prosthodontics clinical courses syllabus

Prosthodontics Clinical Courses Syllabus

Prosthodontics Clinical Courses Syllabus Overview DN Status 3 4 GRADUATION Semester 7 8 9 10 11 Course # 7845L 7846L 8857L 8858L 8859L Credit hours 2 2 2 3 3

5 Crowns: prior to these competencies: Single Posterior Crown Competency Single Anterior Crown Competency

3 Unit FPD Psychomotor exam (Mannequin) and Crowns Competencies prior to this competency:

3 unit FPD Competency

Course Expectations: (Accumulative) Quality: 35% Average of Daily procedures

Conversion 1.0 = 0.0 1.5 = 1.0 2.0 = 2.0 2.5 = 3.0 3.0 = 4.0

Psychomotor Entry Exam (Single Crown Prep & Prov. ‐ Mannequin)

1 Gold Crown 1 PFM Crown 1 RPD Case 1 C/C case

Skills assessment Exam (Single Crown Case on a Patient) After completing all the above In order to pass to Senior Year

4 RPD cases prior to these competencies: RPD Design Competency RPD Case Competency

1 C/C case prior to this competency C/C Competency

Competencies 0 0 2 of the above 2 of the above 2 of the above NOTE: Whichever comes first on the student pool and

experiences

Whichever comes first on the student pool and experiences

ALL COMPETENCIES HAVE TO BE

SUCCESSFULLY COMPLETED PRIOR TO

GRADUATION

RVUs Quantity: 60%

0: < 250 2.00: 250 ‐499 2.50: 500 ‐ 749 3.00: 750 ‐ 999 3.50: 1,000 ‐1,249 4.00: 1,250 or more

0: < 1,500 2.00: 1,500‐1,749 2.50: 1,750‐ 1,999 3.00: 2,000 – 2,449 3.50: 2,500 ‐2,999 4.00: 3,000 or more

0: < 3,500 2.00: 3,500‐3,949 2.50: 3,950‐4,449 3.00: 4,500‐4,949 3.50: 4,950‐5,449 4.00: 5,500 or more

0: < 7,500 2.00: 7,500‐7,999 2.50: 8,000‐8,499 3.00: 8,500‐8,999 3.50: 9,000 ‐9,499 4.00: 9,500 or more

0: < 12,500 2.00: 12,500‐13,249 2.50: 13,250‐13,999 3.00: 14,000‐14,749 3.50: 14,750‐15,499 4.00: 15,500 or more

RVUs at Graduation 2.00: 12,500‐13,249 2.50: 13,250‐13,999 3.00: 14,000‐14,749 3.50: 14,750‐15,499 4.00: 15,500 or more

Professionalism: 5%

QR 1.0 = 0.0 unacceptable 1.5 = 1.0 2.0 = 2.0 Acceptable 2.5 = 3.0 3.0 = 4.0 Excellence



QR 1.0 = 0.0 unacceptable 1.5 = 1.0 2.0 = 2.0 Acceptable 2.5 = 3.0


QR 1.0 = 0.0 unacceptable

3.0 = 4.0 Excellence

1.5 = 1.0 2.0 = 2.0 Acceptable 2.5 = 3.0 3.0 = 4.0 Excellence

Grading Criteria 0 .00‐ 1.99: E 2.00 ‐ 2.49: C 2.50 ‐ 2.74: C+ 2.75 ‐ 3.24: B 3.25 ‐ 3.74: B+ 3.75 ‐ 4.00: A

* Quality: Average of daily procedures 35 % *Quantity: RVUs 60% *Professionalism: 5% 100%

* Quality: Average of daily procedures 35 % *Quantity: RVUs 60% *Professionalism: 5% 100%

* Quality: Average of daily procedures 35 % *Quantity: RVUs 60% *Professionalism: 5% 100% Competencies: Pass/Fail




Clinical Evaluation of Professionalism and Patient Management

Question Criteria for Excellence Criteria for Competency Critical Errors 1. Did the student draw upon current biomedical and clinical knowledge to exercise evidence‐based judgement?

Extensive in‐depth knowledge and understanding. Information is complete, accurate, concise and well organized. Ability to associate exam findings with issues raised in health history. Seeks more information and asks insightful questions. Analyzes literature and incorporates it into patient treatment plan. Student is exceptionally prepared for patient treatment.

Demonstrates knowledge and understanding. Foundation knowledge and medical information is complete and accurate. Ability to associate exam findings with issues raised in health history. Analyzes literature and incorporates it into patient treatment plan. Student is adequately prepared for patient treatment.

Student did not review patient medical & dental history and/or failed to consult with faculty or appropriate health care providers. Key information is missing and planning is incomplete.

2. Did the student demonstrate acceptable interpersonal skills while interacting with faculty, staff and the patient; including the appropriate use of effective techniques to manage anxiety, distress, discomfort and pain associated with this procedure?

Overtly demonstrates honesty, integrity, compassion and respect for patients, peers & staff. Actively seeks feedback. Clearly recognizes patient concerns and needs in the context of their lives and the patient's oral care. Communicates skillfully.

Establishes rapport with patient and communicates well. Recognizes patients concerns and needs. Demonstrates respect, honesty & compassion for patients, peers and staff. Accepts feedback readily.

Student interactions are disrespectful or insensitive. Ineffective communication and failure to establish functional rapport with patient. Disinterested in patient's needs. Resists faculty or patient feedback.

Student follows protocol in the Clinical Procedural Manual.

Student follows protocol in the Clinical Procedural Manual. Clearly recognizes patients non‐verbal desire concerning asepsis and as necessary communicates effectively with staff, faculty, and patients about asepsis procedures and questions.

3. Did the student use universal precautions and comply with regulations regarding infection control, hazard communication and medical waste disposal?

Break in asepsis as described in the Clinical Procedure Manual.

General Information for Clinical Prosthodontics

Course Director: Dr. Luisa F. Echeto, Undergraduate Prosthodontic Program Director, Department of Prosthodontics is the course director for all clinical courses in prosthodontics. Appointments can be scheduled in the Department of Prosthodontics office, D 11‐6, at 273‐6901 or email to: [email protected]. Department of Prosthodontics faculty offices are located on the 11th floor of the dental tower. Ms. Michelle Hopkins, Secretary, is the departmental contact person for issues related to your clinical patient experiences, and your academic records in this department. Her phone number is also 273‐6901. Contact her for information regarding your academic progress in this department, updating your records, and for print outs of your current status. The Department of Prosthodontics recommends the following procedures to ensure your semester grades reflect your clinical activity. Quality and Professionalism: Grades are calculated based on the copies of completed patient procedure forms and completed competencies forms that are received in the department offices prior to the university semester deadline for grades. If you do not hand in your forms copies, you will not receive credit for the completed work you have accomplished in clinic. Quantity: Grades are also calculated based on the RVUs values found in Quick Recovery. Please make sure the tickets are closed correctly, so the value is accurate. Check your file in the departmental offices prior to the end of the semester to be sure it is correct. Forms for procedures completed in the last week of the semester should be hand carried to the departmental secretaries in order to receive credit for that semester. Minor changes of this syllabus could be done later and students will be notified promptly.

mailto:[email protected]

DEN7845L CLINICAL PROSTHODONTICS 1 Semester Seven Junior — Fall EDUCATIONAL GOAL

The educational goal of this course for this semester is to begin and perform patient treatment with Prosthodontics restorations. Components of this goal are: ‐First to demonstrate the maintenance of psychomotor skill in tooth preparation and provisionalization for single tooth restorations through the Psychomotor Entry Exam on a mannequin. ‐To treatment plan patients for treatment with fixed restorations and perform the indicated procedures. ‐To treatment plan patients with removable partial and complete denture prostheses and perform the indicated procedures. ‐The student should complete successfully the Psychomotor Entry Exam to then complete the following procedures based on the patient pool and experiences as come first basis between Semester 7 and 8: 1 Gold Crown 1 PFM Crown or All‐ceramic 1 C/C case 1 RPD case

‐Lastly to demonstrate the ability in performing clinical work with the Skills Assessment Exam (Single Crown Prep & Provisional on a patient), which allows the student to pass to the Senior Year. The student is eligible to take this exam once all the above procedures have been completed.

COURSE MATERIALS

1. Prosthodontics Manual 2. Complete Denture Manual 3. Quality Assurance Manual 4. Clinic Procedural Manual (Created by Dr. Boyd Robinson)

LEARNING EXPERIENCES/COMPETENCIES

Psychomotor Entry Exam: Prior to start fixed treatments in semester 7, students must

successfully complete a psychomotor exam consisting of tooth preparation and fabrication of a provisional restoration for a single crown on a dentoform. Evaluation of performance is based on the criteria presented in the preclinical courses (DEN 6412C and 6415C).

1. The psychomotor entry exam is to be performed in the clinics. The student will bring the Prosthodontics Procedure for Single Crown Form to a Prosthodontics faculty member in the clinic who will select a tooth and preparation and check the Psychomotor Exam box in the form. Then the faculty gives the start check and sign again at the conclusion of the procedure given the time finished and any comments.

2. The psychomotor exam consists of a single tooth preparation and provisional on a dentoform completed within the time constraints of a clinic session (9:00 to 12:00 PM, 1:30 to 4:30 PM). For this Exam you will need a dentoform with all teeth un‐prepared, your hand‐pieces and burs, and sufficient materials to make a provisional restoration for the tooth you are asked to prepare which will be provided in the clinics. Please avoid bringing tackle boxes to the clinics.

3. When the preparation and provisional restoration are completed and signed by the clinical

faculty at the conclusion of the procedure given the time finished, the student will bring the dentoform to the Department of Prosthodontics office, D 11‐6, where at least one faculty member will critique the preparation and provisional restoration on a pass/fail basis using the criteria presented in DEN 6412C and 6415C.

Present a treatment plan for a patient(s) whose needs fixed restorations. The

presentation(s) should include specific findings, relevant systemic health considerations, patient desires and needs, a written treatment plan proposal, and a rationale for each item of suggested treatment.

