| DOMAIN #2: PATIENT ASSESSMENT |
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Comp. Outcomes
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Results
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Criteria for Assessment
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How Measured
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When Introduced
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When Measured
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Measure
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as of Apr 99
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Actions Taken
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| 2 - 1: Take and Evaluate Medical/Dental History |
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| a. Take and properly interpret vital signs |
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Oct / D1 |
Sep / D3 |
Histories reviewed and signed off by attending faculty |
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| b. Secure relevant HM/DH information |
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| c. Incorporate precautions into Tx plan. |
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| d. Medical and dental histories are fully and correctly interpreted. |
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| 2 - 2: Recognize Systemic Symptoms |
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| a. Perform an examination of the head and neck and detect and describe any visible or palpable abnormalities. |
Oral Diagnosis QE |
Oct / D1 |
Dec Jun / D3 |
75% pass rate on examination |
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| b. Perform a thorough oral examination and detect and describe any visible or palpable abnormalities in the hard or soft tissues of the oral cavity. |
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| 2 - 3: Develop and Perform Treatment Plans |
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| a. Complete and present 5 Tx plans requiring sequencing of 2 different treatment modalities. |
a. b. Restorative Diagnosis and Treatment Planning Manual |
Jan / D2 |
Sep / D4 |
Faculty observation. Baseline Evaluation. QE (Includes phasing and sequencing of Tx recommendations.) |
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| b.Completes and presents 3 Tx plans requiring sequencing of those completed cases. |
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| 2 - 4: Perform dx tests for endo |
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| a. Endodontic clinical simulation exercise |
a. Faculty evaluation during clinic simulation rotation |
Oct / D2 |
Sep, Dec. Mar, Jun/D3 & D4 |
a. Successful completion of rotation |
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| b. Endodontic QE performed on a patient |
b. Faculty evaluation during endodontic QE (Endo QE Evaluation System) |
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b. 75% score to pass QE |
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| c. Didactic knowledge |
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c. 75% score to pass written exams |
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c. Written exams |
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| d. Case presentation seminar evaluation. |
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d. 1. Newly instituted Daily Observation Log . 2. Faculty evaluation during presentation. |
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d. Pass/No Pass for case presentation. |
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| 2 - 5: Interpret and Explain Biopsy Report |
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| a. Correct interpretation of biopsy reports |
a. Written examination in Oral Pathology |
Oct / D3 |
Jun / D3 |
a. Pass Examinations |
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| b. Observation in clinic |
b. Clinic observation |
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b. Observation by attending faculty |
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| 2 - 6: Differential dx, Soft Tissue Lesions |
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| a. Identify possible differential diagnosis for oral lesions. |
a. Written examination in Oral Pathology |
Oct / D2 |
Jun / D3 |
a. Pass examination |
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| b. Write correct referral to oral medicine or biopsy suspicious lesions. |
b. Clinic observation |
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b. Observation by attending faculty |
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| 2 - 7: Expose, Process & Mount FMX |
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| a. Written examination |
a. Didactic course exams written & slides OR-110.01 |
Oct, Jan / D1 Sep / D2 Jul / D3 |
Dec, Mar, Jun / D1 Jun / D2 Jun / D3 |
a. Pass course |
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| b. Completion of FMX sets (Manikin and patients). |
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b. Complete 1st year rotation satisfactorily |
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b. 2 FMX sets on a manikin (with less than 3 retakes on the second set); 2 FMX sets on patients in the first year rotation. |
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c. Satisfactory completion of third year rotation. |
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c. 10 FMX sets on patients in the third year of rotation |
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| 2 - 8: Expose & Process Panoramic X-Rays |
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Jan / D1 Jul / D3 |
Mar / D1 Jun / D3 |
a. Pass course and successful com-pletion of the first year rotation. |
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| a. Written examination |
a. Didactic course exams (written and slides OR-110.02) and observe panoramic procedures during the first year rotation |
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b. Complete rotation of third year successfully |
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| b. Completion of Panoramic films during the first year rotation. |
b. Observe and make panoramic radiographs during the third year rotation. |
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| 2 - 9: Dx and Plan Dental Care for Children |
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| a. Recognize primary dentition sequence of eruption and space management |
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Jul / D3 |
Sep / D4 |
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| b. Communicate effectively with parents and guardians. |
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| c. Recognize a fearful child |
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| d. Recognize a defiant child |
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| e. Utilize methods to gain a child's trust and cooperation. Recognize the need for appropriate referral. |
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| 2 - 10: Dx and Provide Pulp Therapy |
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| a. Diagnose pulp involvement |
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Jul / D3 |
Sep / D4 |
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| b. Understand anatomy of the primary pulp. |
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| c. Complete appropriate pulp treatment |
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| 2 - 11: Complete and Document Perio Exam |
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| A. Complete an accurate periodontal examination record at baseline and periodic examinations |
Periodontal Examination QE |
Oct / D1 |
Mar / D3 |
100 % Pass of QE |
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| 2 - 12: Diagnose Periodontal Status of Pts |
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| a. Make a correct periodontal diagnosis. |
Periodontal Diagnosis QE |
Oct / D1 |
Mar / D3 |
100% Pass of QE |
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| 2 - 13: Conduct and Document Exam of Teeth |
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| By radiographic and clinical examination, edentify and document the following: |
Review of examination by attending faculty |
Oct / D1 |
Jun / D3 |
All necessary in-formation for develop-ment or rational diagnosis and treatment plan: |
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| a. Teeth present and missing |
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| b. Recognize existing restorations as: |
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a. Has been provided |
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b. Has not been provided but deficien-cies are not harmful to general health |
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| 1. Clinically acceptable |
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| 2. Not clinically acceptable, future damage to the tooth and/or surrounding tissue likely to occur |
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c. Has not been provided such that deterioration of con-ditions harmful and dangerous to patient is not possible |
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| 3. Not clinically acceptable, damage now occuring |
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| 4. Alterations of tooth resulting from function, fracture or local or repetative factors |
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| 5. Caries penetrating to the dentid |
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| 6. Decalcificatios with or without cavitation |
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| 2 - 14: Planned Care Sequence for Repair |
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Apr / D2 |
Jun / D3 |
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| 2 - 15: Planned Care Sequence, Replacement |
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| a. Complete two removable pros. Tx plans. |
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Jan / D2 |
Jun / D3 |
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| b. Complete two fixed pros. Treatment plans. |
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| 2 - 16: Recognize Physiol/Nonphysiol Mastic. |
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| O.D.T.P./CRES Manual |
O.D.T.P Qualifying Examination |
Sep, Oct, Jan, Apr / D1 |
Sep, Dec, Mar, Jun / D3 |
Passing grade 70% on Q. E. |
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| a. Student identifies the condition of the masticatory system including TMJ function, cranio-mandibular relationship, muscles of mastication and occlusion |
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| b. Student distinguishes masticatory systems that are physiologic from those that are non-physiologic |
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