Attachment 2 (e) Course Specifications



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Kingdom of Saudi Arabia

National Commission for

Academic Accreditation & Assessment

المملكــة العربيــة السعوديــة

الهيئــــة الوطنيــــة للتقـويــم

والاعـــتــمـــاد الأكــاديــمــــي

ATTACHMENT 2 (e)

Course Specifications


Kingdom of Saudi Arabia
The National Commission for Academic Accreditation & Assessment

Course Specifications

(Oral Diagnosis and Treatment Planning)

Course Specifications



Institution University of Dammam Date of Report 03/03/20


College/Department : College of Dentistry / BDS


A. Course Identification and General Information


1. Course title and code: Oral Diagnosis II (ODIAG413)


2. Credit hours: 2

3. Program(s) in which the course is offered.

(If general elective available in many programs indicate this rather than list programs)



Bachelor in Dental Surgery.

4. Name of faculty member responsible for the course: Dr Aiman A. Ali


5. Level/year at which this course is offered: 4th year First semester

6. Pre-requisites for this course (if any): ODIAG312; OPATH311; ORAD311


7. Co-requisites for this course (if any): ORAD412


8. Location if not on main campus


9. Mode of Instruction (mark all that apply)


a. Traditional classroom √ What percentage? 90%




b. Blended (traditional and online) √ What percentage? 10%




c. e-learning What percentage?




d. Correspondence What percentage?




f. Other What percentage?

Comments:





B Objectives


1. What is the main purpose for this course?
The aim of this course is to train students to perform a comprehensive assessment for their patients and develop differential and/or definitive diagnoses for oral lesions and to develop the treatment plan for each case. It will train the students to apply previous knowledge into dental practice. This will be done by correlating findings from the history, clinical examination, and other diagnostic tests. In addition, this course is designed to improve the students’ abilities on how to develop critical scientific thinking in order to make a correct diagnosis. The subjects covered in the didactic part of this curriculum are presented in the form of clinical issues to develop differential diagnoses using a comprehensive approach to patient care. Furthermore, case based learning is applied in the clinical part of the course where students have a chance to discuss the medical and dental history of a given patient. Emphasis will be on the clinical examination of cases.


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)

- To improve student's skills in oral diagnosis, course will focus on exposing the students to enough number of new true cases in the clinical sessions. Therefore, each student should examine new patient with different oral lesions every week.

- Typical cases with oral lesions (when attended in the clinics) will be discussed in small groups.

- Important cases will be presented by the responsible student in a PPT form and it will be discussed with faculty and students.




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. of

Weeks


Contact Hours


Introduction to Oral Diagnosis II

1



4


General principles for oral diagnosis/clinical cases:

Lecture outlines:

  • Basic approach to diagnosis

  • Diagnostic sequence

  • Collection of information through:

      • Taking full and detailed history (history of chief complain, medical history, family history, psycho-social history, dental history)

      • Physical examination (intra- and extra- oral)

  • Analyse of information.

  • Examination techniques.

  • Oral examination.

  • Extra-oral examination

  • Examination of teeth and periodontal ligament.

  • Formulating differential diagnosis

Reference book: Oral diagnosis oral medicine and treatment planning. Bricker SL, Langlais RP, Miller CS. London: BC Decker Inc. 2002. P: 3-80

1

4


Special investigations in oral diagnosis:

Lecture outlines:

  • Imaging

      • Conventional/ panoramic/ and cephalometric radiograph

      • CT Scan

      • MRI

      • Sialography and arteriography

      • Ultrasound

  • Taking biopsy

      • Incisional biopsy

      • Excisional biopsy

  • Microbiology test

  • Immunohistochemistry and Immunofluorescence

  • Haematology and serology test

  • Other helpful tests

Reference book: Cawson's Essentials of Oral Pathology and Oral Medicine. R A. Cawson and E W Odell. 2008.


1

4


Radiographic diagnosis of common oral diseases:

Lecture outlines:

  • General Classification:

      • Anatomical ( Radiolucent / Radiopaque)

      • Pathological ( Radiolucent/Radiopaque/Mixed)

  • Radiolucencies – contacting teeth: ( Periapical & pericoronal )

  • Radiolucencies – not contacting teeth

      • Inter radicular

      • Solitary cyst like

      • Multilocular

      • Multiple separate

      • Generalized rarefaction

  • Radio opacities – contacting & not contacting teeth

  • Mixed lesions – associated & not associated with teeth

Reference book: Differential diagnosis of Oral & Maxillofacial lesions. Norman K Wood & Paul W Goaz, Mosby, 5th edition, 1997.

