Course Coordinator: Ms Mignon Watson
Phone: +61 8 8313 3115
Email: mignon.watson@adelaide.edu.au
Location: Level 10, Adelaide Health & Medical Sciences Building

Clinic Tutor: Ms Sue Aldenhoven
Email: susan.aldenhoven@adelaide.edu.au

Simulation Clinic Tutor: Ms Katrina Plastow
Email: katrina.plastow@adelaide.edu.au

Simulation Clinic Tutor: A/Prof Cathy Snelling
Email: catherine.snelling@adelaide.edu.au

Lecturer: Dr Derek Lerche (Radiology & Radiography)
Email: derek.lerche@adelaide.edu.au

Lecturer: Dr Sabine Selbach (Periodontology)
Email: sabine.selbach@adelaide.edu.au

Please view the Course Timetable for Clinical Practice IOH Part 1 (CP IOH Pt 1) on the relevant MyUni Canvas Course website.

Timetables generated on the 'Course Planner' via Access Adelaide provide minimal information of your required study committment for CP IOH Pt 1.

The Course Coordinator will provide a PROGRAM PLAN on MyUni, which details all Clinical Practice activities, times and venues across the academic weeks of Semester 1.

The Clinical Practice IOH Semester 1 program will generally be scheduled as follows:

• Mon 1-2 & 2-4pm Resource/workshop | Adelaide Health & Medical Sciences (AHMS) 3066
• Tues 9-11am SIMULATION Clinic | Uni Campus, Barr Smith BLDG
• Thurs 1-2pm Resource/workshop | Adelaide Health & Medical Sciences (AHMS) G033 Joe Verco
• Frid 9-12pm or 1-4pm CLINIC | Gilles Plains Dental Clinic

1	Develop professional attitudes and behaviours; respect for colleagues, staff and empathy for your ‘patient’ whilst working as part of a collaborative team
2	Develop accurate and critical self-evaluation skills by completing a self-monitoring feedback form at the end of each clinic session using specific criteria, to identify strengths, areas that require improvement and to identify strategies to implement in order to improve your performance for the next session
3	Develop the ability to work safely and effectively in the clinic and simulation clinic, and work with a dental assistant as part of a collaborative team whilst undertaking various clinical and simulation activities; applying Standard Precautions and maintaining appropriate patient and operator positions
4	Develop diagnostic skills and apply developing knowledge; using appropriate dental terminology, during clinical and simulation activities; identify normal oral soft, periodontal and hard tissues, the individual variation that can occur and identification of how these tissues can be altered under the influence of common oral diseases; the use and interpretation of dental radiographs, diagnostic casts and dietary histories as adjunctive diagnostic aids
5	Develop an understanding of the role of preventive dentistry in the management of common dental problems; dental caries, gingivitis, tooth wear and dental trauma and be able to implement various preventive measures clinically
6	Develop safe and effective manual dexterity skills; using correct instrument grasps, finger rests and indirect vision, whilst performing a range of simulated and clinical exercises; soft, periodontal and hard tissue charting, alginate impression making, topical fluoride application, prophylaxis, simple scaling, rubber dam and fissure sealant (on natural manikins only) application on manikins and your colleagues

Textbooks

Highly recommended

•    Harris NO, Garcia-Godoy F & Nathe CN (2013) Primary Preventive Dentistry 8th Ed. Pearson: Prentice Hall, New Jersey

Semester 2

•    Nield-Gehrig JS (2008) Fundamentals of Periodontal Instrumentation & Advanced Root Instrumentation 6th Ed Lippincott Williams & Wilkins
•    Nield-Gehrig JS & Willman DE (2008) Foundations of Periodontics for the Dental Hygienist 2nd Ed. Lippincott Williams & Wilkins

Key References

•    Graham J. Mount, Wyatt R. Hume, Hien C. Ngo, Mark S. Wolff (Editors) June, 2016 Preservation and Restoration of Tooth Structure 3rd Edition, Wiley-Blackwell 
•    Iannucci JM & Howerton LJ (2012) Dental Radiography: Principles and Techniques 4th Ed. Saunders Elsevier Scheid
•    Kidd EAM (2005) Essentials of Dental Caries: 3rd Ed. Oxford: Oxford University Press
•    Pattison A & Pattison G  Periodontal Instrumentation. 2nd Ed
•    Whaites E (2007) Essentials of Dental Radiography and Radiology 4th Ed New York: Churchill Livingston.


