Course Coordinator: Cathy Snelling
Email: catherine.snelling@adelaide.edu.au

Course Coordinator: Sophie Karanicolas
Email: sophie.karanicolas@adelaide.edu.au

1	Practice within legislative parameters for relevant dental 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 oral 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 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
9	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
10	Practice in a culturally competent manner with a diverse range of individuals and community groups

•    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 Columbia teeth – purchased in 1st year
In addition, you will need to purchase additional Columbia deciduous plastic teeth (approximate cost $80) for semester 1B. The appropriate manikins will be provided at no cost, but the student is responsible for the purchase of the teeth. Further information will be provided during semester 1.

•    Purchase of Instruments and Equipment
Students should budget approximately $250 for additional Columbia teeth and other simulation lab resources across the year.  We strive to keep additional costs to a minimum.

•    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.

•    Ianucci JM and Howerton LJ (2006) Dental Radiography: Principles and Techniques, 3rd  edition, Saunders Elsevier: St Louis
•    Kidd, EAM (2005). Essentials of Dental caries, 3rd edition, Oxford University Press: Oxford
•    Nield-Gehrig JS (2008) Foundations of Periodontics for the Dental Hygienist, Lippincott Williams and Wilkins: Philadelphia
•    Nield-Gehrig JS (2008) Fundamentals of Periodontal Instrumentation, Lippincott Williams and Wilkins: Philadelphia
•    Nield-Gehrig JS (2008) Patient assessment Tutorials, Lippincott Williams and Wilkins: Philadelphia
•    Cameron A and Widmer R (2013) Handbook of Paediatric Dentistry, 4th ed, Mosby-Wolfe: London
·     Noble SL (editor) (2012) Clinical Textbook of Dental Hygiene and Dental Therapy, Wiley-Blackwell: Oxford

 

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.

A blended learning approach is implemented in your paedodontic topics – a combination of face-to-face resource sessions, online learning modules and tutorials are utilised to promote a contemporary, flexible and effective learning environment.

1.    Class meetings
2.    Tutorials
3.    Printed and web-based media
4.    Written assignments and oral presentations
5.    Learning laboratories
6.    Clinical sessions
7.    On-line learning activities
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
•    Learning Laboratories
•    Pre-Clinical and Clinical Sessions
•    Online learning activities


Class Meetings

In Semester 2, there will be:
Learning Laboratories

Simulation Clinic MI Dentistry Operative Techniques:
Two practical sessions per week will be held in the Simulation Clinic, Barr Smith South Building.

•    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
•    Pedodontics
•    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
•    Attributes and Competencies of Oral Health Therapists
•    Intra-oral radiography
•    Clinical photography
•    Patient examination and history taking
•    Oral and radiographic diagnosis diagnosis
•    Treatment planning (including preventive options)
•    Tobacco Use Prevention And Cessation (TUPAC)
•    Patient education and oral hygiene instruction
•    Dietary considerations for oral health
•    Special needs (Supported Residential Facilities)
•    Care of fixed and removable prostheses
•    Periodontal indices
•    Polishing and recontouring restorations
•    Calculus detection
•    Prophylaxis and stain removal
•    Saliva testing and other diagnostic aids

Clinic Sessions 

The class will be divided into groups for clinic sessions and will be rostered at either Marion or Elizabeth GP Plus Dental Clinics - these groups will be organised during Commencement Week. The groups will be rostered for clinical sessions based upon the chairs available for use.

Sessions when students are not providing direct patient care should be used for out of clinic study or clinical assistance (when required).

Clinic sessions will be held on Monday and Fridays at the Marion and Elizabeth clinics – a roster will be provided at the start of the year.

There will be a SGDE in paedodontic dentistry class meetings where students will explore of topic of relevance to oral health practice with paediatric dentistry experts

Assessment

Component	Contribution
Clinic	45%
Pre-Clinical	NGP
Operative Techniques	15%
Theory •    OSCA semesters 1 and 2 •    Periodontology test – semester 2 (Test of Understanding Sem 1) •    MI Dentistry examination – semester 1 •    3 Clinical Case study reports (Integrated with Human Biology II OH) – semesters 1 and 2 •    Paedodontic online learning activitiese and written exam – semester 2	40%
TOTAL	100%

Due Date for Assessments

Component	Due Dates
Clinical Practice and Clinical Learning Portfolio	Semester 1 Week 13 Semester 2 Week 13
Pre-Clinical	Semester 1 continous assessment
Operative Techniques (Simulation Clinic)	Continous assessment across the year
OSCA - semesters 1 and 2 Periodontology test – semester 2 MI Dentistry examination – semester 1 3 Clinical Case study reports (Integrated with Human Biology II OH) – sem 1 and 2 Paedodontic online learning activities and written exam – semester 2	Semester 1 & 2 exam periods Semester 2 - Week 8 Semester 1 exam period Semester 1 Case study 1 - Week 13 Semester 2 Case studies 2 & 3 - Week 12 Semester 2 Online learning activities – continuous assessment Written exam – exam period

Assessment of Simulation Clinic/Clinic
For your Simulation Clinic sessions (Operative Techniques) students will complete a self-assessment sheet for each procedure and discuss it with their tutor.
•    At the end of Semester  you will have a feedback session with your tutor, where you will discuss a formative grade, based upon your self-assessment sheets (these formative grades are used for feedback purposes only).
•    At the end of Semester 2 your tutor will award summative marks towards your final practical mark.


Clinical Assessment
For your Pre-Clinical/Clinical assessment you will complete a self-assessment sheet at the end of each session and discuss your assessment with your tutor.    

In the Dental Hygiene component:
•    At the end of Semester 2 these summative marks awarded by your tutors will contribute towards your final practical mark.  A feedback session for each student with the Stream Coordinator will be scheduled early in Semester 2 to review the Semester 1 assessment & set goals for Semester 2.    

In the Dental Therapy component:
•    At the end of Semester 2 your tutor will award a summative mark, which will contribute to your final clinical assessment. 

Further information about the practical assessment will be given during class meetings. Every effort will be made to help students identify areas in which difficulty is being experienced, and to remediate the level of performance.  If you consider that you are having difficulty with any part of the stream, please contact the relevant discipline/stream coordinator.    

To obtain a pass grade in Clinical Practice IIOH, you must obtain a satisfactory (or above) result for the year in the assignments and written examinations as well as in each of the clinical/laboratory components.      

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 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 related 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 should then seek feedback from your tutor about your clinical performance.

Tutors will record details of student and patient attendances in the clinic and whether or not you have self-assessed your work regularly. If you do not complete a self-assessment, your tutor will mark your performance as unsatisfactory.

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 the discipline/stream co-ordinator

Component	Contribution
Clinic	45%
Pre-Clinical	NGP
Operative Techniques	15%
Theory •    OSCA semesters 1 and 2 •    Periodontology test – semester 2 (Test of Understanding Sem 1) •    MI Dentistry examination – semester 1 •    3 Clinical Case study reports (Integrated with Human Biology II OH) – semesters 1 and 2 •    Paedodontic online learning activities and written exam – semester 2	40%
TOTAL	100%

Assignments must be submitted with the dental school’s official cover sheet. Submission may be made electronically or in the assignment boxes located on the 5th floor of the Adelaide Dental Hospital.

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.