Course Coordinator: Dr Jennifer Gray
Email: jennifer.gray@adelaide.edu.au

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

Key staff:
Mrs Elvina Bonnici
Email: elvina.bonnici@adelaide.edu.au

Ms Kyla Burman
Email: kyla.burman@adelaide.edu.au

Ms Poppy Anastassiadis
Email: poppy.anastassiadis@adelaide.edu.au

Dr Sabine Selbach (Periodontics)
Email: sabine.selbach@adelaide.edu.au
Location: Level 10, AHMS Building

Dr Wendy Chueng (Paedodontics)
Email: a1049959@adelaide.edu.au
Location: Level 10, AHMS Building

1	Practice within legislative parameters for oral health professionals and apply this knowledge in practice
2	Abide by the principles of health care ethics and demonstrate these principles in the delivery of clinical services
3	Apply the principles and techniques of quality assured examination & diagnostic processes including clinical photography, applied intra-oral radiography & personalized dental care concepts to customising patient care and treatment plans
4	Describe the physical and psychological behaviour management theories and apply communication strategies supportive of these theories to enhance acceptance of dental treatment
5	Explain effective attributes of successful change management and apply this information to foster patient behaviour that is favourable to dental health
6	Explain the range of preventive procedures within a defined scope of practice and apply this knowledge in the clinical setting by targeting and performing preventive procedures on patients
7	Explain the interrelating principles of cavity preparation, material selection and placement, pulp therapy and the use of liners for the deciduous and permanent dentition and apply this knowledge to operative techniques scenarios in the laboratory and simple treatments with patients
8	Compare and contrast glass ionomer cement & resin based fissure seal materials and techniques, including appropriate tooth selection and surface preparation, and apply this knowledge when managing the pits & fissures of patients
9	Compare and contrast the pharmaceutical properties of the three main types of local anaesthetic agents used by dental therapists and hygienists, apply this knowledge to potential complications (local and systemic), utilise appropriate preventative strategies and select the appropriate technique for each clinical procedure requiring a local anaesthetic
10	Recognise and describe the anatomical, histological and physiological features of the oral tissues (including hard and soft tissue, bones, muscles, nerves and blood supplies) and apply this knowledge to deliver safe & effective inferior alveolar block, periosteal infiltration and interpapillary injections
11	Recognise radiographically, clinically and histologically the normal and abnormal cellular, fibre and molecular components of the periodontal ligament, and apply this knowledge to describe and identify features of initial, early and moderate periodontal lesions, and the associated therapeutic and prognostic implications
12	Apply the knowledge of periodontal pathogenesis to the clinical implications of biofilm, calculus, modifying factors, trauma, systemic and local risk factors
13	Provide dental hygiene care and prevention for patients presenting with simple to moderate periodontal, hard and soft tissue diseases and conditions
14	Practice in a culturally competent manner with a diverse range of individuals and community groups
15	Implement brief intervention strategies within an oral and general health context.

Cameron A & Widmer R (2013) Handbook of Paediatric Dentistry, 4th  ed, Mosby-Wolfe: London
Mount, GJ & Hume WR (2005) Preservation and Restoration of Tooth Structure, 2nd edition, Knowledge Books and Software: Queensland
Noble, SL (editor) (2012) Clinical Textbook of Dental Hygiene and Dental Therapy, Wiley-Blackwell: Oxford
Wolf, HF (2006) Colour Atlas of Dental Hygiene Periodontology, Thieme: Stuttgart


Equipment Needed

•    The regulation laboratory and clinical coats must be good order, and must be worn at all times in the clinic and simulation clinic
•    Appropriate footwear to be worn at all times in the clinic and simulation clinic
•    Safety glasses in clinic and simulation are obligatory at all times
•    A full set of permanent plastic  teeth – purchased in 1st year

At the start of semester 1, students will need to purchase wax carving teeth and Denta Prac block (approximate cost is $125), as well as a direct fit mouthguard from a pharmacy (approx cost $10).
In addition, you will need to purchase a mixed dentition model and plastic pulpotomy teeth for activities in semester 2 (approximate cost $400). Further information will be provided during semester 1.

•    SADS Clinic manual for undergraduate dental students     
Remember that the clinics are under the control of the SA Dental Service. You are admitted as a student to practise in these clinics under their terms and conditions (as per the University Calendar). The SA Dental Service has set down a summary of these rules for conduct and dress code, conditions, and policies in the SA Dental Clinic Manual.  You will be given a copy during your induction sessions. Make sure you read it thoroughly as observance of these rules and codes is essential for students who wish to be permitted use of the clinics and laboratories.