General References

•    Fejerskov O & Kidd E (eds) 2008 Dental Caries: the disease and its clinical management 2nd ed. Oxford: Blackwell Munksgaard
•    Johnson ON & Thomson EM (2007) Essentials of Dental Radiography for Dental Assistants and Hygienists, 8th ed. Pearson Prentice Hall
•    Patterson John, Aspects of Basic Physics for Dental Students
•    Wilson TG & Kornman KS (2003) Fundamentals of Periodontics 2nd Ed Hong Kong

Communications about this course will be via the ANNOUNCEMENTS area on the Clinical Practice IOH MyUni Canvas website and/or via email. Please view Clinical Practice IOH Announcements and check your emails regularly to keep up to date.

Additional course-related resources, such as timetables/programs, lecture handouts/recordings, learning guides/manuals, and group rosters - as well as assessment schedules, assignments, quizzes and student grades are available through MyUni Canvas.  

Research of relevant Journal articles, library resources and wider reading will be an invaluable approach to consolidating integrated learning across all Courses in the 1st year Bachelor of Oral Health program.

MyUni Canvas provides an Online opportunity for students to communicate between each other via discussions, group allocations, assignment posts and is an excellent approach to reviewing and discussing topics in preparation for written examinations.

A variety of teaching & learning modes will be used in this Course including:

•    Practical exercises within a: •    Resource sessions
•    Library research, written assignments, group oral presentations and Oral Health Therapy (OHT) practice visits
•    Participation in clinical/simulation tutorial discussions
•    Pre-reading and completion of written exercises
•    Self, peer and tutor assessment
•    Completion and submission of reflective/summary of performance assignment tasks  

Student Learning Guides

Your Learning Guides are a record of each session's activities, and answers to specific questions are to be completed before, during and after the session. Answers may be descriptive and/or require diagrams. You are encouraged to make extra notes about the topics covered, paste in and/or highlight photocopies from relevant journals or books you have resourced.  Be creative!  The more time and effort you put into your Learning Guides, the greater your depth of knowledge about clinical dentistry will be. This will stand you in good stead for exams and for future revision.

Contact Time

100 hours in Semester 1 (10 hours per week) consisting of:
•    2 resource sessions (2 x 2hr)
•    1 clinical session (3hrs)
•    1 simulation session (2-3hrs)    

88 hours in Semester 2 (8-9 hours per week) consisting of:
•    Variable resource sessions (1-2hrs)
•    1 clinical session (3hrs)
•    1 simulation session (3hrs)
•    8 hours Radiography practicals

Topics Covered

•    Introduction to the clinical environment
•    Infection control principles in the clinical setting
•    Ergonomics and Occupational Health and Safety
•    Patient histories and Oral soft tissue examination and recording
•    Radiology | an introduction and interpretation of intra-oral and extra-oral films
•    Radiography | intra-oral practical technique sessions
•    Introduction to Forensic odontology
•    Hard tissue examination and charting
•    Carious and non-carious damage to teeth (tooth wear, enamel developmental defects and staining)
•    Plaque (dental biofilm) and its role in dental diseases
•    Introduction to Dental instruments and Hand pieces
•    Preventive dentistry: •    Introduction to anatomy and function of the TMJ, mandibular movements and occlusal analysis
•    Introduction to dental materials | fissure sealants and protection (simulation clinic), dental alginate and impression making
•    Introduction to diagnosis and treatment planning (preventive management)
•    Structure and physico-chemical properties of teeth
•    Introduction to Minimal Intervention Dentistry
•    Rubber Dam application
•    Periodontal tissue examination
•    Periodontal instrumentation (hand scaling)

Equipment Needed
Tooth Models:    
They are required during Semester 1 & 2 for CP IOH.      

Clinical Coat with Uni logo:    
Available from the Uni Store/Co-op, Adelaide University Campus. Required at the beginning of Week 2 of Semester 1. 

Laboratory Coat with Uni logo:    
Available from the Uni Store/Co-op, Adelaide University Campus. Required at the beginning of Week 2 of Semester 1.       

