MASTER OF COMMUNITY ORAL HEALTH (MCOH) Student Handbook 2015/2016 Department of Community Oral Health & Clinical Prevention Faculty of Dentistry University of Malaya Kuala Lumpur Malaysia 1 CONTENTS Title Page No Introduction 3 Vision and Mission 4 Programme Objectives and Learning Outcomes 4-5 Organisation of Department 6 Floor Plan of Department 6 Programme Structure 7-8 Academic Calendar 9 Programme Details 10-22 Rules and Regulations 23-26 Assessment 27-29 Directory of Academic Staff 30 Department Facilities 31-33 List of Literature 34-36 2 INTRODUCTION The Department of Community Dentistry is one of five academic departments that contribute to undergraduate and postgraduate training. The department has vast experience in conducting postgraduate programme. In 1994, the department introduced a one-year postgraduate programme, i.e. Master of Community Dentistry (MCD), which was the first postgraduate programme offered by the Faculty of Dentistry, UM. During the development of the MCD programme, Professor Aubrey Sheiham was the consultant. He is currently a professor emeritus at University College London, United Kingdom. Professor Sheiham visited the department three times under the CICHE (British Council Programme). He overlooked the implementation of the newly developed course and contributed in giving lectures to the postgraduate students. In 2003, the Public Service Department and the Ministry of Health formulated a requirement that a dental public health specialist must undergo a four-year postgraduate programme to be registered in the National Specialist Register. Consequently, the department convened a meeting with the main stakeholders from the Oral Health Division, Ministry of Health to discuss on extending the current MCD course from one-year to a four-year programme to ensure that graduates will be certified as specialist once they exit the programme. The aims and objectives of the new programme were also formulated during the meeting. A follow up discussion was also held with the Department of Social and Preventive Medicine (SPM) to formulate the programme structure of the 4-year MPH (Oral Health) programme based on the MPH framework of SPM. Based on both discussions, the department replaced the one-year MCD programme with a four-year Master of Public Health (Oral Health) programme which was designed for Malaysian public health practitioners. The department also offered a two-year Master of Science (Dental Public Health) programme to cater for the need of foreign students. The two programmes were taught concurrently by the Department of Community Dentistry and the Department of Social and Preventive Medicine of the Faculty of Medicine, University of Malaya. By 2012, the department has produced 50 graduates with MCD, 21 MPH (Oral Health) graduates and 3 MSc (DPH) graduates. These graduates are highly regarded by their employers. Most of them are now holding high administrative positions in the Oral Health Division, Ministry of Health. For example, Datin Dr. Nooral Zeila Junid, Dr. Sharol Lail (1997 graduate) and Dr. Savithri (2006 graduate) is now the Deputy Director of Oral Health Division in the Ministry of Health, while Dr. Natifah Salleh (2003 graduate), Dr. Cheng Lai Choo (2002 graduate) and Dr. Norliza Ismail (2009 graduate) is holding the position of Senior Principal Assistant Director. The current proposed programme was mooted to upgrade the four-year Masters programme to be an equivalent to a doctorate level in line with the development of the medical public health specialty. The planning of this programme started in 2006 with input from the Department of Social and Preventive Medicine of the Faculty of Medicine department. 3 VISION The department’s vision is to maintain its position as a centre of excellence in oral health sciences, education and research; and serves as a catalyst to promote learning and research in the field of dental public health. MISSION The department’s mission is to maintain its position as the premier faculty that provide high standards of training and research to produce dental public health professionals who are concerned about population well-being and adopt a holistic approach. PROGRAMMME OBJECTIVE The programme aims to produce graduates who possess basic knowledge, research and competency, especially in community oral health, with a wider approach towards societal well-being. Graduates will have basic competency in developing appropriate professional attitudes, ethics, leadership skills and behaviour that are sensitive and can easily adapt to the changing needs of the society. LEARNING OUTCOMES The learning outcomes for the Masters of Community Oral Health programme were constructed based on the eight Malaysian Qualifying Framework (MQF) learning outcomes domains; Knowledge of Discipline Areas, Practical Skills, Social Skills and Responsibilities, Values, Attitudes and professionalism, Communication, Leadership and Teams Skills, Problem Solving and Scientific Skills, Information Management and Lifelong Learning Skills and Managerial and Entrepreneurial Skills. At the end of the programme, graduates are able to: PO Programme Learning outcome PO1 (Knowledge) Possess fundamental knowledge in the field of dental public health. (K) PO2 (Practical Skills) Investigate and diagnose oral health problems at the individual and community levels; and formulate a plan for community and clinical intervention programs to solve the problems. Integrate public health skills and social responsibility in carrying out their role as oral health promoter. (P) PO3 (Social Skills and responsibility) PO4 (Values, Attitudes and Professionalism) Conduct research that complies with the relevant legal requirements and professional ethics to the practice of dental public health and demonstrate good values and attitudes in managing community oral health problems. Taxonomy (A) (A) 4 PO5 (Communication, Leadership and teamwork skills) Display good leadership quality, team working skills and effective communication skills with colleagues and other healthcare professionals, the community and patients in promoting oral health. (P) PO6 (Problem solving & Scientific skills) PO7 (Information management and lifelong learning skills) PO8 (Managerial and Entrepreneurial Skills) Utilize evidence-based approach and critical thinking skills to solve community oral health problem. (K, P) Manage information from diverse resources possess a positive attitude towards lifelong learning. and (P) Apply the principles of management in the context of dental public health. (K) 5 ORGANISATION OF DEPARTMENT As staff of the University of Malaya, we abide to the University Malaya Code of Ethics (University Malaya, 2010) and as a dental profession, we abide to the Code of Professional Conduct (Malaysian Dental Council). The department has 9 full time academic staff. Six out of 9 academic staff hold a PhD degree. Two staff are currently undertaking PhD degree. Working hours Day Office Hours (Morning) Lunch Break Office Hours (Afternoon) Monday to Thursday 1. 0800-1300 2. 0830-1300 1300-1400 1400-1700 Friday 1. 0800-1215 2. 