DEN8290L: Hospital Dentistry for adults with developmental ... · DEN8290L: Hospital Dentistry for...
Transcript of DEN8290L: Hospital Dentistry for adults with developmental ... · DEN8290L: Hospital Dentistry for...
DEN8290L: Hospital Dentistry for adults with developmental disabilities Course Description: A hospital rotation with an additional a session in an outpatient dental clinic that treats adults with developmental disabilities designed to orient the dental student to procedures and protocol related to hospital dentistry.
I. General Information
Course Director: Timothy Garvey, DMD
Office: D11-006
Email: [email protected]
Phone: 352-955-5616
Course Credits: 1 ct
Semester: 9, 10 and 11
Contributing Faculty Annetty P. Soto DMD
Office: D9-33
Email: [email protected]
II. Course Goals Course Goal The goal of this elective is to develop deeper understanding of dental evaluation and treatment using general anesthesia, including a description of the risks and benefits of providing care in a hospital setting.
The student is expected to attend one and a half days in a UF Health OR setting in addition to a half day in an outpatient dental clinic design to care for the oral health needs of adults with developmental disabilities. A log sheet must be signed by the attending faculty on the day to confirm attendance. (Cumulative time 2 days.)
III. Course Overview Registration: Interested students should contact the pediatric dentistry department secretary (352-273-7631) D11-006 to schedule attendance and to obtain the log sheet. Students are required to read and complete the assignment provided prior to hospital rotation. The assignment consist on reading a chapter and searching common drugs used for conscious, deep conscious sedation and general anesthesia. After students complete the reading assignment, they must bring a copy to their first OR encounter. Dates and location for the hospital rotation will be arranged by email with Dr. Garvey. This rotation occurs primarily at the UF Health ambulatory surgical centers. Patient with unique medical conditions may be treated as inpatient at UF Health Shands Hospital. Understanding of hospital operating room protocols is mandatory. Upon completion of the rotation, students will present a reflection paper based on their experience in the OR and the outpatient dental clinic. Students will submit printed copy of the paper to the pediatric dentistry department secretary. IV. Course Material Required reading Treating the dental patient with a developmental disorder. Reference & Research Book News. 2012;(5). http://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,uid&db=edsgao&AN=edsgcl.304011990&site=eds-live. Accessed March 5, 2020.
Optional resource: HSC Dental Library Guide
V. Course Objectives
At the conclusion of this rotation students will be able to:
• Observe a variety of clinical procedures. • Review a hospital medical record including:
a. History and Physical (H&P) b. Consent c. Operative report d. Progress notes e. Discharge note
• Communicate with other health care practitioners • Describe the appropriate operating room protocol • Identify the procedures performed in an outpatient clinic setting including the use of intravenous
sedation. a. Management of the airway during the sedation. b. Discuss medications commonly used for sedation; their benefits and risks.
• Critically Reflect on the evaluation and treatment options in the OR
VI. Course Competencies This course teaches to the following competencies in the "Competencies for the New Dental Graduate". 1: Critical Thinking: Use critical thinking and problem-solving, including their use in the comprehensive care of patients, scientific inquiry and research methodology. 2: Evidence-Based Patient Care: Access, critically appraise, apply and communicate scientific and lay literature as it relates to providing evidence-based patient care. 3: Apply biomedical science knowledge in the delivery of patient care. 4: Ethical Standards: Apply the principles of ethical decision making and professional responsibility. 5: Legal Standards: Apply legal and regulatory concepts related to the provision and/or support of oral health care services. VII. Course Evaluation
The Hospital Dentistry for adults with developmental disabilities rotation is graded as Satisfactory/Unsatisfactory. Attendance is mandatory. Both assignments are mandatory before the end of the semester.
Administrative Practices
Administrative practices for all UFCOD courses are universally applied. Exceptions to or deviations from these practices are stated in the individual syllabi by the course director. When not individually stated in the syllabus, course administrative practices default to those identified under "Administrative Practices" in the ECO sidebar for each electronic syllabus. These practices include: Professional Behavior, Student Responsibilities in the Classroom, Attendance, Dress Code, Email Policy, Tutoring, Academy Honesty and the Student Honor Code, Student Accommodations, Post-exam Review, Grading System, Remediation, Student Evaluation of Instruction, Student Complaints, University Counseling Services and Mental Health Services and Electronic Course Material and Social Media.
