Clinical Oral Medicine & Personalized Care II

The Medically Complex, Infectious Diseases and Special Disability Patient Care Clinical Course consists of ~4 half day rotations. Attendance is required to pass this course. Your clinical rotation experience will include at least one or more of the following: Admission Care (Initial Patient visits) provides an initial evaluation for medically complex, infectious disease and special needs patients who register for comprehensive dental care. Student doctors will be involved in the process of obtaining and assessing the comprehensive medical and oral health status of the patients. Students gain knowledge of clinical pharmacology, general and specialty medical issues including physical examination findings, associated laboratory medicine and other medical studies. The rotation also includes experience in performing an oral and extraoral exam such that the student is able to recognize deviations from normal findings and is able to perform a head and neck cancer examination and issue a risk assessment. The student will also gain radiological experience including the appropriate selection and taking of radiographs. Additionally, the student will select the frequency of updating the complete medical history of the patient based upon complexity or at a minimum recommending that the patient be re- assessed bi-annually. Informed Consent: Informed consent must be completed for special needs patients prior to completing care. Student doctors will be expected to become familiar with identifying patients who need to have informed consents signed by guardians/parents/ others prior to procedures. Medical Consult Requests for patients Not Medically Cleared –The medical consult request is the mechanism used to communicate with peers and other healthcare professionals when appropriate. Students are expected to become familiar with the process of completing medical consult requests, which include: requesting appropriate medical information, reviewing obtained information and coming up with a dental and medical management plan that is specific to the patient. Patient care - Successful dental treatment of special needs and medically complex patients, requires a thorough understanding of behavior management, internal medicine and how medical conditions can potentially complicate dental care. The PCare clinic trains you with effective strategies to prevent medical emergencies in a dental clinic, as well as how to behaviourally manage patients with special needs so as to make them comfortable with treatment in a dental clinic. This is achieved by having adequate knowledge of: behavioural management methods, frequent medical conditions; making necessary treatment adjustments and closely monitoring patients during dental treatment. In the case of a medical emergency, students are trained under the supervision of faculty to manage such emergencies. Spring 0.25-2 Credit Hours