0830-1215 1215-1445 1445-1700 * Working hours may vary during the Fasting Month Office of the Head of Department The Head of Department is Assoc. Prof. Dr. Zamros Yuzadi Mohd Yusof (initials ZY) The secretarial staff are : 1. Madam Intan Liana Mohamad Lias 2. Madam Nuur Shaadeah Khalid The support staff is : 1. Mr. Rosli Taha OHE Clinic The support staff are : 1. Madam Che Nurulhana Che Ismail 2. Madam Pauline Yeo Poh Lian Floor Plan of the Department The Department of Community Oral Health & Clinical Prevention is located at level 2, block D in the Faculty of Dentistry (the old building). The department is separated into two sections which are the head of department office and the OHE clinic where the patient’s consultation is held. 6 PROGRAMME STRUCTURE Programme Duration Semester 1 Semester 2 Master of Community Oral Health (MCOH) 1 Year Core courses: 1. DPGA 6101 – Fundamental of Dental Public Health and Primary Health Care 2. DPGA 6102 – Social and Behavioural Science in Dentistry 3. DPGA 6103 – Health Promotion 4. DPGA 6105 – Epidemiology of Oral Conditions 5. DPGA 6107 – Research Methodology in Health Systems 6. DPGA 6180 – Research Project Core courses: 7. DPGA 6104 – Preventive Dentistry 8. DPGA 6106 – Jurisprudence and Professional Ethics 9. DPGA 6170 – Administration in Dental Public Health and Updates in Dentistry 10. DPGA 6180 – Research Project (P) *Elective courses: *(choose only 3) MOGB 6109 – Principles of Biostatistics MOGB 6110 – Management in Health MOGB 6301 – Epidemiology of Diseases in Malaysia MOGR 6302 – Public Health Nutrition MOGB 6303 – Producing Better Evidence MOGB 6305 – Health Economics MOGR 6303 – Qualitative Inquiry in Public Health Special Semester 1. DPGA 6171 - Comparative Study of the Oral Health Care Delivery Systems The programme structure for the one-year Master in Community Oral Health (MCOH) was designed to be at par with international standards (University College London and University of Michigan). The Master in Community Oral Health degree is by coursework. It comprises nine core courses and three elective courses. These core courses are essential for the understanding of the up-to-date concepts, principles and methods that support the programme outcomes. Appropriate discipline standards and international best practices in the field of dental public health are also taken into account. Candidates are also required to undertake a research project. The details of each of the courses are outlined in the later sections. In addition to the courses within the dental faculty, candidates will be required to undertake elective courses together with the MPH candidates at the Department of Social and Preventive Medicine, Faculty of Medicine, UM. This learning experience will expose the candidates to a multidisciplinary approach in Public Health and for their future career. 7 In summary, this programme is designed to offer fundamental knowledge and training in dental public health in accordance with the requirements of Ministry of Health Malaysia. It acts as a training ground to equip the graduates with the necessary fundamental skills and knowledge as an entry pre-requisite for the Doctorate in Dental Public Health (DrDPH) which is also offered by the faculty. As such, this master’s programme acts as a ‘feeder programme’ to the DrDPH programme. Overall, both the MCOH and the DrDPH form a ‘Package Programme’. However, this master’s programme has the flexibility whereby graduates can choose to finish and exit this programme once completed without continuing their studies to the doctorate level. 8 UNIVERSITY OF MALAYA ACADEMIC CALENDAR FOR SESSION 2015/2016 MASTER OF COMMUNITY ORAL HEALTH UNIVERSITY OF MALAYA ACADEMIC CALENDAR FOR SESSION 2015/2016 SEMESTER I Introduction week Lectures Mid-Semester I Break Lectures Revision Week Examinations Semester I Semester I Break Lectures Mid-Semester II Break Lectures Revision Week Examinations Semester II Semester Break Lectures and Examinations 1 week 01.09.2015 9 weeks* 07.09.2015 1 weeks* 07.11.2015 5 weeks 16.11.2015 1 week* 19.12.2015 3 weeks* 28.12.2015 5 weeks* 17.01.2016 25 weeks SEMESTER II 7 weeks 22.02.2016 1 week 09.04.2016 7 weeks* 18.04.2016 1 week 04.06.2016 3 weeks* 13.06.2016 19 weeks SESSION BREAK/SPECIAL SEMESTER 9 weeks* 03.07.2016 or 03.07.2016 8 weeks* - 06.09.2015 06.11.2015 15.11.2015 18.12.2015 27.12.2015 16.01.2016 21.02.2016 - 08.04.2016 17.04.2016 03.06.2016 12.06.2016 02.07.2016 - 04.09.2016 - 28.08.2016 * Malaysia Day (16 September 2015) Aidil Adha Public Holiday (24 September 2015) Maal Hijrah (14 October 2015) Deepavali Public Holiday (10 November 2015) Prophet Muhammad’s Birthday (Maulidur Rasul) - (24 December 2015) Christmas Public Holiday (25 December 2015) New Year Public Holiday (1 January 2016) Chinese New Year Public Holiday (8 & 9 February 2016) Labour Day (1 May 2016) Wesak Day (21 May 2016) Nuzul Al-Qu’an (22 June 2016) Aidifitril Public Holiday (7&8 July 2016) National Day (31 August 2016) 9 PROGRAMME DETAILS – MCOH This master’s degree programme by coursework is 43 credits; 35 credits (80%) coursework and 8 credits (20%) research component. This is a one year fulltime course comprising 2 semesters and one special semester. The maximum period of candidature is 8 semesters and 4 special semesters. COURSE CONTENT SEMESTER 1 DPGA 6101 - Fundamentals of Dental Public Health and Primary Health Care (3 credits) Coordinator : Prof. Dato’ Dr Ishak Abdul Razak This module comprises of two main themes: 1. Fundamentals of Dental Public Health 2. Primary Health Care Approach The module will be conducted through lectures, seminar, group work discussion and practical presentation to update their knowledge, skills and attitudes. The candidates will be exposed to their perceptions of oral health as compared to that of the community. The candidates will be exposed to critiques of the Medical Model by lay public and professionals. They will need to identify the current public health issues affecting their area and the preventive and treatment strategies that have been employed to overcome these problems in their area. In doing so, they will have to evaluate the effectiveness of the restorative approach in overcoming oral diseases. At the end of this module, students are able to:1. Appraise Dubos`s, Illich`s, McKeowns, and Cochrane`s views on determinants of health and limits to medicine. 2. Evaluate the effectiveness of the restorative philosophy in dentistry. 3. Develop a plan for prioritizing oral health care needs in Malaysia using the concept of health care needs. 