OS 630

Oral Surgery Clinic

John Evans

2 Credits Per Quarter, 6 Credits Total / Quarters 10-13 (Winter and Spring, Third Year + Summer Third Year or Autumn, Fourth Year)*

Course Description

This is a problem-based course given in a three quarter sequence designed to give the student the clinical proficiency expected of a general practitioner in the performance of minor, office-based oral and maxillofacial surgery. Students are closely supervised by specialists and the community standard of care is maintained at all times. A diverse patient population is available and is assigned on a weekly basis to undergraduate student for surgical care in the clinic.

*This rotation is offered multiple quarters. All students enroll Winter and Spring of Third Year and as assigned either Summer Third Year or Autumn Fourth Year.  Student receives credit for three quarters.

Educational Objectives

The student will gain knowledge and clinical experience in the principles of minor oral surgery. The student will be able to (1) examine and evaluate a patient presenting with a surgical problem, (2) identify and record oral surgical problems presented by the patient, (3) appropriately sequence oral and maxillofacial surgical care in the overall treatment plan and perform basic surgical procedures, (4) recognize when it is appropriate to refer patients to an oral and maxillofacial surgeon (5) interpret the results of a general physical evaluation and understand the findings that will alter and influence dental treatment, (6) discuss findings, diagnoses, and treatment options with the patient and to obtain informed consent, and be able to explain the sequencing of oral surgical care to the patient as it relates to the overall treatment plan, (7) control patients’ pain and anxiety through the use of local anesthesia, nitrous oxide and oral sedative agents, (8) gain their patient’s confidence, respect, and trust, (9) diagnose and treat complications resulting from minor surgical procedures, (10) write prescriptions and understand the use of prescription drugs in the practice of minor oral surgery, (11) assess the urgency of a patient’s needs as regards the application of the principles of oral surgery, and (12) perform the following procedures: uncomplicated extraction of single or multi-rooted, non-impacted teeth; uncomplicated removal of fractured or residual root tips; uncomplicated pre-prosthetic surgery; (13) uncomplicated biopsy of soft tissues; (14) management of uncomplicated infections of dental origin; and (15) assess of the status of impacted teeth and know the indications and contraindications for their removal.

Further the student will (16) understand the standards of care associated with oral and maxillofacial surgery as well as his/her professional and ethical obligations to patients with surgical needs.

Course Outline

Students are assigned to oral surgery blocks in the winter and spring of their junior year and in either the summer or autumn of their senior year.

Course Expectations

To successfully meet the requirements of this course, the student is expected to attend all clinic sessions and pre- and post-clinical conferences and to demonstrate his/her competency in the performance of minor office-based dentoalveolar surgery. The student will be closely supervised by an attending oral and maxillofacial surgeon. The students will be expected to manage patients from initial examination, and risk assessment, through surgery and the post-operative period. The student will be expected to understand and demonstrate professional behavior as he/she interacts with patients and the patient’s family or companions. The student will also research, prepare and present two assigned presentations on clinical topics to his colleagues per quarter. The course is pass/fail.

Effective Winter Quarter 2007, completion of on-line course evaluation is a requirement of this course. Failure to comply will result in an “Incomplete” grade being assigned.

Competencies Addressed

  • UWSOD Competency 1: Examine a patient using contemporary diagnostic methods to evaluate the head and neck region and to reach a diagnosis of the patient’s oral and craniofacial health status.
  • UWSOD Competency 2: Communicate the risks and benefits of proposed care and alternative treatment strategies available, then obtain expressed consent for treatment conveyed by a patient or legal guardian.
  • UWSOD Competency 3: Formulate a comprehensive treatment plan based on diagnostic findings, then implement treatment in a safe, properly sequenced and timely manner.
  • UWSOD Competency 6: Manage acute and chronic orofacial and dental pain.
  • UWSOD Competency 8: Manage dental emergencies.
  • UWSOD Competency 10: Prescribe and administer pharmacological agents for patient care.
  • UWSOD Competency 11: Diagnose and manage hard and soft tissue lesions and diseases of the orofacial complex.
  • UWSOD Competency 12: Perform uncomplicated oral surgical procedures.
  • UWSOD Competency 14: Manage periodontal diseases.
  • UWSOD Competency 25: Manage a diverse patient population and have the interpersonal and communication skills to function successfully in a multicultural work environment.

Media

  • Contemporary Oral and Maxillofacial Surgery, 4th Ed, Peterson, Hupp, Ellis, Tucker (eds) Mosby
  • Syllabus, OS 530, Evans

*last updated: 11/7/2011

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