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New Jersey Dental School COURSE SYLLABUS (August 3, 2012) COURSE#: OFFICIAL COURSE NAME: COURSE DIRECTOR: CONTACT INFORMATION: DSCI8309 Clinical Nutrition Dr. Riva Touger-Decker decker@umdnj.edu 973-972-6596 SSB Building Room 157 3rd year Fall 2 12

ACADEMIC YEAR: TRIMESTER(s): CREDIT HOURS: CONTACT HOURS: Lecture/ Seminar Seminar/PBL Laboratory Clinic Hospital Exams Other TOTAL DAYS & TIME: ROOM#: REQUIRED TEXT(s): N/A

1 3 hours of Clinical Nutrition lectures will occur in Oral Medicine in the Spring semester 13 Mondays 8:00 8:50 am B961 Oral Health Pavilion (September 20 in 965)

RECOMMENDED TEXT(s) AND RESOURCES: Touger-Decker R, Sirois D, Mobley C (eds). Nutrition and Oral Medicine. Totowa NJ: Humana Press, 2005. There will be recommended readings posted in ANGEL course shell for students 2010 U.S. Dietary Guidelines http://www.cnpp.usda.gov/dietaryguidelines.htm American Dietetic Association: Nutrition Resources for Consumers and Professionals: www.eatright.org NIH AIM For a Healthy Weight: http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/index.htm National Osteoporosis Foundation: www.nof.org Nutrition Resources: www.nutrition.gov American Cancer Society: http://www.cancer.org/docroot/home/index.asp HIVdent: www.HIVDENT.org Surgeon Generals Report on Oral Health: http://www.surgeongeneral.gov/library/oralhealth/ Surgeon Generals Report on Osteoporosis: http://www.surgeongeneral.gov/library/bonehealth/content.html Dietary Supplement Information: Consumer Labs: www.consumerlabs.com Office of Dietary Supplements: http://ods.od.nih.gov/publications/publications.html

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COURSE DESCRIPTION: This course is designed to prepare dental students to incorporate diet and nutrition principles and practices relative to oral health into dental practice. The fundamental principles of nutrition and diet as they relate to general and oral health covered in years 1 and 2 of the curriculum are built upon and further addressed in management of individuals with select local, systemic and chronic diseases as well as in relation to health promotion and disease prevention. Clinically focused discussions on nutrition and oral health evaluation, management and education for eating disorders (obesity, anorexia, bulimia, overweight), periodontal disease, osteoporosis, chronic and systemic diseases (including Diabetes, Cardiovascular disease, HIV/AIDS, Cancer), and oral surgery are addressed. The role of the dentist as a comprehensive health provider is addressed via an interactive teaching approach involving student debates and case presentations. COURSE GOALS: 1. To provide a forum for discussion on principles and strategies for integrating clinical aspects of nutrition into dental management of healthy patients as well as those with select chronic diseases and disorders. 2. To provide students with the knowledge, values and simulated experiences to become competent in assessing nutrition risk relative to dental practice and determining diet education and referral needs of patients. 3. To provide a forum for students to discuss and debate clinical nutrition issues relative to overall and oral health and disease. 4. To contribute to the development of multi-skilled dental practitioners. COURSE OBJECTIVES:At the completion of this course, students should be able to: 1. State general nutrition recommendations for chronic disease prevention and wellness. 2. Explain the role(s) of select macro/micro nutrients in oral health and select chronic diseases. 3. State factors affecting energy and nutrient needs for health and chronic diseases. 4. Explain the role(s) of diet and nutrition in the maintenance of the oral cavity. 5. State/describe strategies for incorporating nutrition risk evaluation, screening and diet counseling in a dental practice. 6. Describe oral nutrition risk factors and diet education priorities of select medically compromised conditions. 7. Identify scientifically sound nutrition resources for consumer and professional nutrition information 8. Refer patients appropriately for nutrition evaluation & intervention by a registered dietitian. 9. Debate and discuss clinical nutrition/diet practices of dentists and their integration into patient care. NJDS COMPETENCIES TAUGHT TO: 5. Apply basic biomedical, behavioral, clinical science knowledge and critical thinking skills to patient care and management including evaluation, diagnosis, treatment or referral 8. Use contemporary technology to manage clinical and practice management. 15. Obtain, record and interpret a patients comprehensive medical, dental, and psychosocial history, including an oral and head & neck exam. 18. Recognize the limitations of his/her expertise and request, obtain and interpret necessary medical, dental specialist, or other health care provider consultations. 19. Identify predisposing and etiologic factors that require intervention to prevent disease. 31. Recognize health conditions that may modify or limit level of treatment and obtain appropriate consultations.

