ATTACHMENT 2 (e)
Course Specifications
Kingdom of Saudi Arabia
The National Commission for Academic Accreditation & Assessment
Course Specifications
(CS)
Course Specifications
College/Department : Biomedical Dental Sciences
A. Course Identification and General Information
1. Course title and code: Comprehensive Patient Management, BDS-6112. Credit hours : 4
3. Program(s) in which the course is offered. (If general elective available in many programs indicate this rather than list programs)
Bachelor of Dental Surgery
4. Name of faculty member responsible for the course: Dr. Faraz Mohammed Jaffer Kasti
5. Level/year at which this course is offered: 6th year, 1st Semester
6. Pre-requisites for this course (if any): None
7. Co-requisites for this course (if any): None
8. Location if not on main campus: College of Dentistry
9. Mode of Instruction (mark all that apply)
a. Traditional classroom What percentage?
b. Blended (traditional and online) What percentage?
c. e-learning What percentage?
d. Correspondence What percentage?
f. Other What percentage?
Comments:
B Objectives
1. What is the main purpose for this course?The purpose of the Comprehensive Patient Management (CPM) course is to integrate the knowledge in multiple dimensions and to teach the students in what way to manage their patients and practices to ensure an achievable dental practice with minimal risk. In this course the students will be exposed to strategies on how to carry out risk assessment, treatment planning and patient management. The course will help the students in collecting, analyzing and critically evaluating information, thereby, enhancing both their clinical and research skills.
2. Briefly describe any plans for developing and improving the course that are being implemented. (e.g. increased use of IT or web based reference material, changes in content as a result of new research in the field)
This course features an intensive clinical emphasis with lectures, seminars, and patient care experiences which will further develop the student’s expertise in the arena of comprehensive patient care.
A cluster teaching method has been introduced in this course; in the theoretical part of this course, teachers from different dental specialties present the scenarios of clinical cases and conduct discussions and debates about the same, emphasizing on proper history recording, tracking the minute clinical details, using different suitably available diagnostic aids/investigations and further the comprehensive treatment planning.
Additionally, suitable topic oriented videos are being played to make the discussions interesting wherever possible. Healthy debates are also conducted among the students which facilitate the student in knowledge integration and will improve their clinical reasoning skills.
C. Course Description (Note: General description in the form to be used for the Bulletin or handbook should be attached)
1. Topics to be CoveredList of Topics / No. of
Weeks / Contact Hours
An introduction to Comprehensive Patient Management (CPM)
Case presentation – Sample Case of Shwannoma / 1 / 4
Case presentation – 1
(Geriatric and oral lesion - Epulis fissureatum ) / 1 / 4
Case presentation – 2
(Paediatrics and trauma – traumatic bone cyst) / 1 / 4
Case presentation – 3
(Oral lesion and Osteoradionecrosis – Sq.CC & ORN) / 1 / 4
Case presentation – 4
(Smoking, nicotine stomatitis and smokers melanosis) / 1 / 4
Case presentation – 5
(Respiratory disorder and oral lesion [obstructive sleep apnea and epulis fissureatum]) / 1 / 4
Case presentation – 6
(Necrotizing ulcerative periodontitis in HIV patients and needle stick injury) / 1 / 4
Case presentation – 7
(Hypertension, lichen planus, and Normal OPG) / 1 / 4
Case presentation – 8
(Extraction, bisphosphonate therapy and BRONJ) / 1 / 4
Case presentation – 9
(Diabetes, Oral candidiasis, Periodontitis) / 1 / 4
Case presentation – 10
(Crohn’s disease and oral lesions) / 1 / 4
Case presentation – 11
(Ameloblastoma and its management) / 1 / 4
Biopsy & Histo-Techniques / 1 / 4
Total
/ 13 / 522. Course components (total contact hours and credits per semester):
