1. Hot Topic: Licensure A Dental Student’s Dilemma Tyler Rumple, DDS Washington ‘14

2. @ASDAnet #ASDAnet The views expressed in this presentation are those of the author and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government.

3. @ASDAnet #ASDAnet So where are we going? Exam: What you gotta do? ASDA L-1 Policy What is it? Why do we have it? What is ASDA doing? What can you do?

4. @ASDAnet #ASDAnet Alphabet Soup WREB NERB CDCA CRDTS CITA ADEX SRTA

5. @ASDAnet #ASDAnet ENDO – Manikin PROSTH – Manikin PROSTH – Comp / CSW PERIO – Live Pt PERIO – Comp / CSW REST - Manikin REST – Live Pt DIAG Comp Ex COST* CITA (ADEX) XXXXX $2500- $3000 CRDTS XXXX$2195 NERB/ CDCA (ADEX) XXXXX$2085 SRTA (ADEX) XXXXX $2575- $2625 WREB XXXXXX $1760- $2420

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7. @ASDAnet #ASDAnet When should you treat this lesion? Kakudate N et al. J DENT RES 2012;91:1202-1208 Answer: IT DEPENDS!

8. @ASDAnet #ASDAnet Dec 2012

9. @ASDAnet #ASDAnet Dec 2014: 2-years later

10. @ASDAnet #ASDAnet a.Be a non-patient based examination emphasizing the recognition, diagnosis and treatment planning of disease, in conjunction with the treatment of simulated disease by use of a typodont L-1 Policy

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13. @ASDAnet #ASDAnet ASDA L-1 Policy Continued…

14. @ASDAnet #ASDAnet ASDA L-1 Policy Continued… a.Graduation from CODA-Accredited school b.Portfolio c.Non-traditional patient based exam d.OSCE e.PGY-1

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16. @ASDAnet #ASDAnet Similar Policies ADEA Goals: Freedom in geographic mobility Elimination of licensure and regulatory barriers that restrict access to care Elimination of patients in clinical examinations High reliability of any licensure examination process and content Predictive validity

17. @ASDAnet #ASDAnet Similar Policies ADEA Goals: In 2011, called for elimination of live patients from dental licensure by 2015 All states should offer methods of licensure in dentistry that include Advanced education of at least one year Portfolio assessment Other non-live patient-based methods

18. @ASDAnet #ASDAnet Similar Policies ADA 20H-2005. Resolved, that the Association supports the elimination of human subjects/patients in the clinical licensure 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.

19. @ASDAnet #ASDAnet Curriculum Integrated Format Definition “…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.

20. @ASDAnet #ASDAnet Curriculum Integrated Format Definition 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 allow candidates to remediate and retake any portions of the assessment which they have not successfully completed.”

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22. @ASDAnet #ASDAnet ADA Council on Dental Education and Licensure (CDEL) Survey of Dental Schools on CIF Is it being implemented as defined by ADA CIF?

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25. @ASDAnet #ASDAnet ASDA Strategy Who Developed this strategy? EC Board of Trustees ASDA Staff Who is responsible for implementing this strategy? EC Board of Trustees Council on Advocacy ASDA Staff YOU! What is the strategy? Pillar 1: Reform State Dental Licensure Policies Pillar 2: Awareness and Education

26. @ASDAnet #ASDAnet 1 st Pillar- Reform State Dental Licensure Policies Advocate for L-1 policy at the state level through legislative and regulatory efforts State Dental Associations Dental Boards State Legislators National Dental Organizations

27. @ASDAnet #ASDAnet 2 nd Pillar- Awareness and Education Ensure ASDA members understand: Process of obtaining licensure ASDA’s effort to reform process

28. @ASDAnet #ASDAnet 2 nd Pillar- Awareness and Education Presentations, website, publications, national meetings White paper

29. @ASDAnet #ASDAnet ASDA Wants You!

30. @ASDAnet #ASDAnet How Can You Affect Change? Contact State Dental Boards Student Rep? Contact State Dental Society Introduce Resolutions, Change Policy

31. @ASDAnet #ASDAnet How Can You Affect Change? Work with ASDA Council on Advocacy –Chair, Legislative Liaisons, Executive Committee Run for ASDA office!

32. @ASDAnet #ASDAnet Final Thoughts

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34. @ASDAnet #ASDAnet Thank you Tyler Rumple, DDS rumpletj@gmail.com