American Dental Licensure Examination in Dentistry

1. American Dental Licensure Examination inDentistry Administered by North East Regional Board of Dental Examiners (NERB)

2. Manual • Includes all information needed for the test, including registration, content, evaluation criteria and score reporting • http://www.nerb.org/b/documents/DENTAL_MANUAL_2010_TRADITIONAL%20_with%20index_.pdf.

3. Your Exam • Patient/Manikin Examinations • At Boston University, December 4-5, 2010 • Exams rotate between three MA dental schools: BU, Tufts & Harvard

4. Registration • You must apply through the state to take the clinical exam. Secure a letter from your CHC to apply to the Board of Registration in Dentistry (http://www.massdental.org/practice.aspx?id=210). • Once approval is granted, you must register for the NERB exam at: http://www.nerb.org/apply/ • You must complete a “profile” to log in and register • DEADLINE: Monday, November 1, 2010 • Complete applications, fees and requests for deferral of feeds must be received on or before these dates in order to be processed by the NERB.

5. Required Documents for Registration • Certification of Dean or designee of Dental Program/School • Professional Liability Insurance • Social Security Number • Signature • Change of Name or Address • Identification Card

6. Required Identification • Bring with you to clinical exams: • An ID card with your NERB ID number and your exam schedule will be mailed to you 2 weeks prior to the exam date • One ID with candidate signature • One ID with candidate signature and recent photo • Examples: Driver’s License, Credit Card, Passport, Military ID, and Employee ID

7. The Clinical Exams

8. Patient Recruitment • Be organized; read the booklet with the instructions (more than twice!) • Choose patients that you know well and trust • If you are fond of a particular instrument, bring it! • Choose the smallest qualifying lesions, too many modifications will be stressful and will reflect poor case selection • If possible, have someone you know pick up your patients and have them in the clinic at least 30 before the floor is open for patients • Be honest with your patients: make sure to explain the time commitment you need from them. Tell them also that there may be a possibility you cannot do the treatment if it does not get approved • Have a “Plan B!” and at least one “backup” set of patients.

9. Orientation & Admission • Attendance is mandatory to take exam • Takes place the afternoon before the exam at BU • Addresses specific instructions & distributes necessary materials

10. What do I bring to Orientation? • Photo Identification Card • Two (2) other forms of ID • Two (2) must have candidate’s signature • One (1) must have recent photograph

11. The Day of the Exam

12. Simulated Patient Treatment Exams • Endodontic • Fixed Prosthodontic

13. The Day of the Exam:Endodontic & Prosthodontic • Candidates can set up starting at 7am • Begins at 8:30am on designated day • Bring • photo ID • 2 forms of ID • White envelope • You can then receive the typodont box

14. Prior to the Exam • Between 7:30 to 8:30 A.M. the Clinic Floor Examiner (CFE) must: • verify that the tooth for the endodontic instrumentation and obturation has been measured and secured in the typodont • the manikin head is properly assembled, and any defective equipment or materials identified and corrected or replaced

15. Treatment Schedule • 8:30am: Treatment begins • Endodontics: 8:30am – 11:30am • Prosthodontics: 11:30am – 3:30pm • All treatment stops at 3:30pm, no matter what time you start. • You must be in the collection line no later than 3:45pm line with: • the typodont • the properly completed evaluation forms • the Progress form

16. Additional Notes • Teeth may not be removed or disassembled from the typodont or manikin head without permission from a CFE

17. Patient Simulation Exam Check Out

18. What to submit: • Four completed progress forms • The Fixed Prosthodontic and Endodontic Clinical Examination Progress forms are submitted with the typodont to the Manikin Clinic Floor Examiner • Photo Identification card for candidate and chairside assistant. • Medical History • Color-coded cubicle cards (2) • Unused Restorative and Periodontal Evaluation forms • The candidate will receive a receipt (Dental Candidate Check-out form) for all materials submitted at final check out

19. Patient Treatment Clinical Exams • Restorative • Periodontal

20. The Day of the Exam: Periodontal • Begin at 8am or 2pm (assigned by group) • No restorative procedures may be performed during the Periodontal Clinical Examination time even if the exam is completed early

21. The Day of the Exam: Restorative • 4 sections to be completed over 6 hours • Begins at either 8am or 11am (assigned by group) • Each section requires a separate evaluation in the Evaluation Station

22. Time Management • Examination time includes: • Patients’ time at the Evaluation Station for assignment & evaluation • Minimum time: 30 minutes • Includes Requests for Modifications

23. Patient ExamCheck Out

24. What to submit: • Pre-operative and post-operative radiographs (if requested during the examination) of teeth restored during the examination • the complete mouth series of radiographs only by request of examiner • Photo Identification card for candidate and chairside assistant. • Treatment Consent Form(s). • Medical History • Color-coded cubicle cards (2) • Unused Restorative and Periodontal Evaluation forms • The candidate will receive a receipt (Dental Candidate Check-out form) for all materials submitted at final check out

25. Additional Considerations

26. Assistants • Who may NOT be assistants: • Dentists and dental hygienists (licensed or unlicensed) • Third or Fourth year dental students • Final year hygiene students • Dental technicians • If a chairside assistant is employed, the assistant must be cleared by a NERB representative at the Coordinator Desk on the day of the examination and prior to the start of the examination. • The candidate must have : • Completed Candidate Agreement for the Use of Chairside Assistant • Completed Authorized Chairside Assistant ID Card 3. Two forms of ID • One with photo graph • Two separate 2x2 photos • Attach one to Candidate Agreement • Attach other to Assistant ID Card

27. Interpreters • Who may NOT be interpreters: • faculty members, • dentists and dental hygienists (licensed or unlicensed), • third or fourth year dental students, • final year dental hygiene students • Individuals serving as chairside assistants

28. Interpreters Contd. • The candidate must bring two separate 2”x 2” photos of the interpreter • one to be attached to the top of the Interpreter Disclosure Statement • One attached to the bottom of that form which serves as the interpreter’s ID • During the clinical examinations, the interpreter must wear a photo identifying badge provided by the NERB at all times when on the clinic floor. • Candidates are responsible for the registration of the interpreter

29. Tips from Recent Test-Takers • Read through the manual thoroughly • The clinical exam is a test of your organizational abilities; prepare, prepare, prepare! • Choose patients that you know and trust. They will come without financial incentive. • Have a colleague look over your patient selection • Spend time getting to know the clinic set-up in the school at which you’ll be taking the exam

30. Links to Videos • Dr. McManama discusses specific clinical activities on the NERB: • Photos of clinical procedures provided, with commentary on quality and discussion of tips for the NERB http://apreso.bu.edu/acmcontent/f6ff9165-bedc-4e84-8772-95e07dd50ffe/DrMcManamaNerbs_Unspecified_2010-01-22_12-03-PM.htm.

31. GOOD LUCK!