ORALHLTH 2202AHO - Clinical Practice IIOH Part 1

Teaching Hospitals - Semester 1 - 2014

This stream aims to build upon Clinical Practice I with regard to the consolidation of preventive, periodontal and restorative clinical skills, through manikin exercises and provision of treatment for selected patients. Strong emphasis is placed on the ability to consistently apply quality assurance principles and processes in oral health practice. Topics include clinical dental hygiene practice, operative dentistry (theory & practical), pedodontics, clinical dental therapy practice and periodontics.

  • General Course Information
    Course Details
    Course Code ORALHLTH 2202AHO
    Course Clinical Practice IIOH Part 1
    Coordinating Unit School of Dentistry Office
    Term Semester 1
    Level Undergraduate
    Location/s Teaching Hospitals
    Contact Up to 21 hours per week
    Prerequisites DENT 1202A/BHO & DENT 1200HO
    Corequisites DENT 2201AHO/BHO, DENT 2203AHO/BHO & DENT 2204AHO/BHO
    Restrictions Available to BOH students only
    Course Description This stream aims to build upon Clinical Practice I with regard to the consolidation of preventive, periodontal and restorative clinical skills, through manikin exercises and provision of treatment for selected patients. Strong emphasis is placed on the ability to consistently apply quality assurance principles and processes in oral health practice.
    Topics include clinical dental hygiene practice, operative dentistry (theory & practical), pedodontics, clinical dental therapy practice and periodontics.
    Course Staff

    Course Coordinator: Associate Professor Sophie Karanicolas

    Course Coordinator: Cathy Snelling
    Email: catherine.snelling@adelaide.edu.au

    Course Coordinator: Sophie Karanicolas
    Email: sophie.karanicolas@adelaide.edu.au

    Tutor: Dr John Kaidonis
    Phone: +61 8 8313 3297
    Email: john.kaidonis@adelaide.edu.au
    Location: Room 6103b, ADH

    Tutor: Dr Sushil Kaur
    Phone: +61 8 8313 3774
    Email: sushil.kaur@adelaide.edu.au
    Location: Room 220, ADH

    Tutor: Lucy D’Addario
    Email: lucy.daddario@adelaide.edu.au

    Tutor: Tracey Raschella
    Email: c/- catherine.snelling@adelaide.edu.au

    Tutor: Gillian Webb
    Email: c/- catherine.snelling@adelaide.edu.au

    Tutor: Deb Nelligan
    Email: c/- catherine.snelling@adelaide.edu.au

    Tutor: Margaret Elmendorp
    Email: c/- catherine.snelling@adelaide.edu.au

    Tutor: Kyla Burman
    Email: c/- catherine.snelling@adelaide.edu.au

    Tutor: Deb Mackrell
    Email: c/- catherine.snelling@adelaide.edu.au

    Tutor: Robert Ulivieri
    Email: c/- catherine.snelling@adelaide.edu.au

    School Office
    Phone: +61 8 8313 5256
    Email: dentistry.reception@adelaide.edu.au
    Location: Room 5.19, Level 6, Oliphant Building
    Course Timetable

