Republic of the Philippines OFFICE OF THE PRESIDENT f COMMISSION ON HIGHER EDUCATION OFFICIAL O RELEASE g CHED MEMORANDUM ORDER ae secTOn No. 05 ‘Ave, vas series of 2021 SUBJECT : GUIDELINES ON THE CONDUCT OF PRECLINICAL COURSES AND CLINICAL DENTISTRY COURSES DURING THE PANDEMIC PERIOD In accordance with the pertinent provisions of Republic Act (RA) No. 7722, otherwise known as the "Higher Education Act of 1994”, and Republic Act No. 11469, otherwise known as the "Bayanihan to Heal as One Act’, in accordance with relevant IATF Resolutions and Joint Memorandum Circular CHED-DOH “Guidelines on the Reopening of Higher Education Institutions (HEIs) for Limited Face-to-Face Classes During COVID-19 Pandemic’, and by virtue of the Commission en banc Resolution No.099-2021, the Commission on Higher Education (CHED) hereby adopts and promulgates the following guidelines on the Conduct of Preclinical Courses and Clinical Dentistry Courses During the Pandemic Period, to be implemented by public and private higher education institutions (HEIs) offering the Doctor of Dental Medicine (DMD) program. 1 Rationale COVID-19 Pandemic has changed the educational landscape of all dental schools in the country. In order to address the issues and challenges facing the students, faculty members and school administrators during the COVID -19 pandemic, these guidelines aim to present strategies on how dental schools could implement the dental curriculum while preventing the spread of COVID-19 infection. They are intended to recommend alternative learning modalities and resources that will help the learning community to transition from traditional to flexible leaming options. While these recommendations aim to address the short-term needs of dental schools, they likewise aim to establish evolving practices in the development, delivery, and evaluation of DMD program in the ‘new normal’ Dental education gives a premium on skills acquisition. There are some training activities and experiences, especially in the clinical training of students, which cannot be realized through remote learning alone or with simulations. Direct patient care is a key component of the dentistry curriculum. No virtual sessions can duplicate the real-life experience with patients. In addition, there are procedures that require the use of dental equipment and apparatuses (¢.9., X-ray machine, Ultrasonic scalers, Air compressors, etc:), which are not be available to most students when conducted remotely. However, the current situation and quarantine restrictions prohibit us from seeing patients for dental training like before the pandemic. At present, the equivalent requirements for the pre-clinical courses and clinical dentistry courses are conducted online. While there is considerable success in the transfer of cognitive knowiedge and certain skill, itis stil believed that competencies could be acquired better by limited face-to-face encounter in a skills laboratory. Web Site: www.ched.cov.ph Tel. Nos. 441-1177, 385-4391, 441-1169, 441-1149, 44 Philippines 1170, 441-1216, 302-5296, 441-1220 -8910, 441-1171, 352-1871 Higher Education Development Genter Building, G.P. Garcia Ave., UP Gampus, Diliman, Quezon Cit ‘441-1228, 988-0002, 441. 50, 441-1254, 441-1235, 441-1255, 4Hence, these guidelines on the conduct of preclinical courses and clinical dentistry courses during the pandemic period are presented. Il. Definition of Terms Preclinical - Refers to the laboratory component of Dental Materials, Dentistry Operative Dentistry 1, Operative Dentistry II, Anesthesiology, Courses Roentgenology Prosthodontics |, Prosthodontics Il, Prosthodontics III, Periodontics |, Periodontics II, Endodontics, Pediatric Dentistry. Orthodontics | and Orthodontics II Clinical - Refers to Clinical Dentistry |, Clinical Dentistry ll, Clinical Dentistry Dentistry Ill, Clinical Dentistry IV. Courses covib-49 - Refers to the Coronavirus Disease 2019 which is caused by the virus known as the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Community - Refers to the restriction of movement within, into, or out of the Quarantine area of quarantine of individuals, large group of people, or communities, designed to reduce the likelihood of transmission of an infectious disease among persons to persons outside the affected area Low Risk - refers to the IATF quarantine classification of a given Quarantine province/region/municipality Ill. General