DENT 4004AHO - Dental Science and Practice IV Part 1

Teaching Hospitals - Semester 1 - 2024

Dental Science and Practice IV provides students with the opportunity to develop as dental professionals who, upon successful completion of the course, will be able to manage patients with an increasingly complex range of dental problems. The focus of the course is to emphasise a holistic, preventively-based approach to oral health care, with a minimally invasive approach if restorative treatment is required. Students will be expected to apply and integrate knowledge and understanding of relevant biological and medical sciences in managing their patients and demonstrate high levels of professionalism, including an ability to self-assess effectively and a desire to continue to learn and grow as a member of the dental profession.

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Course Details

Course Code	DENT 4004AHO
Course	Dental Science and Practice IV Part 1
Coordinating Unit	Dental
Term	Semester 1
Level	Undergraduate
Location/s	Teaching Hospitals
Contact	Up to 28 hours
Available for Study Abroad and Exchange	N
Prerequisites	DENT 3005AHO, DENT 3005BHO and DENT 3000HO
Restrictions	Available to BDS students only
Assessment	Formative assessment tasks, Summative Examinations/Tests/Case Scenarios, Clinical and Practical Assessments, Assignments

Course Staff

Course Coordinator: Helen Yie

alan.broughton@adelaide.edu.au
Location: Level 10
Adelaide Health and Medical Sciences Building

Course Timetable

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

Course Learning Outcomes

Key Learning Objectives
Professional Behaviours	1	comply with AHPRA, University and SA Dental policies by displaying appropriate professional and ethical behaviour through maintaining Academic Integrity, respecting colleagues, staff, patients and members of the oral health care team, ensuring patient safety/child safety & mandatory reporting, maintaining patient confidentiality, obtaining informed and financial consent whilst maintaining professional boundaries in all learning environments.
	2	apply critical thinking, evidence-based approach, clinical reasoning to inform decisions at all levels of interaction with child and adult patients by applying the hierarchy of evidence and basic statistical concepts when critically evaluating relevant literature.
	3	understand the social aspects of community health.
	4	critically reflect and evaluate their own performance, seeking feedback and implementing appropriate strategies for improvement and continuing professional development.
	5	implement, seek assistance and self-evaluate management approaches to respond to occupational stressors and seeks assistance for self and patients.
	6	establish a safe working environment in laboratory and clinical settings and identify, report and rectify (as appropriate) unsafe practices.
	7	provide patient-centred care to support and enable pts to understand and co-manage their oral health needs.
	8	identify limits of professional and individual clinical skills/scope of practice and recommends referral where appropriate.
Interprofessional Skills	9	work and communicate effectively and respectfully with peers, staff, patients and members of the oral health care team in simulated and clinical settings, and adopt a leadership role when necessary.
	10	provide culturally safe and culturally competent practice that recognises the distinct needs of Aboriginal and Torres Strait Islander peoples in relation to oral health care provision.
	11	use effective patient-centred communication to competently manage pain, anxiety, stress and oral care of medically healthy and medically & socially compromised adult patients through appropriate use of questions, active listening, explanations, empathy, and feedback including breaking bad news and defusing situations.
Clinical Examination, Diagnostic & Management Skills	12	obtain patient reason for visit, chief concern and medical history, relevant dental history and social history (using biomedical, biopsychosocial, and illness frameworks).
	13	perform comprehensive extraoral, intraoral soft, periodontal and hard tissues, occlusal analysis including the collection and interpretation of additional clinical information, appropriately recognise the range of normality and record normal findings and clinical signs of common oral diseases for medically health and medically compromised child and adult patients.
	14	select appropriate diagnostic tests to devise tailored preventive and operative management plans in relation to oral diseases in medically health and medically compromised adult patients.
	15	Interpret & evaluate gathered data, including selected other investigations to formulate diagnosis.
	16	explain the principles of identification of risk factors in relation to the development & management of common oral diseases in adult patients.
	17	apply understanding of the oral ecosystem, patient education, behaviour change to develop and implement emergency or comprehensive plans for medically health and medically compromised adult patients and monitors effectiveness.
Practical / Technical Skills	18	implement appropriate infection control and occupational health and safety procedures required when working within a clinical and simulated clinical environment.
	19	confirms correct patient, procedure; obtains informed consent, creates/maintains accurate dental clinical records, including referrals & prescriptions.
	20	demonstrate effective practice management skills and time management and powers of observation.
	21	apply knowledge of risks associated with dental radiographs to safely and accurately take bitewing and periapical radiographs in clinic settings; examine and critique radiographs and recognise the appearance of normal imaged structures and associated basic pathology in bitewing, periapical and panoramic radiographs.
	22	perform simple preventive treatments, including remineralisation techniques eg professional or home fluorides, fissure sealants, oral hygiene instructions, dietary advice, smoking cessation, nightguards, mouthguards, perio splints, and diagnostic procedures in clinic.
	23	in accordance with Minimal Intervention (MI) principles, explains the principles of tooth conservation and relates these to the rationale for selection of different procedures required for the management of dental caries, toothwear, non-carious tooth loss, dental trauma.
	24	perform safe and effective periodontal debridement, management of dentine hypersensitivity, and can select an apply appropriately remineralisation techniques as part of preventive management plans for child and adult patients.
	25	perform safe and effective direct permanent (and temporary) restorations of increasing complexity including use of liners/bases, caries removal using MI approach; indirect restorations, endodontic procedures; removable prosthodontic procedures and minor oral surgery procedures including effective moisture control and safe administration of common pain control procedures on child and adult patients.
	26	apply integrated knowledge of biology, physiology, genetics, anatomy, microbiology, general and oral pathology, immunology, pharmacology, general and oral medicine, behavioural science, geriatric and special needs dentistry in the holistic management of child and adult patients.
	27	apply integrated knowledge of dental material science and digital technology to the management of child and adult patients.
	28	recognise and with tutor guidance manage complications of oral procedures including undertaking Open Disclosure and documenting and debriefing.
	29	recognise and with tutor guidance manage dental and systemic life-threatening procedures including documentation and debriefing.
	30	write an appropriate referral letter to a dentist or another health professional and prescription of pharmaceutical agents.