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COURSE REQUIREMENTS: Attendance and participation is encouraged; students are expected to arrive at class on time. There will be 4 weekly quizzes and 5 one minute papers during 9 of the class sessions which will only be accepted in class and may not be made up Students coming to class more than 15 minutes late will not be given a quiz to take. Papers (quizzes or one-minute papers) submitted AFTER CLASS or to my mailbox will not be accepted. There will be one final examination at the end of the semester. One week of the semester will be done in the Angel classroom. ONE MINUTE PAPER: In this assignment you will be asked to take out a sheet of paper and respond to a practice based question on the weeks topic or post your comments on a topic. For example when the weeks topic is Overweight/Obesity I might ask What are the risks and benefits of integrating weight screening in your practice? You will then have 1-2 minutes to write down your responses to the question. I will then call upon some students to read and explain their responses. Papers will be collected at the end of the class session. Papers will only be accepted if turned in DURING class time; submissions after class or on subsequent days will not be accepted. They are not graded by credit is given for completion and submission. In some cases we will discuss these in class; in others we will cover them the following week. GRADING POLICY: Grades will be assigned using the NJDS scale below: Letter Grade Description Grade Points A Excellent 4.00 B+ 3.5 B Average 3.00 C+ 2.50 C Fair 2.00 D Unacceptable 1.00 F Failure 0.00 FR Failure/repeat 0.00

Exam Scores 90-100 85-89 80-84 75-79 70-74 65-69 60-64 59 and below

For calculation of final course grades, decimal values are rounded up to the next whole number. If .5 or above or rounded down to the whole number if below .5, e.g., 89.5 would be an A and 89.4 would be a B+. Angel Dietary supplement quiz One minute papers (5) Weekly quizzes (4) FINAL EXAM 5% 25% 20% 50%

To be scheduled

http://dentalschool.umdnj.edu/handbook/studentbook/3_Academic_Regulations/index.htm

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EXAMINATION CONDITIONS: The Course Director adheres to the NJDS policy on examinations. Refer to the UMDNJ-New Jersey Dental School Student Handbook MAKEUP EXAMINATION POLICY: The Department adheres to the NJDS policy on make-up examination policy. Refer to the UMDNJ-New Jersey Dental School Student Handbook EXAMINATION REVIEW POLICY: Students may schedule an appointment with the Course Director to review the exam. ATTENDANCE/ABSENTEE POLICY: The course adheres to the NJDS policy on attendance which appears in full in the NJDS Student Handbook. Students are expected to be present for all coursework. Attendance implies arriving promptly at the start of the session and remaining until its conclusion. If a student is absent from 30 percent of assigned time in this course the student will be ineligible for tutorials, remediation or reexamination following a failure in the course. Absence due to illness or personal circumstances, unless due to an approved medical leave of absence, is included in the 30 percent total listed above. This course adheres to the policy on absenteeism of the NJDS student handbook however; there will be NO make-ups for missed quizzes. The 9 one-minute questions/quizzes cover material addressed during class lectures and reflect the attendance grade. Student arriving in class more than 10 minutes into the class session will not be given a quiz. CONDUCT, ETHICS & PROFESSIONALISM POLICY: This course requires students to uphold the NJDS Honor Code contained in the NJDS Student Handbook. It also adheres to the NJDS policy on professionalism fully described in the NJDS Student Handbook and requires maintenance of acceptable standards of professionalism. When applicable students may be evaluated using the attached NJDS Professionalism Evaluation Form. TUTORIALS and REMEDIATION: The Department adheres to the NJDS policy on Academic Actions remediation. STUDENTS REQUIRING ACCOMMODATIONS: Any student who feels he/she needs accommodations in order to participate in this course must present a request in writing to the Associate Dean of Academic Affairs. Students are not permitted to make arrangements for accommodations directly with the course director. Course directors will direct all student requests to the Associate Dean of Academic Affairs.

