical experience with professional
colleagues.
• Should develop an attitude towards quality, excellence, non-compromising in
treatment.
• Should be able to self-evaluate, reflect and improve on their own.
• Should pursue research in a goal to contribute significant, relevant and useful
information, concept or methodology to the scientific fraternity.
• Should be able to demonstrate evidence-based practice while handling cases
• Should be willing to adopt new methods and techniques in prosthodontics from time to
time based on scientific research, which are in patient’s best interest.
• Should respect patient’s rights and privileges, including patient’s right to information
and right to seek second opinion.

COMMUNICATIVE ABILITIES

• To develop communication skills, in particular and to explain treatment options


available in the management.
• To provide leadership and get the best out of his / her group in a congenial working
atmosphere.
• Should be able to communicate in simple understandable language with the patient and
explain the principles of prosthodontics to the patient. He/She should be able to guide
and counsel the patient with regard to various treatment modalities available.
• To develop the ability to communicate with professional colleagues through various
media like Internet, e-mails, videoconferences etc. to render the best possible
treatment. Should demonstrate good explanatory and demonstrating ability as a
teacher in order to facilitate learning among students
II. PERIODONTOLOGY COURSE
OBJECTIVES
The following objectives are laid out to achieve the goals of the course
KNOWLEDGE
Discuss historical perspective to advancement in the subject proper and related topics.
o •Describe etiology, pathogenesis, diagnosis and management of common periodontal
diseases with emphasis on Indian population
• Familiarize with the biochemical, microbiologic and immunologic genetic
aspects of periodontal pathology
• Describe various preventive periodontal measures
• Describe various treatment modalities of periodontal disease from historical
aspect to currently available ones
• Describe interrelationship between periodontal disease and various systemic
conditions
• Describe periodontal hazards due to estrogenic causes and deleterious habits
and prevention of it
• Identify rarities in periodontal disease and environmental/Emotional
determinates in a given case
• Recognize conditions that may be outside the area of his/her Speciality/
competence and refer them to an appropriate Specialist
• Decide regarding non-surgical or surgical management of the case
• Update the student by attending courses, conferences and seminars relevant to
periodontics or by self-learning process.
• Plan out/ carry out research activity both basic and clinical aspects with the aim
of publishing his/her work in scientific journals
• Reach to the public to motivate and educate regarding periodontal disease, its
prevention and consequences if not treated
• Plan out epidemiological survey to assess prevalence and incidence of early
onset periodontitis and adult periodontitis in Indian population (Region wise)
• Shall develop knowledge, skill in the science and practice of Oral Implantology
• Shall develop teaching skill in the field of Periodontology and Oral Implantology
• Principals of Surgery and Medical Emergencies.
• To sensitize students about inter disciplinary approach towards the soft tissues
of the oral cavity with the help of specialist from other departments.
• SKILLS
• Take a proper clinical history, thorough examination of intra oral, extra oral,
medical history evaluation, advice essential diagnostic procedures and interpret
them to come to a reasonable diagnosis
• Effective motivation and education regarding periodontal disease maintenance
after the treatment
• Perform both non-surgical & education regarding periodontal disease,
maintenance after the treatment
• Perform both non-surgical and surgical procedures independently
• Provide Basic Life Support Service (BLS) recognizes the need for advance life
support and does the immediate need for that.
• Human values, ethical practice to communication abilities
• Adopt ethical principles in all aspects of treatment modalities; Professional honesty &
integrity are to be fostered. Develop Communication skills to make awareness regarding periodontal
disease Apply high moral and ethical standards while carrying out human or animal research, Be
humble, accept the limitations in his/her knowledge and skill, and ask for help from colleagues when
needed, Respect patient’s rights and privileges, including patients right to information and right to seek
a second opinion.
• To learn the principal of lip repositioning and perio esthetics surgeries.

III. ORAL AND MAXILLOFACIAL SURGERY COURSE


OBJECTIVES
The training program in Oral and Maxillofacial Surgery is structured to achieve the following five
objectives-
• Knowledge
• Skills
• Attitude
• Communicative skills and ability
• Research
• KNOWLEDGE
• To have acquired adequate knowledge and understanding of the etiology,
pathophysiology and diagnosis, treatment planning of various common oral and
Maxillofacial surgical problems both minor and major in nature
• To have understood the general surgical principles like pre and post surgical
management, particularly evaluation, post surgical care, fluid and electrolyte
management, blood transfusion and post surgical pain management.
• Understanding of basic sciences relevant to practice of oral and maxillofacial
surgery
• Able to identify social, cultural, economic, genetic and environmental factors
and their relevance to disease process management in the oral and Maxillofacial
region.
• Essential knowledge of personal hygiene and infection control, prevention of
cross infection and safe disposal of hospital waste keeping in view the high
prevalence of hepatitis and HIV.
• SKILLS
• To obtain proper clinical history, methodical examination of the patient,
perform essential diagnostic procedures and order relevant laboratory tests and
interpret them and to arrive at a reasonable diagnosis about the surgical
condition.
• To perform with competence minor oral surgical procedures and common
maxillofacial surgery. To treat both surgically and medically the problems of the
oral and Maxillofacial and the related area.
• Capable of providing care for maxillofacial surgery patients.
• ATTITUDE
• Develop attitude to adopt ethical principles in all aspect of surgical practice,
professional honesty and integrity are to be fostered. Surgical care is to be
delivered irrespective of the social status, caste, creed or religion of the patient.
• Willing to share the knowledge and clinical experience with professional
colleagues.
• Willing to adopt new techniques of surgical management developed from time
to time based on scientific research which are in the best interest of the patient
• Respect patient right and privileges, including patients right to information and
right to seek a second opinion.
• Develop attitude to seek opinion from an allied medical and dental specialist as
and when required. Communication Skills
• Develop adequate communication skills particularly with the patients giving
them the various options available to manage a particular surgical problem and
obtain a true informed consent from them for the most appropriate treatment
available at that point of time
• Develop the ability to communicate with professional colleagues.
• Develop ability to teach undergraduates.