•    Johnson OM and Thomson EM (2007) Essentials of Radiography for Dental Assistants and Hygienists, 8th edition,
      Pearson Prentice Hall: New Jersey  
•    Kidd, EAM (2005). Essentials of Dental caries, 3rd edition, Oxford University Press: Oxford
•    Nield-Gehrig JS (2011) Foundations of Periodontics for the Dental Hygienist, Lippincott Williams and Wilkins: Philadelphia

All resources for this course will be uploaded on My Uni under Combined Clinical Practice II Part A in Semester 1, and Clinical Practice II OH Part B, Semester 2 in the course material section. MyUni will be used extensively for learning and communication, so you are strongly urged to check your emails and MyUni announcements on a regular /daily basis.

1.    Class meetings
2.    Tutorials
3.    Printed and web-based media
4.    Case study reports and oral presentations
5.    Clinical placements
6.    On-line learning
7.    Simulation
8.    Self-assessment
9.    Self-directed learning

• Clinical Practice IIOH occupies the majority of your time in second year.   It is presented in a number of different learning environments:
  
  •    Class Meetings
  •    Tutorials
  •    Simulation clinic
  •    Pre-Clinical and Clinical Sessions
  •    Online learning activities and assignments
  
  Class Meetings
  
  In Semester 1, there will be:
  
  •   4 week Pre-Clinical program at Nth Tce Campus
  • Clinical Dentistry - 2x three hour class (practical sessions per week in the Simulation clinic on North Tce campus (sem 1A & 1B) and, either Marion or Elizabeth GP Plus clinics (students are rostered at either location) to introduce the student to clinical practice –  (more information will be provided during commencement weeks).
  •    MI Restorative Dentistry
  A three hour class meeting and/or resource session each week at the University of Adelaide, with the second year BDS students, which will be used for introducing topics which form the background of dental therapy clinical practice. These sessions will include interactive learning; student presentations; discussions and assessments. Many of the topics covered will supplement and complement the topics covered in Dental & Health Science IIOH.
  •    Periodontology
  Resource session/s each week at the University of Adelaide. Tutorials will also be scheduled to help support your learning

•    Structure and properties of teeth, and their relationship to restorative dentistry
•    The caries process
•    Cavity classification and nomenclature
•    Minimum Intervention Philosophy •    Introduction to instrumentation in restorative dentistry
•    Introduction to dental materials •    Cavity preparations and restoration of permanent teeth •    Management of the occlusal lesion
•    Management of the proximal lesion
•    Paedodontics
•    Pulp therapies – primary and permanent teeth •    Deciduous cavity preparation and restoration
•    Management of traumatic injuries to anterior teeth
•    Dental emergencies
•    Local anaesthesia
•    Periodontics
•    Instrument sharpening
•    Supra and sub-gingival hand scaling (instrumentation)
•    Ultrasonic scaling
•    Application of remineralising gels, solutions and pastes
•    Impressions/mouth guards
•    Dental law and ethics
•    Scope of practice/duties of Dental Hygienists and Dental Therapists
•    Intra-oral radiography
•    Clinical photography
•    Patient examination and history taking
•    Oral diagnosis
•    Treatment planning (including preventive options)
•    Patient education and oral hygiene instruction
•    Dietary considerations for oral health
•    Care of fixed and removable prostheses
•    Periodontal indices
•    Polishing and recontouring restorations
•    Calculus detection
•    Prophylaxis and stain removal
•    Saliva testing and other diagnostic aids


Learning Laboratories

Pre-Clinical MI Dentistry Operative Techniques:
Operative technique practical sessions are held in the Simulation Clinic, Barr Smith South building.

Clinic Sessions
Pre-Clinic and Clinic
Pre-clinical activities will be held in in a 4 week block. Clinic sessions commence in Semester 1a at  Marion GP Plus clinic and Elizabeth GP Plus clinic. Students will practice and extend their skill acquisition from CP IOH – with simple patient care sessions scheduled to consolidate these clinical skills. Local anaesthesia is taught and students will perform preventive and restorative procedures on manikins.

Assessment Map
  

Name of assessment	Description	Hurdle – Yes/No	% contribution to final grade
Semester 1
Clinic – OHT Paediatric Care & Adult Care	Formative	-
Simulation Clinic	Summative	No	5%
Written Examination	Summative	No	10%
Semester 2
Clinic – OHT Paediatric Care	Formative	-
Clinic – Adult Care	Formative	-
Case Study Presentation	Summative	No	10%
Simulation Clinic - Tutorials	Formative	No	NGP
Simulation Clinic - Practical	Summative	Yes – Hurdle 1	15%
Clinic – OHT Paediatric Care & Adult Care	Summative	Yes – Hurdle 2 You must reach a satisfactory standard in both Paedo and Adult OHT clinical practice to pass Clinical Practice II OH.	40%
Written Examination	Summative	Yes – Hurdle 3 You must reach a satisfactory standard in both Paedo and Adult OHT Care component to pass the exam.	20%

Description of assessment types

Formative Assessment
Ongoing feedback on your performance during your assessment tasks is for your benefit and allows you to assess how you are progressing in CP II OH. It also provides the staff with opportunities to monitor your performance, both theoretical and practical. It is your responsibility to incorporate this feedback into your approach and strategies for your learning.