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)
Attribute 1: Deep discipline knowledge and intellectual breadth Graduates have comprehensive knowledge and understanding of their subject area, the ability to engage with different traditions of thought, and the ability to apply their knowledge in practice including in multi-disciplinary or multi-professional contexts.	1,2,3,6,7,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25 ,26,27,28,29,30
Attribute 2: Creative and critical thinking, and problem solving Graduates are effective problems-solvers, able to apply critical, creative and evidence-based thinking to conceive innovative responses to future challenges.	2,3,4,5,7,14,15,16,17,18,19,20,21,23,24,25,26,27,28,29,30
Attribute 3: Teamwork and communication skills Graduates convey ideas and information effectively to a range of audiences for a variety of purposes and contribute in a positive and collaborative manner to achieving common goals.	1,4,5,9,11,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30
Attribute 4: Professionalism and leadership readiness Graduates engage in professional behaviour and have the potential to be entrepreneurial and take leadership roles in their chosen occupations or careers and communities.	1,2,3,4,5,6,7,8,9,11,18,19,20,21,22,23,24,25,26,27,28,29
Attribute 5: Intercultural and ethical competency Graduates are responsible and effective global citizens whose personal values and practices are consistent with their roles as responsible members of society.	1,2,3,4,5,6,7,8,9,18,19,20,21,22,24,25,28,29
Attribute 6: Australian Aboriginal and Torres Strait Islander cultural competency Graduates have an understanding of, and respect for, Australian Aboriginal and Torres Strait Islander values, culture and knowledge.	1,2,3,7,9,10,11,26,27
Attribute 7: Digital capabilities Graduates are well prepared for living, learning and working in a digital society.	1,2,3,9,26,27
Attribute 8: Self-awareness and emotional intelligence Graduates are self-aware and reflective; they are flexible and resilient and have the capacity to accept and give constructive feedback; they act with integrity and take responsibility for their actions.	Graduates are self-aware and reflective; they are flexible and resilient and have the capacity to accept and give constructive feedback; they act with integrity and take responsibility for their actions. 1,2,4,5,6,8,9,20,28,29

