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Description of Family Dentistry Courses

  • 114:187 Family Dentistry Clinic I  - Clinical Experiences -- Comprehensive Care (8 hours)
  • 114:188 Family Dentistry Clinic II - Clinical Competencies -- Comprehensive Care (9 hours)
Course Description
These courses entail the clinical treatment of patients in a group practice atmosphere with an emphasis on diagnosis, planning and sequencing of comprehensive dental treatment. The comprehensive care of dental patients is intended to simulate and prepare future dentists for a practice in general dentistry.
Course Objectives
  1. Demonstration of the ability to take an adequate general and oral health history.
  2. Demonstration of the ability to thoroughly and systematically examine the oral cavity and related structure and record results.
  3. Demonstration of the ability to utilize systematic observation and data recording.
  4. Demonstration of the ability to recognize pathologic and potentially pathologic oral lesions.
  5. Demonstration of the ability to recognize pathologic occlusions and TMD.
  6. Demonstration of the ability to recognize the need for dental referral and/or consultation based on the knowledge and experience of the operator, and the variables presented by the patient.
  7. Demonstration of the ability to use principles of work organization.
  8. Demonstration of the ability to develop an orderly, comprehensive, practical and sequential treatment plan.
  9. Demonstration of the ability to educate the patient for accepting a treatment plan that is in the patient's best interests.
  10. Demonstration of the ability to instruct patients in oral health care and to assist them in maintaining effective health habits.
  11. Demonstration of the ability to treat oral infections.
  12. Demonstration of the ability to recognize and treat periodontal disease.
  13. Demonstration of the ability to treat endodontic pathoses and its sequela.
  14. Demonstration of the ability to treat dental caries and its sequelae.
  15. Demonstration of principles of correct procedures for design and completion of fixed partial dentures as well as single units of full and partial coverage.
  16. Demonstration of the ability to treat partial and complete edentulism.
  17. Demonstration of the ability to recognize and treat iatrogenic restorative conditions.
  18. Demonstration of the ability to critically evaluate treatment currently being delivered, and plan decisions based on that evaluation.
  19. Demonstration of the ability to gain the patient's cooperation in various phases of treatment.
  20. Demonstration of the ability to interact with patients and provide treatment in a manner that will inspire confidence, allay nervous apprehension and control pain.
  21. Demonstration of the ability to treat oral infections.
Measurement and Evaluation
The final letter grade for course 114:187 will be determined by:
  1. The total Relative Value Units (RVU) accumulated.
  2. Completion of the Minimum Essential Experiences.
  3. Proper utilization of clinic time.
    1. Attendance will be monitored on a half-day basis.
    2. Excused absences exceeding the 8 allotted will result in a deduction of 30 RVU per day.
    Grade RVU
    A   >= 5150
    A- >= 5000
    B+ >= 4850
    B   >= 4700
    B-   >= 4550
    C+   >= 4400
    C   >= 4250
    C-    >= 4100
    F >= 4099 and below
The final letter grade for course 114:188 will be determined by:
  1. Demonstration of conceptual understanding of planned procedures; demonstration of ability to have all necessary instruments and materials ready; demonstration of ability to gather information; to develop, document, and present planned treatment sequence; to review treatment plan at each visit and to revise as necessary.
  2. Demonstration of conceptual understanding and application of relevant scientific evidence in the treatment of patients.
  3. Demonstration of the ability to technically or mechanically create a quality outcome in the treatment of dental patients.
  4. Demonstration of acceptable record management; time utilization, asepsis, pain control, etc.
  5. Demonstration of the ability to evaluate treatment outcomes, self-assess clinical competence, and seek opinion of faculty when appropriate.
  6. Demonstration of appropriate professionalism and ethical behavior throughout clinic sessions and in all actions.
Evaluation of the clinical performance in Family Dentistry will be both objective and subjective by a group of faculty who will observe your progress through this clinical experience. Passing marks and satisfactory completion of each area of the above is required.
Evaluation:
  1. Each instructor will make a written evaluation of the student’s performance and patient activity using the above six criteria for each one half day of clinical contact. The primary purpose of this daily evaluation is to provide formative feedback to the student. These daily evaluations are compiled and made available to students by the department secretaries; students are encouraged to review these daily evaluations on a regular basis, and to discuss them with the faculty member who wrote them.
  2. After approximately 8 weeks (3 times per year for each student) each faculty member that has worked with the student in clinical patient contact makes a subjective evaluation on an ordinal scale of 0 - 4 of the above named six criteria..
  3. The group leader will assemble all the evaluations of the faculty involved and determine the student’s progress and progression through the senior year.
  4. After each 8-week period, the student will complete a self-evaluation, using the ordinal scale of 0 - 4 of the above named six criteria. This self-evaluation will be submitted to the group leader in advance of the evaluation session.
  5. After each evaluation session the group leader meets with the student to discuss their strong and weak points in patient treatment and if necessary make recommendations to the student on how they may enhance their performance.
  6. The grade given in Family Dentistry is more process than product oriented. The process evaluated is the organization and knowledge of procedures to be accomplished as well as patient rapport, professionalism, independence and time utilization.
Because of the subjective element of this evaluation of clinical competency, it is impossible to provide a precise mathematical formula for the letter grade. In light of daily clinical evaluations and the quarterly summary evaluations, the following general criteria will be used for assignment of a final letter grade:
Grade Criteria