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

  • Learning Outcomes
    Course Learning Outcomes
    1 Practice within legislative parameters for relevant dental professionals and apply this knowledge in practice
    2 Abide by the principles of health care ethics and demonstrate these principles in the delivery of clinical services
    3 Apply the principles and techniques of quality assured examination & diagnostic processes including clinical photography, applied intra-oral radiography & personalized dental care concepts to customising patient care and treatment plans
    4 Describe the physical and psychological behaviour management theories and apply communication strategies supportive of these theories to enhance acceptance of dental treatment
    5 Explain effective attributes of successful change management and apply this information to foster patient behaviour that is favourable to dental health
    6 Explain the range of preventive procedures within a defined scope of practice and apply this knowledge in the clinical setting by targeting and performing preventive procedures on patients
    7 Explain the interrelating principles of cavity preparation, material selection and placement, pulp therapy and the use of liners for the deciduous and permanent dentition and apply this knowledge to operative techniques scenarios in the laboratory and simple treatments with patients
    8 Compare and contrast glass ionomer cement & resin based fissure seal materials and techniques, including appropriate tooth selection and surface preparation, and apply this knowledge when managing the pits & fissures of patients
    9 Compare and contrast the pharmaceutical properties of the three main types of local anaesthetic agents used by dental therapists and hygienists, apply this knowledge to potential complications (local and systemic), utilise appropriate preventative strategies and select the appropriate technique for each clinical procedure requiring a local anaesthetic
    10 Recognise and describe the anatomical, histological and physiological features of the oral tissues (including hard and soft tissue, bones, muscles, nerves and blood supplies) and apply this knowledge to deliver safe & effective inferior alveolar block, periosteal infiltration and interpapillary injections
    11 Recognise radiographically, clinically and histologically the normal and abnormal cellular, fibre and molecular components of the periodontal ligament, and apply this knowledge to describe and identify features of initial, early and moderate periodontal lesions, and the associated therapeutic and prognostic implications
    12 Apply the knowledge of periodontal pathogenesis to the clinical implications of biofilm, calculus, modifying factors, trauma, systemic and local risk factors
    13 Provide dental hygiene care and prevention for patients presenting with simple to moderate periodontal, hard and soft tissue diseases and conditions
    14 Practice in a culturally competent manner with a diverse range of individuals and community groups
    15 Implement brief intervention strategies within an oral and general health context.
    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. 4-8
    The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner. 1-8
    An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems. 3, 9
    Skills of a high order in interpersonal understanding, teamwork and communication. 5-7, 10
    A proficiency in the appropriate use of contemporary technologies. 3, 8
    A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life. 1
    A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 1, 3, 10
    An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities. 10
  • Learning Resources
    Required Resources
    Cameron A & Widmer R (2013) Handbook of Paediatric Dentistry, 4th  ed, Mosby-Wolfe: London
    Mount, GJ & Hume WR (2005) Preservation and Restoration of Tooth Structure, 2nd edition, Knowledge Books and Software: Queensland
    Noble, SL (editor) (2012) Clinical Textbook of Dental Hygiene and Dental Therapy, Wiley-Blackwell: Oxford
    Wolf, HF (2006) Colour Atlas of Dental Hygiene Periodontology, Thieme: Stuttgart


    Equipment Needed

    •    The regulation laboratory and clinical coats must be good order, and must be worn at all times in the clinic and simulation clinic
    •    Appropriate footwear to be worn at all times in the clinic and simulation clinic
    •    Safety glasses in clinic and simulation are obligatory at all times
    •    A full set of permanent plastic Columbia teeth – purchased in 1st year

    In addition, you will need to purchase additional Columbia deciduous plastic teeth (approximate cost $80) for semester 1B. The appropriate manikins will be provided at no cost, but the student is responsible for the purchase of the teeth. Further information will be provided during semester 1.

    •    Purchase of Instruments and Equipment
    Students should budget approximately $250 for additional Columbia teeth and other simulation lab resources across the year.  We strive to keep additional costs to a minimum.
    •    SADS Clinic manual for undergraduate dental students     
    Remember that the clinics are under the control of the SA Dental Service. You are admitted as a student to practise in these clinics under their terms and conditions (as per the University Calendar). The SA Dental Service has set down a summary of these rules for conduct and dress code, conditions, and policies in the SA Dental Clinic Manual.  You will be given a copy during your induction sessions. Make sure you read it thoroughly as observance of these rules and codes is essential for students who wish to be permitted use of the clinics and laboratories.
    Recommended Resources
    •    Johnson OM and Thomson EM (2007) Essentials of Radiography for Dental Assistants and Hygienists, 8th edition, Pearson Prentice Hall: New Jersey  
    •    Kidd, EAM (2005). Essentials of Dental caries, 3rd edition, Oxford University Press: Oxford
    •    Nield-Gehrig JS (2008) Foundations of Periodontics for the Dental Hygienist, Lippincott Williams and Wilkins: Philadelphia
    •    Nield-Gehrig JS (2008) Fundamentals of Periodontal Instrumentation, Lippincott Williams and Wilkins: Philadelphia
    •    Nield-Gehrig JS (2008) Patient assessment Tutorials, Lippincott Williams and Wilkins: Philadelphia
    •    Roberson TM et al (2006) Sturdevant’s Art and Science of Operative dentistry, 5th edition, Mosby Elsevier: St Louis


    Online Learning
    All resources for this course will be uploaded on My Uni under Combined Clinical Practice II Part A in Semester 1, and Clinical Practice II OH Part B, Semester 2 in the course material section. MyUni will be used extensively for learning and communication, so you are strongly urged to check your emails and MyUni announcements on a regular /daily basis.
  • Learning & Teaching Activities
    Learning & Teaching Modes
    1.    Class meetings
    2.    Tutorials
    3.    Printed and web-based media
    4.    Written assignments and oral presentations
    5.    Learning laboratories
    6.    Clinical sessions
    7.    On-line learning activities
    8.    Self-assessment
    9.    Self-directed learning

