Course Syllabus. Course Type (underline one): (Lecture) (Laboratory) (Clinical) Seminar Selective
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1 Course Number and Name: 3220 Oral Radiology Course Syllabus Course Type (underline one): (Lecture) (Laboratory) (Clinical) Seminar Selective Academic Year/Semester Offered: _X Fall X_Spring Semester Course Director (include degrees): Hui Liang, DDS, PhD, MS. (Room 219, ext 8392) Other Participating Faculty: Lecture - Byron W. Benson, DDS, MS (Room 108, ext 8393) Diane J. Flint, DDS, MS (Room 217, ext 8394) Lab - Byron W. Benson, DDS, MS Diane J. Flint, DDS, MS Clinic - Byron W. Benson, DDS, MS Diane J. Flint, DDS, MS Course Description: This course is intended to provide the student with an understanding of the generation, properties, and techniques for use of X-rays in dentistry. The students will also develop an understanding of the principles of radiation safety and health physics, interpretative recognition techniques and clinical patient management. Course Objectives: Upon completion of this course, the student will have achieved beginning competence in: 1. The clinical operation of X-ray equipment. 2. The clinical management of patients and clinical records. 3. Exposure, processing and viewing radiographs. 4. Understanding the principles of infection control relating to radiography. 5. Understanding the principles of radiation safety. 6. Understanding the effects of X-radiation on biologic tissue. 7. Recognizing the appearance of anatomic structures in oral radiographs. 8. Recognizing the radiographic appearance of oral developmental anomalies. 9. Recognizing the radiographic appearance of oral disease processes. Learning Outcomes/Competencies: 1.1 Apply ethical reasoning to dental hygiene and practice with professional integrity. 1.2 Comply with state and federal laws governing the practice of dentistry and dental hygiene. 2.1 Apply critical thinking skills and evidence based decision making to the practice of dental hygiene. 2.3 Communicate effectively with diverse populations without discrimination. 6.1 Determine medical conditions that require special precautions or consideration prior to or during dental hygiene treatment. 6.2 Perform an extraoral and intraoral examination of the patient including assessment of vital signs and radiographic examination, and distinguish normal from abnormal findings. 6.3 Manage the patient at risk for a medical emergency, and be prepared to handle the emergency should it occur during an appointment. 6.5 Analyze and interpret the assessment data to formulate a dental hygiene diagnosis related to and congruent with the diagnosis of the dentist and other health professionals. 8.1 Provide an environment conducive to health by using accepted infection control procedures. 8.5 Provide dental hygiene services in a variety of settings.
2 Evaluation Criteria/Methods: This course consists of three sections: Didactic, preclinical laboratory and clinical. Attendance is required at all assignments. The Dental Hygiene Department or the course director must be notified if an absence occurs or is anticipated. Any preclinical laboratory assignment that was missed must be made up by the end of the fall term and any missed clinical assignment must be made up prior to the end of spring term in order to successfully complete those sections of the course. The didactic section will represent 65 percent of the final grade; the preclinical laboratory, 15 percent; and the clinical section, 20 percent. A progress grade based on examinations conducted in the didactic section, and preclinical projects completed in the laboratory section will be reported at the end of the fall semester. Participation in the clinical section of this course requires that a passing grade be achieved in both the didactic and preclinical laboratory sections. A final grade based on accomplishments in all three sections, didactic, preclinical laboratory and clinical, will be reported at the end of the spring semester. A passing final grade for this course requires that all three sections be passed independently. Didactic: Evaluation in this section will be based on three written examinations, each weighted equally as 20%. Previously tested material may be included in the second and third examinations. If either of the first two examinations is failed, they may be remediated. The course director must be notified within two school days following posting of test scores of an intent to retake the examination. Remedial examinations will be in the essay format and will be scheduled within two weeks of the original examination. The higher of the two examination scores (original versus remedial examination score) will be reported; however, the reported score will not exceed 70. Several unannounced quizzes will count for a total of 5% of the final grade. Each quiz will focus on material from the previous two lectures. The lowest quiz score will be dropped from the quiz average. Preclinical laboratory: Evaluation in this section will be based on the completion of two projects, attendance, and participation at each assigned preclinical laboratory session. Complete mouth surveys will be evaluated by criteria described in the following page. The highest lab score will be counted as 15% of the final grade. Clinical: Evaluation in this section will be based on attendance, professional conduct, and performance during assignment to the Oral Radiography Clinic. Patients requiring complete mouth surveys will be assigned. The number of assigned cases will be dependent on the number of patients available. There is no numeric requirement for full mouth surveys. Complete mouth surveys will be evaluated by criteria described in the following page. The average clinical scores of complete mouth surveys will be counted as 20% of the final grade. Grading Scale: A= B= C= D= F= <70 Learning Materials: Textbook: Oral Radiology. Principles and Interpretation. Stuart C. White and Michael J. Pharoah. Seventh edition, C. V. Mosby, 2014.
