DBCS321: Biomedical and Clinical Sciences in Dentistry – D2

DBCS 324 Fall 2016

Faculty Contact Information

Name Email Office
Course Director: Dr. B. Miloro bmiloro@uic.edu 525 A
Pharmacology Director: Dr. W. Flick gflick@uic.edu 119 E

Pharmacology: Tuesdays, 8-9:30, LHS

Oral Pathology: Wednesdays 1:30-3pm, LHS

Required Course Materials:

Oral and Maxillofacial Pathology, Neville, Damm, Allen, Chi. 4th edition

ORAL PATHOLOGY SYLLABUS

Wed.,8/31 NO CLASS
Wed., 9/7 Classroom:
Differential Dx. /White Surface Lesions/Cases
Homework: Dr. B. Miloro
Read:
1. White lesions PPT 1.2,2
/Developmental Abnormalities PPT 3
Online Homework (10 questions):
Developmental Abnormalities
Wed., 9/14 Classroom:
Cases and QUIZ: White surface lesions Dr. B. Miloro
Homework:
Read:
1. Pigmented, Vesicular, Ulcerated Lesions PPT 4-
8.
Online Homework (10 questions):
Pigmented lesions
Wed., 9/21 Classroom: Cases and
QUIZ: Vesicular/ulcerated lesion Dr. B. Miloro
Homework:
Read:
1. Benign Tumors /Cysts/Salivary Gland Tumors
PPT 9-12.5
Online Homework (10 questions):
Reactive Soft Tissue Enlargements
*All homework is due by 9/28/15
*THURSDAY

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9/29/16 EXAM I - Soft Tissue Cysts, Benign and

9:30-11am Malignant Neoplasms
LHS

*Homework is due by 9/28/16

PHARMACOLOGY LECTURES (IDS SESSIONS) SYLLABUS

DBCS 324, 325, 2016 (Fall Term on Tuesdays)
LHS 8-9:00 or 9:30am

Date No. Topic Presenter

08/30/2015 1 Pharmacodynamics and Pharmacokinetics Skiba

09/06/2015 2 Pharmacology of Local Anes. and Vasoconstrictors Flick

09/013/2015 3 Pharmacology of the Autonomic Nervous System Skiba

09/15/2015 4 Pharmacology Psychological Drugs Skiba

First Exam 9:30-11am LHS

09/22/2015 5 Cardiovascular Pharmacology Bosack

09/29/2015 6 Hormones of Homeostasis, Corticosteroids Flick

10/6/2015 7 Anticoagulants and Hemostasis Skiba

10/13/2015 8 Pharmacology of Analgesics Flick

10/20/2015 9 Pharmacology of Antibiotics and Anti-infectives Flick

Second Exam

Text: Yagiela, Dowd, Johnson et al., Pharmacology and Therapeutics for Dentistry, 6th e., Mosby
Elsevier, New York, N.Y. 2011

Other Suggested Reading: Haveles, Applied Pharmacology for the Dental Hygienist, 6th e., Mosby
Elsevier, New York, N.Y. 2011

Examinations will be multiple choice and a component of DBSC 324 and 325 examinations.

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University of Illinois at Chicago College of Dentistry Competency Statements

Given a diverse PATIENT and/or a COMMUNITY population, a graduate of the predoctoral program will,
within the scope of a general practitioner and in consideration of the patient’s/community’s total health
status, and employing the best scientific research and clinical EVIDENCE, be competent to:
1. Act, in all circumstances, in accordance with the principles of PROFESSIONALISM, ETHICAL
BEHAVIOR, and CULTURAL COMPETENCE;
2. Lead a productive DIALOGUE to establish the goals, objectives and expectations of the patient or
community;
3. Engage in an ongoing ASSESSMENT of the state of health;
4. Formulate DIFFERENTIAL DIAGNOSES based on the assessment;
5. Produce a prioritized PLAN that addresses each diagnosis and includes health promotion,
maintenance and prevention, alternatives, the rationale and prognosis for the intervention as well
as needed referrals;
6. Deliver/Manage the INTERVENTION, within personal skill level, that is evidence-based,
comprehensive and is in keeping with the best practices of care; and
7. Systematically and accurately EVALUATE THE OUTCOME of the intervention.

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Course Description
Oral Pathology:
This component provides an overview of the neoplastic soft tissue disorders that affect the oral and
maxillofacial regions.
Pharmacology:
This component introduces a study of principles of pharmacology, an understanding of the
characteristics of the major drug groups and their utilization in medicine and dentistry. Emphasis is
placed on the impact of drugs used for treatment of medical problems which have an impact on dental
practice requiring treatment modification and the drugs which are utilized in dental practice.

