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  1. 1. 3/24/04 UNIVERSITY OF NEVADA LAS VEGAS SCHOOL OF DENTAL MEDICINE Competencies for Graduates of the DMD Program Introduction The UNLV School of Dental Medicine Competency statements describe the level of skills and knowledge in each critical area of the curriculum required for graduation from the DMD program. These competencies define the skills required to make the transition from provision of patient care under the supervision of faculty to the independent practice of general dentistry. The faculty of SDM recognizes that there is a higher level of skill described as proficiency that is attained over time and with experience and indicates mastery in each area. The faculty also recognizes that each of these competencies requires a foundational, integrated knowledge base in biomedical sciences, professional studies, and clinical sciences. It is important to note that these Competencies describe entry-level skills with the understanding and expectation that competency will improve to proficiency over time. The UNLV SDM Competencies are standards that apply to all age groups of patients including the child, adolescent, adult and geriatric patient, and to the medically compromised patient. In some cases the student will be the primary provider of the procedure and terms such as “perform”, “provide”, “restore”, or “treat” are used. In other, sometimes more advanced procedures the student may perform some of the treatment and will also oversee and coordinate treatment provided by others, or refer the patient to another health care provider. In those cases, the term “manage” is used. 1
  2. 2. Required Competencies of the UNLV School of Dental Medicine Graduate GRADUATES MUST BE COMPETENT TO: 1. Understand and apply ethical codes and laws and regulations governing dentistry 2. Access, evaluate, and incorporate into practice new knowledge, techniques, and materials 3. Promote oral and systemic health in individual patients and the community 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages 5. Assess and treat or manage periodontal and peri-implant tissues 6. Restore defective teeth to form, function and acceptable esthetics 7. Replace missing teeth to form, function and acceptable esthetics 8. Treat or manage pulpal and peri-radicular disorders 9. Treat or manage oral mucosal, bone, and temporomandibular disorders 10. Perform uncomplicated oral hard and soft tissue surgical procedures 11. Diagnose and manage malocclusion and occlusal disorders 12. Treat or manage orofacial pain and anxiety 13. Diagnose and treat or manage dental emergencies 14. Recognize, prevent and manage medical emergencies encountered in dental practice 15. Evaluate the outcomes of treatment provided by themselves and others 16. Manage health care provision and leadership of the oral health care team 17. Use information technology and information management systems for patient care, practice management, and professional development 2
  3. 3. Competencies and supporting competencies 1. Understand and apply ethical codes and laws and regulations governing dentistry 1.01 Understand the ADA Code of Ethics and respective state and federal guidelines regarding the practice of dentistry 2. Access, evaluate, and incorporate into practice new knowledge, techniques, and materials 2.01 Use current technology to retrieve and organize professional information from all sources 2.02 Critically evaluate published clinical and biomedical science literature and apply the information to manage the oral health of the patient 3. Promote oral and systemic health in individual patients and the community 3.01 Identify services available to promote oral health and assess the individual and community access to these services 3.02 Demonstrate methods of educating and motivating patients in the etiology and prevention of oral diseases 3.03 Communicate with diverse and special populations 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages 4.01 Obtain/perform and record a comprehensive history, examination of orofacial structures and appropriate diagnostic tests 4.02 Establish differential, provisional and/or definitive diagnoses 4.03 Develop a comprehensive, sequenced treatment plan based on all relevant findings and patient considerations, and develop alternative plans as appropriate 4.04 Develop a thorough understanding of proper infection control and OSHA procedures and be able to competently demonstrate related techniques 5. Assess and treat or manage periodontal and peri-implant tissues 5.01 Perform periodontal debridement (scaling and root planing) and manage etiologic factors 5.02 Evaluate the results of periodontal treatment and establish and manage a maintenance program 5.03 Evaluate and maintain the health of peri-implant tissues 6. Restore defective teeth to form, function and acceptable esthetics 6.01 Prepare teeth to support and retain dental restorations 6.02 Use appropriate dental biomaterials to create restorations to replace lost tooth structure and restore anatomical form, function and aesthetics 7. Replace missing teeth to form, function and acceptable esthetics 7.01 Prepare teeth and residual ridges to support and retain fixed or removable dental prostheses 7.02 Use appropriate dental biomaterials to create prostheses to replace missing teeth and restore anatomical form, function and aesthetics 3
