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ODTP Quarterly SUMMATIVE Compe

1154189 (ODTP Quarterly SUMMATIVE Compe)


Tran, Pauline
4/26/2020
Last approved by: Kitajima, Nicholas on 01/16/2020

SUMMATIVE Competency
SUMMATIVE Competency
Student Name and ID # Pauline Tran D20328 01/16/2020
Patient Chart # 210380 01/16/2020
Faculty Name Dr. Kitajima 01/16/2020
Date 1/16/2020 01/16/2020

1. Medical Issues that Impact Dental Care 4 01/16/2020


2. Treatment Modifications based on Medical Conditions 4 01/16/2020
3. Patient Concerns/Chief Complaint 4 01/16/2020
4. Dental History 4 01/16/2020
5. Significant Radiographic Findings 3 01/16/2020
6. Clinical Findings 3 01/16/2020
7. Risk Level Assessment 4 01/16/2020
8. Need for Additional Diagnostic Tests/Referrals 4 01/16/2020
9. Findings from Mounted Diagnostic Casts (REQUIRED) 4 01/16/2020
10. Comprehensive Problem List 3 01/16/2020
11. Diagnosis and Interaction of Problems 4 01/16/2020
12. Overall Treatment Approach 4 01/16/2020
13. Phasing and Sequencing of Treatment 4 01/16/2020
14. Comprehensiveness of Treatment Plan 4 01/16/2020
15. Treatment Record 4 01/16/2020

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Printed: 4/26/2020 at 9:34:05PM Page 1 of 1

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