Gi es The following are the general guidelines recommended in the conduct of the preclinical courses and clinical dentistry during the period of the COVID-19 pandemic: 1. Higher education institutions (HEIs) offering the DMD program shall be given the flexibility to introduce curricular modifications to include assessment and determine strategies on how to meet the minimum standards stated in CHED Memorandum Order No. 33, series of 2006 ‘Policies, Standards, and Guidelines for the Doctor of Dental Medicine (DMD) program” and CHED Memorandum Order No. 03, series of 2018 “Policies, Standards, and Guidelines for the Doctor of Dental Medicine (DMD) program’, The Commission shall be informed on the curricular modifications, assessment and alternative learning strategies to be made by the HEls offering the DMD program. The HEIs are encouraged to include the use of simulations as part of the curricular modification. Likewise, it is reiterated that HEIs shall be guided by the principles of maximum flexibility, leniency, and self-directed learning, and are encouraged to promote self-directed learning as provided for by the CHED COVID-19 Advisory No. 06 and Advisory 07, 5.2020. 2. The HEls shall conduct and implement a learning continuity plan, i.e. faculty development webinars and other capability building activities, pertaining to best practices in flexible learning to ensure that faculty members and students are adequately prepared and equipped in the implementation of flexible teaching- May Slearning strategies towards the attainment of the required minimum learning ‘outcomes by the students in the DMD program Students enrolled in the preclinical courses and clinical dentistry courses shall be given the following options: a. Limited face -to-face skills laboratory training based on the four-day duty and ten-day quarantine schedule or similar scheme with the purpose of reducing the number of occupants inside the facilities at any given time. The training is recommended to consist of face-to-face learning following the four-day conduct of laboratory sessions and ten-day quarantine schedule during which the learners shall engage on synchronous/asynchronous virtual activities. This is to ensure that the students acquire the essential skills in the different laboratory exercises in the attainment of the intended leaming outcomes. The faculty members should also monitor the students during the ten-day quarantine period, on a daily basis to see that they do not exhibit any sign or symptom of COVID-19. In case a student or faculty member exhibits signs and symptoms of COVID-19, he/she shall be required to submit a recent negative COVID-19 PCR or Antigen Test Result prior to his/her return to class b. Leave of Absence The HEl-shall respect the decision of families not to send their children to school due to concerns about their safety. In such case, the student may file an official leave of absence (LOA). As stated in CHED Advisories, the dental school may revise their academic policies, such as the policy on maximum residence, to ensure that the students’ academic standing or status in the program is not disadvantaged. 4. The HEI shall submit its learning continuity plan to the CHED Regional Office. The said plan should include the requirements for flexible learning strategies and delivery as well as for limited face-to-face learning activities and assessment. 5. The limited face-to-face skills laboratory sessions NOT INVOLVING PATIENTS shall only be conducted under the following conditions: a. Prior approval from national and/or local agencies has been obtained; b. Infection and Safety Protocols (including Engineering Controls and Administrative Controls and availability of appropriate PPEs for all constituents) have been approved by a University Infection Control Committee or similar committee; . Infrastructure modifications and installation of equipment to improve working environment and diminish chance of transmission are in place; 4d. Students, faculty members and staff concur with the holding of face-to- face sessions. e. Students, faculty members and staff shall present the results of a RT- PCR test (nasopharyngeal swab or saliva specimen) conducted 3-5 days prior to the start of classes. Only those with negative test results shall be allowed entry into the dental school.6. For the limited face-to-face clinical requirements! training, as may be allowed, the