Unit information: Basic Oral Medicine and Oral Pathology in 2016/17

Unit name	Basic Oral Medicine and Oral Pathology
Unit code	ORDSM0022
Credit points	40
Level of study	M/7
Teaching block(s)	Teaching Block 1 (weeks 1 - 12)
Unit director	Professor. Spiteri Staines
Open unit status	Not open
Pre-requisites	//undefined //undefined //undefined //undefined 1. Formally undertake acceptance of compliance and commitment to observe professional and clinical codes of conduct as stipulated by UoB and UHBristol //undefined //undefined //undefined //undefined 2. Must be eligible for temporary or permanent registration with the GDC and remain registered during the period of study. Candidates must notify teaching and relevant trust staff of any change in their registration status or of any investigations undertaken by the GDC.
Co-requisites	None
School/department	Bristol Dental School
Faculty	Faculty of Health Sciences

Description including Unit Aims

• To have knowledge of the range of disorders which affect the oral mucosa and the surrounding oro-facial tissues and how they are diagnosed and managed.
• To have knowledge of how systemic disease may manifest within the oral cavity and surrounding structures and how they are diagnosed and managed.
• To have knowledge to understanding of how systemic disease may impact the dental management of patients and the consequent modifications to such treatment that may be required.
• To have knowledge of evidence based medicine as applied to clinical oral medicine and pathology
• To gain a sound understanding of basic histopathological techniques relevant to the practice of oral pathology.
• To develop an understanding of the histology of normal oral mucosa and relevant dental structures
• To show competency in the histopathological diagnosis of selected common oral pathologies

Intended Learning Outcomes

1. Describe and clinically apply with relevance to the clinical practice of Oral Medicine, the Pathophysiology, clinical features and principles of management of:

I. Salivary gland disease and dry mouth

II. Cranial nerve disorders

III. Disorders of the TMJ

IV. Oral mucosal autoimmune disease

V. Infections of the oral mucosa and head and neck

VI. Potentially malignant oral mucosal disease

VII. Oral cancer- clinical aspects

VIII. Complications of drug treatment

IX. Oral Manifestations of systemic disease

X. Localised oral swellings

XI. Oral Pigmentation

XII. Diffuse oral swellings

XIII. Oral Manifestations of systemic disease

XIV. Orofacial dysaesthesias

XV. Orofacial pain

2. Describe relevant investigations used within the scope of Oral Medicine. Understand the indications for requesting relevant investigations. Be able to explain the underlying science underpinning these investigations.

3. Describe different surgical procedures including: indications, contra-indications and complications relevant to the clinical practice of Oral Medicine

4. To show competence in the microscopical assessment and description of normal oral mucosa

5. To show competence in the microscopical assessment of a selection of common oral disease processes

6. Describe the different topical medical management therapeutic options with relevance to the practice of Oral Medicine

7. Describe the different systemic medical management therapeutic options with relevance to the practice of Oral Medicine

Teaching Information

Students will be supervised at all times in clinical and laboratory settings.

• Work based experiential learning:

Clinical chairside teaching - Consultant clinics in Clinical Oral Medicine encompassing reflection and personalised feedback. Presentation and discussion of a single case on a 4 weekly basis. Peer based learning will occur at clinical meetings and at the chairside.

• Specialist multidisciplinary out-patient clinics.
• Classroom based small group teaching.

o Clinical meetings – Students can participate in the detailed discussion of difficult clinical problems.

o Journal Club to discuss journal articles, research.

o Pathology ‘black box’

• Participation in clinical governance & management activity & meetings.
• Participation in clinico-pathological meetings
• Observational work shadowing (clinical and laboratory staff Supervised reporting)
• Practical lab techniques
• Feedback and personalised support through tutor/ mentor meetings on a regular basis. (FAPS)
• Self directed learning

o Basic aspects of Oral disease lecture course: Clinical Oral Medicine/Maxillofacial surgery/ Pathology/ Radiology/ Special Needs selected lectures available on mediasite. Students would be expected to complete self- directed learning with 1 to 1 support and guidance from Lecturers. We would expect 1-2 hours pre reading and 1-2 hours follow up per lecture/ topic teaching.

o Accessing NICE, SIGN, GMC and GDC published guidance and relevant literature.

• External courses and teaching:

o Medical emergencies and Basic Life Support by local certified trainers (NHS UHBristol)

Assessment Information

Assessment Details

Please state the methods used for formative and summative assessment, including essay word length, length and type of exams, projects, etc. The relative contributions of the different summative assessments to the overall unit mark should also be included, e.g. 3-hour written exam (60%), 2000 word essay (40%).

Please link the assessment to the intended learning outcomes bearing in mind that it is expected that all intended learning outcomes are assessed.

The learning outcomes are assessed in integrated fashion across the summative and formative assessments.

Summative Assessment within 'the Unit of Basic Oral Medicine and Pathology

• An electronic assessment of 2 hours duration consisting of Oral Medicine and Oral Pathology single best answer and extended matching questions (60%)
• Practical diagnostic tests in Oral Pathology (20%)
• Work placed based assessment for Oral Medicine based on overall performance, professional conduct and on presentation and discussion of a clinical case (20%)
• Candidates must obtain a minimum of 45% in the individual assessments, and >50% overall.

Formative Assessment within 'the Unit of Basic Oral Medicine and Pathology

Continuous grading and feedback in Oral Medicine clinics and Oral Pathology laboratory

Case discussions with oral feedback

Feedback from Journal club

Reading and References

Oral & Maxillofacial Medicine 3rd edition; 2013; Crispian Scully.

Essentials of Oral Pathology and CLINICAL ORAL MEDICINE 8th edition 2011, R. A. Cawson and E.W. Odell

Medical problems in Dentistry; 2015; Crispian Scully.

Selected Journals- TBA

NICE guidance- TBA

Cochrane reviews- TBA

Oral pathology- Soames and Southam

Oral & Maxillofacial Pathology- Neville