  4. 4. Competencies and supporting competencies, continued 8. Treat or manage pulpal and peri-radicular disorders 8.01 Manage traumatic injuries to the tooth, pulp and supporting structures 8.02 Recognize the indications for surgical and complicated nonsurgical root canal therapy 9. Treat or manage oral mucosal, bone, and temporomandibular disorders 9.01 Identify the clinical features of oral mucosal diseases and disorders 9.02 Manage patients with oral mucosal diseases and disorders 9.03 Manage patients with bruxism or temporomandibular disorders (TMD) 10. Perform uncomplicated oral hard and soft tissue surgical procedures 10.01 Perform uncomplicated surgical and non-surgical extraction of teeth 10.02 Manage uncomplicated, localized odontogenic infections 10.03 Manage the common complications of oral surgery 10.04 Recognize complex conditions requiring surgical intervention(s) and explain their management 11. Diagnose and manage malocclusion and occlusal disorders 11.01 Assess the function of the masticatory system 11.02 Evaluate and maintain the oral health of patients undergoing orthodontic treatment 12. Treat or manage orofacial pain and anxiety 12.01 Use local anesthesia for pain management during dental therapy 12.02 Prevent, recognize and manage potential complications related to local anesthesia 12.03 Use conscious sedation/analgesia techniques for dental procedures 12.04 Inform patients of the indications, contraindications, limitations, risks and benefits of the use of intravenous sedation and general anesthesia 13. Diagnose and treat or manage dental emergencies 14. Recognize, prevent and manage medical emergencies encountered in dental practice 14.01 Manage medical emergencies in general dental practice 14.02 Perform basic life support procedures when appropriate 15. Evaluate the outcomes of treatment provided by themselves and others 16. Manage health care provision and leadership of the oral health care team 16.1 Perform dental procedures working with a dental assistant 16.2 Describe principles of peer review and quality assurance in dental practice 17. Use information technology and information management systems for patient care, practice management, and professional development 4
  5. 5. Supporting competencies and knowledge base Competency 1. Understand and apply ethical codes and laws and regulations governing dentistry (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7151: Health Care Finance/ Public Health (W/O) DEN 7152: Patient Communications (P/O) DEN 7154: Health Care Delivery: Patient Record and HIPPA Regulations (P/O) DEN 7509: Principles of Health Care Delivery (W/P/O) DEN 7510: Critical Thinking in Contemporary Health Care (W/O) DEN 7250: Practice Administration I: Dental Auxiliary Utilization (P/O) DEN 7254: Health Care Administration: Regulation and Finance (P/O) DEN 7350: Practice Administration II: Business Concepts (P/O) DEN 7351: Practice Administration III: Marketing and Productivity (P/O) DEN 7352: Practice Administration IV: Professional Regulation and Employment Issues (P/O) DEN 7352: Forensic Dentistry I (W/O) DEN 7355: Hospital Dentistry (O) DEN 7450: Forensic Dentistry II (O) DEN 7451: Forensic Dentistry III (O) Supporting competencies: 1.1 Understand the ADA Code of Ethics and respective state and federal guidelines regarding the practice of dentistry 1.2 Use current technology to retrieve and organize professional information from all sources Competency assessment criteria: 1.1. Students will be required to pass written examinations on the ADA Code of Ethics as well as the Dental Practice Act of Nevada. 1.1 Students will be continually evaluated for the quality and consistency of their professional judgment and ethical conduct in the UNLV classrooms, laboratories and clinics, and anytime they represent UNLV at an external site. 1.2 With the UNLV reliance on the electronic curriculum, students will be continually required to utilize information technology to retrieve and manage professional information. 5
  6. 6. Supporting competencies and knowledge base, continued Competency 2. Access, evaluate, and incorporate into practice new knowledge, techniques, and materials (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge DEN 7100: Biostatistics in Oral Health Sciences (W/P) DEN 7101: Physiological & Anatomical Concepts (W/L/P) DEN 7102: Microbiological & Immunological Concepts (W/L/P) DEN 7103: Cellular & Molecular Concepts (W/L/P) DEN 7105: Epidemiology in Oral Health Sciences (W/P) DEN 7106: Special Senses (W/L/P) DEN 7108: HIV/AIDS & Oral Disease (W/L/P) DEN 7110: Oral Pathogens and Oral Immunity (W/L/P) DEN 7200: Cariology (W/P) DEN 7206: Discipline-based Review of Biomedical Sciences (W) DEN 7208: Oral Cancer (W) DEN 7501: Biomedical Sciences Integration Seminar 1 (O) DEN 7502: Biomedical Sciences Integration Seminar 2 (O) DEN 7510: Critical Thinking in Contemporary Health Care (W/O) DEN 7512: Improving Practice Quality & School-wide Rounds (P/O) DEN 7151: Health Care Finance/ Public Health (W/O) DEN 7153: Specialty Practices 1 (O) DEN 7154: Health Care Delivery: Patient Record and HIPPA Regulations (W/P) DEN 7159: Practice Management Technology (W/P/O) DEN 7251: Specialty Practices II (W/O) DEN 7252: Community Outreach: Elderly Populations (P/O) DEN 7254: Health Care Administration: Regulation and Finance (P/O) DEN 7352: Forensic Dentistry I (W/O) DEN 7355: Hospital Dentistry (O) DEN 7356: Honors Public Health Rotation (P/O) DEN 7450: Forensic Dentistry II (O) DEN 7451: Forensic Dentistry III (O) Preclinical/Clinical DEN 7121: Principles of Clinical Dentistry: Operative Dentistry DEN 7122: Applied Clinical Dentistry: Restorative Dentistry DEN 7127: Introduction to Intraoral and Panoramic Radiology DEN 7326: Oral and Maxillofacial Pathology I DEN 7327: Oral and Maxillofacial Pathology II 6
  7. 7. Competency 2, continued Supporting competencies 2.01 Use current technology to retrieve and organize professional information from all sources 2.02 Critically evaluate published clinical and biomedical science literature and apply the information to manage the oral health of the patient Competency assessment criteria: 2.1 With the UNLV reliance on the electronic curriculum, students will be continually be required to utilize information technology to retrieve and manage professional information. 7
