licensure panel discussion. dr. buck conard vice chair, joint commission on national dental...
TRANSCRIPT
Licensure Panel Discussion
Dr. Buck Conard
• Vice Chair, Joint Commission on National Dental Examinations, 2010-2011
• Huntington, West Virginia
• 304-360-0989 (cell)
Dr. Brian Kennedy
WHAT IS A PATIENT-BASED EXAM?
Traditional board exam
Regional boards/independent state exams
High stakes/snapshot
STILL PATIENT-BASED
PGY-1
Portfolio
True Curriculum Integrated Format
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
THE ISSUES
Manual dexterity
Independent evaluation
Protection of the public
THE ISSUE
Are states boards comfortable, confident or satisfied with each school’s diligence in preparing the student for unsupervised practice?
NO!!!!!
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.
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.
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
RESOLUTION 42-201042. 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
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
RESOLUTION 42-2010 contResolved, 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.
ASDA Licensure Report
Naomi Sever
ASDA Vice President
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
Policy
How does ASDA set policy?
Board of TrusteesAdopt Interim Policies
House of Delegates from 1972 to 2010
Policy
What kind of policies does ASDA have?A-J, L-N policies organized by subject-matterLargest subject areas
A policies on Dental Education AdministrationE policies on Dental School Administration and
Student GovernmentI policies on Health Status and Health
Promotion/Infection Control72 total policies
Example Policy
N-1 Use of Recyclable Materials (1991)The American Student Dental Association supports
the use of environmentally safe and recyclable materials.
Why is it important that ASDA have policies?
The beliefs of our associationRepresentatives know how the members
stand on certain issuesIt does NOT have to agree with status quo
ASDA Licensure Policies
L-1Initial Licensure Pathways
L-2Foreign Dental Students
L-3Curriculum Integrated Format (CIF)
L-4 National Board of Dental Examiners
Licensure
Part I pass/fail
L-4 Policy“….single exam that is secure and valid for
quantitative scoring.”
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 AprilJCNDE is NOT the ADA
Part III aka
Clinical Licensureaka
Board Exams
Clinical Licensure
What are the primary concerns about current formats?Ethics
Delayed TreatmentOver-exposure to x-raysClinical inability vs. Bad diagnosis and decision
making
High-stakes one shot examNot necessarily related to clinical performance
Clinical Licensure
Board Exams
L-1 Policy
ASDA supports “…universal acceptance of all and state clinical licensing exams.”
Alternatives
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
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
Alternative Licensure Formats
OSCE (objective structured clinical exam)
Assess treatment planning and diagnostic skillsBased on the Canadian BoardsCurrently accepted only in Minnesota Must be a graduate of the University of Minnesota
School of DentistryMore details to come at Annual Session
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
Alternative Licensure Formats
Non-traditional patient based clinical exam
Ethical, patient based examNot currently in existence