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Unit information: Pathway 1: Advanced Oral Medicine in 2018/19

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Unit name Pathway 1: Advanced Oral Medicine
Unit code ORDSM0023
Credit points 60
Level of study M/7
Teaching block(s) Teaching Block 2 (weeks 13 - 24)
Unit director Mr. Spiteri Staines
Open unit status Not open
Pre-requisites

Oral medicine component (Clinical Oral Medicine / Oral Medicine and Pathology)

1. Formally undertake acceptance of compliance and commitment to observe professional and clinical codes of conduct as stipulated by UoB and UHBristol

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.

3. Have completed the Basic Oral Medicine and Pathology unit in this MSc

Co-requisites

None

School/department Bristol Dental School
Faculty Faculty of Health Sciences

Description

  • To acquire knowledge and develop competencies in the investigation and management of the more complex aspects of disorders which affect the oral mucosa and the surrounding oro-facial tissues.
  • To acquire knowledge and develop competencies in the investigation and management of the more complex aspects of how systemic disease may manifest within the oral cavity and surrounding structures and how they are diagnosed and managed.
  • To acquire knowledge and develop competencies in the investigation and management of the more complex aspects to understanding of how systemic disease may impact the dental management of patients and the consequent modifications to such treatment that may be required.

Intended learning outcomes

  1. Formulate a differential diagnosis for common complex conditions relevant to the practice of clinical Oral Medicine
  2. Select appropriate investigations for common complex conditions relevant to the practice of clinical Oral Medicine within the context of the individual patient needs.
  3. Identify a treatment plan for common complex conditions relevant to the practice of clinical Oral Medicine within the context of the individual patient needs
  4. Explain the evidence base for common treatment modalities relevant to the practice of clinical Oral Medicine within the context of the individual patient needs.
  5. Identify monitoring and follow up strategies required in the treatment of patients with systemic medication for common complex conditions relevant to the practice of clinical Oral Medicine within the context of the individual patient needs.
  6. Communicate in an effective and appropriate manner: (a) treatment aims (b) complications of the disease/ treatment, (c) risk of treatment (d) prognosis for common complex conditions as relevant to the practice of clinical Oral Medicine within the context of the individual patient needs, to patients and/or parent/guardian.
  7. Agree treatment plan in partnership with patient and/or parent/guardian in an effective and appropriate manner as relevant to the practice of clinical Oral Medicine.
  8. Deliver bad news competently as relevant to the practice of clinical Oral Medicine within the context of the individual patient needs.
  9. Clinically apply knowledge of mental health and psychosocial issues that are relevant to the practice of clinical Oral Medicine within the context of the individual patient needs.

Teaching details

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.

  • Participation in clinical governance & management activity & meetings.
  • Participation in clinic-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.
  • Self directed learning

o Advanced 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 Details

Summative Assessment within 'the Unit of Advanced Oral Medicine

  • Monthly Clinical Evaluation Exercise (MiniCEX) for Oral Medicine based on overall performance, professional conduct and on presentation and discussion of a clinical case. (20% of total mark)
  • Clinical case presentation of two patients at the chairside. This is a work place based assessment with a mark based on overall performance, professional conduct and on presentation and discussion. (20% of total mark)
  • Unseen examination: Multiple short answer questions - 10 questions of 10 marks each (90mins). (40% of total mark)
  • 2,500 word essay reflecting clinical experience. (20% of total mark)

Formative Assessment within 'the Unit of Advanced Oral Medicine Continuous feedback in Oral Medicine clinics Case discussions with oral feedback Multisource feedback

Reading and References

ORAL MEDICINE COMPONENT

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

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