Safety glasses:    
All students are required to wear safety glasses or safety prescription glasses when working in the clinic or laboratory that comply with Occupational Health and Safety requirements.  Required from Week 2 of Semester 1.

Collection of Natural teeth:    
All students are required to collect extracted natural teeth during Semester 1 for tooth ID exercises and construction of a natural model for exercises in Semester 2. See MyUni for further details.        

Instrument Kits:    
All students are required to purchase dental instruments for Clinical Practice. These instruments are required for various simulation exercises in the 1st and 2nd year of the BOH program. The purchase of these instruments will be organised in preparation for Semester 1 & 2 activities. More information will be available from Adelaide Dental School and University communications upon enrolment in the Course.

Clinic feedback book:    
All students are required to bring it to all clinic sessions for clinical feedback. This book of feedback forms is used throughout the BOH program. It is provided to students during week 1 and is available from and/or provided by the Adelaide Dental School.

Assessment Format	Task Type	Due date	Weighting	Learning Outcome (s) being addessed
Dental Simulation Clinic – Semester 1	Incorporates all aspects of performance – Refer to the CP IOH Assessment Criteria & Standards	Semester 1 | Wk 12	NGP	2-6
Clinic – Semester 1 Infection Control assignment	Incorporates all aspects of performance – Refer to the CP IOH Assessment Criteria & Standards Group assignment	Semester 1 | Wk 12 Semester 1 | Wk 11	5%	1-6 1-3
Integrated Semester 1 written Examination	Combined D&HS and Clin Prac examination	Mid-Year Examination period	25%	4-6
Dental Simulation Clinic – Semester 2 Radiography practicals	Incorporates all aspects of performance – Refer to the CP IOH Assessment Criteria & Standards Portfolio	Semester 2 | Wk 12 Semester 2 | Wk 10	10% 5%	2-6 3-6
Clinic – Semester 2 Clinic Visits	Incorporates all aspects of performance – Refer to the CP IOH Assessment Criteria & Standards Workbook report assignment	Semester 2 | Wk 12 Semester 2 | Wk 1	10% 5%	1-6 1-5
Semester 2 written Examination	2 hour written paper	End-of-Year Examination period	40%	4-6

To obtain a Pass Grade in Clinical Practice IOH, ALL assessment tasks must be completed to a Satisfactory standard.

The Clinical/Practical assessment will contribute 35% and the examinations will contribute 65% to your final overall grade in
Clinical Practice IOH.

For students who obtain a Borderline grade in a written assessment exercise, an opportunity for redemption may be provided at the end of the year. For students who fail to obtain a satisfactory grade for clinical/simulation components of CP IOH, opportunities for redemption will not be offered.

A uniform system of clinical performance is used in all years of both BDS and BOH programs.  It is based on self-assessment and it:
•    gives you direct input into your clinical feedback and learning experiences
•    encourages you to reflect on the learning process as a whole
•    teaches you to reflect on and assess the quality of your clinical work using a standardised assessment procedure
•    encourages you to learn by receiving regular feedback
•    encourages you to accept responsibility for what you say and do in the clinic
•    includes objective measures of clinical performance in each discipline
•    helps develop life-long learning skills.

Wherever possible, each session will have time allocated for you to:
•    review with your tutor what you propose to do for each patient for the session
•    debrief to self-assess your performance and discuss feedback with your tutor.

You need to follow up learning issues that have been raised during the assessment process by researching the relevant information or by taking steps to improve aspects of your clinical work that have been identified as requiring improvement.

You will have further opportunity for reflection and sharing experiences with peers during regular debriefing sessions.

You are required to keep and maintain detailed up-to-date information about your work in the clinic throughout the year.  You will be issued with a clinic feedback booklet, which you must have with you at each clinic session.

Learning can be defined as a change in understanding.  Therefore it is your responsibility to demonstrate improved understanding in relation to your knowledge, skills and attitudes throughout the year.  The assessment process is designed to provide you with feedback on your progress.

You will be given a Clinical Assessment Criteria & Standards booklet describing specific skills criteria for the clinical procedures that you undertake in the Clinical Practice course.  The criteria for the assessment of Infection control, Knowledge base, Interpersonal skills and Professional behaviour are common to all procedures and disciplines.