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NJDS Professionalism Evaluation Form Date:______________ Student Name:_______________________Course:_________________________ Course Director Name:_________________Signature:________________________ Reliability and Responsibility Development of accountable and dependable behavior as it relates to oneself and others Examples include but are not limited to: Arrival at class on time, and when not, entering the classroom non-disruptively Remaining in class for the full session; taking only necessary breaks Fulfilling responsibilities and assignments in a timely manner, including but not limited to: Keeping immunizations up-to-date Completing course evaluations Addressing financial obligations Honesty and Integrity Representing facts truthfully in all academic, clinical or research situations Maturity Taking responsibility for ones own actions Providing and accepting constructive feedback, including but not limited to: Providing appropriate feedback on course evaluations Recognizing limitations and seeking help Incorporating feedback in order to make changes in behavior Interactions with Patients Acting and dressing in a professional manner, including but not limited to: Being sensitive to the needs of and being respectful of patients Establishing and maintaining appropriate boundaries in all learning situations Maintaining HIPPA regulations Relationships with Students, Faculty and Staff Conveying respect for other students, faculty, and staff through attitudes, actions, and behaviors. Examples include but are not limited to: Silencing cell phones and pagers in class, laboratory or clinic, and answering only when there is a pending urgent matter Focusing attention on coursework in class, laboratory or clinic rather than attention to other matters (i.e., email/internet, reading materials unrelated to course, or disruptive conversations with others) Interacting and behaving appropriately with others Relating well to fellow students, faculty, and staff in the learning environment Please explain above: Other feedback (on reverse) Student Signature____________________________________ Date___________________ Student comments (on reverse, attach additional pages if necessary)

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LECTURE/SEMINAR SCHEDULE SUMMARY* Non-text book readings for each week are posted in ANGEL course shell for this course. Students are expected to login to ANGEL and access and read the readings on a weekly basis.

Session #

Hours

Date

Topic or Exam

Lecturer or Seminar Faculty

Method (i.e. lecture, seminar, PBL, computer based) Seminar Role Playing & simulation

Reading/other Assignment There are weekly readings in ANGEL for each session

8-27

Weight: Why does it matter for the dental professional? Interviewing & Intervention for Diet/Nutrition How Tos

Touger-Decker

Review Course requirements

2 3 4

9-10 9-17

Labor day Diabetes THIS SESSION WILL BE ONLINE Cardiovascular disease, hypertension Vitamin-Mineral Supplements What do they take? Drug-Nutrient Reactions

Ziegler Touger-Decker

Seminar / Seminar /

DUE: bring to class a BMI of 510 of your current patients ONLINE QUIZ

9-24

Touger-Decker

ANGEL SESSION

Complete Vitamin Mineral quiz in ANGEL

10-01

Diet, Nutrition & the elderly, Diet & Compromised Dentition THIS SESSION WILL BE ONLINE

Touger-Decker

Seminar

10-08

Radler

Seminar

ONLINE QUIZ IN ANGEL DUE October 11

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Session #

Hours

Date

Topic or Exam

Lecturer or Seminar Faculty

Method (i.e. lecture, seminar, PBL, computer based)

Reading/other Assignment There are weekly readings in ANGEL for each session

8 9 10 & 11 FINAL EXAM WEEK

10-15 10-22 10-29 11-05

Whats in the bottles your patients take?: The World of Dietary Supplements Osteoporosis Pediatrics Eating disorders FINAL EXAM

Touger-Decker Ziegler Touger-Decker

Seminar Seminar Seminar & Role Playing

NOTE: THE FOLLOWING TOPICS WILL BE COVERED DURING THE SPRING ORAL MEDICINE COURSE: 1. Head, neck and oral cancer: prevention through diet & lifestyle 2. Head, neck and oral cancer: diet/nutrition management during & post treatment 3. Diet/Nutrition & HIV