4. Formulate strategies in attaining oral health for all for Malaysia using the principles of the PHCA. Week Lecture / Tutorial / Assignment Topic 1 L1 – Assessment of current concepts of health 2 S1 – Seminar 3 L2 – Concept of health production 4 L3 – Critique of the Medical Model by Health Professionals 5 L4 – The Western Medical Model, health and underdevelopment 6 S2 – Seminar 10 7 L5 – Evaluation of the success of the restorative strategy 8 L6 – Public health policy on needs, demand and utilization 9 L7 – Strategy in disease prevention and control 10 S3 – Seminar 11 L8 – Primary Health Care Approach (PHCA): What and Why? 12 L9 – Primary Health Care Approach (PHCA): principles and practice 13 S4 – Seminar 14 Final Examination *Subject to change DPGA 6102 - Social and Behavioural Science in Dentistry (3 credits) Coordinator : Prof. Datin Dr. Rashidah Esa This module covers broad interrelated areas namely sociology psychology and cultural anthropology. The purpose of the module is to enable students to realize the importance of culture and the social environment in determining behaviour and health outcomes. The sociology and cultural anthropology cover the introduction to sociology and social policy; health and under development; the sick role and illness behaviour; socialization and social control; norms, social class and social structure, social mobility; role of culture and religious beliefs; health behaviour models and social determinants of health and illness. The psychology component include deviance, stigma and labeling behaviour; anxiety/fear, pain and stress. Other issues include the social impact of oral diseases; transactional analysis; dentist-patient relationship; the concepts of need, demand and utilization and barriers in seeking oral health services. In addition students undertake oral health interviews on 3 cases to relate the impact socio-cultural and socio-environmental factors on oral health and diseases do an oral presentation and submit a written report. At the end of this module, students are able to: 1. Relate concepts in Social and Behavioural Science to the structure of society, concepts of need in relation to utilization and how social and behavioural factors influence health, illness and oral health. 2. Apply related concepts to health care seeking behaviours and models/ theories of health behaviour to individual’s health/oral health. 3. Apply different models of dentist-patient relationship to built good communication skills and relationships with others. 11 4. Apply the concepts of deviance, stigma, labelling, fear/anxiety, pain, and stress to dental practice. 5. Appraise the socio-dental indicators for assessing health and disease status and the social and psychological impact of oral disease on the quality of life Week Lecture / Tutorial / Assignment Topic 1 L1 – Introduction to Behavioural Sciences in Dentistry 2 L2 – Social elements which affect health and illness 3 L3 – Illness behaviour and seeking of oral health care 4 L4 – Theories and models of health behavior I & II 5 L5 – Video Presentation: “Patch Adams” S1 – Seminar - Student presentation 6 L6 – Sociology and psychology of dental care Dentist – Patient relationship Transactional Analysis 7 S2 – Seminar presentation by students 8 L 7 – Labelling behaviour, deviance and stigma 9 L8 – Behavioural factors influencing dental treatment Fear and anxiety Pain 10 L9 – Social and psychological impact of oral conditions 11 L10 – Social causes of illness Stress and stress in dental practice 12 L11 – Conducting oral health interviews– 3 Case studies (Independent learning) Case study presentation 13 L12 – Nutrition issues and concerns in Malaysia 14 L13 – Student’s reflection 15 Revision 12 16 Final Examination *Subject to change DPGA 6103 - Health Promotion (3 credits) Coordinator : Associate Prof. Dr. Zamros Yuzadi Mohd Yusof This module comprises of three main themes which underpins and supports the formulation of effective health promotion strategies: 1. Principles of planning for Health Education and Health Promotion strategies (Ottawa Charter 1986; PRECEDE model). 2. Principles of Marketing and Social Marketing of healthy lifestyles, and 3. Exploring potential local, national and international (global) alliances with Health Promotion organizations in health issues of mutual interest - through the Common Risk Factor Approach and Millennium Development Goals MDG 2015 agenda. Basic principles of the Ottawa Charter for health promotion (1986) and subsequent global health promotion conference resolutions, are discussed in relation to the Alma-Ata Declaration for Primary Health Care (WHO 1978) and the WHO Millennium Development Goals MDG2015 (WHO 2008). This will put into perspective the students awareness of global health problems and enhance their problem solving and critical thinking skills, to think global and act local in planning to solve community health problems via the healthy settings approach. The Principles of Social Marketing are applied to influence unhealthy or risky health/oral health behaviour in relation to known common risk factors that affects diseases (like caries, periodontal disease, oral cancer) and other public health problems (like motor vehicle related traumatic injuries, cross infections, smoking, alcohol, & substance abuse etc). Students will identify, discuss and apply social marketing principles employed by commercial promoters of unhealthy products and use them creatively to plan their own health promotion counter-strategies which include a combination of educational, environmental, enforcement and fiscal strategies in order to make healthier choices, the easier choice. Students will analyse the strengths and limitations of promoting healthy lifestyles in a multi-ethnic society such as in Malaysia in which cultural and religious values, habits, behaviours and unhealthy public policies may hinder or facilitate desired outcomes. At the end of this module the student would be able to define his/her role as an advocate, enabler and mediator to support and complement national and international health agendas to promote population health. At the end of this module, students are able to:1. Apply the principles of health promotion in relation to oral health, role of health promoters working in a multi-ethnic society like Malaysia, multi-sectorial collaboration, the Malaysian Health Promotion Board and international HP organizations. 13 2. Plan a comprehensive oral health promotion strategy based on the PRECEDE / PROCEED model and “settings approach”. 3. Demonstrate effective communication, public speaking and presentation skills to improve the persuasive powers as a health promoter. 4. Compare & contrast between the principles of marketing commercial goods versus social marketing; and apply social marketing principles to influence and promote healthy behaviours & lifestyles. Week Lecture / Tutorial / Assignment Topic 1 HP 1 – Principles of health promotion 1 (Intro. &Philosophy) HP 2 – Principles of health promotion 2 (Ottawa Charter 1986) 2 HP 3 – Principles of planning, Health Promotion Planning Models, PHCA 1978& MDG2015 HP 4 – Berlin Oral Health Declaration 1992 3 HP 5 – Critical assessment of messages &approaches in Health Education (Population level) HP 6 – Critical assessment of chair side oral health education approaches (Health education in the context of H. Promotion – the SPERMAID Model) 4 HP 7 – Issues and Skills required for health promoters HP 8 – Communication skills for H. Promotion 1 (Public speaking) 5 HP 9 – Communication skills in H. Promotion 2 (Practical session / Seminar - Nutrition & Sugar policy) HP 10 – Basic Principles of Marketing 1 6 HP 11 – Principles of Social Marketing 2 HP 12 – Health promotion in Malaysia – issues & challenges. (Malaysian Health Promotion Board Act 2006 and the role of international Health Promotion organizations). 