At the end of Semester 1 and in September Semester 2, in both the OHT Paediatric Care and OHT Adult Care clinic components, you will have a feedback session with your tutor, who will discuss a formative grade with you, based upon your self- assessment sheets (these formative grades are used for feedback purposes only). These are designed to give you feedback on your progress, and to provide a scaffold to assist you in identifying areas not yet meeting the required standard and develop approaches for improvement.

You should use each source of formative feedback that you receive to monitor your own performance and implement strategies to address any issues. Students that have not achieved a satisfactory standard will be required to meet with the course coordinators and present strategies for improvement.

Summative Assessment
There will be written examinations at the end of Semester 1 (weighted 10%) and Semester 2 (20%). You will complete a case study presentation in Semester 2 that will comprise 10% of your final grade.

For Simulation clinic, at the end of Semester 1 you will receive a summative grade that will be weighted 5% toward your final grade; at the end of Semester 2 the weighted component will be 15%.

At the end of Semester 2, you will receive a written review of your clinical progress and summative grades will be awarded by the course coordinator towards your final practical grade. OHT Paediatric Care and Adult Care clinics will have equal weighting. This summative component will be weighted 40% towards your final grade. However you must reach a satisfactory standard in both Paediatric Care and Adult Care clinics to pass Clinical Practice II OH.

Further information about the practical assessment component will be given during class meetings. However, 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.

It is also 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.

Your final assessment will be based on an overall review of your knowledge, skills, attitudes and professional behaviour in a clinical context. You should discuss your overall performance with your tutors and mentors throughout the year.

Every effort will be made to help students identify areas of difficulty 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 Program Coordinator.


Assessment Overview

Hurdle 1: Practical component – Simulation clinic
Performance in the simulation clinic is based on written assessments of performance in sim clinic sessions over Semester 2 (approx mid-year to the end of the year). Assessment addresses application of knowledge, clinical information review, diagnostic and management skills, practical/technical skills, professional behaviour and interpersonal skills (refer to Simulation Clinic Assessment Criteria and Standards Book).

You are responsible for monitoring your own learning and therefore you should be familiar with the Simulation Clinic Assessment Criteria and Standards (refer to MyUni). Sim clinic tutors provide verbal and written feedback related to the assessment criteria and standards to you during each session to assist your learning and development. You should be proactive with your tutors to seek feedback on your progress. This includes identifying and discussing areas that require improvement and seeking assistance to identify and implement realistic strategies for improvement.

At the end of Semester 1, each student receives written feedback and grade regarding the standard of performance achieved during Semester 1. During Semester 2, students will have a face-to-face discussion with their tutor about their clinic learning plans and standard of performance. At the end of semester 2, tutors submit a final written summative assessment of the standard of performance you have achieved in Semester 2 (refer to Sim Clinic Assessment Criteria and Standards Book).

Formative and summative clinic performance in CPIIOH is based on a criterion-based standard reporting system (E, G, S, B, U) for sim clinic. These standards are then converted to a moderated score that contributes to the final grading of your practical components for the year.

Hurdle 2: Practical component – OHT Paediatric Care & OHT Adult Care Clinic
Student performance in clinic (and any simulated clinic) is based on written assessments of performance in clinical and sim clinic sessions over Semester 2 (approx mid-year to the end of the year). Assessment addresses application of knowledge, clinical examination, diagnostic and management skills, practical/technical skills, professional behaviour and interpersonal skills (refer to Clinical Assessment Criteria and Standards Book).

You are responsible for monitoring your own learning and therefore you should be familiar with the Clinical Assessment Criteria and Standards. Clinic and sim clinic tutors provide verbal and written feedback related to the assessment criteria and standards to you during each session to assist your learning and development. You should be proactive with your tutors to seek feedback on your progress. This includes identifying and discussing areas that require improvement and seeking assistance to identify and implement realistic strategies for improvement.

At the end of Semester 1, each student receives written feedback regarding the standard of performance achieved during Semester 1. During Semester 2, students will have a face-to-face discussion with their tutor about their clinic learning plans and standard of performance. At the end of Semester 2, tutors submit a final written summative assessment of the standard of performance you have achieved in Semester 2 (refer to Clinical Assessment Criteria and Standards Book).

