You are to use critical and reflective practice to enrich your learning experience. Self-reflection is an important practice for personal and professional development. You will be required to write a self-reflective blog based on your experiences for each work-integrated learning placement day. Reflections are to be uploaded on the ePortfolio Site on Google Drive and should also include your reflection on the feedback from the clinical supervisor from a procedure or placement which you were graded as not yet competent, performed poorly or in which your performance could be improved. Your reflection should also contain the following components.

• Include a brief summary of procedures OR a brief summary of placement
• Which procedures were performed well? OR Expectation of learning on the placement.
• What procedures could be improved? OR What did you learn today on placement?
• Strategies for improvement OR Strategies to enhance learning on placement.
• What did I learn today?

The Gibbs’ Reflective Cycle is an example of a reflective model.

The completion of the personal reflective blog is a compulsory assessment and each entry must be completed to a satisfactory standard. Reflections must be submitted by midnight each Sunday for the previous week you are rostered at a work-integrated learning placement.

The assessment criteria for the self-reflective practice is consistent with Gibb's reflective cycle.

The clinical experiences in ORAL13002 are to consolidate, apply and extend the theory learned in lectures and practical sessions during years 1, 2, and 3 of the course (CB29 - Bachelor of Oral Health). Specific hours are determined by each placement site but generally, you are required to be on clinical placement from 8 am to 5 pm 4 days per week.

The placement site may include

• CQUniversity Oral Health Clinic

• SACCR at CQUniversity Health Clinic

• Residential Care Facilities

• Oral Health Education at childcare centres, schools, community health centres and community groups

• Private Hospitals

• Private Dental Clinics

• Specialist Dental Clinics

• Public Health Districts

A list of contacts and placement site addresses is at the bottom of the Google Drive student roster (link on unit Moodle page).

There are a number of components in the Professional Practice Placement. Each component must be passed in order to pass the assessment.

Component 1 Clinical Performance:

A criterion-referenced analytical assessment rubric for evaluation of student performance of procedures is provided in the Online Real-time Assessment System (ORAS). ORAS records all work-integrated learning experiences, including a number of assessed student-client interactions and performance of procedures. Placement supervisors are required to complete an entry into ORAS for each student-client interaction assessed.

Each student-client interaction is graded on a rubric, which will reflect a grade of Not Yet Competent (0), Approaching Competent (1), Competent (2), and Highly Competent (3) for each procedure part (see example below). An average grade is given at the end of each student-client interaction assessment for all procedures completed.

In each student-client interaction assessment, there are also Critical Competencies. A Not Yet Competent (NYC) in one or more of the Critical Competencies results in a mark of 0 overall for that student-client interaction.

The data is collated over the term to monitor performance and as a “log” of the procedures and student-client assessments completed by the student. The unit teaching team will assess the data aggregated in ORAS over the period of the term to form a longitudinal comprehensive picture of the achievement and development of competence by the student.

In order to achieve a grade of a pass in this component, you are required to:

a. Achieve a minimum score of Competent (2) in no less than 90% of the total number of student-client interaction assessments.

b. Achieve an average minimum score of Competent (2) in each procedural category. Procedure categories are examinations, hygiene, and restorative procedures.

Re-attempt:

Re-attempt is where you are given a second opportunity to demonstrate your achievement of one or more of the unit’s learning outcomes before you can progress to new learning or participate in subsequent learning activities.

If you achieve a minimum score of Competent (2) in 87-89% of all student-client interactions, you will be offered a re-attempt:

• Five additional student-client interactions will be offered on a mutually agreeable day.
  
• This task is to be completed no later than one week before the release of grades.
• You must achieve an average minimum score of Competent (2) in ALL five student-client interactions.
• These additional sessions will be offered at the CQUniversity Oral Health Clinic based in Rockhampton. It is your responsibility to arrange transport and accommodation if needed to attend these additional sessions.
• Note that only one opportunity to do a re-attempt will be given.
• If you do not pass the re-attempt, you will be unable to pass ORAL13002.

If you achieve a minimum score of Competent (2) in 90% of all student-client interactions, however, you do not achieve an average minimum score of Competent (2) in one procedural category, you will be offered a re-attempt as per the conditions above. The five additional student-client interactions will be offered in the procedural category you did not achieve.

If you achieve a minimum score of Competent (2) in 90% of all student-client interactions, however, you do not achieve an average minimum score of Competent (2) in more than one procedural category, you will NOT be offered a re-attempt.

Component 2 Attendance:

Attendance at clinical placements is compulsory. You are required to attend a minimum of 95% of rostered clinical placement days. This allows you approximately 2-3 days of absence without penalty. Absences are required to be supported with a medical certificate or negotiated with the Unit Coordinator/s in advance. Absences are to be made up at operational convenience.

A pass for satisfactory attendance is defined as maintaining and fulfilling the 95% clinical placement attendance for the days rostered during the term. Not meeting attendance requirements may result in a placement outstanding until the next available unit offering, which may delay your progress through the course and graduation.

Who to contact if you are sick: The unit coordinators (via email) and Libby Warlow (via phone) and the contact for the placement site on the day. The placement site will provide you with the name and details of the contact person.

Students will be provided with a patient history and clinical examination documentation 60 minutes prior to their exam time. They should use this time to form a problems list, risk assessment, diagnosis and treatment plan. At the end of the 60 minutes the student will enter a zoom room with 3 examiners (2 external examiners and one internal examiner) for 15 minutes to present problems list, diagnosis and treatment plan. Students will be asked questions relating to the allocated case study.

The case study will be provided to the student by the teaching team. It may have soft tissue pathology and/or hard tissue pathology and/or a medical condition which may or may not impede on the treatment you propose. Students are required to plan a treatment plan and justify the appropriate treatment modalities. Your treatment plan must include the determinants of oral health for your patient, i.e. consideration of the social and cognitive abilities of the patient, in particular, you need to relate this to the way your in-clinic and at-home treatment and preventive strategies are planned and managed. Each case presentation must include justification on your disease risk assessment, prognosis, diagnosis, and treatment plan.

The learning objectives of this assessment are:

• Apply entry-level proficiencies in all scopes of oral health therapy practice with an emphasis on prevention skills in performing an extensive range of treatment and preventive procedures within the scope of the oral health practitioner.
• Assess and implement critical preventive strategies for high need communities including Aboriginal and Torres Strait Islander communities be able to demonstrate entry-level skill in working cooperatively with dental and allied health care professionals to meet the holistic needs of the patient.
• Apply advanced educational, preventative, and therapeutic oral health care.
• Consistently demonstrate clinical proficiency in all areas of oral health practice.
• Demonstrate professional behaviour and attitudes at a level ready to be registered as a health professional in all learning environments including the patient and simulation clinics.

A criterion reference rubric will be used with the following categories.

1. Clinical examination analysis
2. Problems List/Diagnosis
3. Risk Assessment
4. Interpretation of Investigations
5. Organisation
6. Clinical Reasoning and Critical Thinking (Case Study)
7. Treatment Planning
8. Clinical Reasoning and Critical Thinking (Questioning from the assessors)
9. Communication

The online quiz/zes will assess the integration of knowledge, skills and experience in oral health clinical practice. The quiz/zes will consist of multiple-choice, short answer questions that require a paragraph or short answers to a list of questions relating to one topic and case studies.