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DRPS : Course Catalogue : Deanery of Clinical Sciences : Dentistry

Undergraduate Course: Clinical Practice 4 (DENT10002)

Course Outline
SchoolDeanery of Clinical Sciences CollegeCollege of Medicine and Veterinary Medicine
Credit level (Normal year taken)SCQF Level 10 (Year 4 Undergraduate) AvailabilityNot available to visiting students
SCQF Credits60 ECTS Credits30
SummaryThe areas of study in this course will include Clinical practice in Outreach locations in NHS Lothian, Forth Valley and Fife.
Clinical observation of Dental Specialties in NHS Lothian.
Course description During Year 4, this course is intended to allow you to refine the clinical skills which have been acquired during Years 1-3. You will undertake your clinical sessions in primary care outreach clinics under the supervision of a number of clinical supervisors. This activity allows you to experience dentistry in a less academic environment which is intended to simulate a real life setting.

In the final semester of Year 4, all knowledge and clinical skills will be consolidated. Students will rotate to a different outreach centre to have the opportunity of experiencing a different patient base.

General Dental Council Learning Outcomes
1.1.1 Describe the principles of an evidence-based approach to learning, clinical and professional practice and decision making
1.1.2 Describe oral diseases and their relevance to prevention, diagnosis and treatment
1.1.3 Explain general and systemic disease and their relevance to oral health
1.1.4 Explain the aetiology and pathogenesis of oral disease
1.1.5 Describe relevant and appropriate dental, oral craniofacial and general anatomy and explain their application to patient management
1.1.6 Describe relevant and appropriate physiology and explain its application to patient management
1.1.9 Describe the scientific principles underpinning the use of materials and biomaterial and discuss their limitations and selection, with emphasis on those used in dentistry
1.1.11 Recognise psychological and sociological factors that contribute to poor oral health, the course of diseases and the success of treatment
1.2.1 Recognise the importance of and carry out an appropriate systematic intra- and extra-oral clinical examination
1.2.2 Recognise the importance of and record a comprehensive and contemporaneous patient history
1.2.3 Recognise the significance of changes in the patient's reported oral health status and take appropriate action
1.2.4 Recognise abnormalities of the oral cavity and the rest of the patient and raise concerns where appropriate
1.2.5 Contribute to relevant special investigations and diagnostic procedures, including radiography
1.2.6 Assess patients' level of anxiety. Experience and expectations in respect of dental care
1.2.7 Discuss the importance of each component of the patient assessment process
1.5.1 Explain the principles of obtaining valid consent
1.5.2 Obtain valid consent from the patient before starting treatment, explaining all the relevant options and possible costs
1.5.3 Plan the delivery of, and carry out, care in the best interests of the patient
1.5.4 Identify where patients needs may differ from the treatment plan and refer patients for advice when and where appropriate
1.5.5 Discuss the role of the dental therapist and other members of the dental team in the treatment plan
1.7.1 Treat all patients with equality, respect and dignity
1.7.2 Explain the impact of medical and psychological conditions in the patient
1.7.3 Recognise the need to monitor and review treatment outcomes
1.7.4 Manage patient anxiety and pain through effective communication, reassurance and relevant behavioural techniques
1.7.7 Refer to other members of the dental team or other health professionals
1.7.8 Recognise the need for and make arrangements for appropriate follow-up care
1.7.9 Recognise local referral networks, local clinical guidelines and policies
1.7.10 Discuss the role of the dental therapist and other members of the dental team in the patient management
1.8.1 Recognise the risks around the clinical environment and manage these in a safe and efficient manner
1.8.3 Recognise and take responsibility for the quality of care provided to the patient
1.8.4 Take responsibility for ensuring compliance with current best practice guidelines
1.8.6 Explain the importance of and maintain accurate, contemporaneous and comprehensive patient records in accordance with legal and statutory requirements and best practice
1.8.7 Recognise the signs of abuse or neglect and describe local and national systems and raise concerns where appropriate
1.9.1 Recognise and manage patients with acute oral conditions ensuring involvement of appropriate dental team members
1.10.1 Recognise the responsibilities of the dental team as an access point to and from wider healthcare
1.10.3 Underpin all patient care with a preventive approach that contributes to the patient's long-term oral health and general health
1.10.5 Assess the results of treatment and provide appropriate aftercare and on-going preventive advice
1.10.6 Describe the health risks of diet, drugs and substance misuse, and substances such as tobacco and alcohol on oral and general health and provide appropriate advice, referral and support