Grade Scale This course uses a Satisfactory/Unsatisfactory grade scale.
The Foundation for The Gator Nation An Equal Opportunity Institution
DMD CURRICULUM COMMITTEE COURSE CHANGE PROPOSAL
(Submit completed form to the Office of Education, [email protected] )
Date: March 30, 2020
Course Title: DEN 7819L: Clinical Orthodontics
Department: Orthodontics
Course Director: Dr. John Neubert
Revision request summary: Student challenge UFCD Competency 23: Provide oral health
care within the scope of general dentistry to include malocclusion and space management
in this course. The assessment is a written case-based exam. This class is taught in two cohorts.
Half the class is enrolled in Fall Semester 7 and the other half of the class is enrolled in Spring
Semester 8. The Department of Orthodontics requests this competency assessment be conducted in
DEN7450C: Orthodontics for the General Practitioner in Summer Semester 6 prior to starting
DEN7819L. Rationale: (If you are requesting additional class time please include why this time cannot come from re-prioritizing the current content, shifting to independent study in areas of direct instruction and/or cannot be incorporated in another existing course.)
This will allow the clinical course to focus on conducting case seminars with the 3DN
class.
Student hours requested by event and science type:
Hours by Type Biomedical
Hrs.
Behavioral
Hrs.
Clinical
Hrs.
Total
Hrs.
Lecture/seminar
Independent
study
Laboratory
Clinical
TOTAL HOURS 0
Department Chair Approval: _____YES_____NO
Responsible Dean/Chair/Faculty:
Proposed implementation date/semester Summer 2021 with the Class of 2022
Curriculum Committee Action:
Approved in Concept
Approval Credit Hours Change
Reject
5/7/2020 Electronic Curriculum Organizer
https://eco.dental.ufl.edu/php/admin/print.php?page=syllabus&course_id=6119 1/3
DEN7417C: Orofacial Pain Summer 2020
Course Description:This course will provide the student with a review of functional anatomy related to the differential diagnosis of orofacial pain conditions.Clinical correlation and application will be achieved through lecture and case studies regarding the diagnosis and management oftemporomandibular disorders and orofacial pain.
I. General InformationCourse Director: Charles WidmerOffice:Email: [email protected]: (352) 273-5696Course Credits: 1Semester: Summer
Contributing Faculty
Support Staff Anthony M Licari (352) 273-5231 [email protected] TA / Grade Administrator Katherine C Ochoa (352) 273-5700 [email protected] TA / Grade Administrator Valerie Trimble (352) 273-5950 [email protected] TA / Grade Administrator Michele L Cooley (352) 273-5711 [email protected] TA Benjamin J Mertz (352) 273-6589 [email protected] TA Shalini Nair (352) 273-5699 [email protected] TA Kleada Novak (352) 392-5500 [email protected] TA Marilyn Vaughn (352) 294-5499 [email protected] TA
II. Course Goals
This course will provide a foundation for critical thinking in the field of orofacial pain. Emphasis will be placed on the more common orofacialpain presentations. The first goal will be to develop a logical process to interpret the results of a head and neck exam for orofacial pain. Asecond goal will be to review the evidence of the efficacy of occlusal appliance therapy and the process for construction of a maxillaryocclusal orthotic appliance.
Establishing differential diagnoses for orofacial pain conditions and considering treatment approaches that are evidence-based arenecessary goals for the student to effectively manage patients with orofacial pain.
III. Course Overview
Course instruction will be accomplished through lectures and case reports.
Each lecture will focus on specific topics to achieve the goals of the course. Student interaction during the review session will be used todetermine current knowledge and the ability to problem-solve new clinical presentations.
