Taking time to reflect
Abstract
Taking the time to meet with peers to discuss issues and reflect on practice is an essential part of continuing professional development. PIAPA is committed to holding opportunities for such reflection. In this article, Yvonne Senior, Linda Mather and Sarah Barker discuss some of the recent opportunities to do just that, hosted by PIAPA
As a commitment to participatory learning, discussion and development, PIAPA holds bi-annual reflection meetings. These regional meetings encourage development, confidence and good practice. Here is a summary of our February and March meetings.
On 7th February 2019, our Northwest members gathered for a clinical reflection session with a particular focus on lower face toxin. We began by discussing the Association of British Pharmaceutical Industry (ABPI) licencing rules for toxin, or indeed the lack thereof, in the case of the lower face, as this is an off-licence treatment. Having a mixture of nurses, doctors and, in particular, dentists in the room gave an interesting perspective of treatment motivations, such as bruxism or gummy smile.
We discussed key treatment elements including dosage, depth and placement, and the impact these have on results and potential complications. My greatest rule in lower face toxin is to always start with the lowest dosage and increase at review if necessary, especially when treating a new patient. The only exception to this rule is the masseter, though this remains an area that many prefer not to treat altogether.
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