1.11.1 Assess and manage the health of periodontal and soft tissues taking into account risk and lifestyle factors
1.11.2 Explain and take account of the impact of the patient's periodontal and general health on the overall treatment plan and outcomes
1.11.3 Undertake non-surgical treatments, under prescription where appropriate, to remove hard and soft deposits and stains using a range of methods
1.11.4 Monitor and record changes in periodontal health as necessary using appropriate indices
1.12.1 Explain the risks, indications and complications of extractions
1.13.1 Identify normal and abnormal facial growth, physical, mental and dental development and explain their significance
1.14.1 Assess and manage caries, occlusion, and tooth wear, and, where appropriate, restore the dentition using the principle of minimal intervention, maintaining function and aesthetics
1.14.2 Restore teeth using a wide range of treatments and materials appropriate to the patient including permanent and temporary direct restorations, maintaining function and aesthetics
1.14.5 Explain the role of the dental therapist in the restoration of teeth
2.1 Describe the basic principles of a population health approach including demographic and social trends, UK and international oral health trends, determinates of health and inequalities in health, the ways in which these are measured and current patterns
2.2 Explain the dental and wider healthcare systems dental professionals work within including health policy and organisation, delivery of healthcare and equity
3.1 Communicate appropriately, effectively and sensitively at all times with and about patients, their representatives and the general public and in relation to:
* patients with anxious or challenging behaviour
* referring patients to colleagues, particularly where patients are from diverse backgrounds or there are barriers to patient communication
* difficult circumstances, such as when breaking bad news, and when discussing issues, such as alcohol consumption, smoking or diet
3.2 Recognise the importance of non-verbal communication, including listening skills, and barriers to effective communication
3.3 Explain and check patient's understanding of treatments, options, costs and valid consent
3.4 Obtain valid consent
4.1 Communicate appropriately with colleagues from dental and other healthcare professions in relation to the direct care of individual patients, including oral health promotion
5.1 Communicate appropriately, effectively and sensitively by spoken, written and
electronic methods and maintain an develop these skills
5.2 Explain the importance of and maintain accurate, contemporaneous and comprehensive records in accordance with legal and statutory requirements and best practice
5.3 Recognise the use of a range of communication methods and technologies and their appropriate application in support of clinical practice
5.4 Recognise and act within the principles of information governance
6.1 Put patient's interests first and act to protect them
6.2 Act with integrity and be trustworthy
6.3 Respect patient's dignity and choices
6.4 Maintain and protect patients' information
6.5 Recognise and respect the patient's perspective and expectations of care and the role of the dental team, taking into account issues relating to equality and diversity, noting that this may differ in England, Scotland, Wales and Northern Island
7.1 Be familiar with and act within the GDC's standards and within other professionally relevant laws, ethical guidance and systems
7.2 Recognise and act upon the legal and ethical responsibilities involved in protecting and promoting the health of individual patients
7.3 Act without discrimination and show respect for patients, colleagues and peers and the general public
8.1 Describe and respect the roles of dental and other healthcare professionals in the context of learning and working in a dental and wider healthcare team
8.2 Ensure that any team you are involved in works together to provide appropriate dental care for patients
8.3 Explain the contribution that team members and effective team working makes to the delivery of safe and effective high quality care
10.1 Put patients' interest first and act to protect them
10.5 When appropriate act as an advocate for patient needs
10.7 Ensure that all patients of practice comply with legal and regulatory requirements
11.1 Take a patient-centred approach to working with the dental and wider healthcare team
11.2 Recognise and respect own and others' contribution to the dental and wider healthcare team and demonstrate effective team working
12.1 Recognise and comply with systems and processes to support safe patient care
Entry Requirements (not applicable to Visiting Students)
Pre-requisites Co-requisites
Prohibited Combinations Other requirements None
Course Delivery Information
Academic year 2023/24, Not available to visiting students (SS1) Quota:  None
Course Start Full Year
Timetable Timetable
Learning and Teaching activities (Further Info) Please contact the School directly for a breakdown of Learning and Teaching Activities
Assessment (Further Info) Written Exam 0 %, Coursework 0 %, Practical Exam 100 %
Additional Information (Assessment) Three Simulated Clinical Cases worth 100%

