Module and Programme Catalogue

Search site

Find information on

2021/22 Undergraduate Module Catalogue

DSUR2240 Clinical Practice 2

15 creditsClass Size: 96

Module manager: Dr Randa Jaradat
Email: r.jaradat@leeds.ac.uk

Taught: Semesters 1 & 2 (Sep to Jun) View Timetable

Year running 2021/22

Pre-requisite qualifications

Year 1 modules in the Dental Surgery programme.

Pre-requisites

DSUR1127Health and Health Promotion
DSUR1128Intro to the Oral Environment
DSUR1130Anxiety and Pain Management
DSUR1230Oral Diseases, Defence and Repair
DSUR1241ICSP
DSUR1250Personal and Professional Development 1

Co-requisites

DSUR2118PPD2
DSUR2122Social Sciences Related to Dentistry
DSUR2200Clinical Skills A
DSUR2220Introduction to Biomedical Sciences

This module is not approved as a discovery module

Module summary

This module, the second in the ‘Clinical Practice’ thread, builds on experience gained in the year 1 ‘Introduction to Clinical Skills and Practice’ module.The Clinical Practice 2 module runs throughout the second year of the Dental Surgery programme and aims to prepare you to be able to manage common dental diseases (chronic periodontal disease, dental caries and non-carious tooth tissue loss). There is opportunity to provide direct patient care under close supervision to adult patients and to gain further clinical experience while assisting senior student colleagues in the Restorative clinics.You will have the opportunity to develop your skills in the assessment of patients through comprehensive history taking and examination as well as interpreting dental radiographs. You will work with your tutor to diagnose dental disease and plan an appropriate treatment. You will be able to appreciate the need to assess your patient’s dental disease risk through the use of best practice prevention toolkits and be able to provide basic, tailored preventive care.You will have the opportunity to carry out basic clinical management techniques including the delivery of local anaesthesia, non-surgical periodontal care and basic cavity preparation and restoration using a range of direct, plastic materials. You will be expected to work safely in the clinical environment and be able to apply cross infection and health and safety protocols.As a dental student you have the opportunity to develop your professional practice in the clinical environment. You will be expected to communicate effectively with your patients, peers and members of supervising staff. Ethical principles of consent, confidentiality, clinical governance, honesty and integrity will be emphasised. You will have the opportunity to practise leadership principles and work as a member of the dental team – both in the provision of direct patient care and in the assistance of other students.Being able to use feedback constructively and to reflect on your experience is essential in your continued professional development and life-long learning. You will be encouraged to maintain records of your reflections and there will be opportunities to review your progress with your clinical tutor.

Objectives

This is the second module in the five year clinical practice thread. In this module students are exposed to the assessment and basic management of common dental diseases (chronic periodontal disease, dental caries and non-carious tooth tissue loss). Students are expected to demonstrate safe working practices, and professionalism in the best interests of patients and as a member of the dental team.
The module objectives comprise the themes of:
• Assessment of patients
• Clinical operative management
• Prevention
• Clinical Professionalism
• Reflection
These themes are developed throughout the programme within the Clinical Practice (ICSP/CP 2-5) modules.
In this CP2 module, students will attend Leeds Dental Institute Restorative clinics where they will be supervised by a clinical tutor. There will be a series of ‘non’ patient clinics where students will have the opportunity to practise basic patient assessment and management techniques. Students will be able to manage patients under close supervision to provide basic periodontal care throughout the year and then provide basic restorative care in their third term.
Throughout the year they will assist Year 4 students on Restorative clinics gaining valuable experience in communication, teamwork and observation of more advanced clinical management.
By the end of the module, students will be expected to have demonstrated their ability across all learning outcomes through a range of assessments:
• formative (continual clinical assessment and feedback, a practice OSCE )
• progressional (completion of a Clinical Portfolio)
• summative (a dental OSCE)
Students’ clinical progress will be monitored through the School’s Clinical Progress Committee.

Learning outcomes
On completion of this module the students will be able to:
• Assessment of patients:
Carry out a basic oral assessment of an adult patient under supervision. Demonstrate basic skills in the diagnosis of caries and periodontal disease. Understand the rationale for a treatment plan in an adult patient.
• Clinical operative management:
Provide a safe clinical working environment for patient care. Demonstrate the ability to properly interpret a provided treatment plan and carry out simple, operative procedures under close supervision.
• Prevention:
Identify risk factors for common dental diseases in specific patient cases and deliver tailored, planned preventive care to adult patients under supervision.
• Clinical Professionalism:
Apply the principles of professionalism including team-working, communication, ethics and leadership to patient care in the clinical environment with support.
• Reflection:
Take a reflective role in evaluating their own continuing clinical and professional development by engaging in given feedback.

Skills outcomes
• Assessment of patients
• Clinical operative management
• Prevention
• Clinical Professionalism
• Reflection


Syllabus

Assessment of patients:
• History taking in adult patients: patient complaints, history of presenting complaints, past dental history, identification of risk factors.
• Basic medical history
• Extra-oral examination
• Intra-oral examination - soft tissue examination, dental charting, basic periodontal examination, basic occlusal examination
• Special investigations: interpretation of routine dental radiographs (bitewings, periapicals), vitality testing
• Diagnosis and treatment planning of common dental diseases (chronic periodontal disease, dental caries, non-carious tooth tissue loss and dental pain).

