ODS 832F: Oral Radiology Clinic

Transcription

1 ODS 832F: Oral Radiology Clinic 1. Course Directors 2. Administrative Details Dr. Maureen Donley Primary Course Designation: Clinical 355E Squire Hall Course Type: Required Department of Oral Diagnostic Sciences Year/Semester: D3/1 (3 rd year/fall) Credit Hours: 0.5 Office Hours: Monday through Friday, 12:00 1:00pm. Wednesday 1:00-4:00 PM, or by appointment. Available for students in the Radiology Clinic 116 Squire, Tuesday through Friday. 3. Participating Faculty Dr. Amy Gallo Dr. Joseph DeLuca Dr. Alfonse Gambacorta 355 Squire Hall 355 Squire Hall 355 Squire Hall , , , Dr. Vallikanthan Nadarajah Dr. Graci Bax 355 Squire Hall 355 Squire Hall , , 4. Keywords Radiographs/Imaging, Panoramic radiograph, Cephalometric radiograph, Infection control, Patient management, Quality assurance, Record documentation, Caries, Periodontal disease, Pathology, Dental anomalies/artifacts, Dental anatomy, Orofacial complex, DICOM, Digital radiology 5. Course Meeting Days, Times & Locations 9:00 AM-4:00 PM Monday, Wednesday, Friday, Radiology Clinic 116 Squire 6. Course Description Junior students with faculty supervision will provide bitewing, periapical, occlusal and full mouth series of radiographs as per written referral for new, reassigned, and emergency UB SDM patients. Students will observe and assist panoramic and cephalometric imaging by practicing proper alignment for each type of extraoral radiograph on each other without radiation. The proper use of equipment, shielding, exposure settings, infection control, patient management, quality assurance, image processing, storage, and record documentation will be reinforced. Radiographic reviews will take place with the student as part of quality assurance and interpretation instruction. The radiology faculty review all rotation radiographs prior to storage in the patient record. Case-based mini-seminars will augment the student s clinical experience to improve the radiographic detection of caries, periodontal disease, pathology, dental anomalies and artifacts. A case-based review of normal anatomy and pathology of the orofacial complex will provide opportunities for clinical and radiological discussions. The charting of full mouth series of radiographs taken by students will improve their understanding of technique, accuracy and parallelism, and procedures used to avoid and correct technical errors, while increasing their ability to discern normal anatomy, caries, periodontal disease, artifacts and pathology. Every student will be appointed to serve as a Designated Digital Scanner so that each has an equal chance to reinforce the skills required for digital radiographic processing including: login to Picasso, ODS832F Oral Radiology Clinic / Donley Page 1 of 7 June 30, 2010

2 retrieving the patient s electronic record, reserving MiPACs, selecting a template, reserving the scanner, scanning images, correcting mirrored and rotated images, remounting a series, describing a series, and saving to the DiCOM server with faculty approval. Students will become more familiar with digital image enhancement tools including: contrast, inversion, colorization, edge-enhancement, magnification, measurements, descriptions, calibration, annotations, and diagnostic comparisons. 7. Course Purpose Students in this course gain proficiency in performing radiology procedures by putting into practice proper use of equipment following the ALARA principle of reduced radiation exposure settings, infection control, patient management, quality assurance, digital image processing and storage, and record documentation. Student and faculty review of radiographs, including the charting and description of full mouth series and case based mini-seminars, results in a better understanding of radiographic quality, improved technique, and interpretation. 8. Course Goals a. Junior students, with faculty supervision, will provide digital or film bitewing, periapical, occlusal and full mouth radiographs as per written referral for new, reassigned, and emergency UB SDM patients. b. Students will observe and assist panoramic and cephalometric patient imaging as requested. c. Students will reinforce patient positioning skills for panoramic and cephalometric imaging by practicing proper alignment for each type of radiograph on each other without radiation. d. Radiographic review by the faculty will take place with each student to improve quality assurance and interpretation instruction. e. Each student will produce a full-page chart with descriptions for each of five full mouth series of patients for which they served as the radiographic provider. f. Case-based mini seminars will augment the student s clinical experience and improve the radiologic detection of caries, periodontal disease, pathology, dental anomalies and artifacts. The review of normal anatomy and pathology of the orofacial complex will provide opportunities for clinical and radiological discussion. 9. Learning Objectives a. Provide bitewing, periapical, occlusal and full mouth radiographs for new, reassigned, and emergency UBSDM patients. b. Put into practice proper use of equipment, following the ALARA principle of reduced radiation exposure settings, infection control, patient management, quality assurance, image processing and storage, and record documentation. c. Augment clinical experience through case-based mini seminars to improve the radiographic detection of caries, periodontal disease, pathology, dental anomalies and artifacts. Case-based review of the orofacial complex. d. Chart and describe full mouth series improving accuracy and parallelism, procedures to eliminate and avoid technical errors, develop differential diagnoses by discerning normal anatomy, caries, periodontal disease, artifacts and pathology. The result is a better understanding of radiographic quality, improved technique, and interpretation. e. Reinforce skills required for digital radiographic processing and image enhancement by serving as a Designated Digital Scanner. Increase quality assurance by observing multiple patient cases. f. Case-based learning and hands-on clinical teaching reinforces patient management skills, infection control, documentation and quality assurance. ODS832F Oral Radiology Clinic / Donley Page 2 of 7 June 30, 2010