Course Objectives
Oral Pathology:
The student will be responsible for recognizing the pathogenesis, clinical features, selected
histopathologic features, treatment and prognosis of the lesions presented in this component
Pharmacology:
Upon completion of this component the student will be able to:
1. Describe the basic principles of pharmacology,
2. List the various categories of drugs and major drug which belong
to each,
3. Describe pharmacokinetics, dynamics, therapeutics, and adverse
reactions of the major drugs,
4. Describe in detail the drugs commonly used in dentistry,
5. Describe problems that can develop during dental treatment in
patients receiving drugs for medical problems.
6. Describe precautions and treatment modification which may be
necessary as a result of medications.

College of Dentistry Competencies Addressed in This Course:

Given a diverse PATIENT and/or a COMMUNITY population, a graduate of the predoctoral program will,
within the scope of a general practitioner and in consideration of the patient’s/community’s total health
status, and employing the best scientific research and clinical EVIDENCE, be competent to:
#3. Engage in an ongoing ASSESSMENT of the state of health
#4. Formulate DIFFERENTIAL DIAGNOSES based on the assessment
#5. Produce a prioritized PLAN that addresses each diagnosis and includes health promotion,
maintenance and prevention, alternatives, the rationale and prognosis for the intervention as well as
needed referrals

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Methods of Evaluation
Determination of Grades
Weight Factors for Various Course Components and Subcomponents Component
Weight
Independent Efforts (Weighted)
 2 quizzes (Oral Path)- 10 points each 20%
 Homework Questions (Oral Path) - 30 questions (10 each session) 20%
 Final Exam - 90 points (30 SGL, 30 Pharmacology, 30 Oral Path) 50%

Independent Efforts
 Class participation (3 Oral Path classes) 10%
 SGL P/F
Professionalism * Must Pass
Attendance* Must Pass
Total of all individual percent scores 100%

* See sections under “College Policies”

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Determination of Grades

Quiz Dates: 9/14/16, 9/21/16

Final Exam Date: Thursday, 9/29/16 LHS

Participation points:
Class attendance is mandatory for Oral Pathology. Each Wednesday there will be a sign in sheet and it is
your responsibility to sign in. You may not have a classmate sign in for you. Any group found to be doing
so, will receive a zero for the class (the entire group). In order to be excused, you must email me prior to
class that you are unable to attend.

Assessments

Content of small group learning sections of modular exams

Each small group learning section of a modular exam will cover those learning objectives that were raised
during that module’s small group cases, except module three, which may cover any of the learning
objectives for the term. If a learning objective is in a DAOB 323 content area, it will be covered in the
DAOB exam. All other learning objectives are addressed in the DBCS modular exams. Before each exam,
we will post which objectives will be dealt with on which exam, and in which section of each exam.

Grading Scale

90-100 A
80-89 B
70-79 C
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less than 70 Not passing

Note: This course does not round percentages and does not accept exam challenges

Evaluation Policies
1. In order to successfully pass this course, the student must achieve a passing grade in each
component of the course.
2. Failure to receive an overall passing grade will be reported to the Subcommittee on Student
Promotions (SSP) along with an action plan for possible remediation or a recommendation for the
student to challenge the course in its entirety when offered next. Any modular exam resulting in
less than 75% overall will be reported to the SSP.
3. If a student fails 50% or more of their assessments on the first attempt they will be referred to the
SSP for action up to and including repetition of year or dismissal from the program.
4. A student cannot raise a performance examination grade through a repeat examination. Once a
failed performance examination is passed the grade recorded will be “75”. Failed written exams
will be remediated through assigned projects and re-testing but the numerical score for the failed
written exam will not change for final grade calculation.

College Policies
Communication
Students are expected to read email sent to their UIC accounts each day, and respond to faculty and staff
email messages within 1 business day.

Attendance
Student attendance is required at scheduled interactive didactic sessions, small group sessions, seminars,
presentations, intramural clinic rotations, extramural clinic rotations, clinic sessions, assessments, class
meetings and official College or University functions. Student attendance and proper management of
unavoidable absences are part of the professionalism requirements of the College. Students who cannot
be present at the College must notify their supervising course/component leaders as soon as possible –
prior to class/clinic.

Note: There is a separate policy for DAOB in the D3/A3 and D4/A2 years that supersedes this policy.
Full Attendance Policy:
https://dentistry.uic.edu/UserFiles/Servers/Server_211324/File/Intranet/academic%20affairs/Policy_
Attendance-2015.pdf
Contact: Course director or Lea Alexander, Office of Academic Affairs, leaalex@uic.edu, room 202D

HIPAA Compliance
Patient identifiers (Appendix A) must NOT be included in any assignments that are submitted for this
course.

