ORALHLTH 2212B - Clinical Practice IIOH (Modified) Part 2
North Terrace Campus - Semester 2 - 2018
General Course Information
Course Code ORALHLTH 2212B Course Clinical Practice IIOH (Modified) Part 2 Coordinating Unit Oral Health Term Semester 2 Level Undergraduate Location/s North Terrace Campus Units 10 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 2 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 Coordinator: Associate Professor Catherine Snelling
The full timetable of all activities for this course can be accessed from Course Planner.
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 oral 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 the pharmaceutical properties of the 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
9Recogniseand 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
10Practice in a culturally competent manner with a diverse range of individuals and community groups
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
Required Resources• 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
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 forthe 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• Ianucci JM and Howerton LJ (2006) Dental Radiography: Principles and Techniques, 3rd edition, Saunders Elsevier: St Louis
• 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
• Cameron A and Widmer R (2013) Handbook of Paediatric Dentistry, 4th ed, Mosby-Wolfe: London
· Noble SL (editor) (2012) Clinical Textbook of Dental Hygiene and Dental Therapy, Wiley-Blackwell: Oxford
Online LearningAll 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. A blended learning approach is implemented in your paedodontic topics – a combination of face-to-face resource sessions, online learning modules and tutorials are utilised to promote a contemporary, flexible and effective learning environment.
Learning & Teaching Activities
Learning & Teaching Modes1. Class meetings
3. Printed and web-based media
4. Written assignments and oral presentations
5. Learning laboratories
6. Clinical sessions
7. On-line learning activities
9. Self-directed learning
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
• Learning Laboratories
• Pre-Clinical and Clinical Sessions
• Online learning activities
In Semester 2, there will be:
• Paedodontics: a ninety minute class meeting, where the student will focus on the application of clinical practice in the treatment and care of children and adolescents.
• 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.
Simulation Clinic MI Dentistry Operative Techniques: Two practical sessions per week will be held in the Simulation Clinic, Barr Smith South Building.
Learning Activities Summary• Structure and properties of teeth, and their relationship to restorative dentistry
• The caries process
• Cavity classification and nomenclature
• Minimum Intervention PhilosophyDiagnostic aidsFluoride
• Introduction to instrumentation in restorative dentistry
• Introduction to dental materials
Bonding agents/ liners
Glass Ionomer Cements
• Cavity preparations and restoration of permanent teeth
Cusp protection and replacement
• Management of the occlusal lesion
• Management of the proximal lesion
• Pulp therapies – primary and permanent teeth
• Deciduous cavity preparation and restoration
• Management of traumatic injuries to anterior teeth
• Dental emergencies
• Local anaesthesia
• 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 an Oral Health Therapist
• Intra-oral radiography
• Clinical photography
• Patient examination and history taking
• Oral and radiographic diagnosis
• Treatment planning (including preventive options)
• Tobacco Use Prevention And Cessation (TUPAC)
• Patient education and oral hygiene instruction
• Dietary considerations for oral health
• Special needs (Supported Residential Facilities)
• Care of fixed and removable prostheses
• Periodontal indices
• Polishing and recontouring restorations
• Calculus detection
• Prophylaxis and stain removal
• Saliva testing and other diagnostic aids
Specific Course RequirementsClinic Sessions
The class will be divided into groups for clinic sessions and will be rostered at either Marion or
Elizabeth GP Plus Dental Clinics - these groups will be organised during Commencement Week. The groups will be rostered for clinical sessions based upon the chairs available for use. Sessions when students are not providing direct patient care should be used for out of clinic study or clinical assistance (when required).
Clinic sessions will be held on Monday and Fridays at the Marion and Elizabeth clinics –a roster will be provided at the start of the year.
Small Group Discovery ExperienceThere will be a SGDE in paedodontic dentistry class meetings where students will explore of topic of relevance to oral health practice with paediatric dentistry experts
The University's policy on Assessment for Coursework Programs is based on the following four principles:
- Assessment must encourage and reinforce learning.
- Assessment must enable robust and fair judgements about student performance.
- Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
- Assessment must maintain academic standards.
Assessment SummaryComponent Contribution
• 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 learning activitiese and written exam – semester 2 TOTAL100%
Component Due Dates
Clinical Practice and Clinical Learning PortfolioSemester 1 Week 13
Semester 2 Week 13
Pre-ClinicalSemester 1 continous assessment
Operative Techniques (Simulation Clinic)Continous assessment across the year
OSCA - semesters 1 and 2
Periodontology test – semester 2
MI Dentistry examination – semester 1
3 Clinical Case study reports (Integrated with Human Biology II OH) – sem 1 and 2
Paedodontic online learning activities and written exam – semester 2
Assessment Related RequirementsAssessment of Simulation Clinic
For your Simulation Clinic sessions (Operative Techniques) students will completea self-assessment sheet for each procedure and discuss it with their tutor.
• At the end of Semester you will have a feedback session with your tutor, where you will discuss a summative grade, based .
• At the end of Semester 2 your tutor will award summative marks towards your final practical mark.
Foryour 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 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 2 your tutor will award a summative mark, which will contribute to your final clinical assessment. Furtherinformation 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 theclinic
• 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 identifiedas requiring improvement. You are required to keep and maintain detailed up-to-date information about your work in the clinic throughoutthe year. You will be issued with a self-assessment booklet, which youmust have with you at each clinic session. In addition, you will complete a ClinicalLearning 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 willalso be issued to you, and should be brought to all these sessions.Learningcan be defined as a change in understanding. Therefore it is your responsibility to demonstrate improved understanding related 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 Criteriainformation (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. Bothyou 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.Oncompletion 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. Youshould then seek feedback from your tutor about your clinical performance.Tutors will record details of student and patient attendances in the clinic and whether or not you have self-assessed your work regularly. If you do not complete a self-assessment, your tutor will mark your performance as unsatisfactory.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 reviewof 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. Everyeffort will be made to help students identify areas in which difficultyis 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 the discipline/stream co-ordinator
Assessment DetailComponent Contribution
• 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 learning activities and written exam – semester 2 TOTAL100%
SubmissionAssignments 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 anylate submission of work, unless an extension has been granted.
Grades for your performance in this course will be awarded in accordance with the following scheme:
GS8 (Coursework Grade Scheme) Grade Description CN Continuing FNS Fail No Submission NFE No Formal Examination F Fail NGP Non Graded Pass P Pass C Credit D Distinction HD High Distinction RP Result Pending
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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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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