  8. 8. Supporting competencies and knowledge base, continued Competency 3. Promote oral and systemic health in individual patients and the community (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge DEN 7100: Biostatistics in Oral Health Sciences (W/P) DEN 7105: Epidemiology in Oral Health Sciences (W/P) DEN 7151: Health Care Financing & Public Health (W/O) DEN 7152: Patient Communications (P/O) DEN 7156: Community Outreach: Child Education (P/O) DEN 7157: Patient Communications and Cultural Proficiency (P/O) DEN 7200: Cariology (W/P) DEN 7204: Pathological Concepts (W/P) DEN 7208: Oral Cancer (W) DEN 7252: Community Outreach: Elderly Populations (P/O) DEN 7509: Principles of Health Care Delivery (W/P/O) DEN 7352: Forensic Dentistry I (W/O) DEN 7356: Honors Public Health Rotation (P/O) DEN 7450: Forensic Dentistry II (O) DEN 7451: Forensic Dentistry III (O) Supporting competencies 3.01 Identify services available to promote oral health and assess the individual and community access to these services 3.02 Demonstrate methods of educating and motivating patients in the etiology and prevention of oral diseases 3.03 Communicate with diverse and special populations Competency assessment criteria: 3.01 Through written examinations and individual and group projects, students will be assessed regarding their knowledge of health promotion information and skills. 3.01 Through participation in community activities, students will be able to assess the oral health needs of these communities. Competency will be assessed through written examinations and the individual evaluations of supervising faculty. 3.02 While providing oral health and prevention instructions to local community groups, competency will be assessed by supervising faculty through evaluation of their lesson plans and observing their presentations. 3.02 Through written examinations and individual group projects, students will be assessed regarding their knowledge of health promotion and prevention. 3.03 Competency will be assessed by evaluating students’ ability to obtain a medical history in Spanish from a Spanish-speaking patient. 8
  9. 9. Competency 3, continued 3.03. When students are providing clinical services, supervising faculty will assess competency by evaluating students’ ability to communicate effectively with diverse and special populations. 9
  10. 10. Supporting competencies and knowledge base, continued Competency 4. Evaluate, diagnose and perform treatment planning for individual patients of all ages (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge DEN 7101: Physiological & Anatomical Concepts (W/L/P) DEN 7102: Microbiological & Immunological Concepts (W/L/P) DEN 7103: Cellular & Molecular Concepts (W/L/P) DEN 7106: Special Senses (W/L/P) DEN 7108: HIV/AIDS & Oral Disease (W/L/P) DEN 7109: Head and Neck Anatomy (W/L/P) DEN 7110: Oral Pathogens and Oral Immunity (W/L/P) DEN 7152: Patient Communications (P/O) DEN 7153: Specialty Practices 1 (O) DEN 7154: Health Care Delivery: Patient Record and HIPPA Regulations (P/O) DEN 7159: Practice Management Technology (W/P/O) DEN 7200: Cariology (W/P) DEN 7201: Oral and Systemic Manifestations of Disease (W) DEN 7202: Oral Developmental Anatomy and Histology (W/LP) DEN 7203: Pharmacological Concepts (W/P) DEN 7204: Pathological Concepts (W/P) DEN 7205: Clinically Oriented Anatomy (W/O) DEN 7206: Discipline-based Review of Biomedical Sciences (W) DEN 7208: Oral Cancer (W) DEN 7251: Specialty Practices II (W/O) DEN 7352: Forensic Dentistry I (W/O) DEN 7501: Biomedical Sciences Integration Seminar 1 (O) DEN 7502: Biomedical Sciences Integration Seminar 2 (O) DEN 7510: Critical Thinking in Contemporary Health Care (W/O) DEN 7512: Improving Practice Quality & School-wide Rounds (P/O) DEN 7450: Forensic Dentistry II (O) DEN 7451: Forensic Dentistry III (O) Preclinical/Clinical DEN 7120: Introduction to Infection Control DEN 7121: Principles of Clinical Dentistry: Operative Dentistry DEN 7122: Applied Clinical Dentistry: Restorative Dentistry DEN 7123: Diagnosis and Treatment Planning DEN 7124: Dental Anatomy and Occlusion Lab DEN 7127: Introduction to Intraoral and Panoramic Radiology DEN 7128: Clinical Dentistry Seminar DEN 7129: Diagnosis and Treatment Planning II DEN 7130: Principles of Dental Materials I 10
  11. 11. Competency 4, Preclinical/Clinical, continued DEN 7134: Introduction to Digital Radiology DEN 7140: DSI General Dentistry Clinic DEN 7220: Clinical Dentistry II: Endodontics DEN 7228: Pharmacotherapeutics I: Prescribing Medication DEN 7229: Panoramic Principles and Advanced Radiographic Anatomy DEN 7234: Clinical Occlusion DEN 7323: Digital and Conventional X-Ray Production DEN 7235: Pediatric Dentistry: Principles and Techniques DEN 7236: Introduction to Periodontal Diagnosis and Phase I Therapy DEN 7238: Diagnosis and Treatment Planning Seminar DEN 7240: DSII General Dentistry Clinic DEN 7320: Clinical Medicine I DEN 7325: Restorative Dentistry: Operative Dentistry Seminar DEN 7326: Oral and Maxillofacial Pathology I DEN 7327: Oral and Maxillofacial Pathology II DEN 7340: DSIII General Dentistry Clinic DEN 7355: Hospital Dentistry (O) DEN 7505: Treatment Planning and Outcomes I: Integration Seminar DEN 7506: Treatment Planning and Outcomes II: Integration Seminar Supporting competencies: 4.01 Obtain/perform and record a comprehensive history, examination of orofacial structures and appropriate diagnostic tests 4.02 Establish differential, provisional and/or definitive diagnoses 4.03 Develop a comprehensive, sequenced treatment plan based on all relevant findings and patient considerations, and develop alternative plans as appropriate 4.04 Develop a thorough understanding of proper infection control and OSHA procedures and be able to competently demonstrate related techniques 11
  12. 12. Competency 4, continued Clinical competency assessment criteria: Clinical competency evaluation will be performed in the 1st, 3d and 4th years. Students will be required to pass these competency assessments to progress. DSI Students will be assigned to setup, maintain and takedown an operatory following all the principles of infection control and OSHA guidelines. DS III Students will be assigned one new simple or uncomplicated patient and required to examine and gather all appropriate diagnostic data for the patient and develop an acceptable provisional diagnosis and treatment plan. DS IV Students will be assigned one new more complex patient and required to examine and gather all appropriate diagnostic data for the patient and develop an acceptable provisional diagnosis and treatment plan. All students will also be required to pass the overall and complete diagnosis and treatment plan section of the mock board exam. Students will be assigned one new pediatric patient and required to examine and gather all appropriate diagnostic data for the patient and develop an acceptable provisional diagnosis and treatment plan. 12