A

Student always behaves in a professional and ethical manner.  Student consistently demonstrates competency in all aspects of comprehensive dental treatment of patients.  Student consistently demonstrates complete conceptual understanding of clinical concepts.  Student demonstrates critical self-evaluation, recognizing areas of deficiency in clinical skills and conceptual understanding, and seeks consultation or referral when appropriate.  Student consistently demonstrates outstanding clinical skills and independent clinical judgment.

B

Student always behaves in a professional and ethical manner.  Student consistently demonstrates competency in all aspects of comprehensive dental treatment of patients.  Student consistently demonstrates complete conceptual understanding of clinical concepts.  Student demonstrates critical self-evaluation, recognizing areas of deficiency in clinical skills and conceptual understanding, and seeks consultation or referral when appropriate.  Student consistently demonstrates outstanding clinical skills and independent clinical judgment.

C

Student always behaves in a professional and ethical manner.  Student consistently demonstrates competency in all aspects of comprehensive dental treatment of patients.  Student consistently demonstrates conceptual understanding of clinical concepts.

D

Student always behaves in a professional and ethical manner.  Student has demonstrated marginally acceptable competency in all aspects of comprehensive dental treatment of patients.

F

Student has not always behaved in a professional and ethical manner and/or has not consistently demonstrated competency in all aspects of comprehensive dental treatment of patients.
Terminal Behavior Objectives
  • Course 114:187
    1. The student will have accumulated at the end of the senior year at least a minimum of 4100 RVUs. (This goal must be attained prior to a licensure examination agency’s notification deadline, if the student intends to take that licensure examination a few weeks later.)
    2. The student will have demonstrated for each Minimum Essential Experience a clinically acceptable process and procedure.
    3. Proper use of clinic time will be demonstrated in the final grade given for the RVUs.
  • Course 114:188
    1. The student will have demonstrated conceptual understanding of planned procedures; demonstrated the ability to have all necessary instruments and materials ready; demonstrated the ability to gather information; to develop, document, and present planned treatment sequence; to review treatment plan at each visit and to revise as necessary.
    2. The student will have demonstrated conceptual understanding and application of relevant scientific evidence in the treatment of patients.
    3. The student will have demonstrated the ability to technically or mechanically create a quality outcome in the treatment of dental patients.
    4. The student will have demonstrated acceptable record management; time utilization, asepsis, pain control, etc.
    5. The student will have demonstrated the ability to evaluate treatment outcomes, self-assess clinical competence, and seek opinion of faculty when appropriate.
    6. The student will have demonstrated appropriate professionalism and ethical behavior throughout clinic sessions and in all actions.
  • Remediation Course 114:187
    1. Unsatisfactory completion of the Minimum Essential Experiences by graduation will require the student to re-enroll the following semester with a new set of Minimum Essential Experiences determined by the student's competency and deficiencies.
    2. Receiving less than 4100 RVUs for the academic year will postpone graduation until the following semester or year, so that the student will have had a minimum number of clinical experiences to develop competency in the course objectives.
  • Remediation Course 114:188
    1. Collegiate Academic and Professional Performance (CAPP) Committee guidelines in your Student Handbook will be followed for any remediation or repeated coursework due to an unsatisfactory achievement level in this course.
       