Professionalism

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Professionalism is a level of ethical, legal and moral conduct in one’s field that an individual must adhere
to in order to gain and maintain the trust of others. The Professionalism Standard for clinical pre-doctoral
dental students deals with both attitudes and behaviors. Students are expected to demonstrate
professional values and adhere to the UIC COD Code of Conduct and the COD Code of Academic
Professionalism for Students. Examples of professional and ethical behavior include maintaining a
commitment to professional growth, exhibiting a high standard of moral and ethical behavior, assuming
responsibility, being conscientious, and interacting with peers, faculty, staff and patients with courtesy
and respect. Failure to comply with College Conduct and Professionalism policies may result in grade
reduction, remedial requirement, and/or failure of the course.

Students are expected to:

 Show a dedicated desire to learn.
 Comply with the Attendance Policy (see appendix).
 Be punctual and stay for the entire session.
 Complete all assignments in a timely manner.
 Prepare fully for all sessions in advance.
 Follow the guidelines laid out in course syllabi.
 Show respect toward others. Be attentive and courteous. Be respectful to staff, students, and
patients in the clinics.
 Not disturb others who are performing their duties, nor disturb those attending to lectures or
other presentations. Silence cell phones and pagers.
 Stay informed of course updates or faculty requests by daily checking Axium, Blackboard, and
email messages.
 Display honesty and integrity.
 Place the patient’s needs first.
 Display maturity and adequate physical health to provide oral health. treatment to patients in
a responsible manner.
 Maintain accuracy and faculty approval of patient records
 Ensure management of patient financial obligations with a complete discussion of fees and
payment schedule.
 Function constructively as a member of the dental team.
 Wear appropriate clinical attire and have proper grooming and personal hygiene.
 Wear appropriate PPE’s.
 Consistently observe infection control procedures.
 Read and follow the guidelines in the clinic manual and student code of conduct.
 Maintain a high level of performance and productive clinical activity.
 Complete all examinations, laboratory and clinical exercises and patient care in a professional
manner.
 Ask well-thought questions for understanding and clarification and receive feedback from faculty
when you are unsure or unclear about any component of the assigned task.
 Provide constructive and courteous feedback.
 Perform all patient care only with the prior knowledge and approval of the attending faculty.

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 Represent oneself in a professional manner outside the university.

Contact: Course Directors

Disability Accommodations
To obtain academic accommodations students with disabilities must contact the UIC Disability Resource
Center and obtain an approved Letter of Accommodation. The student must give the approved Letter of
Accommodation to the course director within ten days of the beginning of the course.
Contact: UIC Disability Resource Center: (312) 413-2183 Voice or (312) 413-0123 TTY, drc.uic.edu
Contact: Millie Mendez, Office of Student and Diversity Affairs, lmendez@uic.edu, room 104

Remediation
Students who fail assessments will be required to remediate. All failures will be reported by the course
director to the Subcommittee on Student Promotions (SSP). SSP Actions: (1) reexamination and/or
additional work, (2) repetition of the year, or (3) dismissal. The SSP, based on the recommendation of the
instructor, will determine what form, if any, the remediation will take.
Contact: Lea Alexander, Office of Academic Affairs, leaalex@uic.edu, room 202D

Make-Up Examinations
It is recognized that in some instances during the academic year, circumstances may prevent a student
from taking an examination on the day it is assigned. As a result, a make-up policy has been established.
A student who is unable to take an examination due to unavoidable circumstances should:
 Contact the Course Director via email to notify the College of your absence.
 Unexpected circumstances shall be defined as, but not limited to, hospitalization, serious car
accidents, and major illnesses etc.
 At the discretion of the course director, the student may make-up the examination at an
alternative pre-arranged time only when the student has validated that due to unavoidable
circumstances, the student was prevented from attending the scheduled examination.
 Normally, it is expected that make-up exams are to be completed within 2 school days of the
students return to the College. The course director is responsible for facilitating and proctoring
the examination.
 Make-up exams should cover the same content area of the missed examination but should not be
the same exam as give to other students. Course directors have the option to give oral or essay
examinations.
Contact: Course Director

Tutoring
The Office of Student & Diversity Affairs offers academic support to all DMD and DMDAS students
through its tutoring program.

Contact: Millie Mendez, Office of Student and Diversity Affairs, lmendez@uic.edu, room 104

Religious Holidays
The UIC Senate Policy on religious holidays (approved May 25, 1988):

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"The faculty of the University of Illinois at Chicago shall make every effort to avoid scheduling
examinations or requiring that student projects be turned in or completed on religious holidays. Students
who wish to observe their religious holidays shall notify the faculty member by the tenth day of the
semester of the date when they will be absent unless the religious holiday is observed on or before the
tenth day of the semester. In such cases, the students shall notify the faculty member at least five days in
advance of the date when he/she will be absent. The faculty member shall make every reasonable effort
to honor the request, not penalize the student for missing the class, and if an examination or project is
due during the absence, give the student an exam or assignment equivalent to the one completed by
those students in attendance. If the student feels aggrieved, he/she may request remedy through the
campus grievance procedure."

