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Unit information: Year 3 BDS in 2023/24

Unit name Year 3 BDS
Unit code ORDS30013
Credit points 120
Level of study H/6
Teaching block(s) Academic Year (weeks 1 - 52)
Unit director Professor. Tim Peters
Open unit status Not open
Units you must take before you take this one (pre-requisite units)

Successful progression from Year 2 BDS21

Units you must take alongside this one (co-requisite units)

None

Units you may not take alongside this one

None

School/department Bristol Dental School
Faculty Faculty of Health Sciences

Unit Information

The unit aims to build on Year 1-2 teaching, developing the breadth and depth of students’ clinical and patient management skills, deepening their understanding of human and oral diseases and their scientific basis. Students will consolidate their existing knowledge of the medical conditions affecting their patients, particularly those in Oral Surgery and Urgent Dental Care. Pharmacology will be aligned to human disease to support the safe care of patients. Students will develop a wider appreciation of whole person care through a two week block release to a medical hospital placement.

In the clinical skills lab, students will develop skills in Endodontics and Fixed Prosthodontics whilst continuing removable prosthodontics laboratory teaching. As they demonstrate competence in these skills, they will broaden their scope of practice in adult dental care, commencing removable denture cases and advanced restorative procedures. Students will be introduced to periodontal surgery, and implants.

Urgent Dental Care clinics will introduce students to the management of patients with acute oral disease enabling them to build on prior learning in the diagnosis and management of patients with dental pain.

Where opportunities allow, students attend local schools to promote oral health, otherwise students will undertake observations on the Paediatric Clinic. Paediatric clinical teaching is supported by small group tutorials. Before transferring to paediatric patients' clinics, students must demonstrate their competence in core procedures.

Social Science teaching will be integrated into clinical topics and communication skills will be aligned to Urgent Dental Care, Restorative Dentistry and Oral Surgery. Students will develop their understanding of evidence-based dentistry through critical appraisal workshops.

Students develop knowledge in local oral surgery clinical governance and infection control policies and procedures, as well as their ability to identify and manage medical emergencies that may occur in dental practice. Students will learn basic extraction and associated oral surgery techniques using simulators and must demonstrate their competence prior to extracting teeth from patients.

Unit Aims:

  1. Continue to develop the student as an adult learner and inspire them in the study of dentistry
  2. Encourage students to continue to apply underlying scientific principles to their developing understanding of human health, human disease and dental diseases in adult and paediatric patients
  3. Encourage students to view health, illness and health care within social, cultural and ethical contexts
  4. Ensure students have the required knowledge, skills and attributes in endodontics, prosthodontics, paediatric dentistry and basic oral surgery procedures to provide safe patient care within the clinical environment
  5. Provide opportunities for students to develop patient management skills for paediatric patients, those requiring urgent dental care and oral surgery procedures
  6. Provide continued opportunities for students to develop their clinical skills in periodontal and restorative operative procedures
  7. Broaden and develop students’ skills in communication, anxiety management, and the provision of preventive advice through the management of a wide range of patients, including paediatric patients
  8. Provide further opportunities for students to interact effectively and appropriately within the NHS healthcare environment and dental healthcare teams
  9. Further develop students’ professional behaviour and understanding of the duty of candour
  10. Continue to support students in dealing with the complexity, uncertainty and change inherent in dental practice

Your learning on this unit

Year 3 continues the delivery of the GDC Preparing for Practice intended learning outcomes (2015)

A. Knowledge and Understanding

  1. Overarching outcome 1 - Practise safely and effectively, making the high-quality long-term care of patients the first concern
  2. Overarching outcome 2 - Recognise the role and responsibility of being a registrant and demonstrate professionalism through their education, training and practice in accordance with GDC guidance
  3. Overarching Outcome 7 - Recognise the importance of lifelong learning and apply it to practice
  4. CLINICAL - Individual patient care - 1.1.5, 1.1.8, 1.1.10, 1.1.11, 1.1.12
  5. CLINICAL - Patient Management - 1.7.9, 1.7.10
  6. CLINICAL - Health promotion and disease prevention - 1.10.1
  7. CLINICAL - Hard and soft tissue disease - 1.12.1
  8. CLINICAL - Population-based health and care - 2.1
  9. COMMUNICATION - Patients, their representatives and the public - 3.2
  10. PROFESSIONALISM - Ethical and legal - 7.4 11.
  11. PROFESSIONALISM - Teamwork - 8.3

