EPA 4D.2: Manage Dental Urgencies
SCOPE OF WORK: This activity includes performing an evaluation, establishing a differential or definitive diagnosis, and developing a plan of care with informed consent. Graduates need to be able to provide urgent care treatment within their scope of practice or refer to other (oral) health care providers when indicated.
Domains of Competence
- Person-Centered Care
- Critical Thinking and Decision Making
- Biomedical Science Application
- Self-Assessment
Knowledge
- What constitutes an oral health urgency/ emergency
- Components of a patient history in an urgent care setting
- Components of a patient examination in an urgent care setting
- Common diagnoses for patients who present with acute oral health problems
- Management or treatment options for acute oral health problems
- How to establish informed consent in an acute care setting
- When to refer patients with acute oral health problems to other provider(s)
Skills
- Demonstrate the ability to perform a patient evaluation including history, examination, and clinical tests and radiographs for an urgent care patient
- Demonstrate the ability to develop a definitive or differential diagnosis for an urgent care patient
- Engage the urgent care patient in an informed consent discussion regarding the reasonable management/treatment options for their problem(s)
- In collaboration with the patient, devise the best plan to manage the patient’s urgent oral health problem(s)
- Successfully execute the urgent care plan
- Properly document the patient visit in a SOAP format in the electronic patient record
| Manage Dental Urgencies |
Meets Expectations of the Graduate
|
Progressing
|
Below Expectations
|
Critical Error
|
|---|---|---|---|---|
| Evaluation and Diagnosis | Accurately assesses and diagnoses the patient’s urgent oral health problem | Executes patient history, examination, and diagnosis; but may have missing or incorrect findings | Fails to recognize the importance of omitted or incorrect findings | Omissions or inaccuracies that may result in patient harm |
| Treatment Plan and Informed Consent | Promptly and correctly assesses situation and initiates initial treatment to manage the oral health problem | Executes patient history, examination, and diagnosis; but may have missing or incorrect findings | Fails to recognize the importance of omitted or incorrect findings | Omissions or inaccuracies that may result in patient harm |
| Management and Treatment | Promptly, efficiently, and effectively manages the patient’s oral health problem; ideal communication with the patient regarding the treatment progress, expected outcomes, next steps, post-operative instructions | Provider needs assistance to be able to deliver treatment efficiently and effectively; communication with the patient regarding the treatment progress, expected outcomes, next steps, post- operative instructions may be incomplete | Treatment causes unnecessary discomfort to the patient; treatment does not appropriately address the patient’s problem; communication is not timely, adequate or delivered in a manner that the patient is able to understand | Treatment unnecessarily causes harm to the patient; Learner tries to render treatment that is beyond their skill set, resulting in an adverse patient outcome |
| Documentation | Accurately records the urgent care encounter using SOAP format in patient record | Includes SOAP components but may omit relevant exam, diagnosis, plan, or treatment specifics | Omission of any SOAP components | SOAP note omission or inaccuracy that may lead to patient harm |