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Kingdom of Saudi ArabiaNational Commission for

Academic Accreditation & Assessment

العربيــة المملكــة السعوديــة

الوطنيــــة الهيئــــة للتقـويــم

واالعـــتــمـــادATTACHMENT 2 (e)

Course Specifications

Kingdom of Saudi Arabia

The National Commission for Academic Accreditation & Assessment

Course Specifications(CS)

Form 5a_Course Specifications _SSRP_1 JULY 2013Page 1





واالعـــتــمـــادCourse Specifications

Institution: College of Dentistry, University of Dammam. Date of Report: September 16, 2014 College/Department : Biomedical Dental Sciences

A. Course Identification and General Information

1. Course title and code: Comprehensive Patient Management, BDS-611

2. 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:


Yes

Yes 10

10

80Yes





واالعـــتــمـــاد

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 Covered

List of Topics No. ofWeeks

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






واالعـــتــمـــادCase 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 52

2. Course components (total contact hours and credits per semester):

Lecture Tutorial Laboratory Practical Other: Total

ContactHours 13 - 39 - - 52

Credit 1 - 3 - - 4

3. Additional private study/learning hours expected for students per week.


2






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






واالعـــتــمـــاد6. 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






واالعـــتــمـــاد10. 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 Learning

For 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.






واالعـــتــمـــاد7. 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 cavity2. History taking and oral examination to reach a differential diagnosis3. 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- Assessment task (e.g. essay, test, group project, Week Proportion of







ment examination etc.) due 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 Course

Date 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)


21/09/2014 Case presentation – 3 (Oral lesion and Osteoradionecrosis – Sq.CC & Osteoradionecrosis)


12/10/2014 Case presentation – 4 (Smoking, nicotine stomatitis and smokers melanosis)


19/10/2014 Revision

20/10/2014 Quiz – 1






واالعـــتــمـــاد26/10/2014 Case presentation – 5 (Respiratory disorder and oral lesion (obstructive sleep apnea

and Denture Stomatitis)


02/11/2014 Case presentation – 6 (Necrotizing ulcerative periodontitis in HIV patients and needle stick injury)


09/11/2014 Case presentation – 7 (Hypertension, lichen planus, and Normal OPG)


16/11/2014 Case presentation – 8 (Extraction, bisphosphonate therapy and BRONJ)


23/11/2014 Case presentation – 9 (Diabetes, Oral candidiasis, Periodontitis)


30/11/2014 Revision

01/12/2014 Quiz – 2

07/12/2014 Case presentation – 10 (Crohns disease and oral lesion)


14/12/2014 Case presentation – 11 (Ameloblastoma and its management)


Final Quiz

D. Student Academic Counseling and SupportArrangements for availability of teaching staff for individual student consultations and academic advice. (Include amount of time teaching staff are expected to be available each week).

Teaching staff are available during the 3-hour lab session every week. There are also 4 office hours for every staff/week where students may contact the staff members for any enquiries. Assignment assistance will be scheduled with instructors. Extra sessions can be arranged by the course director and approved by the department chairman whenever necessary or demanded by staff or students.






واالعـــتــمـــادE. Learning Resources

1. Required Text(s)

1. Essential References

1. Little JW, Falace DA, Miller CS, Rhodus NL. Dental Management of the Medically Compromised Patient, 8th ed., Mosby, St. Louis, 2008.

2. Gage TW and Pickett FA. Mosby’s Dental Drug Reference. Texas: 11th ed., Mosby’s 2009.

3. Crispian Scully, Medical problems in dentistry, 7th Edition, Churchill livingstone

4. Rajendran R, Shafer WG, Hine MK, Levy BM. Shafers textbook of oral pathology. 7th edition. India: Elsevier: 2007.

5. Neville B W, Damm DD, Allen C, Bouquot J E. Oral and Maxillofacial Pathology. 3rd edition Saunders. 2008

6. James R. Contemporary Oral and Maxillofacial Surgery, Hupp, 6th edition






واالعـــتــمـــاد7. Regezi JA, Sciubba J, Jordan RCK. Oral Pathology: clinical-

pathologic correlations. 6th edition. Philadelphia: W B Saunders co. 2012

8. White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. 7th edition. Elsevier: 2014.

2- Recommended Books and Reference Material (Journals, Reports, etc) (Attach List)

3-.Electronic Materials, Web Sites etc Online resources:

1. Pubmed

2. Ovid

3. Sciencedirect

4. Web of Knowledge

5- Other learning material such as computer-based programs/CD, professional standards/regulations

NA

F. Facilities Required

Indicate requirements for the course including size of classrooms and laboratories (ie number of seats in classrooms and laboratories, extent of computer access etc.)

1. Accommodation (Lecture rooms, laboratories, etc.) Lecture room with data show projector and capacity of 30 students

2. Computing resources: WiFi on the campus






واالعـــتــمـــاد3. Other resources (specify --eg. If specific laboratory equipment is required, list

requirements or attach list) NA

G Course Evaluation and Improvement Processes

1. Strategies for Obtaining Student Feedback on Effectiveness of Teaching

Student feedback collected after the Final Written exams. Course evaluation questionnaire

2. Other Strategies for Evaluation of Teaching by the Instructor or by the Department Peer review and discussion of lectures taken by the faculty

3. Processes for Improvement of Teaching1. Staff development sessions

2. Orientation by department chairman or senior staff member

3. Questionnaires to evaluate:

a. Case-based discussion sessions: data value, work in team, organization, staff

assistance.

b. Frequency of continuous assessment

4. Processes for Verifying Standards of Student Achievement (eg. check marking by an independent member teaching staff of a sample of student work, periodic exchange and remarking of tests or a sample of assignments with staff at another institution)

1. External course review is not available.

2. Students have access to Course Director and other instructors to discuss their performance

in any given assessment.

3. Written examinations validity and questions difficulty levels are analysed and discussed by

course instructors.

5. Describe the planning arrangements for periodically reviewing course effectiveness and planning for improvement.

1. Subject-specialty discussion of students’ performance following each assessment.

2. Identifying academically-challenged students as early as possible in order to provide

necessary support and report them to academic advisor according to Academic

Performance Policy.






واالعـــتــمـــاد3. Subject-specialty discussion of questionnaires of course, and assessment.


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