ORALHLTH 1202AHO - Clinical Practice IOH Part 1

Teaching Hospitals - Semester 1 - 2015

This stream introduces students to clinical practice of an oral health practitioner and provides a foundation for patient management and oral health practice as a career. Students will work through a range of clinical and laboratory based exercises centred on the provision of patient care, clinical skills and knowledge. Students work in a collaborative environment and learning will be supported by independent study and discussion of findings in class. Topics include infection control, occupational health and safety, dental records, preventive dentistry and the management of common dental diseases, development of manual dexterity skills and applied dental clinical practice and radiography.

  • General Course Information
    Course Details
    Course Code ORALHLTH 1202AHO
    Course Clinical Practice IOH Part 1
    Coordinating Unit School of Dentistry Office
    Term Semester 1
    Level Undergraduate
    Location/s Teaching Hospitals
    Contact Up to 1 hour per week
    Available for Study Abroad and Exchange N
    Corequisites DENT 1201AHO/BHO, DENT 1203AHO/BHO & DENT 1204AHO/BHO
    Restrictions Available to BOH students only
    Course Description This stream introduces students to clinical practice of an oral health practitioner and provides a foundation for patient management and oral health practice as a career. Students will work through a range of clinical and laboratory based exercises centred on the provision of patient care, clinical skills and knowledge. Students work in a collaborative environment and learning will be supported by independent study and discussion of findings in class. Topics include infection control, occupational health and safety, dental records, preventive dentistry and the management of common dental diseases, development of manual dexterity skills and applied dental clinical practice and radiography.
    Course Staff

    Course Coordinator: Ms Mignon Watson

    Course Coordinator: Mignon Watson
    Phone: +61 8 8313 3115
    Email: mingnon.watson@adelaide.edu.au
    Location: Room 419, Oliphant Building

    Tutor: Sue Aldenhoven
    Phone: +61 8 8313 6454
    Email: susan.aldenhoven@adelaide.edu.au
    Location: Room 407, Oliphant Building

    Tutor: Rosie Cooper
    Phone: +61 8 8313 3073
    Email: rosemary.cooper@adelaide.edu.au
    Location: Room 416, Oliphant Building

    Tutor: Associate Professor Janet Fuss (Radiology resources)
    Phone: +61 8 8313 4052
    Email: janet.fuss@adelaide.edu.au
    Location: Room 508, Oliphant Building

    Tutor: Dr Sushil Kaur & Sophie Karanicolas (Perio Classes)
    Phone: +61 8 8313 6546
                +61 8 8313 3287
    Email: sushil.kaur@adelaide.edu.au
    Location: Level 2, ADH
    Course Timetable

    The full timetable of all activities for this course can be accessed from Course Planner.

  • Learning Outcomes
    Course Learning Outcomes
    1 Develop professional attitudes and behaviours; respect for colleagues, staff and empathy for your ‘patient’ whilst working as part of a collaborative team
    2 Develop accurate and critical self-evaluation skills by completing a journal of reflection and at the end of each session use specific criteria, to identify strengths, areas that require improvement and to identify strategies to implement in order to improve your performance for the next session
    3 Develop the ability to work safely and effectively in the clinic and laboratory, and work with a dental assistant as part of a collaborative team whilst undertaking various clinical and laboratory exercises; applying Standard precautions and maintaining appropriate patient and operator positions
    4 Develop diagnostic skills and apply developing knowledge; using appropriate dental terminology, during clinical and laboratory exercises; identify of normal oral soft, periodontal and hard tissues, the individual variation that can occur and identification of how these tissues can be altered under the influence of common oral diseases; the use and interpretation of dental radiographs, diagnostic casts and dietary histories as adjunctive diagnostic aids
    5 Develop an understanding of the role of preventive dentistry in the management of common dental problems; dental caries, gingivitis, tooth wear and dental trauma and be able to implement various preventive measures clinically
    6 Develop safe and effective manual dexterity skills; using correct instrument grasps, finger rests and indirect vision, whilst performing a range of simulated laboratory and clinical exercises; soft, periodontal and hard tissue charting, alginate impression making, topical fluoride application, prophylaxis, simple scaling, rubber dam and fissure sealant application on manikins and your colleagues
    University Graduate Attributes

    This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

    University Graduate Attribute Course Learning Outcome(s)
    Knowledge and understanding of the content and techniques of a chosen discipline at advanced levels that are internationally recognised. 4-5
    The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner. 4-5
    An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems. 2, 3-5
    Skills of a high order in interpersonal understanding, teamwork and communication. 1, 6
    A proficiency in the appropriate use of contemporary technologies. 5
    A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life. 5
    A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 1
    An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities. 1
  • Learning Resources
    Required Resources
    Essential Textbooks