B. Intellectual Skills and Attributes

  1. Overarching Outcome 4 – Describe the principles of good research, how to access research and interpret it for use as part of an evidence-based approach to practice
  2. Overarching Outcome 5 – Apply an evidence-based approach to learning, practice, clinical judgment and decision making and utilise critical thinking and problem-solving skills
  3. Overarching Outcome 6 – Accurately assess their own capabilities and limitations, demonstrating reflective practice, in the interest of high-quality patient care and act within these boundaries
  4. CLINICAL - Individual patient care - 1.1.1, 1.1.2

C. Other Skills and Attributes

  1. Overarching Outcome 3 - Demonstrate effective clinical decision making
  2. CLINICAL - Individual patient care - 1.1.3, 1.1.4, 1.1.6, 1.1.7, 1.1.9, 1.1.13
  3. CLINICAL - Comprehensive patient assessment - 1.2.1-7
  4. CLINICAL - Diagnosis - 1.4.1, 1.4.2
  5. CLINICAL - Treatment planning - 1.5.1-6
  6. CLINICAL - Patient management - 1.7.1, 1.7.2, 1.7.3, 1.7.4, 1.7.5, 1.7.7, 1.7.8, 1.7.11
  7. CLINICAL - Patient and public safety - 1.8.1-8
  8. CLINICAL – Treatment of acute oral conditions - 1.9.1-4
  9. CLINICAL - Health promotion and disease prevention - 1.10.2-7
  10. CLINICAL - Management and treatment of periodontal disease - 1.11.1, 1.11.2, 1.11.3, 1.11.4, 1.11.6
  11. CLINICAL – Hard and soft tissue disease - 1.12.1, 1.12.2, 1.12.3, 1.12.4, 1.12.6
  12. CLINICAL - Management of the developing and developed dentition – 1.13.1, 1.13.2, 1.13.3
  13. CLINICAL – Restoration and replacement of teeth - 1.14.1, 1.14.2, 1.14.3, 1.14.4, 1.14.5, 1.14.6, 1.14.7, 1.14.8, 1.14.9, 1.14.11
  14. CLINICAL - Population-based health and care - 2.2, 2.3, 2.4, 2.5
  15. COMMUNICATION - Patients, their representatives and the public - 3.1, 3.3, 3.4
  16. COMMUNICATION - Team and the wider healthcare environment - 4.1, 4.2, 4.3, 4.4
  17. COMMUNICATION - Generic communication skills - 5.1, 5,2, 5.3, 5.4, 5.5
  18. PROFESSIONALISM - Patients and the public - 6.1, 6.2, 6.3, 6.4, 6.5
  19. PROFESSIONALISM - Ethical and legal - 7.1, 7.2, 7.3, 7.4, 7.5
  20. PROFESSIONALISM - Teamwork - 8.1, 8.2, 8.3
  21. PROFESSIONALISM - Development of self and others – 9.1, 9.2, 9.3, 9.4, 9.5, 9.6, 9.7
  22. MANAGEMENT AND LEADERSHIP - Managing self - 10.1, 10.2, 10.3, 10.4, 10.5, 10.6, 10.7, 10.8
  23. MANAGEMENT AND LEADERSHIP - Managing and working with others - 11.1, 11.2, 11.3, 11.4, 11.5, 11.6, 11.7, 11.8, 11.9
  24. MANAGEMENT AND LEADERSHIP - Managing the clinical and working environment - 12.1-3, 12.5

How you will learn

The teaching and learning methods to be adopted in Year 3 reflect the aim of developing students as adult learners, whilst recognising that this process takes time. Students should be aware that approaches to teaching are designed to encourage the transition from undergraduate student to professional heath care practitioner. They should learn to study with the support of their peers, mentors and lecturers.

Year 3 will utilise a variety of teaching methods as listed below:

  • Lecture-style content and large group ‘flipped classroom’ approaches as appropriate
  • Clinical environments: peer learning, observations, chairside assisting, supervised dental treatment of patients
  • Practical teaching: simulated clinical skills laboratories, simulated patients
  • Electronic learning packages (supporting teaching, self-directed learning and formative assessment), Peer group work, including case-based learning
  • Private study time, supported by library and electronic learning

Group sessions may include interactive approaches, such as Turning Point student voting systems, ‘flipped classrooms’, break-out discussion and activity groups. Those who teach scientific basis of heath and disease topics will identify and emphasise the dental and clinical relevance of any content they cover.

Clinical skills laboratory teaching will provide simulated ‘phantom heads’ and teeth for students to practice necessary practical procedures in order to reach the required standard prior to patient care. These sessions will be supported by preparatory material, review of on-line materials from Years 1 and 2 including Biomaterial sciences teaching, viewing images/video clips and demonstrations; students will also undertake regular formative assessment and receive feedback from supervising staff.

