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Dental Assisting Technology Arkansas Northeastern College Syllabus Course Title: Chairside Assisting II Course Number: DA 19073 Course Prerequisites: Completion of DA 19003 Chairside Assisting I Course Description: This course is a continuation of DA 19004 with an emphasis on dental specialty practices and improving competency in chairside procedures. Recommended Text: Bird & Robinson, Modern Dental Assisting 11th Edition, 2015, Elsevier Bird & Robinson, Modern Dental Assisting Student Study Guide 11th Edition, 2015, Elsevier Supplementary Materials: Evolve Website Course Rationale: Dental Assisting is a skilled based career. As a new dental assistant entering the field of dentistry the skills and knowledge learned will be an asset to any assistant. Course Objectives: Upon Completion of this course the student will be able to: 1. Describe each of the dental specialties listing the contraindications and indications of each field using the correct terminology. SLO3, SLO6. SLO8 2. Describe the assistant’s role in each specialty. SLO2 3. Identify specialized instruments used in each specialty. SLO2 4. Perform to preclinical standards the procedures of each of the specialties. SLO1 Unit and Instructional Objectives Unit 1: Dental Implants Chapter 53 Rationale: Dental Implants are one of the fastest growing specialties in dentistry. Being confident with the procedures and instrumentation associated with Implants will be an asset to a Dental Assistant. Objectives: Upon completion of this unit the student will be able to: 1. Pronounce, define and spell the Key Terms. CO1 1 2. 3. 4. 5. 6. Discuss the indications for and the contraindications to dental implants CO1 Describe the selection of patients to receive dental implants. CO1 Identify the types of dental implants. CO3 Describe the surgical procedures for implantation CO2 Describe home care procedures and follow-up visits required after dental implants are received. CO2 Performance Objectives: 1. Assist in a dental implant surgery CO 4 Unit 1 Outline: Dental Implants 1. Indications for implants 2. Contraindications to implants 3. The dental implant patient 4. Preparation for implants 5. Types of dental implants 6. Maintenance of dental implants 7. Patient education 8. Legal and ethical implications 9. Eye to the future Unit 2: Endodontic Chapter 54 Rationale: Root Canal therapy is a specialty that is also practiced by general dentist also. A dental assistant must be familiar with the instruments and steps to perform the chairside duties during Endodontic treatment. Objectives: Upon completion of this unit the student will be able to: 1. Pronounce, define and spell Key Terms. CO1 2. Describe the diagnostic testing performed for endodontic diagnosis CO1. 3. List the conclusions of the subjective and objective tests use in endodontic diagnosis. CO1 4. Describe diagnostic conclusions for endodontic therapy. CO1 5. List the types of endodontic procedures. CO1 6. Discuss the medicaments and dental materials used in endodontics. CO3 7. Provide an overview of root canal therapy. CO2 8. Describe surgical endodontics and how it affects treatment. CO2 Performance Objectives: 1. Assist in Root Canal Therapy CO 4 Unit 2 Outline: 1. Causes of pulpal damage 2. Symptoms of pulpal damage 3. Endodontic diagnosis a) Percussion and palpation b) Thermal sensitivity c) Electric pulp testing d) Radiographs 4. Diagnostic conclusions 2 5. Endodontic procedures a) Pulp capping b) Pulpotomy c) Pulpectomy 6. Instruments and accessories a) Hand instruments b) Hand-operated files c) Rotary-operated files d) Ancillary instruments 7. Medicaments and dental materials in endodontics Week 5 a) Irrigation solutions b) Root canal filling materials c) Root canal sealers 8. Overview of root canal therapy a) Anesthesia and pain control b) Isolation and disinfection of operating field c) Access preparation d) Debridement and shaping of the canal e) Obturation 9. Surgical endodontics a) Apicoectomy and apical curettage b) Retrograde restoration c) Root amputation and hemisection 10. Patient Education 11. Legal and ethical implications 12. Eye to the future Unit 3: Periodontics: Chapter 55 Rationale: An understanding of the instrumentation and materials and procedures involved in periodontics will help the dental assistant in evaluation and procedure set up. Objectives: Upon completion of this unit the student will be able to: 1. Describe the role of the dental assistant in a periodontal practice. CO2 2. Explain the procedures necessary for a comprehensive periodontal exam. CO2 3. Identify and describe instruments used in periodontal therapy. CO3 4. Identify the indications for placement of periodontal surgical dressings, and describe the technique for proper placement. CO2 5. Describe the role of radiographs in periodontal treatment. CO1 6. Describe the indications for and contraindications to