1. Proper completion of dysfunction screening form, initial clinical examination and departmental treatment plan form.

2. Current accurate diagnostic casts mounted in centric relation.

3. A written treatment plan

4. Appropriate recent radiographs available.

5. Use of diagnostic tooth preparations and/or wax‐ups, when indicated.

6. Evaluation of the current periodontal condition of all the remaining teeth, including sulcus depths, tooth mobility, furcation involvements, and attached gingival tissue.

7. Rationale for treatment, including alternatives.

8. Recognition of the need for “special care” and specific proposals for providing prophylactic antibiotic coverage, nitrous oxide/oxygen analgesia, etc.

9. Ability to communicate to a faculty member the specific findings, proposed treatment, and prognosis.

10. Communication to patient of proposed treatment, including estimation of time involved, cost, treatment goals, and patient responsibilities during and after treatment. Fixed Prosthodontics Treatment Planning: To treatment plan your first patient for fixed prosthodontics treatment; you will need a patient who has had all periodontal, oral surgical, orthodontic, endodontic and operative treatment completed in order to develop a Phase II treatment plan including all Prosthodontic Procedure needed. In some cases, this is not required, but this is very unusual. Consult with the clinical prosthodontic faculty or TEAM leader in the clinic if you are unsure about treatment planning your patient. You will need recent, (this means after all restorative treatment has been done) accurate, diagnostic casts mounted with a facebow transfer and a CENTRIC RELATION record. (Note: Diagnostic casts are mounted in centric relation to evaluate the patient’s occlusal relationships. This does not necessarily mean the patient’s restorations will be made in

centric relation.) You must also complete the Phase II Treatment Plan form including all Prosthodontics Procedures needed. Bring your patient, mounted casts, chart and completed Phase II treatment plan form to the clinic to present the proposed treatment plan to the supervising faculty for approval.

Perform diagnostic tooth preparations and wax‐ups, when indicated, as part of the

development of the fixed prosthodontic treatment plan.

If it is determined your patient would benefit from diagnostic tooth preparations and wax‐ups, your supervising faculty will tell you at the time of treatment planning.

1. Identification of benefits to be derived from a diagnostic wax‐up and whether one is indicated for a particular patient, with the identification based on an evaluation of the occlusal plane, disclusion characteristics, and the extent of the restorative needs.

2. Use of current, accurate diagnostic casts mounted in centric relation.

3. Identification of the need for, and correct use, where indicated, of a custom acrylic anterior guide table.

4. Preparation of the teeth on the casts according to biological, mechanical, and esthetic needs.

5. Restoration of axial tooth contours in wax.

6. Evaluation of the existing occlusal scheme and interpretation of its influence on any proposed changes.

7. Understanding of the relationship between anterior guidance and the occlusal morphology of posterior teeth.

8. Proper execution of the occlusal design in wax.

9. Transfer of the information from such diagnostic procedures to the patient’s treatment plan.

Prepare teeth, fabricate and cement single cast gold restoration, PFM restoration and/or All ceramic restoration as indicated by a predetermined treatment plan at an acceptable or excellent level of quality.

1. Ability to discuss clearly the indications, contraindications, advantages, and disadvantages of the proposed restoration.

2. Determination of the proper sequence of treatment to give the greatest benefit within the comprehensive patient care plan.

3. Arrangement of the steps needed to complete the restoration to make the most efficient use of the patient’s and your time.

4. Skill with which the treatment is provided, including tooth preparation, temporization, impression making, and fabrication of the restoration.

5. Quality of the restoration, including retention; axial contour; occlusal design; marginal adaptation; polish; adequate thickness and, where appropriate, esthetic acceptability and glaze.

6. Knowledge of any limitations of the restoration and judgment as to any corrective procedures that should be undertaken.

7. Patient management and patient comfort.

Examine, diagnose, treatment plan, and determine the prognosis of at least 1 partially edentulous patient; treat the patient with a removable partial denture at an acceptable or excellent level of quality; complete Laboratory Work Authorization forms; and supervise and evaluate those laboratory procedures performed by the laboratory technician. Complete all relevant Quality Assurance evaluations at an acceptable or excellent level of quality.

You must have completed DEN6413C. You will be evaluated on your ability to do the following: 1. Accurately complete the documentation and evaluation of all diagnostic data on the clinic

chart forms 2. Interpret radiographs of the partially edentulous patient 3. Recognize un‐favorable biomechanical factors that require preprosthetic surgery or other

preparatory or corrective treatment that may require joint consultations with other disciplines of dentistry (such as periodontics, operative, fixed prosthodontics, and oral surgery)

4. Evaluate the patient’s existing removable partial denture (if applicable) in relation to the patient’s complaints, needs, desires, and expectations of the new partial denture

5. Formulate a prognosis based on the remaining teeth and oral anatomy and the patient’s attitude toward dental health

6. Present a logically sequenced treatment plan to the patient, including an estimate of the time involved and fee arrangements

7. Have current, neatly trimmed and clean diagnostic casts (mounted on an articulator when necessary) surveyed and designed with all the removable partial denture components clearly delineated using the proper color coding Complete the Removable Partial Denture form accurately and communicate to your supervising Quality Assurance and clinical faculty member the rationale for your treatment plan and indicated design Removable Prosthodontics Treatment Planning: To treatment plan your patient for removable partial denture treatment, in contrast to your fixed prosthodontic patients, your patient will NOT need to have all treatment completed in order to develop a removable partial denture treatment plan. Most of these patients can be treatment planned early during their dental treatment. You will be able to formulate a treatment plan once you have established which teeth are to be retained and restored as potential removable partial denture abutments. In some cases, this requires completion of Phase I periodontal therapy, but this is not the usual situation. Consult with the clinical faculty or TEAM leader in the clinic if you are unsure about when to treatment plan your patient. You must also complete the Phase II Treatment Plan form including all pros procedures needed.

To treatment plan your patient; you will need accurate diagnostic mounted casts. The diagnostic casts must be mounted on the articulator with a facebow transfer and a CENTRIC RELATION record. For class I and II cases you will need to fabricate record base and wax rims in order for you to accurately mount the cases on the articulator. This may take another visit. The Removable Partial Denture Treatment Plan has two parts in the Prosthodontics Procedures for RPD, a Quality Assurance evaluation and a Clinical Evaluation. Faculty signatures in both boxes on this Form signify that you have completed the design. Quality Assurance portion of the treatment plan: Survey, tripod and draw the tentative framework design on the Prosthodontics Procedures for Removable Partial Denture Treatment Plan form. Transfer your drawing to the diagnostic cast. Hand in the patient’s chart, surveyed diagnostic mounted casts (unless the opposing cast is a complete denture), the completed Prosthodontic Procedures for Partial Dentures Form to a Quality Assurance Faculty. QA Faculty is responsible for all Quality Assurance activities in removable prosthodontics and he or his designee, will review your work and provide you with written and verbal feedback. When you have received a grade for QA you may bring your patient to the clinic for the clinical portion of the treatment plan. Clinical Portion of the Removable Partial Denture Treatment Plan: Bring your patient, chart, completed Removable Partial Denture Treatment plan form signed by QA, and mounted diagnostic casts surveyed and designed to the clinic. Clinical faculty will review your design and examine the patient for appropriateness of this design. Often there are aspects of removable partial denture design which must be modified based on the conditions in the oral cavity which are not evident on diagnostic casts alone (Ex. tooth mobility, range of motion of the floor of the mouth, caries at proposed clasp tip sites). Bring your patient, mounted casts, chart and completed treatment plan form to the clinic and present the proposed treatment plan to the supervising faculty for approval. Once Phase I has been completed, you are ready to perform the Removable Partial Denture treatment. If the Phase II treatment includes survey crowns, you will need to complete the survey crowns first based on the RPD design already established before you can start the Removable Partial Denture treatment. Keep in mind that RPD mouth preparations should be done prior to the final impressions of the survey crowns.

Examine, diagnose, treatment plan, and determine the prognosis for an edentulous patient; treat the patient with complete dentures and accomplish all the clinical and laboratory procedures for this treatment. Successfully complete all relevant Quality Assurance evaluations.

You must have completed DEN 6460C. You will be judged on your ability to do the following: • Accurately complete the documentation and evaluation of all diagnostic data on the clinic

chart forms • Interpret radiographs of the edentulous patients; recognize unfavorable biomechanical

factors that require pre‐prosthodontic surgery • Evaluate the patient’s existing dentures (if applicable) in relation to the patient’s

complaints, desires, and expectations of the new dentures

• Formulate a prognosis based on the residual oral anatomy and the patient’s attitude toward dental health

• Recognize and communicate to a prosthodontics faculty member certain anatomical landmarks and muscles which will determine the borders of the dentures

• Present a logically sequenced treatment plan to the patient, including an estimate of time involved and fee arrangements

• Provide patient education in oral hygiene and the care of dentures and make the patient aware of the need for periodic reexamination (recall) and subsequent maintenance procedures, such as reline and rebase

• Perform all the clinical and laboratory procedures which are clinically acceptable and biologically compatible with the masticatory system.

• Have all relevant clinical and laboratory procedures evaluated through Quality Assurance. • Note: Clinical Remount of dentures MUST be done at the delivery appointment. Previous

QA of the remount cast/s must be done prior this visit.

Treat a patient in need of a reline, rebase, or repair of a complete or removable partial denture; and satisfactorily accomplish all the clinical procedures for this treatment at an acceptable or excellent quality.

