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ADC Practice Question — Delegation, Teamwork & Risk Management

same senior dentist is later asked to assess the…

Paediatric dentistry questions combine clinical management with age-appropriate considerations — LA dosing by weight, behaviour management. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.

A senior dentist in a group practice regularly criticises a junior associate's clinical decisions in front of patients and staff. The criticism is sometimes clinically valid but is delivered in a humiliating manner — phrases like 'any competent dentist would know this' and 'did they teach you nothing at dental school?' The junior dentist is demoralised but reluctant to speak up. The same senior dentist is later asked to assess the junior dentist's performance for their annual review. Despite the junior dentist performing competently in all clinical areas, the senior dentist intends to provide a negative assessment based on personal dislike. According to the Code:

  • A. The assessment should reflect the senior dentist's overall impression of the junior, including interpersonal dynamics and professional compatibility, as these factors legitimately contribute to workplace performance evaluation
  • B. The senior dentist may exercise professional judgement in weighting different aspects of performance and need not justify negative assessments, as assessor discretion is protected under the Code
  • C. The assessment should be reviewed by the practice manager before being finalised, as the Code requires all assessments of junior practitioners to be countersigned by an independent third party
  • D. The assessment must be honest, objective, and constructive — patients will be put at risk if an assessment describes as incompetent someone who is competent, or vice versa
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Sources cited
Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more
Show the answer and cited explanation
Correct answer: D

Section 10.3a requires assessors to be honest, objective, and constructive when assessing the performance of colleagues including students. It specifically warns that patients will be put at risk if an assessment describes as competent someone who is not — the inverse also applies. A dishonest negative assessment driven by personal dislike is neither objective nor constructive. Option A legitimises personal bias as a valid assessment factor. Option B fabricates unchecked assessor discretion. Option C fabricates a countersigning requirement.

Source: Section 10.3(a) — assessment honesty; patient risk from inaccurate assessments
Remy's study tip — Always note the child’s age and which tooth is involved. Primary vs permanent changes everything.

Exam preparation FAQ

Should I memorise guidelines word-for-word for Delegation, Teamwork & Risk Management?
Focus on decision points — when the guideline says X vs Y. The exam tests application, not recitation.
How are Delegation, Teamwork & Risk Management questions structured in the ADC written exam?
ADC Delegation, Teamwork & Risk Management questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

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