Module and Programme Catalogue

Search site

Find information on

2021/22 Undergraduate Module Catalogue

DSUR3240 Clinical Practice 3

20 creditsClass Size: 96

Module manager: Masoud Behman
Email: m.bedman@leeds.ac.uk

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

Year running 2021/22

Pre-requisites

DSUR2118PPD2
DSUR2122Social Sciences Related to Dentistry
DSUR2200Clinical Skills A
DSUR2220Introduction to Biomedical Sciences
DSUR2240Clinical Practice 2

Co-requisites

DSUR3014Undergraduate Projects
DSUR3015Clinical Skills B
DSUR3019Child Centred Dentistry 1
DSUR3210Illness and Well-being
DSUR3250Personal Professional Development 3

This module is not approved as a discovery module

Module summary

This module, the third in the ‘Clinical Practice‘ modules thread gives the opportunity to develop the basic clinical skills needed as a dental surgeon.The module runs throughout the entirety of year 3. You will build on your second-year experience in managing patients with common dental diseases such as caries, chronic periodontal disease and non-carious tooth tissue loss. You will have the opportunity to practise the full process of patient management including patient assessment, treatment planning and the provision of preventive and operative care. There will be a focus on maintaining good patient records using the electronic patient records system in the Leeds Dental Institute. You will develop your ability to manage patients further by beginning your experience in other specialist clinical areas such as prosthodontics, children‘s dentistry, acute dental care and oral surgery.You will be expected to gain experience of working as a member of a team and to engage in leadership activities both as an operator and assistor, working alongside a final year dental student. You will be expected to comply with all cross infection and health and safety protocols that are necessary for safe practice within the Leeds Dental Institute. You will develop your ability to become a reflective practitioner. With the support of your clinical tutor you will be expected to use different sources of feedback (from patients, tutors and peers) and be able to effectively to reflect on your progress and to plan your ongoing development. You will also have the opportunity to provide feedback to your peers. You should be able to recognise the ideals of evidence-based dentistry and how this can be applied in the clinical setting.Feedback will be provided by clinical tutors and progress will be reviewed regularly and monitored by the Clinical Progress Committee. Completion of this module is necessary to progress to ‘Clinical Practice 4‘, the next module in the ‘Clinical Practice‘ theme.

Objectives

This is the 3rd module in the five-year clinical practice thread. In this module students will develop their ability to take responsibility for the clinical management of patients with basic dental diseases.

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 CP3 module there is opportunity to continue the basic dental management of adult patients in the restorative department of the Leeds Dental Institute under close supervision. Students will also begin their experience in the clinical areas of prosthetic dentistry, children‘s dentistry, in acute dental care and in oral surgery.

The module will allow students to practise the assessment of patients and to plan basic dental care which will highlight the importance of prevention as well as the operative management of dental disease.

Students will be encouraged and expected to work towards achieving the following GDC overarching outcomes:

Practise safely and effectively, making the high quality long term care of patients the first concern.

Demonstrate effective clinical decision making.

Apply an evidence-based approach to learning, practice, clinical judgment and decision making and utilise critical thinking and problem-solving skills.

Accurately assess their own capabilities and limitations, demonstrating reflective practice, in the interest of high quality patient care and act within these boundaries.

The module will promote the development of professionalism in the clinical environment through communication skills with patients, peers and tutors, working as a member of a team, leadership within their level of responsibility, an awareness of ethical issues relevant to clinical practice.

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).
Progressional (completion of a Clinical Portfolio).
Summative (a dental OSCE and a Clinical Case Report).

Students‘ progress will be monitored through the School‘s Clinical Progress Committee and Professionalism Committee.

Learning outcomes
1. Assessment of patients:

Carry out an oral assessment, prescribe and carry out further investigations, reach appropriate diagnoses and devise a treatment plan to include preventive, operative and maintenance care to address dental caries, periodontal disease, pulpal disease, non-carious tooth tissue loss and missing teeth in an adult or child patient under supervision.

2. Clinical operative management:

Carry out clinical procedures for managing common dental diseases (caries, periodontal disease, pulpal disease, non-carious tooth tissue loss and missing teeth) and their consequences in uncomplicated clinical scenarios under close supervision in a safe clinical working environment.

3. Prevention:

Identify dental and general disease risk factors and plan a course of tailored, holistic oral and general health advice and preventive care to adult and child patients under supervision.

4. Clinical Professionalism:

Practise professionalism with increasing independence including team-working, communication, ethics and leadership and apply to patient care in the clinical environment.

5. Reflection:

Take an active and reflective role in evaluating and planning their continuing clinical and professional development within the practising team by engaging in feedback from a range of sources.