1 Evaluate the patient’s existing dentures in relation to the patient’s centric relation, vertical

dimension, occlusion, extension and in relation to the patient’s complaints, desires, and expectations

2 Formulate a prognosis based on the residual oral anatomy and the patient’s attitude toward dental health; present a logically sequenced treatment plan to the patient, including an estimate of time involved and fee arrangements

3 Perform all procedures which are clinically acceptable and biologically compatible with the masticatory system.

EVALUATION

Grading of the clinical prosthodontic patient care in the predoctoral clinics at the University of Florida College of Dentistry is based on three components which takes into account the Quality (35%) of the student performance, the student’s productivity or Quantity (60%) throughout the RVU system (Relative Value Units) and the Professionalism (5%) of the student during the career. * The quality (35%) of patient care is both formative and summative in nature. The primary purpose of evaluation is to provide helpful feedback to students to guide them towards attaining competency in this discipline. We recognize that this is a process of growth and change for students as they progress through the prosthodontics curriculum. Self evaluation and critical thinking are important factor in this process which can be practiced using the prosthodontic procedures forms in all different treatments. Feedback to students is provided in the form of both clinical daily evaluations of quality of patient care and the laboratory Quality Assurance program summarized in the prosthodontics procedures forms. The Prosthodontic faculty and TEAM leaders will review all of your laboratory work in prosthodontics. The QA program in prosthodontics is a formative type of evaluation and a method of communication with dental students regarding dental laboratory work. The process is

based on written and oral feedback to students with the expectation that student quality will improve as clinical experience, understanding and skills increase. The department assumes that your clinical and laboratory work will be at the acceptable level of quality as reflected in your QA and clinical daily quality grades showing a trend of improvement as you gain clinical experience. The quality grade is measure by a scale of 0.0 to 4.0 through the Prosthodontic Procedures Forms. A minimum of 2.00 is expected to render the case acceptable. Less than 2.00 signify that the student has fail on the case and a remediation activity must be done. A deduction of 0.50 point is made when an error occurs and should be mark on the form, first by the student who self evaluate and second by the faculty if agrees with the student. If student does not recognize the mistake, the faculty should point it out following the criteria in the form and mark the error. The correction should be made prior to proceeding with the case and faculty initials will approve such correction. * Professionalism (10%) will always be part of the daily evaluation of clinical activities and a table of criteria is attached as a reference. (PAGE 2) Faculty Comments in the Procedures forms are taking into consideration for your professionalism grade as well as the daily professionalism grade score from Quick Recovery (QR) on a scale of 1‐3. A conversion scale to 0.0 ‐4.0 have been created to calculate the Pros grade of the semester. Excellent (E): These evaluations must be accompanied by a written narrative explanation of the characteristics of the patient encounter, which cause it to be evaluated as Excellent. Excellent clinical patient care quality is characterized by the following: ‐Student performs with very minimal faculty input and this input of such a nature that no student would be expected to have those skills/knowledge. ‐Clinical procedures are accomplished solely by the student. ‐Student follows faculty directions precisely and correctly. ‐All aspects of clinical procedures are completed correctly. ‐Student finishes clinical procedures in the allotted time period. ‐Student records are complete and correct. ‐Student infection control procedures are correct and exemplary. ‐Student patient interactions are professional in nature

Minor Errors:This evaluation is made for errors made during clinical patient treatment, which are ameliorable without additional clinical procedures. ‐Student errors with minimal or no impact on the treatment plan or prognosis procedures. ‐Student errors with minimal or no impact on the treatment plan or prognosis for the patient and which do not add additional costs in terms of time or expense to the treatment also fall into this category. Examples could be: ‐Over‐reduction of tooth structure in preparation for fixed restorations, which does not require surgical crown lengthening or non‐surgical endodontic treatment. ‐Remake of impressions due to inadequate technique either in fixed or removable prosthodontics. Significant Errors: These are very rare and unusual and constitute less than 1% of evaluations in the discipline. These errors are primarily irreversible in nature and lead to more serious

outcomes than minor errors. These evaluations are for avoidable clinical errors in patient care that do require additional clinical procedures. Significant errors evaluations are given for errors whose amelioration adds additional costs in terms or time or expense to the patient’s prosthodontics treatment. Examples of significant errors can include: ‐Remake of a removable prosthesis ‐Need for nonsurgical endodontic treatment due to tooth preparation error. ‐Perforations during post & core procedures resulting in additional procedures, but not extraction. ‐Need for periodontal procedures due to student error. ‐Need for reline/rebase of removable prostheses due to student error. ‐Cumulative effect of multiple student errors in the same case. Unsatisfactory: Unsatisfactory errors should be very rare, considerably less that 1%, in the student predoctoral prosthodontics clinic. These are clinical patient errors leading to the most serious patient outcomes including serious injury or loss of life to the patient. Examples include: ‐Serious errors in tooth preparation leading to tooth extraction. ‐Multiple errors in tooth preparation leading to tooth extraction. ‐Multiple errors of differing types in the same case which result in tooth loss or serious harm to the patient. Timely: An important part of your development in prosthodontics is appropriate and efficient use of clinic time. If you finish <30 minutes past clinic closing times 1 point will be deducted from the procedure and if you finish > 30 minutes past clinic closing times 3 points will be deducted from the procedure. This policy is effective for all succeeding semesters. * A secondary purpose of evaluation includes delineation of student development and productivity in order to assign semester grades (Quantity 60%). The Relative Value Unit system (RVU) provides a way to measure and capture all activity that the student performs in the clinic, whether at the college or offsite, and then generates a report of the student’s efforts. This value is cumulative throughout all semesters until graduation. This value is attached to an ADA code already established in Quick Recovery (QR). Every time the students are in the clinics a ticket is generated in QR. This ticket must be closed at the end of each clinic section to accumulate RVUs based on the activity or activities performed on a given day. Once a procedure is marked as “started or continue” the RVU value is accumulated. Once a procedure or specific step is completed, then the same value remains. For example, a student attempt a final impression, but did not get a good one, this procedure will be marked as started but not finished and then RVU are accumulated. The next visit the impression is successfully completed, then the procedure is marked as completed but it will not add more points. The specific guidelines for awarding semester grades in each of the prosthodontics clinical courses are listed in tabular form in the Courses Syllabus overview (Page 1).

The summary of the evaluation includes the following components: 1‐Quality 35% (Daily procedure forms average) 2‐Professionalism 5% 3‐Quantity 60% (RVU) 1,2‐To receive the quality credit (35%) and Professionalism credit (5%) for your clinical activity, hand in the completed Prosthodontics Procedures forms to the department of Prosthodontics. Your clinical activities are logged into our files when we receive your copies. If you do not hand these forms in, you will not receive this credit for your completed work. 2,3‐To receive the quantity credit (60%) for your clinical activity, and the Professionalism score from Quick Recovery, all procedures in progress and completed should be logged into Quick Recovery (QR) correctly and all tickets closed so the values are accurate for the final grade calculations.

REMEDIATION

Competencies: Students may challenge any competency until their work is rendered acceptable and pass. After a student fails on their second attempt, the department chair or designee will assign additional practice work to the student before the competency can be challenged again.

Activities for the Fixed and/or Removable Treatment Plan portion of this clinical course are at the discretion of the Undergraduate Prosthodontics Program Director or Department Chair. Remediation for unacceptable quality of effort: Unacceptable quality of effort may be defined as students with 2 or more Clinical Daily Quality Grades of unsatisfactory or two or more instances of running 30 minutes or more past the clinic closing time this semester. These students’ records will be individually reviewed by the Director and Chair, Department of Prosthodontics, or designated faculty. Student graduation may be delayed and an individual remediation program designed for students whose clinical quality of patient treatment is found to be unacceptable. Students failing any academic/clinic coursework will be awarded an “E” grade and required to remediate. To satisfactorily complete the remediation program at least a “C” grade must be earned the next semester. The final grade assigned for the course, after remediation, will be a “D.” Students failing to satisfactorily complete the remediation program will again be awarded an ”E” grade and required to repeat the course. Re‐enrollment will be as soon as deemed feasible by the course director. The highest final grade attainable when repeating a course, is an “A”. Students receiving an “E” grade for the re‐enrolled course will be sent to the Student Performance Evaluation Committee (SPEC) for further action.

COMPETENCY EVALUATION

There are not competencies required for this semester. The Psychomotor Entry Exam will be used to evaluate your maintenance of psychomotor skill in tooth preparation and provisionalization for single tooth restorations in a dentoform and the Skills Assessment Exam will demonstrate your ability in performing clinical work, which allows the student to pass to the Senior Year. This exam consists on a single crown fabrication on a patient. The student is eligible to take this exam once all the required procedures have been completed.

COURSE GRADING CRITERIA

See attached chart of the Prosthodontics Clinical Courses Syllabus Overview. (Page 1) ‐ Quality 35%: This part of the grade comes from the average of all completed procedures in prosthodontics in this semester ‐ Professionalism 5%: This part of the grade comes from the attached criteria (Page 2), the Quick Recovery (QR) score and any comments (Positive or negative) made by the clinical faculty in the prosthodontic procedure forms ‐ Quantity 60%: This part of the grade comes from the RVUs accumulated in Quick Recovery (QR) based on the clinical activities ‐Psychomotor Entry Exam: Pass/Fail. ‐Skills Assessment Exam: Pass/Fail. The numeral grade will be added to the quality grade and RVUs will be accumulated This semester the expectations are; ‐ The completion of the Psychomotor Entry Exam ‐ A minimum of 250 RVUs ‐ As most procedures as possible based on the patient pool from:

o 1 Gold Crown o 1 PFM or All ceramic Crown o 1 C/C case o 1 RPD case

DEN7846L CLINICAL PROSTHODONTICS 2 Semester Eight Junior — Spring EDUCATIONAL GOAL

The educational goal of this course for this semester is to continue the treatment of patient with Prosthodontics restorations. Components of this goal are: ‐ If you have not already done so, to demonstrate your maintenance of clinical skill in tooth preparation and provisionalization for single tooth restorations. This is done by completing the psychomotor Entry Exam. If you have already completed this Entry Examination in Semester Seven, and have started a fixed restoration within 2 weeks after successfully completed the exam, it does not need to be repeated this semester. ‐ To treatment plan patients for treatment with fixed restorations and perform the indicated procedures. ‐ To treatment plan patients with removable partial and complete denture prostheses and perform the indicated procedures. ‐ The student should complete successfully the Psychomotor Entry Exam to then complete the following procedures based on the patient pool and experiences as come first basis between Semester 7 and 8:

1 Gold Crown 1 PFM Crown or All‐ceramic 1 C/C case 1 RPD case

‐ Lastly to demonstrate the ability in performing clinical work with the Skills Assessment Exam (Single Crown Prep & Provisional on a patient), this allows the student to pass to the Senior Year. The student is eligible to take this exam once all the above procedures have been completed.

COURSE MATERIAL


LEARNING EXPERIENCES/COMPETENCIES

Psychomotor Entry Exam: Prior to entry treating fixed prosthodontics patients in Semester 8, students must successfully complete the Psychomotor Entry Exam. The psychomotor exam consists of tooth preparation and fabrication of a provisional restoration for a single crown on a dentoform. Evaluation of performance is criteria based using the criteria presented in the preclinical courses (DEN 6412C and 6415C).

