Oral and Maxillofacial Pathology Courses

Basic Human Pathology I
Basic Human Pathology II
Oral and Maxillofacial Pathology Course

Course Name:Basic Human Pathology I
Course Number:31
Credits: 2
Predoctoral Year: 1
Semester: Summer (May-Aug)
Time & Location: Monday 9am-12pmTuesday 9am-12pm; Thursdays 9am-12pm

Text(s):
Required – Stevens and Lowe. Pathology, Illustrated Review in Color, 2nd edition, Mosby, 2000. ISBN# 0-7234-3200-7.

b. Recommended – Dorland’s Illustrated Medical Dictionary, Saunders, 2005 or Stedman’s Medical Dictionary, Lippincott Williams and Wilkins, 2005.

c. Recommended – Schneider AS and Szanto PA Board Review Series: Pathology, 3rd edition, Lippincott Williams and Wilkins, 2006. ISBN# 0-7817-6022-4.

d. Reference – Kumar V, Cotran R, Robbins T. Robbins Basic Pathology, 7th Edition, Saunders, 2003. ISBN# 0-7216-9274-5.

e. Reference – Kumar V, Abbas AK, Fausto N. Robbins and Cotran Pathologic Basis of Disease, 7th edition, Saunders, 2005. ISBN# 0-7216-0187-1. f. Reference – Rubin E, et al. Essential Pathology, 3rd edition, Lippincott, Williams and Wilkins, 2001. ISBN# 0-7817-4733-7.

Grading & Evaluation:

1) A midterm examinations and a final examination will be given during this course on the date, time, and at the location indicated in the course syllabus’ schedule. The examinations will support students documented to require legal accommodation for the Americans with Disabilities Act. The midterm examination and final examination will each constitute 50% of the final grade. The final examination is not cumulative but covers that material in the course since the midterm examination. The format of the exam questions will be as on the current National Board Dental Examination, Part 1 (i.e., multiple choices, one best answer). Currently, the transcript numerical grade for BHP, part 1, has a semester credit hours value of 2.0.

Remediation:

Following the Student Promotion Committee (SPC) decision that a student can have a reexamination, the remediation plan will consist of a series of sessions with an assigned dental student tutor (selected by Dr. Michael Thompson, chair of SPC). The course director will give the tutor a remediation plan outline that encompasses Basic Human Pathology, Part 1. The SPC determines a date after which the reexamination can occur and a date by which the reexamination must occur. It is the responsibility of the student to arrange a mutually agreeable examination date with the course director.

What changes have been made to your course since last year?:
I have an associate course director, Dr. Lynn Solomon who gives the majority of the lectures. Testlets were added to the examinations. Next year, an audience response system is anticipated to be used during lecture.

Course Goal:
The primary educational goals is that at the completion of part one (general pathology), the dental student should be able to demonstrate a knowledge of the terminology of pathology and understand the processes of cellular tissue injury, environmental pathologies, developmental disorders, inflammation and repair mechanisms, neoplastic disturbances and tumors, and fluid and hemodynamic disorders.

TUSDM Competency Statements supported by Course
#1. Understand the concept of professionalism, patient confidentiality (HIPAA- Health Insurance Portability and Accountability Act, ethical behavior and the principles of jurisprudence.

#2. Understand psychosocial principles, behavior management and how to apply these skills for better patient care.

#16. Manage and treat localized odontogenic infections and common operative and postoperative surgical complications.

Course Name: Basic Human Pathology II
Course Number:
873
Credits (Weight):2
Course Director: Dr. Michael Hall
Predoctoral Year: 2
Semester: Fall (Sept-Dec)
Time & Location: M 2:45-4:30pm/10-12pm; Tu 2:15-4pm

Text(s):
Required: Pathology: Illustrated Review in Color, 2nd Edition, by A. Stevens and J. Lowe, Mosby, 2000.