Skills outcomes
All related to the practise of clinical dentistry:

Assessment of patients.
Clinical decision-making.
Clinical operative management.
Clinical Professionalism.
Reflective practice.


Syllabus

Assessment of patients:

History taking in adult and child patients: patient presenting complaint, history of presenting complaint, past dental history, social history and 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: including interpretation of routine dental radiographs (bitewings, periapicals), vitality testing.

Diagnosis and treatment planning of common dental diseases (dental caries, periodontal disease, non-carious tooth tissue loss, dental pain and tooth loss).

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 periodontal disease in adult patients with BPE code scores of 4 and below.

Management of caries and tooth surface loss.

Conservative cavity preparation and restoration using a range of direct, plastic restorative materials in adult and child patients.

Management of reversible and irreversible pulpal disease in adult patients (non-complicated single and multi-rooted permanent teeth)*.

Provision of extra-coronal restorations in adult patients*.

Provision of removable prostheses in adult patients.*

A conformative approach to occlusal management.

Simple tooth extraction in adult patients under local anaesthetic*.

Medical emergency management: basic life support.

Management of pain due to common dental causes.

*Students will be permitted to undertake these areas of clinical operative management following completion of relevant Clinical Passport requirements. Students are not expected to have demonstrated these areas of clinical operative management by the end of year 3. There is further opportunity to undertake these areas in years 4 and 5 of the programme.

Prevention:

Evidence based assessment of risk and the planning and provision of tailored preventive advice for common dental diseases: dental caries periodontal disease, non-carious tooth surface loss in adult and child 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 and prescription of fluoride, toothpastes, mouthwashes, varnishes.

Smoking assessment and advice.

Alcohol assessment and advice.

Tailoring of advice to the needs of individual adult and child patients.

Clinical Professionalism:

Work with members of the dental team increasingly independent from support and understand how effective teams function to provide high quality patient care.

Communicate effectively with colleagues, patients and carers in relation to patient care, diagnosis, treatment planning and risks and benefits of treatment options. Develop the ability to gain informed consent and to keep good records in relation to patient care. Some support may be required.

Know and apply the core principles of confidentiality, professional ethics, raising concerns and act without discrimination against individuals or groups. Develop further understanding of these principles in the clinical setting and as applied to patient care. With some support as required.

Act ethically with honesty, integrity, responsibility and respect for others.

Reflection:

How to constructively give and receive feedback to aid reflection on progress.

Engagement in the patient evaluation process and peer review process.

Facilitated identification and recording of learning need and 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
In Course Assessment11.501.50
Clinical Practice453.50157.50
-------------------------663.50231.00
Class tests, exams and assessment11.501.50
Lecture61.006.00
Practical63.5021.00
Independent online learning hours10.00
Private study hours55.00
Total Contact hours418.50
Total hours (100hr per 10 credits)483.50

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.

Private study:

Preparing for practical and clinical sessions.

Pre- and post-session reading.

Completion of the Clinical Portfolio and Paediatric workbook.

Completion of the Clinical Case Report.

Opportunities for Formative Feedback

There are a number of monitoring and feedback opportunities throughout the module:

Individual formative 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.

Feedback is given on OSCE performance. Examiners give comments on performance in OSCE stations. Feedback comments are collated individually for students and are viewed in a lecture style session.

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
Clinical ExperienceClinical passport and clinical review process (progressional).0.00
-------------------------Satisfactory completion of Paediatric workbook (progressional).0.00
-------------------------In line with GDC 'Preparing for Practice' outcomes for registration (progressional).0.00
ReportClinical case report with 500 word discussion.40.00
Reflective logReview of clinical progress and experience (progressional).0.00
Total percentage (Assessment Coursework)40.00

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: Clinical passport: Occupational Health Clearance. Mandatory training as required by the NHS Trust (including Basic Life Suppport). Local training (e.g. electronic patient record systems training). Key clinical skills for tutor signoff (achieved within the Clinical Skills B and Child Centred Dentistry modules). These elements enable access to patient waiting lists. Tutorials and competency in Radiology. Clinical Review Process: 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. Reviews of clinical experience and progress will take place during the year. This will allow students to reflect on their progress with input from a member of clinical staff and then to develop a tailored action plan moving forward. Outcomes will be reported 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 clinical progress. Issues relating to professionalism (including attendance) will be directed to the Professionalism Committee. The Clinical Progress Committee and Professionalism 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 / OSCE3 hr 00 mins60.00
Total percentage (Assessment Exams)60.00

The OSCE is a non-compensatable assessment meaning that this must be passed in order to pass this module. OSCE re-sit is run in June to facilitate the availability of clinical staff in order to run this resource intensive assessment. OSCE and clinical case report - the format of these assessments may be subject to change as a result of restrictions imposed as a 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