However, if you did Alternate Activity for the Fall semester grade, you will still need to do the psychomotor part of the Clinic Entry Exam one to two weeks prior to treating your first patient in the fixed prosthodontics clinic.

Present a treatment plan for a patient(s) whose needs fixed restorations. The presentation(s) should include specific findings, relevant systemic health considerations, patient desires and needs, a written treatment plan proposal, and a rationale for each item of suggested treatment.










10. Communication to patient of proposed treatment, including estimation of time involved, cost, treatment goals, and patient responsibilities during and after treatment. Fixed Prosthodontics Treatment Planning: To treatment plan your first patient for fixed prosthodontics treatment; you will need a patient who has had all periodontal, oral surgical, orthodontic, endodontic and operative treatment completed in order to develop a Phase II treatment plan including all Prosthodontic Procedure needed. In some cases, this is not required, but this is very unusual. Consult with the clinical prosthodontic faculty or TEAM leader in the clinic if you are unsure about treatment planning your patient. You will need recent, (this means after all restorative treatment has been done) accurate, diagnostic casts mounted with a facebow transfer and a CENTRIC RELATION record. (Note: Diagnostic casts are mounted in centric relation to evaluate the patient’s occlusal relationships. This does not necessarily mean the patient’s restorations will be made in centric relation.) You must also complete the Phase II Treatment Plan form including all Prosthodontics Procedures needed. Bring your patient, mounted casts, chart and completed Phase II treatment plan form to the clinic to present the proposed treatment plan to the supervising faculty for approval.

Perform diagnostic tooth preparations and wax‐ups, when indicated, as part of the

development of the fixed prosthodontic treatment plan.



You must have completed DEN6413C. You will be evaluated on your ability to do the following: 1 Accurately complete the documentation and evaluation of all diagnostic data on the clinic

chart forms 2 Interpret radiographs of the partially edentulous patient 3 Recognize un‐favorable biomechanical factors that require preprosthetic surgery or other


4 Evaluate the patient’s existing removable partial denture (if applicable) in relation to the patient’s complaints, needs, desires, and expectations of the new partial denture

5 Formulate a prognosis based on the remaining teeth and oral anatomy and the patient’s attitude toward dental health

6 Present a logically sequenced treatment plan to the patient, including an estimate of the time involved and fee arrangements

7 Have current, neatly trimmed and clean diagnostic casts (mounted on an articulator when necessary) surveyed and designed with all the removable partial denture components clearly delineated using the proper color coding Complete the Removable Partial Denture form accurately and communicate to your supervising Quality Assurance and clinical faculty member the rationale for your treatment plan and indicated design

Removable Prosthodontics Treatment Planning: To treatment plan your patient for removable partial denture treatment, in contrast to your fixed prosthodontic patients, your patient will NOT need to have all treatment completed in order to develop a removable partial denture treatment plan. Most of these patients can be treatment planned early during their dental treatment. You will be able to formulate a treatment plan once you have established which teeth are to be retained and restored as potential removable partial denture abutments. In some cases, this requires completion of Phase I periodontal therapy, but this is not the usual situation. Consult with the clinical faculty or TEAM leader in the clinic if you are unsure about when to treatment plan your patient. You must also complete the Phase II Treatment Plan form including all pros procedures needed. To treatment plan your patient; you will need accurate diagnostic mounted casts. The diagnostic casts must be mounted on the articulator with a facebow transfer and a CENTRIC RELATION record. For class I and II cases you will need to fabricate record base and wax rims in order for you to accurately mount the cases on the articulator. This may take another visit. The Removable Partial Denture Treatment Plan has two parts in the Prosthodontics Procedures for RPD, a Quality Assurance evaluation and a Clinical Evaluation. Faculty signatures in both boxes on this Form signify that you have completed the design.

Quality Assurance portion of the treatment plan: Survey, tripod and draw the tentative framework design on the Prosthodontics Procedures for Removable Partial Denture Treatment Plan form. Transfer your drawing to the diagnostic cast. Hand in the patient’s chart, surveyed diagnostic mounted casts (unless the opposing cast is a complete denture), the completed Prosthodontic Procedures for Partial Dentures Form to a Quality Assurance Faculty. QA Faculty is responsible for all Quality Assurance activities in removable prosthodontics and he or his designee, will review your work and provide you with written and verbal feedback. When you have received a grade for QA you may bring your patient to the clinic for the clinical portion of the treatment plan. Clinical Portion of the Removable Partial Denture Treatment Plan: Bring your patient, chart, completed Removable Partial Denture Treatment plan form signed by QA, and mounted diagnostic casts surveyed and designed to the clinic. Clinical faculty will review your design and examine the patient for appropriateness of this design. Often there are aspects of removable partial denture design which must be modified based on the conditions in the oral cavity which are not evident on diagnostic casts alone (Ex. tooth mobility, range of motion of the floor of the mouth, caries at proposed clasp tip sites). Bring your patient, mounted casts, chart and completed treatment plan form to the clinic and present the proposed treatment plan to the supervising faculty for approval. Once Phase I has been completed, you are ready to perform the Removable Partial Denture treatment. If the Phase II treatment includes survey crowns, you will need to complete the survey crowns first based on the RPD design already established before you can start the Removable Partial Denture treatment. Keep in mind that RPD mouth preparations should be done prior to the final impressions of the survey crowns.





complaints, desires, and expectations of the new dentures • Formulate a prognosis based on the residual oral anatomy and the patient’s attitude

toward dental health • Recognize and communicate to a prosthodontics faculty member certain anatomical

landmarks and muscles which will determine the borders of the dentures • Present a logically sequenced treatment plan to the patient, including an estimate of time

involved and fee arrangements • Provide patient education in oral hygiene and the care of dentures and make the patient

aware of the need for periodic reexamination (recall) and subsequent maintenance procedures, such as reline and rebase









EVALUATION

Grading of the clinical prosthodontic patient care in the predoctoral clinics at the University of Florida College of Dentistry is based on three components which takes into account the Quality (35%) of the student performance, the student’s productivity or Quantity (60%) throughout the RVU system (Relative Value Units) and the Professionalism (5%) of the student during the career. * The quality (35%) of patient care is both formative and summative in nature. The primary purpose of evaluation is to provide helpful feedback to students to guide them towards attaining competency in this discipline. We recognize that this is a process of growth and change for students as they progress through the prosthodontics curriculum. Self evaluation and critical thinking are important factor in this process which can be practiced using the prosthodontic procedures forms in all different treatments. Feedback to students is provided in the form of both clinical daily evaluations of quality of patient care and the laboratory Quality Assurance program summarized in the prosthodontics procedures forms. The Prosthodontic faculty and TEAM leaders will review all of your laboratory work in prosthodontics. The QA program in prosthodontics is a formative type of evaluation and a method of communication with dental students regarding dental laboratory work. The process is based on written and oral feedback to students with the expectation that student quality will improve as clinical experience, understanding and skills increase. The department assumes that your clinical and laboratory work will be at the acceptable level of quality as reflected in your QA and clinical daily quality grades showing a trend of improvement as you gain clinical experience. The quality grade is measure by a scale of 0.0 to 4.0 through the Prosthodontic Procedures Forms. A minimum of 2.00 is expected to render the case acceptable. Less than 2.00 signify that the student has fail on the case and a remediation activity must be done. A deduction of 0.50 point is made when an error occurs and should be mark on the form, first by the student who self evaluate and second by the faculty if agrees with the student. If student

does not recognize the mistake, the faculty should point it out following the criteria in the form and mark the error. The correction should be made prior to proceeding with the case and faculty initials will approve such correction. * Professionalism (10%) will always be part of the daily evaluation of clinical activities and a table of criteria is attached as a reference. (PAGE 2) Faculty Comments in the Procedures forms are taking into consideration for your professionalism grade as well as the daily professionalism grade score from Quick Recovery (QR) on a scale of 1‐3. A conversion scale to 0.0 ‐4.0 have been created to calculate the Pros grade of the semester. Excellent (E): These evaluations must be accompanied by a written narrative explanation of the characteristics of the patient encounter, which cause it to be evaluated as Excellent. Excellent clinical patient care quality is characterized by the following: ‐Student performs with very minimal faculty input and this input of such a nature that no student would be expected to have those skills/knowledge. ‐Clinical procedures are accomplished solely by the student. ‐Student follows faculty directions precisely and correctly. ‐All aspects of clinical procedures are completed correctly. ‐Student finishes clinical procedures in the allotted time period. ‐Student records are complete and correct. ‐Student infection control procedures are correct and exemplary. ‐Student patient interactions are professional in nature

Minor Errors:This evaluation is made for errors made during clinical patient treatment, which are ameliorable without additional clinical procedures. ‐Student errors with minimal or no impact on the treatment plan or prognosis procedures. ‐Student errors with minimal or no impact on the treatment plan or prognosis for the patient and which do not add additional costs in terms of time or expense to the treatment also fall into this category. Examples could be: ‐Over‐reduction of tooth structure in preparation for fixed restorations, which does not require surgical crown lengthening or non‐surgical endodontic treatment. ‐Remake of impressions due to inadequate technique either in fixed or removable prosthodontics. Significant Errors: These are very rare and unusual and constitute less than 1% of evaluations in the discipline. These errors are primarily irreversible in nature and lead to more serious outcomes than minor errors. These evaluations are for avoidable clinical errors in patient care that do require additional clinical procedures. Significant errors evaluations are given for errors whose amelioration adds additional costs in terms or time or expense to the patient’s prosthodontics treatment. Examples of significant errors can include: ‐Remake of a removable prosthesis ‐Need for nonsurgical endodontic treatment due to tooth preparation error. ‐Perforations during post & core procedures resulting in additional procedures, but not extraction. ‐Need for periodontal procedures due to student error.