    2. Remediation of this clinical course on:
      1. Treatment Planning/Sequencing/Execution
      2. Integration of Evidence-Based Dentistry
      3. Clinical Skills
      4. Patient & Appointment Management
      5. Self-evaluation/Independence
      6. Professionalism/Ethical Behavior

      due to any or all of the above will be re-enrollment in the same course at the next semester to develop clinical competency in the above named criteria. This may be of different time frames, dependent upon the deficiencies found. When these deficiencies are corrected the student will have passed this course in Family Dentistry.

    3. Each instructor will make a written evaluation of your activity, for each one half day of contact. You may also expect each instructor to give you as much verbal feedback as time and situation permits. Should you feel that there is inadequate time at the chair or away from the chair for feedback, please feel free to request a specific time during the day to discuss with your instructor anything you feel pertinent. If you have availed yourself of every opportunity to gain verbal feedback, your first interim grade should not come as a surprise. At the end of approximately 8 weeks, your group leader, and other faculty that worked with you, will meet and discuss your strong points as well as make recommendations for assisting you in gaining strength in areas in which you either have not had the opportunity to show competency, or have shown a definite weakness. After this evaluation session has been completed, your group leader will discuss this evaluation with you as to areas the faculty felt were your strengths and weaknesses, with suggestions for areas of concentration. The goal is to gain the self-evaluation and independence in all areas.
    4. A suggestion as to your approach to the instructors to best demonstrate your organizational knowledge, and your knowledge of the procedures would be as follows:
      You should approach the instructor with a comment similar to "In my judgment this step is complete. Please evaluate it so I may proceed to the next step, which is _________." (Stating what should follow.) Should you as a student wish an opinion, you could phrase your comment, such as, "This step is not complete. An unusual situation has arisen and I feel I should proceed in the following manner for these reasons. Do you agree?"
    5. PLEASE NOTE:
      It is important to point out that the grade given in Family Dentistry is process, not product, oriented. You are evaluated on the organization and knowledge of procedures to be accomplished as well as patient rapport, professionalism, self-evaluation independence and time utilization. After the eighth week evaluation, you will receive two additional evaluations as well as daily feedback. Again, we would like to stress the importance of the immediate feedback. If your instructor is busy and other students demand his/her time, preventing your opportunity to receive that feedback at the instant that you most like, it will be your responsibility to contact the instructor at a later time that day to get the information that you feel important. Should you receive a daily grade of F, the daily competency evaluation will be copied and given to your group leader, who may speak with you regarding that situation. The daily written evaluations are kept on file. You should review these comments often. Should you receive an F on any procedure, you should seek out the instructor and ask for a detailed discussion of the situation so you may correctly and accurately identify those points of the procedure that were acceptable as well as those points that the instructor felt were not acceptable.
    6. D4 students are expected to be present and engaged in patient treatment in the Family Dentistry Clinic during clinic hours (9:00-11:30 AM; 1:00-4:30 PM) on all assigned days on the collegiate schedule, unless an excused absence has been previously arranged.
    7. When students are not treating patients during clinic hours on assigned days, they are expected to be available to treat emergency and/or overflow patients in the College of Dentistry. Students are expected to be present at their assigned operatory in the Family Dentistry Clinic during clinic hours, or to advise the Family Dentistry Clinic Clerks of their whereabouts in the DSB. In the event that a Clinic Clerk is unable to summon a D4 student during clinic hours on an assigned day, a 15 RVU deduction penalty will be assessed to the student for each clinic session (AM session or PM session) that they are unaccounted for.