    •    Harris NO and Garcia-Godoy F (2009) Primary preventive dentistry. 7th ed. Pearson Prentice Hall New Jersey USA
    •    Nield-Gehrig JS & Willman DE (2008) Foundations of Periodontics for the Dental Hygienist 2 Ed Lippincott Williams & Wilkins
    •    Nield-Gehrig JS (2008) Fundamentals of periodontal instrumentation &advanced root instrumentation 6th Ed Lippincott Williams & Wilkins.
    Recommended Resources
    Highly Recommended

    •    Iannucci JM & Howerton LJ (2006) Dental radiography Principles and Techniques 3rd Ed. Saunders Elsevier USA
    •    Kidd EAM (2005) Essentials of dental caries: 3rd Ed.Oxford: Oxford University Press
    •    Mount GJ and Hume W (2014) Preservation and restoration of tooth structure. 3rd Ed …to be released Sept, 2014
    •    Pattison A & Pattison G Periodontal Instrumentation 3rd/4th Ed
    •    Wolf HF & Hassell TM (2006) Colour Atlas of Dental Hygiene Thieme Stuttgart


    Reference Books

    •    Egelberg and Badersten (1994) Periodontal examination.1st ed.Copenhagen: Munksgaard
    •    Ferracane JL (1995) Materials in Dentistry: principles and applications. Philadelphia: JB Lippincott.
    •    Johnson ON & Thomson EM (2007) Essentials of Dental Radiography for Dental Assistants and Hygienists, 8th ed. Pearson Prentice Hall
    •    Patterson John Aspects of Basic Physics for Dental Students
    •    Pinkham JR 2005 Pediatric dentistry 4th ed. Elsevier Saunders: St Louis
    •    Wilson TG & Kornman KS (2003) Fundamentals of Periodontics 2nd Ed Hong Kong
    •    Whaites E (2007) Essentials of dental radiography and Radiology 4th Ed New York: Churchill Livingston.
    Online Learning
    This course uses the Clinical Practice IOH MyUni website for Announcements, Assignments, Course Information, Course Resources, Communication (Email), Discussion Board and Gradebook (all student results) indicating all the relevant Course resources, timetables, announcements, results and communication details:

    https://myuni.adelaide.edu.au/webapps/portal/frameset.jsp?tab=courses&url=/bin/common/course.pl?course_id=_233248_1&frame=top
  • Learning & Teaching Activities
    Learning & Teaching Modes
    A variety of teaching & learning modes will be used in this stream including:

    •    Practical exercises within a:
    -    Clinical environment
    -    Simulation environment
    •    Resource class meetings
    •    Library research, written assignments, group oral presentations and dental practice visits
    •    Participation in clinical/simulation tutorial discussions
    •    Pre-reading and written exercises completed in the manuals
    •    Self, peer and tutor assessment
    •    Completion of workbook (manual) exercise and reflective/summative assesstment tasks  


    Manuals

    Your manuals are a record of each session's activities, and answers to specific questions are to be completed before, during and after the session. Answers may be descriptive and/or require diagrams. You are encouraged to make extra notes about the topics covered, paste in and/or highlight photocopies from relevant journals or books you have resourced.  Be creative!  The more time and effort you put into your manuals, the greater your depth of knowledge about clinical dentistry will be. This will stand you in good stead for exams and for future revision.
    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    Contact Time

    100 hours in Semester 1 (10 hours per week) consisting of:
    •    2 class meetings (2 x 2hr)
    •    1 clinical session (3hrs)
    •    1 simulation session (3hrs)    

    80 hours in Semester 2 consisting of:
    •    Variable class meetings (1-2hrs)
    •    1 clinical session (3hrs)
    •    1 simulation session (8 x 3hrs)
    •    8 hours Radiography practicals
    Learning Activities Summary
    Topic Covered

