Personalized Care II

The Medically Complex, Infectious Diseases and Special Disability Patient Care Clinical Course consists of ~20 half day rotations for the semester (~40 for the entire year). Each D4 student doctor is required to complete at least 2 med consult requests with interpretation of acquired medical information, 2 caries risk assessments and formulation of a personalized preventive regimen and 2 treatment modification plans (medical/behavioral/stabilization) during this semester. Initial patient visits provides an initial evaluation for medically complex, infectious disease and special needs patients who register for comprehensive dental care. Student doctors obtain and assess 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 annually. Medical consult requests for patients Not Medically Cleared – Each D4 student doctor is required to obtain at least 2 medical consults. 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. Each of the 2 formative experiences 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 patients with disabilities and complex medical histories 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. 0.25-3 Credit Hours