TABLE OF CONTENT

A. SEMESTER LEARNING ACTIVITY PLAN A.1 COURSE IDENTITY A.2 COURSE TOPIC A.3 COURSE PROGRAM A.4 MAPPING OF LEARNING OUTCOMES – COURSE OUTCOMES A.4.1 The expected Learning Outcomes of Dental Medicine Program graduates A.4.2 The expected Course Outcomes of Clinical Oral Surgery A.4.3 Mapping of Learning Outcomes – Course Outcomes B. COURSE ASSESSMENT B.1 ASSESMENT RUBRIC B.2 ASSESMENT SYSTEM C. COURSE DEVELOPMENT C.1 ACADEMIC YEAR 2016/2017 RESULT C.2 PROBLEM ANALYSIS C.3 SOLUTIVE STRATEGY D. APPENDICES D.1 DOCUMENT OF COURSE ACTIVITY D.1.1. Sample of students’ attendance form D.1.2. Sampe of statement of examination official report D.2 SAMPLE OF STUDENT WORK D.2.1. Sample of test paper D.2.2. Sample of student work D.2.3. Sample of student assignment D.3. RECAPITULATION OF ASSESMENT D.3.1. Item Analysis D.3.2. Sample of evaluation method D.3.3. Academic Year 2017/2018 result D.3.4. Problem / Solution analysis

A. SEMESTER LEARNING ACTIVITY PLAN A.1. COURSE IDENTITY

Module Name Oral Surgery Clinical Coursework

Code module KGB 501

Module Level Profession Program

Abbreviation, if applicable Under Graduate Student of Dental Medicine

Semester/term I-III (open semester)

Module coordinator(s) R. Soesanto, drg., M.Kes., Sp.BM (K)

Lecturer(s) 1. Prof. R.M. Coen Pramono D, drg., SU., Sp.BM (K)., FICS 2. R. Soesanto, drg., M.Kes., Sp.BM (K) 3. Dr. David B. Kamadjaja, drg., MDS., Sp.BM(K) 4. Dr. Ni Putu Mira Sumarta, drg., Sp.BM(K) 5. Andra Rizqiawan, drg., PhD., Sp.BM 6. Indra Mulyawan, drg., Sp.BM

Language Indonesia

Classification within the curriculum Specific Scientific Skill

Learning Models Lecture, discussion, Pre Test, Pre Clinical Preparation, Post Test, Final Test

Clinical teaching format/ hours per week during the semester

400 minutes clinical work/field work,

280 minutes self-independent study

Workload Total 181,2 hours a semester

Credit Points 4 (Four) SKS

Requirements

No Activity Requirement

I. Clinical 1. Tooth Extraction

- Simple Extraction (10)

- Complicated Extraction (10)

Cases determination (simple or difficult) is confirmed by the lecturer concerned

20

2. Simple Case Diagnosis 3

3. Complicated Case Diagnosis 3

4. Control 15

5. Surgical Assistant 5

6 SUTURING 1

7. Minor Oral Surgery (Choice)

A. Tooth Extraction with “open method”

B. Alveolectomy C. Odontectomy

mandibular 3rd molar class IA

D. Incision of Abses Intra Oral

E. Interdental Wiring

1

II. Clinical Examination

1. Mini Clinical Exercise (Mini CEX)

1 Simple case diagnosis

2. Student Oral Case Analysis (SOCA) Test

1 Complicated case diagnosis

3. Direct Observational Procedural Skills (DOPS) Test

• 1 Mandibular Anesthesia Procedure

• 1 upper/lower posterior tooth extraction

• 1 control post operation after treatment

4. Final Profession Test

Learning goal/competencies After following the clinical clerks students can carry out patient examinations and medical records, be able to manage simple oral surgery cases including: tooth extraction, dentoalveolar fracture, control evaluation of cases of pre / post simple oral surgery, and management of referral cases as indicated independently with full of empathy and in accordance with medical ethics and law

Content Actions of patient examination and medical record filling, extraction of anterior and posterior teeth with closed method,

open method tooth extraction, preprostetic surgery (simple alveolectomy), simple odontectomy, management of dentoalveolar trauma cases, management of jaw trauma cases, management of post-odontectomy evaluation, evaluation post-treatment for odontogen infection cases, post-evaluation evaluation of trauma cases of dento alveolar and jaw bone, post-surgical evaluation of tumor-neoplasia cases, management of referral cases as indicated independently with empathy and in accordance with medical ethics and law