3 Study programs: By Neil L. Frederiksen and Paul W. Goaz (Library, Instructional Computer Laboratory): The Nature of Radiation. The Production of X rays. Characteristics of the X-ray Beam. The Radiographic Interpretation of Restorative Materials, Soft and Hard Tissues, Teeth and Their Supporting Structures. The Radiographic Interpretation of Maxillary Anatomic Landmarks. The Radiographic Interpretation of Mandibular Anatomic Landmarks. Remediation Policy: See above, Evaluation Criteria/Methods. Attendance and Make-up Policy: Attendance is required for the lecture, preclinical laboratory and clinical section. If you are unable to attend a session, notify either Dr. Liang ( ) or the Dental Hygiene secretary ( ). Unannounced quizzes will be used to monitor lecture attendance. The lowest quiz score will be dropped from the quiz average to accommodate unforeseen absences. Laboratory/Clinic Policies and Procedures: N/A Special Accommodation for Persons with Disabilities: The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact Dr. Charles Berry, Associate Dean for Academic Affairs in charge of Disability Services, Room 514, or call for additional information. Academic Integrity Statement and Policy: An Aggie does not lie, cheat or steal, or tolerate those who do. Upon accepting admission to Texas A&M University, a student immediately assumes a commitment to uphold the honor Code, to accept responsibility, and to follow the philosophy and rules of the Honor System. Students will be required to state their commitment on examinations, research papers, and other academic work. Ignorance of the rules does not exclude any member of the TAMU community from the requirements or the processes of the Honor System. Date prepared: 6/29/2016
4 UNDERGRADUATE RADIOLOGY QUALITY EVALUATION (1.0) PROFESSIONALISM / MANAGEMENT SKILLS Ethics/integrity Willingness to accept instruction Patient records/financial management Work habits/time management/punctuality Student attire/grooming Adheres to rules and procedures Prep for procedure/lab communication Instrument/material set up/radiation safety Infection control/cleanliness Confidence/independence Reaction to stress Interpersonal skills (patient and staff) (2.0) RADIOGRAPHIC TECHNIQUE * Exposure factors 0-1 Errors = -0.0 Image receptor placement/pid placement 2-3 Errors = -0.5 Image processing 4-5 Errors = -1.0 Mounting and image evaluation 6-7 Errors = -1.5 Manual skills > 8 Errors = -2.0 (1.0) RADIOGRAPHIC INTERPRETATION / EVALUATION Dental caries Periodontal disease Anomalies/regressive changes Other local/systemic diseases TOTAL = 4.0 NOTE: Professionalism breeches, if significant, may supersede the normal weighting factor at the discretion of the attending faculty. * Graded on the basis of technical errors, not remakes.
