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2022/23 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 2022/23

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.Unless your programme is designed to be delivered fully online, your programme and modules will be delivered predominantly on campus. These teaching activities will be supported by the use of digital tools to enhance your learning and experience. The catalogue provides details of your module and the teaching methods used to deliver your module (for example, lecture, seminar, tutorial, practical). It does not necessarily provide you with information about the mode of delivery for specific learning activities on your module (whether these will be on campus or delivered digitally). Information about the delivery mode for learning and teaching activities for your modules will be published in the timetable and in the Minerva area for your modules. You can access your personalised timetable through Minerva or our UniLeeds app on your mobile device. We sometimes need to adapt our teaching to take account of developments in the subject, in response to new research and current affairs for example, and on occasion we may need to adapt our delivery modes too. You will be kept informed of any proposed changes to the content and delivery of your modules as described in the module catalogue and we’ll make sure you understand and agree the reasons for any changes before they are introduced.

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

Delivery typeNumberLength hoursStudent hours
Lecture21.002.00
Seminar23.006.00
Tutorial13.503.50
Practical13.003.00
Practical43.5014.00
Group learning91.7516.00
Clinical Sessions13.003.00
Clinical Practice11.001.00
Clinical Practice11.501.50
Clinical Practice13.003.00
Clinical Practice43.5014.00
Clinical Practice91.7516.00
Clinical Practice263.5091.00
On-line Learning11.501.50
Independent online learning hours15.00
Private study hours9.50
Total Contact hours175.50
Total hours (100hr per 10 credits)200.00

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

As part of the Covid recovery plan, where clinical practice hours cannot be delivered on clinic this will be replaced by case based hybrid teaching to include online learning and teaching sessions.

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


Exams
Exam typeExam duration% of formal assessment
Standard exam (closed essays, MCQs etc)1 hr 00 mins100.00
Total percentage (Assessment Exams)100.00

Reading list

The reading list is available from the Library website

Last updated: 15/12/2022 15:00:52

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