Dental Curriculum Threads

Oral Medicine Clerkship

Course Director: Rolf Christensen
Credits: 8
Quarters/Yr of Program: Summer, Autumn, Winter, Spring / 3

Course Overview

This clerkship provides experience and skills in assessment, differential diagnosis, radiographic assessment, problem-based treatment planning, case presentation, and management for patients with urgent oral health care problems, developmental and acquired disabilities, chronic and acute orofacial pain, and neurosensory, chemosensory and movement disorders, and oral problems caused by treatment of cancer.

Learning Objectives

The student who successfully completes this course will be able to:

1. Obtain a comprehensive medical/dental/psychosocial history
2. Communicate effectively with patients in a culturally sensitive manner
3. Assess the structural and functional status of the head, neck, craniofacial, oral, oropharyngeal structures and the periodontium and dentition of patients. This includes being able to: (a) Perform a Temporomandibular Dysfunction screening examination and determine a plan for management (may be a referral) & (b) Perform an oral cancer screening examination and formulate a plan for follow-up & (c) Perform an orofacial pain assessment and formulate a plan for follow-up
4. Compile an appropriate problem list and differential diagnoses that addresses direct and indirect factors that contribute to the onset, persistence, and progression of adverse oral, facial, and dental problems
5. Compose a comprehensive treatment plan, customized to the patient’s needs, desires and financial restrictions, that includes plans for diagnosis, management and/or referral for acute or chronic mucosal, pain, neurosensory or chemosensory disorders and modifications needed for functional abilities and medical conditions
6. Demonstrate a safe and complete assessment, differential diagnosis and management (including communication skills) in individuals presenting with developmental and acquired disabilities
7. Develop a working diagnosis, with differential, and initially manage acute and chronic pain and neurosensory complaints in the oral cavity and head and neck region
8. Assess, diagnose, and manage hard and soft tissue abnormalities of the oral mucosa, jaw, and head and neck region
9. Assess, diagnose, and manage salivary, halitosis and taste/smell abnormalities
10. Demonstrate rational use of basic pharmacologic agents, using risk benefit analysis, to manage pain, infection and anxiety
11. Form collaborative care plans for patient’s pain, infection, dry mouth, and other patient-specific medication-related needs using available UW School of Pharmacy students, as available.
12. Conduct a consult with other healthcare team providers that incorporates good practices in case presentation. Consultations should incorporate good professional etiquette. Communication should include patient’s chief concern, factors relevant to the case, diagnosis, and planned management.
13. Identify problems and issues that require referral to a medical, behavioral, or dental specialist and effectively communicate with those specialists and patients about the need for evaluation.
14. Determine a patient’s specific radiographic needs and make referrals for advanced imaging as needed
15. Order, take and interpret oral and maxillofacial radiographs

UWSOD Competencies: C-01, C-02, C-03, C-04, C-05, C-06, C-07, C-08, C-09, C-10, C-11, C-12, C-13, C-14, C-15, C-16, C-17, C-18, C-19, C-21, C-22, C-23, C-24, C-25, C-26, C-27, C-28, C-29, C-30, C-31, CE-02, CE-03

Date last updated: 2019-06-26