Please have the Clinical Assessment Criteria booklet with you in the clinic during every session.

Both you and your tutor will use these standard criteria.  If your assessment differs significantly from that of your tutor’s, the reason(s) should be recorded during the self-assessment process.

On completion of a clinical procedure, you are required to self-assess your work in your clinic feedback booklet.  You should identify strengths, areas needing improvement and strategies for improvement. You are then required to seek feedback from your tutor about your clinical performance.

It is your responsibility to seek these assessments from your tutors.

If you choose not to carry out self-assessment, your tutor will mark your performance as unsatisfactory.

Tutors will record details of student activities in the clinic and whether or not you have self-assessed your work regularly.

You need to follow up learning issues that have been raised during the assessment process by researching the relevant information or by taking steps to improve aspects of your clinical work that have been identified as requiring improvement.

An assessment portfolio for Radiography practicals will be required to be completed and critiqued accurately.

Note:  You should be aware that your final grade in the clinical component of Clinical Practice is not just the sum of individual assessments in your clinic feedback booklet.  These assessments are formative comments and provided to help you with your learning.  Your final assessment will be based on an overall review of your knowledge, skills and attitudes in a clinical context.  You should discuss your overall performance with your tutors and coordinators throughout the year.

•    Clinic, Simulation Clinic, Perio and MI Clinic will have equal weighting
•    The Clinical/Practical component will contribute 35% and the examinations will contribute 65% towards your final mark in Clinical Practice I OH.

However you must reach a satisfactory standard in each area to pass Clinical Practice I OH.

Further information about the practical assessment component will be given during resource sessions.  However, it is important to note that the final assessment for each semester is based upon the standard obtained towards the end of the assessment period.  It is not based on an average of the entire semester.

Every effort will be made to help students identify areas in which difficulty is being experienced, and to provide help to remedy problems.  If you are aware that you are having difficulty with any part of the course, please see one of your tutors or the Course Co-ordinator.

Self-assessment
We believe that it is very important for you to develop the ability to assess your own performance in the clinic during your undergraduate years, so that you are able to critically evaluate your day-to-day performance as an oral health practitioner.  We all make mistakes and it is important to realise when a mistake is made and learn from it.

In addition, as you will be working in groups of 3 in the clinic, you are encouraged to observe how other members of the group approach the same tasks and to learn from this experience.

At the end of each session you need to complete a self-assessment form.  You should reflect upon each criterion and how you performed on each in relation to that particular sessions’ exercise.  You should comment on your achievements; what you have learnt, your strengths and weaknesses, and areas where you need to improve your learning.  You should then discuss your performance with your tutor.  You should formulate strategies that you can apply in future sessions to improve on your performance.
 
Tutor assessment
During Semester 1 and 2, there will be continual feedback via the clinic feedback form, using specific criteria that are used throughout the Clinical Practice Course for 1st year.  Your tutors will also assess your performance and provide feedback at the end of each session.  At the end of Semester 1, your tutor will give you written final feedback and an assessment grade on your performance in practical and clinical sessions, using these criteria:

•    Knowledge
•    Skills
•    Interpersonal Skills
•    Professional behaviour

In Semester 2 there will be continual feedback during clinical and practical sessions.  At the end of Semester 2, your tutor will give you written final feedback and an assessment of your performance in the Minimal Intervention and Periodontal laboratory/clinical components.

You will be assessed in accordance with the criteria relating to the areas of:

•    Knowledge
•    Skills
•    Patient management
•    Professional behaviour

Your performance will be graded as Excellent, Good, Satisfactory, Borderline or Unsatisfactory - please refer to the ‘Assessment Criteria and Standards’ booklet made available in Week 5.

Written and Oral Assessments
 A. Assignments
Semester 1
•    Infection Control Assignment (group assignment)
      Due: Semester 1 – Week 7 & 10
•    Clinical Practice Visit Assignment (individual report)
      Due: Semester 2 – Week 1

This assignment will involve visiting an Oral Health Therapist in practice. You may do the visit in pairs; however the report/workbook will be completed individually.

Semester 2
•    Radiographic Assignment (individual practical portfolio to be completed to satisfactorily
complete this component)

Due: Semester 2 – Week 11/12

Each assignment will receive feedback and be graded as Satisfactory (Excellent, Good, Satisfactory), Borderline or Unsatisfactory.
 