Study/exam achievements Clinical assessment evaluation includes:

• Requirements to pass a minimum B score by completing: - All Clinical requirement : 60% - Mini clinical exercise (Mini - CEX) : 10% - Student Oral Case Analysis(SOCA) : 10% - Direct Observation Psychomotor Skill (DOPS) : 10% - Final Profession Test : 10%

Score Conversions :

- Score 4 = 86 - 100 - Score 3 = 70 - 85 - Score 2 = 50 - 69 - Score 1 = 26 - 49 - Score 0 = 0 – 25

Final index for Profession Program defined as follow : :

Nominal Score Final Index

86 - 100 A

78 ≤ 86 AB

70 ≤ 78 B

62 ≤ 70 BC

54 ≤ 62 C

40 ≤ 54 D

< 40 E

Final Evaluation

Students are declared to have passed the Integrated Clinical Work of Oral and Maxillofacial Surgery if they meet the criteria below:

a. Meet 100% attendance requirements b. Already completed all MANDATORY JOBS by reaching B c. There are no violation problems that result in graduation d. Passing the CLINICAL EXAMINATION includes Mini CEX,

SOCA, DOPS e. Pass the professional examination, the minimum passing

grade for the professional examination is B Forms of media Discussion Patient, bed site teaching , Medical record, paper

test, Mini-CEX Test, SOCA Test, DOPS Test

Literature 1. Baghery S.C. Clinical Review of Oral and Maxillofacial Surgery. St Louis : Mosby Elsevier ; 2008. p.243-62.

2. Elsevier. St Louis ; 2004. p. 134-63 3. Fonseca R.J., Oral and Maxillofacial Trauma. Vol. 1. 4. Fragiskos D. Fragiskos. Oral Surgery. Germany : Springer ; 2007 5. Peterson. Principles of Oral and Maxillofacial Surgery. 2nd ed.

London : BC Decker Inc; 2004. 6. Peterson LJ, Ellis E, Hupp Jr., Tucker Mr. Contemporary Oral

and Maxillofacial Surgery. 4th ed. Missouri : Mosby Elsevier; 2003.

7. Regezi JA, Sciuba JJ, Jordan RCK. Oral Pathology, Clinical Pathologic Correlations. 4th ed. St Louis : Saunders. 2003, p. 267- 307; 321-35

8. Rowe, N.L.Maxillofacial Injuries. Vol 1. 9. Sapp JP. Eversole LR, Wysocki GP. Contemporary Oral and

Maxillofacial Pathology, 2nd ed. Mosby. 10. Topazian et al. Oral and Maxillofacial Infections. 4th ed. USA:

WB Saunders Company; 2002. A.2. COURSE TOPIC After following the clinical clerkship, students can carry out patient examination and medical record filling, extraction of anterior and posterior teeth with closed methods, open method tooth extraction, preprostetic surgery (simple alveolectomy), simple odontectomy, management of dentoalveolar trauma cases, management of jaw trauma cases , management of post-odontectomy evaluation, post-treatment evaluation of odontogenic infection cases, post-treatment evaluation of trauma cases of dentoalveolar and jawbone, post-surgical evaluation of tumor-neoplasia cases, management of referral cases as indicated independently with empathy and in accordance with ethics and medical law

A.3. COURSE PROGRAM

Week

Expected Final

Capabilities Study material

Learning methods

Media Tim

e

Student learning experien

ce

Assessment and Indicator Criteria (hard

and soft skills)

Value Refere

nce

1 2 3 4 5 6 7 8 9 10

I Able to simulate procedures for treatment in the Oral and Maxillofacial Surgery clinic, and the theoretical basis for the management of cases of Oral and Maxillofacial Surgery

Basic Theory of Management of Cases of Oral and Maxillofacial Surgery: 1. History

procedure 2. Physical

examination 3. Investigation 4. Diagnosis 5. Treatment plan 6. Evaluation of

actions

Lecture, discussions, Entrance

Exams

Medical Record Test Sheet

1 x 170 minutes

Get directions on procedures for treatment at the Oral and Maxillofacial Surgery clinic

Do the Entrance Examination based on clinical scenarios

Describe and carry out case management according to the procedures in the Oral and Maxillofacial Surgery clinic.

2% 1,4,5,6,10

I Able to simulate the management of cases of Oral and Maxillofacial Surgery

Case management includes:

1. History of the patient's procedure, general physical examination (including vital signs), regional physical examination, extra oral and intra-oral, the need for investigation, appropriate diagnosis, medical record filling in a brief, clear, complete, and correct.