Clinical sessions will commence with clinical discussion of students’ patient cases, either individually or within small groups. Each supervisor will be responsible for a small group of students and provide chairside teaching relevant to the clinical procedure as appropriate to the level and experience of the student. Feedback and grading of the student (clinical skills, knowledge and professionalism) will be provided for each patient case, both through verbal discussion and in writing using an electronic portfolio system.

Integrated teaching

Professional actors will act as patients in small integrated group sessions for clinical communication and ethics, law and professionalism teaching. Clinical assisting and peer learning opportunities between Year 3 BDS students and BSc students will continue. Similarly, practical procedures and integrated learning with the full dental team are highly valued for their teamwork opportunities and to further develop students’ understanding of each other’s scope of practice, treatment planning and how to refer to other members of the team.

Case-based sessions in terms 1 and 2 will integrate key concepts and reinforce links between clinical dentistry and scientific basis of dentistry topics. Block release placements at local medical hospitals will help to consolidate students’ understanding of the dental relevance of patients’ medical conditions and their ‘whole person care’ needs.

How you will be assessed

Summative assessment

An integrated, programmatic assessment delivered at the end of Year 3, comprising three parts.

The End of Year 3 Summative Assessments will be taken as a first attempt in May/June and, if required, as a second attempt (resit) in July.

Part 1) Knowledge examinations

This consists of two components whereby marks are combined to give an aggregate for the Part.

  • A 2-hour Multiple Short Answer (MSA)
  • A 2-hour Single Best Answer (SBA)
  • Contributes 50% of the total unit mark.

Part 2) Objective Structured Clinical Examination (OSCE)

  • 2 hours 10 minutes
  • Held in the clinical environment
  • Contributes 40% of the unit mark

Part 3) Unseen clinical case

  • 20 minutes duration (following 20-minutes preparation time)
  • Structured oral assessment
  • Contributes 10% of the unit mark

Parts 1 and 2 will be standard set and scaled to 50%. Part 3 will be intention marked. There is no compensation permitted between the parts. In order to pass the unit, for Part 1, students must achieve a minimum standard set pass mark (scaled to 50%). For Part 2, students must achieve a minimum standard set pass mark (scaled to 50%) and pass two-thirds (rounded up) of the stations. For Part 3, students must achieve a minimum score of 50%.

In accordance with University regulations, students will be permitted two attempts at summative assessments in Year 3. Dependent on extenuating circumstances, a student may be permitted a second attempt at Year 3 or otherwise will be required to withdraw from the programme.

Demonstrating satisfactory engagement

Students must demonstrate satisfactory engagement with the programme, as set out in the student progression requirements for Year 3 in the BDS Assessment Handbook.

Satisfactory engagement with the programme will be determined by the Progress Committee which meets termly. The committee will monitor engagement against the engagement and progression criteria, review performance in 'must pass' assessments and monitor levels of professionalism.

A student who has not demonstrated satisfactory and appropriate engagement with the programme, nor reached a satisfactory level of professionalism (as determined by level of engagement and any other evidence relating to professionalism presented to the Progress Committee) will not be permitted to progress to Year 4.

Progression to Year 4

In order to progress to Year 4 of the BDS programme students must pass the End of Year 3 summative assessments at first or second (resit) attempt as determined by the Board of Examiners and demonstrate Satisfactory Engagement with the programme as determined by the Progress Committee.

Resources

If this unit has a Resource List, you will normally find a link to it in the Blackboard area for the unit. Sometimes there will be a separate link for each weekly topic.

If you are unable to access a list through Blackboard, you can also find it via the Resource Lists homepage. Search for the list by the unit name or code (e.g. ORDS30013).

How much time the unit requires
Each credit equates to 10 hours of total student input. For example a 20 credit unit will take you 200 hours of study to complete. Your total learning time is made up of contact time, directed learning tasks, independent learning and assessment activity.

See the University Workload statement relating to this unit for more information.

Assessment
The Board of Examiners will consider all cases where students have failed or not completed the assessments required for credit. The Board considers each student's outcomes across all the units which contribute to each year's programme of study. For appropriate assessments, if you have self-certificated your absence, you will normally be required to complete it the next time it runs (for assessments at the end of TB1 and TB2 this is usually in the next re-assessment period).
The Board of Examiners will take into account any exceptional circumstances and operates within the Regulations and Code of Practice for Taught Programmes.

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