  13. 13. Supporting competencies and knowledge base, continued Competency 5. Assess and treat or manage periodontal and peri-implant tissues (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge DEN 7101: Physiological & Anatomical Concepts (W/L/P) DEN 7102: Microbiological & Immunological Concepts (W/L/P) DEN 7103: Cellular & Molecular Concepts (W/L/P) DEN 7108: HIV/AIDS & Oral Disease (W/L/P) DEN 7109: Head and Neck Anatomy (W/L/P) DEN 7110: Oral Pathogens and Oral Immunity (W/L/P) DEN 7201: Oral and Systemic Manifestations of Disease (W) DEN 7202: Oral Developmental Anatomy and Histology (W/L/P) DEN 7203: Pharmacological Concepts (W/P) DEN 7204: Pathological Concepts (W/P) DEN 7206: Discipline-based Review of Biomedical Sciences (W) DEN 7251: Specialty Practices II (W/O) DEN 7501: Biomedical Sciences Integration Seminar 1 (O) DEN 7502: Biomedical Sciences Integration Seminar 2 (O) Preclinical/Clinical DEN 7120: Introduction to Infection Control DEN 7123: Diagnosis and Treatment Planning DEN 7124: Dental Anatomy and Occlusion Lab DEN 7126: Local Anesthesia and Nitrous Oxide Sedation DEN 7127: Introduction to Intraoral and Panoramic Radiology DEN 7129: Diagnosis and Treatment Planning II DEN 7134: Introduction to Digital Radiology DEN 7135: Periodontal Anatomy and Pathogenesis of Periodontal Disease DEN 7136: Basics of Periodontal Instrumentation and Preventive Intervention DEN 7140: DSI General Dentistry Clinic DEN 7226: Introduction to Dental Implants DEN 7228: Pharmacotherapeutics I: Prescribing Medication DEN 7229: Panoramic Principles and Advanced Radiographic Anatomy DEN 7236: Introduction to Periodontal Diagnosis and Phase I Therapy DEN 7240: DSII General Dentistry Clinic DEN 7321: Principles of Periodontal Surgery and Implantology DEN 7323: Digital and Conventional X-Ray Production DEN 7326: Oral and Maxillofacial Pathology I DEN 7327: Oral and Maxillofacial Pathology II DEN 7340: DSIII General Dentistry Clinic 13
  14. 14. Competency 5, continued Supporting competencies: 5.01 Perform periodontal debridement (scaling and root planing) and manage etiologic factors 5.02 Evaluate the results of periodontal treatment and establish and manage a maintenance program 5.03 Evaluate and maintain the health of peri-implant tissues Clinical competency assessment criteria: Students will be required to pass Periodontal competency exams in the 3d and 4 th years to progress DS III Students will be required to perform on an assigned patient: a) Diagnosis of all periodontal disease including PSR and periodontal evaluation b) Develop a plan for periodontal treatment c) Perform preventive health education and disease prevention instructions d) Perform scaling and root planning therapy e) Perform dental prophylaxis f) Perform recall and periodontal reevaluation and monitor home care DS IV Students will be required to perform for an assigned patient: a) Diagnosis of all periodontal disease including PSR and periodontal evaluation b) Develop a plan for periodontal treatment c) Perform preventive health education and disease prevention instructions d) Perform scaling and root planning therapy e) Perform dental prophylaxis f) Perform recall and periodontal reevaluation DS IV Students will be required to perform for an assigned child patient a) Home care and disease prevention instruction b) Prophylaxsis and fluoride application 14
  15. 15. Supporting competencies and knowledge base, continued Competency 6. Restore defective teeth to form, function and acceptable esthetics (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7101: Physiological & Anatomical Concepts (W/L/P) DEN 7102: Microbiological & Immunological Concepts (W/L/P) DEN 7109: Head and Neck Anatomy (W/L/P) DEN 7110: Oral Pathogens and Oral Immunity (W/L/P) DEN 7200: Cariology (W/P) DEN 7201: Oral and Systemic Manifestations of Disease (W) DEN 7202: Oral Developmental Anatomy and Histology (W/L/P) DEN 7203: Pharmacological Concepts (W/P) DEN 7204: Pathological Concepts (W/P) DEN 7206: Discipline-based Review of Biomedical Sciences (W) DEN 7251: Specialty Practices II (W/O) Preclinical/Clinical: DEN 7120: Introduction to Infection Control DEN 7121: Principles of Clinical Dentistry: Operative Dentistry DEN 7122: Applied Clinical Dentistry: Restorative Dentistry DEN 7123: Diagnosis and Treatment Planning DEN 7124: Dental Anatomy and Occlusion Lab DEN 7125: Dental Anatomy and Occlusion Lecture DEN 7126: Local Anesthesia and Nitrous Oxide Sedation DEN 7127: Introduction to Intraoral and Panoramic Radiology DEN 7129: Diagnosis and Treatment Planning II DEN 7130: Principles of Dental Materials I DEN 7133: Principles of Clinical Dentistry: Operative Dentistry Lab DEN 7134: Introduction to Digital Radiology DEN 7137: Applied Clinical Dentistry: Restorative Lab DEN 7140: DSI General Dentistry Clinic DEN 7221: Applied Dental Materials I DEN 7222: Introduction to Clinical Dentistry: Fixed Prosthodontics DEN 7225: Advanced General Dentistry: Surgical and Restorative Techniques DEN 7229: Panoramic Principles and Advanced Radiographic Anatomy DEN 7233: Restorative Dentistry: Removable Prosthodontics DEN 7234: Clinical Occlusion DEN 7235: Pediatric Dentistry: Principles and Techniques DEN 7237: DSII: Digital Radiography DEN 7240: DSII General Dentistry Clinic DEN 7323: Digital and Conventional X-Ray Production DEN 7324: Esthetic Dentistry: Principles and Techniques DEN 7325: Restorative Dentistry: Operative Dentistry Seminar 15
