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“LICENSE TO DRILL ”

“LICENSE TO DRILL ”. AMERICAN STUDENT DENTAL ASSOCIATION. Anaheim, California March 4, 2011. Steven G. Morrow, DDS, MS . ASDA ANNUAL SESSION 2011. LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER. Director of Patient Care Services And Clinical Quality Assurance .

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“LICENSE TO DRILL ”

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  1. “LICENSE TO DRILL” AMERICAN STUDENT DENTAL ASSOCIATION Anaheim, California March 4, 2011 Steven G. Morrow, DDS, MS

  2. ASDA ANNUAL SESSION 2011 LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER Director of Patient Care Services And Clinical Quality Assurance

  3. Portfolio Examination

  4. Portfolio Examination The Portfolio Pathway To Initial Dental Licensure In California

  5. PORTFOLIO DENTAL EXAMINATION • Resulted from a collaboration between: • Dental Board of California • California Dental Association • Six California Dental Schools • Professional Psychometric Studies • Resulted from good timing: • Licensure by credential – 2003 • Licensure through WREB – 2005 • Licensure by PGY 1 – 2007 • Two DDS in State Legislature

  6. PORTFOLIO DENTAL EXAMINATION • Resulted in Passage of AB1524 (Hayashi) • Signed into law by Governor in Sept 2010 • Effective January 1, 2011 • Eliminated traditional Clinical Licensing Examination • Established Licensure by Portfolio for graduates from California Dental Schools

  7. PORTFOLIO DENTAL EXAMINATION • What is a Portfolio Examination? “The cumulative documentation, submitted to the Dental Board, of the applicant’s completion of the required minimum clinical experiences and the successful demonstration of the required clinical competencies for licensure.”

  8. PORTFOLIO DENTAL EXAMINATION • What is a Portfolio Examination? “The cumulative documentation, submitted to the Dental Board, of the applicant’s completion of the required minimum clinical experiences and the successful demonstration of the required clinical competencies for licensure.”

  9. PORTFOLIO DENTAL EXAMINATION • Required Minimum Clinical Experiences • Oral Diagnosis and Treatment Planning

  10. PORTFOLIO DENTAL EXAMINATION • 40 Oral Examinations and Treatment Plans

  11. PORTFOLIO DENTAL EXAMINATION • 40 Oral examinations and treatment plans must include evidence of: • Assessment of a patient’s medical and dental history • Development of problem work-up • Development of alternative treatment plans, when appropriate • Identification of a definitive treatment plan accepted by patient and clinical faculty that addresses all or part of the patient’s treatment needs

  12. PORTFOLIO DENTAL EXAMINATION • Required Minimum Clinical Experiences • Oral Diagnosis and Treatment Planning (40) • 25 Periodontal Tx Cases • Adult prophy • Scaling and root planing • 5 or more quadrants • Periodontal Surgery • Assisting Periodontal Surgery (faculty/Grad St) • Any periodontal procedure approved by the school

  13. PORTFOLIO DENTAL EXAMINATION • Required Minimum Clinical Experiences • Oral Diagnosis and Treatment Planning (40) • Periodontal Treatment (25) • 60 Direct Restorations • Permanent and Primary teeth

  14. PORTFOLIO DENTAL EXAMINATION • Required Minimum Clinical Experiences • Oral Diagnosis and Treatment Planning (40) • Periodontal Treatment (25) • Direct Restorations (60) • 14 Indirect Restorations • Inlay/onlay, FC, Partial crown, FPD, Implant-crown

  15. PORTFOLIO DENTAL EXAMINATION • Required Minimum Clinical Experiences • Oral Diagnosis and Treatment Planning (40) • Periodontal Treatment (25) • Direct Restorations (60) • Indirect Restorations (14) • 5 Endodontic treatments • Each canal counts as a treatment

  16. PORTFOLIO DENTAL EXAMINATION • Required Minimum Clinical Experiences • Oral Diagnosis and Treatment Planning (40) • Periodontal Treatment (25) • Direct Restorations (60) • Indirect Restorations (14) • Endodontic treatments (5) • 5 Removable Prostheses

