dr. brian kennedy member, council on dental education and licensure

Update on ADA Licensure Activities and House Directives

American Student Dental AssociationBaltimore, Maryland

March 19, 2010

Dr. Brian KennedyMember, Council on Dental Education and Licensure

Member, Board Workgroup on 26S-1-2009

© 2010 American Dental Association, All Rights Reserved

QUESTIONS

THANK YOU!

INSERT LOVELY SUNSET HERE!

Dr. Brian Kennedy

[email protected]


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.


History of Licensure

Since 2002, States have authorized alternative pathways:

PGY-1 – NY, CT, MN, CA, WA

OSCE – MN


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.



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



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.



2009 -- Resolution 26S-1


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


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 defeated by the House


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)



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.



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.



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.


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.


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.



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)



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


ADA House of Delegates

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


Where does this leave us TODAY?

• YOU………ASDA have a VOICE

• and an OPPORTUNITY

• and an OBLIGATION

dr. brian kennedy member, council on dental education and licensure

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