5 COURSE OUTLINE Date Session Title/Topic Instructor(s) L. Name Aug. 16 Introduction. Radiation physics I (Chapter 1, text pp 1-15 and Study programs) Drs. Liang & Benson Aug. 18 Radiation physics II (Chapter 1, text pp 1-15 and study programs) Dr. Liang Aug. 23 Radiation physics III (Chapter 1, text pp 1-15 and study programs) Dr. Liang Aug. 25 Radiographic quality I: radiographic density and contrast (Chapter 5,text pp 75-78) Dr. Liang Aug. 30 Radiographic quality II: projection geometry (Chapter 6, text pp 84-87) Dr. Liang Sept. 1 Electronic patient charts and picture achieving systems (handouts) Dr. Flint Sept. 6 Digital imaging I (Chapter 4, text pp 41-62) Dr. Benson Sept. 8 Digital imaging II (Chapter 4, text pp 41-62) Dr. Benson Sept. 13 Review for first examination Drs. Liang & Benson Sept. 15 FIRST EXAMINATION Sept. 20 Intraoral radiographic technique I (Chapter 7, text pp ) Dr. Benson Sept. 22 Intraoral radiographic technique II (Chapter 7, text pp ) Dr. Benson Sept. 27 Radiographic film and intensifying screens (Chapter 5, text pp 63-68) Dr. Benson Sept. 29 NO CLASS AAOMR meeting Oct. 4 Processing x-ray film (Chapter 5, text pp 68-83) Dr. Benson Oct. 6 Radiographic quality assurance and infection control (Chapter 15, text pp ) Dr. Liang Oct. 11 Panoramic Imaging (Chapter 10, text pp ) Dr. Liang Oct. 13 Extraoral radiographic examinations (Chapter 11, text pp ) Dr. Flint Oct. 18 Object localization and patient selection criteria Dr. Flint (Chapter 6, text pp and chapter 16, text pp ) Oct. 20 Specialized/Advanced imaging techniques I (Chapter 11, 12, text ) Dr. Flint Oct. 25 Specialized/Advanced imaging techniques II (Chapter 14, text pp ) Dr. Flint Oct. 27 SECOND EXAMINATION Nov. 1 Basic interpretation: normal radiographic anatomy I (Chapter 8, text pp ) Dr. Liang Nov. 3 Basic interpretation: normal radiographic anatomy II Dr. Liang (Chapter 8, text pp and chapter 10, text pp ) Nov. 8 Basic interpretation: dental caries (Chapter 18, text pp ) Dr. Liang Nov. 10 Basic interpretation: periodontal diseases (Chapter 19, text pp ) Dr. Benson Nov. 15 Basic interpretation: developmental dental anomalies and abnormalities Dr. Benson (Chapter 31, text pp ) Nov. 17 Basic interpretation: acquired dental anomalies and abnormalities Dr. Benson (Chapter 31, text pp ) Nov. 29 Lesions of the jaws I (handouts) Dr. Flint Dec. 1 Lesions of the jaws II (handouts) Dr. Flint Dec. 6 Radiation biology (Chapter 2, text pp 16-28) Dr. Flint Dec. 8 Radiation safety and protection (Chapter 3, text pp 29-40) Dr. Flint Finals week THIRD EXAMINATION
6 Dental Hygiene 3220, Oral Radiology Fall, 2016 Preclinical laboratory: Location: Room 115 Reading assignment: Textbook, Chapter 7 and clinical handout GROUP A GROUP B Section 1 Section 2 Section 1 Section 2 Assignments Group/Section Date Time Project A/1, 2 10/3 2:00 Orientation, First half FMX B/1, 2 10/4 2:00 Orientation, First half FMX A/1, 2 10/10 2:00 Second half FMX and evaluation B/1, 2 10/11 2:00 Second half FMX and evaluation A/1 10/17 2:00 Introduction to panoramic radiography A/2 10/17 3:00 Introduction to panoramic radiography A/1 10/17 3:00 Introduction to occlusal radiography A/2 10/17 2:00 Introduction to occlusal radiography B/1 10/18 2:00 Introduction to panoramic radiography B/2 10/18 3:00 Introduction to panoramic radiography B/1 10/18 3:00 Introduction to occlusal radiography B/2 10/18 2:00 Introduction to occlusal radiography A/1, 2 10/24 2:00 First half FMX with VB B/1, 2 10/25 2:00 First half FMX with VB A/1, 2 10/31 2:00 Second half FMX and evaluation B/1, 2 11/1 2:00 Second half FMX and evaluation
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