Hey, Licensure Representative!

1
Hey, Licensure Representative!

• (Yes, Im talking to you!)

2
2007

• Board of Trustees passed resolution BOT 21 2007
  2008
• Resolved, that ASDA supports formation of a
  Licensure Representative position at the local
  chapter level, with the responsibilities of the
  position to include educating their chapter about
  Licensure issues and acting as an advocate for
  and educating members, state boards, state
  governments and local dental societies about
  ASDAs Licensure policies. And be it further,
• Resolved, that the Representative communicate
  with the Council Chair on Licensure about issues
  in his/her community.

3
2008

• Council on Licensure drafted official Licensure
  Representative position description
• The Licensure Representative serves as a source
  for licensure information. The Licensure
  Representative will be current on ASDA, local,
  and statewide licensure policies and relay this
  information to the local members. The Licensure
  Representative will also communicate these local
  issues to the Council Chair of Licensure and
  direct members to ASDA resources regarding
  licensure requirements. The second delegate,
  alternate delegate, or other interested member of
  each ASDA chapter could serve as its Licensure
  Representative.

4
2008

• Specific responsibilities include
• Educating his/her chapter about ASDAs Licensure
  policies
• Educating his/her chapter about local and
  statewide licensure policies
• Communicates with the Council Chair on Licensure
  about issues in his/her community
• Informs all members as to where they may find
  ASDA resources on licensure requirements

5
What did I get myself into?

• Happy you asked!
• Were going to hit all the points
• ASDAs Licensure policies
• What to learn/know about your local and state
  licensure policies
• (i.e. Learning the Local Licensure Lingo)
• What to communicate back to the Council Chair on
  Licensure
• (i.e. Critical Communication)
• Where you can find useful resources to do your
  job!
• (i.e. Relevant Resources)

6
ASDAS LICENSURE POLICIES

• (PAY ATTENTION!!!!!!!!!!!!!!!!)

7
L-1 Initial Licensure Pathways

• Until a fair and ethical, reliable and
  reproducible, valid, and clinically relevant
  national common-content evaluation of minimal
  competence for initial licensure has been
  developed, and until all dental licensing
  jurisdictions of the United States and its
  territories accept such an examination, the
  American Student Dental Association supports the
  universal acceptance of all regional and state
  clinical licensing examinations.

8
L-1 (continued)

• Regardless of the examining authority or the
  jurisdiction in which the exam is administered,
  the American Student Dental Association believes
  that any clinical licensing examination intended
  to measure technical skill via a sequence of
  independent clinical tasks should
• be a non-patient based examination emphasizing
  the recognition, diagnosis, and treatment
  planning of disease, in conjunction with the
  treatment of simulated disease by use of a
  typodont.
• be administered in the final year of dental
  school.
• provide opportunities for remediation, at the
  candidates dental school, prior to graduation.
• guarantee anonymity of candidates and examiners.
• be administered by examiners who have been
  calibrated to provide standardized and consistent
  scoring.
• not include a written examination that duplicates
  the content of the National Dental Board
  Examination Parts 1 or 2.
• be offered to candidates at the lowest reasonable
  cost possible.

9
L-1 (continued)

• While the American Student Dental Association
  supports continual improvement of existing
  examinations and collaborative development of a
  new examination, the association believes the
  following alternatives are preferable to the
  current licensure process
• Initial licensure without an independent clinical
  licensing examination Graduates of dental
  schools accredited by the Commission on Dental
  Accreditation should be eligible for initial
  licensure without taking any additional clinical
  examination.
• A portfolio-type clinical examination based on
  cases compiled during the final year of dental
  school Such an examination should require a
  standardized catalog of required clinical
  procedures and the portfolio should be evaluated
  by an examiner independent of the dental school.

10
L-1 (continued)

• A non-traditional patient based clinical
  licensure examination Although the American
  Student Dental Association does not support the
  use of live patients in traditional clinical
  licensing examinations, the association
  recognizes the potential for creation of an
  ethical, patient based examination.
• An Objective Structured Clinical Examination
  designed to evaluate a candidates diagnostic and
  treatment planning skills.
• Completion of a one year post graduate residency
  program Completion of a postgraduate residency
  program that has been accredited by the
  Commission on Dental Accreditation and has a
  minimum duration of one year should be sufficient
  to substitute for the clinical licensure
  examination requirement in any jurisdiction.
  However, the American Student Dental Association
  opposes a mandatory postgraduate residency in any
  licensing jurisdiction.