Clinical operative management:
• Safety of the clinical environment: including cross-infection control, safe instrument and sharps management, health and safety policy, reporting of incidents
• Safe delivery of local anaesthetic – infiltration, block techniques
• Non-surgical management of chronic periodontal disease in adult patients with BPE code scores of 3 and below.
• Management of dental caries, conservative cavity preparation and restoration using a range of direct, plastic restorative materials in adult patients.
• A conformative approach to occlusal management.
• Medical emergency management: basic life support

Prevention:
Assessment of risk and the planning and provision of tailored preventive advice for common dental diseases: chronic periodontal disease, dental caries and non-carious tooth surface loss in adult patients using best practice guidance (Delivering Better Oral Health Toolkit – Department of Health).
This will include:
• Oral hygiene analysis (using indices) and advice (toothbrushing techniques, interdental cleaning aids, mouthwashes)
• Diet analysis and advice
• Appropriate use of fluoride – toothpastes, mouthwashes, varnishes
• Smoking assessment and advice
• Alcohol assessment and advice

Clinical Professionalism:
• Understanding of dental team member roles
• Working in co-operation with other members of the dental team (assisting of peers and senior students)
• Communication with colleagues and patients in relation to patient care.
• Understanding of principles and application of clinical governance issues: consent, confidentiality, patient clinical record keeping
• Recognition and application of the core principles of professional ethics: raising concerns and acting without discrimination, acting with honesty, integrity, responsibility and respect for others
• Acting in the best interests of patients
• Application of principles of leadership in a clinical environment
• Recognising the need to manage clinical resources appropriately, considering the principles of sustainability.

Reflection:
• Responding positively to feedback
• Application of the principles of ‘in-action’ and ‘on-action’ reflection
• Situational awareness
• Recording of feedback and reflection
• Understanding of how to identify and record learning need and the development of an action plan

Teaching methods

Due to COVID-19, teaching and assessment activities are being kept under review - see module enrolment pages for information

Delivery typeNumberLength hoursStudent hours
Lecture21.002.00
Seminar23.006.00
Tutorial13.503.50
Practical43.5014.00
Practical13.003.00
Group learning91.7516.00
Clinical Sessions13.003.00
Clinical Practice263.5091.00
Clinical Practice91.7516.00
Clinical Practice43.5014.00
Clinical Practice13.003.00
Clinical Practice11.501.50
Clinical Practice11.001.00
On-line Learning11.501.50
Independent online learning hours15.00
Private study hours10.00
Total Contact hours175.50
Total hours (100hr per 10 credits)200.50

Private study

Independent online learning
• Completion of online learning related to the module accessed via the VLE or NHS Trust training interface
• NHS online learning includes smoking cessation interventions

Private study
• Preparing for practical and clinical sessions
• Pre- and post-session reading
• Completion of the Clinical Portfolio

Opportunities for Formative Feedback

There are a number of monitoring and feedback opportunities throughout the module:
Individual feedback is provided at each clinical practice session.
The Electronic Patient Record records clinical experience, student performance and feedback. Students can access this information via their individual log book.
Monitoring and feedback on progress will take place during clinical review meetings, this will involve students engaging in reflection and action planning.
Practice OSCE (four sample stations)

Methods of assessment

Due to COVID-19, teaching and assessment activities are being kept under review - see module enrolment pages for information


Coursework
Assessment typeNotes% of formal assessment
PracticalPractise OSCE0.00
Total percentage (Assessment Coursework)0.00

Students will need to have successfully completed the Clinical Portfolio and to have demonstrated an appropriate level of professionalism in order to pass the module. The Clinical Portfolio comprises of: 1) Clinical passport: • Occupational Health Clearance • Induction and mandatory training as required by the NHS Trust • Local training (e.g. electronic patient record systems training) • Key clinical skills for tutor signoff (achieved within the Clinical Skills A module). These elements enable access to the clinic, patients and thus clinical practice. • Clinical competencies (achieved within the clinical environment) 2) Reflective elements based on clinical observations and experience There will be adequate opportunity for all students to achieve these requirements within the academic year and hence there will not be opportunity for resit unless there is acceptance of mitigation. Professionalism will be assessed in line with General Dental Council ‘Preparing for Practice’ outcomes for registration. It is expected that students will adhere to the core principles of professionalism as evidenced by: • appropriate attendance (in accordance with School Policy) • engagement with Occupational Health processes • absence of negative reports related to professionalism • timely completion of mandatory requirements • taking responsibility for and acting to raise concerns about own or others health, behaviour or professional performance. As described in “Standards for the Dental Team, Principle 8 (GDC 2013)” The above elements are non-compensatable. Deadlines for completion of clinical passport elements will be set. Students are unable to undertake clinical activities without completion of clinical passport components. A review of clinical experience and progress will take place during the year on a one to one basis. This will allow students to reflect on their progress with a member of clinical staff and develop a tailored action plan moving forward. Outcomes will be reported to the Clinical Progress Committee. Issues relating to professionalism will be directed to the Clinical Progress Committee for consideration. Students who have failed to meet attendance requirements will be reviewed as per School policy and referred to the Clinical Progress Committee. The Clinical Progress Committee meets regularly (termly) to: - Review the progress of all students in relation to their clinical progressional requirements, identifying those who are not progressing satisfactorily. - Consider students referred due to concerns regarding progress and / or professionalism. The Clinical Progress Committee will make recommendations to the School. Depending on the seriousness of the concern action will range from encouraging reflection and remediation to module failure.


Exams
Exam typeExam duration% of formal assessment
Practical Exam / OSCE2 hr 00 mins100.00
Total percentage (Assessment Exams)100.00

A re-sit opportunity will be available in June (while student clinics are still running). The format of this assessment may be subject to change as a result of restrictions imposed as a result of the Covid-19 epidemic but the learning outcomes will remain unchanged.

Reading list

The reading list is available from the Library website

Last updated: 30/06/2021 16:21:04

Disclaimer

Browse Other Catalogues

Errors, omissions, failed links etc should be notified to the Catalogue Team.PROD

© Copyright Leeds 2019