2

8


Differential Diagnosis of Oro-Facial Pain and Headache:

Lecture outlines:

  • Evaluation of orofacial pain

  • Physical examination

  • Characters of pain

  • Classification of pain of dental origin

  • Differential diagnosis of non-dental orofacial pain

      • According to anatomic location

      • According to its origin

  • Orofacial neurogenic pain

  • Burning mouth Syndrome

Reference book:

Oral Diseases and Disorders: Differential Diagnosis. S.R. Prabhu. India: Jaypee Brothers Medical Publishers; 2008. P: 23-64





1

4


Differential diagnosis of white and verrucal papillary lesions:

Lecture outlines:

  • General and clinical considerations in the diagnosis of oral white lesions

  • Diagnosis of non-keratotic oral white lesions

      • Thrush, burns of the oral mucosa, white furred tongue

  • Diagnosis of keratotic oral white lesions

      • Leukoedema, frictional and smoker’s keratosis, chronic hyperplastic candidiasis, leukoplakia, lichen planus, white sponge nevus, lupus erythematosus, actinic keratosis, submucous fibrosis

  • Oral white lesions associated with systemic problems

Reference book: Oral Diseases and Disorders: Differential Diagnosis. S.R. Prabhu. India: Jaypee Brothers Medical Publishers; 2008. P: 65-123

1

4


Diagnostic tools for premalignant and malignant oral lesions:

Lecture outlines:

  • Oral premalignant lesions and conditions

  • Clinical considerations

  • Clinical diagnostic tools

      • Toluidine blue

      • Veloscope and VisLight

  • Special investigations

      • Histopathology

      • Immunohistochemistry

  • Self-detection programs for oral premalignant and malignant lesions.

Reference book: Oral Diseases and Disorders: Differential Diagnosis. S.R. Prabhu. India: Jaypee Brothers Medical Publishers; 2008. P: 212-242

1

4


Differential diagnosis of ulcerative and vesiculobullous lesions of oral mucosa:

Lecture outlines:

  • Differential diagnosis of ulcers

  • Recurrent ulcers

  • Acute ulcers

  • Chronic and persistent ulcers

  • Differential diagnosis of vesicles

  • Differential diagnosis of blisters

Reference book: Oral Diseases and Disorders: Differential Diagnosis. S.R. Prabhu. India: Jaypee Brothers Medical Publishers; 2008.

2

8


Differential diagnosis of red-blue and colour aberration of oral mucosa:

Lecture outlines:

  • Differential diagnosis

  • Haemangiomas and lymphangiomas and other vascular lesions

  • Erythroplakia

  • Acute candidiasis

  • Denture stomatitis and other candidal infections

Reference book: Oral Diseases and Disorders: Differential Diagnosis. S.R. Prabhu. India: Jaypee Brothers Medical Publishers; 2008.

1

4


Differential diagnosis of tooth structures’ defects:

Lecture outlines:

  • Anomalies related to the size

  • Anomalies related to the shape

  • Anomalies involving the number of teeth

  • Anomalies related to the structure of tooth

      • Hereditary

      • Acquired

  • Differential diagnosis of tooth discoloration

Reference book: Oral Diseases and Disorders: Differential Diagnosis. S.R. Prabhu. India: Jaypee Brothers Medical Publishers; 2008. P: 212-242

1

4


Differential diagnosis of TMJ disorders:

Lecture outlines:

  • Review of the anatomy of TMJ

  • Anatomy of clinical interest

  • Classification of TMJ disorders

  • Assessment of TMJ

  • Special investigation needed for diagnosing TMJ disorders

  • Physical examination of TMJ

Reference book: TMJ Disorders and Orofacial Pain: The Role of Dentistry in a Multidisciplinary Diagnostic Approach (Color Atlas of Dental Medicine). A Bumann, U Lotzmann and J Mah. New York: Thieme; 2002

1

4


Differential Diagnosis of Salivary gland Diseases:

Lecture outlines:

  • Symptoms of salivary gland dysfunction

  • Related past and present medical history

  • Clinical examination of salivary glands

  • Saliva collection

  • Sialometry and Sialochemistry

  • Imaging and Sialography

  • Salivary gland biopsy

  • Serologic evaluation

Reference book: Burket's Oral Medicine: Diagnosis and Treatment. 11th edition. Greenberg MS, Glick M, Ship J. India: BC Decker Inc. 2008. P: 191-200