B.  Presentation requirements
There is one group presentation in Semester 1:
•    Dietary Analysis

You are expected to work as a team within your assigned group, equally sharing and contributing to the work for the presentations. Current and up to date references should be used and each group member must have a clear understanding of terminology, concepts and issues that are to be presented. Presentations should include an introduction, the main findings, issues to be raised and a conclusion or summary. There will be question time at the end of each presentation, and all group members need to be prepared to respond to all questions.

C. Assessment of knowledge and practical ability in Clinic and Sim Clinic
Each clinical/simulation component will be assigned a grade at the end of each semester, incorporating all aspects of performance (refer to the Assessment Criteria and Standards booklet for CP IOH).

The components in Semester 1 are Clinic and Sim Clinic and in Semester 2 they are
Periodontics and Minimal Intervention.
 
D. Written Examinations
There will be 2 written examinations, one held at the end of each semester.  The written examinations will draw on material from the other streams (i.e. they will be integrated) and the exam at the end of Semester 2 will draw on material from Semester 1. Your performance in the written exams will be graded as excellent, good, satisfactory, borderline or unsatisfactory.

Trial Exam
To assist in assessing your progress in achieving this streams’ objectives and to familiarise yourselves with the CP IOH examination format you will be given the opportunity to complete a Trial Exam in Week 12 of Semester 1.  The test will not count towards your grade but should be used as feedback on your progress.
 
Semester 1: Midyear written exam – combined DHS & Clinical Practice assessment

The mid-year written exam will be based on a number of questions with problems relating to both the D&HSc and Clin Prac streams, which you will work through individually under examination conditions. The aim is to assess whether you have a systematic approach to situations, the application of knowledge, and integration of information across streams and written communication skills.  It is to your benefit to make sure that you are working consistently throughout the semester and have a good grasp of the stream content and learning processes. 
 
Semester 2: End of Year Exam (120mins)

The end of year Exam will be based on a number of questions relating to the Clinical Practice stream, which you will work through individually under examination conditions. The aim is to assess whether you have a systematic approach to situations, the application of knowledge, and integration of information across streams and written communication skills. It is to your benefit to make sure that you are working consistently throughout the year and have a good grasp of the stream content and learning processes.

Note:
•    Semester 1 & 2 Exams contribute 25% and 40% respectively to the year's grades

•    The Semester 2 examination will include material from the whole of the year

•    Students with a poor attendance record may be precluded from the exams.

All assignments should comply with instructions given in each assignment. Please see the ASSIGNMENTS area on MyUni Canvas for detailed assignment requirements. Assignments should have the Adelaide Dental School Cover sheet attached - these are generally available online within each individual assignment information. Submission is made electronically via the relevant MyUni Assignment folder and/or as instructed.

Students can access final results (at the end of the year) via Access Adelaide. It is important that all assessment components are completed successfully. If an assessment item is not completed successfully a review meeting with the course and/or year co-ordinator may be scheduled (at the end of Semester 1) in order to discuss the possibility of remedial strategies. For students who obtain a Borderline grade in a component of the Clinical Practice IOH Part 1 (Semester 1) course, an opportunity for redemption may be provided at the end of the academic year.

The Adelaide Dental School reports final results for posting on Access Adelaide according to University Grade Scheme 8.

Changes made to CP IOH (based on teaching staff and SELT reflection)   

Each year we ask students to complete an evaluation of their learning and teaching experience. Teaching staff reflect on the SELT, the outcomes achieved and processes implemented to identify necessary changes for future years. These are important tools in the Adelaide School of Dentistry’s aim for excellence in learning and teaching.

The following changes have been made as a result of these processes:
•    Assessment tasks and schedule revised
•    Mid-year exam integrated with Dental & Health Science IOH – format and content revised
•    Focus on assessing appropriate professional and ethical behaviour in all learning environments
•    Use of Non-graded pass and group assignments to encourage collaboration and teamwork
•    Scheduled periodontal instrumentation tutorials in a simulation environment
•    Students purchase own instrument kits (Periodontal scalers and Minimal Intervention cons kits) to allow self-directed learning as an adjunct to clinic and simulation sessions.