    Workload

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

    Clinical Practice IIOH occupies the majority of your time in second year.   It is presented in a number of different learning environments:

    •    Class Meetings
    •    Tutorials
    •    Learning Laboratories
    •    Pre-Clinical and Clinical Sessions
    •    Online sites

    Class Meetings

    In Semester 1, there will be:
    •    Clinical Dentistry
    2x three hour class (am & pm) meetings and/or resource & practical sessions per week at either Marion or Elizabeth GP Plus clinics (students are rostered at either location) to introduce the student to the practice of dental therapy on children – students may be rostered for either the am or pm session (more information will be provided during commencement weeks).
    •    MI Restorative Dentistry
    A three hour class meeting and/or resource session each week at the University of Adelaide, with the second year BDS students, which will be used for introducing topics which form the background of dental therapy clinical practice. These sessions will include interactive learning; student presentations; discussions and assessments. Many of the topics covered will supplement and complement the topics covered in the DLP’s in Dental & Health Science IIOH.
    •    Periodontology
    Resource session/s each week at the University of Adelaide, with second and third year BDS students. Tutorials will also be scheduled to help support your learning
    Learning Activities Summary
    •    Structure and properties of teeth, and their relationship to restorative dentistry
    •    The caries process
    •    Cavity classification and nomenclature
    •    Minimum Intervention Philosophy
    Diagnostic aids
    Fluoride
    •    Introduction to instrumentation in restorative dentistry
    •    Introduction to dental materials
    Composite resins
    Fissure sealants
    Bonding agents/ liners
    Glass Ionomer Cements
    Amalgam
    •    Cavity preparations and restoration of permanent teeth
    Occlusals
    Proximal posteriors
    Proximal anteriors
    Cervical
    Incisal edge
    Cusp protection
    Bonded amalgams
    •    Management of the occlusal lesion
    •    Management of the proximal lesion
    •    Paedodontics
    •    Pulp therapies – primary and permanent teeth
    Caries control
    Pulp capping
    Pulpotomies
    Pulpectomies
    •    Deciduous cavity preparation and restoration
    •    Management of traumatic injuries to anterior teeth
    •    Dental emergencies
    •    Local anaesthesia
    •    Periodontics
    •    Instrument sharpening
    •    Supra and sub-gingival hand scaling (instrumentation)
    •    Ultrasonic scaling
    •    Application of remineralising gels, solutions and pastes
    •    Impressions/mouth guards
    •    Dental law and ethics
    •    Scope of practice/duties of Dental Hygienists and Dental Therapists
    •    Intra-oral radiography
    •    Clinical photography
    •    Patient examination and history taking
    •    Oral diagnosis
    •    Treatment planning (including preventive options)
    •    Patient education and oral hygiene instruction
    •    Dietary considerations for oral health
    •    Care of fixed and removable prostheses
    •    Periodontal indices
    •    Polishing and recontouring restorations
    •    Calculus detection
    •    Prophylaxis and stain removal
    •    Saliva testing and other diagnostic aids


    Learning Laboratories

    Pre-Clinical MI Dentistry Operative Techniques:
    Operative technique practical sessions are held in the Simulation Clinic, Barr Smith South building.
    Specific Course Requirements
    Clinic Sessions

    Dental Therapy Pre-Clinic and Clinic
    Dental Therapy Pre-Clinic and ClinicPre-clinical activities will be held in conjunction with the Semester 1a Monday resource sessions. Dental Therapy clinic sessions commence in Semester 1b at either Marion or Elizabeth GP Plus clinics. Students will practice and extend their skill acquisition from CP IOH – with simple patient care sessions scheduled to consolidate these clinical skills. Local anaesthesia is taught and students will perform preventive and restorative procedures on manikins.
  • 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
    Assessment

    Component Contribution
    Clinic (including Clinical Learning Portfolio) 45%
    Pre-Clinical NGP
    Operative Techniques 15%
    Theory
    •    OSCA semesters 1 and 2
    •    Periodontology test – semester 2 (Test of Understanding Sem 1)
    •    MI Dentistry essay – semester 1
    •    3 Clinical Case study reports (Integrated with Human Biology II OH) – semesters 1 and 2
    •    Paedodontic online tutorials and written exam – semester 2
    40%
    TOTAL 100%