    •    Introduction to the clinical environment
    •    Infection control
    •    Ergonomics and Occupational Health and Safety
    •    Patient histories and Oral soft tissue examination and recording
    •    Dental Alginate and Impression making
    •    Radiology: an introduction and interpretation of intra-oral and extra-oral films
    •    Radiography: intra-oral practical technique sessions
    •    Introduction to Forensic odontology
    •    Hard tissue examination and charting
    •    Cariology, and non-carious damage to teeth (tooth wear, enamel developmental defects and staining)
    •    Plaque (dental biofilm) and its role in dental diseases
    •    Introduction to Dental Instruments and Hand pieces
    •    Preventive dentistry:
    - Oral hygiene instruction and the range and application of various oral hygiene products
    - Fluorides, their action and application in clinical dentistry
    - Topical fluoride application and prophylaxis
    - Dietary assessment
    •    Introduction to anatomy and function of the TMJ, mandibular movements and occlusal analysis
    •    Introduction to dental materials: introduction to composite resin, sealants, glass ionomer cement and alginate
    •    Introduction to diagnosis and treatment planning
    •    Structure and physico-chemical properties of teeth
    •    Introduction to Minimal Intervention Dentistry
    •    Rubber dam application
    •    Fissure sealants
    •    Periodontal tissue examination
    •    Periodontal hand instrumentation
    Specific Course Requirements
    Equipment Needed

    Columbia Model:    
    They are required during Semester 1 & 2 for CP IOH.      

    Clinical Coat:    
    Available from the Uni Book Shop, Adelaide University Campus. Required at the beginning of Week 2 of Semester 1.  Cost approx $35        

    Laboratory Coat:    
    Available from the Uni Book Shop, Adelaide University Campus. Required at the beginning of Week 2 of Semester 1.  Cost approx $29        

    Safety glasses:    
    All students are required to wear safety glasses or safety prescription glasses when working in the clinic or laboratory that comply with Occupational Health and Safety requirements.  Required for Week 2 of Semester 1. See Undergraduate Student handbook.        

    Collection of Natural teeth:    
    All students are required to collect extracted natural teeth during Semester 1 for tooth ID exercises and construction of a natural model for exercises in Semester 2. See CP IOH manuals and MyUni for further details.        

    Instrument Kits:    
    All students are required to purchase dental instruments for Clinical Practice. These instruments are required for various simulation exercises in the 1st and 2nd year of the BOH program. The purchase of these instruments will be organised in preparation for Semester 1 & 2 activities. More information will be available in O Week and on the School of Dentistry web-site.         

    Self-Assessment Book:    
    All students are required to have this for clinical assessment. This book of assessment forms is used throughout the BOH program. This book is provided to students during week 1 and is available from the School of Dentistry Office, 5th Floor ADH.
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary
    Semester 1 Clinic
    Semester 1 Sim Clinic
    Semester 1 Exam
    Semester 2 Perio
    Semester 2 MI
    Semester 2 Exam

    A satisfactory standard (or above) in each component must be obtained to secure a passing grade in Clinical Practice IOH. To obtain a satisfactory pass in Clinical Practice IOH, you must:    
    Obtain a pass grade for Semester 1 clinic and simulation clinic     
    Obtain a pass grade for Semester 2 in Perio and MI     
    Obtain a minimum of 55% over Semester 1 and Semester 2 written examinations  
    Demonstrate a satisfactory level of knowledge in all areas, including assignments.
    Assessment Related Requirements

    A uniform system of clinical assessment is used in all years of both BDS and BOH programs.  It is based on self-assessment and it:
    •    gives you direct input into your clinical assessment and learning experiences
    •    encourages you to reflect on the learning process as a whole
    •    teaches you to reflect on and assess the quality of your clinical work using a standardised assessment procedure•    encourages you to learn by receiving regular feedback
    •    encourages you to accept responsibility for what you say and do in the clinic
    •    includes objective measures of clinical performance in each discipline
    •    helps develop life-long learning skills.

    Wherever possible, each session will have time allocated for you to:
    •    review with your tutor what you propose to do for each patient for the session
    •    debrief to self-assess and discuss the self-assessment with your tutor.

    You need to follow up learning issues that have been raised during the assessment process by researching the relevant information or by taking steps to improve aspects of your clinical work that have been identified as requiring improvement.

    You will have further opportunity for reflection and sharing experiences with peers during regular debriefing sessions.

    You are required to keep and maintain detailed up-to-date information about your work in the clinic throughout the year.  You will be issued with a self-assessment booklet, which you must have with you at each clinic session.

    Learning can be defined as a change in understanding.  Therefore it is your responsibility to demonstrate improved understanding in relation to your knowledge, skills and attitudes throughout the year.  The assessment process is designed to provide you with feedback on your progress.

    You will be given a Clinical Assessment Criteria & Standards booklet describing specific skills criteria for the clinical procedures that you undertake in the Clinical Practice course.  The criteria for the assessment of Infection control, Knowledge base and Professional behaviour are common to all procedures and disciplines.