IV. Course Outline
1. Introduction2. History and Clinical Exam Interpretation (Part 1)3. History and Clinical Exam Interpretation (Part 2)4. An Overview of Bruxism5. An Overview of Occlusal Appliance Therapy6. Fabrication of a Maxillary Occlusal Appliance7. Pharmacologic Management of Persistent Orofacial Pain8. Appliance Therapy for Obstructive Sleep Apnea9. Case Studies10. Review of Concepts
V. Course MaterialHandouts and articles will be provided.
Recommended Texts:
Okeson, J.P. Orofacial Pain: Guidelines for Assessment, Diagnosis and Management, 2nd ed. Quintessence Publishing Co., 1996.
5/7/2020 Electronic Curriculum Organizer
https://eco.dental.ufl.edu/php/admin/print.php?page=syllabus&course_id=6119 2/3
Orofacial Pain: From Basic Science to Clinical Management, Eds. Sess,e, Lavigne, Lund and Dubner, 2nd edition, QuintessencePublishing, 2008
Optional resource:HSC Dental Library Guide
VI. Course Objectives
1. Interpretation of the Findings from the Head and Neck and Occlusal Examination
The interpretation of positive findings from a head and neck clinical exam can be challenging. This section focuses on specific diagnosticcriteria associated with common head and neck pain conditions and methods to enhance the diagnostic sensitivity and specificity.
1. Interpret the findings of a standard palpation technique utilized when examining the TMJ.2. Interpret the outcomes of functional loading of the TMJ.3. Discuss the strengths and limitations of how finger palpation or a stethoscope may be used to assist in the diagnosis of
intracapsular conditions.4. Discuss potential errors obtained by intra-aural palpation of the retrodiscal tissues.5. Discuss the relevance of muscle provocation testing.6. Discuss the evaluation of the cervical region.7. Discuss the interpretation of the findings from manual muscle testing of the muscles of the head and neck.8. Discuss the diagnostic indicators of bruxism.9. Discuss the diagnostic indicators of odontalgia.
10. Discuss the diagnostic indicators of neuropathic pain.11. Discuss the finding of allodynia and the impact on diagnosis.
2. Occlusal Appliance TherapyAppliance therapy efficacy has been evaluated in multiple randomized clinical trials. These findings will be discussed as a part of anoverview of the potential therapeutic actions of appliance therapy and the relation to management of diurnal and nocturnal bruxism.
1. Review the efficacy of specific designs of appliance therapy.2. Compare the efficacy of hard/soft appliances to other reversible therapies.3. Describe a therapeutic approach for bruxism.4. State the criteria for selecting a maxillary or mandibular appliance.5. Discuss why all occlusal appliance therapy may not be considered irreversible forms of therapy.
3. Obstructive Sleep Apnea
1. Familiarize the student with obstructive sleep apnea appliance therapy
VII. Course Competencies
VIII. Evaluation
This course teaches to the following competencies in the "Competencies for the New Dental Graduate".
1: Critical Thinking: Use critical thinking and problem-solving, including their use in the comprehensive care of patients, scientific inquiry and researchmethodology.3: Apply biomedical science knowledge in the delivery of patient care.6: Appropriate Referral Provide oral health care within the scope of general dentistry to include recognizing the complexity of patient treatment andidentifying when referral is indicated.14: Assessment of Treatment Outcomes: Provide oral health care within the scope of general dentistry to evaluate the outcomes of treatment, recallstrategies and prognosis.
Students will be evaluated through a final written examination.
Grade weight:Written final exam = 100%
Students must score 65 or greater on the final examination to pass the course.
Course remediation:Students that do not pass the final examination must meet with the course director to arrange for a remediation examination.
5/7/2020 Electronic Curriculum Organizer
https://eco.dental.ufl.edu/php/admin/print.php?page=syllabus&course_id=6119 3/3
“Students are expected to provide professional and respectful feedback on the quality of instruction in this course by completingcourse evaluations online via GatorEvals. Guidance on how to give feedback in a professional and respectful manner isavailable at https://ufl.bluera.com/ufl/. Students will be notified when the evaluation period opens, and can complete evaluationsthrough the email they receive from GatorEvals, in their Canvas course menu under GatorEvals, or via https://ufl.bluera.com/ufl/.Summaries of course evaluation results are available to students at https://gatorevals.aa.ufl.edu/public-results/.”
