ORALHLTH 2212A - Clinical Practice IIOH (Modified) Part 1

North Terrace Campus - Semester 1 - 2018

A significant focus of Clinical Practice IIOH (Mod) Part 1 is Operative Techniques, based on a Minimum Intervention (MI) philosophy. As the student's understanding of MI dentistry grows through resource sessions and tutorials, the opportunity to develop and refine required psychomotor skills and techniques in the laboratory environment is provided. These skills are then transferred to the clinical setting, where the procedures are performed on patients. Students will build on their intra-oral radiography skills to include prescription, diagnosis and treatment planning.

  • General Course Information
    Course Details
    Course Code ORALHLTH 2212A
    Course Clinical Practice IIOH (Modified) Part 1
    Coordinating Unit Oral Health
    Term Semester 1
    Level Undergraduate
    Location/s North Terrace Campus
    Contact Up to 23 hours per week
    Available for Study Abroad and Exchange N
    Prerequisites Advanced Diploma of Oral Health (Dental Hygiene) from TAFE SA
    Restrictions Bachelor of Oral Health, TAFE SA entry students
    Course Description A significant focus of Clinical Practice IIOH (Mod) Part 1 is Operative Techniques, based on a Minimum Intervention (MI) philosophy. As the student's understanding of MI dentistry grows through resource sessions and tutorials, the opportunity to develop and refine required psychomotor skills and techniques in the laboratory environment is provided. These skills are then transferred to the clinical setting, where the procedures are performed on patients.
    Students will build on their intra-oral radiography skills to include prescription, diagnosis and treatment planning.
    Course Staff

    Course Coordinator: Associate Professor Catherine Snelling

    Course Timetable

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

  • Learning Outcomes
    Course Learning Outcomes
    1Practice within legislative parameters for relevant dental professionals and apply this knowledge in practice
    2Abide by the principles of health care ethics and demonstrate these principles in the delivery of clinical services
    3Apply 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
    4Describe the physical and psychological behaviour management theories and apply communication strategies supportive of these theories to enhance acceptance of dental treatment
    5Explain effective attributes of successful change management and apply this information to foster patient behaviour that is favourable to dental health
    6Explain 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
    7Explain 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
    8Compare 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
    9Compare and contrast the pharmaceutical properties of the main types of local anaesthetic agents used by oral health therapists, 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
    10Recognise 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
    11Recognise 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
    12Apply the knowledge of periodontal pathogenesis to the clinical implications of biofilm, calculus, modifying factors, trauma, systemic and local risk factors
    13Provide dental hygiene care and prevention for patients presenting with simple to moderate periodontal, hard and soft tissue diseases and conditions
    14Practice in a culturally competent manner with a diverse range of individuals and community groups
    15Implement 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)
    Deep discipline knowledge
    • informed and infused by cutting edge research, scaffolded throughout their program of studies
    • acquired from personal interaction with research active educators, from year 1
    • accredited or validated against national or international standards (for relevant programs)
    1, 2, 3, 4, 6, 7, 8, 9, 10, 11, 12
    Critical thinking and problem solving
    • steeped in research methods and rigor
    • based on empirical evidence and the scientific approach to knowledge development
    • demonstrated through appropriate and relevant assessment
    3, 4, 5, 15
    Teamwork and communication skills
    • developed from, with, and via the SGDE
    • honed through assessment and practice throughout the program of studies
    • encouraged and valued in all aspects of learning
    4, 14, 15
    Career and leadership readiness
    • technology savvy
    • professional and, where relevant, fully accredited
    • forward thinking and well informed
    • tested and validated by work based experiences
    1, 2, 3, 7
    Intercultural and ethical competency
    • adept at operating in other cultures
    • comfortable with different nationalities and social contexts
    • Able to determine and contribute to desirable social outcomes
    • demonstrated by study abroad or with an understanding of indigenous knowledges
    1, 2, 14, 15
    Self-awareness and emotional intelligence
    • a capacity for self-reflection and a willingness to engage in self-appraisal
    • open to objective and constructive feedback from supervisors and peers
    • able to negotiate difficult social situations, defuse conflict and engage positively in purposeful debate
    1, 2, 4, 5, 14
  • 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 EquipmentStudents 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
    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 meetings2.    Tutorials3.    Printed and web-based media4.    Written assignments and oral presentations5.    Learning laboratories 6.    Clinical sessions7.    On-line learning activities8.    Self-assessment9.    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 sitesClass Meetings

    In Semester 1, there will be:
    •    Clinical Dentistry2x 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.
    •    PeriodontologyResource
    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 proces
    •    Cavity classification and nomenclature
    •    Minimum Intervention PhilosophyDiagnostic aidsFluoride
    •    Introduction to instrumentation in restorative dentistry
    •    Introduction to dental materialsComposite resins, Fissure sealantsBonding agents/ linersGlass Ionomer CementsAmalgam
    •    Cavity preparations and restoration of permanent teeth
    OcclusalsProximal posteriorsProximal anteriorsCervicalIncisal edgeCusp protectionBonded amalgams
    •    Management of the occlusal lesion
    •    Management of the proximal lesion
    •    Paedodontics
    •    Pulp therapies – primary and permanent teethCaries controlPulp cappingPulpotomiesPulpectomies
    •    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
    •   Attributes and Competencies of Oral Health 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 ClinicDentalTherapy 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.
    Small Group Discovery Experience
    There will be a SGDE in clinical dentistry class meetings where students will explore of topic of relevance to oral health practice with
    oral health therapy experts
  • 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 case studies in sem 2)             35%


    Pre-Clinical                                                        NGP
       

    Operative Techniques (5% sem 1)                   20%


    Theory
    •    Semester 1 and 2 Written Examinations    40%
    •    Online tutorials and assignments (sem 2)    5%





    Due Date for Assessments

    Component                                                 Due Dates


    Clinical Practice                                            Semester 1 Formative Semester 2 Summative 


    Pre-Clinical                                                   Semester 1 continous assessment

       
    Operative Techniques (Simulation Clinic)     Continuous assessment across the year


    Theory
    • Semester 1 and 2 Written Exam              Semester 1 & 2 - exam periods 
    • Paedodontic online tutorials                    Across semester 2

      




    Assessment Related Requirements
    Assessment of Simulation Clinic/ClinicFor 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, who will allocate a summative grade, based upon which will
    contribute to your final clinical assessment •    At the end of
    Semester 2 you will have a feedback session with your tutor, who will
    subsequently 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 skillsWherever 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.
     Clinic 45%
    Pre-ClinicalNGP
    Operative Techniques15%   
    OSCA semesters 1 and 2
    Periodontology test – semester 2 (Test of Understanding Sem 1) 
    MI Dentistry examination – semester 1   
    3 Clinical Case study reports (Integrated with Human Biology II OH) – semesters 1 and 2
    Paedodontic online assignments and written examination – semester 2      40%

    TOTAL100%
    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.

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