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2018/19 Taught Postgraduate Module Catalogue

DSUR5380M Multi-Disciplinary Management of the Complex Case

20 creditsClass Size: 28

Module manager: Dr Vishal Aggarwal
Email: v.r.k.aggarwal@leeds.ac.uk

Taught: Semester 1 (Sep to Jan) View Timetable

Year running 2018/19

Pre-requisite qualifications

Must meet the entrance requirements for the MClin Dent programme

Module replaces

None

This module is not approved as an Elective

Module summary

Case complexity can arise for multiple reasons including psychological factors (e.g. phobias), medical complications, multi-morbidities or an accumulation of multiple dental challenges. Integration of expertise from the relevant disciplines can deliver substantial patient benefits, enabling successful oral health outcomes. This module presents multiple examples illustrating a step-by-step approach to the integration of care across multiple disciplines for such cases.

Objectives

The aims of this module are:
• To elucidate the concept of clinical complexity and its many elements and manifestations
• To discuss and agree a protocol for the management of the complex case
• To use best evidence to develop patient-centred skills in the management of multi-factorial cases, including when and how to implement an integrated team approach
• To consider the prioritisation of treatment need and creation of effective treatment plans

Learning outcomes
1. Evaluate the nature of the complexity that may arise from procedural, oral/general health morbidities, polypharmacy or psychosocial problems and other factors that make oral health care challenging
2. Explain, in-depth, the techniques used to identify, recognise and manage multiple morbidities among patients presenting for oral care (this includes eliciting patients’ concerns and priorities)
3. Discuss the mechanisms of the two-way relationship between general health morbidity, polypharmacy or psychosocial problems and perceived oral health
4. Synthesise patient-centred oral care plans that address issues of such complexity
5. Judge when and how to work in conjunction with other health care professionals

Skills outcomes
The understanding gained in this module will strengthen clinical skill and aptitude


Syllabus

• Recognising and identifying psychological, physical and procedural challenges of complex clinical cases
• Dissection and analysis of the component parts of a complex case
• Diagnosis of pain
• Reflection on one’s own personal capacity to deal with complexity
• Working as part of an integrated team
• Use of a series of simulated cases that facilitate discussion and understanding of the various elements of integrated oral health care provision.
• Topics covered will include chronic pain, psycho-social factors and phobias, medical implications and polypharmacy, co-morbidities and the presentation of multiple dental challenges

Teaching methods

Delivery typeNumberLength hoursStudent hours
Work Based Learning81.008.00
Lecture101.0010.00
Seminar13.003.00
Tutorial51.005.00
Independent online learning hours80.00
Private study hours94.00
Total Contact hours26.00
Total hours (100hr per 10 credits)200.00

Private study

Independent online learning
Students will work through simulated clinical cases, which will incorporate self-assessment quizzes, links to research papers and clinical guidelines. Work on these cases will be supported by tutorial discussion.
Private Study
Students will follow up references and texts recommended in the lectures and on-line materials, and broaden their reading around the subject matter.

Opportunities for Formative Feedback

Contribution to tutorials. Automatic feedback will be provided in the in-course MCQ quizzes.
Feedback on performance will be provided after interaction with simulated patients

Methods of assessment


Coursework
Assessment typeNotes% of formal assessment
In-course MCQWeekly integral to each online scenario0.00
Reflective logReflection on complexities managed within students own clinical cases, 1000 words25.00
Tutorial PerformanceActive engagement in tutorial discussion0.00
Total percentage (Assessment Coursework)25.00

Normally resits will be assessed by the same methodology as the first attempt, unless otherwise stated


Exams
Exam typeExam duration% of formal assessment
Unseen Practical exam (S2)2 hr 00 mins75.00
Total percentage (Assessment Exams)75.00

There is no compensation between elements of summative assessment.

Reading list

The reading list is available from the Library website

Last updated: 30/05/2018

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