    Please have the Clinical Assessment Criteria booklet with you in the clinic during every session.

    Both you and your tutor will use these standard criteria.  If your assessment differs significantly from that of your tutor’s, the reason(s) should be recorded during the self-assessment process.

    On completion of a clinical procedure, you are required to self-assess your work in your self-assessment booklet.  You should identify strengths, areas needing improvement and strategies for improvement. You are then required to seek feedback from your tutor about your clinical performance.

    It is your responsibility to seek these assessments from your tutors.

    If you choose not to carry out self-assessment, your tutor will mark your performance as unsatisfactory.

    Tutors will record details of student activities in the clinic and whether or not you have self-assessed your work regularly.

    You need to follow up learning issues that have been raised during the assessment process by researching the relevant information or by taking steps to improve aspects of your clinical work that have been identified as requiring improvement.

    An assessment portfolio for Radiography practicals will be required to be completed and critiqued accurately.

    Note:    You should be aware that your final grade in the clinical component of Clinical Practice is not just the sum of individual assessments in your self-assessment booklet.  These assessments are formative comments and provided to help you with your learning.  Your final assessment will be based on an overall review of your knowledge, skills and attitudes in a clinical context.  You should discuss your overall performance with your tutors and coordinators throughout the year.

    •    Clinic, Simulation Clinic, Perio and MI will have equal weighting
    •    The Clinical/Practical component will contribute 30% and the examinations will contribute 70% towards your final mark in Clinical Practice I OH.

    However you must reach a satisfactory standard in each area to pass Clinical Practice I OH.

    Further information about the practical assessment component will be given during class meetings.  However, it is important to note that the final assessment for each semester is based upon the standard obtained towards the end of the assessment period.  It is not based on an average of the entire semester.

    Every effort will be made to help students identify areas in which difficulty is being experienced, and to provide help to remedy problems.  If you are aware that you are having difficulty with any part of the course, please see one of your tutors or the Course Co-ordinator.

    Assessment Detail
    Self-assessment

    We believe that it is very important for you to develop the ability to assess your own performance in the clinic during your undergraduate years, so that you are able to critically evaluate your
    day-to-day performance as an oral health practitioner.  We all make mistakes and it is important to
    realise when a mistake is made and learn from it.

    In addition, as you will be working in groups of 3 in the clinic, you are encouraged to observe how other members of the group approach the same tasks and to learn from this experience.

    At the end of each session you need to complete a self-assessment form.  You should reflect
    upon each criterion and how you performed on each in relation to that particular sessions’ exercise.  You should comment on your achievements; what you have learnt, your strengths and
    weaknesses, and areas where you need to improve your learning.  You should then discuss your performance with your tutor.  You should formulate strategies that you can apply in future sessions to improve on your performance.

     
    Tutor assessment

    During Semester 1 and 2, there will be continual feedback via the self-assessment form, using specific criteria that are used throughout the Clinical Practice Stream for 1st year.  Your tutors will also assess your performance and provide feedback at the end of each session.  At the end of Semester 1, your tutor will give you final feedback and an assessment grade on your performance in practical and clinical sessions, using these criteria:

    •    Knowledge
    •    Skills
    •    Patient management
    •    Professional behaviour

    In Semester 2 there will be continual feedback during clinical and practical sessions.  At the end of Semester 2, your tutor will give you final feedback and an assessment of your performance in the Minimal Intervention and Periodontal laboratory/clinical components.

    You will be assessed in accordance with the criteria relating to the areas of:

    •    Knowledge
    •    Skills
    •    Patient management
    •    Professional behaviour

    Your performance will be graded as Excellent, Good, Satisfactory, Borderline or Unsatisfactory.

    You will be provided with an ‘Assessment Criteria and Standards’ booklet in Week 5.

     
    Written and Oral Assessments
     

    A. Assignments

    Semester 1

    •    Infection Control Assignment (group assignment)
          Due: Semester 1 – Week 7 & 10
    •    Clinical Practice Visit Assignment (individual report)
          Due: Semester 2 – Week 1

    This assignment will involve visiting a Dental Therapist and a Dental Hygienist (or Oral health therapist) in practice. You may do the visit in pairs; however the report/workbook will be completed
    individually.

    Semester 2

    •    Radiographic Assignment (individual practical portfolio to be completed to satisfactorily
    complete this component)

    Due: Semester 2 – Week 10

    Each assignment will receive feedback and be graded as Satisfactory, Borderline or Unsatisfactory.