Lecture / Tutorial / Laboratory / Practical / Other: / Total
Contact
Hours / 13 / - / 39 / - / - / 52
Credit / 1 / - / 3 / - / - / 4
3. Additional private study/learning hours expected for students per week.
Outline of the Lectures
1. / An introduction to Comprehensive Patient Management (CPM)
- Course specifications
- Overview of diagnostic process
- Developing diagnoses and problem lists for patients
- Documentation
Case presentation – Sample Case of Shwannoma
2. / Case presentation – 1
(Geriatric and oral lesion - Epulis fissureatum )
- Sign and symptoms, diagnosis, radiological findings of case
- Other oral conditions associated with old age
- Commonly used drugs
- Dental management of geriatric patients
- Management of Epulis fissureatum
3. / Case presentation – 2
(Paediatrics and trauma – traumatic bone cyst)
- Oro-facial trauma in paediatric patients
- Sign and symptoms, diagnosis, radiological findings of trauma and oral lesion
- Management and treatment planning of case
4. / Case presentation – 3
(Oral lesion and Osteoradionecrosis – Sq.CC & ORN)
- Etiology of osteoradionecrosis
- Pathogenesis of osteoradionecrosis
- Contemporary management techniques
- Other complications of radiotherapy
5. / Case presentation – 4
(Smoking, nicotine stomatitis and smokers melanosis)
- Sign and symptoms, diagnosis, radiological findings of case
- Management techniques
6. / Case presentation – 5
(Respiratory disorder and oral lesion [obstructive sleep apnea and epulis fissureatum])
- Respiratory disorder types and medical management
- Dental management of respiratory diseases
- Diagnosis and treatment planning of respiratory condition related oral lesion
7. / Case presentation – 6
(Necrotizing ulcerative periodontitis in HIV patients and needle stick injury)
- HIV, Hepatitis C exposure
- Post exposure prophylaxis
- Sign and symptoms, diagnosis, radiological findings of case
- Risk assessment
- Management techniques
- Hazards in dentistry
8. / Case presentation – 7
(Hypertension, lichen planus, and Normal OPG)
- Sign and symptoms of hypertension
- Causes, sign and symptoms, diagnosis and prevention of hypertensive dental patients
- Differential diagnosis, histopathology and radiology of lesion
- Management and treatment planning
9. / Case presentation – 8
(Extraction, bisphosphonate therapy and BRONJ)
- Osteonecrosis
- BRONJ pathogenesis
- Causes of BRONJ
- Clinical stages of BRONJ
- Bisphosphonates pharmacology
- Beneficial and advert effects
10. / Case presentation – 9
(Diabetes, Oral candidiasis, Periodontitis)
- Classification of Diabetes Mellitus (DM)
- Signs and symptoms and causes of DM
- Diagnosis, histopathology and radiology of related lesions
- Management of DM in a dental setting
- Management and treatment planning of patient with DM and oral candidiasis and periodontitis
11. / Case presentation – 10
(Crohn’s disease and oral lesions)
- Classification of Crohn’s disease
- Diagnostic aids
- Dental management of patient with Crohn’s disease and treatment planning
12. / Case presentation – 11
(Ameloblastoma and its management)
- Sign and symptoms, diagnosis, radiological findings of case
- Management techniques
13. / Biopsy & Histo-Techniques
Learning Outcomes
1. Development of Learning Outcomes in Domains of LearningFor each of the domains of learning shown below indicate:
· A brief summary of the knowledge or skill the course is intended to develop;
· A description of the teaching strategies to be used in the course to develop that knowledge or skill;
· The methods of student assessment to be used in the course to evaluate learning outcomes in the domain concerned.
a. Knowledge
In the Program Learning Outcomes, the course addresses the following knowledge items:
1.5 / Recall properties of commonly used drugs, their side effects and usages in the treatment of oral diseases.
1.7 / Describe the radiographic exposure techniques and radiographic anatomy of the head and neck region.
1.14 / Recall the clinical and microscopic features of common and relevant hard and soft tissue lesions of the oral cavity.
1.20 / Discuss the principles of treating facial fractures
1.27 / Explain the principles of child and young adolescent examination, diagnosis and treatment planning.
1.33 / Discuss the clinical behavior and management options of systemic diseases with dental relevance
1.5 / Recall properties of commonly used drugs, their side effects and usages in the treatment of oral diseases.
I. Discuss commonly used drugs by medically compromised patients
II. Discuss medical treatment of oral lesions
1.7 / Describe the radiographic exposure techniques and radiographic anatomy of the head and neck region.
I. Discuss normal and pathological findings on a radiograpgh
II. Discuss radiography of oral lesions.
1.14 / Recall the clinical and microscopic features of common and relevant hard and soft tissue lesions of the oral cavity.
I. Discuss clinical features of common oral lesions related to medically compromised patients
II. Discuss management and treatment planning of oral lesions
1.20 / Discuss the principles of treating facial fractures
I. Discuss common fractures in paediatric and geriatric patients.
II. Discuss treatment planning of fractures in both paediatric and geriatric patients.
1.27 / Explain the principles of child and young adolescent examination, diagnosis and treatment planning.
I. Discuss treatment planning of fractures in child and young adolescent
II. Discuss diagnosis and treatment planning of lesions common in the age group
1.33 / Discuss the clinical behavior and management options of systemic diseases with dental relevance.
I. Discuss systemic diseases with dental considerations
II. Discuss management and treatment planning in a dental clinic
(ii) Teaching strategies to be used to develop that knowledge
1. Lectures
2. Discussions / debates
(iii) Methods of assessment of knowledge acquired
1. MCQs
2. Short essay questions
3. OSCE’s
4. Discussions / debates
b. Cognitive Skills
In the Program Learning Outcomes, the course addressed the following cognitive
skills items:
1. / Differentiate between normal and pathological features of the oral tissues.