3 10. Associated Competencies Learning Objective SDM Competency from Appendix 1 9a 3, 4, 5, 18, 21, 23, 30 9b 7, 10, 13, 15, 18 9c 1, 2, 14 9d 5, 12, 13, 14, 20, 21, 22 9e 12, 13, 14, 23 9f 1, 2, 5, 7, 12, 15, 18, 20, 21, 22, 23, Student Evaluations Methods Students will be graded on clinic preparation, patient management, image quality, infection control, ALARA, documentation of exposure and radiographic charting. Grading sheet attached Page 9. Full Mouth Series Reviews: Students chart 5 full mouth series for which they served as the provider. Faculty will review, grade and sign. The quality of the student s radiographs and accuracy of charting are graded. The charting affords the faculty the opportunity to reinforce the identification of radiographic anatomy, restorations, caries detection, periodontal disease pathology and artifacts. Students will participate in this review and will critique their own series for accuracy of technique and radiographic interpretation. Charting deductions will be made for failure to recognize problems in radiographic technique or interpretation. Infection control, ALARA, Patient Management, Professionalism, Clinic Preparation and Record Documentation are part of the daily grade. Grading: A= B=89-80 C=79-70 D=69-65 F=below 65 Grading Criteria Evaluation Types* % Weight Oral examination/presentation 15% Refer to detailed criteria in Case-based examination 80% attached Grading Sheet Faculty qualitative evaluation 5% *Evaluation Types (see Appendix 2 for full descriptions) 100% 12. Learning Resources Resource located on the Curriculum DVD Oral Radiology Principles and Interpretation, 6th edition, White and Pharoah Additional Picasso Chairside DR, SDM Intranet ADA Report: The use of dental radiographs: Update and Recommendations, American Dental Association Council on Scientific Affairs, JADA, 137, Instructional Media a. Instructional Modes: Verbal auditory 5% Visual 45% Psychomotor/Tactile 50% b. Instructional Tools: Handouts/Manuals c. Instructional Methods: Lecture, Discussion, Small group learning, Case Presentations, Live Demonstration ODS832F Oral Radiology Clinic / Donley Page 3 of 7 June 30, 2010

4 14. Course Schedule Lecture or Laboratory Day(s) Time(s) Location(s) Clinic Rotation Monday 9:00-12:00 and 1:00-4: Squire Radiology Clinic Clinic Rotation Wednesday 9:00-12:00 and 1:00-4: Squire Radiology Clinic Clinic Rotation Friday 9:00-12:00 clinic 116 Squire Radiology Clinic Title Topic Assignments/Readings Faculty Clinic Orientation, Charting and Description Mini seminar: Caries Charting and Description Mini seminar: Pathology Charting and Description A.M. Mini seminar: Anatomy and Pathology demonstrations demonstrations demonstrations Radiographic Evidenced based Radiographs and White and Pharoah Chapter 17 Evidenced based Radiographs and White and Pharoah Chapter 16, and Chapters Evidenced based Radiographs White and Pharoah Chapter 10 Chapters 16, Monday: AM/PM Dr. Bax and Dr. DeLuca Wednesday AM Dr. Donley and Dr. Gallo Wednesday PM: Dr. Gallo and Dr. Gambacorta Friday AM: Dr. Gambacorta and Dr. Nadarajah Dr. Nadarajah Clinics begin promptly at 9:00 AM and 1:00 PM. Students must arrive on time and in proper clinical attire that includes, a clean scrub suit, UB SDM I.D. tag, and their own protective eyewear. Do not bring backpacks or coats as we lack storage space. Mandatory Equipment: Students must bring their complete set of PSP digital sensors prewrapped, initialed for identification, and ready for use upon arrival. Attendance is mandatory. Students should notify faculty and staff prior to leaving the radiology clinic for any reason. Students will be graded on clinic preparation, patient management, image quality, infection control, ALARA, documentation of exposure and radiographic charting. All radiographic images obtained by students in the radiology clinic must be reviewed and approved by the radiology faculty. In the case of film radiographs, all images must be reviewed and approved prior to their release to the referring clinical faculty. In the case of digital radiographs, all images must be reviewed and approved by the radiology faculty prior to storing to the DiCOM server and the patients electronic oral health record. No food or drink is allowed in the radiology clinic as per SDM policy. The Radiology Log must be completed for every radiographic order. It includes: Date, Type of Radiograph: film or digital, Chart Number, Patient Name, Referring Faculty, Name of Requesting Student, Name of Rotation Student taking radiographs, and Exposure in mrads. ODS832F Oral Radiology Clinic / Donley Page 4 of 7 June 30, 2010

