| Unit name | Human Disease |
|---|---|
| Unit code | ORDS30008 |
| Credit points | 20 |
| Level of study | H/6 |
| Teaching block(s) |
Academic Year (weeks 1 - 52) |
| Unit director | Professor. Steve Thomas |
| Open unit status | Not open |
| Pre-requisites |
None |
| Co-requisites |
None |
| School/department | Bristol Dental School |
| Faculty | Faculty of Health Sciences |
The Teaching Unit takes place in Year 3 and comprises 3 Elements:
The Unit of Human Disease provides didactic and clinical teaching throughout year 3 of the BDS Programme in Clinical Medical Sciences and the majority of the teaching in this Unit is carried out by medical staff from the Bristol Royal Infirmary. Knowledge of the Clinical Medical Sciences forms the medical basis of the provision of dental care. The course is intended to provide students with sufficient knowledge to recognise problems in the medical history of patients about to undergo dental treatment and to take the appropriate action to provide high quality care. An important aspect of the Unit is to ensure that graduate practitioners understand when referral for complex treatment is indicated. It is also to enable dental students to understand their role in the wider Health Care context.
The general AIM of this Unit is as follows:
To integrate teaching and experience in General Medicine, General Surgery, Clinical Microbiology and Clinical Pathology to provide students with an understanding of the principles of these subjects as a prerequisite to the ‘whole patient care’ and health promotion approach of modern dentistry.
The general OBJECTIVES are:
A. Clinically related skills
On completing the course, successful students should be able to:
Recognise the signs and symptoms of the following conditions and to give the signs which may be discernible in a clothed dental patient with: hypertension, angina, myocardial infarction, peripheral vascular disease, rheumatic fever, bacterial endocarditis, aortic and mitral valve disease, heart failure, congenital heart defects, respiratory failure, asthma, bronchiectasis, pneumonia, tuberculosis, carcinoma of the lung, sarcoidosis, pulmonary embolism, oesophagitis, carcinoma of the oesophagus, carcinoma of the stomach, peptic/duodenal ulcers, cholelithiasis, cholecystitis, acute hepatitis, cirrhosis, epilepsy, meningitis, cerebrovascular disease, multiple sclerosis, renal disorders, peripheral neuropathy, rheumatoid arthritis, gout, sero-negative arthritis, cardiorespiratory arrest, acute anaphylaxis, unconsciousness, acute asthmatic attack, diabetes mellitus, disorders of the pituitary, adrenal and thyroid glands, anaemia, bleeding disorders, leukaemias, lymphoma, skin infections, sexually transmitted diseases, drug induced diseases and addiction, ENT diseases and eye disorders
• Be able to recognise the signs relevant to the above conditions that may be discernible in a clothed dental patient. • Carry out initial assessment and management of emergencies • Elicit a medical history from a patient in a manner appropriate to the patient’s medical or surgical needs. • Be able to respond appropriately to emergency situations that might occur in dental practice relating to the above conditions, with particular emphasis on management of anaphylactic shock. • Perform simple first-aid treatment • Diagnose and suggest appropriate care for patients suffering from head and/or spinal injuries
B. Cognitive Skills
On completing the course, successful students should be able to:
C. Transferable skills
On completing the course, successful students should be able to:
60 x 1 hour lectures.
6 clinical demonstrations.
Two week Clinical Attachment - (Block Release) one week each to a Medicine and Surgery Firm.
Year group divided between BRI, Southmead and Weston Hospitals.
Rotation to Medical Admissions Unit.
The exams assess three subject areas comprising of:
This exam is marked as an overall combined mark rather than needing to pass the written and the clinical. Students will only pass if they have a mark greater than 50% but would have to achieve a minimum of 40% in each section.
Human Disease for Dentistry – Farida Fortune, Oxford University Press 2004 ISBN 0192631632 – Up-to-date, dentally relevant, clearly written but includes detail on conditions not considered high priority on this course and weak on anticoagulation.
Human Disease for Dentists – David V Gawkrodger, Blackwell Press, 1st Edition 2004, ISBN 0-632-06453-6 – A little brief in parts but very focussed. Good on clinical histories and examination.
Textbook of General Surgery and Oral Surgery – D Wray (Churchill Livingstone) ISBN 0-443070830
Medical Problems in Dentistry - Scully and Cawson (Wright) 5th Edition 2005. Bristol Book, hardback, good on dental aspects, much text, some tables, available in Waterstones.
Colour Guide: Medicine and Surgery for Dentistry -Porter, Scully, Welsby, Gleeson (Churchill Livingstone) 2nd Edition 1999 The bible for the clinical exam, excellent short notes and illustrations, available in Waterstones
Medicine And Surgery For Dentistry – Porter SR et al (Churchill Livingstone) 2nd edition 1999 in dental library
Textbook of General And Oral Medicine Wray, Lowe, Dagg, Felix and Scully (Churchill Livingstone) 1st edition 1999 “two for the price of one” as includes oral medicine. Pretty good text boxes.
Essential Medicine edited by John Vann Jones, Charles R.V. Tomson (Churchill Livingstone) 2nd edition 1998. Well written but aimed at medical students.
Essential Surgery by H George Burkitt, Clive RG Quick Dennis Gatt. Churchill Livingstone. Well written but aimed at medical students. Two of the authors are dentists.