1

4


Differential diagnosis orofacial swellings:

Lecture outlines:

  • Intra-oral swellings

      • Differential diagnosis of gingival enlargement

      • Pyogenic granulomas

      • Giant cell lesions

      • Salivary gland lesions

      • Odontogenic infections

      • Other possible causes

  • Facial swellings

      • Odontogenic infections

      • Non-odontogenic infections and inflammations

      • Cysts and tumors

      • Salivary gland lesions

      • Allergic edema

  • Neck swellings

      • Clinical relevance and evaluation

      • Classification

      • Medline swellings

      • Lateral swellings

Reference book: Oral Diseases and Disorders: Differential Diagnosis. S.R. Prabhu. India: Jaypee Brothers Medical Publishers; 2008. P: 65-123

1

4



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




Lecture

Tutorial

Laboratory

Clinical

Other:

Total

Contact

Hours


15

-

-

45

-

60

Credit

15

-

-

15

-

30




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

1 per week






4. Course Learning Outcomes in NQF Domains of Learning and Alignment with Assessment Methods and Teaching Strategy

Course Learning Outcomes, Assessment Methods, and Teaching Strategy work together and are aligned. They are joined together as one, coherent, unity that collectively articulate a consistent agreement between student learning, assessment, and teaching.


The National Qualification Framework provides five learning domains. Course learning outcomes are required. Normally a course has should not exceed eight learning outcomes which align with one or more of the five learning domains. Some courses have one or more program learning outcomes integrated into the course learning outcomes to demonstrate program learning outcome alignment. The program learning outcome matrix map identifies which program learning outcomes are incorporated into specific courses.
On the table below are the five NQF Learning Domains, numbered in the left column.
First, insert the suitable and measurable course learning outcomes required in the appropriate learning domains (see suggestions below the table). Second, insert supporting teaching strategies that fit and align with the assessment methods and intended learning outcomes. Third, insert appropriate assessment methods that accurately measure and evaluate the learning outcome. Each course learning outcomes, assessment method, and teaching strategy ought to reasonably fit and flow together as an integrated learning and teaching process. Fourth, if any program learning outcomes are included in the course learning outcomes, place the @ symbol next to it.
Every course is not required to include learning outcomes from each domain.





NQF Learning Domains

And Course Learning Outcomes

Course Teaching

Strategies

Course Assessment

Methods

1.0

Knowledge


1.1

I.7. Recall the clinical and microscopic features of common and relevant hard and soft tissue lesions of the oral cavity.

I.7.6. Recognize oral presentation of bacterial, viral and fungal infections

I.7.13. Discuss orofacial pain

1.7.* Recall the diagnostic clinical features of common oral lesions.



- Lecture

- Clinical practice



- Written exam

- Clinical exam



1.2

I.8. Describe the oral diagnostic process including clinical and special investigations.

I.8.1.       Discuss the sequence of oral diagnostic process.

I.8.2.       Discuss the different components of patient's history taking

I.8.3.       List the different methods of collecting data from patients

I.8.4.       Discuss the different components of clinical examination.

I.8.5.       Discuss special investigations needed for diagnosing any oral lesions.

I.8.6.       Discuss the chair side diagnostic aids used in the dental clinic.

- Lecture

- Clinical practice

- Written exam

- Clinical exam


2.0

Cognitive Skills


2.1

II.3. Choose the appropriate diagnostic and management techniques based on patient’s age, behavior capabilities, stage of dental growth/development and chief complaints.
II.3.18. Request special investigations needed to confirm the clinical, working or tentative diagnosis.

II.3.19. Select indicated clinical examination for specific oral lesion





- Lecture

- Clinical practice



- Written exam

- Clinical exam



2.2

II.4.- Analyze and interpret data collected from the patient’s history, clinical, radiographic and other investigations

II.4.* Assemble and link the data obtained from the patient's history and clinical examination to develop the differential diagnosis of patients chief complaint.



- Lecture

- Clinical practice



- Written exam

- Clinical exam



2.3

II.5. Formulate differential diagnoses and reach definite diagnosis and reach a possible definitive diagnosis of oral hard and soft tissue lesions

II.5.2.    Establish differential diagnosis list of relevant lesions/diseases of oral hard and soft tissues.

II.5.*    Differentiate between different types of pain.