‐Need for reline/rebase of removable prostheses due to student error. ‐Cumulative effect of multiple student errors in the same case. Unsatisfactory: Unsatisfactory errors should be very rare, considerably less that 1%, in the student predoctoral prosthodontics clinic. These are clinical patient errors leading to the most serious patient outcomes including serious injury or loss of life to the patient. Examples include: ‐Serious errors in tooth preparation leading to tooth extraction. ‐Multiple errors in tooth preparation leading to tooth extraction. ‐Multiple errors of differing types in the same case which result in tooth loss or serious harm to the patient. Timely: An important part of your development in prosthodontics is appropriate and efficient use of clinic time. If you finish <30 minutes past clinic closing times 1 point will be deducted from the procedure and if you finish > 30 minutes past clinic closing times 3 points will be deducted from the procedure. This policy is effective for all succeeding semesters. * A secondary purpose of evaluation includes delineation of student development and productivity in order to assign semester grades (Quantity 60%). The Relative Value Unit system (RVU) provides a way to measure and capture all activity that the student performs in the clinic, whether at the college or offsite, and then generates a report of the student’s efforts. This value is cumulative throughout all semesters until graduation. This value is attached to an ADA code already established in Quick Recovery (QR). Every time the students are in the clinics a ticket is generated in QR. This ticket must be closed at the end of each clinic section to accumulate RVUs based on the activity or activities performed on a given day. Once a procedure is marked as “started or continue” the RVU value is accumulated. Once a procedure or specific step is completed, then the same value remains. For example, a student attempt a final impression, but did not get a good one, this procedure will be marked as started but not finished and then RVU are accumulated. The next visit the impression is successfully completed, then the procedure is marked as completed but it will not add more points. The specific guidelines for awarding semester grades in each of the prosthodontics clinical courses are listed in tabular form in the Courses Syllabus overview (Page 1). The summary of the evaluation includes the following components: 1‐Quality 35% (Daily procedure forms average) 2‐Professionalism 5% 3‐Quantity 60% (RVU) 1,2‐To receive the quality credit (35%) and Professionalism credit (5%) for your clinical activity, hand in the completed Prosthodontics Procedures forms to the department of Prosthodontics. Your clinical activities are logged into our files when we receive your copies. If you do not hand these forms in, you will not receive this credit for your completed work. 2,3‐To receive the quantity credit (60%) for your clinical activity, and the Professionalism score from Quick Recovery, all procedures in progress and completed should be logged into Quick

Recovery (QR) correctly and all tickets closed so the values are accurate for the final grade calculations.

REMEDIATION


Activities for the Fixed and/or Removable Treatment Plan portion of this clinical course are at the discretion of the Undergraduate Prosthodontics Program Director or Department Chair. Remediation for unacceptable quality of effort: Unacceptable quality of effort may be defined as students with 2 or more Clinical Daily Quality Grades of unsatisfactory or two or more instances of running 30 minutes or more past the clinic closing time this semester. These students’ records will be individually reviewed by the Director and Chair, Department of Prosthodontics, or designated faculty. Student graduation may be delayed and an individual remediation program designed for students whose clinical quality of patient treatment is found to be unacceptable. Students failing any academic/clinic coursework will be awarded an “E” grade and required to remediate. To satisfactorily complete the remediation program at least a “C” grade must be earned the next semester. The final grade assigned for the course, after remediation, will be a “D.” Students failing to satisfactorily complete the remediation program will again be awarded an ”E” grade and required to repeat the course. Re‐enrollment will be as soon as deemed feasible by the course director. The highest final grade attainable when repeating a course, is an “A”. Students receiving an “E” grade for the re‐enrolled course will be sent to the Student Performance Evaluation Committee (SPEC) for further action.


There are not competencies required for this semester. The Psychomotor Entry Exam will be used to evaluate your maintenance of psychomotor skill in tooth preparation and provisionalization for single tooth restorations in a dentoform and the Skills Assessment Exam will demonstrate your ability in performing clinical work, which allows the student to pass to the Senior Year. This exam consists on a single crown fabrication on a patient. The student is eligible to take this exam once all the required procedures have been completed.


See attached chart of the Prosthodontics Clinical Courses Syllabus Overview. (Page 1) ‐ Quality 35%: This part of the grade comes from the average of all completed procedures in prosthodontics in this semester ‐ Professionalism 5%: This part of the grade comes from the attached criteria (Page 2), the Quick Recovery (QR) score and any comments (Positive or negative) made by the clinical faculty in the prosthodontic procedure forms ‐ Quantity 60%: This part of the grade comes from the RVUs accumulated in Quick Recovery (QR) based on the clinical activities ‐Psychomotor Entry Exam: Pass/Fail.

‐Skills Assessment Exam: Pass/Fail. The numeral grade will be added to the quality grade and RVUs will be accumulated This semester the expectations are; ‐ The completion of the Psychomotor Entry Exam, if it was not successfully passed last

semester and/or a fixed restoration was/were not started within 2 weeks of taken the examination.

‐ A minimum of 1,500 RVUs ‐ All the procedures listed below:

o 1 Gold Crown o 1 PFM or All ceramic Crown o 1 C/C case o 1 RPD case

‐ The completion of the Skills Assessment Exam (Single crown restoration on a patient) That allows the student to pass to the Senior Year.

DEN8857L CLINICAL PROSTHODONTICS 3 Semester Nine Senior — Summer EDUCATIONAL GOAL

The educational goal of this course is to treatment plan and complete treatment of patients for fixed and removable prostheses at an acceptable to excellent quality level appropriate to your patients’ needs. The student should complete the following procedures between semester 9, 10 and 11. These procedures are cumulative from previous semesters. In order to graduate the student has to complete all 6 established competencies and accumulate 12,500 RVUs. These are the established requirements prior to each competency:

5 Crowns ‐ Single Crown Posterior Competency ‐ Single Crown Anterior Competency 3 Unit FPD Psychomotor Exam in the Dentoform (Mannequin) or a successfully completed 3‐unit Bridge (FPD) on a patient

‐3 Unit FPD competency on a patient. Because of the lack of bridge cases per year, a redo of a bridge is acceptable, but for the crowns competencies this is NOT acceptable.

4 Removable Cases. This means that it could be a single RPD or P/P cases ‐RPD Design Competency (Either Kennedy Classification) ‐RPD Case Competency. (Kennedy Class I & II)

These two competencies can be done on the same patient as long as the Design has not been completed previously and the case is Kennedy Class I or II.

1 C/C case ‐C/C Competency Details about the competencies and prior procedures to be able to challenge them are described in the competency section. COURSE MATERIAL


LEARNING EXPERIENCE/COMPETENCIES












Perform diagnostic tooth preparations and wax‐ups, when indicated, as part of the development of the fixed prosthodontic treatment plan.



















Treat patients by preparing abutment teeth, provisionalizing, evaluating the fabrication and cementing fixed partial dentures (Bridge).

1. Complexity of the overall treatment plan.

2. Knowledge and comprehension of bridge design and construction and the ability to discuss these with the supervisory faculty.

3. Understanding of the advantages and disadvantages of treatment alternatives and the proper selection of treatment sequences in the comprehensive patient care plan.

4. Skill with which the treatment is provided, including tooth preparation, temporization, impression making, jaw recordings, and fabrication of the restoration.

5. Quality of the restorations provided, including retention axial contour; occlusal design; marginal adaptation; pontic design; adequate thickness of the metal; polish; and, where applicable, esthetic acceptability of glaze.

6. Knowledge of connector design for fixed partial dentures and the ability to successfully and correctly solder connectors.

7. Identification of correctable deficiencies in the restorations.

8. Knowledge of the correct cementation procedures and the importance of a dry operating field.

9. Adequate post cementation follow‐up to ensure the longevity of the restoration.

Note: The acid‐etched bridge (Maryland Bridge) elective offered by this department includes treating a patient you have identified who would benefit from this type of treatment. Elective credit is given for completing this course. The laboratory procedures for Crown and Bridge cases can be done by a commercial lab once the student has completed at least 5 fixed cases. A purple paper of power is given by the secretary of the Prosthodontics office in the 11th floor once this criteria has been met. The laboratory procedures for competencies cases MUST be completed by the student taking the competency even in 5 cases has been completed already.

Prepare teeth, fabricate and cement post and cores on endodontically treated teeth that are going to receive cast restorations. At least one Post & core must be fabricated in order to graduate.

1. An understanding of the special problems related to the restoration of root‐filled teeth and the ability to discuss all aspects of the proposed teeth.

2. Knowledge of both direct and indirect procedures to construct a post and core. Understanding of the different techniques available and their advantages and disadvantages.

3. Preparation of the remaining tooth structure, including adequate post length, provision of resistance to rotation, and conservative elimination of unsupported tooth structure allowing for a proper path of withdrawal.

4. Ability to produce a pattern that adequately displays the following features: internal adaptation, marginal fit, proper design for the cast restoration, and smoothness.

5. Minimum finishing of the post and core required clinically.

6. Knowledge of the correct cementation procedures.

7. Understanding of the special considerations for temporizing endodontically‐filled teeth and the skillful application of the knowledge.


You must have completed DEN6413C. You will be evaluated on your ability to do the following: 1 Accurately complete the documentation and evaluation of all diagnostic data on the clinic

chart forms 2 Interpret radiographs of the partially edentulous patient 3 Recognize un‐favorable biomechanical factors that require preprosthetic surgery or other


4 Evaluate the patient’s existing removable partial denture (if applicable) in relation to the patient’s complaints, needs, desires, and expectations of the new partial denture

5 Formulate a prognosis based on the remaining teeth and oral anatomy and the patient’s attitude toward dental health

6 Present a logically sequenced treatment plan to the patient, including an estimate of the time involved and fee arrangements

7 Have current, neatly trimmed and clean diagnostic casts (mounted on an articulator when necessary) surveyed and designed with all the removable partial denture components clearly delineated using the proper color coding Complete the Removable Partial Denture form accurately and communicate to your supervising Quality Assurance and clinical faculty member the rationale for your treatment plan and indicated design.

Removable Prosthodontics Treatment Planning: To treatment plan your patient for removable partial denture treatment, in contrast to your fixed prosthodontic patients, your patient will NOT need to have all treatment completed in order to develop a removable partial denture treatment plan. Most of these patients can be treatment planned early during their dental treatment. You will be able to formulate a treatment plan once you have established which teeth are to be retained and restored as potential removable partial denture abutments. In some cases, this requires completion of Phase I periodontal therapy, but this is not the usual situation. Consult with the clinical faculty or TEAM leader in the clinic if you are unsure about when to treatment plan your patient. You must also complete the Phase II Treatment Plan form including all pros procedures needed.