use of the ultrasonic scaler. CO1 7. Describe the types of nonsurgical periodontal therapy. CO1 8. Describe the goals of nonsurgical periodontal therapy. CO1 9. Describe the types of surgical periodontal therapy. CO1 10. Name the types of periodontal surgery. CO1 Performance Objectives: 1. Assist with a dental prophylaxis procedure. CO 4 2. Assist in a periodontal surgery and gingivoplasty. CO4 3. Prepare and place noneugenol periodontal dressings (expanded function) CO4 4. Remove a periodontal surgical dressing (expanded function). CO 3 Unit 3 Outline: 1. The periodontal practice 2. The periodontal examination a) Medical and Dental History b) Dental examination 3. Periodontal Instruments a) Explorers b) Scalers and files c) Curettes d) Surgical knives e) Pocket markers f) Ultra sonic scaler 4. Nonsurgical periodontal treatment a) Dental prophylaxis b) Gingival curettage c) Antimicrobial and antibiotic agents d) Locally delivered antibiotics 5. Surgical periodontal treatment Week 7 a) Advantages and disadvantages b) Remaining Bone c) Excisional surgery d) Incisional surgery e) Osseous surgery f) Crown lengthening’ g) Soft tissue grafts h) Postsurgical patient instructions i) Periodontal Surgical dressings j) Esthetic and plastic periodontal surgery 6. Lasers in Periodontics 7. Patient education 8. Legal and ethical implications 9. Critical thinking Unit 4: Oral Maxillofacial Surgery Chapter 56 Rationale: Oral Maxillofacial Surgery is one of the most fascinating fields of dentistry. A dental assistant in the Oral Maxillofacial Surgery field will work in an office and hospital setting, therefore an understanding of the sterile process and the oral surgery process is needed. Objectives: Upon completion of this unit the student will be able to: 1. Pronounce and define key terms. CO1 2. Describe the specialty of oral and maxillofacial surgery. CO1 3. Discuss the role of an oral surgery assistant. CO2 4. Discuss the importance of asepsis during a surgical procedure. CO2 5. Identify specialized instruments used for basic surgical procedures CO3 6. Describe surgical procedures typically performed in a general practice. CO2 7. Describe postoperative care given to a patient after a surgical procedure. CO2 8. Discuss possible complications resulting from surgery. CO1 4 Performance objectives: 1. Prepare a sterile field. CO4 2. Perform a surgical scrub CO4 3. Perform surgical gloving CO4 4. Assist in a simple extraction CO4 5. Assist in a multiple extraction procedure with alveoplasty CO4 6. Assist in removal of an impacted tooth CO4 7. Assist in suture placement CO4 8. Perform suture removal CO4 9. Assist in the treatment of alveolitis (Dry Socket) Unit 4 Outline: 1. Indications for oral and maxillofacial surgery 2. The oral surgeon 3. The surgical assistant 4. The surgical setting a) Private practice b) Operating room 5. Specialized instruments and accessories a) Elevators b) Forceps c) Surgical curette d) Rongeur e) Bone file f) Scalpel g) Hemostat h) Needle holder i) Surgical and suture scissors j) Retractors k) Mouth props l) Chisel and mallet m) Surgical burs 6. Surgical preparation 7. Surgical procedures a) Forceps extraction b) Multiple extractions and alveoplasty c) Removal of impacted teeth d) Biopsy 8. Sutures 9. Postoperative care 10. Postsurgical complications 11. Patient education 12. Legal and ethical implications 13. Eye to the future 14. Critical thinking 5 Unit 5: Orthodontics Chapter 60 Rationale: Orthodontics is one of the largest fields of practice in dentistry. Skilled Dental Assistants are in high demand for orthodontics practices. Objectives: Upon completion of this unit the student will be able to: 1. Pronounce and define the key terms. CO1 2. Describe the environment of and orthodontic practice. CO1 3. Describe the types of malocclusion. CO1 4. Discuss corrective orthodontics and describe what type of treatment is involved. CO1 5. List the types of diagnostic records that are used to asses orthodontic problems. CO2 6. List and describe the instruments used in orthodontics. CO3 7. Describe the components of the fixed appliance. CO2 8. Describe the use and function of headgear. CO1 9. Describe ways to convey the importance of good dietary and oral hygiene habits in the practice of orthodontics.CO2 Performance objectives: 1. Assist in the fitting and cementation of orthodontic bands. CO4 2. Assist in the direct bonding of orthodontic brackets. CO4 Unit 5 Outline: 1. The Orthodontist 2. The Orthodontic assistant 3. The Orthodontic office 4. Understanding occlusion Developmental causes Genetic causes Environmental causes Habits 5. Occlusion Malocclusion Malaligned teeth 6. Benefits of orthodontic treatment 7. Management of Orthodontic problems 8. Orthodontic records and treatment planning 9. Case presentation 10. Specialized instruments and accessories 11. Orthodontic treatment 12. Headgear 13. Adjustment visits 14. Oral hygiene and dietary