- Lecture

- Clinical practice



- Written exam

- Clinical exam



2.4

II.6. Formulate a comprehensive, sequential dental treatment plan based on the diagnostic findings for the child, adolescent and adult patient.

II.6.*    Establish a comprehensive treatment plan based on the diagnosis of patient's oral lesions.





- Lecture

- Clinical practice



- Written exam

- Clinical exam



2.5

8. Recognize and diagnose oro-facial pain.

II.8.3.    Recognize types of oro-facial pain.

II.8.4.    Recognize causes of oro-facial pain.

II.8.5.    Differentiate signs and symptoms of oro-facial pain.




- Lecture

- Clinical practice



- Written exam

- Clinical exam



3.0

Interpersonal Skills & Responsibility


3.1

*Observe professional obligations.

- Clinical practice

- Clinical exam

3.2

*Apply the principles of moral reasoning & decision making within legal, ethical & professional issues.



- Clinical practice

- Clinical exam

4.0

Communication, Information Technology, Numerical


4.1

*Communicate effectively both orally and in writing with patients & faculty.

- Clinical practice

- Clinical exam

4.2

*Ask open-ended questions and closed questions correctly in appropriate tone of voice.

- Clinical practice

- Clinical exam

4.3

* Give others the opportunity and time to talk, avoiding interruption.

- Clinical practice

- Clinical exam

4.4

* Search for trustable scientific information in the search engines and develop evidence based practice in dentistry

- Assignments

- Peer evaluation

5.0

Psychomotor


5.1

III.1. Perform comprehensive (intra- and extra- oral) clinical examination.
III.1.4. Perform comprehensive examination of the patients' cervical lymph nodes.

III.1.5. Perform comprehensive examination of the patients' salivary glands.

III.1.6. Perform comprehensive examination of the patients' TMJ.

III.1.7. Perform comprehensive examination of the patients' Oral mucosa. Perform mucosal examination and screening for oral cancer and other soft tissue lesions

III.1.8. Perform comprehensive examination of the patients' jaws.

III.1.9. Perform a comprehensive examination of the patients' teeth and supporting structures.

III.1.10. Use sphygmomanometer, glucometer, thermometer and other clinical tools to record vital signs.



- Clinical practice

- Clinical exam



Suggested Guidelines for Learning Outcome Verb, Assessment, and Teaching

NQF Learning Domains

Suggested Verbs








Knowledge

list, name, record, define, label, outline, state, describe, recall, memorize, reproduce, recognize, record, tell, write




Cognitive Skills

estimate, explain, summarize, write, compare, contrast, diagram, subdivide, differentiate, criticize, calculate, analyze, compose, develop, create, prepare, reconstruct, reorganize, summarize, explain, predict, justify, rate, evaluate, plan, design, measure, judge, justify, interpret, appraise


Interpersonal Skills & Responsibility

demonstrate, judge, choose, illustrate, modify, show, use, appraise, evaluate, justify, analyze, question, and write


Communication, Information

Technology, Numerical

demonstrate, calculate, illustrate, interpret, research, question, operate, appraise, evaluate, assess, and criticize



Psychomotor

demonstrate, show, illustrate, perform, dramatize, employ, manipulate, operate, prepare, produce, draw, diagram, examine, construct, assemble, experiment, and reconstruct



Suggested verbs not to use when writing measurable and assessable learning outcomes are as follows:
Consider Maximize Continue Review Ensure Enlarge Understand

Maintain Reflect Examine Strengthen Explore Encourage Deepen


Some of these verbs can be used if tied to specific actions or quantification.

Suggested assessment methods and teaching strategies are:
According to research and best practices, multiple and continuous assessment methods are required to verify student learning. Current trends incorporate a wide range of rubric assessment tools; including web-based student performance systems that apply rubrics, benchmarks, KPIs, and analysis. Rubrics are especially helpful for qualitative evaluation. Differentiated assessment strategies include: exams, portfolios, long and short essays, log books, analytical reports, individual and group presentations, posters, journals, case studies, lab manuals, video analysis, group reports, lab reports, debates, speeches, learning logs, peer evaluations, self-evaluations, videos, graphs, dramatic performances, tables, demonstrations, graphic organizers, discussion forums, interviews, learning contracts, antidotal notes, artwork, KWL charts, and concept mapping.
Differentiated teaching strategies should be selected to align with the curriculum taught, the needs of students, and the intended learning outcomes. Teaching methods include: lecture, debate, small group work, whole group and small group discussion, research activities, lab demonstrations, projects, debates, role playing, case studies, guest speakers, memorization, humor, individual presentation, brainstorming, and a wide variety of hands-on student learning activities.