5 15. Course Policies & Procedures Policies and procedures of the course are written in accordance with the Faculty Handbook and Academic Policies. Course Policies are written to clarify expectations of the course director regarding attendance, behavior, grading, academic integrity, professionalism, disabilities, remediation, etc. Refer to the student handbook for more detailed information A. Course Failure and Remediation Students who earn an "F" grade in this course are required to repeat the course. B. Disabilities This institution supports the goals and requirements of Section 504 of the Rehabilitation Act of 1973, which mandates academic adjustments, commonly called reasonable accommodations, be provided for students with documented disabilities. If you have a disability and may require some type of instructional and/or examination accommodation, please contact me early in the semester so that I can provide or facilitate in providing accommodations you may need. If you have not already done so, you will need to contact the Disability Services office, the designated office on campus to provide services for students with disabilities. The office is located at 25 Capen Hall and the telephone number is (716) C. Attendance As described in the student handbook, "attendance at scheduled classes, laboratory sessions, clinical assignments and examinations is mandatory. Absence can negatively affect both knowledge and grades. Students are expected to arrive on time to class. Late arrival is disruptive for both students and faculty, and interferes with effective learning. Absences fall into two general categories: planned and unplanned. Please review the student handbook for how to proceed in these instances, and advise me accordingly, or the Office of Student Affairs if there is an emergency or medical illness. D. Canceled Classes If, for any reason, a scheduled session is not held, the scheduled event will occur at the next session unless otherwise announced. E. Course Evaluation Comprehensive evaluation of this course will be administered online at the end of the course through the Office of Academic Affairs. Eliciting feedback and constructive criticism is important so that Course Directors may take action to improve the course. Students are expected to participate fully in this important process. F. Changes in the Course The following change has occurred in this course since the last time it was offered; the textbook has been updated to the 6 th Edition. G. Distractions in the Classroom/Behavioral Expectations As students in a health professions school, students are expected to display conduct consistent with their status as entering members of the profession. Specifics of expected conduct are listed in both the university "Student Conduct Rules, University Standards and Administrative Regulations" and in the School of Dental Medicine "Student Handbook". In recent years, cell phones, pagers, and other electronic devices have been sources of disruption in classrooms. All electronic devices except those specifically required by the course director or lecturer are not permitted in class. If these devices go off during class, the student with the device will be asked to leave. ODS832F Oral Radiology Clinic / Donley Page 5 of 7 June 30, 2010

6 H. Professional Conduct The University has a responsibility to promote academic honesty and integrity and to develop procedures to deal effectively with instances of academic dishonesty. Students are responsible for the honest completion and representation of their work, for the appropriate citation of sources, and for respect for others academic endeavors. By placing their name or student identifier on quizzes and examinations, students certify that the work is theirs and theirs alone. Students may not refer to any material or look at other student's papers during quizzes or examinations. Students observed so doing will receive a grade of zero for that quiz or examination. In addition, such incidents of academic dishonesty will be addressed as described in the university "Student Conduct Rules, University Standards and Administrative Regulations" the complete text of which can be found at and as described in the School of Dental Medicine Student Handbook, the complete text of which can be found at: ODS832F Oral Radiology Clinic / Donley Page 6 of 7 June 30, 2010

7 Faculty understands that there is a learning curve with a skill such as taking radiographs. It is important to understand that the student needs to ask for help if he or she is not sure of their technique for taking radiographs. Grading will be more lenient at the beginning of the rotation. As the week progresses a student s performance is expected to improve. Weekly Grading Sheet For ODS 832F / 832S Oral Radiology Clinic II/III I. Radiographic Technique: Per Case Problem Points Score Violation of Infection Control -10 Failure to recognize the need for Retakes as follows: Failure to recognize Missed Apices (Retake) -2 Failure to recognize Overlapped Contact Points (Retake) -2 Failure to recognize Cone Cut (Retake). -2 Failure to recognize Elongation -2 Failure to recognize Sensor exposed improperly (backwards) -2 Failure to recognize Appropriate teeth not included -2 Failure to practice ALARA, not shielding the patient or improper time exposure -10 II. Interpretation: Per Case Problem Points Score Error in identifying bony landmarks -2 Erroneous diagnosis of caries / pathology -2 Error in identifying soft tissue shadows -2 III. Records Problem Points Score Radiation exposure not documented in patient record or radiographic log -10 Digital Saving and Approving Radiographs without Faculty Approval -10 Film: Failure to review with faculty prior to release to clinic -10 ODS832F Oral Radiology Clinic / Donley Page 7 of 7 June 30, 2010