7 HP 13 – Seminar 1 (Planning a H. Promotion program for an identified general health problem using PROCEDE / PRECEED model). 8 HP 14 – Seminar 2 (Planning a health promotion program using Social Marketing for an identified Oral Health Behaviour) 9 HP 15 – Tutorial 1 ( Healthy Schools settings for H. Promotion) 10 HP16 – Tutorial 2 (Class feedback & reflective session) 11 HP 17 – Tutorial 3 (Revision of basic principles 1) 14 12 HP 18 – Tutorial 4(Revision of basic principles 2) 13 HP 19 – Revision (Independent learning) 14 HP 20 – Module Test *Subject to change DPGA 6105 - Epidemiology of Oral Conditions (3 credits) Coordinator : Assoc. Prof. Dr. Roslan Saub This course provides students with an in-depth knowledge on the principles of epidemiology, specific methods used in epidemiological studies with respect to oral diseases, and ethical and professional issues in epidemiology. Application of epidemiology in dental public health is also discussed. At the end of this module, students are able to:1. Apply the principles and methods of epidemiology in conducting epidemiological studies in dentistry. 2. Evaluate the measurement of oral health and diseases use in epidemiological studies. 3. Explain the application of epidemiology in the prevention of oral diseases and oral health promotion. 4. Illustrate the ethical and professional issues in epidemiological studies. 5. Analyze epidemiologic data with respect to oral disease epidemiology and the implications to oral health care. Week Lecture / Tutorial / Assignment Topic 1. L1 – Introduction to Oral Epidemiology 2. L2 – Types of Epidemiological study, common research designs 3. L3 – Measuring Health and Disease – General and Oral Health 4. L4 – Causation and estimating risk in Epidemiology 5. S1 – Measurement of Oral Health Related Quality of Life 6. Test 15 7. S2 – Measurement Issues and Epidemiology of dental caries. 8. S3 – Measurement issues of periodontal diseases and oral hygiene; and epidemiology of periodontal disease 9. S4 – Measurement Issues and Epidemiology of malocclusion 10. S5 – Measurement issues and Epidemiology of fluorosis 11. L5 – Measurement and Epidemiology of other Oral conditions (cancer and dental trauma) 12. L6 – Epidemiology in oral services and oral health policy 13. L7 – Epidemiology and Prevention – screening 14. S6 – Ethical and Professional issues in Epidemiology 15. Test 16. Revision 17. Revision 18. Final Examination *Subject to change DPGA 6107 - Research Methodology in Health Systems (2 credits) Coordinator : Assoc. Prof. Dr. Jennifer Geraldine Doss This course equips the student with basic knowledge and skills to practice evidence based dentistry. Students are introduced to basic principles of HSRM which prepares them to develop a research proposal and to conduct an independent research. The course begins with defining & appraising the elements of the health system; the role of HSRM & EBD in the management of oral health in the population. The student learns about identifying researchable issues; the conventional and more recent research methods, reliability and validity of research methods and goes on to identify the “best method” to answer a research question. The research question addresses a health issue from the community/patient/provider perspective. Throughout, the course emphasizes research ethics; effective and efficient management of research 16 projects. The course draws on the principles of Health Promotion to illustrate research in improving the health of the community. At the end of this module, students are able to:1. Perform information searching and management skills in writing a research report 2. Apply principles of health research methods ethically for developing a research proposal and undertaking a research project for a specific population 3. Perform basic analysis and interpretation of research data 4. Present ideas clearly, effectively and confidently in both oral and written forms to a scientific audience. 5. Appraise the worth of scientific evidence for the management of oral healthcare. Week Lecture / Tutorial / Assignment Topic 1 Module orientation, Introduction to HSR Stepwise procedure, Problem selection & analysis 2 Literature search & reading the literature Objectives & Hypothesis 3 Variables Study design 1: Introduction 4 Study design 2: Observational studies Study design 3: Clinical trials, Systematic review 5 Assessing risk in oral conditions Sampling and sample size 6 Techniques of collecting data & questionnaire design 7 Qualitative research methods 1 Qualitative research methods 2 8 Examiner agreement Practical : Calibration of examiner for agreement and estimation 9 Validity & reliability Planning data processing & analysis 10 Managing a research project Research Ethics 11 Report writing Critical Appraisal of Literature 17 12 Tutorial: Appraisal of articles using cross sectional study design 13 Tutorial: Appraisal of articles using observational analytical study design 14 Tutorial: Appraisal of articles using interventional study design 15 Final Written examination *Subject to change DPGA 6180 – Research Project (P) (3 credits) Coordinator : Assoc. Prof. Dr. Jennifer Geraldine Doss This is a supervised research project during the 1 year course. The student will plan and implement a research in the area of Community Oral Health. During the entire period the student is encouraged to be independent and seek guidance after having work through the problems themselves. Core and elective courses will further strengthen the student’s research skills. The student will report the research in the form of a research report of not more than 20,000 words. On completion of course, the students are able to: 1. Develop a detailed research protocol adequate for implementation 2. Formulate a medical ethics and research grant application for a research project 3. Conduct the research activities independently 4. Analyze the data obtained 5. Defend research findings 6. Prepare a research report Week Lecture / Tutorial / Assignment Topic Semester 1 5-6 Preparation of problem statement and discussion with supervisor 7 Presentation of research proposal - problem statement (seminar) 8-9 Preparation of research proposal methodology and discussion with supervisor 10 Presentation of research proposal methodology (seminar) 11-12 Research proposal preparation, ethics and grant application Semester 2 1-2 Preparation for data collection 18 3-6 Research data collection in the field 7-9 Data analysis and interpretation 10-12 Research report writing 13 Submission of research report 13-14 Preparation for the presentation of research findings and viva voce 15 Oral presentation and viva-voce SEMESTER 2 DPGA 6104 - Preventive Dentistry (3 credits) Coordinator : Dr. Norintan Ab Murat This module comprises a series of topics which is an update on preventive dentistry and related aspects. This includes an appraisal of the various prevention concepts and strategies, existing preventive programmes; impact of prevention programs to individuals, society and nation. It also incorporates oral health education in clinical and community settings as part of holistic approach in the management of Total Patient Care (TPC)/oral diseases. At the end of this module, students are able to:1. Explain the concepts of prevention, economic evaluation and risk assessment in relation to oral disease prevention. 2. Apply the philosophy of prevention to oral health for different population/patient groups. 3. Appraise the effectiveness of various preventive measures and cost-effectiveness / benefits of prevention programmes at individual and community settings. Week Lecture / Tutorial / Assignment Topic 1 L1 – Course introduction: Philosophy and Concept 2 L2 – Nutrition and Diet 3 S1 – Plaque and plaque control 4 S2 – Use of Fluorides in Preventive Dentistry 19 5 S3 – Water Fluoridation and Oral Health 6 L3 – Minimal intervention: Preventive strategies - Fissure sealant and ART 7 L4 – Caries risk assessment 8 Test 9 L5– Health Education: Briefing on Clinical application / Practical 10 L6 – Smoking Cessation 11 S4 – Provision of Care for Marginalised Groups: Public Health Issues 12 L7 – Team Building: Multidisciplinary, Interdisciplinary and Self Care Concept 13 T1 – Tutorial 14 S5 – A seminar on Economic Evaluation of Preventive measures/strategies ( 2 hrs) 15 Revision 16 Revision 17 Final examination *Subject to change DPGA 6106 - Jurisprudence and Professional Ethics (2 credits) Coordinator : Prof. Dato’ Dr Ishak Abdul Razak This module comprises of three main themes: 1. Dental Act 2. Jurisprudence 3. Dental ethics The module will be conducted through a series of lectures and a practical. At the end of this module the student would be aware of the provisions in the Dental Act as well as the legal and ethical requirement of the dental profession. It is also intended to make the practitioners aware of the 20 ethical & legal aspects of his profession and the rights of the patient, so that he can anticipate & avoid trouble. At the end of this module, students are able to:1. Identify the various provisions of the Dental Act, the legal aspect of dental practice and provisions laid out in the Code of Professional Conduct. 2. Apply the knowledge of the legal aspect in dentistry to everyday practice. 3. Appraise behaviours in dental practice deemed as professional misconduct. Week Lecture / Tutorial / Assignment Topic 1 L1 – Dental Act 1971 2 S1 – Seminar 3 L2 – Jurisprudence 4 S2 – Seminar 5 L3 – Dental Ethics I 6 L4 – Dental Ethics II 7 S3 – Seminar 8 Course Examination DPGA 6170 - Administration in Dental Public Health and Updates in Dentistry (3 credits) Coordinator : Head of Department / Postgraduate Coordinator Comprises a series of seminars on the organization of Public Health Programmes and The aim of the course is to provide the student with an understanding of the decision making process which guides the policies of the Ministry of Health as well as those affecting the private sector. Comprises a series of lectures on updates in relevant issues pertaining to dentistry, given by invited experts. The aim of this is to update the candidate’s knowledge on current theories in the different fields of dentistry. 21 At the end of this module, students are able to:1. Relate the principles in organising and managing the various oral health programmes in the public service. 2. Apply updated knowledge in the process of planning; formulation of policies and development of regulation and in programme management. 3. Recognise the influence of socio-economic and environmental determinants in the decision making process. 4. Explain the current updates in theories and trends in the management of different oral disease in groups of people. 5. Express ideas clearly, effectively and confidently to a scientific audience. Week Lecture / Tutorial / Assignment Topic 1 Introduction to Module National Food and Nutrition Policy 2 Cost Benefit and Cost Effectiveness of Preventive Measures Current Strategies for the Control of Dental Caries 3 Oral Health Human Resource Planning for Malaysia Oral Health Care Financing for Malaysia 4 A National Oral Health Policy for Malaysia 5 Justification for Fluoridation of Public Water Supply 6 Current concept in the management of caries in children in Malaysia 7 Current concepts in infection control 8 Clinical aspects of AIDS and Hepatitis 9 Materials Update- Tooth Colored Restoratives 10 Current Concept in Clinical Management of the Elderly 11 Classification of Periodontal Disease Including Aetiology & Risk factors, Pathogenesis & Immunology 12 Update on Dental Materials 13 Forensic Odontology I & II 22 14 Updates on the Management of Oral Cancer 15 Radiation Hazards 16 Lasers in Dentistry 17 Current Concepts in the Management of Periodontal Disease *Subject to change DPGA 6171 – Comparative Study of the Oral Health Care Delivery Systems (5 credits) Coordinator : Head of Department This consists of supervised visits to observe and discuss with policymakers and implementers within the National Oral Healthcare Delivery System especially the Ministry of Health and other approved institutions or agencies both locally and overseas. Students are expected to make at least one supervised visit country to an ASEAN country to observe their oral health care delivery system and discuss public health policies with their policymakers and implementers under the Comparative Study of Healthcare Delivery Systems program. At the end of the program, the students will be required to present their observations in a seminar and to submit a written report. At the end of this module, students are able to:1. Analyze the overall health care system as a total “operating system”. 2. Evaluate the oral health care delivery systems and management of public health in various countries within the social-cultural context. 3. Propose alternative approaches in oral health care delivery systems within the socio-cultural context. Week Lecture / Tutorial / Assignment Topic 1. Briefing 2. Field visit and Dialogue with Senior Management Oral Health Division, Ministry of Health 3. Field Visit to Institute of Medical Research (IMR) – A Research & Development Facility 4. Field visit to a District Level setting, including one urban and one rural setting 23 5. Field visit to Aborigines Medical/ Dental Health Care Programme (Special Communities setting) 6. Field visit to Malaysian Armed Forces (MAF) Oral Health Care Programme – (Special Communities Setting) 7–8 9 Comparative Oral Healthcare Delivery System of an ASEAN Country (e.g Singapore, Thailand, Indonesia etc) Presentation 10 – 13 14 Report writing Report submission DPGA 6180 – Research Project (P) (5 credits) Coordinator : Assoc. Prof. Dr. Jennifer Geraldine Doss This is a supervised research project during the 1 year course. The student will plan and implement a research in the area of Community Oral Health. During the entire period the student is encouraged to be independent and seek guidance after having work through the problems themselves. Core and elective courses will further strengthen the student’s research skills. The student will report the research in the form of a research report of not more than 20,000 words. On completion of course, the students are able to: 1. Develop a detailed research protocol adequate for implementation 2. Formulate a medical ethics and research grant application for a research project 3. Conduct the research activities independently 4. Analyze the data obtained 5. Defend research findings 6. Prepare a research report Week Lecture / Tutorial / Assignment Topic Semester 1 5-6 Preparation of problem statement and discussion with supervisor 7 Presentation of research proposal - problem statement (seminar) 8-9 Preparation of research proposal methodology and discussion with supervisor 10 Presentation of research proposal methodology (seminar) 11-12 Research proposal preparation, ethics and grant application Semester 2 24 1-2 Preparation for data collection 3-6 Research data collection in the field 7-9 Data analysis and interpretation 10-12 Research report writing 13 Submission of research report 13-14 Preparation for the presentation of research findings and viva voce 15 Oral presentation and viva-voce RULES AND REGULATIONS University of Malaya (Master’s Degree) Rules and Regulations 2010 shall apply to all candidates in this Master of Community Dentistry Degree programme. 1. Programme of study The Master of Community Oral Health is a full-time programme by coursework and research. The mode of coursework is through lectures, practicals, seminars, field work, case study, student reflection and a research project. 2. Duration of Study This programme shall extend over a minimum period of 2 normal semesters plus 1 special semester and a maximum period of 8 normal semesters plus 4 special semesters 3. Student Selection and Admission a) Basic Qualifications Bachelor of Dental Surgery (BDS) or equivalent recognized degree with at least 2 years clinical experience. b) English Language Requirement Non-Malaysian candidates who have graduated from university or international institutions of higher education must fulfill the following English language requirements: Score at least Band 4 in the Malaysian University English Test (MUET); OR Pass with at least Level 6 in English Language Proficiency Programme (ELPP) offered by the UMCCED; OR Score a minimum of 550 (written paper), 213 (computer test) or 80 (internet test) in the Test of English as a Foreign Language (TOEFL); OR Obtain at least Band 6 in the International English Language System (IELTS); OR 25 Pass an equivalent English proficiency test approved by the university c) Other requirements All candidates must pass an entrance test, interview and fulfill other requirements set by the department from time to time. All applicants who fulfilled the admission criteria as stated above will be called for an interview to assess their interest and knowledge in DPH. In addition, their communication skills and critical thinking will be also evaluated. The interview will be carried out by at least 3 academic staff. As such the selection of the students is free from discrimination and bias. 4. Student Registration The registration for the programme shall be in the week prior to the commencement of each academic year. 5. Class Attendance A candidate shall attend all classes. Any candidate with less than eighty percent of class attendance for a course in a semester without any acceptable reasons or without obtaining prior approval from the lecturer concerned may be barred from sitting the final examination for the course concerned in a semester by the Dean of the Faculty. Where a candidate is barred from sitting for the final examination of a course for a semester he shall be informed in writing by the Dean of the Faculty at least one week before the commencement of the semester examination concerned. Any candidate who is barred from sitting for the final examination in a semester shall be given a zero mark for the final examination of the course concerned. 6. Field of Research and Supervision (i) The appointment of supervisor shall be done at a point when the candidate’s field of research is being determined (ii) Where necessary, the appointment of a co-supervisor and / or consultant may be done 7. Determination of Field of Research The determination of field of research shall be done prior to a candidate’s embarkation on research work 8. Submission of Research Report i) A candidate shall be permitted to submit his/her research report not later than one month before the commencement of the examination date ii) Notice for the submission of the research report will be given when the candidate submits the title of the research project for approval. 9. Examination assessment The assessment for the examination for the coursework component shall be based on the following marking scheme stipulated in the following University of Malaya document: University of Malaya (Master’s Degree) Rules and Regulations 2010 26 (A) Marking Scheme Mark 80-100 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 <35 Grade A AB+ B BC+ C CD+ D F Grade Point 4.00 3.70 3.30 3.00 2.70 2.30 2.00 1.70 1.50 1.00 0.00 Meaning Excellent Pass Conditional Pass Fail For the purpose of this paragraph, a Conditional Pass means a pass in the course concerned if the CGPA is 3.0 or greater in the semester the course is taken. Grade I is given when — (a) A candidate did not take the final examination for any course in a semester on medical or compassionate grounds and the grade is recommended by the Committee of Examiners; or (b) A portion of the candidate’s course requirements has not been completed due to reasons beyond the candidate’s control that may be accepted by the Committee of Examiners concerned. In situation (a), the candidate is permitted to take the examination for the course concerned without being required to attend the course again. In situation (b), the candidate is permitted to complete the relevant portion of the course at the first opportunity in the following semester. In both situations (a) and (b), the candidate must register to attend the course concerned when offered in the immediate following semester. However, no fees will be imposed for the registration of the course concerned and the credit hours concerned shall not be taken into account in the number of credit hours that can be registered in a semester. A candidate shall be given a zero mark for the final examination for the course or the portion of the course requirement concerned if he did not— a) register and take the final examination for the course concerned when it is offered in the immediate following semester; or 27 (b) where applicable, did not complete that portion of his course requirements at the first opportunity in the following semester. The mark that is obtained in the final examination of the portion of the course requirement for a course as mentioned above shall be added to the mark for the course that is given a Grade I in order to obtain the actual grade for that course. A candidate who is given a Grade I for a course shall not be permitted to repeat the course under any circumstances until the Grade I is dropped. Grades (Grade K, P, S, U, R, W, W1,W2, UW) other than the grades as shown in the marking scheme may also be given to a candidate for courses attended by him (Appendix 2.1: University of Malaya (Master’s Degree) Rules and Regulations 2010- Arrangements and Regulations). (B) Minimum requirements of study To fulfill the minimum requirements of study at the University, the candidate – a) Must obtain a GPA and CGPA of not less than 3.00 in every semester until the completion of his studies. b) The Faculty shall determine before the first semester in any academic session and inform the candidate early, the courses for which it is compulsory to pass with specific minimum grades. c) For any courses for which it is compulsory to pass with a specific minimum grade, a candidate shall repeat any course with a grade less than the minimum grade so as to obtain the required minimum grade within the maximum period of his candidature. A candidate who obtains a grade less than the minimum pass grade after three attempts for a course for which it is required to obtain shall be terminated from his programme of study. (C) Academic Probationary Period Any candidate with a GPA below 3.00 in any semester shall be given Probation and placed under an Academic Probationary Period in the following normal semester. The Period shall continue until the candidate has achieved a GPA of 3.00. When a candidate has been placed under an Academic Probationary Period in any semester, the Dean of the Faculty shall issue a warning to the candidate and inform him of the status of his progress. The warning must contain a clear statement of what is deemed as ―satisfactory progress and what the candidate is required to do to achieve it. (D) Failed and Terminated A candidate may be terminated from his programme of study if: 28 a) He does not achieve, after three attempts, at least the minimum pass grade for the course for which the Faculty has made compulsory to obtain in order to pass; b) He has obtained a GPA of less than 3.00 but more than 2.00 for three consecutive normal semesters. c) He has obtained a GPA of less than 2.00 in two consecutive normal semesters. Any candidate readmitted after having failed and terminated and obtains an academic performance which is less than satisfactory and is deemed as failed and terminated under these regulations, may be terminated from his programme of study. ASSESSMENT Methods of candidate assessment: Candidates’ assessment methods consist of formative and summative components and are described as below. These assessments represent the integrated assessment of the candidates’ cognitive, psychomotor and effective aspects. The formative assessments include the following Formative assessments These are on-going assessments for all the courses which comprise i) Question & Answer sessions ii) Quizzes iii) Continuous feedback and 3 monthly progress report by supervisor based on candidate’s progress with regards to time; skills development, independent work and direction of research iv) Assignments and Report on comparative study of oral health systems v) Practical exercises vi) Presentations Summative Assessments Summative assessment for each course in this programme consists of two components which are: i) Viva, research report, and ii) Final examination Each course in the MCOH programme has its own weightage of each of these two types of assessments as shown below. Course and Assessment DPGA 6101 – Fundamentals of Dental Public health and Primary Health Care a) Continuous Assessment contributes 50%(assignments) b) Final examination contributes 50% c) Final result will either be PASS or FAIL with GRADES 29 DPGA 6102 – Social and Behavioural Science in Dentistry a) Continuous Assessment contributes 50% (case study report and oral presentation) b) Final examination contributes 50% c) Final result will either be PASS or FAIL with GRADES DPGA 6103 – Health Promotion a) Continuous Assessment contributes 50% (assignments and oral presentation) b) Final examination contributes 50% c) Final result will either be PASS or FAIL with GRADES DPGA 6104 – Preventive Dentistry a) Continuous Assessment contributes 50% (assignments) b) Final examination contributes 50% c) Final result will either be PASS or FAIL with GRADES DPGA 6105 – Epidemiology of Oral Conditions a) Continuous Assessment contributes 50% (assignments) b) Final examination contributes 50% c) Final result will either be PASS or FAIL with GRADES DPGA 6106 – Jurisprudence and Professional Ethics a) Continuous Assessment contributes 50% (assignments) b) Final examination contributes 50% c) Final result will either be PASS or FAIL with GRADES DPGA 6107 – Research Methodology in Health Systems a) Continuous Assessment contributes 50% (assignments) b) Final examination contributes 50% c) Final result will either be PASS or FAIL with GRADES 30 DPGA 6170 – Administration in Dental Public Health and Updates in Dentistry a) Continuous Assessment contributes 100% (assignments) b) Final result will either be PASS or FAIL with GRADES DPGA 6171 – Comparative Study of the Oral Health Care Delivery Systems a) Continuous Assessment contributes 100% (field visit & outbound report) b) Final result will either be PASS or FAIL with GRADES DPGA 6180 – Research Project a) Final examination contributes 100% (research report and viva voce) b) Final result will either be PASS or FAIL with GRADES Elective Courses (MOGB6109–Principles of Biostatistics, MOGB 6110-Management in Health, MOGB 6301-Epidemiology of Diseases in Malaysia, MOGR 6302- Public Health Nutrition, MOGB 6303-Producing Better Evidence, MOGB 6305-Health Economics, MOGR 6303- Qualitative Inquiry in Public Health) a) Continuous Assessment contributes 50% (assignments, practical exercises, seminars) b) Final examination contributes 50% (written examination, research proposal) b) Final result will either be PASS or FAIL with GRADES 31 DIRECTORY OF ACADEMIC STAFF 1 2 3 4 5 6 Name Prof. Dato’ Dr. Ishak Abdul Razak Prof. Datin Dr. Rashidah Esa Assoc. Prof. Dr. Roslan Saub Assoc. Prof. Dr. Zamros Yuzadi Mohd Yusof Assoc. Prof. Dr. Jennifer Geraldine Doss Dr. Norintan Abd Murat 7 Dr. Asma’ Mohamed 8 Dr. Nor Azlida Mohd Nor 9 Dr. Marhazlinda Jamaluddin Initial Course/Area Health Promotion Ethics of Jurisprudence Social Behavioral Science Phone 03-79676482 E-mail ishakar@um.edu.my 03-79674893 rashidah@um.edu.my RS Epidemiology & Research Methodology 03-79674888 roslans@um.edu.my 03-79672472 zamros@um.edu.my ZY Health Promotion Social Behavioral Science, Research Methodology & Healthcare services Health Promotion & Preventive Health Management Oral Health Financing 03-79672478 jendoss@um.edu.my 03-79674860 norintan@um.edu.my 03-79674887 asmar@um.edu.my Preventive Dentistry 03-79676486 azlida@um.edu.my IAR RE JD NI AM AZ MJ Research Methodology - marhazlinda@um.edu.my 32 DEPARTMENT FACILITIES The department has adequate and excellent physical facilities to support the process of learning and research activities for this programme. The facilities available at the department are as listed in the table below. No. Number of Staff assigned (if relevant) Capacity Laboratories: Communication Lab 1 6 2 (Dental Surgery Assistants) Classrooms: Seminar Room Discussion Room 1 1 15 8 1 (PTO) 1 (PTO) 10 2 (Dental Surgery Assistants) 2 (Dental Surgery Assistants) Department Facilities Clinics: Preventive Clinic Oral Health Education Resource centre Research Room Store Room Current 5 1 1 1 1 20 + 5 Research Assistants Storage facility 2 (Dental Surgery Assistants) Research Assistants / Dental Surgery Assistants Dental Surgery Assistants / Research Assistants * There are other resources and facilities at the faculty that can be shared with other faculty’s programmes. The communication lab provides an avenue to the candidates to enhance their communication skills. This lab is installed with one way mirror separating the room into two parts; the observation and action. The action room is equipped with dental chair and the observation is equipped with sound system. The equipment in this lab will be further improved. All teaching and learning activities for the postgraduate are done in the seminar room. This multipurpose seminar room is flexible to accommodate and facilitate the various learning 33 activities. The dismantled tables were designed to provide more flexible arrangement to accommodate with the teaching and learning activities. The candidates may use the discussion room at the department. This room provides space for the candidates to do informal discussion with their lecturers. This will also enhance the candidates’ interaction with staff of the department. The department also has five (5) preventive clinics. These clinics are mainly used to treat patients who require clinical preventive procedures such topical fluoride on patients who are undergoing radiotherapy and cleft patients. The postgraduate candidates are encouraged to use these clinics. Oral Health Education Clinic (OHE clinic) allows the candidates to provide oral health education to their patients in a non-threatening environment. This clinic is equipped with oral health education materials such as poster, tooth models, pamphlets etc. 34 The department has its own collections of books and related public health documents. These collections are made accessible to the candidates to facilitate their learning. Currently, these collections are kept in the seminar room and monitored by sister. Our department is actively involved in oral health community projects. We have a resource centre to prepare oral health materials such as poster etc. We have become a resource centre for other departments in the faculty for the oral health education materials. 35 LIST OF LITERATURE Fundamental of Dental Public Health and Primary Health Care 1. Pine CM, Harris R (2007). Community Oral Health. Quintessence Publishing Co. Ltd. 2. Dubos R (1965). Man Adapting. Yale University Press: London 3. Lllich I. (1977), Limits to medicine. Penguin Books. 4. McKeown T. (1984). The Role of Medicine. Basil Blackwell. Oxford. 5. Cochrane AL. Effectiveness and efficiency. The Nuffield Provincial Hospital Trust: London Social and Behavioural Science in Dentistry 1. Pine CM, Harris R. (2007). Community Oral Health. Quintessence Pub. Co. Ltd. 2. Helman CG (2007). Culture health and illness. 5th ed. Oxford University Press 3. Locker D (1989). An introduction to Behavioural Science in Dentistry. Tavistock/Routledge, London. 4. Graham S. (ed) (2003). Sociology as Applied to Medicine 5th ed. Saunders. 5. Spector RE (2004). Cultural Diversity in Health and Illness. Pearson Prentice Hall. Health Promotion 1. The Ottawa Charter for Health Promotion. First International Conference on Health Promotion, Ottawa, 21 November 1986. 2. Green LW, Kreuter MW. Health promotion planning: an educational and ecological approach. 3rd ed. Mountain View, CA: Mayfield Pub. Co., 1999 3. Egger G, Spark R, Lawson J, Donovan R. Health promotion strategies and methods 2nd edition. Sydney: McGraw-Hill 2007. 4. Cottrell RR, Girvan JT, McKenzie JF. Principles & foundations of health promotion and education. 4th ed. San Francisco: Benjamin Cummings, 2008. 5. Murray RB, Zentner JP, Yakimo R. Health promotion strategies through the life span. 8th ed. Upper Saddle River, NJ: Pearson Prentice Hall, 2009. 6. McKenzie JE, Thackeray R, Neiger BL. Planning, implementing, and evaluating health promotion programs: a primer. 5th ed. San Francisco: Benjamin Cummings, 2009 Preventive Dentistry 1. Azarpazhooh A, Main PA (2008). Pit and Fissure Sealants in the prevention of dental caries in children and adolescent: A Systematic Review. JCDA, 74(2):179-183. 2. BASCD (2007). Delivering Better Oral Health: An evidence based toolkit for prevention. 3. Davies GM, Ellwood RP, Kay EJ. Prevention (2003). Part 4: Toothbrushing: What advice should be given to patients; BDJ; 195:135-141 4. Harris NO, Garcia-Godoy F (2004). Primary Preventive Dentistry. 6th ed. New Jersey: Pearson Prentice Hall. 5. Murray JJ, Nunn JH. and Steele JG (2003). Prevention of Oral Disease. 4th ed., Oxford: Oxford University Press. 36 Epidemiology of Oral Conditions 1. Pine CM, Harris (ed) (2007). Community Oral Health. Berlin: Quintessence Publications.(Chapter 7: principles and methods of oral epidemiology) 2. Daly B, Watt R, Batchelor P, Treasure E (2003). Essential Dental Public Health. New York: Oxford University Press 3. Beaglehole R., Bonita R., Kjellstrom T (1993). Basic Epidemiology. Geneva: World Health Organization 4. Gordis L (2004). Epidemiology. Third edition. USA: Elsevier. Jurisprudence and Professional Ethics 1. International Law Book Services (2003). Dental Act 1971 (Act 51) & Regulations. 2. Sear J., Walters L. (l991), Law and Ethics in Dentistry. Wright, London 3. Malaysian Dental Council (2008), Code of Professional Conduct Research Methodology in Health Systems 1. Shi, Leiyu. Health Services Research Methods. 2nd Edition. USA: International Thompson Publishing, 2008. 2. Crosby RA, DiClemente RJ, Salazar LF. Research methods in Health Promotion. USA:Jossey-Bass, 2006. 3. Kim J, Dailey R. Biostatistics for oral healthcare. USA: Wiley: Blackwell, 2008 4. Critical Appraisal Skills Programme (CASP) 2004. 5. Brownson RC, Baker EA, Leet L, Gillespie KN. (2003) Evidence-based Public Health, Oxford University Press. Comparative Study of the Oral Health Care Delivery Systems 1. Pine CM, Harris(ed) (2007). Community Oral Health. Berlin: Quintessence Publications.(Chapter 7: principles and methods of oral epidemiology) 2. Daly B, Watt R, Batchelor P, Treasure E (2003). Essential Dental Public Health. New York: Oxford University Press. Research Project 1. Shi, Leiyu. Health Services Research Methods. 2nd Edition. USA: International Thompson Publishing, 2008. 2. Crosby RA, DiClemente RJ, Salazar LF. Research methods in Health Promotion. USA:Jossey-Bass, 2006. 3. Kim J, Dailey R. Biostatistics for oral healthcare. USA: Wiley: Blackwell, 2008 4. Critical Appraisal Skills Programme (CASP) 2004. 5. Basic Survey Methods. 4th Edition. WHO, 1997 6. Brownson RC, Baker EA, Leet L, Gillespie KN. (2003) Evidence-based Public Health, Oxford University Press. 7. http://www.bdj.co.uk/about/consort.shtml 8. International Committee of Medical Journal Editors (2006). Uniform Requirements for 37 9. 10. Manuscripts submitted to Biomedical Journals; Writing and Editing for Biomedical Publication. http://www.rcmje.org/ Paul Glasziou, Jan Vandenbroucke and Iain Chalmers. Assessing the quality of research. BMJ 2004;328;39-41. http://www.publicationethics.org.uk/guidelines 38