Formative and summative clinic performance in CPIIOH is centered on a criterion-based standard reporting system
(E, G, S, B, U) for clinic. These standards are converted to a moderated score that contributes to the final grading of your practical components for the year (see Table 2).

To pass the CPIIOH course overall you must achieve a satisfactory standard for both your OHT Paediatric Care and Adult Care Clinic components. The final standard rating in the Clinical component of CPIIOH is not just the sum of individual assessments in your self-assessment booklet. These assessments provide feedback to help you with your learning. Your final assessment is based on an overall review of your clinical examination, diagnostic and management skills, practical/technical skills, professional behaviour, and interpersonal skills in the clinic context across the whole academic year. This includes overall professional behaviour, such as attendance and monitoring your own performance.

Hurdle 3: Written Examination – OHT Paediatric Care and OHT Adult Care
To pass the CPIIOH course overall you must achieve a satisfactory standard and therefore a grade of a Pass or above in both the OHT Paediatric Care and the OHT Adult Care components of the written examination. The written examination covers material from Minimal Intervention, Paedodontics, Periodontics and OHT patient management. It assesses understanding relating to theoretical aspects of Semester 1 & 2 content and addresses application of knowledge, diagnostic and management skills. The satisfactory standard for this hurdle assessment is set at a minimum 60%.

Clinical Assessment Approach

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. In addition, you will complete a Clinical Learning Portfolio that demonstrates attainment of clinical competencies you successfully complete in pre-clinic and clinic sessions over the year. During the orientation period, you will be giving detailed information on how these evidence portfolios are to be implemented in your clinical program.
A specific self-assessment book for the Operative Techniques sessions in the Simulation Clinic will also be issued to you, and should be brought to all these sessions.

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 Clinical Assessment Criteria information (for both sem 1 and sem 2) describing specific skills criteria for the clinical procedures that you undertake in the Clinical Practice II OH course. The criteria for the assessment of Infection control, Knowledge base and Professional behaviour are common to all procedures and disciplines.
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 and patient attendances 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.

Note: You should be aware that your final grade in the preclinical/clinical component of Clinical Practice II OH 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 mentors throughout the year.

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 stream co-ordinator.

A satisfactory standard in each hurdle component must be obtained to secure a passing grade in Clinical Practice IIOH.  Redemption opportunities may be offered for written assessments, but are not available for preclinical or clinical assessment areas.

Component	Contribution
Clinical Placements	40%
Pre-Clinical	NGP
Operative Techniques	20%
Case Study	10%
Written Examination Semester 1	10%
Writen Examination Semester 2	20%
TOTAL	100%

Assignments must be submitted with the dental school’s official cover sheet. Submission will be made electronically via Turnitin, unless otherwise advised. Any requests for extension must be made in writing to the relevant assessor no later than 7 days before the due date; marks will be deducted for any late submission of work, unless an extension has been granted.

In the BOH Program, criterion-based assessment is used with reporting of results wherever possible using a graded system rather than a 0-100 marking scheme. A non-graded scheme (satisfactory or unsatisfactory) may also be used to report performance within some components of the course.

During the year the School uses the following grades to indicate categories of performance for written examinations, clinics and simulation clinic sessions: E, G, S, B and U (see Table 1).

It is important to understand that if your performance is deemed borderline, you have not obtained a satisfactory grade i.e., your performance demonstrates a range of concerns because you are not yet meeting the learning outcomes and performance standards at that stage.

Refer to section ‘End of Year results’ for information regarding final grades which are included in your Academic transcript.

Table 1: Categories of performance

Grade | Category of performance | Score: for pass standard = 55%
E | Excellent | >80%
G | Good | 70-79%
S | Satisfactory | 60-69%
B | Borderline* | 50-59%*
U | Unsatisfactory | <50%
* NB this category is not used at the end of year.

End of year results
Final grades for performance in BOH 2 are awarded in accordance with the University Grade Scheme 8 (see Table 3). At the end of semester 2, the grades E, G, S and U are used to indicate categories of performance in all Year 2 courses. The School Assessment Board converts the categories of performance into an overall grade for each course (HD, D, C, P, F) for reporting to the University and for inclusion on your academic transcript. For example, an excellent level of achievement in CP IIOH would equate to a university grade of high distinction or a distinction. An unsatisfactory result would equate to a fail grade in CP IIOH.

Table 3: GS8: Grade Scheme 8*

Grade | Grade Description (% Mark) | Reported outcome
High Distinction | 85+ | HD
Distinction | 75-84 | D
Credit | 65-74 | C
Pass | 50-64 | P
Fail | 49 or less | F