  17. PORTFOLIO DENTAL EXAMINATION • Required Minimum Clinical Experiences • Oral Diagnosis and Treatment Planning (40) • Periodontal Treatment (25) • Direct Restorations (60) • Indirect Restorations (14) • Endodontic treatments (5) • Removable Prostheses (5) • Oral and Maxillofacial Surgery • 25 Procedures (D7000 Procedure Codes)

  18. PORTFOLIO DENTAL EXAMINATION • Required Competency Examinations (final year of dental training) “Each competency examination will be graded in accordance with the Board’s grading criteria on forms prescribed by the Board. The competency examination will be signed by one of the school’s faculty portfolio examiners for the prescribed competency.”

  19. PORTFOLIO DENTAL EXAMINATION • Required Competency Examinations “The dental school faculty portfolio examiners are faculty members who are chosen by the school, registered with the Dental Board, and trained and calibrated by the Board to conduct and grade the Board Competency Examinations.”

  20. PORTFOLIO DENTAL EXAMINATION • Required Competency Examinations • Oral Diagnosis and Treatment Planning • Six supporting competencies

  21. PORTFOLIO DENTAL EXAMINATION • Required Competency Examinations • Oral Diagnosis and Treatment Planning • Six supporting competencies • Direct Restorations • Class II amalgam or composite resin • Class III/IV composite resin • Class V amalgam, composite resin, or glass ionomer

  22. PORTFOLIO DENTAL EXAMINATION • Required Competency Examinations • Oral Diagnosis and Treatment Planning • Six supporting competencies • Direct Restorations • Class II amalgam or composite resin • Class III/IV composite resin • Class V amalgam, composite resin, or glass ionomer • Indirect Restorations (one of the following) • Ceramic onlay • Ceramic Crown • Full/Partial gold restoration • Metal-ceramic restoration

  23. PORTFOLIO DENTAL EXAMINATION • Required Competency Examinations • Oral Diagnosis and Treatment Planning • Direct Restorations • Indirect Restorations • Removable Prosthodontics • 5 Supporting Competencies

  24. PORTFOLIO DENTAL EXAMINATION • Required Competency Examinations • Oral Diagnosis and Treatment Planning • Direct Restorations • Indirect Restorations • Removable Prosthodontics • 5 Supporting Competencies • Endodontics • 7 Supporting Competencies

  25. PORTFOLIO DENTAL EXAMINATION • Required Competency Examinations • Oral Diagnosis and Treatment Planning • Direct Restorations • Indirect Restorations • Removable Prosthodontics • 5 Supporting Competencies • Endodontics • 7 Supporting Competencies • Periodontics • 4 Supporting Competencies

  26. PORTFOLIO LICENSURE EXAMINATION • Required Competency Examinations • Oral Diagnosis • Direct Restorations • Indirect Restorations • Removable Prosthodontics • Endodontics • Periodontics • Portfolio Final Review “The Board shall be responsible for review of the submitted portfolio to determine that it is complete and the applicant has met the requirements for licensure.”

  27. PORTFOLIO LICENSURE EXAMINATION • Advantages • Psychometrically a clinical examination • Integrated into clinical curriculum • Conducted with patients of record in proper treatment sequence • Longitudinal not Cross-Sectional (snap-shot) • Opportunity to assess additional competencies • License upon graduation w/o additional examination • Reduced Stress and $$$$$

  28. PORTFOLIO LICENSURE EXAMINATION • Advantages • Psychometrically a clinical examination • Integrated into clinical curriculum • Conducted with patients of record • Longitudinal not Cross-Sectional • Opportunity to assess additional competencies • License upon graduation w/o additional examination • Reduced Stress • Reduced $$$$$ • Disadvantages • License for California only

  29. PORTFOLIO LICENSURE EXAMINATION SO, WHERE ARE WE NOW?

  30. “LICENSE TO DRILL” AMERICAN STUDENT DENTAL ASSOCIATION Anaheim, California March 4, 2011 Steven G. Morrow, DDS, MS

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