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Licensure Panel Discussion

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Licensure Panel Discussion * Dr. Buck Conard Vice Chair, Joint Commission on National Dental Examinations, 2010-2011 Huntington, West Virginia gconard266_at_aol.com 304 ... – PowerPoint PPT presentation

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Date added: 6 September 2019
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Title: Licensure Panel Discussion


1
Licensure Panel Discussion
2
Dr. Buck Conard
  • Vice Chair, Joint Commission on National Dental
    Examinations, 2010-2011
  • Huntington, West Virginia
  • gconard266_at_aol.com
  • 304-360-0989 (cell)

3
American Student Dental Association Central
Regional Meeting August 27, 2010 Chicago, Illinois
  • Dr. Brian Kennedy

4
WHAT IS A PATIENT-BASED EXAM?
  • Traditional board exam
  • Regional boards/independent state exams
  • High stakes/snapshot

5
STILL PATIENT-BASED
  • PGY-1
  • Portfolio
  • True Curriculum Integrated Format

6
NON PATIENT-BASED
  • Objective Structured Clinical Exam (OSCE)
  • OSCE is one part of the two-part Canadian
    National Board Dental Examination. There is a
    written exam and the OSCE.
  • Minnesota offers the exam to their students after
    they demonstrate specific clinical competencies.
  • Simulators/virtual reality

7
THE ISSUES
  • Manual dexterity
  • Independent evaluation
  • Protection of the public

8
THE ISSUE
  • Are states boards comfortable, confident or
    satisfied with each schools diligence in
    preparing the student for unsupervised practice?
  • NO!!!!!

9
ADA POLICY
  • 64H-2000. Resolved, that the Association
    supports the elimination of the use of human
    subjects in the clinical licensure examination
    process by 2005, and be it further
  • Resolved, that the Association transmit this
    policy to all clinical testing agencies.

10
ADA POLICY
  • 20H-2005. Resolved, that the Association
    supports the elimination of human
    subjects/patients in the clinical licensure
    process with the exception of the curriculum
    integrated format within dental schools, and be
    it further,
  • Resolved, that the Association encourages all
    states to adopt methodologies for licensure that
    are consistent with this policy.

11
26S-1 WORKGROUP (NBDE III)
  • ADA Board of Trustees considered report and a
    proposed resolution from the 26S-1 Workgroup at
    July meeting
  • Forwarded Resolution 42 to the House of Delegates
    for consideration in Orlando

12
RESOLUTION 42-2010
  • 42. Resolved, that a Request for Proposals (RFP)
    process be initiated calling for the development
    of a model portfolio-style examination for
    licensure purposes designed to assess dental
    graduates clinical competence, including a
    complementary written/interactive examination to
    assess issues not deemed adequately addressed in
    the portfolio model such as ethics and
    professionalism, and be it further

13
RESOLUTION 42-2010 cont
  • Resolved, that a new workgroup composed of two
    representatives from the Board of Trustees, three
    from the Council on Dental Education and
    Licensure (one appointee each from the ADA, ADEA
    and AADB), one from the Committee on the New
    Dentist, and one from the American Student Dental
    Association be appointed to oversee the
    development and announcement of the RFP process
    in 2011 and consideration of the received
    proposals in 2012, and be it further

14
RESOLUTION 42-2010 cont
  • Resolved, that the workgroup meet with
    representatives from the CODA to share with them
    their concerns regarding the accreditation of
    dental education programs and make
    recommendations that will restore confidence and
    trust in the processes used to evaluate these
    programs, and be it further
  • Resolved, that appropriate progress reports be
    made available to both the 2011 and 2012 House of
    Delegates.

15
ASDA Licensure Report
  • Naomi Sever
  • ASDA Vice President

16
Policy
  • What is a policy?
  • Merriam Webster definition
  • A definite course or method of action selected
    from among alternatives and in light of given
    conditions to guide and determine present and
    future decision
  • A high-level overall plan embracing the general
    goals and acceptable procedures especially of a
    governmental body

17
Policy
  • How does ASDA set policy?
  • Board of Trustees
  • Adopt Interim Policies
  • House of Delegates from 1972 to 2010

18
Policy
  • What kind of policies does ASDA have?
  • A-J, L-N policies organized by subject-matter
  • Largest subject areas
  • A policies on Dental Education Administration
  • E policies on Dental School Administration and
    Student Government
  • I policies on Health Status and Health
    Promotion/Infection Control
  • 72 total policies

19
Example Policy
  • N-1 Use of Recyclable Materials (1991)
  • The American Student Dental Association supports
    the use of environmentally safe and recyclable
    materials.

20
Why is it important that ASDA have policies?
  • The beliefs of our association
  • Representatives know how the members stand on
    certain issues
  • It does NOT have to agree with status quo

21
ASDA Licensure Policies
  • L-1
  • Initial Licensure Pathways
  • L-2
  • Foreign Dental Students
  • L-3
  • Curriculum Integrated Format (CIF)
  • L-4
  • National Board of Dental Examiners

22
Licensure
  • Part I pass/fail
  • L-4 Policy
  • .single exam that is secure and valid for
    quantitative scoring.

23
Licensure
  • NBDE Part II Failure Rate
  • Joint Commission of National Dental Examiners
  • ASDA has 2 representatives that serve 2 year
    terms
  • Meet once per year in April
  • JCNDE is NOT the ADA

24
Part III aka Clinical Licensure aka Board
Exams
25
Clinical Licensure
  • What are the primary concerns about current
    formats?
  • Ethics
  • Delayed Treatment
  • Over-exposure to x-rays
  • Clinical inability vs. Bad diagnosis and decision
    making
  • High-stakes one shot exam
  • Not necessarily related to clinical performance

26
Clinical Licensure
  • Board Exams
  • L-1 Policy
  • ASDA supports universal acceptance of all and
    state clinical licensing exams.
  • Alternatives

27
Alternative Licensure Pathways
  • Dental School
  • Graduates of dental school accredited by
    Commission on Dental Accreditation (CODA) program
    should be eligible without any further clinical
    examination

28
Alternative Licensure Formats
  • Portfolio Exam
  • Curriculum Integrated Format (CIF)
  • Supported by both ADA and ASDA policy
  • Projected to be adopted by California this coming
    January
  • More details to come at Annual Session

29
Alternative Licensure Formats
  • OSCE (objective structured clinical exam)
  • Assess treatment planning and diagnostic skills
  • Based on the Canadian Boards
  • Currently accepted only in Minnesota
  • Must be a graduate of the University of Minnesota
    School of Dentistry
  • More details to come at Annual Session

30
Alternative Licensure Formats
  • Non-mandatory one year post graduate residency
    program
  • PGY1 (Post-graduate Year 1) mandatory for
    licensure in New York state since 2007

31
Alternative Licensure Formats
  • Non-traditional patient based clinical exam
  • Ethical, patient based exam
  • Not currently in existence
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