5. Schedule of Assessment Tasks for Students During the Semester






Assessment task (e.g. essay, test, group project, examination, speech, oral presentation, etc.)

Week Due

Proportion of Total Assessment

1


Clinical cases: differential diagnosis and treatment planning

(Role modelling/case presentation)



Weekly

30%

2


Selected case to be presented at the end of the course

15

10%

3


1st Quiz

6th

10%

4


2nd Quiz

11th

10%

5


Final clinical examination

14th

20%

6


Final written exam

16th

20%

7











8












D. Student Academic Counseling and Support


1. Arrangements for availability of faculty and teaching staff for individual student consultations and academic advice. (include amount of time teaching staff are expected to be available each week)
One faculty is available for each 6 students during the 3-hours of clinical session every week. In addition to 2 sessions (2 hours each) office hours for every faculty/week where students may contact the faculty members for any enquiries.




E. Learning Resources


1. List Required Textbooks

  1. Bricker SL, Langlais RP, Miller CS. Oral Diagnosis, Oral Medicine and Treatment Planning. Hamilton: B.C. Decker; 2004.

2. List Essential References Materials (Journals, Reports, etc.)


  1. Oral Diseases and Disorders: Differential Diagnosis. S.R. Prabhu. India: Jaypee Brothers Medical Publishers; 2008.




3. List Recommended Textbooks and Reference Material (Journals, Reports, etc)

  1. Differential diagnosis of Oral & Maxillofacial lesions. Norman K Wood & Paul W Goaz, Mosby, 5th edition. Elsevier: 2006

  2. Cowson’s Essentials of Oral Pathology and Medicine. Cawson RA and Odel E W, 8th Edition, 2008, Churchill Livingstone

  3. Oral and Maxillofacial Medicine: The Basis of Diagnosis and Treatment. Scully C and Bagan JS, 1st Edition, 2004, Wright Publishing Company



4. List Electronic Materials (eg. Web Sites, Social Media, Blackboard, etc.)


  1. Journal of Oral Disease/ / http://www.wiley.com/bw/journal.asp?ref=1354-523x

  2. Journal of Oral Pathology and Medicine/ http://www.blackwellpublishing.com/journal.asp?ref=0904-2512 /

  3. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology / http://ees.elsevier.com/tripleo/

  4. British Dental Journal/ http://www.nature.com/bdj/index.html

  5. Entrenz PubMed http://www.ncbi.nlm.nih.gov/pubmed



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



F. Facilities Required


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

1. Accommodation (Classrooms, laboratories, demonstration rooms/labs, etc.)


  • Lecture room for at least 40 students with data show projector and lab top

  • At least 30 well equipped dental clinics

  • Library







2. Computing resources (AV, data show, Smart Board, software, etc.)


  • E-Library.

  • IT lab. To use the E-library.




3. Other resources (specify, e.g. if specific laboratory equipment is required, list requirements or attach list) :


  1. X-ray services should be available at the same time of the clinical sessions. (Conventional x-ray).

  2. Clinics to be fully equipped with necessary instruments needed for oral diagnosis and documentation such as:

  • Oral examination kit

  • Biopsy taking kit

  • Sphygmomanometers, thermometers and glucometers.

  • Vitality pulp tester.

  • Tools for cold and hot test.

  • Microbiology test kit (oral swab).

  • Intra-oral professional digital camera.




G Course Evaluation and Improvement Processes


1 Strategies for Obtaining Student Feedback on Effectiveness of Teaching
Student surveys done by the quality assurance unite.

Course evaluation questionnaire (NCAAA Form)





2 Other Strategies for Evaluation of Teaching by the Program/Department Instructor




3 Processes for Improvement of Teaching


  • External visitors are encouraged as per evaluators.

  • Continuous education courses and workshops for staff.



4. Processes for Verifying Standards of Student Achievement (e.g. 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)


  • Inviting external reviewers







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


  • Annually course report.

  • Recommendations derived from the course report.






Faculty or Teaching Staff: __________ Dr. Aiman A. Ali _____________
Signature: _________ ___ Date Report Completed: ___ _____
Received by: _____________________________ Dean/Department Head
Signature: _______________________________ Date: _______________


Form 5a_Course Specifications _SSRP_1 JULY 2013 Page



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