Course Coordinator: Ms Mignon Watson
Phone: +61 8 8313 3115
Email: mignon.watson@adelaide.edu.au

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

Simulation Clinic Tutor: Ms Rosie Cooper
Email: rosemary.cooper@adelaide.edu.au

Lecturer: Associate Professor John Kaidonis (Minimal Intervention)
Email: john.kaidonis@adelaide.edu.au

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

Lecturer: Dr Sushil Kaur (Periodontolgy)
Email: sushil.kaur@adelaide.edu.au

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 an individual performance assessment 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

Highly Recommended - Semester 2
•    Jill Gehrig RDH MA, Rebecca Sroda RDH MS, Darlene Saccuzzo CDA RDH BASDH (April 2016) Fundamentals of Periodontal Instrumentation and Advanced Root Instrumentation Eighth Edition | Wolters Kluwer

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
•    Wolf HF & Hassell TM (2006) Colour Atlas of Dental Hygiene Thieme Stuttgart    


General References 

•    Egelberg and Badersten (1994) Periodontal examination.1st ed.Copenhagen: Munksgaard
•    Ferracane JL (1995) Materials in Dentistry: principles and applications. Philadelphia: JB Lippincott.
•    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 the course will be via the Announcements area on the Clinical Practice IOH MyUni website and/or by email. Please read the Announcements section and your email regularly to keep up to date.

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

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

•    Practical exercises within a: •    Resource sessions
•    Library research, written assignments, group oral presentations and dental practice visits
•    Participation in clinical/simulation tutorial discussions
•    Pre-reading and written activities completed
•    Self, peer and tutor assessment
•    Completion of portfolios, exercises and reflective/summative performance assessment


Learning Guides/Portfolios

Your manuals (Learning Guides and/or Portfolios) 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 manuals, 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

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

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

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

Topics Covered

•    Introduction to the clinical environment
•    Infection control
•    Ergonomics and Occupational Health and Safety
•    Patient histories and Oral soft tissue examination and recording
•    Dental Alginate and Impression making
•    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
•    Cariology, 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: introduction to composite resin, sealants, glass ionomer cement and alginate
•    Introduction to diagnosis and treatment planning
•    Structure and physico-chemical properties of teeth
•    Introduction to Minimal Intervention Dentistry
•    Rubber dam application
•    Fissure sealants
•    Periodontal tissue examination
•    Periodontal hand instrumentation

Equipment Needed:

Columbia & Perio Models:    
They are required during Semester 1 & 2 for CP IOH.      

Clinical Coat:    
Available from the Uni Store, Adelaide University Campus. Required at the beginning of Week 2 of Semester 1.      

Laboratory Coat:    
Available from the Uni Store, 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 for 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 in O Week and on the School of Dentistry web-site.         

Self-Monitoring Feedback Book
All students are required to do this for clinical and simulation assessment.

The University of Adelaide has committed to a pedagogical approach that incorporates several aspects of scholarship. A key component of the Beacon of Enlightenment strategic pedagogical approach is that all students commencing in 2017 will experience a "Small-Group Discovery Experience" (or SGDE for short) in at least one course in every year of their degree program.

The Core Concepts upon which the SGDE pedagogical approach is based include goals that students will discover (or rediscover) learning as Intellectual Challenge, and develop a Scholarship of Discovery to inspire them toward learning and lifelong learning.

To accomplish this learning journey, students will develop research skills, and learning and teaching delivery modes used will require students to engage actively with their discipline content. This active learning process will engender a commitment to knowledge for
its own sake, and consequently learning to follow an investigation, in a disciplined fashion, wherever it may lead.

In Dental & Health Science IOH, you will undertake SDGE to discover the various relationships between nutrition, health and oral health. Working with an experienced academic, you will undertake small group work as a collaborative project culminating in the group presenting and sharing their research with the larger class.

Assessment Format	Task Type	Due Date	Weighting	Learning Outcome(s) being addressed
Dental Simulation Clinic – Semester 1	Incorporates all aspects of performance – Refer to the CP IOH Assessment Criteria & Standards 2017	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 2017 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 2.5 hr paper	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 2017 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 2017 Workbook report	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

A uniform system of clinical assessment 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 assessment 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 and discuss the self-assessment 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 self-assessment 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 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 self-assessment 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 self-assessment 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 will have equal weighting
•    The Clinical/Practical component will contribute 30% and the examinations will contribute 70% 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 class meetings.  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 2/3 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 self-assessment form, using specific criteria that are used throughout the Clinical Practice Stream 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 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 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.

You will be provided with an ‘Assessment Criteria and Standards’ booklet 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 a Dental Therapist and a Dental Hygienist (or 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 10

Each assignment will receive feedback and be graded as 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 (120mins)
End of Year Exam
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.

     •    Semester 1 & 2 Exams contribute 25% and 45% 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 Student Undergraduate Handbook or MyUni for detailed assignment requirements. Assignments should have the School of Dentistry Cover sheet attached which are available from the dental school office located on the 5th Floor, ADH. Submission may be made through the electronic drop box, (if applicable) or in the assignment box located on the 5th floor of the Adelaide Dental Hospital.

Students can access final results 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 in order to discuss the possibility of remedial strategies. For students who obtain a Borderline grade in a component of the Clinical Practice IOH course, an opportunity for redemption may be provided at the end of the academic year.

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 School of Dentistry’s aim for excellence in teaching and learning.

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) to allow self-directed learning as an adjunct to clinic and simulation sessions.