UIC Academic Year Holidays and Religious Days of Special Observance

http://oae.uic.edu/docs/ReligiousHolidaysFY20142016.pdf
Contact: Lea Alexander, Office of Academic Affairs, leaalex@uic.edu, room 202D

Academic Dishonesty
Students are expected to complete all assignments and exams on their own, using only the resources and
methods allowed by the course director. Instances of academic dishonesty will be addressed with
consideration to the seriousness of the violation and in accord with university disciplinary policies.
Sanctions for academic dishonesty may include a failing grade for the assignment or examination, a
failing grade for the course, and/or expulsion. The Subcommittee on Student Promotions (SSP) will make
all decisions in cases of academic dishonesty. Please contact your course director for clarification on what
is and is not acceptable if you are not certain.
If you witness acts of academic dishonesty, contact Dr. Seema Ashrafi, Interim Associate Dean for
Academic Affairs, sashra3@uic.edu, room 102.
Resource: plagiarism.org
Contact: Lea Alexander, Office of Academic Affairs, leaalex@uic.edu, room 202D

Course and Faculty Evaluations

Student feedback on courses and faculty performance are critical to the continuous improvement process
in our academic programs. Information submitted in course and faculty evaluations is confidential.
Students must evaluate all courses and faculty through the online CoursEval system. Students will
receive an email when a new evaluation is available. During assessment weeks the Office of Academic
Affairs will provide course directors with a listing of the students who have not completed the course
evaluations. Course Directors and Department Heads will have access to course evaluations once final
grades have been submitted. No data in the evaluations can be connected to a specific student.
Contact: Carlos Finney, Office of Academic Affairs, cfinney@uic.edu, room 202D

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Appendix A

HIPAA PHI: List of 18 Identifiers and Definition of PHI

List of 18 Identifiers

1. Names;
2. All geographical subdivisions smaller than a State, including street address, city, county, precinct,
zip code, and their equivalent geocodes, except for the initial three digits of a zip code, if according
to the current publicly available data from the Bureau of the Census: (1) The geographic unit
formed by combining all zip codes with the same three initial digits contains more than 20,000
people; and (2) The initial three digits of a zip code for all such geographic units containing 20,000
or fewer people is changed to 000.
3. All elements of dates (except year) for dates directly related to an individual, including birth date,
admission date, discharge date, date of death; and all ages over 89 and all elements of dates
(including year) indicative of such age, except that such ages and elements may be aggregated into
a single category of age 90 or older;
4. Phone numbers;
5. Fax numbers;
6. Electronic mail addresses;
7. Social Security numbers;
8. Medical record numbers;
9. Health plan beneficiary numbers;
10. Account numbers;
11. Certificate/license numbers;
12. Vehicle identifiers and serial numbers, including license plate numbers;
13. Device identifiers and serial numbers;
14. Web Universal Resource Locators (URLs);
15. Internet Protocol (IP) address numbers;
16. Biometric identifiers, including finger and voice prints;
17. Full face photographic images and any comparable images; and
18. Any other unique identifying number, characteristic, or code (note this does not mean the unique
code assigned by the investigator to code the data)

There are also additional standards and criteria to protect individual's privacy from re-identification. Any
code used to replace the identifiers in datasets cannot be derived from any information related to the
individual and the master codes, nor can the method to derive the codes be disclosed. For example, a
subject's initials cannot be used to code their data because the initials are derived from their name.
Additionally, the researcher must not have actual knowledge that the research subject could be re-
identified from the remaining identifiers in the PHI used in the research study. In other words, the
information would still be considered identifiable is there was a way to identify the individual even
though all of the 18 identifiers were removed.

Definition: What is PHI?

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Protected health information (PHI) is any information in the medical record or designated record set that
can be used to identify an individual and that was created, used, or disclosed in the course of providing a
health care service such as diagnosis or treatment. HIPAA regulations allow researchers to access and use
PHI when necessary to conduct research. However, HIPAA only affects research that uses, creates, or
discloses PHI that will be entered in to the medical record or will be used for healthcare services, such as
treatment, payment or operations.

For example, PHI is used in research studies involving review of existing medical records for research
information, such as retrospective chart review. Also, studies that create new medical information
because a health care service is being performed as part of research, such as diagnosing a health
condition or a new drug or device for treating a health condition, create PHI that will be entered into the
medical record. For example, sponsored clinical trails that submit data to the U.S. Food and Drug
Administration involve PHI and are therefore subject to HIPAA regulations.

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