11
L-2 Licensure for Graduates of Foreign Dental
Schools

• ASDA is opposed to licensure by any mechanism of
  graduates from schools not accredited by the ADA
  Commission on Dental Accreditation. Graduation
  from a dental program accredited by the ADA
  Commission on Dental Accreditation, regardless of
  its geographic location, should be required for
  eligibility for initial licensure in any
  jurisdiction in the United States, given that all
  other jurisdictional requirements are also
  fulfilled.

12
L-3 Definition of Curriculum Integrated Format

• An initial clinical licensure process that
  requires candidates to successfully complete an
  independent clinical assessment prior to
  graduation from a dental education program
  accredited by the ADA Commission on Dental
  Accreditation.
• If such a process includes patient care as part
  of the assessment, it should be performed by
  candidates on patients of record whenever
  possible, within an appropriately sequenced
  treatment plan. In order to be integrated into
  the curriculum, the competencies assessed must be
  mutually accepted between the dental education
  program and the examining agency.
• All portions of this assessment must be available
  three or more times during dental school. This
  ensures that patient care is accomplished within
  an appropriate treatment plan and allows
  candidates to remediate and retake any portions
  of the assessment, which were not successfully
  completed.  There must also be a defined
  mechanism within the dental education program
  curricula for remediation of students who fail
  any section of the assessment.

13
L-4 Policy on Dental Examinations (i.e. the
newest member of the family)

• Resolved, that in regards to National Board
  Dental Examinations (NBDE), the American Student
  Dental Association supports a secure examination
  process, and be it further, Resolved, that in
  regards to an examination for advanced post
  graduate education in dentistry, the American
  Student Dental Association supports a single exam
  that is secure and valid for quantitative
  scoring.

14
Learning the Local Licensure Lingo

• What kinds of information you should be picking
  up
• Where your state stands on universal exam
  acceptance
• Which exams are accepted
• Maybe why they choose not to accept certain exams
• So we know what to fight for!

15
Critical Communication

• Tell the Council Chair
• When you attend a state dental association or
  dental society meeting
• So we can show our members how we are functioning
  to serve them!
• Any changes in licensure policy in your state
• So we can keep our members updated and post
  information to our website
• Acceptance of alternative exams
• Any communication you have after meetings
  (letter-writing, lobbying, etc)

16
Relevant Resources

• For info related to licensure exams
• Exam websites (NERB, WREB, etc)
• For info related to state licensure policies
• State dental association/dental society websites
• State dental association/dental society meetings
• For info related to ASDAs licensure policies
• asdanet.org!.... duh.
• Its more fun than textsfromlastnight.com anyway.

17
In an ideal lr world.

• (An example of how YOU should approach LR!)

18
To review What should the LR try to do?

• The LR should update the chapter on events
  pertaining to licensure
• Ex. Minnesota is the first dental board to accept
  the Canadian exam which is patient-free.
• The LR should represent ASDA to the State Dental
  Association when possible.
• The LR should represent ASDAs policies to the
  State Dental Board when possible.

19
Jonah Goes to Plainville

• HCOL is the Connecticut State Dental Association
  licensure committee.
• To protect student interest, Jonah reviews CTs
  policy on licensure and the policy of ASDA.
• He contacts the CSDA and expresses interest in
  representing the student voice on their
  committee.
• He respectfully entertains discussion on possible
  changes and speaks intelligently to the policy
  ASDA supports.

20
Representation at the State Dental Board

• The hearing of the State Dental Board are often
  open to the community
• Contacting the State Board about ASDAs licensure
  policy can be done over the phone and our
  representation will vary based on the above
  policy within each state.
• If necessary, letter-writing campaigns can be
  organized by the LR for the chapter directed at
  the board.

21
How do I know what to say?

• ASDA would like you to voice the policies as they
  pertain to licensure and trusts you to represent
  your fellow members.
• When asked about PGY-1, it is appropriate to say
  ASDA supports the idea of a one year residency
  equating to a licensure exam, but does not
  support this as a mandatory requirement for
  licensure.
• When asked about the current examination process
  it is important to know what testing agency and
  what test is administered by that agency.

22
Common Questions of Students

• What specific procedures should an ideal exam
  contain?
• What are ASDAs current problems with the exam?
• What alternatives to the traditional patient
  based exam are feasible?