Recommended Supplemental:
1. Robbins Basic Pathology, 8th Edition, by V. Kumar, R. Cotran and S. Robbins, Saunders, 2007.

b. Rubin’s Pathology: Clinicopathologic Foundations of Medicine, 5thedition, by E. Rubin, et al., Lippincott, Williams and Wilkins, 2007.

c. Stedman’s Medical Dictionary, 35th edition, Lippincott, Williams and Wilkins, 2007.

Grading & Evaluation:
Two (2) interim examinations and a final examination will be given during the course on the date, time, location indicated in below. Examinations will be proctored and the Tufts Honor Code is in effect. The two interim examinations and the final examination will be weighted according to the number of lectures covered. Therefore, the final examination is not cumulative but only covers the material in the course since the second examination. Questions will be constructed from educational material presented during lecture and textbook reading assignments. The format of the exam questions will be as on the current National Board Dental Examination, Part 1 (i.e., multiple-choice, one best answer and testlets).

Examination Weighting:
Interim examination #1 = 33% of course grade

Interim examination #2 = 40% of course grade

Final examination = 27% of course grade

Remediation:
Following a Students Promotion Committee decision that a student can take a re-examination, a remediation plan will consist of a series (minimum of 3) sessions with an assigned student teaching assistant (i.e., tutor). The course directors will give the tutor a remediation plan outline. It is the responsibility of the student to arrange a mutually agreeable examination date with the course director and that complies with the academic schedule deadlines.

If a student has any question or problem regarding this course, he/she should contact the course director by email or telephone. The co-course directors regularly check their e-mail and voice mail throughout the weekday and evening. Their usual office hours are 8:00 am – 4:00 pm, Monday-Friday, by appointment.

What changes have been made to your course since last year?

Added Dr. Lynn Solomon as an associate course director

Updated the lecture material and eliminated material not pertinent to clinical practice and/or national board preparation.

**Please note that the course also includes the first four weeks of the second semester

Course Goal:

The student will be able to correlate the information of diseases from all the major organ systems of the body to the clinical practice of dentistry so that proper diagnosis, management and treatment planning of their patients is accomplished while practicing general dentistry. Furthermore, the student will be able to utilize critical thinking skills to modify the management of their patient based on the present or future systemic illnesses of their patient. Lastly, the student will be able to explain the nature of the patient’s illness to them and how it affects the practice of dentistry.

Course Objectives:

The student will be able to know the types and specific features of diseases covered in the course that can affect the:

  • Cardiovascular system
  • Respiratory system
  • Nose, pharynx, larynx and esophagus
  • Gastrointestinal system
  • Hepatic and biliary tract including hepatitis and diabetes mellitus
  • Nervous system
  • Urinary system
  • Gynecological and obstetrics
  • Breast disease
  • Male genital system
  • Musculoskeletal and integument

TUSDM Competency Statements supported by Course

#1. Understand the concept of professionalism, patient confidentiality (HIPAA- Health Insurance Portability and Accountability Act, ethical behavior and the principles of jurisprudence.

#2. Understand psychosocial principles, behavior management and how to apply these skills for better patient care.

#16. Manage and treat localized odontogenic infections and common operative and postoperative surgical complications.

Course Name: Oral and Maxillofacial Pathology
Course Number:
32
Credits: 3
Course Director: Dr. Michael Kahn
Predoctoral Year: 2
Semester: Fall (Sept-Dec), Winter (Jan-Apr)
Time & Location: M, Th, F 9am-12pm
Text(s):
Required Textbook:
Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and Maxillofacial Pathology, 2nd edition, W.B. Saunders Co., 2002. (ISBN# 0-7216-9003-3)

Recommended Supplemental Textbooks:

Neville BW, Damm DD, White D. Color Atlas of Oral Pathology, 2nd edition, Williams and Wilkins, 1999.

Regezi J, Sciubba J, Jordan R. Oral Pathology: Clinical Pathologic Correlations, 4th edition, W.B. Saunders Co., 2003.