  16. 16. Competency 6, continued DEN 7326: Oral and Maxillofacial Pathology I DEN 7327: Oral and Maxillofacial Pathology II DEN 7340: DSIII General Dentistry Clinic DEN 7355: Hospital Dentistry (O) Supporting competencies: 6.01 Prepare teeth to support and retain dental restorations 6.02 Use appropriate dental biomaterials to create restorations to replace lost tooth structure and restore anatomical form, function and aesthetics Clinical competency assessment criteria: Students will be required to pass competency exams in the 3d and 4th years to progress. DS III Students will be required to perform for an assigned patient and as a competency evaluation: a) Class II amalgam restoration b) Class III composite restoration c) Class I composite restoration d) Full gold crown restoration DS IV Students will be required to perform for an assigned patient and as a competency evaluation: a) Class II amalgam restoration b) Class III composite restoration c) Class I composite restoration d) Full gold crown restoration e) Porcelain fused to metal crown f) Inlay/onlay restoration and other appropriate restorative procedures on the mock board exam DS IV Students will be required to perform for an assigned child patient and as a competency evaluation: a) Class II amalgam restoration b) Class I composite restoration c) Stainless steel crown restoration 16
  17. 17. Supporting competencies and knowledge base, continued Competency 7. Replace missing teeth to form, function and acceptable esthetics (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7101: Physiological & Anatomical Concepts (W/L/P) DEN 7109: Head and Neck Anatomy (W/L/P) DEN 7202: Oral Developmental Anatomy and Histology (W/L/P) DEN 7203: Pharmacological Concepts (W/P) DEN 7206: Discipline-based Review of Biomedical Sciences (W) DEN 7251: Specialty Practices II (W/O) Preclinical/Clinical: DEN 7120: Introduction to Infection Control DEN 7123: Diagnosis and Treatment Planning DEN 7124: Dental Anatomy and Occlusion Lab DEN 7125: Dental Anatomy and Occlusion Lecture DEN 7126: Local Anesthesia and Nitrous Oxide Sedation DEN 7127: Introduction to Intraoral and Panoramic Radiology DEN 7129: Diagnosis and Treatment Planning II DEN 7130: Principles of Dental Materials I DEN 7140: DSI General Dentistry Clinic DEN 7221: Applied Dental Materials I DEN 7222: Introduction to Clinical Dentistry: Fixed Prosthodontics DEN 7226: Introduction to Dental Implants DEN 7227: Oral Surgical Principles and Techniques DEN 7229: Panoramic Principles and Advanced Radiographic Anatomy DEN 7233: Restorative Dentistry: Removable Prosthodontics DEN 7234: Clinical Occlusion DEN 7237: DSII: Digital Radiography DEN 7240: DSII General Dentistry Clinic DEN 7321: Principles of Periodontal Surgery and Implantology DEN 7323: Digital and Conventional X-Ray Production DEN 7324: Esthetic Dentistry: Principles and Techniques DEN 7340: DSIII General Dentistry Clinic DEN 7355: Hospital Dentistry (O) Supporting competencies: 7.01 Prepare teeth and residual ridges to support and retain fixed or removable dental prostheses 7.02 Use appropriate dental biomaterials to create prostheses to replace missing teeth and restore anatomical form, function and aesthetics 17
  18. 18. Competency 7, continued Clinical competency assessment criteria: Students will be required to pass competency exams in the 3d and 4th years to progress. DS III Students will be required to restore missing teeth for an assigned partially edentulous patient. At the completion of treatment faculty will determine the competency of the student to replace missing teeth. DS IV Students will be required to restore missing teeth for an assigned partially edentulous patient as a competency exam using the appropriate materials and appliance including removable and/or fixed appliances. The option of use of implants must be included if appropriate At the completion of treatment faculty will determine the competency of the student to replace missing teeth. Students will be required to replace missing teeth for assigned patients assigned as part of the mock board exam, which is a competency exam and must be passed in order to graduate. Students will be required to restore missing teeth for an assigned edentulous patient as a competency exam. The option of use of implants must be included if appropriate At the completion of treatment faculty will determine the competency of the student to replace missing teeth. 18
  19. 19. Supporting competencies and knowledge base, continued Competency 8. Treat or manage pulpal and peri-radicular disorders (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7101: Physiological & Anatomical Concepts (W/L/P) DEN 7102: Microbiological & Immunological Concepts (W/L/P) DEN 7103: Cellular & Molecular Concepts (W/L/P) DEN 7109: Head and Neck Anatomy (W/L/P) DEN 7110: Oral Pathogens and Oral Immunity (W/L/P) DEN 7202: Oral Developmental Anatomy and Histology (W/L/P) DEN 7203: Pharmacological Concepts (W/P) DEN 7204: Pathological Concepts (W/P) DEN 7206: Discipline-based Review of Biomedical Sciences (W) DEN 7251: Specialty Practices II (W/O) Preclinical/Clinical: DEN 7120: Introduction to Infection Control DEN 7123: Diagnosis and Treatment Planning DEN 7124: Dental Anatomy and Occlusion Lab DEN 7125: Dental Anatomy and Occlusion Lecture DEN 7126: Local Anesthesia and Nitrous Oxide Sedation DEN 7127: Introduction to Intraoral and Panoramic Radiology DEN 7129: Diagnosis and Treatment Planning II DEN 7140: DSI General Dentistry Clinic DEN 7220: Clinical Dentistry II: Endodontics DEN 7227: Oral Surgical Principles and Techniques DEN 7229: Panoramic Principles and Advanced Radiographic Anatomy DEN 7237: DSII: Digital Radiography DEN 7240: DSII General Dentistry Clinic DEN 7323: Digital and Conventional X-Ray Production DEN 7326: Oral and Maxillofacial Pathology I DEN 7327: Oral and Maxillofacial Pathology II DEN 7340: DSIII General Dentistry Clinic DEN 7355: Hospital Dentistry (O) Supporting competencies: 8.01 Manage traumatic injuries to the tooth, pulp and supporting structures 8.02 Recognize the indications for surgical and complicated nonsurgical root canal therapy 19