2. Therapy of cases of Oral

Clinical Clerkship

Medical Record Bedsite teaching

5 x 170 min

Observation of the case management process includes: diagnosis, action and therapy enforcement processes, and post-action control

Complete medical record, accuracy of diagnosis and treatment plan

3% 1,4,5,6,10

Week

Expected Final

Capabilities Study material

Learning methods

Media Tim

e

Student learning experien

ce

Assessment and Indicator Criteria (hard

and soft skills)

Value Refere

nce

1 2 3 4 5 6 7 8 9 10

and Maxillofacial Surgery

3. 3. Control post-oral and maxillofacial surgery

II-III Able to extract anterior teeth with a closed method

1. Determination of indications for dental extraction actions

2. Actions of local anesthesia

3. The action of extracting teeth with the right tool and position

4. Management of post-extraction of teeth

Clinical Clerkship

Patient 8 x 170 min

Patient Treatment

Skills and Accuracy in SOP in doing treatment

20% 1,4,5,6,10

III-IV

Able to control cases pre / post-oral and maxillofacial surgery

1. History of the patient's procedure, general physical examination (including vital signs), regional physical examination, extra oral and intra-oral, the need for investigation, appropriate diagnosis, medical record filling in a brief, clear, complete, and correct.

2. Diagnosis 3. Therapy

Clinical Clerkship

Patient 8 x 170 min

Patient Treatment

Skills and Accuracy in SOP in doing treatment

10% 1,4,5,6,10

IV-V Able to diagnose simple cases

1. History of the patient's procedure, general physical examination (including vital signs), regional

Clinical Internship

Patient

Ujian Mini-CEX

6 x 170 menit

Perform diagnosis enforcement procedures and

Medical record completeness, accuracy of diagnosis and Mini-CEX and SOCA

10% 1,4,5,6,10

Week

Expected Final

Capabilities Study material

Learning methods

Media Tim

e

Student learning experien

ce

Assessment and Indicator Criteria (hard

and soft skills)

Value Refere

nce

1 2 3 4 5 6 7 8 9 10

physical examination, extra oral and intra-oral, the need for investigation, appropriate diagnosis, medical record filling in a brief, clear, complete, and correct.

2. Diagnosis 3. Treatment plan

Ujian Soca

treatment plan

Value treatment plans

V-VI Able to carry out surgical assistance for minor oral surgery

1. Perform an examination, clinical examination

2. Completing the medical record

3. Helping operators prepare tools and materials for operations

4. Using aseptic techniques

5. Carry out operational assistance

Clinical Clerkship

Patient 8 x 170 min

Doing Operator Assistant

Skills and Accuracy of SOP in performing treatment

10% 1,4,5,6,10

VII-VIII

Able to do posterior tooth extraction with a closed method

1. Determination of indications for dental extraction actions

2. Local anesthetic action

3. action of extracting teeth with the correct tool and position

4. handling post tooth extraction

Clinical Clerkship

Patient

DOPS Examination

10 x 170 min

Perform treatment to the patien

Skills and Accuracy of SOP in performing treatment DOPS Exam Value

20% 1,4,5,6,10

VIII-X

Able to diagnose complex cases

1. History of the patient's procedure, general physical examination

Clinical Clerkship

Patient Mini-CEX

9 x 170 min

Perform diagnosis enforcement procedur

Medical record completeness, accuracy of diagnosis

10% 1-10

Week

Expected Final

Capabilities Study material

Learning methods

Media Tim

e

Student learning experien

ce

Assessment and Indicator Criteria (hard

and soft skills)

Value Refere

nce

1 2 3 4 5 6 7 8 9 10

(including vital signs), regional physical examination, extra oral and intra-oral, the need for investigation, appropriate diagnosis, medical record filling in a brief, clear, complete, and correct.

2. Diagnosis 3. Treatment plan

Examination

SOCA Examination

es and treatment plan

and Mini-CEX and SOCA Value treatment plans

X Able to perform Minor Mouth Surgery: Extraction of teeth with an open method / grade Lower M3 Odontectomy IA / intra oral abscess incision / Fixation of dentoalveolar fraction with wire

1. Determination of indications of minor mouth surgery

2. Prepare sufferers

3. Prepare the tools and materials needed

4. Local anesthetic actions

5. Actions of Minor Oral Surgery

6. Handling after the action of Minor Oral Surgery

Clinical Clerkship

Patient 4 x 170 min

Perform treatment to the patient

Skills and Accuracy of SOP in performing treatment

5% 1,3,4,5,6,810

X Able to carry out Post Evaluation of Treatment Measures for Odontogen Infection cases

1. anamnesa for post-treatment evaluation of cases of odontogen infections

2. examination for post-treatment evaluation of cases of odontogen infections

3. assessment and case treatment plan evaluated

4. further treatment of cases of

Clinical Clerkship

Patient

Discussions

1 x 170 min

Perform treatment to the patient

Cases discusions

Skills and Accuracy of SOPs in performing care, Case analysis ability

2% 1,4,5,6,10

Week

Expected Final

Capabilities Study material

Learning methods

Media Tim

e

Student learning experien

ce

Assessment and Indicator Criteria (hard

and soft skills)

Value Refere

nce

1 2 3 4 5 6 7 8 9 10

odontogen infection

XI Able to carry out Post Evaluation of Treatment Cases for Alveolar Dento and Jawbone Trauma

1. anamnesa for post-treatment evaluation of trauma cases of dento alveolar and jawbone

2. Examination for post-treatment evaluation of trauma cases of dento alveolar and jawbone

3. assessment and case treatment plan evaluated

4. further treatment of trauma cases of dento alveolar and jawbone

Clinical clerkship

Patient

Discussions

1 x 170 min

Perform treatment to the patient

Case Discussions

Skills and Accuracy of SOP in performing care, Case analysis ability

2% 1,3,4,5,6,810

XI Able to do Post-surgical Evaluation of Tumor-Neoplasia Cases

1. anamnesa for post-surgical evaluation of cases of tumor-neoplasia

2. examination for post-surgical evaluation of tumor-neoplasia cases

3. assessment and case treatment plan evaluated

4. post-surgical treatment of tumor-neoplasia cases

Clinical Clerkship

Patient

Discussions

1 x 170 min

Perform treatment to the patient

Case Discussions

Skills and Accuracy of SOP in performing care, Case analysis ability

2% 1,5,6,7,9

XI Able to carry out management of referral cases

1. Determination of indications of referral cases

2. KIE for patients related to the referral case

3. Making Reference Letter

Clinical clerkship

Patient

Discussions

1 x 170 min

Perform treatment to the patient

Case Discussions

Skills and Accuracy of SOP in performing care, Case analysis ability

2% 1,4,5,6

XI Able to describe the management of cases of Oral and Maxillofacial Surgery

Basic Theory of Management of Cases of Oral and Maxillofacial Surgery:

Post test Final Test

1. Medical Record

1 x 170 min

Post Test Final Test

Describe the management of cases of oral and maxillofacial surgery

2% 1-10

Week

Expected Final

Capabilities Study material

Learning methods

Media Tim

e

Student learning experien

ce

Assessment and Indicator Criteria (hard

and soft skills)

Value Refere

nce

1 2 3 4 5 6 7 8 9 10

1. History procedure

2. Physical examination

3. Investigation 4. Diagnosis 5. Treatment plan 6. Evaluation of

actions

2. Paper sheet test

A.4. MAPPING OF LEARNING OUTCOMES – COURSE OUTCOMES A.4.1 The expected Learning Outcomes of Dental Medicine Program graduates LO 1 : Able to understand the basic principles and applied basic medical science and basic

social science to support dentistry LO 2 : Able to apply basic medical science, clinical medicine, basic dental science, and

clinical dental science to solve problems on dental cases LO 3 : Able to demonstrate general physical examination and stomatognathic system

examination, establishing diagnosis, and formulating treatment plans in order to achieve excellent oral and dental health through promotive actions, preventive actions, curative actions, and rehabilitative actions towards mannequin or simulation patient

LO 4 : Able to perform dental research as the application of scientific methods and disseminate the results according to the rules of science

LO 5 : Able to perform general physical examination and stomatognathic system examination, establishing diagnosis, and formulating treatment plans in order to achieve excellent oral and dental health through promotive actions, preventive actions, curative actions, and rehabilitative actions towards patient

LO 6 : Able to perform procedures and series of steps to restore the function of stomatognathic system in dental hospital

LO 7 : Able to demonstrate procedural knowledge and step series to restore the functions of stomatognathic system in environmental community

LO 8 : Able to perform dental practices based on relevant areas of expertise, accountability principles, partnership, ethics, and law

A.4.2. The expected Course Outcomes of Clinical Oral Surgery 1. Be able to plan and manage the diagnosis and treatment plan resources under its responsibility,

and evaluate comprehensively its work by utilizing science, technology, and / or art to produce

strategic development steps organizations

2. Able to solve the problems of science, technology, and / or art in the field of science through a

monodisciplinary approach

3. Able to research and make strategic decisions with full accountability and responsibility for all

aspects that are under the responsibility of his area of expertise

A.4.3. Mapping of Learning Outcomes – Course Outcomes

1. CO 1 Diagnosis and treatment plan 2. CO 2 Local Anesthesia and Tooth Extraction 3. CO 3 Post Treatment Evaluation 4. CO 4 Minor Surgery

LO 1 LO 2 LO 3 LO 4 LO 5 LO 6 LO 7 LO 8 CO 1 * * * CO 2 * * * CO 3 * * * CO 4 * * *

B. COURSE ASSESSMENT B.1 ASSESMENT RUBRIC Cognitive Criteria: 1. The ability to give answers correctly 2. The ability to provide argumentation according to theory 3. The ability to provide systematic explanations 4. Ability to solve problems comprehensively Soft Skills : Individual Score 1 : Presence Criteria: 1. On time : 100 2. 1 – 14 minutes late : 56 – 99 2. 15 minutes late : 55 3. Absent : 0 Individual Score 2 : Activity Criteria: 1. Active, creative in accordance with competence : 75 – 100 2. Less active : 55 3. Passive : 45 Individual Score 3 : Communication/ Attitude Criteria : 1. Really appreciate others and can interact in the group : 75 - 100 2. Appreciate the opinions of others , but are not able to interact in a group : 65 – 74 3. No respect the opinions of others, but can interact in the group : 55 - 64 4. No respect to the opinions of others and do not interfere in a group : 0 – 54 Individual Score 4 : Relevance Criteria : 1. Strong relevance to the tasks assigned : 75 2. Has to do with assigned tasks : 55 3. Discussion outside a task assigned : 45 Individual Score 5: Knowledge Criteria : 1. Adequate : 75 2. not complete : 60 3. Not knowing : 40

Individual Scores (Soft skills) = Scores (Presence + Activity+ Attitude+ Relevance+ Knowledge) / 5

B.2 ASSESMENT SYSTEM FINAL ASSESSMENT : Soft Skills : 10% Procedural Skills : 50% Mini Clinical Excercise (Mini - CEX) : 10% Student Oral Case Analysis (SOCA) : 10% Direct Observation Psychomotor Skill (DOPS) : 10% Final Examination : 10% Final index for profession program defined as follow : A : 100 ≥ FI ≥75 AB : 75 > FI ≥ 70 B : 70 > FI ≥ 65 BC : 65 > FI ≥ 60 C : 60 > FI ≥ 55 D : 55 > FI ≥ 50 E : 50 < FI

C. COURSE DEVELOPMENT C.1. ACADEMIC YEAR 2016/2017 RESULT

Parameter ∑ of persons Percentage Number or students taking this subject 132 100 % Number of students who pass final examination at first attempt (>BC)

110 83.33 %

Number of students who failed final examination at the first attempt (<B)

22 16.67%

Number of failed final examination students after remedial (D & E)

0 0%

C.2. PROBLEM ANALYSIS The fair percentage of students who failed in final examination may indicate that they have difficulty in connecting cognitive skill and clinical problems. C.3. SOLUTIVE STRATEGY

• To improve student clinical assessment, we design case-based discussions session and increase the duration time of chair side teaching.

• Students failing final examination are given a special coaching session before remedial.

D. APPENDICES D.1. Document of course activity D.1.1. Sample of students’ attendance form

D.1.2. Sampe of statement of examination official report

D.2. Sample of student work D.2.1. Sample of test paper

D.2.2. Sample of student work

D.3. Recapitulation of assesment D.3.1. Item Analysis

D.3.2. Sample of evaluation method

D.3.3. Academic Year 2017/2018 result of Oral Surgery Clinical Courseworks

Parameter ∑ of persons Percentage

Number or students taking this subject 145 100% Number of students who pass final examination at first attempt (>BC)

144 99.31%

Number of students who failed final examination at the first attempt (<B)

1 0.69%

Number of failed final examination students after remedial (D & E)

0 0%

D.3.4. Problem / Solution analysis We perform Case-based discussions session, chair side teaching, OSCE Examination