Learning Resources

Online Learning

Information about the materials available on MyUni will be provided to students during the 'Preparation for clinic' block.
Learning & Teaching Activities
Learning & Teaching Modes

Teaching and Learning modes:
Integrated Learning Activities (ILAs):providing an opportunity for students to apply and to integrate their knowledge in realistic clinical situations. The ILAs are used for open sessions on topical issues and to review clinical presentations and management of patients. Students will be expected to be analyse, research and assimilate information both individual and group settings.

In-person class meetings; online learning modules and online lectures.

Case-based learning orthodontic tutorials where students work in groups and with a faciilator.

Preclinical Preparation for clinic block: Prior to commencing clinical sessions, during which students will deliver patient care (in continuing and new disciplines), students will complete a number of simulation exercises / procedures and be required to perform to pre-set levels of competence.

Clinic sessions: In 4th year students will gain further clinic experience in General practice, Oral diagnosis, Paediatric dentistry, Prosthodontics (Fixed and removable), Endodontics, Oral surgery. The focus of clinical experience will be a person-centred approach where the students will be expected to provide holistic care through comprehensive care plans rather than focussing on procedural items.

Workload

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

Contact Hours:
28 hours/week
A typical weekly timetable may include:
5 x 1 hour class meetings
7 x 3 hour clinical sessions (per fortnight)
1x 2-3 hour integrated learning activity sessions

During the year, students also attend 2x weeks of oral surgery; radiography dept sessions and attend clinic sessions as a Student Learner ie, Fixed pros and Oral diagnosis.

Self-Directed Learning:
44 hours/week
A significant amount of time is required for learning activities outside of clinic and away from the campus in order to prepare for classes and for individual and group study.

Learning Activities Summary

The pre-clinical component of Dental Science and Practice IV will run over 5 intensive weeks during which students will complete approximately 30 x 3 hour simulation laboratories across the full range of Extended Clinical Competencies including oral surgery, fixed and removable prosthodontics, endodontics and traumatology

These procedural laboratories will be supported by class meetings and workshops covering the extended clinical competencies, patient management and mandatory reporting.

Students will be further prepared for the delivery of patient care through a series of orientation sessions covering patient management policies and protocols, record keeping, cultural awareness and orientation to specific clinics and the wards of the Royal Adelaide Hospital.

A typical weekly timetable during the extended clinical semesters will include clinical sessions for delivery of patient care, a clinic learner session {chair-side assisting, observations of clinical care and case discussions), Monday class meetings & Integrated Learning Activity (ILA) sessions.

Students will be rostered out to complete sessions in oral surgery and other activities as required.

Disciplines to be explored during Dental Science and Practice IV:

•   endodontics and dental traumatology
•   fixed prosthodontics
•   general dental practice including periodontics
•   geriatric dentistry and special needs dentistry
•   oral surgery
•   oral medicine and applied oral pathology
•   orthodontics
•   paediatric dentistry
•   radiology and oral diagnosis
•   removable prosthodontics
•   temporomandibular disorders.

Specific Course Requirements
- There are numerous Clinical Placement requirements that are mandated. Students are required to be up to date with all clinical placement requirements. Refer to information at following location:
  https://health.adelaide.edu.au/study-with-us/student-support/clinical-placements
- Clinical Placements for Paedodontics and GDP (as per individual student clinic roster) will be held at suburban SA Dental Service clinics and travelling will be required.

