Unit information: Year 5 BDS in 2020/21

Unit name	Year 5 BDS
Unit code	ORDSM0037
Credit points	0
Level of study	M/7
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Mr. Tony Jones
Open unit status	Not open
Pre-requisites	None
Co-requisites	None
School/department	Bristol Dental School
Faculty	Faculty of Health Sciences

Description including Unit Aims

Description:

Year 5 BDS provides the concluding education and training within a curriculum based on the student dentist as a Person and Citizen, a Scientist and Scholar, a Practitioner, and a Professional and Agent of Change. This unit takes an integrated approach to completion of learning outcomes outlined within Preparing for Practice, these being tested through formative and summative assessment, including a global three-part BDS Finals examination.

The unit is focused very much on preparation for clinical practice through the clinical spine of the curriculum including Student Dentist as Practitioner and Student Dentist as Professional and Agent of Change helical themes, and for successful selection for a Dental Foundation Training (DFT) place. Further reference to helical themes of Person and Citizen will be through DFT preparation (employability – Bristol Futures; and wellbeing) and Professional and Agent of Change (e.g. Social accountability outreach project work). The unit encompasses all activity within Year 5 of the BDS programme, this being subdivided into six subjects:

• Oral Diagnosis and acute dental care and specialist oral and dental clinics (including for example consultant clinics such as Oral Medicine, Maxillofacial Surgery (OMFS), Special care, and Orthodontics)
• Restorative Dentistry
• Oral Surgery
• Paediatric Dentistry
• Community-Based Dental Learning
• The Dentist in Society

The general aims of the unit are for Year 5 dental students to:

• Demonstrate attainment of all GDC learning outcomes as outlined within ‘Preparing for Practice’ (GDC 2017).
• Demonstrate understanding of Standards for the Dental Team (GDC 2013).
• Complete a transferable portfolio of activity and achievement to aid future employment.
• Engage with offered learning opportunities to maximise potential to be recruited for Dental Foundation Training.
• Review attainments of the Bristol Skills Framework within a personal development plan.

Intended Learning Outcomes

Year 5 meets the following GDC Preparing for Practice (2017) learning outcomes (LOs) for dentists.

Knowledge and Understanding
OVERARCHING OUTCOMES
1. Practise safely and effectively, making the high quality long-term care of patients the first concern
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. Recognise the importance of lifelong learning and apply it to practice

CLINICAL
4. Individual patient care: GDC LOs 1.1.5, 1.1.10-11
5. Patient Management: GDC LO 1.7.9
6. Health promotion and disease prevention: GDC LO 1.10.1
7. Hard and soft tissue disease: GDC LOs 1.12.1, 1.12.3
8. Restoration and replacement of teeth: GDC LO 1.14.7
9. Population-based health and care: GDC LOs 2.1-2, 2.5

COMMUNICATION
10. Patients, their representatives and the public: GDC LO 3.2
11. Team and the wider healthcare environment: GDC LO 4.2

PROFESSIONALISM
12. Ethical and legal: GDC LO 7.4
13. Teamwork: GDC LO 8.3

MANAGEMENT AND LEADERSHIP
14. Managing and working with others: GDC LO 11.6
15. Managing the clinical and working environment: GDC LOs 12.4, 12.6

Intellectual skills and attributes
OVERARCHING OUTCOMES
1. 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. Apply an evidence-based approach to learning, practice, clinical judgment and decision making and utilise critical thinking and problem-solving skills
3. Accurately assess their own capabilities and limitations, demonstrating reflective practice, in the interest of high-quality patient care and act within these boundaries

CLINICAL
4. Individual patient care: GDC LOs 1.1.1-2, 1.1.12

Other skills and attributes (practical/professional/transferable)
OVERARCHING OUTCOMES
1. Demonstrate effective clinical decision making

CLINICAL
2. Individual patient care: GDC LOs 1.1.3-4, 1.1.6-9, 1.1.13
3. Comprehensive patient assessment: GDC LOs 1.2.1-7
4. Diagnosis: GDC LOs 1.4.1-2
5. Treatment planning: GDC LOs 1.5.1-6
6. Patient management: GDC LOs 1.7.1-11
7. Patient and public safety: GDC LOs 1.8.1-8
8. Treatment of acute oral conditions: GDC LOs 1.9.1-4
9. Health promotion and disease prevention: GDC LOs 1.10.2-7
10. Management and treatment of periodontal disease: GDC LOs 1.11.1-6
11. Hard and soft tissue disease: GDC LOs 1.12.2, 1.12.4-8
12. Management of the developing and developed dentition: GDC LOs 1.13.1-7
13. Restoration and replacement of teeth: GDC LOs 1.14.1-6, 1.14.8-12
14. Population-based health and care: GDC LOs 2.3-4

COMMUNICATION
15. Patients, their representatives and the public: GDC LOs 3.1, 3.3-4
16. Team and the wider healthcare environment: GDC LOs 4.1, 4.3-4
17. Generic communication skills: GDC LOs 5.1-5

PROFESSIONALISM
18. Patients and the public: GDC LOs 6.2-5
19. Ethical and legal: GDC LOs 7.1-3, 7.5
20. Teamwork: GDC LOs 8.1-2
21. Development of self and others: GDC LOs 9.1-7

MANAGEMENT AND LEADERSHIP
22. Managing self: GDC LOs 10.1-8
23. Managing and working with others: GDC LOs 11.1-5, 11.7-9
24. Managing the clinical and working environment: GDC LOs 12.1-3, 12.5

Year 5 meets the Bristol Skills Framework learning outcomes and attributes initiated and continued in earlier years of the programme.

Teaching Information

Much of the learning in Year 5 will be experiential, with focus on a significant proportion of the week treating patients in the clinic, with supported supervision by small group tutorial teaching. The teaching methods used are:

1. Clinical supervision and teaching

2. Lectures, tutorials and symposia. Teaching will use a blended learning approach delivered through a combination of synchronous and asynchronous activities.

3. Flipped classroom

4. Private study time, supported by library and electronic learning

5. Practical teaching: laboratory, anatomy, clinical skills

6. Access to dentists, scientists, researchers, allied health professionals and community health teams

Students will be expected to engage with all learning.

Assessment Information

Summative assessment - BDS Finals

Each Part of BDS Finals will be equally weighted. Students must pass each Part.

Part 1

Integrated Knowledge-based assessment (KBA) papers covering ILOs across all areas of the curriculum and comprising:

• 2 x two-hour e-Assessments
• 2 x three-hour MSA papers

Students will be required to attain an aggregate pass over the four KBA papers.

Part 2

Seen case presentations of treated patients:

• Adult Restorative case
• Child case

Students will be required to achieve an aggregate pass across the two case presentations.

Part 3

Adult and Child unseen clinical cases, comprising 6 unseen cases across three components:

• 2 x Adult Restorative Dentistry cases
• 2 x Adult Oral Surgery/Medicine/Radiology/Pathology, Oral & Maxillofacial Surgery & Special Care Dentistry cases
• 2 x Child Dental Health (Paediatric Dentistry and Orthodontic) cases

Students will be required to achieve an aggregate pass over the three components of the Part 3 assessment.

For further detail please refer to BDS Assessment Handbook

Merit and Distinction

Merits and Distinctions will be awarded for the degree as a whole.

Resit opportunities

Details of resits are provided in the BDS Assessment handbook.

Engagement and Progression requirements

Additional 'must pass' assessments and progression requirements for Year 5 are specified in the BDS Assessment handbook.

Formative assessment

• Continuous assessment on clinics using a predetermined standard graded assessment scheme (clinical skills, knowledge and professionalism) with immediate feedback to the student.
• Each student to complete an electronic portfolio during the programme with opportunity to reflect on progress during and at the end of the Unit.
• Clinical rotations (for example in Orthodontics and Oral Medicine) graded on a sessional basis, assessing clinical skills, knowledge and professionalism.
• Practice opportunities for Dental Foundation Training recruitment.

Mock examinations:

• Part 1 - Restorative Dentistry
• Part 2 - Child Dental Health
• Part 3 - Oral & Maxillofacial Surgery /Oral Medicine, Radiology, Pathology and Microbiology (OMS/OMRPM)

Formative assessment will not contribute to the end of year marks, however, will be considered in addition with other metrics at termly School Progress Committee.

Reading and References

• Preparing for Practice.
• Standards Guidance (Standards for the Dental Team), Protecting patients, regulating the dental team, scope of practice
• Brennan M, Oliver R, Harvey B, Jones G. Ethics and Law for the Dental Team. Knutsford : PasTest; 2006. ISBN:9781904627418
• Banerjee A, Watson TF. Pickard’s Manual of Operative Dentistry 9th ed. Oxford University Press; 2011. ISBN 9780199579150.
• Jepson NJA. Removable partial dentures. Quintessentials of dental practice. 18. Prosthodontics. Quintessence; 2005. ISBN 9781850970750.
• Allen PF, McCarthy S. Complete dentures from planning to problem solving . 2nd ed. Quintessentials of dental practice.12. Prosthodontics. Quintessence; 2012. ISBN 97818509972273.
• Chong BS. Harty's endodontics in clinical practice. 6th ed. Edinburgh: Churchill Livingstone; 2010. ISBN 9780702031564.
• Shillingburg HT jr 3rd, Sather DA, Wilson EL, Mitchell DL, Blanco LJ, Kessler JC. 4th ed. Fundamentals of fixed prosthodontics. Quintessence; 2012. ISBN 9780867154757.
• Whaites E, Drage N. Essentials of dental radiography and radiology. 5th ed. Churchill Livingstone; 2013. ISBN 9780702045998.
• Pedlar J, Frame JW. Oral and maxillofacial surgery: an objective-based textbook. Edinburgh: Churchill Livingstone; 2001. ISBN 9780443060175.
• Cameron AC, Widmer RP,editors. A handbook of paediatric dentistry 4th ed. Edinburgh: Elsevier Mosby; 2013. ISBN 9780723436959.
• Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Oxford : Blackwell Munksgaard; 2007.ISBN 978140512954.
• Chapple ILC, Gilbert AD. Understanding periodontal diseases: Assessment and diagnostic procedures. Quintessentials of dental practice. 1. Periodontology. Quintessence; 2002. ISBN 9781850970538.
• Cameron AC, Widmer RP, editors. A handbook of pediatric dentistry. 4th ed. Edinburgh: Elsevier Mosby; 2013. ISBN 9780723436959
• Scully C. Medical problems in dentistry. 6th ed. Churchill Livingstone; 2010. ISBN:9780702030574.
• Scully C, Dios PD, Kumar N. Special care in Dentistry: Handbook of oral health care. Churchill Livingstone Elsevier; 2007. ISBN:9780443071515.
• Cawson RA, Odell EW. Cawson’s essentials of oral pathology and oral medicine, 8th ed. Churchill Livingstone. 2008. ISBN:9780443101250.
• Soames JV, Southam JC. Oral pathology 4th ed. Oxford University Press; 2005. ISBN:9780198537947.
• Pedlar J, Frame JW. Oral and maxillofacial surgery :an objective-based textbook. Edinburgh : Churchill Livingstone; 2001. ISBN:9780443060175.
• Moore UJ. Principles of oral and maxillofacial Surgery. 6th ed. Wiley Blackwell; 2011. ISBN:9781405199988.
• Dimitroulis G. A synopsis of minor oral surgery, 4th ed Butterworth Heinemann; 1996. ISBN:9780723610946.
• Meechan JG, Robb ND, Seymour RA. Pain and anxiety control for the conscious dental patient. Oxford: Oxford University Press; 1998. ISBN:0192628488.
• Craig D, Skelly A. Practical conscious sedation. Quintessentials of dental practice. London: Quintessence; 2004. ISBN:97818509070705.
• Mitchell L. An Introduction to Orthodontics. 4th ed. Oxford University Press; 2013. ISBN:9780199594719.