instructions 15. Completed treatment 16. Treatment options 17. Patient options 18. Legal and ethical implications 19. Critical thinking 6 Unit 6: Fixed Prosthodontics and Removable Prosthodontics Chapter 50-52 Rationale: Fixed and Removable Prosthodontics is a specialty in Dentistry but often practiced by general dentist. A well rounded dental assistant must have the knowledge and skills to perform in Prosthodontics. Objectives: Upon completion of this unit the student will be able to: 1. Pronounce and define Key Terms CO1 2. List indications for and contraindications to a fixed prosthesis CO1 3. Identify the steps for a diagnostic workup. CO2 4. Identify the role of the laboratory technician. CO1 5. Describe the differences among full crowns, inlays, onlays and veneer crowns. CO1 6. Identify the components of a fixed bridge. CO1 7. Describe the uses of porcelain for fixed prosthodontics. CO1 8. Describe the preparation and placement of a cast crown. CO2 9. Discuss the uses of core buildups, pins and posts in crown retention. CO3 10. Describe the use of retraction cord before taking a final impression. CO3 11. Identify the basic instruments used in fixed prosthodontics. CO3 12. Differentiate between a partial and a full denture. Co1 13. Identify indications and contraindications for removable partial an full dentures. CO1 14. List the components of a partial denture. CO1 15. List the components of a full denture. CO1 16. Describe the steps in the construction of a removable partial denture. CO1 17. Describe the steps in the construction of a full denture. CO1 18. Discuss the construction of an over denture and an immediate denture. CO1 19. Identify home care instructions for removable partial and full dentures. CO2 20. Describe the process of relining or repairing a partial or full denture. CO2 Performance Objectives: 1. Demonstrate the placement and removal of gingival retraction cord. CO4 2. Assist in the preparation procedure of an indirect (crown/bridge) restoration. CO4 3. Assist in the cementation of an indirect restoration. CO4 4. Assist in the delivery of a partial denture. CO4 5. Assist in the try-in of the wax setup for a full denture. CO4 6. Assist in the delivery of a full denture. CO4 7. Polish a denture and a partial. CO4 Unit 6 Outline: 1. Indirect restorations 2. Role of the Dental Lab Tech 3. Crown Procedure 4. Bridge procedure 5. Patient Education 6. Factors influencing the choice of a removable prosthesis 7. Removable partial denture 8. Full Denture 9. Immediate Dentures 10. Denture Adjustment 7 11. Denture repairs and cleaning 12. Patient education 13. Critical thinking Unit 7: Pediatric Dentistry/Sealants Chapter 57 Rationale: The manner in which dental care is provided is one of the most important responsibilities of the dental team. Pediatric Dentistry is a specialty that is practiced by general practioners and specialist. A Dental Assistant will need a thorough understanding of pediatric dentistry and Sealants as a preventative measure. Objectives: Upon completion of this unit the student will be able to: 1. Pronounce and define key terms. CO1 2. Describe the appearance and setting of pediatric dental office. CO1 3. List the stages of childhood from birth through adolescence. CO1 4. Discuss specific behavior techniques that work as positive reinforcement when one is treating children. CO2 5. Describe why children and adults with special needs are treated in a pediatric practice. CO1 6. Describe what is involved in the diagnosis and treatment planning of a pediatric patient. CO2 7. Discuss the importance of preventive dentistry in pediatrics. CO1 8. List the types of procedures that are performed for the pediatric patient compared with those performed to treat patients with permanent teeth. CO1 9. Identify the different instruments in pediatrics as compared with general dentistry. CO3 Performance Objectives: 1. Assist in a Pulpotomy of a primary tooth. CO4 2. Assist in the placement of a stainless steel crown. CO4 3. Placing Sealants as a preventive measure. CO4 Unit 7 Outline: 1. Patients with special needs 2. Diagnosis and treatment planning 3. Preventive dentistry for children 4. Pediatric procedures 5. Dental trauma 6. Child abuse 7. Patient education 8. Legal and ethical implications 9. Eye to the future 10. Critical thinking Unit 8: Coronal Polish & General Dentistry Chapters 58: 48 & 49 (Review from Chairside I) Rationale: General Dentistry is the largest practiced dentistry. All aspects of dentistry are covered in this area. This review is designed to help the student review and practice skills learned in fall semester. Objectives: Upon completion of this unit the student will be able to: 1. Define and pronounce key terms. CO1 2. Describe the process and principles of cavity preparation. CO1 3. Discuss the differences in assisting with an amalgam versus a composite restoration. CO2 4. Discuss why retention pins would be selected for a complex restorative procedure. CO1 8 5. Describe the need for placement of an intermediate restoration. CO1 6. Describe the procedure of applying composite veneers. CO1 7. Describe tooth-whitening procedures and explain the role of the dental assistant. CO2 8. Describe the use of a matrix system in class II, III, and IV restorations. C03 9. Describe the types of matrices used for posterior restorations. CO3 10. Describe the types of matrices used for anterior restorations. CO3 11. Discuss the purpose and use of a wedge. CO3 12. Discuss alternative methods for matrix systems used in restorative dentistry. CO3 13. Explain the difference between a Prophylaxis and coronal polishing. CO1 14. Explain the indications and contraindications of a coronal polish. CO1 15. Name handpieces and attachments used for coronal polishing and the selection of the appropriate polishing agent. CO3 Performance Objectives: 1. Prepare the setup and assist in a Class I restoration. CO4 2. Prepare the setup and assist in a Class II restoration. CO4 3. Prepare the setup and assist in a Class III restoration. CO4 4. Prepare the setup and assist in a Class VI restoration. CO4 5. Prepare the setup and assist in a Class V restoration. CO4 6. Prepare the setup for an intermediate restoration. CO4 7. Assemble a universal retainer and matrix band. CO4 8. Place and remove a matrix band and wedge for a class II restoration. CO4 9. Place and remove a matrix and wedge for a class III restoration. CO4 10. Rubber cup Polishing. CO4 Unit 8 Outline: 1. Cavity Preparation Terminology Initial Preparation Final Preparation 2. Permanent Restoration Standardized format of a restorative procedure Dental Assistant’s responsibility in a restorative procedure Class I restorations Class II restorations Class III and IV restorations Class V restorations 3. Complex Restorations 4. Intermediate Restorations 5. Posterior Matrix systems Universal retainer Matrix Band Wedges Criteria for placing Matrix Retainer and Band 6. Veneers 7. Tooth Whitening Treatment options Abuse of whitening products Adverse effects of tooth whitening 9 8. 9. 10. 11. Assistant’s role in tooth whitening Patient Instructions in tooth whitening Patient Education Legal and Ethical Implications Eye to the future Critical Thinking Course Policies: Late Work and Make-up Policy: Lab assignments are to be completed by the due dates. There will be one make up day to complete lab assignments. Grades of "Incomplete": The current College policy concerning incomplete grades will be followed in this course. Incomplete grades are given only in situations where unexpected emergencies prevent a student from completing the course and the remaining work can be completed the next semester. Your instructor is the final authority on whether you qualify for an incomplete. Incomplete work must be finished by midterm of the subsequent semester or the “I” will automatically be recorded as an “F” on your transcript. Technology and Media Email: Arkansas Northeastern College has partnered with Google to host email addresses for ANC students. myANCmail accounts are created for each student enrolled in the current semester and is the email address your instructor will use to communicate with you. Access your email account by going to http://mail.google.com/a/smail.anc.edu and using your first and last names, separated by a period for your username. Your default password is the last six digits of your Student ID. If you cannot access your student email, contact the MITS department at 762-1020 ext 1150 or ext 1207 or send an email to [email protected]. Assignments will be posted in coursework in the myanc.anc.edu portal. Computer Labs: In addition to general-purpose classrooms, a number of computer laboratories are provided for instructional and student use. These networked laboratories are state-of-the-art and fully equipped with computers, printers, Internet connections and the latest software. The labs are open to students enrolled in one or more credit hours at the College. Technology Support: A lab assistant is generally present in the computer lab in B202 for assistance in using the College computers. These assistants cannot help you with course assignments; specific questions regarding the technology requirements for each course should be directed to the instructor of the course. Problems with myANC or College email accounts should be addressed by email to [email protected]. Course Policies: Student Expectations Disability Access: Arkansas Northeastern College is committed to providing reasonable accommodations for all persons with disabilities. This First Day Handout is available in alternate formats upon request. Students with disabilities who need accommodations in this course must contact the instructor at the beginning of the semester to discuss needed accommodations. No accommodations will be provided until the student has met with the instructor to request accommodations. Students who need accommodations must be registered with Johnny Moore in Statehouse Hall, 762-3180. Attendance Policy: 10 1. Students enrolled are expected to attend all classes, be on time, and remain in each class for the scheduled amount of time. 2. Attendance records are maintained daily. 3. Late Arrival: While attending the dental assisting program, the student will be preparing for employment as well as learning. Late arrivals will not be tolerated. IF a student arrives late, it will count as a full hour(s) of absence depending on time of arrival. For example, a one-minute equal one (1) hour, 61 minutes equals two (2) hours. 4. Leaving Early: If a student leaves any portion of an hour early, it will count for one (1) full hour of absence. 5. Classroom times are 8:00 am - 3:00 pm, unless otherwise scheduled by the instructor. Classroom days and times will vary each semester (refer to College Schedule and Course Calendar). Fall Semester: A student will be allowed a total of twenty four (24) hours of absences in the first semester. Once a student has accumulated 16 hours of absences, the student is placed on probation. Once a student reached 25 hours of absences, he/she must provide a written request to continue in the program by submitting an explanation for the excessive absences with a detailed action plan to the Director of Dental Assisting and the Dean of Nursing, Allied Health and HPER. The student will then schedule a counseling session with the Program Director and Dean for a determination. Infection Control/Hazard Material Policy: ANC Dental Assisting Technology Program-Infection Control /Hazard Material Control Policy Infection control I. Immunization against Infectious Diseases A. Dental Assisting students are required to immunize against Measles, Mumps and Rubella before being accepted into the dental assisting program. B. Students are strongly encouraged to be vaccinated against the Hepatitis B. II. Clinical Infection Control A. Before patient treatment is begun: 1. Obtain a thorough medical history 2. All areas subject to contamination are covered by disposable covers (e.g. chair, chair controls, bracket table, light handles, x-ray units, etc.) B. During patient treatment: 1. Universal precautions will be in use at all times 2. Personal protective equipment such as gloves, mask, uniforms and protective eyewear will be worn. 3. Contaminated film packets will be opened in the darkroom while wearing disposable gloves, without touching the films. 4. Rubber dams will be used whenever applicable to minimize spatter and aerosols. 5. Hands will be protected by: a) Washing hand before gloving and after gloves are removed. b) Changing gloves between each patient. c) Discarding gloves that cut, punctured or torn. d) Avoiding hand injuries. 6. Injuries from sharp instruments and needles will be avoided by: 11 a) Handling sharp objects carefully. b) Not bending or breaking needles. c) Placing needles which are not recapped in a separate field. Needles will only be recapped by using a recapping device or the one-handed scoop technique. d) Sharp items will be disposed in appropriate containers. C. After patient treatment: 1. Heavy –Duty rubber gloves will be worn to clean up the treatment area. 2. An ultrasonic cleaning unit will be utilized to clean instruments of debris. If hand scrubbing is necessary, heavy-duty gloves should be worn. 3. Instruments which penetrate soft tissues or bone and instruments that come in contact with mucous membrane, body fluids or are contaminated with patient secretions will be sterilized by steam autoclave. High level disinfection may be used on instruments which do not fall into the above categories. 4. Sterilizers and disinfectants will be monitored for effectiveness on a weekly basis. 5. Headpieces and dental units will be flushed with water between patients. Handpieces will be cleaned and sterilized. 6. Sharp Items will be handled with caution and discarded in a puncture resistant container. 7. Decontaminate environmental surfaces by: a) Using the spray wipe spray technique and discarding paper towels appropriately. b) Disinfecting with a chemical disinfectant. c) Changing disposables on chair, light handles, x-ray unit, etc. d) Rinse and disinfect impressions, bite registrations and appliances to be sent to he laboratory. D. Contaminated waste: 1. Pour liquid waste such as blood, suctioned fluids and other liquid into a sanitary sewer system. 2. Place solid wasted contaminated with blood or saliva in red leak proof bags labeled with biohazard logo. 3. Remove gloves and wash hands. III. In the laboratory: A. PPE will be worn appropriately. B. Laboratory work surfaces will be decontaminated with disinfectant. C. All impressions and appliances will be disinfected before proceeding. D. Appliances will be disinfected before being returned to the patient. E. Pumice will be changed after every case. F. Instruments used with a prosthesis that has been the mouth will be sterilized. Hazard Control: The dental assisting program is dedicated to providing students with education and training in a safe and healthy environment. The program will provide education about hazardous chemicals through the hazardous communication program for each area of study. The hazardous 12 communication program includes labeling, Material Safety Data Sheets and education/training. The policy of this program is to ensure that each container on hazardous chemical are properly stored and labeled with the contents on the container and appropriate hazard warning. Copies of all Material Safety Data Sheets for all hazardous chemical to which students may be exposed are kept in the clinical and laboratory areas and readily accessible to students. Education and training on hazardous chemicals will include: 1. An introduction of chemicals used in the dental clinic and laboratory. 2. Physical and health hazards of the chemical used in the program 3. Emergency procedures to follow if students are exposed to hazardous chemicals. 4. Explanation of the hazardous communication program, to include how to read MSDS sheets , obtaining appropriate hazard information. When a new product is introduce to the program or the composition of a product is changed, the instructor will educate the students by a review of the above items. Sharps Injury Policy: NEEDLESTICK/SHARPS INJURY PROTOCOL 1. Stop procedure immediately. 2. Remove glove and squeeze small amount of blood from wound. 3. Wash hands with antimicrobial soap. 4. Apply antiseptic ointment and bandage. 5. Document incident. a) Route of exposure b) Circumstances in which incident occurred (e.g. needle stick, cut) c) Identify source individual (pt. who is involved in exposure 6. Request the source individual have their blood tested for HBV and HIV.(can be refused) 7. Have blood samples drawn from the patient and the exposure recipients the same day of the incident. 8. The patient’s blood should be tested for HBsAG and anti-HIV. 9. If the exposure recipient received the hepatitis B vaccine and was post tested to prove immunity, the hepatitis testing is not required. 10. If the exposure recipient did not receive hepatitis B vaccine, they are advised to get their blood tested for HBV and HIV. 11. Medical indicated prophylactic treatment will be provided as necessary. 12. Appropriate counseling as needed. 13. A copy of the documented incident will be given to the Instructor of the Dental Assisting Program. Professionalism Policy: Per classroom etiquette; mobile phones, iPods, etc. must be silenced during all classroom and lab lectures. Those not heeding this rule will be asked to leave the classroom/lab immediately so as to not disrupt the learning environment. Please arrive on time for all class meetings. Academic Integrity Policy: 13 Academic dishonesty in any form will not be tolerated. If you are uncertain as to what constitutes academic dishonesty, please consult the Academic Integrity Policy in ANC’s Student Handbook (http://www.anc.edu/docs/anc_handbook.pdf) for further details. Students are expected to do their own work. Plagiarism, using the words of others without express permission or proper citation, will not be tolerated. Any cheating (giving or receiving) or other dishonest activity will, at a minimum, result in a zero on that test or assignment and may be referred, at the discretion of the instructor, to the Department Chair and/or Vice President of Instruction for further action. Academic & Career Enrichment Advising Center: The Academic & Career Enrichment (ACE) Advising Center is located in Statehouse Hall in Room S145. The ACE Advising Center advises all new ANC students. Once a student is progressing through his/her program of study the student will be assigned an advisor in the field of study. Prospective students are provided test prep assistance through the computerized Skills Tutor system for Compass test placement. The ACE Advising Center also houses a Virtual Career Center including career placement services, as well as academic tutoring services for enrolled students. The tutoring services offered are one-on-one tutoring, group tutoring, and group labs for specific classes. Other Student Support Services: Many departments are ready to assist you reach your educational goals. Be sure to check with your advisor; the ACE Advising Center, Room S145 and Student Support Services, Room W207; to find the right type of support for you. Basis for Final Grade: Grade Dissemination: Grades will be given on clinical lab check off sheets. Unit test grades will be posted by student ID in the Learning Management System (LMS). Percent of Final Grade 10% 50% 25% 15% 100% Assessment Homework Unit Test (8) Preclinical Lab Assignments Final exam Grading Scale (%) 90-100 A 80 - 89 B 70 - 79 C 60 - 69 D 0 - 59 F 14