  20. 20. Competency 8, continued Clinical competency assessment criteria: DS III Students will be required to treat pulpal and periradicular disease for assigned patient as appropriate DS IV Students will be required to pass a competency exam including diagnosis, planning appropriate treatment and providing endodontic therapy for a single or multi rooted tooth. Students will be required to diagnose, plan treatment for, and provide treatment as part of the comprehensive care for patients assigned as mock board patients. Students will be required to perform for a as part of the comprehensive care of a pediatric patient a pulpotomy and coronal restoration as part of the pediatric competency evaluation. 20
  21. 21. Supporting competencies and knowledge base, continued Competency 9. Treat or manage oral mucosal, bone, and temporomandibular disorders (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7101: Physiological & Anatomical Concepts (W/L/P) DEN 7102: Microbiological & Immunological Concepts (W/L/P) DEN 7103: Cellular & Molecular Concepts (W/L/P) DEN 7106: Special Senses (W/L/P) DEN 7108: HIV/AIDS & Oral Disease (W/L/P) DEN 7109: Head and Neck Anatomy (W/L/P) DEN 7110: Oral Pathogens and Oral Immunity (W/L/P) DEN 7202: Oral Developmental Anatomy and Histology (W/LP) DEN 7203: Pharmacological Concepts (W/P) DEN 7201: Oral and Systemic Manifestations of Disease (W) DEN 7204: Pathological Concepts (W/P) DEN 7206: Discipline-based Review of Biomedical Sciences (W) DEN 7208: Oral Cancer (W) DEN 7251: Specialty Practices II (W/O) DEN 7501: Biomedical Sciences Integration Seminar 1 (O) DEN 7502: Biomedical Sciences Integration Seminar 2 (O) Preclinical/Clinical: DEN 7120: Introduction to Infection Control DEN 7123: Diagnosis and Treatment Planning DEN 7124: Dental Anatomy and Occlusion Lab DEN 7127: Introduction to Intraoral and Panoramic Radiology DEN 7128: Clinical Dentistry Seminar DEN 7129: Diagnosis and Treatment Planning II DEN 7140: DSI General Dentistry Clinic DEN 7227: Oral Surgical Principles and Techniques DEN 7229: Panoramic Principles and Advanced Radiographic Anatomy DEN 7237: DSII: Digital Radiography DEN 7240: DSII General Dentistry Clinic DEN 7320: Clinical Medicine I DEN 7323: Digital and Conventional X-Ray Production DEN 7326: Oral and Maxillofacial Pathology I DEN 7327: Oral and Maxillofacial Pathology II DEN 7340: DSIII General Dentistry Clinic DEN 7355: Hospital Dentistry (O) 21
  22. 22. Competency 9, continued Supporting competencies: 9.01 Identify the clinical features of oral mucosal diseases and disorders 9.02 Manage patients with oral mucosal diseases and disorders 9.03 Manage patients with bruxism or temporomandibular disorders (TMD) Clinical competency assessment criteria: As part of the DS III and DS IV diagnosis competency examinations all students will be required to competently evaluate a patient for signs and symptoms of temporomandibular disorders, assess need for treatment and if indicated prescribe appropriate conservative therapy and/or refer for interdisciplinary care. Similarly, DS III and DS IV students will be required to competently evaluate a patient for signs and symptoms of oral mucosal and bone disorders, assess need for treatment and prescribe appropriate therapy and/or refer for interdisciplinary care as indicated. 22
  23. 23. Supporting competencies and knowledge base, continued Competency 10. Perform uncomplicated oral hard and soft tissue surgical procedures (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7101: Physiological & Anatomical Concepts (W/L/P) DEN 7102: Microbiological & Immunological Concepts (W/L/P) DEN 7109: Head and Neck Anatomy (W/L/P) DEN 7201: Oral and Systemic Manifestations of Disease (W) DEN 7202: Oral Developmental Anatomy and Histology (W/L/P) DEN 7203: Pharmacological Concepts (W/P) DEN 7206: Discipline-based Review of Biomedical Sciences (W) DEN 7208: Oral Cancer (W) DEN 7251: Specialty Practices II (W/O) Preclinical/Clinical: DEN 7120: Introduction to Infection Control DEN 7121: Principles of Clinical Dentistry: Operative Dentistry DEN 7123: Diagnosis and Treatment Planning DEN 7124: Dental Anatomy and Occlusion Lab DEN 7126: Local Anesthesia and Nitrous Oxide Sedation DEN 7127: Introduction to Intraoral and Panoramic Radiology DEN 7128: Clinical Dentistry Seminar DEN 7129: Diagnosis and Treatment Planning II DEN 7134: Introduction to Digital Radiology DEN 7140: DSI General Dentistry Clinic DEN 7227: Oral Surgical Principles and Techniques DEN 7228: Pharmacotherapeutics I: Prescribing Medication DEN 7229: Panoramic Principles and Advanced Radiographic Anatomy DEN 7235: Pediatric Dentistry: Principles and Techniques DEN 7237: DSII: Digital Radiography DEN 7238: Diagnosis and Treatment Planning Seminar DEN 7240: DSII General Dentistry Clinic DEN 7320: Clinical Medicine I DEN 7321: Principles of Periodontal Surgery and Implantology DEN 7323: Digital and Conventional X-Ray Production DEN 7326: Oral and Maxillofacial Pathology I DEN 7327: Oral and Maxillofacial Pathology II DEN 7340: DSIII General Dentistry Clinic DEN 7355: Hospital Dentistry (O) 23
  24. 24. Competency 10, continued Supporting competencies: 10.01 Perform uncomplicated surgical and non-surgical extraction of teeth 10.02 Manage uncomplicated, localized odontogenic infections 10.03 Manage the common complications of oral surgery 10.04 Recognize complex conditions requiring surgical intervention(s) and explain their management Clinical competency assessment criteria: DS III Students will be required to pass a competency exam including diagnosis, planning appropriate treatment and providing uncomplicated non-surgical extraction therapy of a single or multi rooted tooth for an assigned patient or on rotation DS IV Students will be required to pass a competency exam including diagnosis, planning appropriate treatment and providing uncomplicated surgical extraction therapy of a single or multi rooted tooth for an assigned patient or on rotation. Students will be required to diagnose, treatment plan and provide surgical treatment for assigned patients as part of the mock board exam. 24