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 Summary

	DENT 4004AHO Assessment Task Weighting	DENT 4004BHO Assessment Task Weighting	End of year Weightings Assessment	Assessment Type	Learning course objective(s) being addressed
Hurdle 1: Practical performance	Completion/submission of all preclinical course activities and competency checks: • SA Dental induction videos and online quiz • Clinic and sim clinic participation and self-monitoring forms submission, tutorials and logbooks. • Fixed Prosthodontics Preclinical Course Summative Assessments (practical and written) • Removable Prosthodontics impressions (practical assessment) • Endodontic Preclinical Course Summative Assessments (practical and written) • Oral surgery modules and quiz Feedback will be provided by tutors throughout semester 1 and a grade of E, G, S, B or U will be provided to students for each clinical discipline at the end of semester 1. In each clinical discipline, the semester 1 performance will contribute towards the overall year clinical summative grade. -There are competency checks following the preclinical exercises in some disciplines to ensure patient safety (please see individual entries). -Submission of Clinic Learning Plan -Completion of Caseload audits	Summative assessment at end of the year of clinical performance across the whole year, weighted at 60% of total for DSP4 stream. Graded using grades of E, G, S or U. Clinical performance also includes: -Submission of Clinic Learning Plan -Completion of Caseload audits Radiology, endodontics, removable prosthodontics and fixed prosthodontics logbooks	Hurdle 1 Practical performance is 60% Sem 2 Graded and Weighted for the overall DSP 4 grade Note: students must achieve a satisfactory grade or higher in each of the clinical disciplines to pass the DSP IV Clinical component and each discipline will contribute equally to the final grade.	Summative	1 to 30
Hurdle 2: Written Assignment Performance	Integrated Multidisciplinary written examinations (case scenarios) 15% weighting	Integrated Multidisciplinary written examinations (case scenarios) 25% weighting	Hurdle 2 Written performance is 40% Sem 2 Graded and Weighted for the overall DSP 4 grade	Summative	1 to 30
Hurdle 3: Non-graded pass	Removable Prosthodontics Online Summative Quiz NGP Orthodontics case presentation NGP Oral Surgery: Summative Test NGP	Pharmacology 3 x online NPS modules NGP Indigenous Health (cross cultural communication) Online Module submissions and quiz NGP Special Needs/Geriatric Dentistry Formative assignment ILA submission NGP Orthodontics test of understanding (1 hour written test) NGP		Summative	1 to 30

Assessment Related Requirements

Attendance at all clinic, sim clinic, ILA sessions, tutorials/workshops, student learner activities, subrosters (ie, Oral surgery and radiography) are compulsory.

All students in the BDS program are required to notify the School of absences. Students are reminded that the BDS programme is a professional degree, requiring the highest standards of professional behavior. Notification of any absence is also good professional conduct. International students need to be compliant and attend classes as a requirement of the visa obligations and responsibilities under the Education Services for Overseas Students (ESOS) Act 2000.

If you are unable to attend your scheduled session the following 3-step protocol must be followed:

1. Contact the clinic asap to inform them of your absence.

2. Email the BDS Yr level/clinic/sim clinic coordinator and inform them of your absence ASAP

3. Complete and lodge a “Clinic Non-Attendance” form. This step is mandatory. This form is located in SONIA.

Assessment Detail

Further details of specific assessment tasks and their timing will be provided to students in the 4th year BDS handbook during the "Preparation for clinic" block and is also available in MyUni.

Submission

Details regarding submission of specific assessment tasks, clinical self assessments and logbooks will be provided to students in the 4th year BDS handbook during the "Preparation for clinic" block and MyUni.

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.

The School of Dentistry follows the University's SELT policy regarding the use of SELTs to evaluate its programmes, courses and teachers . The results are reviewed with by Year and Course Coordinators and actions taken as appropriate . A summary of changes that have been made are circulated to staff and students after the review process.

The 4th year course co-ordinators will meet with students on a regular basis to discuss the delivery of the course, content, clinical and other matters.Student representatives across the BDS program also meet periodically with the Head of School.
Student Support
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
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.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator