EPA 4A.2: Generate Laboratory Prescription

SCOPE OF WORK: Graduates must be able to generate prescriptions for medications and lab orders for therapies or interventions that are beneficial to patients.

Domains of Competence

Critical Thinking and Decision Making
Team Based Care
Biomedical Science Application

Knowledge

Strategies and techniques to conduct dental laboratory procedures
Components of the delivery of safe, quality dental care including materials, indications, contraindications, and alternatives
Components of a lab authorization prescription
Regulatory aspects of lab authorization prescription
Infection control for handling, transporting, and storing patient records and devices to and from laboratory
Effective communication with dental laboratory personnel
Quality assessment and assurance of lab work provided to meet clinical and technical standards

Skills

Write accurate and legal prescription with all components
Provide appropriate prescription rationale
Communicate relevant patient information to laboratory team
Integrate principles of evidence-based dentistry to optimize clinical- decision making in laboratory authorization
Ability to evaluate work prior to delivering and communicate necessary changes or remakes
Engage in ethical clinical decision making
Properly document prescription in patient record (Epic Wisdom)

Generate Laboratory Prescription	Meets Expectations of the Graduate	Progressing	Below Expectations	Critical Error

DESCRIPTION OF WORK REQUESTED	Accurately explains the type of dental prosthesis, design components, and how they affect patient’s oral health and treatment plan	Lists prosthesis type/design and accurately explains most components; may have difficulty explaining how the prosthesis and restorative work affect patient’s oral health and treatment plan	Prosthesis type, design and/or components may be incomplete; may have difficulty explaining how the prosthesis and restorative work relate to patient’s oral health and treatment plan	Fails to identify that a prosthesis type/design is contraindicated given the patient’s medical and intraoral health condition and biomechanics
SPECIFICATION OF TYPE AND QUALITY OF MATERIALS	Chooses and justifies appropriate type and quality of materials for the required prosthetic and restorative work	Chooses appropriate type and quality of materials for the prosthetic and restorative work but has difficulty providing full justification of the selection	Suggests materials type and quality with unsubstantiated justifications	Chooses inappropriate materials for the type of prosthesis and restorative work that may endanger the patient’s health or is contraindicated for the patient’s treatment
STRUCTURE AND COMPONENTS	Writes accurate/legal lab work authorization with all the required components¹	Lab work authorization contains one error, either omitting a component or having inaccurate information	Lab work authorization contains more than one error, either in omitting components or having inaccurate information, that does not endanger patient’s health	Lab work authorization contains errors that requires lab partner to followup or errors may endanger the patient’s health and/or inappropriate communication with lab or commercial vendor staff

¹ Examples: FPD components: retainers, connectors & pontics; RPD components: major and minor connectors, clasps, rests & indirect retainers

Medication Prescription Counseling