2. / Analyze and interpret data collected from the patient’s history, clinical, radiographic and other investigations.
3. / Choose the appropriate diagnostic and management techniques based on patient age,
behavior capabilities, stage of dental growth/development, and chief complaints.
4. / Formulate differential diagnoses and reach definite diagnosis and reach a possible definitive diagnosis of oral hard and soft tissue lesions.
5. / Formulate a comprehensive, sequential dental treatment plan based on the diagnostic findings for the child, adolescent and adult patient.
6. / Recognize patients with systemic diseases and modify the treatment plan to suite the medical condition when providing dental care.
7. / Identify medical and dental emergencies commonly faced in the child, adolescent and adult patient.
8. / Recognize the principles and modifications related to treatment of the medically and developmentally compromised patient.
Description of cognitive skills to be developed
1. Differentiate between normal and pathological changes of the oral cavity
2. History taking and oral examination to reach a differential diagnosis
3. Discuss management and treatment planning in all group of patients (child, adult and medically compromised patients)
4. Recognize certain medically compromised states and modification of treatment.
(ii) Teaching strategies to be used to develop these cognitive skills
1. Discussion
2. Clinical case presentations by a group of teachers involving oral radiology, oral pathology, oral medicine and oral surgery
(iii) Methods of assessment of students cognitive skills
1. Case based MCQ’s
2. OSCE
Upon successful completion of this course the student should be able to
· Collect, analyze, organize and critically evaluate the information provided by the patient.
· Evaluate the medical status of complicated and certain medically compromised cases effectively.
· Develop appropriate differential diagnosis and further evaluating the case with appropriate investigations.
· Develop comprehensive treatment plan.
· Prevent and manage the medical emergencies.
· Working effectively with others specialists as a member of a team.
· Communicate effectively by using oral/written persuasion, enhancing his language and presenting skills.
Assessment methods
1. Schedule of Assessment Tasks for Students during the Semester:Details are mentioned with teaching methods assessments in 4 (a, b, c…)
Assess-ment / Assessment task (e.g. essay, test, group project, examination etc.) / Week due / Proportion of Final Assessment
1. / Weekly pop quizzes / - / 5%
2. / Weekly Case Presentations / - / 15%
3. / Weekly Discussions/ debates / - / 5%
4. / Assignment / - / 5%
5. / Internal OSCE (2 Nos.) / 6 & 11 / 10% (5%+5%)
6. / Internal quizzes (2 Nos.) / 6 & 11 / 20% (10%+10%)
7. / Final written quiz / 15 / 30%
8. / Final OSCE / 15 / 10%
Total / 100%
Teaching Schedule for Comprehensive Patient Management Course
Teaching Schedule of Comprehensive Patient Management CourseDate / List of Topics
31/08/2014 / An introduction to Comprehensive Patient Management (CPM)
01/09/2014 / Sample case presentation & case discussion
07/09/2014 / Case presentation – 1 (Geriatric and oral lesion - Epulis fissureatum )
08/09/2014 / Case discussion – 1
14/09/2014 / Case presentation – 2 (Paediatrics and trauma – traumatic bone cyst)
15/09/2014 / Case discussion – 2
21/09/2014 / Case presentation – 3 (Oral lesion and Osteoradionecrosis – Sq.CC & Osteoradionecrosis)
22/09/2014 / Case discussion – 3
12/10/2014 / Case presentation – 4 (Smoking, nicotine stomatitis and smokers melanosis)
13/10/2014 / Case discussion – 4
19/10/2014 / Revision
20/10/2014 / Quiz – 1
26/10/2014 / Case presentation – 5 (Respiratory disorder and oral lesion (obstructive sleep apnea and Denture Stomatitis)
27/10/2014 / Case discussion – 5
02/11/2014 / Case presentation – 6 (Necrotizing ulcerative periodontitis in HIV patients and needle stick injury)
03/11/2014 / Case discussion – 6
09/11/2014 / Case presentation – 7 (Hypertension, lichen planus, and Normal OPG)
10/11/2014 / Case discussion – 7
16/11/2014 / Case presentation – 8 (Extraction, bisphosphonate therapy and BRONJ)
17/11/2014 / Case discussion – 8
23/11/2014 / Case presentation – 9 (Diabetes, Oral candidiasis, Periodontitis)
24/11/2014 / Case discussion – 9
30/11/2014 / Revision
01/12/2014 / Quiz – 2
07/12/2014 / Case presentation – 10 (Crohns disease and oral lesion)
08/12/2014 / Case discussion – 10
14/12/2014 / Case presentation – 11 (Ameloblastoma and its management)
15/12/2014 / Case discussion – 11
Final Quiz
D. Student Academic Counseling and Support