HEIs shall submit a written request to the CHED for an inspection and monitoring visit. This is to ensure that all health and safety protocols (per |ATF directives) are strictly enforced and that the students are properly equipped with the appropriate personal protective equipment (PPE) For repatriated foreign dental students, the dean, in close coordination with the institution/department, shall prepare learning contracts between the students and the faculty-in-charge containing the intended learning objectives, activities and assessment. The same policy shall apply to local students who are unable to return to their dental schools. These guidelines should be read in conjunction with the CHED PADC Guidebook on Flexible Alternative Learning Doctor of Dental Medicine, Guidebook on Recommendations on Flexible Learning Strategies: Dental Education in the COVID Era (For AY 2020-2021) and Appendices. These guidelines should be read in conjunction with CHED Memorandum Order No. 33, series of 2006 "Policies, Standards, and Guidelines for the Doctor of Dental Medicine (DMD) program" and CMO No. 03, series of 2018, otherwise known as “Policies, Standards and Guidelines for the Doctor of Dental Medicine program” more specifically on the minimum competencies” as stipulated in the various program outcomes. 10, The following are sample competencies/course outcomes to be achieved in the Sample Competencies Mode of Delivery Fle: Limited — Learning Face to Face Preclinical Courses Dental Materials [ * Correctly manipulate the] different dental materials. * Perform impression taking on a classmate using alginate impression material. % * Submit a properly trimmed | cast from the alginate impression taken. * Practice dental ergonomics during performance of the simulation exercises. “Operative © Prepare Class |, Il, Ill, IV and Dentistry | V tooth preparations with the correct features on typodonts. v | + Practice dental ergonomics during performance of the simulation exercises. city,Operative Dentistry II Roentgenology _ ‘Anesthesiology Prosthodontics | * Correctly manipulate the | different direct and indirect restorative materials, * Practice dental ergonomics during performance of the simulation exercises, * Submit a set of periapical radiographs of good diagnostic value. * Perform a radiographic examination and correlate with clinical findings. © Practice dental ergonomics during performance of the simulation exercises. _ * Correctly position the patient appropriate for the anesthetic technique + Identify the anatomic landmarks necessary for the correct delivery of local | anesthesia. ‘+ Demonstrate proper hand positioning for the different anesthetic techniques. * Practice dental ergonomics during performance of the _simulation exercises. ___| ‘= Properly prepare typodonts to receive a Porcelain-fused to metal restoration, = Practice dental ergonomics during performance of the _simulation exercises. Prosthodontics Il Prosthodontics — ly * Analyze the simulated partially edentulous case and come up with the design for an RPD. + Prepare the wax pattern of a removable partial denture. + Practice dental ergonomics | during performance of the | simulation exercises ‘* Properly mount the casts using the centric jaw relation record. ‘+ Fabricate an occlusal contour | rim with correct dimensions. * Practice dental ergonomics during performance of the simulation exercises.| Periodontics | Periodontics I Endodontics Correctly use scalers and curettes to remove calcular deposits on the teeth of pig's mandible or _ periodontal model cast Practice dental ergonomics during performance of the simulation exercises. Perform periodontal surgery and suturing on pig's mandible or _ periodontal model cast Practice dental ergonomics during performance of the imulation exercises. ‘© Properly perform root canal treatment on — endodontic typodonts or extracted natural teeth mounted on an articulator and simulator. Practice dental ergonomics during performance of the simulation exercises Pediatric | Dentistry Prepare Class |, Il, Ill, IV and V tooth preparations with the correct features on primary dentition typodonts. Place GIC restorations on typodonts. Cement on typodonts anterior strip off crown and posterior stainless-steel crown Prepare treatment plan for a hypothetical pediatric patient case. Practice dental ergonomics during performance of the _simulation exercises. Orthodontics 1 | Orthodontics II “Analyze mixed dentition using | Perform orthodontic analyses (ex. mixed dentition analysis). Practice dental ergonomics during performance of the _simulation exercises. J (reproducing) - Archived casts, radiographs, and photographs provided by the Clinical Instructor Fabricate retainers! preventive orthodontic appliance/s on dental casts. Demonstrate correct wire bending exercises Fabricate space maintainer (ie. wax pattern with wire) on* Practice dental ergonomics | during performance of the simulation exercises. General Anatomy 1 a General Histology and Embryology __| Oral Anatomy neral Physiology (with Family Planning) Oral Histology and Embryology Microbiology Nutrition in Dentistry General Pathology PNY eae [Infection Controt Oral Physiology and Occlusion | Biostatistics and 4 and 2 Oral Surgery 1 and 2 | Epidemiology nay Dental v | !Informatics_| ———}-, —- ‘Oral Pathology v Principles of ledicine search 1 and 2 Practice "Management _ Forensic. ral Diagnosis and Treatment ‘Andragogy (Teaching- Learning) Dentistry _ Planning Interdiscipiinary Approach to Patient Basic Dental Implantology Management ‘Management of Patients with | Special Needs _ |Current Trends oO Interprofessional Approach to Patient | Management Hospital | Dentistry Clinical Conference Operative Dentistry 1 and 2 Clinical Conference Prosthodontics 1and2 Clinical Conference Orthodontics- Pediatric Dentistry 1 and 2s Clinical Conference Endodontics- Periodontics 1 Clinical Conference Oral Surgery 1 and 2 Clinical Dentistry I ‘cases on typodonts, Formulate a treatment plar Perform extraction on | __ surgery mode! cast. porcelain jacket crown anterior fixed bridge. record and fabricate occlusal contour rim correct dimensions. with due observance of pal (Le, classmate acting patient) safety. during performance of ulation exercises: Perform Operative Dentistry | | ahypothetical patient case. Construct wax pattern of RPO. Prepare typodonts for anterior Properly mount the casts using the centric jaw relation Perform simulation exercises Practice dental ergonomics n for oral and an with tient as theClinical Dentistry ti Clinical Dentistry |” Perform Operative Dentistry cases on typodonts. Formulate a treatment plan for a hypothetical patient case, Fabricate RPD design and wax pattem of a simulated case. Perform correctly the different procedures for Complete Denture service. on simulators. Perform root canal treatment on an anterior tooth or a premolar. Perform extraction on oral surgery model cast Perform simulation exercises with due observance of patient (ie, classmate acting as Patient) safety Practice dental ergonomics during performance of the simulation exercises. _ Properly prepare tooth #44 and #46. Perform correctly the different procedures for Complete Denture service. = on simulators. Formulate a treatment plan for a hypothetical patient case. Perform posterior root canal treatment on typodont Perform periodontal scaling on periodontal model cast or pig's mandible. | Prepare —typodonts for posterior porcelain jacket crown and. posterior fixed bridge Perform extraction on oral surgery model cast Construct wax pattern of RPD on mounted casts. Prepare treatment plan for a hypothetical pediatric patient case for oral rehabilitation. Perform simulation exercises with due observance of Patient (.e, classmate acting as patient) safety. Practice dental ergonomics during performance of the simulation exercises.WV. Clinical Dentistry | +» Perform root canal treatment WV on a molar. N * Perform periodontal scaling | on periodontal model cast or | pig's mandible. | © Prepare — typodonts for | posterior porcelain jacket crown and posterior fixed bridge. * Perform extraction on oral surgery model cast. | * Construct wax pattern of RPD on mounted casts. * Formulate a treatment plan for ‘a hypothetical patient case. + Prepare complex anterior and posterior teeth for indirect restoration. + Perform simulation exercises with due observance of Patient (i.e, classmate acting as patient) safety. * Practice dental ergonomics during performance of the __ simulation exercises Separability Clause If any part or provision of these Guidelines shall be held unconstitutional or invalid, ‘other provisions hereof which are not affected thereby shall continue to be in full force and effect Effectivity ‘These Guidelines shall take effect immediately. Quezon City, Philippines, _ april 30 2021 &% 10