Family Dentistry Clinic Attendance Policy

D4 students are expected to be present and engaged in patient treatment in the Family Dentistry Clinic during clinic hours (9:00-11:30 AM; 1:00-4:30 PM) on all assigned days on the collegiate schedule, unless an excused absence has been previously arranged.

When students are not treating patients during clinic hours on assigned days, they are expected to be available to treat emergency and/or overflow patients in the College of Dentistry. Students are expected to be present at their assigned operatory in the Family Dentistry Clinic during clinic hours, or to advise the Family Dentistry Clinic Clerks of their whereabouts in the DSB. In the event that a Clinic Clerk is unable to summon a D4 student during clinic hours on an assigned day, a 15 RVU deduction penalty will be assessed to the student for each clinic session (AM session or PM session) that they are unaccounted for.

Excused Absences - Family Dentistry

To assist you in planning your senior year and to provide you with some flexibility in scheduling, the Department of Family Dentistry has developed a policy for excused absences. This policy is intended to help you in coordinating the care of your patients and allow you the opportunity to manage your time during the year.
Each student is permitted to have eight (8) days of excused absence from the Family Dentistry clinic for reasons such as the following:
  1. personal emergencies/illness/medical appointments
  2. family situations
  3. interviews for dental residency or graduate training programs
  4. investigation of private practice opportunities
  5. state or regional board examinations other than CRDTS
If you must be absent from the Family Dentistry Clinic for one or more of the above reasons, please fill out an Absence from Clinic Form (which you can obtain from the Clinic Clerks or Cheryl Jennings). After you have signed the form and obtained the signatures of your Group Leader and Clinic Clerk, the form should be turned in to Cheryl Jennings (CJ) in S313.
Should, for some unforeseen reason, you require more than eight excused absences you must meet with your group leader. Excused absences exceeding the 8 allotted will result in a deduction of 30 RVU per day. (Personal days are not required for Part II National Boards nor for the CRDTS exams.)
These excused absences should not be confused with or otherwise be thought of as “vacation days.” They are not to be used as extensions of University holidays or saved until the end of the school year.
  • 114:194 Topics in Family Dentistry (3 hours)
Course Description
Lectures:   A series of lectures designed to acquaint students with advanced dental techniques and philosophies of comprehensive dental care are delivered. The lectures are presented by faculty from departments throughout the College. A collection of implant dentistry lectures is a portion of this course. These provide an updated prospective on advancing technologies and new clinical applications. In addition, there is a hands on exercise as part of this course: implant dentistry. This program is held in the simulation clinic so more realistic exercises are able to be provided.
Goals
  1. To prepare the student to deal with complex as well as single phases of clinical dentistry.
  2. The student will demonstrate attainment of sound philosophy of comprehensive patient care which will be applicable to the development of general practice upon graduation.
Course Objectives
  1. The student will demonstrate proficiency in problem solving relating to case management.
  2. The student will develop his/her patient management skills.
  3. The student will demonstrate understanding of selected professional topics by successfully passing written examinations.
  4. To provide a format for presenting new information as well as review of information the clerkships determine as important.
Measurement and Evaluation
  1. Measurement procedures
    The course grade will be assigned on the basis of marks received on quizzes, examinations, and attendance.
  2. Evaluation mechanism
    • Satisfactory mark on quizzes
    • Satisfactory mark on examinations.
    • Attendance is required. (3 unexcused absences will result in one letter grade reduction)
Terminal Behavioral Objectives
  1. The student will demonstrate proficiency in problem solving by discussion of case management.
  2. The student will further develop his/her patient management skills.
  3. The student will demonstrate understanding of selected professional topics by successfully passing written examinations.

 

Other Family Dentistry Courses     2011 - 2012

  • 114:195 Treatment Planning and Treatment Sequencing Seminars (2 hours)
    Course description will be provided in course syllabus
  • 114:184 Dental Practice Management (2 hours)
    Course description will be provided in course syllabus