  25. 25. Supporting competencies and knowledge base, continued Competency 11. Diagnose and manage malocclusion and occlusal disorders (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7106: Special Senses (W/L/P) DEN 7109: Head and Neck Anatomy (W/L/P) DEN 7201: Oral and Systemic Manifestations of Disease (W) DEN 7202: Oral Developmental Anatomy and Histology (W/LP) DEN 7203: Pharmacological Concepts (W/P) DEN 7206: Discipline-based Review of Biomedical Sciences (W) DEN 7251: Specialty Practices II (W/O) Preclinical/Clinical: DEN 7123: Diagnosis and Treatment Planning DEN 7124: Dental Anatomy and Occlusion Lab DEN 7125: Dental Anatomy and Occlusion Lecture DEN 7127: Introduction to Intraoral and Panoramic Radiology DEN 7128: Clinical Dentistry Seminar DEN 7129: Diagnosis and Treatment Planning II DEN 7134: Introduction to Digital Radiology DEN 7140: DSI General Dentistry Clinic DEN 7229: Panoramic Principles and Advanced Radiographic Anatomy DEN 7230: Clinical Dentistry III: Orthodontics and Pedodontics DEN 7234: Clinical Occlusion DEN 7235: Pediatric Dentistry: Principles and Techniques DEN 7237: DSII: Digital Radiography DEN 7238: Diagnosis and Treatment Planning Seminar DEN 7240: DSII General Dentistry Clinic DEN 7323: Digital and Conventional X-Ray Production DEN 7340: DSIII General Dentistry Clinic Supporting competencies: 11.01 Assess the function of the masticatory system 11.02 Evaluate and maintain the oral health of patients undergoing orthodontic treatment 25
  26. 26. Competency 11, continued Clinical competency assessment criteria: 1. As part of the DS III and DS IV diagnosis competency examinations, all students will be required to competently perform occlusal examination and analysis including mounted dental casts. 2. All DS III and DS IV students will be required to design, deliver and recall a maxillary stabilization bite plane splint for control of bruxism and/or management of functional disturbances of the masticatory system. 3. All DS III and DS IV students will be required to perform selective occlusal adjustment of the restored and natural dentition as indicated during routine patient treatment. 4. All DS III students as a competency evaluation, will be required to evaluate and trace a cephalogram and identify anatomic landmarks on a cephalogram radiograph. 5 All students during their DSS III or DS IV year and as a competency evaluation, will be required to evaluate and identify Angles Classification as well as anterior teeth evaluation on an assigned patient, decide on need for orthodontic treatment, and write a letter of referral to an orthodontist regarding that patient. 26
  27. 27. Supporting competencies and knowledge base, continued Competency 12. Treat or manage orofacial pain and anxiety (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7101: Physiological & Anatomical Concepts (W/L/P) DEN 7106: Special Senses (W/L/P) DEN 7109: Head and Neck Anatomy (W/L/P) DEN 7202: Oral Developmental Anatomy and Histology (W/LP) DEN 7203: Pharmacological Concepts (W/P) DEN 7204: Pathological Concepts (W/P) DEN 7205: Clinically Oriented Anatomy(W/O) DEN 7206: Discipline-based Review of Biomedical Sciences (W) DEN 7251: Specialty Practices II (W/O) DEN 7501: Biomedical Sciences Integration Seminar 1 (O) DEN 7502: Biomedical Sciences Integration Seminar 2 (O) Preclinical/Clinical: DEN 7123: Diagnosis and Treatment Planning DEN 7124: Dental Anatomy and Occlusion Lab DEN 7126: Local Anesthesia and Nitrous Oxide Sedation DEN 7128: Clinical Dentistry Seminar DEN 7129: Diagnosis and Treatment Planning II DEN 7140: DSI General Dentistry Clinic DEN 7228: Pharmacotherapeutics I: Prescribing Medication DEN 7235: Pediatric Dentistry: Principles and Techniques DEN 7240: DSII General Dentistry Clinic DEN 7320: Clinical Medicine I DEN 7323: Digital and Conventional X-Ray Production DEN 7340: DSIII General Dentistry Clinic DEN 7355: Hospital Dentistry (O) Supporting competencies: 12.01 Use local anesthesia for pain management during dental therapy 12.02 Prevent, recognize and manage potential complications related to local anesthesia 12.03 Use conscious sedation/analgesia techniques for dental procedures 12.04 Inform patients of the indications, contraindications, limitations, risks and benefits of the use of intravenous sedation and general anesthesia Clinical competency assessment criteria: Students will be required to provide local anesthesia as part of the restorative dentistry, pediatric dentistry, and surgical competency exams. Students will be required to apply anxiety and pain control procedures when indicated in competency exams. 27
  28. 28. Students will also be required to provide local anesthesia as indicated for patients as part of the mock board exam and as part of the competency exams for pediatric patients 28
  29. 29. Supporting competencies and knowledge base, continued Competency 13. Diagnose and treat or manage dental emergencies (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7102: Microbiological & Immunological Concepts (W/L/P) DEN 7109: Head and Neck Anatomy (W/L/P) DEN 7203: Pharmacological Concepts (W/P) DEN 7206: Discipline-based Review of Biomedical Sciences (W) Preclinical/Clinical: DEN 7120: Introduction to Infection Control DEN 7123: Diagnosis and Treatment Planning DEN 7126: Local Anesthesia and Nitrous Oxide Sedation DEN 7127: Introduction to Intraoral and Panoramic Radiology DEN 7128: Clinical Dentistry Seminar DEN 7129: Diagnosis and Treatment Planning II DEN 7140: DSI General Dentistry Clinic DEN 7227: Oral Surgical Principles and Techniques DEN 7228: Pharmacotherapeutics I: Prescribing Medication DEN 7237: DSII: Digital Radiography DEN 7238: Diagnosis and Treatment Planning Seminar DEN 7240: DSII General Dentistry Clinic DEN 7323: Digital and Conventional X-Ray Production DEN 7326: Oral and Maxillofacial Pathology I DEN 7327: Oral and Maxillofacial Pathology II DEN 7340: DSIII General Dentistry Clinic DEN 7355: Hospital Dentistry Clinical competency assessment criteria: DS III Students will be required to diagnose, plan treatment, and deliver appropriate care for a patient with a dental emergency. DSIV Students will be required to diagnose, plan treatment, and deliver appropriate care for a patient with a dental emergency to include management of surgical, endodontic or restorative alternatives. Students will be required to provide urgent or emergency care for patients assigned as part of the mock board exam. 29