Grading & Evaluation:

Three (3) interim examinations and a final examination will be given during the course on the date, time, location indicated below

The three interim examinations and the final examination will be equally weighted. Therefore, the final examination is not cumulative but only covers the material in the course since the third interim examination. Questions will be constructed from educational material presented during lecture, posted on TUSK, and textbook reading assignments. The format of the exam questions will be as on the current National Board Dental Examination, Part 2 (see below) and thus will be multiple-choice, one best answer.

Examination Weighting:

Interim examination #1 = 25% of course grade

Interim examination #2 = 25% of course grade

Interim examination #3 = 25% of course grade

Final examination = 25% of course grade

Remediation:

Following a Students Promotion Committee decision that a student may take a re-examination, a remediation plan will consist of a series (minimum of 3) sessions with an assigned student teaching assistant (i.e., tutor). The course director will give the tutor a remediation plan outline. It is the responsibility of the student to arrange a mutually agreeable examination date with the course director and that complies with the academic schedule deadlines.

If a student dentist has any questions or a problem regarding this course, he/she should contact the course director by email or telephone. The course director regularly check his e-mail and voice mail throughout the weekday and evening. Office hours are usually 8:00 am – 4:00 pm, Monday-Friday by appointment.

What changes have been made to your course since last year?
Implementation of the audience response system to be used during each lecture, particularly during the third part of the lecture when differential diagnosis skills we be taught and reinforced.

A certain number of additional exam questions will case-based national board format. Some of the more obscure or rare lesions will not be taught this year.

Course Goal:
This course will build upon the foundational pathology concepts and information given in the Basic Human Pathology courses as well as integrate, expand, and correlate with other biomedical science courses and the concomitant clinical sciences taught prior to the clinic years. Specifically, the course will describe the etiology, pathogenesis, clinical features, radiographic features (if applicable), treatment and prognosis of 19 classical and traditional categories of oral and maxillofacial pathology.

Lastly, the course will introduce and strengthen the art and science of differential diagnosis formulation, of soft and hard tissue lesions. The information, concepts, and differential skills developed during this course will prepare the student for arriving at a provisional diagnosis of their clinic patients and will allow them to fully participate in the fourth year oral pathology rotation.

Course Objectives:
The student will be able to:

1. describe the etiology, pathogenesis, clinical features, treatment and prognosis of common oral and maxillofacial soft tissue lesions.

2. describe the etiology, pathogenesis, clinical features, radiographic features, treatment and prognosis of common oral and maxillofacial hard tissue lesions.

3. know the site, color and morphology of soft tissue lesions and the radiographic pattern(s) of hard tissue lesions.

4. know the basic descriptive terminology of soft and hard tissue lesions.

5. construct a differential diagnosis list of a minimum of 3 lesions when given the site, morphology, and color of a soft lesion combined with its size, sign and symptoms, and duration.

6. construct a differential diagnosis list of a minimum of 3 lesions when given the site, radiograph image, signs and symptoms and duration of a hard tissue lesion.

TUSDM Competency Statements supported by Course

#3, Acquire and understand information in a scientific and effective manner, to assist in critical thinking and problem solving for patient care.

#4. Develop a comprehensive diagnosis and treatment plan, based on the patient’s chief complaint; dental, personal, family, social and medical (systemic disease) history; medical and dental diagnostic tests; and the results of head, neck, oral cavity and radiographic examinations.

#7. Manage oral (pupal, periodontal or traumatic) or medical emergencies including performing CPR and activating local life support systems (EMS) and/or make appropriate referrals to medical and dental specialties.Identify and provide effective local anesthesia for oral treatment.

#9. Identify and prescribe appropriate pharmacological agents, including noting any potential drug interactions related to dental treatment for pain, anxiety, prevention, infection, inflammation, surgical complications and conditions related to dental treatment.

#18. Inform the patient regarding the nature and extent to the disease or disorder and provide the appropriate management and/or referral.