IV. CONSERVATIVE DENTISTRY AND ENDODONTICS OBJECTIVES COURSE


The following objectives are laid out to achieve the goals of the course. These are to be
achieved by the time the candidate completes the course. These objectives may be considered under
the following subtitles.
KNOWLEDGE
At the end of 36 months of training, the candidates should be able to:
• Describe etiology, pathophysiology, periapical diagnosis and management of
common restorative situations, endodontic situations that will include
contemporary management of dental caries, management of trauma and pulpal
pathosis including periodontal situations.
• Demonstrate understanding of basic sciences as relevant to conservative /
restorative dentistry and Endodontics.
• Identify social, economic, environmental and emotional determinants in a given
case or community and take them into account for planning and execution at
individual and community level.
• Ability to master differential diagnosis and recognize conditions that may
require multi disciplinary approach or a clinical situation outside the realm of
the specialty, which he or she should be able to recognize and refer to
appropriate specialist.
• Update himself by self-study and by attending basic and advanced courses,
conferences, seminars, and workshops in the specialty of Conservative
Dentistry-Endodontics-Dental Materials and Restorative Dentistry.
• Ability to teach/guide, colleagues and other students. Use information
technology tools and carry out research both basic and clinical with the aim of
his publishing his work and presenting the same at scientific platform.
SKILLS
• Take proper chair side history, examine the patient and perform medical and
dental diagnostic procedures as well as perform relevant tests and interpret to
them to come to a reasonable diagnosis about the dental condition in general
and Conservative Dentistry – Endodontics in particular. And undertake complete
patient monitoring including preoperative as well as post operative care of the
patient.
• Perform all levels of restorative work, surgical and non-surgical Endodontics as
well as endodontic-periodontal surgical procedures as part of multidisciplinary
approach to clinical condition.
• Provide basic life saving support in emergency situations.
• Manage acute pulpal and pulpo periodontal situations.
• Have a thorough knowledge of infection control measures in the dental clinical
environment and laboratories.
• Should have proper knowledge of sterilization procedures
HUMAN VALUES, ETHICAL PRACTICE AND COMMUNICATION ABILITIES
• Adopt ethical principles in all aspects of restorative and contemporary
Endodontics including non-surgical and surgical Endodontics.
• Professional honesty and integrity should be the top priority.
• Dental care has to be provided regardless of social status, caste, creed or
religion of the patient.
• Develop communication skills in particular to explain various options available
for management and to obtain a true informed consent from the patient.
• Apply high moral and ethical standards while carrying on human or animal
research.
• He/She shall not carry out any heroic procedures and must know his limitations
in performing all aspects of restorative dentistry including Endodontics. Ask for
help from colleagues or seniors when required without hesitation.
• Respect patient’s rights and privileges including patient’s right to information.
V. ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS COURSE

OBJECTIVES

The training programme in Orthodontics is to structure and achieve the following four
objectives
KNOWLEDGE
The dynamic interaction of biologic processes and mechanical forces acting on the stomatognathic
system during orthodontic treatment
The etiology, pathophysiology, diagnosis and treatment planning of various common Orthodontic
problems
Various treatment modalities in Orthodontics – preventive, interceptive and corrective.
Basic sciences relevant to the practice of Orthodontics
Interaction of social, cultural, economic, genetic and environmental factors and their relevance to
management of oro – facial deformities
Factors affecting the long-range stability of orthodontic correction and their management
Personal hygiene and infection control, prevention of cross infection and safe disposal of hospital waste,
keeping in view the high prevalence of Hepatitis and HIV and other highly contagious diseases.
SKILLS

• To obtain proper clinical history, methodical examination of the patient, perform


essential diagnostic procedures, and interpret them and arrive at a reasonable diagnosis
about the Dento-facial deformities.
• To be competent to fabricate and manage the most appropriate appliance – intra or
extra oral, removable or fixed, mechanical or functional, and active or passive – for the
treatment of any orthodontic problem to be treated singly or as a part of
multidisciplinary treatment of oro-facial deformities.
ATTITUDE

• Develop an attitude to adopt ethical principles in all aspects of Orthodontic practice.


• Professional honesty and integrity are to be fostered
• Treatment care is to be delivered irrespective of the social status, cast, creed and
religion of the patients.
• Willingness to share the knowledge and clinical experience with professional colleagues
• Willingness to adopt, after a critical assessment, new methods and techniques of
orthodontic management developed from time to time based on scientific research,
which are in the best interest of the patient
Respect patients’ rights and privileges, including patients right to information and right
to seek a second opinion
• Develop attitude to seek opinion from allied medical and dental specialists as and when
required

COMMUNICATION SKILLS

• Develop adequate communication skills particularly with the patients giving them the
various options available to manage a particular Dento-facial problem and to obtain a
true informed consent from them for the most appropriate treatment available at that
point of time.
• Develop the ability to communicate with professional colleagues, in Orthodontics or
other specialties through various media like correspondence, Internet, e-video,
conference, etc. to render the best possible treatment

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