US DENTAL LICENSURE UPDATENEW HAMSHIRE DENTAL BOARD

APRIL 2, 2018

WWW.CDCAEXAMS.ORG

What about our Colleagues

2016 data

Over 1,000,000 physicians in the USNumber of licensing examinations:

1-USMLENumber of testing agencies

2NBMEFSMB

DeveloperNBME

Medicine

Number of licensed nurses4,708,601

Number of licensing examinations1- NCLEX (adaptive testing)

Test administrators1-Pearson

Developers1 National Council of State Boards of Nursing

Nursing

Number of Podiatrists11,000

Number of licensing examinations1-American Podiatric Medical Licensing Examination (4 parts)

AdministratorsPrometric

DeveloperNational Board of Podiatric Medical Examiners

Podiatry

239,800Number of licensing examinations

1- National Physical Therapy ExaminationDeveloper

Federation of State Boards of Physical TherapyAdministrators

1- Prometric

Physical Therapy

130,400Number of Licensing examinations

1- National Board for Certification in Occupational TherapyAdministrators

1-PrometricDeveloper

NBCOT

Occupational Therapy

PharmacyChiropracticArchitectsEngineersPilotMarine Captain……

ETC., ETC., ETC

Number of licensed dentists and dental hygienistsDDS: 196,441RDH: 207,900

Number of examinations and/or licensure pathways:11-DDS5-RDH

Developers8

Administrators7

Dentistry

ADEX-ADLEXThe only national organization of state dental boards

WREBCRDTSSRTADELAWAREOSCE-MNOSCE- CO, KY

WACALIFORNIA PORTFOLIOPGY-1ACCREDITED POST GRAD PROGRAMADA OSCE

Examinations/Pathways

ADEXWREBCRDTSSRTADELAWAREOSCE-MN-NDEBOSCE- CO, WA, KY- NDEBCALIFORNIA PORTFOLIO-CBDPGY-1-ADAACCREDITED POST GRAD PROGRAM-ADAADA OSCE-ADA

Developer

DATNATIONAL BOARDs: DDS & RDHCODA: DDS & RDHSPECIALTY APPLICATION EXAMINATION: ALL EXCEPT OMSNOW ADA OSCE

ADA

ADEXCreated as a national licensure test construction entity An organization of state dental boardsFiscally organized to eliminate market based conflicts of interestPatterned after the NBMEONLY the member state dental boards have a vote no corporations

March 21, 2005

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A component of the process to insure that only competent practitioners that can perform appropriately receive a license

Identifies individual who should not receive a license-not a certification process

Not a ranking process

Licensure Examination

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Test Development and Construction

ContentSkills identified in an occupational “task” analysis

KnowledgeSkillsJudgmentsCompetence vs Performance

Scoring rubricsIn high stakes examinations the high risk outcome is the “false positive”; licensing the individual who should not be licensedEach component critical skill must be passed unless a restrictive license is availableScoring established by content experts

ReliabilityExaminers will evaluate the same performance is same way

Reliability is not validityAdministrative protocolsThe purpose of the exam is to reach a decision

Validity Components

If they are the same why are there multiple examinationsIf they are the same why don’t all testing agencies administer ADEXThe other testing agencies say there are differencesUnless the examination tests the same skill sets and measures cut score performance identically they are not the same

Examination Comparison

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If they are the same today---what about next year or the year after that

Examination Comparison

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Can be done by an entity without a conflict of interest

National Commission for Certifying Agencies (NCCA), the accrediting arm of the Institute for Credentialing Excellence (ICE)American National Standard Institute ( ANSA), the U.S. representative to the International Standards Organization (ISO).

Examination Comparison

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ADEX – WREB Comparison

NOT just a diagnosis and treatment planning examinationApplied diagnosis and treatment planningAssessment of patient medical history and complicationsClinical treatment planningOral SurgeryApplied anatomyApplied pharmacologyAll mandatory components of the Task Analysis that are not included in the performance examination seriesLongest continuously administered and maintained diagnosis and treatment planning OSCE examination in dentistryNo other test has this component

CDCA/ADEX Computerized OSCE

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If the roles of the examiners are not the same and the administrative principles are not the same they are not the same examination

Administrative Comparison

WREB pg12

Standardized computerized platformAll criteria are on the screen, no examiner memory requiredGrades reported the evening the examination ends

Patient distribution and grading algorithm ensures fairnessIndependent evaluation with communication among graders, including CFEs to graders

COMPUTER EXAMINATION MANAGEMENT PLATFORM

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WREB PASS

ENDO

WREB PASS

Moderate J margin

ADEX FAILURE

No line of draw or path of Insertion

Any J margin

PROS

ConjunctiveCompensatory

Scoring

WREB SCORING

WREB CRITICAL ERORS

Multiple Examinations

When examinations compete, and both examinations are accepted, the candidate will always select the examination that is perceived easier.

This allows the licensure candidate to make the decision on minimal competency standards rather than the State Board.

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ADEX ACCEPTANCE

Uniform Dental and Dental Hygiene Licensure Examination??

It is in YOUR control as a state dental boardADEX only jurisdictions:

FloridaHawaiiLouisianaMarylandNorth CarolinaPuerto RicoWashington, DCNew Jersey (de facto)Jamaica1 more state in the process

Uniform Dental and Dental Hygiene Licensure Examination??

Why would you spend countless hours developing an examination and then go back and accept anythingWith ADEX you are setting an examination standard not a testing agency preference

QUESTIONS?

THANK YOU