IX. Administrative PracticesAdministrative practices for all UFCOD courses are universally applied. Exceptions to or deviations from these practices are stated in theindividual syllabi by the course director. When not individually stated in the syllabus, course administrative practices default to thoseidentified under "Administrative Practices" in the ECO sidebar for each electronic syllabus. These practices include: Professional Behavior,Student Responsibilities in the Classroom, Attendance, Dress Code, Email Policy, Tutoring, Academy Honesty and the Student HonorCode, Student Accommodations, Post-exam Review, Grading System, Remediation, Student Evaluation of Instruction, Student Complaints,University Counseling Services and Mental Health Services and Electronic Course Material and Social Media.
X. Grade Scale
DEN7417C Grade Scale Method Letter Grade
Scale 100
Tolerance 0.5 (Final letter grades within this range will be rounded up.)
A 95 - 100
A- 90 - 95
B+ 85 - 90
B 80 - 85
B- 75 - 80
C+ 70 - 75
C 65 - 70
E 0 - 65
NBDE Part I Annual Profile Report3172 UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY
Reporting Period: January 1, 2019 through December 31, 2019Report Date: March 2020
0.64
0.80
0.28
0.49
0.96
Overall Score Anatomic SciencePhysiology
Biochemistry/Pathology
Microbiology/Occlusion
Dental Anatomy/-1.0
-0.5
0.0
0.5
1.0
d-Values by Discipline
Overall Score d-ValueTrend
92 91 93 86 93Candidates1.77 1.71 1.92 0.70 0.64d-Value
2015 2016 2017 2018 2019
-2
-1
0
1
2
School
Failure RateTrend
4.0 5.8 11.5 13.3 13.0Nation(%)0.0 3.3 0.0 8.1 3.2School(%)
2015 2016 2017 2018 2019
0.0
2.5
5.0
7.5
10.0
12.5
NationSchool
NBDE Part II Annual Profile Report3172 UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY
Reporting Period: January 1, 2019 through December 31, 2019Report Date: March 2020
1.231.01
1.24
0.71
1.62
0.430.66
0.86
1.48
0.20
0.89
Overall Score
Operative Dentistry
Pharmacology
Prosthodontics
OralSurgery/PainControl
Orthodontics/Pediatric Dentistry
Endodontics
Periodontics
Oral Pathology/Radiology
Patient Managem
ent
Case Based
-2
-1
0
1
2
d-Values by Discipline
Overall Score d-ValueTrend
79 97 93 96 91Candidates1.33 1.87 1.54 1.82 1.23d-Value
2015 2016 2017 2018 2019
-2
-1
0
1
2
School
Failure RateTrend
8.0 9.6 9.2 8.6 10.3Nation(%)1.3 2.1 4.3 3.1 5.5School(%)
2015 2016 2017 2018 2019
0
2
4
6
8
10
NationSchool
Curriculum Committee – Zoom meeting projection (6 months)
July 15 (Summer break July 6-10)
Aug. 12 (semester ends Aug. 14, break 17-21)
Sept. 9 (Labor Day, Sept. 7)
Oct. 14 (Fall break, Oct. 19-23)
Nov. 18 (Veterans Day, Nov. 11)
Dec. 9 (classes end Dec. 18, break 21- Jan. 1)
ASSESSMENT PERFORMANCE
78% 46% 98%Average Score
(45.9/59)Low Score
(27/59)High Score
(58/59)
Assessment Score Reliability (KR-20)
LEARNING OUTCOMES (Category Performance)
Course: Mock Boards • Instructor: N/A • Questions: 59 • Exam Takers: 90
Mock Boards - Spring 2020
SUMMARY REPORT
Mock Boards - Spring 2020 CONFIDENTIAL Page 1
Mock Boards - Spring 2020 CONFIDENTIAL Page 2
Mock Boards - Spring 2020 CONFIDENTIAL Page 3
Mock Boards - Spring 2020 CONFIDENTIAL Page 4
Mock Boards - Spring 2020 CONFIDENTIAL Page 5