The laboratory procedures for teeth setting in removable cases can be done by a commercial lab once the student has completed at least 11 removable units. A purple paper of power is given by the secretary of the Prosthodontics office in the 11th floor once this criteria has been met. The laboratory procedures for competencies cases MUST be completed by the student taking the competency even in 11 removable units has been completed already.


EVALUATION

Grading of the clinical prosthodontic patient care in the predoctoral clinics at the University of Florida College of Dentistry is based on three components which takes into account the Quality (35%) of the student performance, the student’s productivity or Quantity (60%) throughout the RVU system (Relative Value Units) and the Professionalism (5%) of the student during the career. * The quality (35%) of patient care is both formative and summative in nature. The primary purpose of evaluation is to provide helpful feedback to students to guide them towards attaining competency in this discipline. We recognize that this is a process of growth and change for students as they progress through the prosthodontics curriculum. Self evaluation and critical thinking are important factor in this process which can be practiced using the prosthodontic procedures forms in all different treatments. Feedback to students is provided in the form of both clinical daily evaluations of quality of patient care and the laboratory Quality Assurance program summarized in the prosthodontics procedures forms. The Prosthodontic faculty and TEAM leaders will review all of your laboratory work in prosthodontics. The QA program in prosthodontics is a formative type of evaluation and a method of communication with dental students regarding dental laboratory work. The process is based on written and oral feedback to students with the expectation that student quality will improve as clinical experience, understanding and skills increase. The department assumes that your clinical and laboratory work will be at the acceptable level of quality as reflected in your QA and clinical daily quality grades showing a trend of improvement as you gain clinical experience. The quality grade is measure by a scale of 0.0 to 4.0 through the Prosthodontic Procedures Forms. A minimum of 2.00 is expected to render the case acceptable. Less than 2.00 signify that the student has fail on the case and a remediation activity must be done. A deduction of 0.50 point is made when an error occurs and should be mark on the form, first by the student who self evaluate and second by the faculty if agrees with the student. If student does not recognize the mistake, the faculty should point it out following the criteria in the form and mark the error. The correction should be made prior to proceeding with the case and faculty initials will approve such correction. * Professionalism (10%) will always be part of the daily evaluation of clinical activities and a table of criteria is attached as a reference. (PAGE 2) Faculty Comments in the Procedures forms are taking into consideration for your professionalism grade as well as the daily professionalism grade score from Quick Recovery (QR) on a scale of 1‐3. A conversion scale to 0.0 ‐4.0 have been created to calculate the Pros grade of the semester. Excellent (E): These evaluations must be accompanied by a written narrative explanation of the characteristics of the patient encounter, which cause it to be evaluated as Excellent. Excellent clinical patient care quality is characterized by the following: ‐Student performs with very minimal faculty input and this input of such a nature that no student would be expected to have those skills/knowledge. ‐Clinical procedures are accomplished solely by the student. ‐Student follows faculty directions precisely and correctly. ‐All aspects of clinical procedures are completed correctly. ‐Student finishes clinical procedures in the allotted time period. ‐Student records are complete and correct. ‐Student infection control procedures are correct and exemplary. ‐Student patient interactions are professional in nature

Minor Errors:This evaluation is made for errors made during clinical patient treatment, which are ameliorable without additional clinical procedures. ‐Student errors with minimal or no impact on the treatment plan or prognosis procedures. ‐Student errors with minimal or no impact on the treatment plan or prognosis for the patient and which do not add additional costs in terms of time or expense to the treatment also fall into this category. Examples could be: ‐Over‐reduction of tooth structure in preparation for fixed restorations, which does not require surgical crown lengthening or non‐surgical endodontic treatment. ‐Remake of impressions due to inadequate technique either in fixed or removable prosthodontics. Significant Errors: These are very rare and unusual and constitute less than 1% of evaluations in the discipline. These errors are primarily irreversible in nature and lead to more serious outcomes than minor errors. These evaluations are for avoidable clinical errors in patient care that do require additional clinical procedures. Significant errors evaluations are given for errors whose amelioration adds additional costs in terms or time or expense to the patient’s prosthodontics treatment. Examples of significant errors can include: ‐Remake of a removable prosthesis ‐Need for nonsurgical endodontic treatment due to tooth preparation error. ‐Perforations during post & core procedures resulting in additional procedures, but not extraction. ‐Need for periodontal procedures due to student error. ‐Need for reline/rebase of removable prostheses due to student error. ‐Cumulative effect of multiple student errors in the same case. Unsatisfactory: Unsatisfactory errors should be very rare, considerably less that 1%, in the student predoctoral prosthodontics clinic. These are clinical patient errors leading to the most serious patient outcomes including serious injury or loss of life to the patient. Examples include: ‐Serious errors in tooth preparation leading to tooth extraction. ‐Multiple errors in tooth preparation leading to tooth extraction. ‐Multiple errors of differing types in the same case which result in tooth loss or serious harm to the patient. Timely: An important part of your development in prosthodontics is appropriate and efficient use of clinic time. If you finish <30 minutes past clinic closing times 1 point will be deducted from the procedure and if you finish > 30 minutes past clinic closing times 3 points will be deducted from the procedure. This policy is effective for all succeeding semesters. * A secondary purpose of evaluation includes delineation of student development and productivity in order to assign semester grades (Quantity 60%). The Relative Value Unit system

(RVU) provides a way to measure and capture all activity that the student performs in the clinic, whether at the college or offsite, and then generates a report of the student’s efforts. This value is cumulative throughout all semesters until graduation. This value is attached to an ADA code already established in Quick Recovery (QR). Every time the students are in the clinics a ticket is generated in QR. This ticket must be closed at the end of each clinic section to accumulate RVUs based on the activity or activities performed on a given day. Once a procedure is marked as “started or continue” the RVU value is accumulated. Once a procedure or specific step is completed, then the same value remains. For example, a student attempt a final impression, but did not get a good one, this procedure will be marked as started but not finished and then RVU are accumulated. The next visit the impression is successfully completed, then the procedure is marked as completed but it will not add more points. The specific guidelines for awarding semester grades in each of the prosthodontics clinical courses are listed in tabular form in the Courses Syllabus overview (Page 1). The summary of the evaluation includes the following components: 1‐Quality 35% (Daily procedure forms average) 2‐Professionalism 5% 3‐Quantity 60% (RVU) 1,2‐To receive the quality credit (35%) and Professionalism credit (5%) for your clinical activity, hand in the completed Prosthodontics Procedures forms to the department of Prosthodontics. Your clinical activities are logged into our files when we receive your copies. If you do not hand these forms in, you will not receive this credit for your completed work. 2,3‐To receive the quantity credit (60%) for your clinical activity, and the Professionalism score from Quick Recovery, all procedures in progress and completed should be logged into Quick Recovery (QR) correctly and all tickets closed so the values are accurate for the final grade calculations.

REMEDIATION


Activities for the Fixed and/or Removable Treatment Plan portion of this clinical course are at the discretion of the Undergraduate Prosthodontics Program Director or Department Chair. Remediation for unacceptable quality of effort: Unacceptable quality of effort may be defined as students with 2 or more Clinical Daily Quality Grades of unsatisfactory or two or more instances of running 30 minutes or more past the clinic closing time this semester. These students’ records will be individually reviewed by the Director and Chair, Department of Prosthodontics, or designated faculty. Student graduation may be delayed and an individual remediation program designed for students whose clinical quality of patient treatment is found to be unacceptable. Students failing any academic/clinic coursework will be awarded an “E” grade and required to remediate. To satisfactorily complete the remediation program at least a “C” grade must be earned the next semester. The final grade assigned for the course, after remediation, will be a “D.” Students failing to satisfactorily complete the remediation program will again be awarded an ”E” grade and required to repeat the course.

Re‐enrollment will be as soon as deemed feasible by the course director. The highest final grade attainable when repeating a course, is an “A”. Students receiving an “E” grade for the re‐enrolled course will be sent to the Student Performance Evaluation Committee (SPEC) for further action.


The Competencies are graded as Pass/Fail Basis. Two faculties, Prosthodontic Faculty and Team Leader are to evaluate all competencies. The Quality assurance (QA) part of the competencies MUST be evaluated by a Prosthodontic Faculty. The actual numeric grade of the competency will be added to the quality part of the semester grade and RVUs will also be accumulated. Completion of all competencies is required to complete the senior year and graduate.

You may attempt any clinical competency exam at any point in the senior year, semester 9, 10, or 11 and are encouraged to attempt to demonstrate competency as early as you get done the established procedure/s prior to each of them and feel confident in your clinical skills. Each competency may be challenged multiple times until successful completion. However, after a student fails on their second attempt, the Director or Department Chair or designee will assign additional practice work to the student before the competency can be challenged again. Students may challenge a competency after they have completed the established procedures for each competency. The Competencies forms are available from the secretaries in the Department of Prosthodontics offices. They are the same as the Prosthodontics Procedures Forms but in Blue. Single Unit Fixed Competencies (Anterior and Posterior) Students are required to treatment plan and complete two single unit crowns on anterior and posterior teeth (porcelain fused to metal or full gold alloy) on a patient. . The criteria used for grading is the same criteria used in pre‐clinic courses (DEN6412C and DEN6415C). This competency cannot be challenge on a redo case or a case that involves a Post & core to start with. On the other hand if after preparing the tooth a Post & Core is indicated that will be acceptable. Student MUST complete all the laboratory procedures of these competencies, even if 5 fixed units have been completed already. To challenge these competencies the students must successfully complete 5 single crowns and get the appropriate form by the Prosthodontic Secretary. This form is the same as prosthodontic procedure forms but instead is Blue. Fixed Prosthodontics Competencies (3‐unit Bridge)Students are required to take a 3 unit Bridge Psychomotor Exam which consist on a preparation of abutments for a three unit fixed partial denture and fabrication of a provisional restoration on a dentoform. They must successfully pass this examination in order to challenge the 3 unit FPD competency. This examination can be waived if the student had successfully completed a 3‐unit bridge on a patient or if the case is in the final impression stage and the laboratory procedures are completed successfully as well. This case in progress MUST be completed in order to actually waive the Psychomotor 3‐unit Bridge Exam and accept the competency.