  30. 30. Supporting competencies and knowledge base, continued Competency 14. Recognize, prevent and manage medical emergencies encountered in dental practice (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7109: Head and Neck Anatomy (W/L/P) DEN 7201: Oral and Systemic Manifestations of Disease (W) DEN 7203: Pharmacological Concepts (W/P) DEN 7204: Pathological Concepts (W/P) DEN 7205: Clinically Oriented Anatomy(W/O) DEN 7206: Discipline-based Review of Biomedical Sciences (W) Preclinical/Clinical: DEN 7120: Introduction to Infection Control DEN 7123: Diagnosis and Treatment Planning DEN 7126: Local Anesthesia and Nitrous Oxide Sedation DEN 7129: Diagnosis and Treatment Planning II DEN 7227: Oral Surgical Principles and Techniques DEN 7228: Pharmacotherapeutics I: Prescribing Medication DEN 7238: Diagnosis and Treatment Planning Seminar DEN 7320: Clinical Medicine I DEN 7323: Digital and Conventional X-Ray Production DEN 7330: Forensic Preparedness DEN 7355: Hospital Dentistry Supporting competencies: 14.01 Manage medical emergencies in general dental practice 14.02 Perform basic life support procedures when appropriate Clinical competency assessment criteria: Students will be required to attain CPR and BSL credentials as DS I and DS III students following training including the use of a defibrillator. DS III Students will be required to provide as a competency assessment emergency and basic life support procedures for a simulated patient including the use of a defibrillator. 30
  31. 31. Supporting competencies and knowledge base, continued Competency 15. Evaluate the outcomes of treatment provided by themselves and others (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7100: Biostatistics in Oral Health Sciences (W/P) DEN 7105: Epidemiology in Oral Health Sciences (W/P) DEN 7153: Specialty Practices 1 (O) DEN 7154: Health Care Delivery: Patient Record and HIPPA Regulations (P/O) DEN 7251: Specialty Practices II (W/O) DEN 7509: Principles of Health Care Delivery (W/P) DEN 7352: Forensic Dentistry I (W/O) DEN 7450: Forensic Dentistry II (O) DEN 7451: Forensic Dentistry III (O) DEN 7511: Q/A, OSHA, Infection Control, Analyzing Outcomes DEN 7512: Improving Practice Quality & School-wide Rounds (P/O) Preclinical/Clinical: DEN 7121: Principles of Clinical Dentistry: Operative Dentistry DEN 7123: Diagnosis and Treatment Planning DEN 7129: Diagnosis and Treatment Planning II DEN 7159: Practice Management Technology DEN 7238: Diagnosis and Treatment Planning Seminar DEN 7505: Treatment and Planning Outcomes I: Integration Seminar DEN 7506: Treatment and Planning Outcomes II: Integration Seminar DEN 7355: Hospital Dentistry (O) Clinical competency assessment criteria: Students will be required to assess on recall all treatment they have provided for assigned patients and to assess any treatment provided by others. DS IV Students will be required to assess treatment they have provided for a patient as a competency exam. 31
  32. 32. Supporting competencies and knowledge base, continued Competency 16. Manage health care provision and leadership of the oral health care team (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7151: Health Care Finance/ Public Health (W/O) DEN 7153: Specialty Practices 1 (O) DEN 7154: Health Care Delivery: Patient Record and HIPPA Regulations (P/O) DEN 7159: Practice Management Technology (P/O) DEN 7509: Principles of Health Care Delivery (W/P/O) DEN 7250: Practice Administration I: Dental Auxiliary Utilization (W/L/P/O) DEN 7251: Specialty Practices II (W/O) DEN 7254: Health Care Administration: Regulation and Finance (W/P) DEN 7350: Practice Administration II: Business Concepts (P/O) DEN 7351: Practice Administration III: Marketing and Productivity (P/O) DEN 7352: Practice Administration IV: Professional Regulation and Employment Issues (P/O) DEN 7352: Forensic Dentistry I (W/O) DEN 7355: Hospital Dentistry (O) DEN 7450: Forensic Dentistry II (O) DEN 7451: Forensic Dentistry III (O) Supporting competencies: 16.1 Perform dental procedures working with a dental assistant 16.02 Describe principles of peer review and quality assurance in dental practice Competency assessment criteria: 16.1 Students will be required to perform selected dental procedures while working with a dental assistant. Supervising faculty will determine competency through observation and feedback. 16.2 Competency will be determined through written examinations as well as group and individual projects. 32
  33. 33. Supporting competencies and knowledge base, continued Competency 17. Use information technology and information management systems for patient care, practice management, and professional development (Student Evaluation Methods: W=written examination; L=laboratory practical/exercise; P=individual/group projects/assignments; C=clinical skills competency; O=other) Foundational knowledge: DEN 7153: Specialty Practices 1 (O) DEN 7154: Health Care Delivery: Patient Record and HIPPA Regulations (P/O) DEN 7159: Practice Management Technology (W/P/O) DEN 7251: Specialty Practices II (W/O) DEN 7252: Community Outreach: Elderly Populations (P/O) DEN 7254: Health Care Administration: Regulation and Finance (W/O) DEN 7509: Principles of Health Care Delivery (W/P/O) DEN 7510: Critical Thinking in Contemporary Health Care (W/O) DEN 7512: Improving Practice Quality & School-wide Rounds (P/O) DEN 7355: Hospital Dentistry (O) DEN 7356: Honors Public Health Rotation (P/O) Competency assessment criteria: DEN 7154 Competency will be evaluated through written tests and individual projects. DEN 7509 Competency will be evaluated through written tests. 33

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