    Due Date for Assessments

    Component Due Dates
    Clinical Practice and Clinical Learning Portfolio Semester 1 Week 13
    Semester 2 Week 13
    Pre-Clinical Semester 1 continous assessment
    Operative Techniques (Simulation Clinic) Continuous assessment across the year
    OSCA - semesters 1 and 2
    Periodontology test – semester 2
    MI Dentistry essay – semester 1 (assignment information given out in wk 1)
    3 Clinical Case study reports (Integrated with Human Biology II OH) – semesters 1 and 2
    Paedodontic online tutorials and written exam – semester 2
    Semester 1 & 2 ¬- exam periods
    Semester 2 - Week 8
    Due Date - Fri 4/7/13 at 4pm
    Semester 1
    Case study 1 - Week 13
    Semester 2
    Case studies 2 and 3 - Week 12
    Semester 2
    Online Tutorials – continuous assessment
    Written exam – exam period


    Assessment Related Requirements
    Assessment of Simulation Clinic/Clinic
    For your Simulation Clinic sessions (Operative Techniques) students will complete a self-assessment sheet for each procedure and discuss it with their tutor.
    •    At the end of Semester 1 & 2 you will have a feedback session with your tutor, where you will discuss a formative grade, based upon your self-assessment sheets (these formative grades are used for feedback purposes only).
    •    At the end of Semester 1 your tutor will also award summative marks towards your final practical mark.
    •    At the end of Semester 2 your tutor will award summative marks towards your final practical mark.
    For your Pre-Clinical/Clinical Assessment, you will complete a self-assessment sheet at the end of each session and discuss your assessment with your tutor.

    In the Dental Hygiene component:
    •    At the end of Semester 1, you will have a feedback session with your tutor/coordinator, who will allocate a summative grade based upon your self-assessment sheets.
    •    At the end of Semester 1 and Semester 2 these summative marks awarded by your tutors will contribute towards your final practical mark. A feedback session for each student with the Stream Coordinator will be scheduled early in Semester 2 to review the Semester 1 assessment & set goals for Semester 2.

    In the Dental Therapy component:
    •    At the end of Semester 1 you will have a feedback session with your tutor, where you will receive a formative grade, based upon your self-assessment sheets (these formative grades are used for feedback purposes only)
    •    At the end of Semester 2 your tutor will award a summative mark, which will contribute to your final clinical assessment

    Further information about the practical assessment will be given during class meetings.
    Every effort will be made to help students identify areas in which difficulty is being experienced, and to remediate the level of performance. If you consider that you are having difficulty with any part of the stream, please contact the relevant discipline/stream coordinator.

    To obtain a pass grade in Clinical Practice IIOH, you must obtain a satisfactory (or above) result for the year in the assignments and written examinations as well as in each of the clinical/laboratory components.

    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. In addition, you will complete a Clinical Learning Portfolio that demonstrates attainment of clinical competencies you successfully complete in pre-clinic and clinic sessions over the year. During the orientation period, you will be giving detailed information on how these evidence portfolios are to be implemented in your clinical program.
    A specific self-assessment book for the Operative Techniques sessions in the Simulation Clinic will also be issued to you, and should be brought to all these sessions.

    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 Clinical Assessment Criteria information (for both sem 1 and sem 2) describing specific skills criteria for the clinical procedures that you undertake in the Clinical Practice II OH course. The criteria for the assessment of Infection control, Knowledge base and Professional behaviour are common to all procedures and disciplines.
    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 and patient attendances 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.

    Note: You should be aware that your final grade in the preclinical/clinical component of Clinical Practice II OH 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 mentors throughout the year.

    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 stream co-ordinator.
    Assessment Detail
    A satisfactory standard in each practical and theory component must be obtained to secure a passing grade in all components of Clinical Practice IIOH.  Redemption opportunities may be offered for written assessments, but are not available for preclinical or clinical assessment areas.

    Component Contribution
    Clinic (including Clinical Learning Portfolio) 45%
    Pre-Clinical NGP
    Operative Techniques 15%
    Theory
    •    OSCA semesters 1 and 2
    •    Periodontology test – semester 2 (Test of Understanding Sem 1)
    •    MI Dentistry essay – semester 1
    •    3 Clinical Case study reports (Integrated with Human Biology II OH) – semesters 1 and 2
    •    Paedodontic online tutorials and written exam – semester 2
    40%
    TOTAL 100%
    Submission
    Assignments must be submitted with the dental school’s official cover sheet. Submission may be made electronically or in the assignment boxes located on the 5th floor of the Adelaide Dental Hospital. Any requests for extension must be made in writing to the relevant assessor no later than 7 days before the due date; marks will be deducted for any late submission of work, unless an extension has been granted.
    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.

    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.

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  • Policies & Guidelines
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