     
    B.  Presentation requirements

    There is one group presentation in Semester 1:

    •    Dietary Analysis

    You are expected to work as a team within your assigned group, equally sharing and contributing to the work for the presentations. Current and up to date references should be used and each group member must have a clear understanding of terminology, concepts and issues that are to be presented. Presentations should include an introduction, the main findings, issues to be raised and a conclusion or summary. There will be question time at the end of each presentation, and all group members need to be prepared to respond to all questions.


    C. Assessment of knowledge and practical ability in Clinic and Sim Clinic

    Each clinical/simulation component will be assigned a grade at the end of each semester, incorporating all aspects of performance (refer to the Assessment Criteria and Standards booklet for CP IOH 2014).

    The components in Semester 1 are Clinic and Sim Clinic and in Semester 2 they are
    Periodontics and Minimal Intervention.

     
    D. Written Examinations

    There will be 2 written examinations, one held at the end of each semester.  The written examinations will draw on material from the other streams (i.e. they will be integrated) and the exam at the end of Semester 2 will draw on material from Semester 1. Your performance
    in the written exams will be graded as excellent, good, satisfactory, borderline or unsatisfactory.


    Trial Exam

    To assist in assessing your progress in achieving this streams’ objectives and to familiarise yourselves with the CP IOH examination format you will be given the opportunity to complete a Trial Exam in Week 12 of Semester 1.  The test will not count towards your grade but should be used as feedback on your progress.

     
    Semester 1: Midyear written exam – combined DHS & Clinical Practice assessment

    The mid-year written exam will be based on a number of questions with problems relating to both the D&HSc and Clin Prac streams, which you will work through individually under examination conditions. The aim is to assess whether you have a systematic approach to situations, the application of knowledge, and integration of information across streams and written communication
    skills.  It is to your benefit to make sure that you are working consistently throughout the semester and have a good grasp of the stream content and learning processes. 

     
    Semester 2: End of Year Exam (120mins)

    The end of year Exam will be based on a number of questions relating to the Clinical Practice stream, which you will work through individually under examination conditions. The aim is to assess whether you have a systematic approach to situations, the application of knowledge, and integration of information across streams and written communication skills. It is to your benefit to make sure that you are working consistently throughout the year and have a good grasp of the stream content and learning processes.

    Note:
    •    Semester 1 & 2 Exams contribute 25% and 45% respectively to the year's grades

    •    The Semester 2 examination will include material from the whole of the year

    •    Students with a poor attendance record may be precluded from the exams. 

     

    Submission
    All assignments should comply with instructions given in each assignment. Please see the Student Undergraduate Handbook or MyUni for detailed assignment requirements. Assignments should have the School of Dentistry Cover sheet attached which are available from the dental school office located on the 5th Floor, ADH. Submission may be made through the electronic drop box, (if applicable) or in the assignment box located on the 5th floor of the Adelaide Dental Hospital.
    Course Grading

    Grades for your performance in this course will be awarded in accordance with the following scheme:

    NOG (No Grade Associated)
    Grade Description
    CN Continuing

    Further details of the grades/results can be obtained from Examinations.

    Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

    Students can access final results via Access Adelaide. It is important that all assessment components are completed successfully. If an assessment item is not completed successfully a review meeting with the course and/or year co-ordinator may be scheduled in order to discuss the possibility of remedial strategies. For students who obtain a Borderline grade in a component of the Clinical Practice IOH course, an opportunity for redemption may be provided at the end of the academic year.

    Final results for this course will be made available through Access Adelaide.

  • Student Feedback

    The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

    SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

    Changes made to CP IOH for  2014 (based on teaching staff and SELT reflection)   

    Each year we ask students to complete an evaluation of their learning and teaching experience. Teaching staff reflect on the SELT, the outcomes achieved and processes implemented to identify necessary changes for future years. These are important tools in the School of Dentistry’s aim for excellence in teaching and learning.

    The following changes have been made as a result of these processes:
    •    Assessment tasks and schedule revised
    •    Mid-year exam integrated with Dental & Health Science IOH – format and content revised
    •    Focus on assessing appropriate professional and ethical behaviour in all learning environments
    •    Use of Non-graded pass and group assignments to encourage collaboration and teamwork
    •    Scheduled periodontal instrumentation tutorials in a simulation environment
    •    Students purchase own instrument kits (Periodontal scalers and Minimal Intervention) to allow self-directed learning as an adjunct to clinic and simulation sessions.
  • Student Support
  • Policies & Guidelines
  • Fraud Awareness

    Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.