To accomplish the Fixed Prosthodontics Competency, students are required to treatment plan and complete one 3 unit FPD (porcelain fused to metal or full gold alloy) on a patient. The criteria used for grading is the same criteria used in pre‐clinic courses (DEN6412C and DEN6415C). A posterior case is advocated and a redo is acceptable because of the lack of 3‐unit bridges per year in the College. Student MUST complete all the laboratory procedures of this competency, even if 5 fixed units have been completed already. In the Spring Semester, students must successfully complete the fixed prosthodontic portion of the Mock Board Exam. Removable Partial Denture Design Competency Students are required to design an RPD based on the principles of design taught in DEN 6413C/7413C. The student will present a treatment plan to a full‐time Prosthodontic faculty along with a reasonable partial denture design. To challenge this competency and the RPD Case competency the students must successfully complete 4 RPD cases which could be a single partial or a P/P cases. Student MUST complete all the laboratory procedures of this competency, even if 11 removable units have been completed already. This RPD competency and the RPD Case Competency can be challenge on the same patient as long a previous Design has NOT been completed on the patient and the case is Kennedy Class I or II. Removable Partial Denture Case Competency Students are required to treatment plan, design and complete a selected Kennedy Class I or Class II removable partial denture on a patient based on the principles of design taught in DEN 6413C/7413C. To challenge this competency and the RPD design competency the students must successfully complete 4 RPD cases. Student MUST complete all the laboratory procedures of this competency, even if 11 removable units have been completed already. This RPD competency and the RPD Design Competency can be challenge on the same patient as long a previous Design has NOT been completed on the patient and the case is Kennedy Class I or II. Complete Denture Competency Students are required to treatment plan and complete a maxillary complete denture opposing a mandibular complete denture on a patient. Additional combinations can be overdentures, immediate dentures or complete dentures opposing Kennedy Class I or II RPDs. To challenge this competency the students must successfully complete 1 C/C case which could be an Immediate dentures case. Student MUST complete all the laboratory procedures of this competency, even if 11 removable units have been completed already.


See attached chart of the Prosthodontics Clinical Courses Syllabus Overview. (Page 1) ‐ Quality 35%: This part of the grade comes from the average of all completed procedures in prosthodontics in this semester ‐ Professionalism 5%: This part of the grade comes from the attached criteria (Page 2), the Quick Recovery (QR) score and any comments (Positive or negative) made by the clinical faculty in the prosthodontic procedure forms ‐ Quantity 60%: This part of the grade comes from the RVUs accumulated in Quick Recovery (QR) based on the clinical activities ‐ Competencies: Pass/ Fail This semester the expectations are; ‐ A minimum of 3,500 RVUs ‐ At least one Post & Core fabrication ‐ At least two of the established competencies ‐ As most procedures as possible based on the Student pool of the patient to accumulate at

least 12,500 RVUs between this semester and next two in order to graduate. ‐ All These competencies has to be successfully completed as well between this semester and

next two in order to graduate: Single Anterior Crown Competency Single Posterior Crown Competency 3‐Unit FPD Competency 1 RPD Design Competency 1 RPD Case Competency 1 C/C Competency

DEN8858L CLINICAL PROSTHODONTICS 4 Semester Ten Senior— Fall EDUCATIONAL GOAL







1 Prosthodontics Manual 2 Complete Denture Manual 3 Quality Assurance Manual 4 Clinic Procedural Manual (Created by Dr. Boyd Robinson)












14. Have current, neatly trimmed and clean diagnostic casts (mounted on an articulator when necessary) surveyed and designed with all the removable partial denture components clearly delineated using the proper color coding Complete the Removable Partial Denture form accurately and communicate to your supervising Quality Assurance and clinical faculty member the rationale for your treatment plan and indicated design















1 Evaluate the patient’s existing dentures in relation to the patient’s centric relation, vertical dimension, occlusion, extension and in relation to the patient’s complaints, desires, and expectations



EVALUATION


Minor Errors:This evaluation is made for errors made during clinical patient treatment, which are ameliorable without additional clinical procedures. ‐Student errors with minimal or no impact on the treatment plan or prognosis procedures. ‐Student errors with minimal or no impact on the treatment plan or prognosis for the patient and which do not add additional costs in terms of time or expense to the treatment also fall into this category. Examples could be: ‐Over‐reduction of tooth structure in preparation for fixed restorations, which does not require surgical crown lengthening or non‐surgical endodontic treatment. ‐Remake of impressions due to inadequate technique either in fixed or removable prosthodontics. Significant Errors: These are very rare and unusual and constitute less than 1% of evaluations in the discipline. These errors are primarily irreversible in nature and lead to more serious outcomes than minor errors. These evaluations are for avoidable clinical errors in patient care that do require additional clinical procedures. Significant errors evaluations are given for errors whose amelioration adds additional costs in terms or time or expense to the patient’s prosthodontics treatment. Examples of significant errors can include: ‐Remake of a removable prosthesis ‐Need for nonsurgical endodontic treatment due to tooth preparation error. ‐Perforations during post & core procedures resulting in additional procedures, but not extraction. ‐Need for periodontal procedures due to student error. ‐Need for reline/rebase of removable prostheses due to student error. ‐Cumulative effect of multiple student errors in the same case. Unsatisfactory: Unsatisfactory errors should be very rare, considerably less that 1%, in the student predoctoral prosthodontics clinic. These are clinical patient errors leading to the most serious patient outcomes including serious injury or loss of life to the patient. Examples include: ‐Serious errors in tooth preparation leading to tooth extraction. ‐Multiple errors in tooth preparation leading to tooth extraction. ‐Multiple errors of differing types in the same case which result in tooth loss or serious harm to the patient. Timely: An important part of your development in prosthodontics is appropriate and efficient use of clinic time. If you finish <30 minutes past clinic closing times 1 point will be deducted from the procedure and if you finish > 30 minutes past clinic closing times 3 points will be deducted from the procedure. This policy is effective for all succeeding semesters. * A secondary purpose of evaluation includes delineation of student development and productivity in order to assign semester grades (Quantity 60%). The Relative Value Unit system (RVU) provides a way to measure and capture all activity that the student performs in the clinic,

whether at the college or offsite, and then generates a report of the student’s efforts. This value is cumulative throughout all semesters until graduation. This value is attached to an ADA code already established in Quick Recovery (QR). Every time the students are in the clinics a ticket is generated in QR. This ticket must be closed at the end of each clinic section to accumulate RVUs based on the activity or activities performed on a given day. Once a procedure is marked as “started or continue” the RVU value is accumulated. Once a procedure or specific step is completed, then the same value remains. For example, a student attempt a final impression, but did not get a good one, this procedure will be marked as started but not finished and then RVU are accumulated. The next visit the impression is successfully completed, then the procedure is marked as completed but it will not add more points. The specific guidelines for awarding semester grades in each of the prosthodontics clinical courses are listed in tabular form in the Courses Syllabus overview (Page 1). The summary of the evaluation includes the following components: 1‐Quality 35% (Daily procedure forms average) 2‐Professionalism 5% 3‐Quantity 60% (RVU) 1,2‐To receive the quality credit (35%) and Professionalism credit (5%) for your clinical activity, hand in the completed Prosthodontics Procedures forms to the department of Prosthodontics. Your clinical activities are logged into our files when we receive your copies. If you do not hand these forms in, you will not receive this credit for your completed work. 2,3‐To receive the quantity credit (60%) for your clinical activity, and the Professionalism score from Quick Recovery, all procedures in progress and completed should be logged into Quick Recovery (QR) correctly and all tickets closed so the values are accurate for the final grade calculations.

REMEDIATION


Activities for the Fixed and/or Removable Treatment Plan portion of this clinical course are at the discretion of the Undergraduate Prosthodontics Program Director or Department Chair. Remediation for unacceptable quality of effort: Unacceptable quality of effort may be defined as students with 2 or more Clinical Daily Quality Grades of unsatisfactory or two or more instances of running 30 minutes or more past the clinic closing time this semester. These students’ records will be individually reviewed by the Director and Chair, Department of Prosthodontics, or designated faculty. Student graduation may be delayed and an individual remediation program designed for students whose clinical quality of patient treatment is found to be unacceptable. Students failing any academic/clinic coursework will be awarded an “E” grade and required to remediate. To satisfactorily complete the remediation program at least a “C” grade must be earned the next semester. The final grade assigned for the course, after remediation, will be a

“D.” Students failing to satisfactorily complete the remediation program will again be awarded an ”E” grade and required to repeat the course. Re‐enrollment will be as soon as deemed feasible by the course director. The highest final grade attainable when repeating a course, is an “A”. Students receiving an “E” grade for the re‐enrolled course will be sent to the Student Performance Evaluation Committee (SPEC) for further action.




To accomplish the Fixed Prosthodontics Competency, students are required to treatment plan and complete one 3 unit FPD (porcelain fused to metal or full gold alloy) on a patient. The criteria used for grading is the same criteria used in pre‐clinic courses (DEN6412C and DEN6415C). A posterior case is advocated and a redo is acceptable because of the lack of 3‐unit bridges per year in the College. Student MUST complete all the laboratory procedures of this competency, even if 5 fixed units have been completed already. In the Spring Semester, students must successfully complete the fixed prosthodontic portion of the Mock Board Exam. Removable Partial Denture Design Competency Students are required to design an RPD based on the principles of design taught in DEN 6413C/7413C. The student will present a treatment plan to a full‐time Prosthodontic faculty along with a reasonable partial denture design. To challenge this competency and the RPD Case competency the students must successfully complete 4 RPD cases which could be a single partial or a P/P cases. Student MUST complete all the laboratory procedures of this competency, even if 11 removable units have been completed already. This RPD competency and the RPD Case Competency can be challenge on the same patient as long a previous Design has NOT been completed on the patient and the case is Kennedy Class I or II. Removable Partial Denture Case Competency Students are required to treatment plan, design and complete a selected Kennedy Class I or Class II removable partial denture on a patient based on the principles of design taught in DEN 6413C/7413C. To challenge this competency and the RPD design competency the students must successfully complete 4 RPD cases. Student MUST complete all the laboratory procedures of this competency, even if 11 removable units have been completed already. This RPD competency and the RPD Design Competency can be challenge on the same patient as long a previous Design has NOT been completed on the patient and the case is Kennedy Class I or II. Complete Denture Competency Students are required to treatment plan and complete a maxillary complete denture opposing a mandibular complete denture on a patient. Additional combinations can be overdentures, immediate dentures or complete dentures opposing Kennedy Class I or II RPDs. To challenge this competency the students must successfully complete 1 C/C case which could be an Immediate dentures case. Student MUST complete all the laboratory procedures of this competency, even if 11 removable units have been completed already.


