Personalized Care

The Personalized Care Suite (PCare) patient care clinical course consists of ~20 half day rotations for the semester (~40 for the entire year). D4 student doctors are assigned a panel of patient and provide comprehensive dental care for patients with disabilities (IDD), medical complexities (MCC) and HIV (ICC). D4 students will be assigned sessions to provide an initial virtual encounter visit with new patients prior to the patient’s in person appointment. Each D4 student is required to complete at least one formative evaluation in each of three areas (medical risk assessment including acquisition and interpretation of medical information; disease risk assessement with the formulation of a personalized preventive regimen with followup assessment and a treatment modification plan that includes assessment, formulation, implementation and evaluation of medical/behavioral/stabilization modifications necessary to provide dental care. These are evaluated using forms in axiUm-evaluation criteria can be found on CANVAS as well as in the student manual. Additionally, there will be a written mock OSCE given in December that will require the formulation of medical assessment, disease prevention and treatment modifications for simulated patients. Initial patient visits: Student doctors are required to obtain (if possible) information prior to patient’s first in person appointment. Patients will be given a virtual appointment whenever possible to allow the student to collect pertinent information during an assigned teledentistry session. Information collected will include medical information as well as competition of the PCare intake form (as applicable). This will allow time to obtain necessary medical information prior to patient’s initial in person appointment in order to facilitate delivery of actual dental care at the first clinic visit. At the initial in patient visit, students will complete a comprehensive oral exam (including a through extra and intra oral soft tissue exam) as well as dental and periodontal examination. Appropriate radiographs selection, acquisition and interpretation will be completed as well. All clinical and radiographic findings (including existing restoration,caries, defective restorations, fractures) will be entered into the odontogram along with the periodontal findings. The entered information will be used for the formulation of treatment plans. 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. These will be formative experiences and are separate from what is required in Admissions. The formative experience must include requesting necessary medical information, reviewing the obtained information and formulating a management plan specific for the patient in the context of the necessary dental treatment. 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 Fall 0.25-4.25 Credit Hours