Periodontal, Adult restorative and Paediatric simulated clinical cases. To pass this examination overall, students must pass in two out of the three cases, AND have at least two passes in each domain that assessed. To pass a case, students must pass 3 out of 5 domains for that case. A resit of all three cases will be required if a student fails any of the cases.

Any 'unsafe to practice (U) grade in one or more of the domains for any of the simulated cases will result in an outright failure of the Clinical Practice examination, irrespective of any other outcomes

Feedback Effective feedback has benefits for the giver, receiver and the wider organisation and works best when it is a two-way process.
Constructive feedback is used to help the student formulate better decisions to improve and increase skills and performance. Students will have opportunities to give and receive feedback from peers, tutors, the wider dental team and patients with these opportunities for feedback arising within lectures, interactive group sessions and during clinical sessions.
Students are given one-to-one feedback from their Personal Tutor at their start of semester meetings, and at any other time during the semester that the student/PT requests.
Exam Information
Exam Diet Paper Name Hours & Minutes
Main Exam Diet S2 (April/May)Clinical Practice 4 (DENT10002) - Periodontal, Adult, Paediatric Case Presentations3:00
Learning Outcomes
On completion of this course, the student will be able to:
  1. Be competent at undertaking full and comprehensive diagnosis, treatment planning and management of all patients requiring treatment, within their scope of practice and with a greater degree of autonomy.
  2. Exhibit a high level of professional and ethical behaviour in keeping with that expected of a final year student
  3. Demonstrate clear and effective communication skills with patients, colleagues and peers.
  4. Be aware of conditions which may require surgical intervention and recognise the significance of the possible implications of surgical outcomes.
  5. Understand the significance of a team approach to head and neck surgery.
Reading List
Additional Information
Graduate Attributes and Skills University of Edinburgh graduates use skilled communication to enhance their understanding of a topic or context and to engage effectively with others. This course will give the student the skills required to communicate appropriately, effectively and sensitively at all times with and about patients, their representatives and the general public.

University of Edinburgh graduates are effective and proactive individuals, skilled in influencing positively and adapting to new situations with sensitivity and integrity. This course will allow the student to recognise and demonstrate own professional responsibility in the development of self and the rest of the team.

University of Edinburgh graduates use their personal and intellectual autonomy to critically evaluate ideas, evidence and experiences from an open-minded and reasoned perspective. This course will provide the scaffolding for deep and autonomous learning in a student centred learning and teaching environment where intellectual skills are developed through lectures, small group tutorials, practical classes and clinical teaching.

University of Edinburgh graduates draw on the quality, depth and breadth of their experiences to engage with the communities and world around them. With an informed international perspective, they seek to contribute positively, ethically and respectfully. This course will allow the student to take a patient centred approach to working with the dental and wider healthcare team while recognising and acting upon the legal and ethical responsibilities involved in protecting and promoting the health of individual patients.
KeywordsNot entered
Course organiserMrs Elizabeth Conner
Tel: (0131 5)36 4996
Course secretaryMs Jenny Thompson
Tel: (01315) 364964
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