See attached chart of the Prosthodontics Clinical Courses Syllabus Overview. (Page 1) ‐ Quality 35%: This part of the grade comes from the average of all completed procedures in prosthodontics in this semester ‐ Professionalism 5%: This part of the grade comes from the attached criteria (Page 2), the Quick Recovery (QR) score and any comments (Positive or negative) made by the clinical faculty in the prosthodontic procedure forms ‐ Quantity 60%: This part of the grade comes from the RVUs accumulated in Quick Recovery (QR) based on the clinical activities ‐ Competencies: Pass/ Fail This semester the expectations are; ‐ A minimum of 7,500 RVUs ‐ At least one Post & Core fabrication, if it has not been completed last semester ‐ At least two of the established competencies ‐ As most procedures as possible based on the Student pool of the patient to accumulate at

least 12,500 RVUs between this semester and next one in order to graduate. ‐ All These competencies has to be successfully completed as well between this semester and

next one in order to graduate: Single Anterior Crown Competency Single Posterior Crown Competency 3‐Unit FPD Competency 1 RPD Design Competency 1 RPD Case Competency 1 C/C Competency

DEN8859L CLINICAL PROSTHODONTICS 5 Semester Eleven Senior — Spring EDUCATIONAL GOAL







4 Prosthodontics Manual 5 Complete Denture Manual 6 Quality Assurance Manual 7 Clinic Procedural Manual (Created by Dr. Boyd Robinson)












21. Have current, neatly trimmed and clean diagnostic casts (mounted on an articulator when necessary) surveyed and designed with all the removable partial denture components clearly delineated using the proper color coding Complete the Removable Partial Denture form accurately and communicate to your supervising Quality Assurance and clinical faculty member the rationale for your treatment plan and indicated design















1 Evaluate the patient’s existing dentures in relation to the patient’s centric relation, vertical dimension, occlusion, extension and in relation to the patient’s complaints, desires, and expectations



EVALUATION


Minor Errors:This evaluation is made for errors made during clinical patient treatment, which are ameliorable without additional clinical procedures. ‐Student errors with minimal or no impact on the treatment plan or prognosis procedures. ‐Student errors with minimal or no impact on the treatment plan or prognosis for the patient and which do not add additional costs in terms of time or expense to the treatment also fall into this category. Examples could be: ‐Over‐reduction of tooth structure in preparation for fixed restorations, which does not require surgical crown lengthening or non‐surgical endodontic treatment. ‐Remake of impressions due to inadequate technique either in fixed or removable prosthodontics. Significant Errors: These are very rare and unusual and constitute less than 1% of evaluations in the discipline. These errors are primarily irreversible in nature and lead to more serious outcomes than minor errors. These evaluations are for avoidable clinical errors in patient care that do require additional clinical procedures. Significant errors evaluations are given for errors whose amelioration adds additional costs in terms or time or expense to the patient’s prosthodontics treatment. Examples of significant errors can include: ‐Remake of a removable prosthesis ‐Need for nonsurgical endodontic treatment due to tooth preparation error. ‐Perforations during post & core procedures resulting in additional procedures, but not extraction. ‐Need for periodontal procedures due to student error. ‐Need for reline/rebase of removable prostheses due to student error. ‐Cumulative effect of multiple student errors in the same case. Unsatisfactory: Unsatisfactory errors should be very rare, considerably less that 1%, in the student predoctoral prosthodontics clinic. These are clinical patient errors leading to the most serious patient outcomes including serious injury or loss of life to the patient. Examples include: ‐Serious errors in tooth preparation leading to tooth extraction. ‐Multiple errors in tooth preparation leading to tooth extraction. ‐Multiple errors of differing types in the same case which result in tooth loss or serious harm to the patient. Timely: An important part of your development in prosthodontics is appropriate and efficient use of clinic time. If you finish <30 minutes past clinic closing times 1 point will be deducted from the procedure and if you finish > 30 minutes past clinic closing times 3 points will be deducted from the procedure. This policy is effective for all succeeding semesters. * A secondary purpose of evaluation includes delineation of student development and productivity in order to assign semester grades (Quantity 60%). The Relative Value Unit system (RVU) provides a way to measure and capture all activity that the student performs in the clinic,

whether at the college or offsite, and then generates a report of the student’s efforts. This value is cumulative throughout all semesters until graduation. This value is attached to an ADA code already established in Quick Recovery (QR). Every time the students are in the clinics a ticket is generated in QR. This ticket must be closed at the end of each clinic section to accumulate RVUs based on the activity or activities performed on a given day. Once a procedure is marked as “started or continue” the RVU value is accumulated. Once a procedure or specific step is completed, then the same value remains. For example, a student attempt a final impression, but did not get a good one, this procedure will be marked as started but not finished and then RVU are accumulated. The next visit the impression is successfully completed, then the procedure is marked as completed but it will not add more points. The specific guidelines for awarding semester grades in each of the prosthodontics clinical courses are listed in tabular form in the Courses Syllabus overview (Page 1). The summary of the evaluation includes the following components: 1‐Quality 35% (Daily procedure forms average) 2‐Professionalism 5% 3‐Quantity 60% (RVU) 1,2‐To receive the quality credit (35%) and Professionalism credit (5%) for your clinical activity, hand in the completed Prosthodontics Procedures forms to the department of Prosthodontics. Your clinical activities are logged into our files when we receive your copies. If you do not hand these forms in, you will not receive this credit for your completed work. 2,3‐To receive the quantity credit (60%) for your clinical activity, and the Professionalism score from Quick Recovery, all procedures in progress and completed should be logged into Quick Recovery (QR) correctly and all tickets closed so the values are accurate for the final grade calculations.

REMEDIATION


Activities for the Fixed and/or Removable Treatment Plan portion of this clinical course are at the discretion of the Undergraduate Prosthodontics Program Director or Department Chair. Remediation for unacceptable quality of effort: Unacceptable quality of effort may be defined as students with 2 or more Clinical Daily Quality Grades of unsatisfactory or two or more instances of running 30 minutes or more past the clinic closing time this semester. These students’ records will be individually reviewed by the Director and Chair, Department of Prosthodontics, or designated faculty. Student graduation may be delayed and an individual remediation program designed for students whose clinical quality of patient treatment is found to be unacceptable. Students failing any academic/clinic coursework will be awarded an “E” grade and required to remediate. To satisfactorily complete the remediation program at least a “C” grade must be earned the next semester. The final grade assigned for the course, after remediation, will be a

“D.” Students failing to satisfactorily complete the remediation program will again be awarded an ”E” grade and required to repeat the course. Re‐enrollment will be as soon as deemed feasible by the course director. The highest final grade attainable when repeating a course, is an “A”. Students receiving an “E” grade for the re‐enrolled course will be sent to the Student Performance Evaluation Committee (SPEC) for further action.




To accomplish the Fixed Prosthodontics Competency, students are required to treatment plan and complete one 3 unit FPD (porcelain fused to metal or full gold alloy) on a patient. The criteria used for grading is the same criteria used in pre‐clinic courses (6412 and 6415). A posterior case is advocated and a redo is acceptable because of the lack of 3‐unit bridges per year in the College. Student MUST complete all the laboratory procedures of this competency, even if 5 fixed units have been completed already. In the Spring Semester, students must successfully complete the fixed prosthodontic portion of the Mock Board Exam. Removable Partial Denture Design Competency Students are required to design an RPD based on the principles of design taught in DEN 6413C/7413C. The student will present a treatment plan to a full‐time Prosthodontic faculty along with a reasonable partial denture design. To challenge this competency and the RPD Case competency the students must successfully complete 4 RPD cases which could be a single partial or a P/P cases. Student MUST complete all the laboratory procedures of this competency, even if 11 removable units have been completed already. This RPD competency and the RPD Case Competency can be challenge on the same patient as long a previous Design has NOT been completed on the patient and the case is Kennedy Class I or II. Removable Partial Denture Case Competency Students are required to treatment plan, design and complete a selected Kennedy Class I or Class II removable partial denture on a patient based on the principles of design taught in DEN 6413C/7413C. To challenge this competency and the RPD design competency the students must successfully complete 4 RPD cases. Student MUST complete all the laboratory procedures of this competency, even if 11 removable units have been completed already. This RPD competency and the RPD Design Competency can be challenge on the same patient as long a previous Design has NOT been completed on the patient and the case is Kennedy Class I or II. Complete Denture Competency Students are required to treatment plan and complete a maxillary complete denture opposing a mandibular complete denture on a patient. Additional combinations can be overdentures, immediate dentures or complete dentures opposing Kennedy Class I or II RPDs. To challenge this competency the students must successfully complete 1 C/C case which could be an Immediate dentures case. Student MUST complete all the laboratory procedures of this competency, even if 11 removable units have been completed already.


See attached chart of the Prosthodontics Clinical Courses Syllabus Overview. (Page 1) ‐ Quality 35%: This part of the grade comes from the average of all completed procedures in prosthodontics in this semester ‐ Professionalism 5%: This part of the grade comes from the attached criteria (Page 2), the Quick Recovery (QR) score and any comments (Positive or negative) made by the clinical faculty in the prosthodontic procedure forms ‐ Quantity 60%: This part of the grade comes from the RVUs accumulated in Quick Recovery (QR) based on the clinical activities ‐ Competencies: Pass/ Fail This semester the expectations are; ‐ A minimum of 12,500 RVUs in order to graduate ‐ At least one Post & Core fabrication, if it has not been complete previously. ‐ ALL of the 6 established competencies

o Single Anterior Crown Competency o Single Posterior Crown Competency o 3‐Unit FPD Competency o 1 RPD Design Competency o 1 RPD Case Competency o 1 C/C Competency

prosthodontics clinical courses syllabus

Documents

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8858l8859l credithours