Unit information: Primary Clinical Practice - Year 1 in 2019/20

Unit name	Primary Clinical Practice - Year 1
Unit code	ORDS10017
Credit points	30
Level of study	C/4
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Mrs. McNulty
Open unit status	Not open
Pre-requisites	N/A
Co-requisites	N/A
School/department	Bristol Dental School
Faculty	Faculty of Health Sciences

Description including Unit Aims

Year 1:

This unit transfers the clinical skills taught in the CSL to patient management and is based within Bristol Dental Hospital.

Subject areas:-

1. Removal of Dental Deposits
2. Periodontal Diseases
3. Infection Control
4. Medical History
5. Medical conditions and Dental management implications
6. Plaque control
7. Topical Fluoride application

Clinical practice includes the use and monitoring of periodontal disease and plaque biofilm, non-surgical periodontal therapy incorporating the use of Local Anaesthetics as required and encouraging patients towards healthy oral hygiene regimes.

Aims:

• Students will commence clinical treatment sessions.
• Carry out routine periodontal assessments, supra and sub gingival scaling procedures and oral hygiene instruction. They will be able to deliver treatment under Local Analgesia if required.
• Students will be capable of recognising periodontal health and disease and have a good understanding of oral health education in relation to improving oral health.
• To assure students can work safely, protecting themselves, the patient and other members of the working team.
• To develop abilities in the recognition of needs and management of different patient groups.
• To understand the importance of Professionalism and work well as part of a dental team

Intended Learning Outcomes

Intended Learning Outcomes

1. Recognise the importance of and carry out appropriate systematic intra oral and extra oral clinical examination
2. Monitor and record changes in in periodontal health as necessary using appropriate indices.
3. Discuss the need to monitor and review treatment outcomes
4. Undertake prescribed non-surgical treatments to remove hard and soft deposits and stains using a range of methods
5. Management of tooth wear within the Scope of Practice
6. Manage patient pain though the appropriate use of local analgesia – Local Infiltration and Inferior Dental Block
7. Provide patients with comprehensive and accurate preventive education and instruction in a manner which encourages self-care and motivation
8. Underpin all patient care with a preventive approach that contributes to the patient’s long-term oral health and general health using evidence-based prevention and apply accordingly.
9. Carry out care as prescribed by the dentist and plan the delivery in the most appropriate way for the patient
10. Recognise the importance of and record a comprehensive and contemporaneous patient history
11. Implement and perform effective decontamination and infection control procedures according to current guidelines
12. Take responsibility for ensuring compliance with current best practice guidelines, maintaining accurate, contemporaneous and comprehensive patient records in accordance with legal and statutory requirements and best practice. Protecting the confidentiality of all personal information.
13. To recognise and take account of the needs of different patient groups including children, adults, older people and those with special care requirements throughout the patient care process.
14. To recognise psychological and sociological factors that may contribute to poor oral health, the course of disease and success of treatment. Recognising the health risks of diet and drugs such as tobacco and alcohol on oral and general health and provide appropriate advice, referral and support.
15. To safely apply topical fluoride preparations.

Teaching Information

Teaching methods include:

• Lectures
• Small group Seminars
• Tutorials
• Practical classes
• Clinical Practice (Work based learning)
• Guided Independent study
• Continuous Clinical Assessment logbook/portfolio (CCA) including Reflective Practice

Assessment Information

Summative assessment

Local Anaesthetic - Clinical log book competencies

There are two assessments:

1. Students must administer 10x Local infiltration Analgesia injections (LIAs) (50% of the unit total)

2. 10 x Inferior Dental Block injections (IDBs) (50% of the unit total).

Each injection is graded with written student reflective and staff feedback. Students need to pass both aspects of this assessment with a minimum of 50%. There is no compensation in this assessment.

NB Continuous formative assessment in clinical reporting and practical delivery of local anaesthetic during patient treatment sessions will continue after this assessment has been passed. Regular review meetings with students and staff ensure progress and development are monitored.

Formative assessment

Students are supported in their learning by a variety of directed formative assessments with which they must engage within this unit. Overall performance will be reviewed and discussed at the School Progress committee at regular meetings x 1 per term.

Removal of Dental Deposits (plaque control)

On-going continuous assessment on clinic using a predetermined standard assessment scheme with immediate feedback to the student. Each student to complete a logbook/portfolio during the course with opportunity to reflect on progress during and at the end of the Unit.

Periodontal Disease

On-going continuous assessment on clinic using a predetermined standard assessment scheme with immediate feedback to the student. Each student to complete a logbook/portfolio during the course with opportunity to reflect on progress during and at the end of the Unit.

Medical History

Ongoing clinical assessment for each individual patient seed, graded with feedback given by clinical staff.

Medical Conditions & Dental Management Implications

On-going clinical assessment for each individual patient seen, graded with feedback given by clinical staff.

Marks obtained in formative assessments above do not contribute to the overall unit mark but failure to complete by the stated end of term deadlines will be raised at the Progress Committee, and may be a barrier to progression.

Reading and References

Anatomy and Physiology in Health and Illness, 8^th Edition, Ross and Wilson,

ISBN: 0-443-05156-0

Understanding Periodontal Diseases: Assessment and Diagnostic Procedures in Practice, Chapple & Gilbert; Quintessence

ISBN: 1-85097-053-X

Local Anaesthesia in Dentistry; Baart & Brand; Wiley-Blackwell

ISBN: 978-1-4051-8436-6

British National Formulary

Applied Pharmacology for the Dental Hygienist (6th Edition)

Haveles

ISBN: 9780323065580

Medical Problems in Dentistry 6^th Edition; Scully, Churchill Livingstone

ISBN: 978-0-7020-3507-4