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Dr. Brian Kennedy Member, Council on Dental Education and Licensure

Update on ADA Licensure Activities and House Directives American Student Dental Association Baltimore, Maryland March 19, 2010. Dr. Brian Kennedy Member, Council on Dental Education and Licensure Member, Board Workgroup on 26S-1-2009. QUESTIONS. THANK YOU! INSERT LOVELY SUNSET HERE!

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Dr. Brian Kennedy Member, Council on Dental Education and Licensure

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  1. Update on ADA Licensure Activities and House DirectivesAmerican Student Dental AssociationBaltimore, MarylandMarch 19, 2010 Dr. Brian Kennedy Member, Council on Dental Education and Licensure Member, Board Workgroup on 26S-1-2009

  2. QUESTIONS THANK YOU! INSERT LOVELY SUNSET HERE! Dr. Brian Kennedy bkennedy@nycap.rr.com

  3. History of Licensure • Since 1902 profession discussing a national clinical exam • In early 1930s NBDE I and II established • In early 1970s many individual state boards moved to regional testing agencies • In 2003 NERB implements the Curriculum Integrated Format (CIF) • In 2005 ADEX is established using the CIF • In June 2009 CRDTS terminates agreement with ADEX.

  4. History of Licensure Since 2002, States have authorized alternative pathways: • PGY-1 – NY, CT, MN, CA, WA • OSCE – MN

  5. History of ADA Activities • 1997-2001 -- Invitational Licensure Conferences • 2001 -- Resolution 114H-2001 established ADA Task Force on the Role of Patient Based Examinations; the Task Force met 2002-2004 • 2004 – CDEL adopts recommendation that a graduate of an accredited dental education program should be able to take a single clinical examination that has national acceptance—ultimately led to establishment of ADEX.

  6. History of ADA Activities In 2005: • Resolution 23H-2004 established the ADA National Clinical Licensing Examination Consensus Committee. • ADA developed proposal for the National Commission on Clinical Dental Licensing

  7. History of ADA Activities • 2005-2008 --ADA met informally with individuals from some clinical testing agencies in effort to keep lines of communications open • 2008-2009 --Communications from the ADA presidents to state boards of dentistry encouraging implementation of ADA policy on acceptance of results of any state or regional clinical examination.

  8. History of ADA Activities 2009 -- Resolution 26S-1

  9. ADA House Past Actions Related to Clinical Exams and Part III • 14H-1988 National Clinical Dental Licensure Examination • 32H-1989 Development of Guidelines for Assessing Equivalency of Clinical Examinations • 73H-1990 Development of a Clinical Examination

  10. ADA House Past Actions Related to Clinical Exams and Part III • 100-1991 Development of a Part III Clinical Examination for Dental Licensure • 77-1992 and 100-1992 Development of a Standardized Clinical Part III • 49-1993 Part III National Clinical Dental Licensure Examination All were defeatedby the House

  11. ADA Licensure Policies ADA has several policies to support mutual acceptance of exams. • Acceptance of Successful Completion of State or Regional Licensure Examinations by State Boards of Dentistry (1998:725) • Acceptance of Results of Regional Boards (1992:630; 2001:468 • Standardization of State Dental Examinations (1992:629) • Guidelines for Licensure (1976:919; 1977:923 1989:529; 1992:632; 1999:938; 2000:401; 2003:340)

  12. ADA Licensure Policies Eliminating Use of Human Subjects in Board Examinations (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.

  13. ADA Licensure Policies Eliminating Use of Human Subjects in Board Examinations (2000; 2005) Resolved, that the Association supports the elimination of human subjects/patients in the clinical licensure examination 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.

  14. ADA Licensure Policies Definition of CIF (2007) Curriculum Integrated Format: An initial clinical licensure process that provides candidates an opportunity to successfully complete an independent “third party” 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. The competencies assessed by the clinical examining agency should be selected components of current dental education program curricula. All portions of this assessment are available at multiple times within each institution during dental school to ensure that patient care is accomplished within an appropriate treatment plan and to allow candidates to remediate and retake any portions of the assessment which they have not successfully completed.

  15. THE PRESENT Resolution 26S-1-2009. Resolved, that the American Dental Association House of Delegates direct the Council on Dental Education and Licensure to study the development of a Part III examination of the National Boards that will evaluate clinical competency, ethics and professionalism, in keeping with ADA policy (Trans.2005:335) Eliminating Use of Human Subjects in Board Examinations.

  16. Resolution 26S-1-2009 ISSUES IDENTIFIED BY ADA HOUSE OF DELEGATES: • CDEL and the JCNDE bylaws responsibilities do not include development of clinical examinations--would need House action to change them • Confusion as to the intent of the resolution and terminology such as “clinical competency,” clinical demonstration, clinical dexterity • Consideration of ADA policy on elimination of patients in clinical licensure examinations.

  17. Resolution 26S-1-2009 2009 HOUSE ACTION: Referral to Board of Trustees Workgroup Dr. William Calnon, Chair (BOT) Dr. Charles Norman, III (BOT) Dr. Brian Kennedy (CDEL) Dr. Patrick Lloyd (CDEL) Dr. David Perkins (CDEL)

  18. Resolution 26S-1-2009 First Meeting – March 9, 2010 • Reviewed history of ADA licensure activities • Reviewed use of simulation in dental schools • Discussed issues related to development of national clinical examination

  19. ADA House of Delegates ADA House of Delegates is the supreme authority on ADA policies.

  20. Where does this leave us TODAY? • YOU………ASDA have a VOICE • and an OPPORTUNITY • and an OBLIGATION

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